TAKOMA REGIONAL HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: TAKOMA REGIONAL HOSPITAL INC (EIN 51-0603966)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-13
IRS object ID: 201931339349303223
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-13T10:52:45-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	510603966	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TAKOMA REGIONAL HOSPITAL INC	BusinessNameLine1Txt

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TAMMY ALBRIGHT	PersonNm
Person Title	PRESIDENT-TRH	PersonTitleTxt
Phone	4233023374	PhoneNum
Signature	2019-05-13	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

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

Field	Value	IRS element (for citing)
IP	2019-05-13	IPDt
IP Tm	10:52:45	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B63603CA6CC0E7A9B40672C01A3D6D8A952705BD	AtSubmissionCreationDeviceId
At Submission Filing Device Id	39095CF110B0C8EE9B5E629A9826572B753F4624	AtSubmissionFilingDeviceId

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

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	TAMMY ALBRIGHT	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$60,785,959	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	BALLADHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2006	FormationYr
Legal Domicile State	TN	LegalDomicileStateCd
Activity Or Mission	MISSION: HONOR THOSE WE SERVE BY DELIVERING THE BEST POSSIBLE CARE. VISION: TO BUILD A LEGACY OF SUPERIOR HEALTH BY LISTENING TO AND CARING FOR THOSE WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	3	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	726	TotalEmployeeCnt
Total Volunteers	46	TotalVolunteersCnt
Total Gross UBI	$22,723	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$19,623	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,129	PYContributionsGrantsAmt
CY Contributions Grants	$346,073	CYContributionsGrantsAmt
PY Program Service Revenue	$66,402,629	PYProgramServiceRevenueAmt
CY Program Service Revenue	$57,036,021	CYProgramServiceRevenueAmt
CY Investment Income	$46,440	CYInvestmentIncomeAmt
PY Other Revenue	$2,628,603	PYOtherRevenueAmt
CY Other Revenue	$3,310,992	CYOtherRevenueAmt
PY Total Revenue	$69,032,361	PYTotalRevenueAmt
CY Total Revenue	$60,739,526	CYTotalRevenueAmt
PY Grants And Similar Paid	$63,429	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,100	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$41,332,333	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$34,912,746	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$30,517,257	PYOtherExpensesAmt
CY Other Expenses	$29,807,269	CYOtherExpensesAmt
PY Total Expenses	$71,913,019	PYTotalExpensesAmt
CY Total Expenses	$64,722,115	CYTotalExpensesAmt
PY Revenues Less Expenses	-$2,880,658	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$3,982,589	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,262,778	TotalAssetsBOYAmt
Total Assets EOY	$32,494,699	TotalAssetsEOYAmt
Total Liabilities BOY	$5,098,604	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,656,439	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$835,826	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$28,838,260	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	HONOR THOSE WE SERVE BY DELIVERING THE BEST POSSIBLE CARE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$54,982,539	ExpenseAmt
Grant	$2,100	GrantAmt
Revenue	$60,370,730	RevenueAmt
Desc	TAKOMA REGIONAL HOSPITAL, INC., IS A 100-BED ACUTE CARE FACILITY LOCATED IN GREENEVILLE, TENNESSEE. TAKOMA REGIONAL HOSPITAL FOUNDATION IS A SUPPORTING ORGANIZATION FOR THE HOSPITAL. WE PROVIDE A WIDE VARIETY OF SERVICES, INCLUDING EMERGENCY CARE; PHYSICAL, STROKE AND OCCUPATIONAL THERAPIES; SURGERY; ACUTE MEDICAL CARE SERVICES INCLUDING ICU, PROGRESSIVE CARE, AND GENERAL MED SURG; INPATIENT REHABILITATION UNIT; GERO-PSYCH SERVICES; LABORATORY SERVICES; RESPIRATORY THERAPY; SLEEP EVALUATIONS AND TREATMENT; INPATIENT AND OUTPATIENT (CONTINUED ON SCHEDULE 0) (CONT'D) REHABILITATION SERVICES; PRIMARY AND SPECIALTY PHYSICIAN CLINICS AND DIAGNOSTIC IMAGING. IN FISCAL YEAR 2018, WE PROVIDED SERVICES TO 2,443 INPATIENTS, HAD 1,793 SURGICAL CASES AND 17,705 EMERGENCY ROOM VISITS. CONSISTENT WITH OUR MISSION, WE HAVE WORKED TOWARD IMPROVING OUR COMMUNITY'S ACCESS TO QUALITY, AFFORDABLE HEALTHCARE, IMPROVING THE HEALTH STATUS OF OUR COMMUNITIES AND CONTRIBUTING TO THE OVERALL QUALITY OF LIFE IN THE AREAS WE SERVE. THE HOSPITAL AND ITS EMPLOYED PHYSICIAN PRACTICES WENT LIVE ON WELLMONT HEALTH SYSTEM'S EPIC ELECTRONIC HEALTH RECORD SYSTEM IN NOVEMBER 2017. THE EPIC SYSTEM IS THE PREMIER SUCH SYSTEM AND ENABLES A PATIENT AND THEIR HEALTHCARE PROVIDERS TO SEE ALL OF THE PATIENT'S HEALTH INFORMATION ACROSS, NOT ONLY TAKOMA'S SITES, BUT ALSO WELLMONT HEALTH SYSTEM AND ALL EPIC SITES IN THE COUNTRY. THIS RESULTS IN BETTER, QUICKER AND MORE EFFICIENT CARE OF THE PATIENT. TO FURTHER THE COMMUNITY'S HEALTH STATUS, TAKOMA REGIONAL TEACHES OR HAS AVAILABLE A VARIETY OF HEALTH PROGRAMS THAT INCLUDE: - A NATURE TRAIL, WHICH IS A LITTLE MORE THAN A MILE IN LENGTH - THE "BIGGEST LOSER" LIFESTYLE AND WEIGHT-LOSS PROGRAM - TOTAL LIFESTYLE PROGRAM - STROKE SUPPORT GROUP - DIABETES TREATMENT CENTER (SENIOR ADULT CENTER) - LECTURES AT THE LOCAL YMCA - A VARIETY OF HEALTH PROGRAMS, AVAILABLE FOR EVERYONE IN THE GREENE COUNTY SERVICE AREA, INCLUDING THE UNDERSERVED AND UNDERPRIVILEGED FOR FREE OR A NOMINAL FEE - ALONG WITH OTHER LOCAL AGENCIES, TRH TEAM MEMBERS VISITED FIVE HIGH SCHOOLS TO DEMONSTRATE THE DANGERS OF DISTRACTED DRIVING CHARITY AND OTHER UNREIMBURSED COSTS: CHARITY CARE: WHILE REIMBURSEMENT FOR HEALTHCARE SERVICES RENDERED IS CRITICAL TO THE OPERATION AND SUSTAINABILITY OF THE ORGANIZATION, TRH RECOGNIZES ITS OBLIGATION TO PROVIDE CARE TO INDIVIDUALS WHO CANNOT AFFORD ESSENTIAL MEDICAL SERVICES, INCLUDING EMERGENCY CARE. TRH ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT WHEN THEY MEET THE ESTABLISHED POLICIES OF TRH AND GUIDELINES OUTLINED BY THE FEDERAL GOVERNMENT. HOWEVER, FINANCIAL ASSISTANCE DECISIONS ARE NOT SOLELY BASED ON INCOME. UNIQUE FINANCIAL CIRCUMSTANCES ARE WEIGHED WITH VERIFIED PATIENT ASSETS WHICH CAN DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY. IT IS NOT UNTIL AFTER VERIFICATION OF INCOME AND ASSETS THAT A DECISION REGARDING THE AMOUNT OF FINANCIAL ASSISTANCE CAN BE MADE. IN FISCAL YEAR 2018, TRH INCURRED A LOSS OF 972,691 ATTRIBUTABLE TO THE PROVISION OF CHARITY CARE, AN INCREASE OF MORE THAN 9.4% FROM FISCAL YEAR 2017. THIS AMOUNT DOES NOT INCLUDE THE COSTS ASSOCIATED WITH BAD DEBT ACCOUNTS. TENNCARE/MEDICAID: TRH PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS, SUCH AS TENNCARE (TENNESSEE RESIDENTS) AND MEDICAID. TRH INCURRED A LOSS OF 2,327,851 PROVIDING CARE TO THIS POPULATION OF PATIENTS DURING THE YEAR. UNINSURED DISCOUNT: UNINSURED PATIENTS RECEIVED A 74 PERCENT DISCOUNT THROUGHOUT FY2018. THE UNINSURED DISCOUNT IS APPLIED TO ALL UNINSURED PATIENTS AT WHS HOSPITALS. ALSO, CERTAIN ELECTIVE PROCEDURES ARE NOT ELIGIBLE FOR THE UNINSURED DISCOUNT. THE UNINSURED DISCOUNT IS CALCULATED EACH YEAR IN ACCORDANCE WITH TENNESSEE REGULATIONS AND WITHOUT REGARD TO A PATIENT'S INCOME OR ASSETS. THE APPROXIMATE COST OF THIS DISCOUNT IN FY2018, USING OUR COST TO CHARGE RATIO, WAS 1,862,165. THE BEST WAY TO KEEP OUR COMMUNITIES HEALTHY IS TO PROVIDE THEM WITH THE LATEST INFORMATION ABOUT THEIR HEALTH. WE STRIVE TO PROVIDE INFORMATION ABOUT EVERYTHING FROM DISEASE AND INJURY PREVENTION TO THE LATEST TREATMENTS AND TECHNOLOGIES AVAILABLE TO COPING WITH DISEASE AND ITS SYMPTOMS. SOME OF OUR PROGRAMS DURING FY2018 INCLUDE: -WE OFFERED DIABETES EDUCATION CLASSES THROUGOUT THE YEAR; THE CLASS IS TWO-PARTS, WITH FOUR-HOUR SESSIONS OVER TWO DAYS -NUTRITION PRESENTATIONS WERE PROVIDED BY OUR DIETITION ON TOPICS SUCH AS TIPS FOR HEALTHY EATING, HOW TO READ FOOD LABELS, WITH INFORMATION PAMPHLETS PROVIDED TO PARTICIPANTS, AND HEALTHY SNACKS -WE OFFERED MONTHLY PRENATAL CLASSES, WHICH WERE OPEN TO THE PUBLIC -OUR INFECTION CONTROL NURSE VISITED A LOCAL ELEMENTARY SCHOOL TO EXPLAIN THE IMPORTANCE OF HANDWASHING TO THE STUDENTS -NUMEROUS PRESENTATIONS WERE PROVIDED AT THE ADULT CENTER FOR AGING, DISCUSSIONS INCLUDED SUPERFOOD NUTRITION AND OTHER NUTRITION LEARNING SESSIONS FROM OUR DIETITION; GENERAL HEALTH; DIABETES CARE MANAGEMENT; HEPATITIS C; WOUND CARE; AND OTHERS WE PARTICIPATED IN HEALTH FAIRS, SUCH AS: -DIABETES HOLIDAY HEALTH FAIR -A GENERAL HOLIDAY HEALTH FAIR -TWO WORKPLACE HEALTH FAIRS -A HEALTH FAIR AT THE YMCA -GREENE COUNTY FAIR WORKING A FIRST AID STATION AND DISTRIBUTING WATER HOSPITAL TEAM MEMBERS ARE ENGAGED IN A MYRIAD OF COMMUNITY ACTIVITIES. SOME EXAMPLES DURING FY2018: -TRH STAFF WORKED AT THE I-40 WELCOME CENTER THE DAY OF THE SOLAR ECLIPSE TO KEEP PEOPLE'S EYESIGHT SAFE. THE WELCOME CENTER PROVIDED SOLAR GLASSES. -HOSPITAL STAFF WORKED AT THREE BLOOD DRIVES. -OUR WELLNESS COORDINATOR ORGANIZED A 5K RUN FOR THE TOWN OF GREENEVILLE POLICE DEPARTMENT. -THE HOSPITAL IS INVOLVED IN THE GREENE COUNTY ANTI-DRUG COALITION. -TWO TEAM MEMBERS REPRESENT THE HOSPITAL ON THE HEALTHIER TENNESSEE COMMITTEE FOR OUR AREA -TEAM MEMBERS SERVE ON THE GREENE COUNTY HEALTH COUNCIL HOSPITAL MEETING SPACE IS OPEN TO LOCAL ORGANIZATIONS THAT SUPPORT COMMUNITY HEALTH AND WELLNESS. SOME EXAMPLES INCLUDE CITY SCHOOL MEETINGS, SPORTS MEDICINE DISCUSSIONS FOR HIGH SCHOOLS AND A LOCAL COLLEGE, GREENE COUNTY PARTNERSHIP ADULT LEADERSHIP, A DIABETES SUPPORT GROUP, GREENE COUNTY MINISTERIAL ASSOCIATION, A STROKE SUPPORT GROUP, A BREAST CANCER SUPPORT GROUP, AND A CANCER SUPPORT GROUP. SOME OF THE HEALTHIER TENNESSEE COMMITTEE MEETINGS WERE ALSO HELD AT TRH. TAKOMA REGIONAL HOSPITAL SERVES AS A CLINICAL TRAINING SITE FOR HEALTH PROFESSIONAL EDUCATION STUDENTS. WE DEDICATE STAFF TO WORK WITH REGIONAL COLLEGES AND UNIVERSITIES TO COORDINATE PLACEMENT OF HEALTHCARE PROFESSIONAL STUDENTS AS PART OF THEIR EDUCATIONAL CURRICULUM. IN ADDITION TO CLINICAL TRAINING, THE HEALTH CARE STUDENTS ENTERING OUR SYSTEM ARE REQUIRED TO HAVE ORIENTATION AND COMPUTER TRAINING. INCLUDED IN THE NUMBER OF PARTICIPANTS RECEIVING CLINICAL EXPERIENCE AT TRH WERE 28 NURSING STUDENTS. THIS CLINICAL NURSING EXPERIENCE REQUIRED EXTENSIVE TRH NURSING STAFF INVOLVEMENT. THE CLINICAL SETTING AND HANDS-ON INSTRUCTION COST THE HOSPITAL 42,908. TRH PROVIDED CLINICAL TRAINING FOR ANOTHER 11 STUDENTS TRAINING IN OTHER ALLIED HEALTH DISCIPLINES. THE HOSPITAL INCURRED EXPENSE OF 9,411 TO PROVIDE THIS TRAINING.	Desc
Total Program Service Expenses	$54,982,539	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	36	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	726	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	3	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	Yes (true)	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
BARTON HOVE RETIRED 1312018
CHAIR/PRES/C	0.10	31.90	Yes (X)	Yes (X)	$0	$1,219,926	$49,559
ERIC DEATON
SR VP MARKET	0.10	49.90	Yes (X)		$0	$604,699	$33,581
GARY MILLER
TREAS/SR VP	0.10	49.90	Yes (X)	Yes (X)	$0	$520,874	$27,097
TODD DOUGAN END 4302018
SEC/FIN INTE	0.10	44.90	Yes (X)	Yes (X)	$0	$488,418	$36,727
TAMMY ALBRIGHT
PRESIDENT-TR	45.00			Yes (X)	$202,646	$0	$26,052
JUDITH CLARK
CONTROLLER	40.00			Yes (X)	$94,853	$0	$3,548
JOSEPH KRETSCHMAR MD
PHYSICIAN	40.00				$667,237	$0	$37,939	Yes (X)
TODD CHRISTENSEN MD
PHYSICIAN	40.00				$615,352	$0	$40,621	Yes (X)
WILLIAM BRIDGES MD
PHYSICIAN	40.00				$431,298	$0	$33,744	Yes (X)
JAMI GOODWIN MD
PHYSICIAN	40.00				$409,579	$0	$30,769	Yes (X)
HOWARD HERRELL MD
PHYSICIAN	40.00				$408,595	$0	$23,696	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,829,560	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,833,917	TotReportableCompRltdOrgAmt
Total Other Compensation	$343,333	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	45	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PT SOLUTIONS
P O BOX 441146	KENNESAW	GA	30160	PHYS THRPY SVCS	$1,865,577
MEDICAL SERVICES BILLING
P O BOX 22266	CHATTANOOGA	TN	37422	BILLING SVCS	$767,651
ARUP LABORATORIES
P O BOX 27964	SALT LAKE CITY	UT	84127	LAB SERVICES	$501,080
ARAMARK
1101 MARKET STREET DRIVE	PHILADELPHIA	PA	19101	CLINIC ENG SVCS	$260,786
TELE-PHYSICIAN PC
1768 BUSINESS CENTER DRIVE SUITE 10	RESTON	VA	20190	CONSULTING FEES	$149,458

