2017-05-12T12:38:39-04:00 2016-06-30 990 2015-07-01 621636465 WELLMONT HEALTH SYSTEM WELL 4232308200 1905 AMERICAN WAY KINGSPORT TN 37660 TODD J DOUGAN CFO 4232308200 2017-05-12 2015 2021-01-29 14:40:06Z TODD J DOUGAN 1905 AMERICAN WAY KINGSPORT TN 37660 786949696 false X WWW.WELLMONT.ORG X 1996 TN WE DELIVER SUPERIOR HEALTH CARE WITH COMPASSION. 18 13 6106 6734 267999 2719815 4670940 660586840 671276777 13688779 5166625 17178806 15607780 694174240 696722122 236312 412155 0 263568679 269652828 0 0 378942408 377579136 642747399 647644119 51426841 49078003 1107547852 1072564209 619863728 599282361 487684124 473281848 X WE DELIVER SUPERIOR HEALTH CARE WITH COMPASSION. false false 584259936 412155 671276777 WELLMONT HEALTH SYSTEM PREPARES A CONSOLIDATED COMMUNITY BENEFIT REPORT WHICH INCLUDES THE ACTIVITIES OF ALL ITS OPERATIONS AND AFFILIATES. IN CONTRAST, AN IRS FORM 990 IS FILED FOR EACH TAX-EXEMPT CORPORATION (7 SEPARATE FORM 990S), AND THERE IS NO SUCH IRS FORM FOR THE TAXABLE CORPORATIONS. IN ADDITION, THE IRS INSTRUCTIONS TO FORM 990 HAVE SPECIFIC DEFINITIONS, METHODS, AND WORKSHEETS TO CALCULATE THE COMMUNITY BENEFITS TO BE INCLUDED ON THE FORM 990. AS A RESULT, THERE ARE SIGNIFICANT DIFFERENCES BETWEEN THE COMMUNITY BENEFITS REPORTED IN THE CONSOLIDATED COMMUNITY BENEFIT REPORT AND THE VARIOUS FORM 990S. THERE ARE ALSO FUNDS AND SERVICES THAT ARE PROVIDED THAT DO NOT MEET THE SPECIFIC DEFINITIONS OF THE IRS INSTRUCTIONS, SUCH AS CONTRIBUTIONS TO COMMUNITY (CON'T ON SCHEDULE O) ORGANIZATIONS THAT DO NOT MEET THE DEFINITION OF "RESTRICTED TO ONE OR MORE OF THE ACTIVITIES DESCRIBED IN THE TABLE IN PART I, LINE 7" OF SCHEDULE H. WELLMONT IS A PUBLIC TRUST. FROM KINGSPORT TO BRISTOL, FROM SNEEDVILLE TO NORTON, THE MEMBER HOSPITALS OF OUR ORGANIZATION WERE BORN OF THEIR COMMUNITIES' COMMITMENT TO SUPERIOR HEALTH CARE FOR THEIR CITIZENS. WE OFFER A VAST ARRAY OF MEDICAL SERVICES AND RESOURCES FOR THOUSANDS OF PATIENTS IN NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. IN 2016, WE PROVIDED SERVICES TO 31,289 PATIENTS IN A BED, 164,981 EMERGENCY ROOM VISITS, 1,954 NEWBORN DELIVERIES, AND 21,325 SURGERIES. WELLMONT IS A TENNESSEE NOT-FOR-PROFIT CORPORATION. FIVE TAX-EXEMPT COMMUNITY BASED HOSPITALS - BRISTOL REGIONAL MEDICAL CENTER (BRISTOL, TENN.), HOLSTON VALLEY MEDICAL CENTER (KINGSPORT, TENN.), LONESOME PINE HOSPITAL (BIG STONE GAP, VA.), HANCOCK COUNTY HOSPITAL (SNEEDVILLE, TENN.), AND MOUNTAIN VIEW REGIONAL MEDICAL CENTER (NORTON, VA.)- ARE INCLUDED IN THIS CORPORATION. BUT EVEN AS OUR SERVICE AREA SPANS MULTIPLE STATES AND OUR REVENUE IS REPORTED IN THE HUNDREDS OF MILLIONS OF DOLLARS, WE REMAIN A COMMUNITY- OWNED HEALTH SYSTEM. IT IS OUR MISSION TO DELIVER SUPERIOR HEALTH CARE WITH COMPASSION TO THE PEOPLE WE SERVE. IT IS OUR VISION TO DELIVER THE BEST HEALTH CARE ANYWHERE. CONSISTENT WITH THIS MISSION, WE HAVE WORKED TOWARD IMPROVING OUR COMMUNITY'S ACCESS TO QUALITY, AFFORDABLE HEALTH CARE, EDUCATING OUR REGION'S CAREGIVERS, IMPROVING THE HEALTH STATUS OF OUR COMMUNITIES AND CONTRIBUTING TO THE OVERALL QUALITY OF LIFE IN THE AREAS WE SERVE. OVERALL, WE RETURNED MORE THAN 48,509,416 IN BENEFITS TO OUR REGION, INCLUDING 39,123,920 OF COSTS FOR INDIGENT PATIENTS AND UNCOMPENSATED CARE FOR OTHER PATIENTS AND 9,385,496 FOR OTHER COMMUNITY ACTIVITIES OUTLINED BELOW. WELLMONT IS IN COMPLIANCE WITH IRS GUIDELINES FOR FORM 990 SCHEDULE H REPORTING PURPOSES AND THE AMOUNTS REFLECTED ABOVE ARE NOT INCLUSIVE OF RESOURCES DESCRIBED IN WELLMONT'S COMMUNITY BENEFIT REPORT AS THE ABOVE AMOUNTS ARE REPORTED ON SCHEDULE H. WE ARE MINDFUL OF OUR RESPONSIBILITIES AS ONE OF THE REGION'S LARGEST EMPLOYERS. 