TAKOMA REGIONAL HOSPITAL INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: TAKOMA REGIONAL HOSPITAL INC (EIN 51-0603966)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-15
IRS object ID: 201831359349304008
Schema version: 2016v3.1
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-15T10:40:17-04:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	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	4232308200	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	CNO/PRESIDENT-TRH	PersonTitleTxt
Phone	4232308200	PhoneNum
Signature	2018-05-15	SignatureDt

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$69,032,361	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BALLADHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2006	FormationYr
Legal Domicile State	TN	LegalDomicileStateCd
Activity Or Mission	WE DELIVER SUPERIOR HEALTH CARE WITH COMPASSION.	ActivityOrMissionDesc
Voting Members Governing Body	4	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	743	TotalEmployeeCnt
Total Volunteers	59	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$40,585	PYContributionsGrantsAmt
CY Contributions Grants	$1,129	CYContributionsGrantsAmt
PY Program Service Revenue	$64,214,606	PYProgramServiceRevenueAmt
CY Program Service Revenue	$66,402,629	CYProgramServiceRevenueAmt
PY Investment Income	$2,769	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$7,200	PYOtherRevenueAmt
CY Other Revenue	$2,628,603	CYOtherRevenueAmt
PY Total Revenue	$64,265,160	PYTotalRevenueAmt
CY Total Revenue	$69,032,361	CYTotalRevenueAmt
PY Grants And Similar Paid	$51,340	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$63,429	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$37,605,933	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$41,332,333	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$27,283,230	PYOtherExpensesAmt
CY Other Expenses	$30,517,257	CYOtherExpensesAmt
PY Total Expenses	$64,940,503	PYTotalExpensesAmt
CY Total Expenses	$71,913,019	CYTotalExpensesAmt
PY Revenues Less Expenses	-$675,343	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,880,658	CYRevenuesLessExpensesAmt
Total Assets BOY	$27,694,714	TotalAssetsBOYAmt
Total Assets EOY	$4,262,778	TotalAssetsEOYAmt
Total Liabilities BOY	$11,887,097	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,098,604	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$15,807,617	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$835,826	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE DELIVER SUPERIOR HEALTH CARE WITH COMPASSION.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$64,125,023	ExpenseAmt
Grant	$63,429	GrantAmt
Revenue	$66,402,629	RevenueAmt
Desc	WELLMONT HEALTH SYSTEM PREPARES A CONSOLIDATED COMMUNITY BENEFIT REPORT, WHICH INCLUDES THE ACTIVITIES OF ALL ITS OPERATIONS AND AFFILIATES. IN CONTRAST, AN INTERNAL REVENUE SERVICE (IRS) FORM 990 IS FILED FOR EACH TAX-EXEMPT CORPORATION (7 SEPARATE FORM 990S), AND THERE IS NO SUCH IRS FORM FOR THE TAXABLE CORPORATIONS. IN ADDITION, THE IRS INSTRUCTIONS TO FORM 990 HAVE SPECIFIC DEFINITIONS, METHODS AND WORKSHEETS TO CALCULATE THE COMMUNITY BENEFITS TO BE INCLUDED ON THE FORM 990. AS A RESULT, THERE ARE SIGNIFICANT DIFFERENCES BETWEEN THE COMMUNITY BENEFITS REPORTED IN THE CONSOLIDATED COMMUNITY BENEFIT REPORT AND THE VARIOUS FORM 990S. THERE ARE ALSO FUNDS AND SERVICES THAT ARE PROVIDED THAT DO NOT MEET THE SPECIFIC DEFINITIONS OF THE IRS INSTRUCTIONS, SUCH AS (CON'T ON SCHEDULE O) CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS THAT DO NOT MEET THE DEFINITION OF "RESTRICTED TO ONE OR MORE OF THE ACTIVITIES DESCRIBED IN THE TABLE IN PART I, LINE 7 OF SCHEDULE H-HOSPITALS. TAKOMA REGIONAL HOSPITAL IS AN ACUTE CARE FACILITY IN GREENEVILLE, TENNESSEE. LIKE THE OTHER WELLMONT HEALTH SYSTEM FACILITIES OF WHICH IT IS A MEMBER, IT IS OUR MISSION TO DELIVER SUPERIOR HEALTH CARE WITH COMPASSION TO THE PEOPLE WE SERVE, AND IT IS OUR VISION TO DELIVER THE BEST HEALTH CARE ANYWHERE. CONSISTENT WITH THIS MISSION, WE HAVE WORKED TOWARD IMPROVING OUR COMMUNITY'S ACCESS TO QUALITY, AFFORDABLE HEALTH CARE, EDUCATING OUR REGION'S CAREGIVERS, IMPROVING THE HEALTH STATUS OF OUR COMMUNITIES AND CONTRIBUTING TO THE OVERALL QUALITY OF LIFE IN THE AREAS WE SERVE. TAKOMA REGIONAL HOSPITAL, INC. HAS BEEN A LEADER IN PATIENT SAFETY AND HEALTHCARE QUALITY FOR FIVE YEARS AND, IN 2016, CONCLUDED A ONE YEAR PERIOD WITH ZERO REPORTABLE, HOSPITAL-ACQUIRED INFECTIONS. WE BELIEVE OUR PATIENTS SHOULD BE ABLE TO ACCESS WORLD CLASS HEALTH CARE CLOSE TO HOME. OVERALL, WE RETURNED MORE THAN 8,218,734 IN BENEFITS TO OUR COMMUNITY IN FISCAL YEAR 2017, INCLUDING 7,950,200 OF UNREIMBURSED COSTS FOR INDIGENT AND MEDICAID PATIENTS AND 268,534 FOR OTHER COMMUNITY ACTIVITIES. TO FURTHER THE COMMUNITY'S HEALTH STATUS, TAKOMA REGIONAL TEACHES OR HAS AVAILABLE A VARIETY OF HEALTH PROGRAMS THAT INCLUDE: -THE BIGGEST LOSER LIFESTYLE AND WEIGHT-LOSS PROGRAM -CREATION HEALTH TOTAL LIFESTYLE PROGRAM -CREATION HEALTH NATURE TRAIL, WHICH IS 1.1 MILE IN LENGTH -A VARIETY OF HEALTH PROGRAMS, AVAILABLE FOR EVERYONE IN THE GREENE COUNTY SERVICE AREA, INCLUDING THE UNDERSERVED AND UNDERPRIVILEGED AT NO OR A NOMINAL FEE TAKOMA REGIONAL HAS ALSO COLLABORATED WITH LAUGHLIN MEMORIAL HOSPITAL, THE GREENE COUNTY HEALTH DEPARTMENT, AND THE UNIVERSITY OF TENNESSEE EXTENSION IN PROVIDING THE WESLEY HEIGHT'S COMMUNITY, AN UNDERSERVED COMMUNITY, WITH HEALTH PROGRAMING AIMED AT REDUCING DIABETES AND CANCER. THE WESLEY HEIGHTS AREA IS NOT DEFINED BY ZIP CODE(S), BUT RATHER BY GEOGRAPHICAL LOCATION DETERMINED BY LOCAL CITY STREETS. THE WESLEY HEIGHTS PROJECT IS AN ONGOING MULTI-YEAR INITIATIVE. PROGRAMMING INCLUDES HEALTHY MEALS, PHYSICIAN, DIETITIAN AND HEALTH PROFESSIONAL HEALTH LECTURES AND OTHER ACTIVITIES. TAKOMA REGIONAL HOSPITAL, INC. IS A 100-BED FACILITY IN GREENEVILLE, TENNESSEE. WE PROVIDE A WIDE VARIETY OF SERVICES, INCLUDING EMERGENCY CARE, PHYSICAL, STROKE AND OCCUPATIONAL THERAPIES, SURGERY, INTERMEDIATE MEDICAL CARE, OUTPATIENT SPECIALTY CLINICS, LABORATORY SERVICES, AUDIOLOGY SERVICES, CARDIOVASCULAR SERVICES, RESPIRATORY THERAPY, SLEEP EVALUATIONS AND TREATMENT, INFUSION, SPINE REHABILITATION SERVICES AND DIAGNOSTIC IMAGING. IN FISCAL YEAR 2017, WE PROVIDED SERVICES TO 2,348 INPATIENTS, HAD 1,682 INPATIENT AND OUTPATIENT SURGICAL CASES, AND HAD 18,320 EMERGENCY ROOM VISITS. IT IS OUR COMMITMENT - INDEED, IT IS IMPLICIT IN OUR MISSION - TO SUPPORT THE CAUSES AND DEVELOP THE INITIATIVES THAT WILL PROPEL OUR COMMUNITY TOWARD A BETTER, BRIGHTER, HEALTHIER AND MORE VIBRANT FUTURE. REGARDLESS OF RACE, RELIGION, ETHNICITY OR ABILITY TO PAY, TAKOMA REGIONAL HOSPITAL TREATS ALL PATIENTS FOR MEDICALLY NECESSARY CONDITIONS. RECOGNIZING SOME PATIENTS CANNOT AFFORD ESSENTIAL MEDICAL SERVICES, WE PROVIDED CARE FOR INDIGENT PATIENTS, WRITING OFF 3,319,514 OF CHARGES AND INCURRING COSTS OF 888,820. FOREWARNED IS FOREARMED. 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. OUR TOTAL COMMUNITY BENEFIT FOR COMMUNITY HEALTH IMPROVEMENT SERVICES HAD A DIRECT COST OF 132,853. TAKOMA REGIONAL HOSPITAL, INC. WILL NOT SUCCEED IN OUR MISSION WITHOUT CONTINUALLY REINVESTING IN OUR MOST PRECIOUS RESOURCE - OUR PEOPLE. TO THAT END, WE SUPPORTED THE EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS AT A DIRECT COST OF 105,796. TAKOMA REGIONAL HOSPITAL, INC. PROVIDED CASH AND IN-KIND CONTRIBUTIONS AT A DIRECT COST OF 29,885. IN-KIND SERVICES INCLUDED CONFERENCE ROOM SPACE DONATED TO NON-PROFIT COMMUNITY GROUPS SUCH AS GREENE COUNTY MINISTERIAL ASSOCIATION, HOPE CHEST, UNITED WAY AND OTHER VARIOUS SUPPORT GROUPS SUCH AS DIABETES, PRENATAL, STROKE, AND TOBACCO CESSATION GROUPS.	Desc