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	47	CntrctRcvdGreaterThan100KCnt
Related Organizations	$346,073	RelatedOrganizationsAmt
Total Contributions	$346,073	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	621990	$56,411,192	$56,411,192
TMA OCC MED REVENUE	621990	$480,926	$480,926
LAB REVENUE	621990	$56,007	$56,007
TRH ADMINISTRATIVE REVENUE	621990	$47,403	$47,403
TMA BEHAVIORAL HEALTH REVENUE	622110	$27,571	$27,571

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,922	TotalRevenueColumnAmt
Related Or Exempt Func Income	$12,922	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$57,036,021	TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,736	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,736	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,736	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,736	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$92,873	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$46,433	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$46,440	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$46,440	TotalRevenueColumnAmt
Related Or Exempt Func Income	$46,440	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
340B REVENUE	900099	$3,046,531	$3,046,531
CAFETERIA SALES	900099	$148,469	$148,469
EMPLOYER PROVIDED PARKING	900099	$22,723		$22,723

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$90,533	TotalRevenueColumnAmt
Related Or Exempt Func Income	$90,533	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,308,256	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$60,739,526	TotalRevenueColumnAmt
Related Or Exempt Func Income	$60,370,730	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$22,723	UnrelatedBusinessRevenueAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,100	TotalAmt
Program Services	$2,100	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$536,292	TotalAmt
Management And General	$536,292	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$28,206,867	TotalAmt
Program Services	$27,566,752	ProgramServicesAmt
Management And General	$640,115	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$718,539	TotalAmt
Program Services	$711,914	ProgramServicesAmt
Management And General	$6,625	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,622,953	TotalAmt
Program Services	$3,477,055	ProgramServicesAmt
Management And General	$145,898	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,828,095	TotalAmt
Program Services	$1,744,253	ProgramServicesAmt
Management And General	$83,842	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$595,295	TotalAmt
Program Services	$5,836	ProgramServicesAmt
Management And General	$589,459	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$11,847	TotalAmt
Management And General	$11,847	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,509,817	TotalAmt
Program Services	$1,597,894	ProgramServicesAmt
Management And General	$1,911,923	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,349	TotalAmt
Program Services	$1,011	ProgramServicesAmt
Management And General	$2,338	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,256,507	TotalAmt
Program Services	$933,362	ProgramServicesAmt
Management And General	$323,145	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,223,017	TotalAmt
Program Services	$2,203,779	ProgramServicesAmt
Management And General	$19,238	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$35,133	TotalAmt
Program Services	$27,667	ProgramServicesAmt
Management And General	$7,466	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$20,788	TotalAmt
Management And General	$20,788	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,047,439	TotalAmt
Program Services	$1,047,439	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$124,932	TotalAmt
Management And General	$124,932	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PURCHASED SERVICES	$7,981,538	$7,557,534	$424,004
MEDICAL SUPPLIES & DRUGS	$6,667,839	$6,667,839
MANAGEMENT FEES TO PARENT	$4,501,515		$4,501,515
REPAIRS & MAINTENANCE	$773,825	$495,012	$278,813

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,054,428	TotalAmt
Program Services	$943,092	ProgramServicesAmt
Management And General	$111,336	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$64,722,115	TotalAmt
Program Services	$54,982,539	ProgramServicesAmt
Management And General	$9,739,576	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,753,853	BOYAmt
EOY	$3,662,160	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	-$19,045,653	BOYAmt
EOY	$10,166,678	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$799,101	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,447,363	BOYAmt
EOY	$1,269,767	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$119,361	BOYAmt
EOY	$124,468	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$15,590,251	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,625,690	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$11,527,175	BOYAmt
EOY	$13,964,561	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,460,679	BOYAmt
EOY	$2,507,964	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,262,778	BOYAmt
EOY	$32,494,699	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,383,198	BOYAmt
EOY	$3,043,192	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$715,406	BOYAmt
EOY	$613,247	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,098,604	BOYAmt
EOY	$3,656,439	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$835,826	BOYAmt
EOY	$28,838,260	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$835,826	BOYAmt
EOY	$28,838,260	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,262,778	BOYAmt
EOY	$32,494,699	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$3,982,589	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$33,656,675	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,558,118	OtherCostOrOtherBasisAmt
Book Value	$2,558,118	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,700,419	OtherCostOrOtherBasisAmt
Depreciation	$450,077	DepreciationAmt
Book Value	$6,250,342	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,189,622	OtherCostOrOtherBasisAmt
Depreciation	$1,140,167	DepreciationAmt
Book Value	$5,049,455	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$142,092	OtherCostOrOtherBasisAmt
Depreciation	$35,446	DepreciationAmt
Book Value	$106,646	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$13,964,561	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
OBLIGATIONS CAPITAL LEASES	$226,773
CAPITAL LEASE	$191,541
DUE TO THIRD-PARTY PAYERS	$188,984
DUE TO RELATED PARTIES	$5,949