6,106 FAMILIES COUNT ON US FOR THEIR LIVELIHOODS. CITIES AND COUNTIES THROUGHOUT OUR SERVICE AREA RELY ON US AS A DRIVER OF ECONOMIC DEVELOPMENT. IT IS OUR DUTY AS A CORPORATE CITIZEN TO SUPPORT THOSE ENDEAVORS AND CAUSES THAT IMPROVE THE QUALITY OF LIFE IN OUR REGION. AND WE ALSO RECOGNIZE IT IS OUR RESPONSIBILITY TO CARE FOR THOSE IN NEED - REGARDLESS OF THEIR ABILITY TO PAY. IT IS OUR COMMITMENT - INDEED, IT IS OUR MISSION - TO SUPPORT THE CAUSES AND DEVELOP THE INITIATIVES THAT WILL PROPEL OUR COMMUNITIES TOWARD A BETTER, BRIGHTER, HEALTHIER AND MORE VIBRANT FUTURE. SERVING THE UNDERSERVED REGARDLESS OF RACE, RELIGION, ETHNICITY OR ABILITY TO PAY, WELLMONT'S HOSPITALS TREAT ALL PATIENTS FOR MEDICALLY NECESSARY CONDITIONS. RECOGNIZING THAT SOME PATIENTS CANNOT AFFORD ESSENTIAL MEDICAL SERVICES, WELLMONT PROVIDED CARE FOR INDIGENT PATIENTS, WRITING OFF 74,561,619 OF CHARGES AND INCURRING COST OF 17,647,003. WELLMONT IS IN COMPLIANCE WITH IRS GUIDELINES FOR FORM 990 SCHEDULE H REPORTING PURPOSES AND THE AMOUNTS REFLECTED ABOVE ARE NOT INCLUSIVE OF RESOURCES DESCRIBED IN WELLMONT'S COMMUNITY BENEFIT REPORT AS THE ABOVE AMOUNTS ARE REPORTED ON SCHEDULE H. OTHER RECENT INITIATIVES INCLUDE: THE WELLMONT HEALTH COACH IS PART OF WELLMONT'S ONGOING EFFORTS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND ENCOURAGE WELLNESS IN THE MOUNTAINS OF NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. FUNDED BY COMMUNITY SUPPORT THROUGH THE WELLMONT FOUNDATION, THE COACH OFFERS A HOST OF COMPREHENSIVE SCREENINGS THAT HELP IDENTIFY POTENTIAL HEALTH PROBLEMS. OUR HEALTH SYSTEM, IN CONJUNCTION WITH A GRANT FROM SUSAN G. KOMEN FOR THE CURE TRI-CITIES, WAS ABLE TO FUND THE COST OF MAMMOGRAMS FOR SEVERAL HUNDRED WOMEN WHO WERE UNDERINSURED OR UNINSURED. PROJECT ACCESS TO BREAST CARE IS DESIGNED TO REACH WOMEN WHO LIVE IN HAWKINS, SULLIVAN, WASHINGTON, JOHNSON, UNICOI, HANCOCK, CARTER AND GREENE COUNTIES IN TENNESSEE AND WOMEN IN SCOTT COUNTY, VA. TO QUALIFY, WOMEN MUST BE BETWEEN THE AGES OF 35 AND 49 AND EITHER BE UNINSURED AND FINANCIALLY UNABLE TO PAY FOR A MAMMOGRAM OR INSURED AND HAVE A HIGH DEDUCTIBLE AND/OR CO-PAY THAT MAKES IT FINANCIALLY DIFFICULT TO OBTAIN A MAMMOGRAM. BRISTOL REGIONAL MEDICAL CENTER PROVIDES SUPPLIES AND OTHER VARIOUS ITEMS VALUED AT 8,318 TO HEALING HANDS HEALTH CENTER IN BRISTOL, TENN., WHICH PROVIDES QUALITY HEALTH CARE TO THE WORKING POOR. DR. DAVE ARNOLD SERVES AS THE MEDICAL DIRECTOR OF HEALING HANDS HEALTH CENTER IN BRISTOL, TENN. AND HIS SALARY AND BENEFITS ARE PAID BY HEALING HANDS HEALTH CENTER. TRAINING AND EDUCATING OUR HEALTHCARE PROFESSIONALS WELLMONT WILL NOT SUCCEED IN OUR MISSION WITHOUT CONTINUALLY REINVESTING IN OUR MOST PRECIOUS RESOURCE - OUR PEOPLE. TO THAT END, WE SUPPORTED THE EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS AT A DIRECT COST OF 5,088,066. RECENT INITIATIVES INCLUDE: WELLMONT PROVIDED AND PARTICIPATED IN SEVERAL FORMAL TRAINING PROGRAMS FOR