Total Program Service Expenses	$64,125,023	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	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	85	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	743	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
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	4	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	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TAMMY ALBRIGHT	PersonNm
Phone	4232308200	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

Form990 Part VII Section A Form990PartVIISectionAGrp (14 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
BART HOVE
CHAIR/CEO-WH	1.00	39.00	Yes (X)	Yes (X)	$0	$1,205,697	$37,323
ERIC DEATON
EVP & COO-WH	1.00	39.00	Yes (X)		$0	$584,676	$28,425
GARY MILLER
EVP/CHIEF GE	1.00	39.00	Yes (X)		$0	$495,239	$20,368
TODD J DOUGAN
SEC/TREAS/CF	1.00	39.00	Yes (X)	Yes (X)	$0	$368,432	$22,028
DENNIS KILEY TERMED 12312016
CEO-TRH	40.00	0.00	Yes (X)	Yes (X)	$0	$292,764	$40,549
DANIEL LEWIS
CMO-TRH	40.00	0.00	Yes (X)	Yes (X)	$0	$287,720	$14,388
TAMMY ALBRIGHT
CNO/PRESIDEN	40.00	0.00	Yes (X)	Yes (X)	$0	$183,945	$33,862
MICHAEL BLAIR TERMED 12312016
INTERIM CFO-	40.00	0.00	Yes (X)	Yes (X)	$0	$142,947	$13
ROBIN ROBERTS
CNO-TRH	40.00	0.00	Yes (X)	Yes (X)	$0	$97,049	$4,436
TODD CHRISTENSEN MD
PHYSICIAN	40.00				$641,407	$0	$0	Yes (X)
JOSEPH KRETSCHMAR MD
PHYSICIAN	40.00				$625,858	$0	$0	Yes (X)
GORDON MARSA MD
PHYSICIAN	40.00				$424,367	$0	$0	Yes (X)
JAMI GOODWIN MD
PHYSICIAN	40.00				$414,268	$0	$0	Yes (X)
WILLIAM BRIDGES
PHYSICIAN	40.00				$374,430	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,480,330	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,658,469	TotReportableCompRltdOrgAmt
Total Other Compensation	$201,392	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	21	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 THER SVCS	$1,974,664
MEDICAL SERVICES BILLING
P O BOX 22266	CHATTANOOGA	TN	37422	BILLING SVCS	$753,754
ARUP LABORATORIES
P O BOX 27964	SALT LAKE CITY	UT	84127	LAB SERVICES	$632,450
UNICOM RADIOLOGY SERVICES
P O BOX 32364	KNOXVILLE	TN	379302364	RADIOLOGY SVCS	$331,558
EQUISCRIPT LLC
1360 TRUXTON AVE	NORTH CHARLESTON	SC	29405	PROCESSING	$211,113

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$1,129	AllOtherContributionsAmt
Total Contributions	$1,129	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	621990	$66,111,063	$66,111,063
MEDICAL OFFICE REVENUE	621990	$291,566	$291,566

Field	Value	IRS element (for citing)
Total Program Service Revenue	$66,402,629	TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$975	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$975	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$975	TotalRevenueColumnAmt
Related Or Exempt Func Income	$975	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
340B REVENUE	900099	$1,967,580	$1,967,580
MISCELLANEOUS REVENUE	900099	$510,044	$510,044
CAFETERIA	900099	$102,732	$102,732

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$47,272	TotalRevenueColumnAmt
Related Or Exempt Func Income	$47,272	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,627,628	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$69,032,361	TotalRevenueColumnAmt
Related Or Exempt Func Income	$69,031,232	RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$63,429	TotalAmt
Program Services	$63,429	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$538,555	TotalAmt
Management And General	$538,555	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$32,294,508	TotalAmt
Program Services	$31,514,011	ProgramServicesAmt
Management And General	$780,497	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$961,276	TotalAmt
Program Services	$417,359	ProgramServicesAmt
Management And General	$543,917	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,541,515	TotalAmt
Program Services	$1,906,789	ProgramServicesAmt
Management And General	$2,634,726	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,996,479	TotalAmt
Program Services	$2,924,780	ProgramServicesAmt
Management And General	$71,699	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$535,278	TotalAmt
Management And General	$535,278	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$100,253	TotalAmt
Management And General	$100,253	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$42,743	TotalAmt
Management And General	$42,743	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,030,839	TotalAmt
Program Services	$2,947,465	ProgramServicesAmt
Management And General	$83,374	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$230,847	TotalAmt
Program Services	$99,685	ProgramServicesAmt
Management And General	$131,162	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,823,710	TotalAmt
Program Services	$1,775,023	ProgramServicesAmt
Management And General	$48,687	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,221,696	TotalAmt
Management And General	$1,221,696	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,858,812	TotalAmt
Program Services	$2,505,413	ProgramServicesAmt
Management And General	$353,399	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$155,548	TotalAmt
Program Services	$119,696	ProgramServicesAmt
Management And General	$35,852	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$48,170	TotalAmt
Management And General	$48,170	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,151,343	TotalAmt
Program Services	$1,151,343	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$556,823	TotalAmt
Program Services	$255,434	ProgramServicesAmt
Management And General	$301,389	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PURCHASED SERVICES	$6,750,615	$6,512,584	$238,031
MEDICAL SUPPLIES	$6,686,312	$6,686,312
PROVISION FOR BAD DEBT	$3,319,514	$3,319,514
TENNESSEE COVERAGE FEES	$1,371,886	$1,371,886

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$632,868	TotalAmt
Program Services	$554,300	ProgramServicesAmt
Management And General	$78,568	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$71,913,019	TotalAmt
Program Services	$64,125,023	ProgramServicesAmt
Management And General	$7,787,996	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,556	BOYAmt
EOY	$7,753,853	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,195,993	BOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$105	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,777,519	BOYAmt
EOY	-$19,045,653	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,337,129	BOYAmt
EOY	$1,447,363	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$77,378	BOYAmt
EOY	$119,361	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$12,051,401	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$524,226	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$14,106,781	BOYAmt