Field	Value	IRS element (for citing)
Total Liability	$613,247	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$972,691	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$972,691	NetCommunityBenefitExpnsAmt
Total Expense	0.01500	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,754,326	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,426,475	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,327,851	NetCommunityBenefitExpnsAmt
Total Expense	0.03600	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,727,017	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,426,475	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,300,542	NetCommunityBenefitExpnsAmt
Total Expense	0.05100	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$215,289	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,347	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$212,942	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,318	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$52,318	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,005	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,005	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$269,612	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,347	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$267,265	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,996,629	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,428,822	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,567,807	NetCommunityBenefitExpnsAmt
Total Expense	0.05510	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,086,782	BadDebtExpenseAmt
Reimbursed By Medicare	$11,291,112	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$11,510,948	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$219,836	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TAKOMA REGIONAL HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	401 TAKOMA AVENUE	AddressLine1Txt
City	GREENEVILLE	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37743	ZIPCd

Field	Value	IRS element (for citing)
Website Address	BALLADHEALTH.ORG/LOCATIONSHOSPITALS	WebsiteAddressTxt
State License	0000000054	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	TAKOMA REGIONAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	BALLADHEALTH.ORG/LOCATIONSHOSPITALS	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	BALLADHEALTH.ORG/LOCATIONSHOSPITALS	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	450.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	BALLADHEALTH.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	BALLADHEALTH.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	BALLADHEALTH.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, TAKOMA REGIONAL HOSPITAL, INC. - PART V, LINE 3E	THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR TAKOMA REGIONAL HOSPITAL, INC., CONDUCTED IN 2016, PROVIDED A BROAD OVERVIEW OF THE HEALTH STATUS OF THE COMMUNITY SERVED AS OUTLINED IN THE REPORT, REVEALING THAT THE REGION SUFFERS FROM HIGHER RATES OF DIABETES, CARDIOVASCULAR DISEASE, AND BEHAVIOR RELATED CANCERS (RELATED TO SMOKING, OBESITY, SEDENTARY LIFESTYLES, ETC.). THAT ASSESSMENT WAS POSTED PUBLICLY AND HAS BEEN USED IN THE INTERVENING YEARS TO SHAPE THE PRIORITIZED COMMUNITY BENEFIT INVESTMENTS MADE BY THE SYSTEM TO PARTNER WITH COMMUNITY ORGANIZATIONS. SUCH INVESTMENTS HAVE FUNDED PROGRAMS FOCUSED ON INCREASING PHYSICAL ACTIVITY AND REDUCING TOBACCO USE, TWO OF THE PRIMARY BEHAVIORS THAT DRIVE POOR HEALTH AND ADVERSE HEALTH OUTCOMES IN OUR REGION. IN ADDITION, PARTNERSHIPS HAVE BEEN FORMED WITH A VARIETY OF OTHER ORGANIZATIONS, INCLUDING REGIONAL YMCAS TO ENACT AFTER SCHOOL PROGRAMS WITH THE SIMILAR GOAL TO REDUCE CHILDHOOD OBESITY AND PREVENT TOBACCO USE. THE CHNA CONTINUES TO INFORM PROGRAMMATIC INVESTMENTS MADE BY THE HEALTH SYSTEM TO SUPPORT EFFORTS SUCH AS NURSE CONNECT THAT IS AVAILABLE THROUGHOUT OUR REGION. NURSE CONNECT, A DEPARTMENT OF WELLMONT HEALTH SYSTEM, IS A 24/7 TOLL-FREE PHONE LINE AVAILABLE TO EAST TENNESSEE AND SOUTHWEST VIRGINIA RESIDENTS THAT CONNECTS CALLERS WITH EXPERIENCED NURSES AROUND THE CLOCK WHO PROVIDE MEDICAL ADVICE, MAKE REFERRALS TO PRIMARY CARE PROVIDERS OR PHYSICIAN SPECIALISTS, PROVIDE HEALTH INFORMATION AND RESOURCES INCLUDING HEALTH SCREENINGS AND IMMUNIZATIONS, AND PROVIDE INFORMATION ON URGENT CARE CLINIC LOCATIONS.
FACILITY 1, TAKOMA REGIONAL HOSPITAL, INC. - PART V, LINE 5	IN CONJUNCTION WITH CONDUCTING OUR COMMUNITY HEALTH NEEDS ASSESSMENT, TAKOMA REGIONAL HOSPITAL, INC. (TRH) CREATED A COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE (CHNAC) TO PROVIDE INPUT AND GUIDE THE HEALTH NEEDS ASSESSMENT PROCESS. ORGANIZATIONS AND INDIVIDUALS SERVING ON THE CHNAC INCLUDED REPRESENTATIVES FROM COUNTY AND CITY GOVERNMENT, THE GREENE COUNTY PUBLIC HEALTH DEPARTMENT, GREENE COUNTY PUBLIC SCHOOL HEALTH COORDINATORS, AND LAUGHLIN MEMORIAL HOSPITAL. THE SPECIFIC ORGANIZATIONS AND INDIVIDUALS PARTICIPATING IN THE CHNAC AND REPRESENTING THE MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE INCLUDED REPRESENTATIVES FROM FRONTIER HEALTH, A PROVIDER OF BEHAVIORAL HEALTH SERVICES, FOOD BANK OF GREENEVILLE, TABERNACLE SOUP KITCHEN, RURAL RESOURCES, AN ORGANIZATION SERVING AS A RESOURCE AND EDUCATOR WITH RESPECT TO SUSTAINABLE AGRICULTURAL PRACTICES, AND WESLEY HEIGHTS, A LOWER-INCOME UNDERSERVED NEIGHBORHOOD LOCATED WITHIN THE HOSPITAL'S COMMUNITY. THE LISTING BELOW REFLECTS ALL OF THE ORGANIZATIONS/COMMUNITY AREAS REPRESENTED ON THE HOSPITAL'S CHNAC: -TRH REPRESENTATIVES -GREENE COUNTY MAYOR'S OFFICE -RURAL RESOURCES -GREENE COUNTY HEALTH DEPARTMENT -CITY OF GREENEVILLE MAYOR'S OFFICE -THE HOPE CENTER -LAUGHLIN MEMORIAL HOSPITAL REPRESENTATIVES -FRONTIER HEALTH -WESLEY HEIGHTS -FOOD BANK OF GREENEVILLE -TABERNACLE SOUP KITCHEN -GREENE COUNTY PUBLIC SCHOOLS -GREENEVILLE CITY SCHOOLS PRIMARY AND SECONDARY DATA WERE COLLECTED FOR THE PURPOSE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. IN ADDITION TO THE INPUT RECEIVED FROM INDIVIDUALS/ORGANIZATIONS SERVING ON THE CHNAC, PRIMARY DATA WAS COLLECTED. PRIMARY DATA CONSISTED OF FOCUS GROUPS, GROUP INTERVIEWS, AN ONLINE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY AND A HARD COPY QUESTIONNAIRE. THE INTERVIEWS INCLUDED A CROSS SECTION OF INDIVIDUALS WHO WERE ASSOCIATED WITH ORGANIZATIONS THAT SERVED THE MEDICALLY UNDERSERVED, LOW INCOME, MINORITY, AND CHRONICALLY DISEASED POPULATIONS. THE QUESTIONNAIRE WAS COMPLETED BY 652 RESPONDENTS. APPROXIMATELY 12% OF THE RESPONDENTS HAD HOUSEHOLD INCOMES BELOW 25,000.
FACILITY 1, TAKOMA REGIONAL HOSPITAL, INC. - PART V, LINE 6A	THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY TAKOMA REGIONAL HOSPITAL, INC. WAS BASED UPON THE HOSPITAL'S INVOLVEMENT AND ENRICHMENT OF THOSE WHO LIVE WITHIN GREENE COUNTY, TENNESSEE. THE PRIMARY SERVICE AREA IS SHARED BY LAUGHLIN MEMORIAL HOSPITAL AND THUS THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN COOPERATION WITH BOTH HOSPITALS.
FACILITY 1, TAKOMA REGIONAL HOSPITAL, INC. - PART V, LINE 11	KEY FINDINGS NOTED DURING THE CHNA WERE THE LOW RANKINGS OF THE COUNTIES WE SERVE IN SEVERAL CATEGORIES RELATED TO HEALTH AND WELLNESS, INCLUDING PREVALENCE OF CHRONIC DISEASE MANAGEMENT, TOBACCO USE, DIET AND EXERCISE, AS WELL AS A NEED FOR EXPANDED AND ENHANCED MENTAL HEALTH SERVICES. THEY ALSO EMPHASIZED THE VULNERABILITY OF OUR UNDERINSURED AND UNINSURED POPULATIONS, AND THAT IF OUR COMMUNITIES ARE TO THRIVE, WE MUST FOCUS ON ENCOURAGING HEALTHY CHILDREN AND FAMILIES. TAKOMA REGIONAL HOSPITAL OPERATES A DIABETES TREATMENT CENTER. THE CENTER OFFERS DIABETES SERVICES AND FREE EDUCATIONAL PROGRAMS. DIETITIANS, NURSES AND CERTIFIED DIABETES EDUCATORS TEACH ABOUT TOPICS SUCH AS PREPARING NUTRITIOUS MEALS, TRACKING BLOOD SUGAR, REDUCING DIABETES' LONG-TERM EFFECTS, AND OTHER DIABETES RELATED TOPICS. TO HELP MEET THESE NEEDS, TAKOMA REGIONAL HOSPITAL, INC. 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.
FACILITY 1, TAKOMA REGIONAL HOSPITAL, INC. - PART V, LINE 13H	BALLAD HEALTH'S FINANCIAL ASSISTANCE POLICY ALLOWS FOR SOME EXCEPTIONS TO STRICTLY ADHERING TO FEDERAL POVERTY GUIDELINES WHEN AWARDING FINANCIAL ASSISTANCE. UNIQUE CIRCUMSTANCES MAY BE WEIGHED AND ASSESSED FOR FINANCIAL ASSISTANCE CONSIDERATION ON A CASE-BY-CASE BASIS. ALSO, THERE ARE SOME SERVICES WHERE FINANCIAL ASSISTANCE MAY BE PROVIDED OUTSIDE OF FEDERAL POVERTY GUIDELINES. THESE ARE NOTED IN BALLAD HEALTH'S FINANCIAL ASSISTANCE POLICY.