HEALTH PROFESSIONALS, INCLUDING EAST TENNESSEE STATE UNIVERSITY'S INTERNSHIP AND RESIDENCY PROGRAMS. OUR CONTRIBUTIONS TOTALED 1,058,191 IN SUPPORT OF THE SCHOOL'S JAMES H. QUILLEN COLLEGE OF MEDICINE RESIDENCY PROGRAM. WELLMONT CONTINUES TO WELCOME OSTEOPATHIC MEDICAL STUDENTS FROM LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE. THE STUDENTS PERFORM CLINICAL ROTATIONS IN WELLMONT HOSPITALS AS THEY MOVE TOWARD BECOMING THE NEXT GENERATION OF DOCTORS. THE STUDENTS, WHO RECEIVE FREE HOUSING ON THE CAMPUS OF MOUNTAIN VIEW REGIONAL MEDICAL CENTER, COMPLETE THEIR CORE CLINICAL ROTATIONS AT MOUNTAIN VIEW REGIONAL. THE STUDENTS PERFORM SUB-SPECIALTY ROTATIONS AT HOLSTON VALLEY MEDICAL CENTER AND BRISTOL REGIONAL MEDICAL CENTER AND PRIMARY CORE ROTATIONS AT HAWKINS COUNTY MEMORIAL HOSPITAL. FREE HOUSING IS AVAILABLE ON THE MOUNTAIN VIEW REGIONAL MEDICAL CENTER AND HOLSTON VALLEY MEDICAL CENTER CAMPUSES FOR OUR MOUNTAIN REGION CORE SITE MEDICAL STUDENTS. OUR CONTRIBUTIONS TOTALED 269,027 IN SUPPORT OF THE DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE. WELLMONT AND LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE ALSO PARTNER TO PROVIDE THE WELLMONT ORTHOPEDIC RESIDENCY PROGRAM AT HOLSTON VALLEY MEDICAL CENTER, ONE OF JUST 41 SUCH PROGRAMS IN THE COUNTRY TO HELP TRAIN THE NEXT GENERATION OF SPECIALTY PHYSICIANS. OUR CONTRIBUTIONS TOTALED 333,930 IN SUPPORT OF THE LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE ORTHOPEDIC RESIDENCY PROGRAM. WELLMONT CONTINUES TO EXERT TREMENDOUS EFFORT TO ACHIEVE MEANINGFUL USE OF AN ELECTRONIC HEALTH RECORD. THIS NATIONAL MANDATE CREATES TREMENDOUS EFFICIENCIES FOR CAREGIVERS, ENHANCES PATIENT CARE AND ULTIMATELY IMPROVES PATIENT SAFETY BY REDUCING THE POTENTIAL FOR ERRORS ASSOCIATED WITH PAPER DOCUMENTATION AS WELL AS INCREASING THE SECURITY AND SHARING OF DATA AMONG PROVIDERS. WELLMONT COMPLETED THE IMPLEMENTATION OF MYWELLMONT, WHICH IS AN ONLINE PORTAL THAT ALLOWS WELLMONT PATIENTS TO SECURELY ACCESS THEIR HEALTH INFORMATION FROM VIRTUALLY ANYWHERE. PATIENTS CAN ELECTRONICALLY REQUEST APPOINTMENTS, VIEW TEST RESULTS, RENEW PRESCRIPTIONS, PAY BILLS AND PERFORM MANY OTHER ROUTINE ACTIVITIES. MOST IMPORTANTLY, PATIENTS AND PROVIDERS CAN CONNECT IN MORE WAYS THAN EVER BEFORE, ENHANCING RELATIONSHIPS AND BUILDING A TEAM-BASED APPROACH TO CARE. WELLMONT HAS MADE AVAILABLE CONTINUING EDUCATION AND TRAINING TO EMPLOYEES, MEDICAL STAFF, MEMBERS OF AFFILIATED HEALTH CARE ORGANIZATIONS AND SCHOOLS AND INTERESTED MEMBERS OF THE PUBLIC. SOME OF THOSE OPPORTUNITIES INCLUDED: -ANNUAL STROKE SYMPOSIUM; OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -ANNUAL CRITICAL CARE AND TRAUMA CONFERENCE; OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -ANNUAL CARDIOVASCULAR SUMMIT; OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -ANNUAL WOMEN AND CHILDREN'S EXPO, OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -ANNUAL DIABETES EXPO, OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -REGULAR EDUCATION FOR CLINICAL STAFF ON TOPICS INCLUDING CPR PROGRAMS, ADVANCED CARDIOVASCUL 584259936 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true false true true false false false false false false false false false true false false false false true true true true false false true 303 0 true 6106 