EOY	$11,527,175	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$2,460,679	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,196,253	BOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$27,694,714	BOYAmt
EOY	$4,262,778	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,616,099	BOYAmt
EOY	$4,383,198	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,270,998	BOYAmt
EOY	$715,406	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,887,097	BOYAmt
EOY	$5,098,604	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,807,617	BOYAmt
EOY	-$835,826	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$15,807,617	BOYAmt
EOY	-$835,826	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$27,694,714	BOYAmt
EOY	$4,262,778	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$2,880,658	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$13,762,785	OtherChangesInNetAssetsAmt
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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$745	OtherActivitiesAmt
Total Lobbying Expenditures	$745	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	REPRESENTS PERCENTAGE OF TOTAL DUES PAID TO TENNESSEE HOSPITAL ASSOCIATION THAT IS COMPRISED OF LOBBYING EXPENDITURES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,604,550	OtherCostOrOtherBasisAmt
Book Value	$2,604,550	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,137,248	OtherCostOrOtherBasisAmt
Depreciation	$144,231	DepreciationAmt
Book Value	$5,993,017	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,989,327	OtherCostOrOtherBasisAmt
Depreciation	$364,469	DepreciationAmt
Book Value	$2,624,858	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$320,276	OtherCostOrOtherBasisAmt
Depreciation	$15,526	DepreciationAmt
Book Value	$304,750	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$11,527,175	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
LEASES PAYABLE	$410,065
RESERVE THIRD PARTIES	$305,341

Field	Value	IRS element (for citing)
Total Liability	$715,406	TotalLiabilityAmt

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
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
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	$888,820	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$888,820	NetCommunityBenefitExpnsAmt
Total Expense	0.01240	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,793,537	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,732,157	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,061,380	NetCommunityBenefitExpnsAmt
Total Expense	0.09820	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,682,357	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,732,157	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,950,200	NetCommunityBenefitExpnsAmt
Total Expense	0.11060	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	87	ActivitiesOrProgramsCnt
Persons Served	2614	PersonsServedCnt
Total Community Benefit Expns	$741,583	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$608,730	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$132,853	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	63	ActivitiesOrProgramsCnt
Persons Served	105	PersonsServedCnt
Total Community Benefit Expns	$106,202	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$406	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$105,796	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	60	ActivitiesOrProgramsCnt
Persons Served	500	PersonsServedCnt
Total Community Benefit Expns	$29,885	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$29,885	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	210	ActivitiesOrProgramsCnt
Persons Served	3219	PersonsServedCnt
Total Community Benefit Expns	$877,670	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$609,136	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$268,534	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	210	ActivitiesOrProgramsCnt
Persons Served	3219	PersonsServedCnt
Total Community Benefit Expns	$12,560,027	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,341,293	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,218,734	NetCommunityBenefitExpnsAmt
Total Expense	0.11430	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	1100	PersonsServedCnt
Total Community Benefit Expns	$2,515	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,515	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	25	PersonsServedCnt
Total Community Benefit Expns	$144	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$144	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	25	ActivitiesOrProgramsCnt
Persons Served	120	PersonsServedCnt
Total Community Benefit Expns	$1,347	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,347	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	29	ActivitiesOrProgramsCnt
Persons Served	1245	PersonsServedCnt
Total Community Benefit Expns	$4,006	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,006	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$888,305	BadDebtExpenseAmt
Reimbursed By Medicare	$8,722,353	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$8,841,335	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$118,982	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
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
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
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	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	200.000000000000	FPGFamilyIncmLmtFreeCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
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
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.BALLADHEALTH.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.BALLADHEALTH.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.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
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, TAKOMA REGIONAL HOSPITAL, INC. - PART V, LINE 5	IN CONJUCTION WITH CONDUCTING THEIR 2015 COMMUNITY HEALTH NEEDS ASSESSMENT, TAKOMA REGIONAL HOSPITAL, INC. (TRH OR THE HOSPITAL) 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, AND GREENE COUNTY PUBLIC SCHOOL HEALTH COORDINATORS. THE SPECIFIC ORGANIZATIONS AND INDIVIDUALS PARTICIPATING IN THE CHNAC AND REPRESENTING THE MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE INCLUDED REPRSENTATIVES 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. (THE HOSPITAL) 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 LOCAL HOSPITALS.
FACILITY 1, TAKOMA REGIONAL HOSPITAL, INC. - PART V, LINE 7D	TAKOMA REGIONAL HOSPITAL, INC. (THE HOSPITAL) ADOPTED A POLICY THAT ADDRESSES THE PUBLIC POSTING REQUIREMENTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. UNDER THIS POLICY, THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT WAS REQUIRED TO BE POSTED ON THE HOPSITAL'S WEBSITE BY THE END OF THE YEAR IN WHICH IT WAS CONDUCTED. THE HOSPITAL MAKES A COPY OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE UPON REQUEST. THE HOSPITAL ALSO MAKES A PAPER COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE FOR PUBLIC INSPECTIONS AT THE HOSPITAL FACILITY.