Field	Value	IRS element (for citing)
Facility	9	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
TAKOMA MEDICAL ASSOCIATES
438 E VANN ROAD	GREENEVILLE	TN	37743	PHYSICIAN SERVICES
WOMENS CENTER OF GREENEVILLE
1021 COOLIDGE STREET SUITE 2	GREENEVILLE	TN	37743	OUTPATIENT CLINIC
GREENEVILLE URGENT CARE & OCC MED
1021 COOLIDGE STREET SUITE 4	GREENEVILLE	TN	37743	OUTPATIENT CLINIC
KIDSFIRST PEDIATRICS
5000 MONARCH POINTE	GREENEVILLE	TN	37745	OUTPATIENT CLINIC
KIDSFIRST PEDIATRICS
600 BOONES CREEK ROAD	JONESBOROUGH	TN	37659	OUTPATIENT CLINIC
TAKOMA CENTER FOR SLEEP DISORDERS
1024 COOLIDGE STREET	GREENEVILLE	TN	37743	OUTPATIENT CLINIC
TAKOMA OUTPATIENT REHABILITATION
108 W SUMMERS STREET	GREENEVILLE	TN	37743	REHABILITATION SERVICES
TAKOMA OUTPATIENT REHABILITATION
1321 TUSCULUM BOULEVARD	GREENEVILLE	TN	37743	REHABILITATION SERVICES
TAKOMA OUTPATIENT REHABILITATION
3135 PEOPLES STREET	JOHNSON CITY	TN	37604	REHABILITATION SERVICES