true true true false false false false true true false false false false false false X 18 13 false false false false false false false true true true false true true true true true true true true true false X TODD J DOUGAN 4232308200 1905 AMERICAN WAY KINGSPORT TN 37660 STANLEY GALL MD BOARD MEMBER 40.00 X 0 764173 33313 DAVID THOMPSON MD BOARD MEMBER 40.00 X 0 458018 18282 JULIE P BENNETT VICE CHAIR 6.00 X 0 0 0 R DAVID CROCKETT SR BOARD MEMBER 6.00 X 0 0 0 WAYNE J KENNEDY SECRETARY 6.00 X 0 0 0 RAVEN KRICKBAUM BOARD MEMBER 6.00 X 0 0 0 ROGER L LEONARD CHAIRMAN 6.00 X 0 0 0 ROGER K MOWEN TREASURER/AS 6.00 X 0 0 0 GLEN SKIP SKINNER BOARD MEMBER 6.00 X 0 0 0 DOUGLAS J SPRINGER MD BOARD MEMBER 6.00 X 0 0 0 DAVID LESTER BOARD MEMBER 6.00 X 0 0 0 WILLIAM SMITH MD BOARD MEMBER 6.00 X 0 0 0 DAVID SPARKS MD BOARD MEMBER 6.00 X 0 0 0 MARY HALL BOARD MEMBER 6.00 X 0 0 0 TERRY BEGLEY BOARD MEMBER 6.00 X 0 0 0 NELSON GWALTNEY MD BOARD MEMBER 6.00 X 0 0 0 KEITH WILSON BOARD MEMBER 6.00 X 0 0 0 TED WOOD BOARD MEMBER 6.00 X 0 0 0 BARTON A HOVE WHS PRESIDEN 40.00 X 1382592 0 38571 BUFORD E DEATON EXEC VP & WH 40.00 X 620322 0 9990 GARY D MILLER SR VP & GEN 40.00 X 476682 0 19789 HAMLIN J WILSON SR VP-HUMAN 40.00 X 440886 0 18090 TODD J DOUGAN CFO 40.00 X 372338 0 20628 LOWELL TODD NORRIS SR VP INST & 8.00 32.00 X 70460 281843 21790 DAVID L BRASH SR VP OF BUS 40.00 X 458177 0 26070 TIMOTHY ATTEBERY PRESIDENT/CE 40.00 X 457547 0 24744 GREG NEAL PRESIDENT/CE 40.00 X 450645 0 24978 MARTHA CHILL CHIEF INFORM 40.00 X 346133 0 23075 REBECCA BECK PRESIDENT/CO 40.00 X 0 150414 17632 SUSAN LINDENBUSCH VP WHS ONCOL 40.00 X 416774 0 17637 BRAD PRICE SR VP-RESOUR 40.00 X 389490 0 12941 DAVID ARROWOOD CRNA 40.00 X 300163 0 20195 WILLIAM TILSON CRNA 40.00 X 285828 0 20545 JAMES WATTS CRNA 40.00 X 264070 0 17861 PIERRE ISTFAN MD BOARD MEMBER 40.00 X 0 781293 33832 ALICE POPE TERMED 42216 EVP & CFO X 622401 0 30564 MARGARET DENARVAEZ TERMED 91614 PRESIDENT/CE X 146211 0 0 WILLIAM SHOWALTER TERMED 41715 SR VP - INFO X 118596 0 5371 7619315 2435741 455898 167 true true false QUEST DIAGNOSTICS 1201 S COLLEGEVILLE ROAD COLLEGEVILLE PA 19426 LAB SERVICES 11128319 SODEXO INC & AFFILIATES P O BOX 536922 ATLANTA GA 303536922 MGMT SERVICES 5720891 SPENCER THOMAS GROUP 1931 WOODBURY AVE 125 PORTSMOUTH NH 03801 SOFTWARE CONSUL 4939352 EPIC SYSTEMS CORPORATION P O BOX 88314 MILWAUKEE WI 532880314 SOFTWARE 4152543 ETSU PHYSICIANS & ASSOCIATES P O BOX 699 MOUNTAIN HOME TN 37684 PHYSICIAN FEES 3849119 101 4631769 39171 4670940 PHARMACY REVENUE 621990 356735876 356735876 NET PATIENT REVENUE 621990 308406126 308406126 BLOOD REVENUE 621990 6048376 6048376 ADMINISTRATIVE REVENUE 561000 86399 86399 671276777 8450927 8450927 6098569 1944983 4153586 4153586 4153586 84377724 620565 87636993 645598 -3259269 -25033 -3284302 18825 -3303127 MISCELLANEOUS REVENUE 900099 5238695 5238695 CAFETERIA VENDING 900099 3133135 3133135 MEDICAL LAUNDRY REVENUE 900099 2425456 2425456 656908 -13138 249174 420872 11454194 696722122 671263639 267999 20519544 X 412155 412155 4847077 4847077 627707 627707 214268268 182447535 31820733 5817525 4923159 894366 29184693 25222271 3962422 14907558 12757357 2150201 1905248 1905248 2628858 2628858 653696 653696 147507 147507 237034 237034 69404877 63196548 6208329 1202613 1202613 