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 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. 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.

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 & OCCUPATIO
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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	BAD DEBT EXPENSE OF 3,319,514 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A, BUT WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. PART I, LINE 7 - FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST FOR WORKSHEET 2, THE RATIO OF PATIENT CARE COST-TO-CHARGES WAS USED TO DETERMINE THE COSTS FOR AMOUNTS IN LINES 7A AND 7B, COLUMN C. THE COSTS INCLUDED IN THE COST-TO-CHARGE RATIO INCLUDED THE COSTS FROM ALL PATIENT SEGMENTS. ACTUAL COSTS FROM THE GENERAL LEDGER WERE USED FOR AMOUNTS IN LINES 7F AND 7I, COLUMN C.
PART II - COMMUNITY BUILDING ACTIVITIES	COMMUNITY SUPPORT TAKOMA REGIONAL HOSPITAL, INC. LEADERSHIP TEAM AND DIRECTORS (SIXTEEN VOLUNTEERS) TOOK SHIFTS RINGING THE SALVATION ARMY BELLS AT A LOCAL GROCERY TO RAISE FUNDS FOR THE COMMUNITY FOOD BANK. THE CHAPLAIN OF TAKOMA REGIONAL HOSPITAL, INC. ASSISTED WITH THE COMMUNITY CHRISTMAS PARADE. COALITION BUILDING GREENE COUNTY COMMUNITY MEMBERS CAME TOGETHER TO DEVELOP A HEALTHY TENNESSEE COMMITTEE. COMMUNITY HEALTH IMPROVEMENT ADVOCACY SEVERAL TAKOMA REGIONAL HOSPITAL, INC. EMPLOYEES SERVED ON THE GREENE COUNTY HEALTH COUNCIL AND SUB-COMMITTEES. THE PATIENT EXPERIENCE DIRECTOR FOR TAKOMA REGIONAL HOSPITAL, INC. ATTENDED THE EMERGENCY FOOD AND SHELTER PROGRAM (EFSP) TO VOTE ON WHERE TO DISPERSE FUNDS FOR FOOD AND SHELTER IN THE COMMUNITY.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	THE COST REPORTED ON LINE 2 IS CALCULATED AS THE BAD DEBT EXPENSE FROM THE GENERAL LEDGER TIMES THE RATIO OF COST TO CHARGES AS CALCULATED ON WORKSHEET 2. THERE ARE NO AMOUNTS REPORTED ON LINE 3. DISCOUNTS ON PATIENT ACCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. PAYMENTS ON PATIENT ACCOUNTS THAT HAVE PREVIOUSLY BEEN WRITTEN OFF AS BAD DEBT ARE USED TO REDUCE BAD DEBT EXPENSE. A THIRD PARTY VENDOR IS USED TO HELP DETERMINE THE AMOUNT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE POLICY. TEXT OF NOTE TO FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: NET PATIENT SERVICE REVENUE IS REPORTED ON THE ACCRUAL BASIS IN THE PERIOD IN WHICH SERVICES ARE PROVIDED AT THE ESTIMATED NET REALIZABLE AMOUNTS EXPECTED TO BE COLLECTED. NET PATIENT SERVICE REVENUE INCLUDES AMOUNTS ESTIMATED BY MANAGEMENT TO BE REIMBURSABLE BY PATIENTS AND VARIOUS THIRD-PARTY PAYORS UNDER PROVISIONS OF REIMBURSEMENT FORMULAS IN EFFECT, INCLUDING RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS. ESTIMATED RETROACTIVE ADJUSTMENTS ARE ACCRUED IN THE PERIOD RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL AND OTHER SETTLEMENTS ARE DETERMINED. WELLMONT PROVIDES CARE TO PATIENTS WHO MEET CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE WELLMONT DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUE. PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF BOTH AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS. THE CONTRACTUAL ALLOWANCE REPRESENTS THE DIFFERENCE BETWEEN ESTABLISHED BILLING RATES AND ESTIMATED REIMBURSEMENT FROM MEDICARE, TENNCARE, MEDICAID, AND OTHER THIRD-PARTY PAYMENT PROGRAMS. WELLMONT'S POLICY DOES NOT REQUIRE COLLATERAL OR OTHER SECURITY FOR PATIENT ACCOUNTS RECEIVABLE. WELLMONT ROUTINELY OBTAINS ASSIGNMENT OF, OR IS OTHERWISE ENTITLED TO RECEIVE, PATIENT BENEFITS PAYABLE UNDER HEALTH INSURANCE PROGRAMS, PLANS, OR POLICIES.
PART VI, LINE 2 - NEEDS ASSESSMENT	AS REPORTED IN SCHEDULE H, PART V, SECTION B, TAKOMA REGIONAL HOSPITAL, INC. (THE HOSPITAL) CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA'S) IN 2012 AND 2015. THE HOSPITAL'S 2012 AND 2015 CHNA'S COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN PROPOSED REGULATION SECTION 1.501(R)-(1)- (3). IN ADDITION TO THE CHNA'S DISCUSSED ABOVE, 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	LINE NUMBER 1, PART VI, LINE 3 TAKOMA REGIONAL HOSPITAL, INC. PROACTIVELY INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY BY POSTING THE POLICY ON ITS WEBSITE AS WELL AS POSTING THE POLICY AT POINTS OF REGISTRATION IN THE HOSPITAL. TAKOMA REGIONAL HOSPITAL, INC. USES PROGRAM ELIGIBILITY SPECIALISTS WHO CONTACT THE UNINSURED PATIENT POPULATION. THESE SPECIALISTS DISCUSS THE VARIOUS GOVERNMENTAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE TO PATIENTS IN ORDER TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR ANY OF THESE PROGRAMS. THE SPECIALISTS WILL WORK WITH THE PATIENTS TO COMPLETE ANY NECESSARY APPLICATIONS AND WILL HELP THEM THROUGH THE QUALIFICATION PROCESS.