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE	FINANCIAL ASSISTANCE APPROVAL CAN APPLY TO AN ASSORTMENT OF PATIENTS SUCH AS THOSE WHO HAVE EXHAUSTED THEIR TENNCARE/MEDICAID BENEFITS, THOSE WHO QUALIFIED FOR TENNCARE/MEDICAID AFTER THE DATE OF SERVICE, DECEASED PATIENTS WITH NO ESTATE OR ASSETS, UNINSURED PATIENTS, AND UNDERINSURED PATIENTS. WHILE BALLAD HEALTH'S QUALIFICATIONS FOR FINANCIAL ASSISTANCE IS BASED ON FEDERAL POVERTY GUIDELINES, ASSET VALUES MAY ALSO BE USED TO DETERMINE ELIGIBILITY. UNIQUE CIRCUMSTANCES MAY BE ASSESSED ON A CASE-BY- CASE BASIS. CHARITY APPROVAL COVERS ALL DATES OF SERVICE FOR THE PATIENT WHEN THEY ARE APPROVED AND THERE IS NO LIMITATION OR CAP ON THE AMOUNT OF CHARITY THAT A PATIENT MAY RECEIVE. BALLAD HEALTH HOSPITALS DO NOT STOP APPROVING FINANCIAL ASSISTANCE FOR PATIENT ACCOUNTS IF A HOSPITAL'S CHARITY WRITE-OFFS EXCEED THE HOSPITAL'S CHARITY BUDGET. ALL BALLAD HEALTH HOSPITALS PROVIDE AN UNINSURED DISCOUNT. THE CURRENT UNINSURED DISCOUNT IS 74% FOR TAKOMA REGIONAL HOSPITAL, INC. IN ADDITION TO THE UNINSURED DISCOUNT, MANY PATIENTS WILL FURTHER QUALIFY FOR ADDITIONAL FINANCIAL ASSISTANCE. ALL PATIENTS SEEKING FINANCIAL ASSISTANCE MUST SUBMIT AN APPLICATION FOR FINANCIAL ASSISTANCE AND SUBMIT DOCUMENTS IN SUPPORT OF THE INFORMATION ON THE APPLICATION, UNLESS SPECIFICALLY EXCLUDED PER OUR POLICY GUIDELINES. MEDICAID ELIGIBLE PATIENTS WILL QUALIFY FOR 100% FINANCIAL ASSISTANCE AND NOT BE REQUIRED TO COMPLETE THE REQUIRED DOCUMENTATION WHEN: A) MEDICAID ELIGIBILITY REQUIREMENTS ARE MET AFTER THE SERVICE IS PROVIDED, B) NON-COVERED CHARGES OCCUR ON A MEDICAID ELIGIBLE ENCOUNTER, OR C) BENEFITS HAVE BEEN EXHAUSTED. DECEASED PATIENTS WITH NO ESTATE ALSO QUALIFY FOR 100% FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE DETERMINATIONS MAY BE RETROACTIVE FOR ALL OUTSTANDING BALANCES. IN ADDITION, WE HAVE A NUMBER OF PROGRAMS WITH SPECIAL DISCOUNTS SUCH AS LACTATION CONSULTATION SERVICES, ONCOLOGY TREATMENT REGIMENS, ENROLLMENT IN VARIOUS COMMUNITY PROGRAMS, AND PRESCRIPTION DRUGS FILLED POST-DISCHARGE.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	THE COST TO CHARGE RATIO (WORKSHEET 2 "RATIO OF PATIENT CARE COST TO CHARGES") WAS USED TO COMPUTE THE COST RELATED TO FINANCIAL ASSISTANCE (LINE 7A) AND TENNCARE/MEDICAID LOSSES (LINE 7B). LINE 7E COMMUNITY HEALTH IMPROVEMENT INCLUDES COSTS TAKEN DIRECTLY FROM DEPARTMENTAL OPERATING REPORTS OR SPECIFIC GENERAL LEDGER EXPENSE ACCOUNTS, WITH NO ADDITIONAL OVERHEAD INCLUDED. LINE 7F HEALTH PROFESSIONS EDUCATION IS COMPRISED OF COSTS ASSOCIATED WITH HOSPITAL STAFF INVOLVED WITH TRAINING STUDENTS FROM COLLEGES, UNIVERSITIES AND PROGRAMS. STUDENTS RECEIVE HANDS-ON TRAINING AT OUR HOSPITAL AS PART OF THEIR HEALTH PROFESSIONS CURRICULUM. LINE 7I REPORTS CASH CONTRIBUTIONS MADE TO LOCAL NONPROFITS THAT PROVIDE HEALTH AND WELLNESS SERVICES TO COMMUNITY RESIDENTS.
PART II - COMMUNITY BUILDING ACTIVITIES	BALLAD HEALTH LEADERS SUPPORT AND ENCOURAGE ALL TEAM MEMBERS TO VOLUNTEER TIME, MONEY AND SKILLS TO COMMUNITY SERVICE PROJECTS AND CHARITABLE ORGANIZATIONS. SENIOR LEADERS AND BOARD MEMBERS SET A POSITIVE EXAMPLE FOR BALLAD TEAM MEMBERS, SERVING VOLUNTARILY ON COMMITTEES AND BOARDS OF LOCAL SERVICE AND NONPROFIT ORGANIZATIONS. SOME ALSO SERVE AS MEMBERS AND CONSULTANTS ON PROFESSIONAL COMMITTEES AND TASK FORCES THAT AFFECT REGIONAL DEVELOPMENT IN HEALTHCARE AND EDUCATION. EXAMPLES OF TRH PROFESSIONAL COMMITTEE AND TASK FORCE INVOLVEMENT INCLUDE: - GREENE COUNTY ANTI-DRUG COALITION - GREEN COUNTY HEALTH COUNCIL - GREENE COUNTY PARTNERSHIP LEADERSHIP PROGRAM - HEALTHY TN COMMUNITY COMMITTEE THE HOSPITAL, IN COLLABORATION WITH AREA HEALTH AGENCIES AND PROVIDERS, MAY OFFER ASSISTANCE WITH COORDINATION, ADVOCACY, PROVIDE SPACE, OR CONTRIBUTE SUPPLIES TO SUPPORT GROUPS FOR THEIR PROGRAM ACTIVITIES THAT SERVE TO ASSIST SPECIAL POPULATIONS WITHIN OUR AREA. MOST OF THESE ORGANIZATIONS WORK TO IMPROVE THE LIVES OF COMMUNITY MEMBERS THAT HAVE LIMITED, OR NO, FINANCIAL RESOURCES. EXAMPLES INCLUDE: - OUR DIABETES EDUCATOR PROVIDED CORE EDUCATION CLASSES ON HOW TO MANAGE DIABETES AND READ FOOD LABELS, PRESENTED A HEALTHCARE LECTURE TO THE TOWN OF GREENEVILLE PUBLIC WORKS AND PROVIDED SEVERAL LECTURES ON NUTRITION TIPS AND TRENDS TO THE ADULT CENTER FOR AGING - AN INFECTION PREVENTION RN SPOKE TO 6TH GRADERS ON THE PROPER WAY OF HANDWASHING - A PHARMACIST AND PHYSICAL THERAPIST PRESENTED LECTURES TO THE HOPE CHEST CANCER SUPPORT GROUP ON LYMPHEDEMA MANAGEMENT AND THE SHORT AND LONG- TERM EFFECTS OF CHEMOTHERAPY - OUR ACTIVITY ROOM WAS PROVIDED TO THE STROKE SUPPORT GROUP TO CONDUCT THEIR GROUP MEETINGS SEVERAL TAKOMA REGIONAL HOSPITAL, INC. EMPLOYEES SERVED ON THE GREENE COUNTY HEALTH COUNCIL AND SUB-COMMITTEES.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	SELF-PAY BALANCES INCLUDE ACCOUNTS AFTER PAYMENTS AND CONTRACTUAL ADJUSTMENTS (DISCOUNTS) HAVE BEEN APPLIED FROM ALL THIRD-PARTY PAYERS SUCH AS MEDICARE, TENNCARE, COMMERCIAL INSURERS, AND OTHERS - GENERALLY LEAVING THE PATIENT RESPONSIBLE FOR ANY REMAINING DEDUCTIBLE AND/OR CO-PAYMENT. OTHER SELF-PAY ACCOUNTS ARE FROM PATIENTS WITH NO INSURANCE OR OTHER THIRD-PARTY COVERAGE. UNDER OUR SELF-PAY POLICY, ANY PATIENT WHO HAS NO INSURANCE AND IS INELIGIBLE FOR ANY GOVERNMENT ASSISTANCE PROGRAM RECEIVED A 76% DISCOUNT THROUGH FEBRUARY 1, 2018, AT WHICH TIME THE UNINSURED DISCOUNT WAS ADJUSTED TO 74%. MANY SELF-PAY PATIENTS WILL FURTHER QUALIFY FOR FINANCIAL ASSISTANCE (SOMETIMES REFERRED TO AS CHARITY CARE) IF THEY PROVIDE THE FINANCIAL INFORMATION WE NEED TO DEEM THEM ELIGIBLE. AFTER THE NORMAL COLLECTION PROCESS HAS INDICATED AN ACCOUNT IS UNCOLLECTIBLE, TAKOMA REGIONAL HOSPITAL, INC. WRITES THE ACCOUNT OFF TO BAD DEBT. THE HOSPITAL'S OVERALL SELF-PAY ACCOUNTS RECEIVABLE BALANCE IS EVALUATED ON AN ONGOING BASIS TO EVALUATE THE AGE OF ACCOUNTS RECEIVABLE, HISTORICAL WRITE-OFFS AND RECOVERIES AND ANY UNUSUAL INSTANCES (SUCH AS LOCAL, REGIONAL OR NATIONAL ECONOMIC CONDITIONS) WHICH AFFECT THE COLLECTIVITY OF RECEIVABLES.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	BALLAD HEALTH'S AUDITED FINANCIAL STATEMENTS INCLUDE A FOOTNOTE ON PAGES 13-14 THAT DESCRIBES BAD DEBT. TAKOMA REGIONAL HOSPITAL, INC. IS INCLUDED IN THE JUNE 30, 2018 AUDITED FINANCIAL STATEMENTS OF BALLAD HEALTH. THE AUDITED FINANCIAL STATEMENTS ARE FOR THE FIVE MONTHS ENDING AFTER THE FEBRUARY 1, 2018 MERGER OF WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE (ATTACHED).