32141233 29873373 2267860 10441502 10440130 1372 14672783 14916318 -243535 1520301 851312 668989 70223 59648 10575 16288497 16288497 52843110 50219654 2623456 1663632 1663632 DRUGS & MEDICAL SUPPLIES 124193513 124193513 PROVISION FOR BAD DEBTS 42779599 42779599 MISCELLANEOUS EXPENSE 3713991 1916161 1797830 PHYSICIAN RECRUITMENT 762214 210319 551895 308705 301601 7104 647644119 584259936 63384183 0 305060 580754 45263215 86181680 116357945 71917457 18417121 14623821 9676575 8716823 1113669869 685195034 454092234 428474835 411522813 410717234 7213553 7055599 37609295 37609295 7090041 6686711 1107547852 1072564209 81970064 77283983 459668669 445335273 9297968 9253522 68927027 67409583 619863728 599282361 X 487684124 473281848 487684124 473281848 1107547852 1072564209 49078003 -63480279 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 147507 147507 647496612 647644119 1000000 250000 1000000 1000000 1000000 1000000 4000000 6000000 64174 169101 146182 147507 526964 250000 250000 250000 250000 1000000 1500000 107181 31544344 31651525 533033737 281785530 251248207 8440611 2439868 6000743 381036126 316267889 64768237 159507870 84701747 74806123 428474835 CAPITAL LEASE OBLIGATIONS 20106637 OTHER LONG-TERM LIABILITIES 18285616 DEFINED BENEFITS PENSION LIABILITY 16260452 OTHER CURRENT LIABILITIES 10817711 POST RETIREMENT BENEFITS 2111335 SWAP LIABILITY -172168 67409583 X SCHEDULE D, PAGE 3, PART X THE WELLMONT HEALTH SYSTEM ENTITIES ARE PRIMARILY CLASSIFIED AS ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) AS ENTITIES DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED FOR THESE ENTITIES IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE OPERATIONS OF WELLMONT HEALTH SYSTEM ARE SUBJECT TO STATE AND FEDERAL INCOME TAXES WHICH ARE ACCOUNTED FOR IN ACCORDANCE WITH ASC 740, INCOME TAXES; HOWEVER, SUCH AMOUNTS ARE NOT MATERIAL. true true X true X false true true false true true 17647003 17647003 0.02720 78922873 57445956 21476917 0.03320 96569876 57445956 39123920 0.06040 203 145624 5120019 1005690 4114329 0.00640 12011 14024 10593665 5564036 5029629 0.00780 117 499 59127 36234 22893 55 949 218645 218645 0.00030 12386 161096 15991456 6605960 9385496 0.01450 12386 161096 112561332 64051916 48509416 0.07490 1 5320 5320 68 19079 14882 14882 69 19079 20202 20202 false 10423552 143882369 140445152 3437217 X true true HOLSTON VALLEY AMBUL SURGICAL SERVICES 0.52000 0.48000 SAPLING GROVE AMBULA SURGICAL SERVICES 0.65000 0.35000 5 1 HOLSTON VALLEY MEDICAL CENTER 130 RAVINE STREET KINGSPORT TN 37660 X X X X A 2 BRISTOL REGIONAL MEDICAL CENTER 1 MEDICAL PARK BLVD BRISTOL TN 37620 X X X X A 3 LONESOME PINE HOSPITAL 1990 HOLTON AVENUE BIG STONE GAP VA 24219 X X X X A 4 MOUNTAIN VIEW REGIONAL MEDICAL CTR 310 3RD STREET NE NORTON VA 24273 X X X A 5 HANCOCK COUNTY HOSPITAL 1519 MAIN STREET SNEEDVILLE TN 37869 X X X A A 12345 false false true X X X X X X X X X X 16 true true false true X WWW.WELLMONT.ORG true 16 true WWW.WELLMONT.ORG false false true X 200.000000000000 false true X X X true X WWWWELLMONTORG X WWWWELLMONTORG X WWWWELLMONTORG X X X true X true X X X X true X false false GROUP A, FACILITY 1, HOLSTON VALLEY MEDICAL CENTER - PART V, LINE 5 INFORMATION FOR THE CHNA ASSESSMENT WAS GATHERED FROM A VARIETY OF SOURCES, INCLUDING: -PHYSICIAN NEEDS ASSESSMENT -COMMUNITY HEALTH FACILITY ASSESSMENT -MENTAL HEALTH NEEDS ASSESSMENT -PUBLICLY AVAILABLE POPULATION AND DEMOGRAPHIC INFORMATION -PUBLICLY AVAILABLE POPULATION HEALTH INFORMATION, INCLUDING AMERICA'S HEALTH RANKINGS AND THE COUNTY HEALTH RANKINGS -STATE AND REGIONAL HEALTH DEPARTMENT DATA -THE SOUTHWEST VIRGINIA HEALTH AUTHORITY'S BLUEPRINT FOR HEALTH ENABLED PROSPERITY -THE ETSU, WELLMONT, MOUNTAIN STATES COMMUNITY WORK GROUP PROJECT -OTHER STUDIES SIGNIFICANT INFORMATION WAS GLEANED FROM A PROCESS CONDUCTED BY THE ETSU COLLEGE OF PUBLIC HEALTH AND SUPPORTED BY BOTH WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE. COMMUNITY WORKGROUPS WERE FORMED, INVOLVING A CROSS SECTION OF SUBJECT MATTER EXPERTS TO ASSESS REGIONAL HEALTH NEEDS, INCLUDING THOSE OF UNDERSERVED PEOPLE, FAMILIES, CHILDREN AND THOSE SUFFERING FROM MENTAL HEALTH AND SUBSTANCE ABUSE CHALLENGES. REGIONAL MEETINGS WERE ALSO HELD WHICH INCLUDED REPRESENTATIVES OF THE COMMUNITY AT LARGE, PATIENTS AND MINORITIES OR AGENCIES SERVING THEM. FINDINGS FROM THIS WORK WERE TAKEN INTO ACCOUNT IN BOTH THE ASSESSMENT AND IMPLEMENTATION PLAN. THE INFORMATION WAS THEN COLLATED AND ASSESSED TO DETERMINE THE GREATEST UNMET HEALTH NEEDS FACING OUR REGION. STRATEGIES TO ADDRESS THESE NEEDS WERE THEN DEVELOPED, UTILIZING INTERNAL RESOURCES AND PARTNERSHIPS WITH OTHER HEALTH CARE ORGANIZATIONS AND PHYSICIANS. GROUP A, FACILITY 1, HOLSTON VALLEY MEDICAL CENTER - PART V, LINE 6A - BRISTOL REGIONAL MEDICAL CENTER - LONESOME PINE HOSPITAL - HAWKINS COUNTY MEMORIAL HOSPITAL - HANCOCK COUNTY HOSPITAL - MOUNTAIN VIEW REGIONAL MEDICAL CENTER GROUP A, FACILITY 1, HOLSTON VALLEY MEDICAL CENTER - PART V, LINE 11 KEY FINDINGS NOTED DURING THE CHNA WERE THE LOW RANKINGS OF THE COUNTIES WE SERVE IN SEVERAL CATEGORIES RELATED TO HEALTH AND WELLNESS, INCLUDING PREVALENCE OF CHRONIC DISEASE MANAGEMENT, TOBACCO USE, DIET AND EXERCISE, AS WELL AS A NEED FOR EXPANDED AND ENHANCED MENTAL 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, WELLMONT WILL CONTINUE TO STRENGTHEN OUR PARTNERSHIPS AND CONTINUUM OF CARE OPPORTUNITIES WITH AREA HEALTH DEPARTMENTS, FEDERALLY QUALIFIED HEALTH CENTERS AND FRONTIER HEALTH, THE REGION'S LEADING PROVIDER OF BEHAVIORAL HEALTH SERVICES. GROUP A, FACILITY 1, HOLSTON VALLEY MEDICAL CENTER - PART V, LINE 22D HOLSTON VALLEY MEDICAL CENTER FOLLOWS TENNESSEE STATUTE WHICH IS 175% OF AVERAGE COST FOR ITS HOSPITAL (IN THE ABSENCE OF VIRGINIA STATUTE). GROUP A, FACILITY 2, BRISTOL REGIONAL MEDICAL CENTER - PART V, LINE 5 INFORMATION FOR THE CHNA ASSESSMENT WAS GATHERED FROM A VARIETY OF SOURCES, INCLUDING: -PHYSICIAN NEEDS ASSESSMENT -COMMUNITY HEALTH FACILITY ASSESSMENT -MENTAL HEALTH NEEDS ASSESSMENT -PUBLICLY AVAILABLE POPULATION AND DEMOGRAPHIC INFORMATION -PUBLICLY AVAILABLE POPULATION HEALTH INFORMATION, INCLUDING AMERICA'S HEALTH RANKINGS AND THE COUNTY HEALTH RANKINGS -STATE AND REGIONAL HEALTH DEPARTMENT DATA -THE SOUTHWEST VIRGINIA HEALTH AUTHORITY'S BLUEPRINT FOR HEALTH ENABLED PROSPERITY -THE ETSU, WELLMONT, MOUNTAIN STATES COMMUNITY WORK GROUP PROJECT -OTHER STUDIES SIGNIFICANT INFORMATION WAS GLEANED FROM A PROCESS CONDUCTED BY THE ETSU COLLEGE OF PUBLIC HEALTH AND SUPPORTED BY BOTH WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE. COMMUNITY WORKGROUPS WERE FORMED, INVOLVING