PART VI, LINE 4 - COMMUNITY INFORMATION	LINE NUMBER 1, PART VI, LINE 4 TAKOMA REGIONAL HOSPITAL, INC.'S PRIMARY SERVICE AREA IS GREENE COUNTY OF TENNESSEE. THE DEMOGRAPHICS OF THESE COUNTIES ARE AS FOLLOWS: GREENE - POPULATION 68,615; MEDIAN HOUSEHOLD INCOME 36,711 APPROXIMATELY 14.57% OF OUR PATIENTS ARE MEDICAID RECIPIENTS AND 3.71% ARE UNINSURED, AND GREENE COUNTY IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	LINE NUMBER 1, PART VI, LINE 5 THE MEDICAL STAFF OF TAKOMA REGIONAL HOSPITAL, INC., LIKE ALL WELLMONT HEALTH SYSTEM HOSPITALS, IS OPEN TO ALL QUALIFIED PHYSICIANS, EXCEPT FOR SOME OF ITS HOSPITAL BASED DEPARTMENTS, SUCH AS ANESTHESIOLOGY, EMERGENCY MEDICINE, PATHOLOGY, AND RADIOLOGY. ANY SURPLUS OF REVENUES AND GAINS IN EXCESS OF EXPENSES AND LOSSES FOR TAKOMA REGIONAL HOSPITAL, INC., LIKE ALL WELLMONT HEALTH SYSTEM HOSPITALS, IS USED TO FURTHER THE WELLMONT HEALTH SYSTEM MISSION AND VISION, WHICH ARE "WE DELIVER SUPERIOR HEALTH CARE WITH COMPASSION- AND "WE WILL DELIVER THE BEST HEALTH CARE ANYWHERE". THIS WOULD INCLUDE IMPROVEMENTS IN FACILITIES AS WELL AS OPERATIONS FOR PATIENT CARE.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	LINE NUMBER 1, PART VI, LINE 6 TAKOMA REGIONAL HOSPITAL IS AN AFFILIATE OF WELLMONT HEALTH SYSTEM. WELLMONT HEALTH SYSTEM ("WELLMONT") IS A TENNESSEE NON-PROFIT CORPORATION BASED IN KINGSPORT, TENNESSEE AND A PREMIER PROVIDER OF HEALTHCARE SERVICES IN NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. WELLMONT WAS FORMED IN JULY 1996 WITH THE MERGER OF BRISTOL MEMORIAL HOSPITAL IN BRISTOL, TENNESSEE AND HOLSTON VALLEY MEDICAL CENTER IN KINGSPORT, TENNESSEE. WELLMONT HAS GROWN TO INCLUDE FIVE ADDITIONAL HOSPITALS, AN INTEGRATED PHYSICIAN NETWORK AND SEVERAL AMBULATORY SITES. WELLMONT HOSPITALS OFFER A BROAD SCOPE OF SERVICES RANGING FROM COMMUNITY-BASED ACUTE CARE TO HIGHLY SPECIALIZED TERTIARY SERVICES INCLUDING TWO TRAUMA CENTERS, COMPREHENSIVE HEART CARE AND CANCER CARE CENTERS. WELLMONT OWNS AND OPERATES AN INTEGRATED HEALTH CARE DELIVERY SYSTEM PROVIDING INPATIENT, OUTPATIENT AND OTHER HEALTH CARE SERVICES AT MULTIPLE LOCATIONS IN NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. CURRENTLY, WELLMONT OWNS AND OPERATES FIVE ACUTE CARE HOSPITAL FACILITIES AND ONE CRITICAL ACCESS HOSPITAL WITH A TOTAL OF 1,091 LICENSED BEDS AND, THROUGH A JOINT VENTURE, PARTNERS TO OPERATE AN ADDITIONAL ACUTE CARE HOSPITAL FACILITY WITH 100 LICENSED BEDS. THE ACUTE CARE FACILITIES OWNED BY WELLMONT INCLUDE HOLSTON VALLEY MEDICAL CENTER, BRISTOL REGIONAL MEDICAL CENTER, MOUNTAIN VIEW REGIONAL MEDICAL CENTER IN NORTON, VIRGINIA, LONESOME PINE HOSPITAL IN BIG STONE GAP, VIRGINIA, WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL IN ROGERSVILLE, TENNESSEE AND THE CRITICAL ACCESS HOSPITAL, HANCOCK COUNTY HOSPITAL IN SNEEDVILLE, TENNESSEE. WELLMONT ALSO, DIRECTLY OR INDIRECTLY, CONTROLS, OWNS OR IS AFFILIATED WITH VARIOUS NONPROFIT AND FOR-PROFIT CORPORATIONS AND OTHER ORGANIZATIONS THAT CURRENTLY PROVIDE HEALTH CARE AND HEALTH CARE-RELATED SERVICES THROUGHOUT THE SERVICE AREA. IN ADDITION TO THE HOSPITAL CAMPUSES AND AMBULATORY CARE CENTERS DESCRIBED ABOVE, WELLMONT ALSO OPERATES MEDICAL CLINICS, AMBULATORY SURGERY CENTERS, COMPREHENSIVE CANCER CARE CENTERS, AND IMAGING FACILITIES.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
BOYS AND GIRLS CLUB OF GREENE COUNT
740 W CHURCH STREET	GREENEVILLE	TN	37745	621706248	501(C)	$6,850	SPONSORSHIP
GREENE COUNTY PARTNERSHIP
115 ACADEMY STREET	GREENEVILLE	TN	37743	621552105	501(C)	$10,185	SPONSORSHIP
GREENE COUNTY LOCAL EDUCATIONAL ADV
P O BOX 22	AFTON	TN	37616	454418460	501(C)	$6,250	SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	ALL REQUESTS FOR CHARITABLE ASSISTANCE ARE REVIEWED BY THE SENIOR VICE PRESIDENT OF SYSTEM ADVANCEMENT. THE REQUEST FOR GRANT FUNDS IS EVALUATED ON THE BASIS OF THE FOLLOWING ITEMS: THE DEGREE TO WHICH THE REQUEST SUPPORTS WELLMONT HEALTH SYSTEM'S MISSION, REPRESENTATION OF WELLMONT HEALTH SYSTEM AS A GOOD CORPORATE CITIZEN, AND THE ANNUAL BUDGET. THE SENIOR VICE PRESIDENT THEN MAKES A DETERMINATION OF APPROVAL FOR ALL REQUESTS AND THE REQUEST IS SENT DIRECTLY TO ACCOUNTS PAYABLE FOR PAYMENT. WELLMONT HEALTH SYSTEM MAKES MINIMAL GRANTS (LESS THAN 5,000 PER ENTITY) THROUGHOUT THE YEAR. THE USE OF THESE GRANT FUNDS IS NOT MONITORED BY WELLMONT HEALTH SYSTEM AS THESE GRANTS ARE MADE IN GENERAL SUPPORT OF THE GRANT RECIPIENT.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	Yes (true)	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	Yes (true)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