PART VI, LINE 2 - NEEDS ASSESSMENT	AS REPORTED IN SCHEDULE H, PART V, SECTION B, TAKOMA REGIONAL HOSPITAL, INC. CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA'S) IN 2012 AND 2015. IN ADDITION TO THE CHNA, A VARIETY OF PRACTICES AND PROCESSES ARE IN PLACE TO ENSURE THAT THE FILING ORGANIZATION IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITY. SUCH PRACTICES AND PROCESSES INVOLVE THE FOLLOWING: 1. A HOSPITAL OPERATING/COMMUNITY BOARD COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE COMMUNITY, COMMUNITY LEADERS, AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE, 2. POST-DISCHARGE PATIENT FOLLOW-UP RELATED TO THE ON-GOING CARE AND TREATMENT OF PATIENTS WHO SUFFER FROM CHRONIC DISEASES, 3. SPONSORSHIP AND PARTICIPATION IN COMMUNITY HEALTH AND WELLNESS ACTIVITIES THAT REACH A BROAD SPECTRUM OF THE FILING ORGANIZATION'S COMMUNITY, AND 4. COLLABORATION WITH OTHER LOCAL COMMUNITY GROUPS TO ADDRESS THE HEALTH CARE NEEDS OF THE FILING ORGANIZATION'S COMMUNITY.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	CONSISTENT WITH THE BALLAD HEALTH FINANCIAL ASSISTANCE POLICY, TAKOMA REGIONAL HOSPITAL, INC. (TRH) COMMUNICATES WITH AND PROVIDES EDUCATION TO OUR PATIENTS THROUGH VARIOUS AVENUES REGARDING GOVERNMENTAL ASSISTANCE PROGRAMS AND HOSPITAL FINANCIAL ASSISTANCE. VARIOUS EDUCATIONAL AND APPLICATION DOCUMENTS RELATED TO OBTAINING FINANCIAL ASSISTANCE ARE WIDELY AVAILABLE AT TRH AND ALL DOCUMENTS ARE AVAILABLE ON THE BALLAD HEALTH WEBSITE. PRINTED FINANCIAL ASSISTANCE EDUCATIONAL MATERIALS ARE PART OF EACH REGISTRATION PACKET AND POSTERS ARE DISPLAYED IN HIGHLY VISIBLE AREAS OF THE HOSPITAL. OUR FINANCIAL ASSISTANCE POLICY AND DOCUMENTS ARE AVAILABLE IN OUR EMERGENCY DEPARTMENT AND ADMITTING AREAS. WE ARE ALSO HAPPY TO MAIL ALL DOCUMENTS TO PATIENTS. WE OFFER A PLAIN LANGUAGE SUMMARY AND ALL OF OUR DOCUMENTS ARE AVAILABLE IN ENGLISH AND SPANISH. FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE DURING PRE-REGISTRATION, REGISTRATION AND/OR DURING FINANCIAL COUNSELING. WE OFFER GOVERNMENTAL PROGRAM ELIGIBILITY REPRESENTATIVES TO ASSIST PATIENTS IN SECURING ELIGIBILITY FOR MEDICAID OR TENNCARE, FEDERAL DISABILITY AND OTHER GOVERNMENTAL ASSISTANCE PROGRAMS. ADDITIONALLY, IF A PATIENT OR COMMUNITY RESIDENT EXPRESSES AN INTEREST IN THE ACA-HEALTHCARE EXCHANGE, OUR REPRESENTATIVES HAVE THE QUALIFICATIONS AND EXPERIENCE TO ASSIST THEM THROUGH THE ENTIRE PROCESS. OUR FINANCIAL COUNSELORS OFFER FINANCIAL ASSISTANCE APPLICATIONS TO PATIENTS WHO DO NOT QUALIFY FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND ARE UNABLE TO PAY FOR SOME OR ALL OF THEIR HEALTHCARE. ALL PATIENT BILLING STATEMENTS HAVE VERBIAGE DISCUSSING FINANCIAL ASSISTANCE ALONG WITH CONTACT INFORMATION. OUR LAST LETTER TO THE PATIENT DISPLAYS THE PLAIN LANGUAGE SUMMARY. IN ALL ORAL CORRESPONDENCES WITH A PATIENT, IF IT IS IDENTIFIED THE PATIENT CANNOT MEET PAYMENT REQUIREMENTS ON THEIR ACCOUNT, FINANCIAL ASSISTANCE IS DISCUSSED AS AN OPTION. APPLICANTS ARE NOTIFIED OF FINANCIAL ASSISTANCE DETERMINATION IN WRITING.
PART VI, LINE 4 - COMMUNITY INFORMATION	TAKOMA REGIONAL HOSPITAL, INC. IS LOCATED IN GREENEVILLE, TENNESSEE (GREENE COUNTY) ON THE EASTERN BORDER OF THE STATE. THE COUNTY IS PRIMARILY RURAL AND THE POPULATION IS ESTIMATED BY UNITED STATES CENSUS BUREAU TO BE 68,808. THE LATEST CENSUS BUREAU DATA ESTIMATES THE MEDIAN AGE OF RESIDENTS OF GREENE COUNTY IS 44.3,WHICH IS OLDER THAN THE MEDIAN AGE OF 38.6 IN TENNESSEE. 20.3% OF THE COUNTY'S RESIDENTS ARE 65 OR OLDER COMPARED TO 15.4% FOR THE STATE. THE BUREAU ESTIMATES GREENE COUNTY'S MEDIAN HOUSEHOLD INCOME AT 38,266 (33,445 FOR THE TOWN OF GREENEVILLE) COMPARED TO 48,708 FOR THE STATE OF TENNESSEE. 23.9% OF THE COUNTY'S CHILDREN (UNDER 18 YEARS) LIVE IN POVERTY, WHILE 30.6% OF CHILDREN UNDER 5 YEARS LIVE BELOW THE POVERTY LEVEL. GREENE COUNTY IS 65.2% RURAL COMPARED WITH THE STATEWIDE RURAL RATE OF 33.6%. THIS IS A SIGNIFICANT CONTRIBUTING FACTOR IN INFLUENCING HEALTH OUTCOMES IN A POPULATION. MANY RURAL RESIDENTS MUST TRAVEL A GREATER DISTANCE TO ACCESS DIFFERENT POINTS OF THE HEALTH CARE DELIVERY SYSTEM. DUE TO GEOGRAPHIC DISTANCE, SOMETIMES EXTREME WEATHER CONDITIONS, LACK OF PUBLIC TRANSPORTATION AND CHALLENGING ROADS, RURAL RESIDENTS MAY BE LIMITED, AND IN SOME INSTANCES, EVEN PROHIBITED FROM ACCESSING HEALTH CARE SERVICES. ALTHOUGH 19% OF PEOPLE IN THE U.S. LIVE IN RURAL AREAS AND 30% OF THE VEHICLE MILES TRAVELED OCCUR IN RURAL AREAS, ALMOST HALF OF CRASH DEATHS OCCUR THERE.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	TAKOMA REGIONAL HOSPITAL, INC. (TRH) WAS GOVERNED BY WELLMONT HEALTH SYSTEM, ITS SOLE MEMBER, UNTIL FEBRUARY, 2018. WHEN WELLMONT HEALTH SYSTEM (WHS) MERGED WITH MOUNTAIN STATES HEALTH ALLIANCE (MSHA) IN FEBRUARY TO FORM THE BALLAD HEALTH HEALTHCARE SYSTEM, BALLAD HEALTH'S BOARD OF DIRECTORS ASSUMED BOARD RESPONSIBILITIES FOR BOTH WELLMONT HEALTH SYSTEM (INCLUDING TRH) AND MOUNTAIN STATES HEALTH ALLIANCE. WELLMONT AND MOUNTAIN STATES STILL EXIST AS LEGAL ENTITIES AND CONTINUE TO OPERATE MULTIPLE HOSPITALS. WHS REMAINS TRH'S SOLE MEMBER. TRH ALSO HAS A COMMUNITY BOARD THAT HAS CO-APPROVAL VOTING RIGHTS FOR CERTAIN DECISIONS. BOARD STRUCTURE AND RIGHTS ARE DISCUSSED IN MORE DETAIL IN SCHEDULE O (FORM 990, PART VI, LINES 6 & 7). THE TRH COMMUNITY BOARD IS COMPRISED PRIMARILY OF GREENE COUNTY RESIDENTS. THE TRH BOARD DELEGATED CERTAIN RESPONSIBILITIES TO THE COMMUNITY BOARD SUCH AS: ADMINISTER A QUALITY ASSURANCE PROGRAM, APPOINT MEDICAL STAFF AND ADMINISTER THE CREDENTIALING AND DISCIPLINARY PROCESS APPLICABLE TO THE TAKOMA MEDICAL STAFF. TRH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY. TRH IS DEDICATED TO OPERATING EFFICIENTLY SO THAT WASTE IS MINIMIZED. VARIOUS CHECKS AND BALANCES ARE ESTABLISHED TO ENSURE THAT EXPENDITURES FOR OPERATING EXPENSES AND CAPITAL COSTS ARE REASONABLE AND NECESSARY.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	TAKOMA REGIONAL HOSPITAL IS A SUBSIDIARY OF WELLMONT HEALTH SYSTEM. WELLMONT HEALTH SYSTEM ("WELLMONT") IS A TENNESSEE NON-PROFIT CORPORATION BASED IN KINGSPORT, TENNESSEE. WELLMONT INCLUDES 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 CENTERS. WELLMONT HEALTH SYSTEM (WHS) IS THE SOLE MEMBER OF TAKOMA REGIONAL HOSPITAL, INC. (TRH). DURING FY2018, WELLMONT HEALTH SYSTEM (WHS) MERGED WITH MOUNTAIN STATES HEALTH ALLIANCE (MSHA) TO FORM BALLAD HEALTH. BALLAD HEALTH IS THE SOLE MEMBER OF WHS AND MSHA AND SERVES AS THE PARENT COMPANY. FOLLOWING MERGER, WHS AND MSHA CONTINUE TO EXIST AS SEPARATE LEGAL ENTITIES, EACH OPERATING MULTIPLE HOSPITALS. TAKOMA REGIONAL HOSPITAL, INC. (TRH)IS OWNED BY WHS. WITH THE MERGER OF WHS AND MSHA, THE EXPECTATION IS THAT TRH AND LAUGHLIN MEMORIAL HOSPITAL WILL WORK TOGETHER SO THAT COMBINED SYNERGIES WILL RESULT IN BETTER UTILIZATION OF LIMITED RESOURCES TO IMPROVE OVERALL DELIVERY OF HEALTHCARE IN THE AREA. BEING PART OF A 21-HOSPITAL HEALTHCARE SYSTEM BENEFITS PATIENTS WHERE THEY ARE ABLE TO BE MOVED EFFICIENTLY ALONG AN INTEGRATED, COMPREHENSIVE CONTINUUM OF CARE AS THEIR HEALTH STATUS DICTATES. IF NEEDED, A TRH PATIENT MAY BE MOVED TO ONE OF BALLAD HEALTH'S TERTIARY REFERRAL CENTERS FOR COMPLEX PATIENTS FROM TRH AND ITS SERVICE AREA.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT	TENNESSEE, VIRGINIA
ADDITIONAL INFORMATION	BALLAD HEALTH IS REQUIRED TO REPORT COMMUNITY BENEFIT ESTIMATES ON A QUARTERLY BASIS WITH THE STATES OF TENNESSEE AND VIRGINIA. THE REPORTING INCLUDES ALL OF BALLAD'S HOSPITAL ORGANIZATIONS AND IS REPORTED USING IRS FORM 990 SCHEDULE H COMMUNITY BENEFIT INSTRUCTIONS. BALLAD OPERATES UNDER A CERTIFICATE OF PUBLIC ADVANTAGE (COPA) IN TENNESSEE AND COOPERATIVE AGREEMENT (CA) IN VIRGINIA AS OBLIGATED BY AGREEMENTS BETWEEN BALLAD AND THE TWO STATES TO ALLOW MOUNTAIN STATES HEALTH ALLIANCE AND WELLMONT HEALTH SYSTEM TO MERGE.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
BARTON HOVE RETIRED 1312018
CHAIR/PRES/CEO-WHS	$817,290	$391,085	$11,551	$27,695	$21,864	$1,269,485
ERIC DEATON
SR VP MARKET OPR	$398,970	$196,460	$9,269	$18,578	$15,003	$638,280
GARY MILLER
TREAS/SR VP COPA	$348,799	$170,792	$1,283	$16,306	$10,791	$547,971
TODD DOUGAN END 4302018
SEC/FIN INTEGRATION	$344,429	$143,894	$95	$15,519	$21,208	$525,145
TAMMY ALBRIGHT
PRESIDENT-TRH							$186,599	$15,737	$310	$6,823	$19,229	$228,698
JOSEPH KRETSCHMAR MD
PHYSICIAN							$340,137	$325,892	$1,208	$17,057	$20,882	$705,176
TODD CHRISTENSEN MD
PHYSICIAN							$504,149	$110,769	$434	$20,368	$20,253	$655,973
WILLIAM BRIDGES MD
PHYSICIAN							$357,420	$73,084	$794	$14,033	$19,711	$465,042
JAMI GOODWIN MD
PHYSICIAN							$385,647	$10,000	$13,932	$14,121	$16,648	$440,348
HOWARD HERRELL MD
PHYSICIAN							$408,413		$182	$7,605	$16,091	$432,291