A CROSS SECTION OF SUBJECT MATTER EXPERTS TO ASSESS REGIONAL HEALTH NEEDS, INCLUDING THOSE OF UNDERSERVED PEOPLE, FAMILIES, CHILDREN AND THOSE SUFFERING FROM MENTAL HEALTH AND SUBSTANCE ABUSE CHALLENGES. REGIONAL MEETINGS WERE ALSO HELD WHICH INCLUDED REPRESENTATIVES OF THE COMMUNITY AT LARGE, PATIENTS AND MINORITIES OR AGENCIES SERVING THEM. FINDINGS FROM THIS WORK WERE TAKEN INTO ACCOUNT IN BOTH THE ASSESSMENT AND IMPLEMENTATION PLAN. THE INFORMATION WAS THEN COLLATED AND ASSESSED TO DETERMINE THE GREATEST UNMET HEALTH NEEDS FACING OUR REGION. STRATEGIES TO ADDRESS THESE NEEDS WERE THEN DEVELOPED, UTILIZING INTERNAL RESOURCES AND PARTNERSHIPS WITH OTHER HEALTH CARE ORGANIZATIONS AND PHYSICIANS. GROUP A, FACILITY 2, BRISTOL REGIONAL MEDICAL CENTER - PART V, LINE 6A - HOLSTON VALLEY MEDICAL CENTER - LONESOME PINE HOSPITAL - HAWKINS COUNTY MEMORIAL HOSPITAL - HANCOCK COUNTY HOSPITAL - MOUNTAIN VIEW REGIONAL MEDICAL CENTER GROUP A, FACILITY 2, BRISTOL REGIONAL MEDICAL CENTER - PART V, LINE 11 KEY FINDINGS NOTED DURING THE CHNA WERE THE LOW RANKINGS OF THE COUNTIES WE SERVE IN SEVERAL CATEGORIES RELATED TO HEALTH AND WELLNESS, INCLUDING PREVALENCE OF CHRONIC DISEASE MANAGEMENT, TOBACCO USE, DIET AND EXERCISE, AS WELL AS A NEED FOR EXPANDED AND ENHANCED MENTAL 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, WELLMONT WILL CONTINUE TO STRENGTHEN OUR PARTNERSHIPS AND CONTINUUM OF CARE OPPORTUNITIES WITH AREA HEALTH DEPARTMENTS, FEDERALLY QUALIFIED HEALTH CENTERS AND FRONTIER HEALTH, THE REGION'S LEADING PROVIDER OF BEHAVIORAL HEALTH SERVICES. GROUP A, FACILITY 2, BRISTOL REGIONAL MEDICAL CENTER - PART V, LINE 22D BRISTOL REGIONAL MEDICAL CENTER FOLLOWS TENNESSEE STATUTE WHICH IS 175% OF AVERAGE COST FOR ITS HOSPITAL (IN THE ABSENCE OF VIRGINIA STATUTE). GROUP A, FACILITY 3, LONESOME PINE HOSPITAL - PART V, LINE 5 INFORMATION FOR THE CHNA ASSESSMENT WAS GATHERED FROM A VARIETY OF SOURCES, INCLUDING: -PHYSICIAN NEEDS ASSESSMENT -COMMUNITY HEALTH FACILITY ASSESSMENT -MENTAL HEALTH NEEDS ASSESSMENT -PUBLICLY AVAILABLE POPULATION AND DEMOGRAPHIC INFORMATION -PUBLICLY AVAILABLE POPULATION HEALTH INFORMATION, INCLUDING AMERICA'S HEALTH RANKINGS AND THE COUNTY HEALTH RANKINGS -STATE AND REGIONAL HEALTH DEPARTMENT DATA -THE SOUTHWEST VIRGINIA HEALTH AUTHORITY'S BLUEPRINT FOR HEALTH ENABLED PROSPERITY -THE ETSU, WELLMONT, MOUNTAIN STATES COMMUNITY WORK GROUP PROJECT -OTHER STUDIES SIGNIFICANT INFORMATION WAS GLEANED FROM A PROCESS CONDUCTED BY THE ETSU COLLEGE OF PUBLIC HEALTH AND SUPPORTED BY BOTH WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE. COMMUNITY WORKGROUPS WERE FORMED, INVOLVING A CROSS SECTION OF SUBJECT MATTER EXPERTS TO ASSESS REGIONAL HEALTH NEEDS, INCLUDING THOSE OF UNDERSERVED PEOPLE, FAMILIES, CHILDREN AND THOSE SUFFERING FROM MENTAL HEALTH AND SUBSTANCE ABUSE CHALLENGES. REGIONAL MEETINGS WERE ALSO HELD WHICH INCLUDED REPRESENTATIVES OF THE COMMUNITY AT LARGE, PATIENTS AND MINORITIES OR AGENCIES SERVING THEM. FINDINGS FROM THIS WORK WERE TAKEN INTO ACCOUNT IN BOTH THE ASSESSMENT AND IMPLEMENTATION PLAN. THE INFORMATION WAS THEN COLLATED AND ASSESSED TO DETERMINE THE GREATEST UNMET HEALTH NEEDS FACING OUR REGION. STRATEGIES TO ADDRESS THESE NEEDS WERE THEN DEVELOPED, UTILIZING INTERNAL RESOURCES AND PARTNERSHIPS WITH OTHER HEALTH CARE