BART HOVE
CHAIR/CEO-WHS	$789,605	$404,004	$12,088	$27,331	$9,992	$1,243,020
ERIC DEATON
EVP & COO-WHS	$388,994	$186,579	$9,103	$18,433	$9,992	$613,101
GARY MILLER
EVP/CHIEF GEN CNSEL	$334,622	$158,905	$1,712	$16,116	$4,252	$515,607
TODD J DOUGAN
SEC/TREAS/CFO-WHS	$260,491	$107,769	$172	$12,036	$9,992	$390,460
DENNIS KILEY TERMED 12312016
CEO-TRH			$292,764	$14,388	$26,161	$333,313
DANIEL LEWIS
CMO-TRH	$236,794	$50,342	$584	$14,388		$302,108
TAMMY ALBRIGHT
CNO/PRESIDENT-TRH	$153,497	$26,448	$4,000	$9,405	$24,457	$217,807
TODD CHRISTENSEN MD
PHYSICIAN							$641,407	$641,407
JOSEPH KRETSCHMAR MD
PHYSICIAN							$625,858	$625,858
GORDON MARSA MD
PHYSICIAN							$424,367	$424,367
JAMI GOODWIN MD
PHYSICIAN							$414,268	$414,268
WILLIAM BRIDGES
PHYSICIAN							$374,430	$374,430

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1A	THE FILING ORGANIZATION WAS PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTIST HEALTH SYSTEM (AHS) UNTIL 12/31/2016. ON JANUARY 1, 2017, WELLMONT HEALTH SYSTEM PURCHASED 100% OF THE MEMBERSHIP INTERESTS OF TAKOMA REGIONAL HOSPITAL, INC. MEMBERS OF THE FILING ORGANIZATION'S EXECUTIVE MANAGEMENT TEAM THAT HELD THE POSITION OF VICE-PRESIDENT OR ABOVE WERE COMPENSATED BY AND ON THE PAYROLL OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE PARENT ORGANIZATION OF AHS. AHSSHC IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). THE FILING ORGANIZATION REIMBURSED AHSSHC FOR THE SALARY AND BENEFIT COST OF THOSE EXECUTIVES ON THE PAYROLL OF AHSSHC THAT PROVIDED SERVICES AND WERE ON THE MANAGEMENT TEAM OF THE FILING ORGANIZATION. TRAVEL FOR COMPANIONS AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT PROVIDES A BENEFIT TO ALLOW FOR A TRAVELING AHSSHC EXECUTIVE TO HAVE HIS OR HER SPOUSE ACCOMPANY THE EXECUTIVE ON TWO BUSINESS TRIPS EACH YEAR. TYPICALLY, REIMBURSEMENT IS ONLY PROVIDED TO VICE-PRESIDENTS AND ABOVE AND IS USUALLY LIMITED TO ONE BUSINESS TRIP PER YEAR BEYOND THE ANNUAL AHS PRESIDENT'S COUNCIL BUSINESS MEETING AND OTHER MEETINGS WHERE THE SPOUSE IS SPECIFICALLY INVITED. THE AHSSHS CORPORATE EXECUTIVE SPOUSAL TRAVEL POLICY WAS ORIGINALLY APPROVED AND REVIEWED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS. ALL SPOUSAL TRAVEL COSTS REIMBURSED TO THE EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS AHS HAS A SYSTEM-WIDE POLICY ADDRESSING GROSS-UP PAYMENTS PROVIDED IN CONNECTION WITH EMPLOYER-PROVIDED BENEFITS/OTHER TAXABLE ITEMS. UNDER THE POLICY, CERTAIN TAXABLE BUSINESS-RELATED REIMBURSEMENTS (IE: TAXABLE BUSINESS-RELATED MOVING EXPENSES, TAXABLE ITEMS PROVIDED IN CONNECTION WITH EMPLOYMENT) PROVIDED TO ANY EMPLOYEE MAY BE GROSSED-UP AT A 25% RATE UPON APPROVAL OF THE FILING ORGANIZATION'S CEO AND CFO. ADDITIONALLY, EMPLOYEES AT THE DIRECTOR LEVEL AND ABOVE ARE ELIGIBLE FOR GROSS-UP PAYMENTS ON GIFTS RECEIVED FOR BOARD OF DIRECTOR SERVICES. DISCRETIONARY SPENDING ACCOUNT A NOMINAL DISCRETIONARY SPENDING AMOUNT WAS PROVIDED IN THE CURRENT YEAR TO ALL ELIGIBLE EXECUTIVES WHO ATTEND THE ANNUAL AHS PRESIDENT'S COUNCIL BUSINESS MEETING (500 PER EXECUTIVE) OR THE ANNUAL AHS CFO CONFERENCE, OR CMO/CNO BUSINESS MEETING (300 PER EXECUTIVE). OTHER DISCRETIONARY SPENDING ACCOUNTS MAY BE PROVIDED IN CONNECTION WITH OTHER AHS SPONSORED CONFERENCES BUT TYPICALLY DO NOT EXCEED 200 PER PARTICIPANT. WITH RESPECT TO THE AHS PRESIDENT'S COUNCIL MEETING, ELIGIBLE EXECUTIVES MAY INCLUDE AHSSHC VICE PRESIDENTS AND ABOVE AND ALL AHSSHC SUBSIDIARY ORGANIZATION CEO'S AND REGIONAL CFO'S. THE PAYMENT PROVIDED TO EACH EXECUTIVE WAS CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. HEALTH OR SOCIAL CLUB DUES DURING THE FISCAL YEAR ENDED JUNE 30, 2017, WELLMONT HEALTH SYSTEM PROVIDED A COUNTRY CLUB MEMBERSHIP TO BARTON A. HOVE. THESE AMOUNTS ARE INCLUDED IN TAXABLE COMPENSATION. TAKOMA REGIONAL HOSPITAL, INC. PROVIDED A COUNTRY CLUB MEMBERSHIP TO ELIGIBLE EXECUTIVES DURING THE FISCAL YEAR ENDED JUNE 30, 2017.
SCHEDULE J, PAGE 1, PART I, LINE 4	DENNIS KILEY (TERMED 12/31/2016) 264,711 0 0
SCHEDULE J, PAGE 1, PART I, LINE 6B	INCENTIVE COMPENSATION IS BASED ON MEETING BUDGETED OPERATING MARGIN GOALS.