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4A	(CONT'D) REHABILITATION SERVICES; PRIMARY AND SPECIALTY PHYSICIAN CLINICS AND DIAGNOSTIC IMAGING. IN FISCAL YEAR 2018, WE PROVIDED SERVICES TO 2,443 INPATIENTS, HAD 1,793 SURGICAL CASES AND 17,705 EMERGENCY ROOM VISITS. CONSISTENT WITH OUR MISSION, WE HAVE WORKED TOWARD IMPROVING OUR COMMUNITY'S ACCESS TO QUALITY, AFFORDABLE HEALTHCARE, IMPROVING THE HEALTH STATUS OF OUR COMMUNITIES AND CONTRIBUTING TO THE OVERALL QUALITY OF LIFE IN THE AREAS WE SERVE. THE HOSPITAL AND ITS EMPLOYED PHYSICIAN PRACTICES WENT LIVE ON WELLMONT HEALTH SYSTEM'S EPIC ELECTRONIC HEALTH RECORD SYSTEM IN NOVEMBER 2017. THE EPIC SYSTEM IS THE PREMIER SUCH SYSTEM AND ENABLES A PATIENT AND THEIR HEALTHCARE PROVIDERS TO SEE ALL OF THE PATIENT'S HEALTH INFORMATION ACROSS, NOT ONLY TAKOMA'S SITES, BUT ALSO WELLMONT HEALTH SYSTEM AND ALL EPIC SITES IN THE COUNTRY. THIS RESULTS IN BETTER, QUICKER AND MORE EFFICIENT CARE OF THE PATIENT. TO FURTHER THE COMMUNITY'S HEALTH STATUS, TAKOMA REGIONAL TEACHES OR HAS AVAILABLE A VARIETY OF HEALTH PROGRAMS THAT INCLUDE: - A NATURE TRAIL, WHICH IS A LITTLE MORE THAN A MILE IN LENGTH - THE "BIGGEST LOSER" LIFESTYLE AND WEIGHT-LOSS PROGRAM - TOTAL LIFESTYLE PROGRAM - STROKE SUPPORT GROUP - DIABETES TREATMENT CENTER (SENIOR ADULT CENTER) - LECTURES AT THE LOCAL YMCA - A VARIETY OF HEALTH PROGRAMS, AVAILABLE FOR EVERYONE IN THE GREENE COUNTY SERVICE AREA, INCLUDING THE UNDERSERVED AND UNDERPRIVILEGED FOR FREE OR A NOMINAL FEE - ALONG WITH OTHER LOCAL AGENCIES, TRH TEAM MEMBERS VISITED FIVE HIGH SCHOOLS TO DEMONSTRATE THE DANGERS OF DISTRACTED DRIVING CHARITY AND OTHER UNREIMBURSED COSTS: CHARITY CARE: WHILE REIMBURSEMENT FOR HEALTHCARE SERVICES RENDERED IS CRITICAL TO THE OPERATION AND SUSTAINABILITY OF THE ORGANIZATION, TRH RECOGNIZES ITS OBLIGATION TO PROVIDE CARE TO INDIVIDUALS WHO CANNOT AFFORD ESSENTIAL MEDICAL SERVICES, INCLUDING EMERGENCY CARE. TRH ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT WHEN THEY MEET THE ESTABLISHED POLICIES OF TRH AND GUIDELINES OUTLINED BY THE FEDERAL GOVERNMENT. HOWEVER, FINANCIAL ASSISTANCE DECISIONS ARE NOT SOLELY BASED ON INCOME. UNIQUE FINANCIAL CIRCUMSTANCES ARE WEIGHED WITH VERIFIED PATIENT ASSETS WHICH CAN DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY. IT IS NOT UNTIL AFTER VERIFICATION OF INCOME AND ASSETS THAT A DECISION REGARDING THE AMOUNT OF FINANCIAL ASSISTANCE CAN BE MADE. IN FISCAL YEAR 2018, TRH INCURRED A LOSS OF 972,691 ATTRIBUTABLE TO THE PROVISION OF CHARITY CARE, AN INCREASE OF MORE THAN 9.4% FROM FISCAL YEAR 2017. THIS AMOUNT DOES NOT INCLUDE THE COSTS ASSOCIATED WITH BAD DEBT ACCOUNTS. TENNCARE/MEDICAID: TRH PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS, SUCH AS TENNCARE (TENNESSEE RESIDENTS) AND MEDICAID. TRH INCURRED A LOSS OF 2,327,851 PROVIDING CARE TO THIS POPULATION OF PATIENTS DURING THE YEAR. UNINSURED DISCOUNT: UNINSURED PATIENTS RECEIVED A 74 PERCENT DISCOUNT THROUGHOUT FY2018. THE UNINSURED DISCOUNT IS APPLIED TO ALL UNINSURED PATIENTS AT WHS HOSPITALS. ALSO, CERTAIN ELECTIVE PROCEDURES ARE NOT ELIGIBLE FOR THE UNINSURED DISCOUNT. THE UNINSURED DISCOUNT IS CALCULATED EACH YEAR IN ACCORDANCE WITH TENNESSEE REGULATIONS AND WITHOUT REGARD TO A PATIENT'S INCOME OR ASSETS. THE APPROXIMATE COST OF THIS DISCOUNT IN FY2018, USING OUR COST TO CHARGE RATIO, WAS 1,862,165. THE BEST WAY TO KEEP OUR COMMUNITIES HEALTHY IS TO PROVIDE THEM WITH THE LATEST INFORMATION ABOUT THEIR HEALTH. WE STRIVE TO PROVIDE INFORMATION ABOUT EVERYTHING FROM DISEASE AND INJURY PREVENTION TO THE LATEST TREATMENTS AND TECHNOLOGIES AVAILABLE TO COPING WITH DISEASE AND ITS SYMPTOMS. SOME OF OUR PROGRAMS DURING FY2018 INCLUDE: -WE OFFERED DIABETES EDUCATION CLASSES THROUGOUT THE YEAR; THE CLASS IS TWO-PARTS, WITH FOUR-HOUR SESSIONS OVER TWO DAYS -NUTRITION PRESENTATIONS WERE PROVIDED BY OUR DIETITION ON TOPICS SUCH AS TIPS FOR HEALTHY EATING, HOW TO READ FOOD LABELS, WITH INFORMATION PAMPHLETS PROVIDED TO PARTICIPANTS, AND HEALTHY SNACKS -WE OFFERED MONTHLY PRENATAL CLASSES, WHICH WERE OPEN TO THE PUBLIC -OUR INFECTION CONTROL NURSE VISITED A LOCAL ELEMENTARY SCHOOL TO EXPLAIN THE IMPORTANCE OF HANDWASHING TO THE STUDENTS -NUMEROUS PRESENTATIONS WERE PROVIDED AT THE ADULT CENTER FOR AGING, DISCUSSIONS INCLUDED SUPERFOOD NUTRITION AND OTHER NUTRITION LEARNING SESSIONS FROM OUR DIETITION; GENERAL HEALTH; DIABETES CARE MANAGEMENT; HEPATITIS C; WOUND CARE; AND OTHERS WE PARTICIPATED IN HEALTH FAIRS, SUCH AS: -DIABETES HOLIDAY HEALTH FAIR -A GENERAL HOLIDAY HEALTH FAIR -TWO WORKPLACE HEALTH FAIRS -A HEALTH FAIR AT THE YMCA -GREENE COUNTY FAIR WORKING A FIRST AID STATION AND DISTRIBUTING WATER HOSPITAL TEAM MEMBERS ARE ENGAGED IN A MYRIAD OF COMMUNITY ACTIVITIES. SOME EXAMPLES DURING FY2018: -TRH STAFF WORKED AT THE I-40 WELCOME CENTER THE DAY OF THE SOLAR ECLIPSE TO KEEP PEOPLE'S EYESIGHT SAFE. THE WELCOME CENTER PROVIDED SOLAR GLASSES. -HOSPITAL STAFF WORKED AT THREE BLOOD DRIVES. -OUR WELLNESS COORDINATOR ORGANIZED A 5K RUN FOR THE TOWN OF GREENEVILLE POLICE DEPARTMENT. -THE HOSPITAL IS INVOLVED IN THE GREENE COUNTY ANTI-DRUG COALITION. -TWO TEAM MEMBERS REPRESENT THE HOSPITAL ON THE HEALTHIER TENNESSEE COMMITTEE FOR OUR AREA -TEAM MEMBERS SERVE ON THE GREENE COUNTY HEALTH COUNCIL HOSPITAL MEETING SPACE IS OPEN TO LOCAL ORGANIZATIONS THAT SUPPORT COMMUNITY HEALTH AND WELLNESS. SOME EXAMPLES INCLUDE CITY SCHOOL MEETINGS, SPORTS MEDICINE DISCUSSIONS FOR HIGH SCHOOLS AND A LOCAL COLLEGE, GREENE COUNTY PARTNERSHIP ADULT LEADERSHIP, A DIABETES SUPPORT GROUP, GREENE COUNTY MINISTERIAL ASSOCIATION, A STROKE SUPPORT GROUP, A BREAST CANCER SUPPORT GROUP, AND A CANCER SUPPORT GROUP. SOME OF THE HEALTHIER TENNESSEE COMMITTEE MEETINGS WERE ALSO HELD AT TRH. TAKOMA REGIONAL HOSPITAL SERVES AS A CLINICAL TRAINING SITE FOR HEALTH PROFESSIONAL EDUCATION STUDENTS. WE DEDICATE STAFF TO WORK WITH REGIONAL COLLEGES AND UNIVERSITIES TO COORDINATE PLACEMENT OF HEALTHCARE PROFESSIONAL STUDENTS AS PART OF THEIR EDUCATIONAL CURRICULUM. IN ADDITION TO CLINICAL TRAINING, THE HEALTH CARE STUDENTS ENTERING OUR SYSTEM ARE REQUIRED TO HAVE ORIENTATION AND COMPUTER TRAINING. INCLUDED IN THE NUMBER OF PARTICIPANTS RECEIVING CLINICAL EXPERIENCE AT TRH WERE 28 NURSING STUDENTS. THIS CLINICAL NURSING EXPERIENCE REQUIRED EXTENSIVE TRH NURSING STAFF INVOLVEMENT. THE CLINICAL SETTING AND HANDS-ON INSTRUCTION COST THE HOSPITAL 42,908. TRH PROVIDED CLINICAL TRAINING FOR ANOTHER 11 STUDENTS TRAINING IN OTHER ALLIED HEALTH DISCIPLINES. THE HOSPITAL INCURRED EXPENSE OF 9,411 TO PROVIDE THIS TRAINING.
FORM 990, PAGE 6, PART VI, LINE 6	WELLMONT HEALTH SYSTEM IS TRH'S SOLE MEMBER. THE BOARD OF DIRECTORS OF BALLAD HEALTH, WELLMONT'S PARENT ORGANIZATION, SERVES AS WELLMONT'S BOARD OF DIRECTORS AND IS RESPONSIBLE FOR APPOINTING THE DIRECTORS OF TRH'S BOARD. TAKOMA REGIONAL HOSPITAL'S BOARD OF DIRECTORS ARE RESPONSIBLE FOR: - DEVELOPMENT AND ESTABLISHMENT OF THE ORGANIZATION'S POLICIES AND STRATEGIC PLAN, - DEVELOPMENT AND APPROVAL OF THE ORGANIZATION'S ANNUAL CAPITAL AND OPERATING BUDGETS, - REGULAR REVIEW OF THE ORGANIZATION'S FINANCIAL PERFORMANCE, - ANNUAL REVIEW OF MEDICAL STAFF COMPETENCY STANDARDS, AND - REGULAR REVIEW OF THE ORGANIZATION'S CORPORATE COMPLIANCE PLAN.
FORM 990, PAGE 6, PART VI, LINE 7A	FOLLOWING THE MERGER OF TRH'S SOLE MEMBER, WELLMONT HEALTH SYSTEM, AND MOUNTAIN STATES HEALTH ALLIANCE IN FEBRUARY 2018 TO FORM BALLAD HEALTH, THE NEWLY APPOINTED BALLAD HEALTH BOARD OF DIRECTORS ASSUMED BOARD RESPONSIBILITIES FOR WELLMONT AND MOUNTAIN STATES. BOTH WELLMONT AND MOUNTAIN STATES REMAIN SEPARATE LEGAL ENTITIES.
FORM 990, PAGE 6, PART VI, LINE 7B	CERTAIN DECISIONS OF THE BOARD ARE, PURSUANT TO CHARTER, SUBJECT TO APPROVAL OF THE MEMBER. NO ORDINARY, DAY-TO-DAY DECISIONS ARE SUBJECT TO MEMBER APPROVAL.
FORM 990, PAGE 6, PART VI, LINE 9	BARTON HOVE (RETIRED 1/31/2018)
FORM 990, PAGE 6, PART VI, LINE 11B	THE PRESIDENT OF TAKOMA REGIONAL HOSPITAL, INC. REVIEWED THE TAKOMA REGIONAL HOSPITAL, INC.'S FORM 990 WITH THE BOARD OF DIRECTORS PRIOR TO FILING. THE RETURN WAS MADE AVAILABLE TO EACH BOARD MEMBER IN AN ELECTRONIC FORMAT PRIOR TO THE REVIEW.