SCHEDULE J, PART III	DURING THE YEAR ENDING JUNE 30, 2017, DENNIS KILEY RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF 264,711. PURSUANT TO THE AHSSHC CORPORATE EXECUTIVE POLICY GOVERNING EXECUTIVE SEVERANCE, SEVERANCE AGREEMENTS FOR EXECUTIVES OPERATING AT THE VICE PRESIDENT LEVEL AND ABOVE ARE ENTERED INTO UPON ELIGIBILITY TO FACILITATE THE TRANSITION TO SUBSEQUENT EMPLOYMENT FOLLOWING AN INVOLUNTARY SEPARATION FROM EMPLOYMENT WITH AHS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4A	CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS THAT DO NOT MEET THE DEFINITION OF "RESTRICTED TO ONE OR MORE OF THE ACTIVITIES DESCRIBED IN THE TABLE IN PART I, LINE 7 OF SCHEDULE H-HOSPITALS. TAKOMA REGIONAL HOSPITAL IS AN ACUTE CARE FACILITY IN GREENEVILLE, TENNESSEE. LIKE THE OTHER WELLMONT HEALTH SYSTEM FACILITIES OF WHICH IT IS A MEMBER, IT IS OUR MISSION TO DELIVER SUPERIOR HEALTH CARE WITH COMPASSION TO THE PEOPLE WE SERVE, AND IT IS OUR VISION TO DELIVER THE BEST HEALTH CARE ANYWHERE. CONSISTENT WITH THIS MISSION, WE HAVE WORKED TOWARD IMPROVING OUR COMMUNITY'S ACCESS TO QUALITY, AFFORDABLE HEALTH CARE, EDUCATING OUR REGION'S CAREGIVERS, IMPROVING THE HEALTH STATUS OF OUR COMMUNITIES AND CONTRIBUTING TO THE OVERALL QUALITY OF LIFE IN THE AREAS WE SERVE. TAKOMA REGIONAL HOSPITAL, INC. HAS BEEN A LEADER IN PATIENT SAFETY AND HEALTHCARE QUALITY FOR FIVE YEARS AND, IN 2016, CONCLUDED A ONE YEAR PERIOD WITH ZERO REPORTABLE, HOSPITAL-ACQUIRED INFECTIONS. WE BELIEVE OUR PATIENTS SHOULD BE ABLE TO ACCESS WORLD CLASS HEALTH CARE CLOSE TO HOME. OVERALL, WE RETURNED MORE THAN 8,218,734 IN BENEFITS TO OUR COMMUNITY IN FISCAL YEAR 2017, INCLUDING 7,950,200 OF UNREIMBURSED COSTS FOR INDIGENT AND MEDICAID PATIENTS AND 268,534 FOR OTHER COMMUNITY ACTIVITIES. TO FURTHER THE COMMUNITY'S HEALTH STATUS, TAKOMA REGIONAL TEACHES OR HAS AVAILABLE A VARIETY OF HEALTH PROGRAMS THAT INCLUDE: -THE BIGGEST LOSER LIFESTYLE AND WEIGHT-LOSS PROGRAM -CREATION HEALTH TOTAL LIFESTYLE PROGRAM -CREATION HEALTH NATURE TRAIL, WHICH IS 1.1 MILE IN LENGTH -A VARIETY OF HEALTH PROGRAMS, AVAILABLE FOR EVERYONE IN THE GREENE COUNTY SERVICE AREA, INCLUDING THE UNDERSERVED AND UNDERPRIVILEGED AT NO OR A NOMINAL FEE TAKOMA REGIONAL HAS ALSO COLLABORATED WITH LAUGHLIN MEMORIAL HOSPITAL, THE GREENE COUNTY HEALTH DEPARTMENT, AND THE UNIVERSITY OF TENNESSEE EXTENSION IN PROVIDING THE WESLEY HEIGHT'S COMMUNITY, AN UNDERSERVED COMMUNITY, WITH HEALTH PROGRAMING AIMED AT REDUCING DIABETES AND CANCER. THE WESLEY HEIGHTS AREA IS NOT DEFINED BY ZIP CODE(S), BUT RATHER BY GEOGRAPHICAL LOCATION DETERMINED BY LOCAL CITY STREETS. THE WESLEY HEIGHTS PROJECT IS AN ONGOING MULTI-YEAR INITIATIVE. PROGRAMMING INCLUDES HEALTHY MEALS, PHYSICIAN, DIETITIAN AND HEALTH PROFESSIONAL HEALTH LECTURES AND OTHER ACTIVITIES. TAKOMA REGIONAL HOSPITAL, INC. IS A 100-BED FACILITY IN GREENEVILLE, TENNESSEE. WE PROVIDE A WIDE VARIETY OF SERVICES, INCLUDING EMERGENCY CARE, PHYSICAL, STROKE AND OCCUPATIONAL THERAPIES, SURGERY, INTERMEDIATE MEDICAL CARE, OUTPATIENT SPECIALTY CLINICS, LABORATORY SERVICES, AUDIOLOGY SERVICES, CARDIOVASCULAR SERVICES, RESPIRATORY THERAPY, SLEEP EVALUATIONS AND TREATMENT, INFUSION, SPINE REHABILITATION SERVICES AND DIAGNOSTIC IMAGING. IN FISCAL YEAR 2017, WE PROVIDED SERVICES TO 2,348 INPATIENTS, HAD 1,682 INPATIENT AND OUTPATIENT SURGICAL CASES, AND HAD 18,320 EMERGENCY ROOM VISITS. IT IS OUR COMMITMENT - INDEED, IT IS IMPLICIT IN OUR MISSION - TO SUPPORT THE CAUSES AND DEVELOP THE INITIATIVES THAT WILL PROPEL OUR COMMUNITY TOWARD A BETTER, BRIGHTER, HEALTHIER AND MORE VIBRANT FUTURE. REGARDLESS OF RACE, RELIGION, ETHNICITY OR ABILITY TO PAY, TAKOMA REGIONAL HOSPITAL TREATS ALL PATIENTS FOR MEDICALLY NECESSARY CONDITIONS. RECOGNIZING SOME PATIENTS CANNOT AFFORD ESSENTIAL MEDICAL SERVICES, WE PROVIDED CARE FOR INDIGENT PATIENTS, WRITING OFF 3,319,514 OF CHARGES AND INCURRING COSTS OF 888,820. FOREWARNED IS FOREARMED. 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. OUR TOTAL COMMUNITY BENEFIT FOR COMMUNITY HEALTH IMPROVEMENT SERVICES HAD A DIRECT COST OF 132,853. TAKOMA REGIONAL HOSPITAL, INC. WILL NOT SUCCEED IN OUR MISSION WITHOUT CONTINUALLY REINVESTING IN OUR MOST PRECIOUS RESOURCE - OUR PEOPLE. TO THAT END, WE SUPPORTED THE EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS AT A DIRECT COST OF 105,796. TAKOMA REGIONAL HOSPITAL, INC. PROVIDED CASH AND IN-KIND CONTRIBUTIONS AT A DIRECT COST OF 29,885. IN-KIND SERVICES INCLUDED CONFERENCE ROOM SPACE DONATED TO NON-PROFIT COMMUNITY GROUPS SUCH AS GREENE COUNTY MINISTERIAL ASSOCIATION, HOPE CHEST, UNITED WAY AND OTHER VARIOUS SUPPORT GROUPS SUCH AS DIABETES, PRENATAL, STROKE, AND TOBACCO CESSATION GROUPS.
FORM 990, PAGE 6, PART VI, LINE 6	THE BUSINESS AND AFFAIRS OF TAKOMA REGIONAL HOSPITAL, INC. (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	DENNIS KILEY (TERMED 12/31/2016) 1905 AMERICAN WAY KINGSPORT, TN 37660 MICHAEL BLAIR (TERMED 12/31/2016) 1905 AMERICAN WAY KINGSPORT, TN 37660
FORM 990, PAGE 6, PART VI, LINE 11B	TAKOMA REGIONAL HOSPITAL, INC.'S FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER, THE CORPORATE CONTROLLER, AND THE MANAGER OF ACCOUNTING FOR WELLMONT HEALTH SYSTEM, AND THE BOARD OF DIRECTORS OF TAKOMA REGIONAL HOSPITAL, INC. 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. TAKOMA REGIONAL HOSPITAL, INC.'S 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	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 THE BOARD OF DIRECTORS. 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 NOVEMBER 7, 2017. THE COMPENSATION OF TAMMY ALBRIGHT, PRESIDENT AND CEO OF TAKOMA REGIONAL HOSPITAL, INC. EFFECTIVE JANUARY 1, 2017, WAS BASED ON MARKET AND INTERNAL EQUITY REVIEWS. THE LAST COMPENSATION DELIBERATION AND REVIEW PROCESS FOR TAMMY ALBRIGHT WAS COMPLETED JANUARY 1, 2017. 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 COMPENSATION FOR DENNIS KILEY, PRESIDENT AND CEO OF TAKOMA REGIONAL HOSPITAL, INC. UNTIL DECEMBER 31, 2016, WAS COMPENSATED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC) FOR HIS ROLE SERVING AS CEO. COMPENSATION AND BENEFITS PROVIDED TO THIS INDIVIDUAL WERE DETERMINED PURSUANT TO POLICIES, PROCEDURES, AND PROCESSES OF AHSSHC THAT ARE DESIGNED TO ENSURE COMPLIANCE WITH THE INTERMEDIATE SANCTIONS LAWS AS SET FORTH IN IRC SECTION 4958. AHSSHC HAS TAKEN STEPS TO ENSURE THAT PROCESSES ARE IN PLACE TO SATISFY THE REBUTTABLE PRESUMPTION OF REASONABLENESS STANDARD AS SET FORTH IN TREASURY REGULATION 53.4958-6 WITH RESPECT TO ITS ACTIVE EXECUTIVE-LEVEL POSITIONS.