FORM 990, PAGE 6, PART VI, LINE 12C	TAKOMA REGIONAL HOSPITAL, INC. IS PART OF THE NEWLY FORMED BALLAD HEALTH HEALTHCARE SYSTEM FORMED WHEN WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE MERGED IN FEBRUARY 2018. BALLAD HEALTH HAS A CONFLICT OF INTEREST POLICY FOR ALL MEMBERS OF THE BOARD OF DIRECTORS, THE EXECUTIVE CHAIR/PRESIDENT, EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, AND VICE PRESIDENTS, AND APPLIES TO ALL BALLAD HEALTH ORGANIZATIONS. ALL PERSONS COVERED BY THIS POLICY ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM ON AN ANNUAL BASIS. SHOULD A CONFLICT ARISE, IT IS THE RESPONSIBILITY OF THE CONFLICTED INDIVIDUAL TO UPDATE HIS OR HER DISCLOSURE IMMEDIATELY. ALL MEETINGS OF THE BOARD OR BOARD COMMITTEES HAVE A STANDING AGENDA ITEM FIRST ON THE AGENDA TITLED "CONFLICTS OF INTEREST". IF A MEMBER OF THE BOARD OR BOARD COMMITTEE HAS A CONFLICT OF INTEREST INVOLVING ANY ISSUE ON THE BOARD AGENDA, HE OR SHE MUST DECLARE THE CONFLICT OF INTEREST DURING THE PERIOD ALLOTTED FOR DISCLOSURE. IF ANY ISSUE ARISES DURING A MEETING IN WHICH THE BOARD MEMBER HAS A CONFLICT OF INTEREST, HE OR SHE MUST IMMEDIATELY DECLARE THE CONFLICT. WHILE EACH MEMBER OF THE BOARD OR BOARD COMMITTEES ARE RESPONSIBLE FOR DISCLOSING CONFLICTS OF INTEREST, IT IS ALSO THE RESPONSIBILITY OF ANY BOARD MEMBER AWARE OF A CONFLICT WHICH HAS NOT BEEN DISCLOSED TO ENSURE THE BOARD IS MADE AWARE. THE PRESIDING OFFICER OF A BOARD OR BOARD COMMITTEE MEETING MAY ASK A CONFLICTED MEMBER TO EXCUSE THEMSELVES FROM THE MEETING DURING THE DISCUSSION RELATED TO THE ISSUE WITH WHICH THE CONFLICT OF INTEREST APPLIES. UNDER NO CIRCUMSTANCES SHALL A MEMBER VOTE ON A MATTER THAT GIVES RISE TO A POTENTIAL CONFLICT.
FORM 990, PAGE 6, PART VI, LINE 15A	ON AN ANNUAL BASIS, BALLAD HEALTH'S HUMAN RESOURCES (HR) DEPARTMENT EVALUATES COMPENSATION FOR ALL EXECUTIVES AT A POSITION LEVEL OF ASSISTANT VICE PRESIDENT AND ABOVE. THE REVIEW INCLUDES TRH'S BOARD PRESIDENT AND WELLMONT HEALTH SYSTEM CEO, MR. HOVE, AND TRH'S PRESIDENT, MS. ALBRIGHT. HR'S EVALUATION IS BASED ON MARKET DATA OBTAINED FROM AN INDEPENDENT COMPENSATION CONSULTANT FOR POSITIONS WITH SIMILAR RESPONSIBILITIES AT SIMILARLY SITUATED ORGANIZATIONS. BASED ON THIS COMPARABILITY DATA, BALLAD HEALTH'S PRESIDENT & CEO EVALUATES THE DATA AND SUBMITS HIS RECOMMENDATIONS TO BALLAD HEALTH'S BOARD OF DIRECTORS FOR THEIR FINAL REVIEW AND APPROVAL.
FORM 990, PAGE 6, PART VI, LINE 15B	THE COMPENSATION OF TRH'S OTHER OFFICERS, WITH THE EXCEPTION OF THE CONTROLLER, ARE EVALUATED EACH YEAR IN THE SAME MANNER AS TRH'S BOARD PRESIDENT AND TRH'S PRESIDENT. THE CONTROLLER POSITION IS EVALUATED CONSISTENT WITH OTHER BALLAD HEALTH NON-EXECUTIVE POSITIONS BASED ON A MARKET PERCENTILE SPECIFIC TO HER POSITION.
FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST TO THE APPROPRIATE PARTIES REQUESTING THEM. FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST TO APPROPRIATE PARTIES REQUESTING THEM, AND THEY ARE MADE AVAILABLE TO THOSE PARTIES WHO OWN INDEBTEDNESS.
FORM 990, PART XI, LINE 9	CAPITAL CONTRIBUTION FROM PARENT 33,679,398 EMPLOYER PROVIDED PARKING-NOT ON BOOKS -22,723 TOTAL 33,656,675
FORM 990, PAGE 12, PART XII, LINE 2C	BALLAD HEALTH (BALLAD) IS A TAX-EXEMPT ENTITY AND THE PARENT CORPORATION OF BOTH MOUNTAIN STATES HEALTH ALLIANCE (MSHA) AND WELLMONT HEALTH SYSTEM (WHS). THE TWO HEALTHCARE SYSTEMS CAME TOGETHER ON FEBRUARY 1, 2018 AS A RESULT OF A MERGER APPROVED BY BOTH TENNESSEE AND VIRGINIA DEPARTMENTS OF HEALTH. THE INDIVIDUALS SERVING AS THE BOARD OF DIRECTORS OF BALLAD ALSO SERVE AS THE BOARD OF DIRECTORS OF MSHA AND WHS. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF BALLAD INCLUDE MSHA, WHS AND THEIR SUBSIDIARIES AND AFFILIATES WHICH WERE PREVIOUSLY INCLUDED IN EITHER MSHA OR WHS AUDITED CONSOLIDATED FINANCIAL STATEMENTS. BALLAD HAS AN AUDIT COMMITTEE WHICH ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. FORM 990 - ADDITIONAL INFORMATION FY18 FORM 990 HAS NUMEROUS REPORTING CHANGES FROM PRIOR YEAR RETURNS. WE BELIEVE THESE CHANGES ARE NECESSARY IN ORDER TO BETTER REFLECT THE ORGANIZATION'S ACTIVITY.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
WELLMONT HEALTH SYSTEM
1905 AMERICAN WAY	KINGSPORT	TN	37660	621636465	HOSP. SYS.	TN	501C3	3	BALLAD	false
WELLMONT HAWKINS CO MEMORIAL HOSP
851 LOCUST STREET	ROGERSVILLE	TN	37857	621816368	HOSPITAL	TN	501C3	3	WHS	false
TAKOMA REGIONAL HOSPITAL FDN INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	471334302	FUNDRAISER	TN	501C3	7	WHS	false
WELLMONT CARDIOLOGY SERVICES
1905 AMERICAN WAY	KINGSPORT	TN	37660	263557623	MED. SERV.	TN	501C3	10	WHS	false
WELLMONT MEDICAL ASSOCIATES INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	270898372	MED. SERV.	TN	501C3	7	WHS	false
WELLMONT SLEEP SERVICES
1905 AMERICAN WAY	KINGSPORT	TN	37660	273777167	MED. SERV.	TN	501C3	3	WHS	false
WELLMONT FOUNDATION INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	581594191	FUNDRAISER	TN	501C3	7	WHS	false
WELLMONT MADISON HOUSE
1905 AMERICAN WAY	KINGSPORT	TN	37660	621308216	ASST. LIV.	TN	501C3	10	WHS	false
WELLMONT WEXFORD HOUSE
1905 AMERICAN WAY	KINGSPORT	TN	37660	581859039	NSG. HOME	TN	501C3	10	WHS	false
WELLMONT IMAGING SERVICES INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	861103148	HEALTHCARE	TN	501C3	12A	WHS	false
MOUNTAIN STATES HEALTH ALLIANCE
303 MED TECH PARKWAY SUITE 220	JOHNSON CITY	TN	37604	620476282	HOSP. SYS.	TN	501C3	3	BALLAD	false
MOUNTAIN STATES FOUNDATION
2335 KNOB CREEK ROAD SUITE 101	JOHNSON CITY	TN	37604	581418862	FUNDRAISER	TN	501C3	12A	MSHA	false
MSHA AUXILIARY
400 N STATE OF FRANKLIN ROAD	JOHNSON CITY	TN	37604	581418345	SUPP. ORG.	TN	501C3	12A	MSHA	false
SMYTH COUNTY COMMUNITY HOSPITAL
245 MEDICAL PARK DRIVE	MARION	VA	24354	540794913	HOSPITAL	VA	501C3	3	MSHA	false
NORTON COMMUNITY HOSPITAL
100 15TH STREET NW	NORTON	VA	24273	540566029	HOSPITAL	VA	501C3	3	NA	false
DICKENSON COMMUNITY HOSPITAL
312 HOSPITAL DRIVE	CLINTWOOD	VA	24228	770599553	HOSPITAL	VA	501C3	3	NCH	false
JOHNSTON MEMORIAL HOSPITAL
16000 JOHNSTON MEMORIAL DRIVE	ABINGDON	VA	24211	540544705	HOSPITAL	VA	501C3	3	NA	false
ABINGDON PHYSICIAN PARTNERS
16000 JOHNSTON MEMORIAL DRIVE	ABINGDON	VA	24211	205485346	MED. SERV.	VA	501C3	12A	JMH	false
BALLAD HEALTH
303 MED TECH PARKWAY SUITE 220	JOHNSON CITY	TN	37604	611771290	SUPP. ORG.	TN	501C3	12B	NA	false
EAST TN HEALTHCARE HOLDINGS INC
203 GRAY COMMONS CIRCLE	GRAY	TN	37615	815475903	OPIOID TRT	TN	501C3	3	MSHA	false
LAUGHLIN MEMORIAL HOSPITAL INC
1420 TUSCULUM BOULEVARD	GREENEVILLE	TN	37745	620701119	HOSPITAL	TN	501C3	3	MSHA	false
LAUGHLIN HEALTHCARE FOUNDATION
1420 TUSCULUM BOULEVARD	GREENEVILLE	TN	37745	582105493	FUNDRAISER	TN	501C3	12A	MSHA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
SAPLING GROVE AMBULATORY SURGERY
220 MEDICAL PARK BOULEVARD	BRISTOL	TN	37620	204450153	MED. SERV.	TN	N/A	false	false
HOLSTON VALLEY AMBULATORY SURGERY
103 WEST STONE DRIVE	KINGSPORT	TN	37660	621816864	MED. SERV.	TN	N/A	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
WELLMONT INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	621320035	MED. SERV.	TN	N/A	false
MCOT INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	621325938	BUS. SERV.	TN	N/A	false
MEDICAL MALL PHARMACY INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	621565006	MED. SERV.	TN	N/A	false
WELLMONT PHYSICIAN SERVICES INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	621567353	MED. SERV.	TN	N/A	false
WPS PROVIDERS INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	205564642	MED. SERV.	TN	N/A	false
WELLMONT HEALTH SERVICES INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	621254373	MED. SERV.	TN	N/A	false
WELLMONT INSURANCE CO SPC LTD
1905 AMERICAN WAY	KINGSPORT	TN	37660	981195624	INSURANCE		N/A	false
BLUE RIDGE MEDICAL MANAGEMENT CORP
1905 AMERICAN WAY	KINGSPORT	TN	37660	621490616	MED. SERV.	TN	N/A	false
MEDISERVE MEDICAL EQUIPMENT
1905 AMERICAN WAY	KINGSPORT	TN	37660	621212286	DME	TN	N/A	false
MOUNTAIN STATES PROPERTIES
1905 AMERICAN WAY	KINGSPORT	TN	37660	621845895	PROP. MGMT	TN	N/A	false
MOUNTAIN STATES PHYSICIAN GROUP
1905 AMERICAN WAY	KINGSPORT	TN	37660	621700412	MED. SERV.	TN	N/A	false
COMMUNITY HOME CARE INC
1490 PARK AVENUE NW SUITE B	NORTON	VA	24273	541453810	DME	VA	N/A	false
WILSON PHARMACY INC
PO BOX 5289	JOHNSON CITY	TN	37604	620329587	PHARMACY	TN	N/A	false
CRESTPOINT HEALTH INSURANCE COMPANY
509 MED TECH PARKWAY SUITE 100	JOHNSON CITY	TN	37604	620381170	INSURANCE	TN	N/A	false
INTEGRATED SOLUTIONS HEALTH NETWORK
509 MED TECH PARKWAY SUITE 100	JOHNSON CITY	TN	37604	621711997	HLTH NETWK	TN	N/A	false
NOLICHUCKEY MANAGEMENT SVCS INC
1420 TUSCULUM BOULEVARD	GREENEVILLE	TN	37745	621776681	MED. SERV.	TN	N/A	false

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