FORM 990, PAGE 6, PART VI, LINE 15B	THE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES OF TAKOMA REGIONAL HOSPITAL, INC. 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 REVIEWED THE SALARY AND MARKET COMPENSATION DATA FOR THE FOLLOWING OTHER OFFICERS AND KEY EMPLOYEES ON NOVEMBER 7, 2017. -WELLMONT HEALTH SYSTEM EXECUTIVE VP AND CHIEF OPERATING OFFICER - BUFORD E. DEATON -WELLMONT HEALTH SYSTEM CHIEF FINANCIAL OFFICER - TODD DOUGAN; TODD DOUGAN ALSO IS THE SECRETARY/TREASURER OF TAKOMA REGIONAL HOSPITAL, INC. WELLMONT HEALTH SYSTEM USES ONE OR MORE OF THE METHODS DESCRIBED TO ESTABLISH THE COMPENSATION OF THE FOLLOWING OTHER OFFICERS AND KEY EMPLOYEES. -WELLMONT HEALTH SYSTEM EXECUTIVE VP GENERAL COUNSEL - GARY MILLER -TAKOMA REGIONAL HOSPITAL, INC. CHIEF MEDICAL OFFICER - DANIEL LEWIS (BEGINS 1/1/2017) -TAKOMA REGIONAL HOSPITAL, INC. CHIEF NURSING OFFICER - ROBIN ROBERTS (BEGINS 1/1/2017) THE COMPENSATION FOR MICHAEL BLAIR, INTERIM CHIEF FINANCIAL OFFICER OF TAKOMA REGIONAL HOSPITAL, INC. UNTIL DECEMBER 31, 2016, WAS COMPENSATED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). THE COMPENSATION FOR TAMMY ALBRIGHT, CHIEF NURSING OFFICER OF TAKOMA REGIONAL HOSPITAL, INC. UNTIL DECEMBER 31, 2016, WAS COMPENSATED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). COMPENSATION AND BENEFITS PROVIDED TO THESE INDIVIDUALS WERE DETERMINED PURSUANT TO POLICIES, PROCEDURES, AND PROCESSES OF AHSSHC THAT ARE DESIGNED TO ENSURE COMPLIANCE WITH THE INTERMEDIATE SANCTIONS LAWS AS SET FORTH IN IRC SECTION 4958. AHSSHC HAS TAKEN STEPS TO ENSURE THAT PROCESSES ARE IN PLACE TO SATISFY THE REBUTTABLE PRESUMPTION OF REASONABLENESS STANDARD AS SET FORTH IN TREASURY REGULATION 53.4958-6 WITH RESPECT TO ITS ACTIVE EXECUTIVE-LEVEL POSITIONS.
FORM 990, PAGE 6, PART VI, LINE 19	TAKOMA REGIONAL HOSPITAL, INC.'S 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, PART XI, LINE 9	BOOK / TAX DEPRECIATION DIFFERENCE 1,675,569 MEMBER ACQUISITION COST ADJUSTMENTS -15,438,354 TOTAL -13,762,785

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 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	HEALTHCARE	TN	501C3	3	WHS	false
WELLMONT HAWKINS CO MEMORIAL HOSPI
1905 AMERICAN WAY	KINGSPORT	TN	37660	621816368	HEALTHCARE	TN	501C3	3	WHS	false
WELLMONT CARDIOLOGY SERVICES
1905 AMERICAN WAY	KINGSPORT	TN	37660	263557623	HEALTHCARE	TN	501C3	3	WHS	false
WELLMONT MEDICAL ASSOCIATES INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	270898372	HEALTHCARE	TN	501C3	3	WHS	false
WELLMONT INTEGRATED NETWORK LLC
1905 AMERICAN WAY	KINGSPORT	TN	37660	455443060	HEALTHCARE	TN	501C3	3	WHS	false
WELLMONT SLEEP SERVICES
1905 AMERICAN WAY	KINGSPORT	TN	37660	273777167	HEALTHCARE	TN	501C3	3	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	3	WHS	false
WELLMONT WEXFORD HOUSE
1905 AMERICAN WAY	KINGSPORT	TN	37660	581589039	HEALTHCARE	TN	501C3	3	WHS	false
WELLMONT IMAGING SERVICES INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	861103148	HEALTHCARE	TN	501C3	3	WHS	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 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
HOLSTON VALLEY IMAGING CENTER
103 WEST STONE DRIVE	KINGSPORT	TN	37660	202043285	HEALTHCARE	TN	N/A	false	false
SAPLING GROVE AMBULATORY SURGERY
220 MEDICAL PARK BOULEVARD	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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
WELLMONT INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	621320035	PHYS SVCS	TN	WHS	false
MCOT INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	621325938	MED SVCS	TN	WELLMTINC	false
MEDICAL MALL PHARMACY INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	621565006	MED SVCS	TN	WELLMTINC	false
WELLMONT PHYSICIAN SERVICES INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	621567353	PHYS SVCS	TN	WELLMTINC	false
WPS PROVIDERS INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	205564642	PHYS SVCS	TN	WELLMTINC	false
WELLMONT HEALTH SERVICES INC
1905 AMERICAN WAY	KINGSPORT	TN	37660	621254373	HEALTHCARE	TN	WELLMTINC	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	false	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	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

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

Field	Value	IRS element (for citing)
Transaction Type	M	TransactionTypeTxt
Involved	$86,722	InvolvedAmt
Method Of Amount Determination	INVOICES	MethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R	FormAndLineReferenceDesc
Explanation	PART V, LINE 2 RELATED ORGANIZATION TRANSACTIONS WITH WELLMONT FOUNDATION, DURING THE FISCAL YEAR ENDED JUNE 30, 2017, AND DID NOT MEET THE 50,000 THRESHOLD AMOUNT FOR SEPARATE DISCLOSURE. ORGANIZATION TRANS TYPE AMOUNT METHOD DETERMINATION WELLMONT FOUNDATION C 1,442 NEED	ExplanationTxt