ORGANIZATIONS AND PHYSICIANS. GROUP A, FACILITY 3, LONESOME PINE HOSPITAL - PART V, LINE 6A - BRISTOL REGIONAL MEDICAL CENTER - HOLSTON VALLEY MEDICAL CENTER - HAWKINS COUNTY MEMORIAL HOSPITAL - HANCOCK COUNTY HOSPITAL - MOUNTAIN VIEW REGIONAL MEDICAL CENTER GROUP A, FACILITY 3, LONESOME PINE HOSPITAL - PART V, LINE 11 KEY FINDINGS NOTED DURING THE CHNA WERE THE LOW RANKINGS OF THE COUNTIES WE SERVE IN SEVERAL CATEGORIES RELATED TO HEALTH AND WELLNESS, INCLUDING PREVALENCE OF CHRONIC DISEASE MANAGEMENT, TOBACCO USE, DIET AND EXERCISE, AS WELL AS A NEED FOR EXPANDED AND ENHANCED MENTAL 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, WELLMONT WILL CONTINUE TO STRENGTHEN OUR PARTNERSHIPS AND CONTINUUM OF CARE OPPORTUNITIES WITH AREA HEALTH DEPARTMENTS, FEDERALLY QUALIFIED HEALTH CENTERS AND FRONTIER HEALTH, THE REGION'S LEADING PROVIDER OF BEHAVIORAL HEALTH SERVICES. GROUP A, FACILITY 3, LONESOME PINE HOSPITAL - PART V, LINE 22D LONESOME PINE HOSPITAL FOLLOWS TENNESSEE STATUTE WHICH IS 175% OF AVERAGE COST FOR ITS HOSPITAL (IN THE ABSENCE OF VIRGINIA STATUTE). GROUP A, FACILITY 4, MOUNTAIN VIEW REGIONAL MEDICAL CTR - PART V, LINE 5 INFORMATION FOR THE CHNA ASSESSMENT WAS GATHERED FROM A VARIETY OF SOURCES, INCLUDING: -PHYSICIAN NEEDS ASSESSMENT -COMMUNITY HEALTH FACILITY ASSESSMENT -MENTAL HEALTH NEEDS ASSESSMENT -PUBLICLY AVAILABLE POPULATION AND DEMOGRAPHIC INFORMATION -PUBLICLY AVAILABLE POPULATION HEALTH INFORMATION, INCLUDING AMERICA'S HEALTH RANKINGS AND THE COUNTY HEALTH RANKINGS -STATE AND REGIONAL HEALTH DEPARTMENT DATA -THE SOUTHWEST VIRGINIA HEALTH AUTHORITY'S BLUEPRINT FOR HEALTH ENABLED PROSPERITY -THE ETSU, WELLMONT, MOUNTAIN STATES COMMUNITY WORK GROUP PROJECT -OTHER STUDIES SIGNIFICANT INFORMATION WAS GLEANED FROM A PROCESS CONDUCTED BY THE ETSU COLLEGE OF PUBLIC HEALTH AND SUPPORTED BY BOTH WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE. COMMUNITY WORKGROUPS WERE FORMED, INVOLVING A CROSS SECTION OF SUBJECT MATTER EXPERTS TO ASSESS REGIONAL HEALTH NEEDS, INCLUDING THOSE OF UNDERSERVED PEOPLE, FAMILIES, CHILDREN AND THOSE SUFFERING FROM MENTAL HEALTH AND SUBSTANCE ABUSE CHALLENGES. REGIONAL MEETINGS WERE ALSO HELD WHICH INCLUDED REPRESENTATIVES OF THE COMMUNITY AT LARGE, PATIENTS AND MINORITIES OR AGENCIES SERVING THEM. FINDINGS FROM THIS WORK WERE TAKEN INTO ACCOUNT IN BOTH THE ASSESSMENT AND IMPLEMENTATION PLAN. THE INFORMATION WAS THEN COLLATED AND ASSESSED TO DETERMINE THE GREATEST UNMET HEALTH NEEDS FACING OUR REGION. STRATEGIES TO ADDRESS THESE NEEDS WERE THEN DEVELOPED, UTILIZING INTERNAL RESOURCES AND PARTNERSHIPS WITH OTHER HEALTH CARE ORGANIZATIONS AND PHYSICIANS. GROUP A, FACILITY 4, MOUNTAIN VIEW REGIONAL MEDICAL CTR - PART V, LINE 6A - BRISTOL REGIONAL MEDICAL CENTER - HOLSTON VALLEY MEDICAL CENTER - LONESOME PINE HOSPITAL - HAWKINS COUNTY MEMORIAL HOSPITAL - HANCOCK COUNTY HOSPITAL GROUP A, FACILITY 4, MOUNTAIN VIEW REGIONAL MEDICAL CTR - PART V, LINE 11 KEY FINDINGS NOTED DURING THE CHNA WERE THE LOW RANKINGS OF THE COUNTIES WE SERVE IN SEVERAL CATEGORIES RELATED TO HEALTH AND WELLNESS, INCLUDING PREVALENCE OF CHRONIC DISEASE MANAGEMENT, TOBACCO USE, DIET AND EXERCISE, AS WELL AS A NEED FOR EXPANDED AND ENHANCED MENTAL 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, WELLMONT WILL CONTINUE TO STRENGTHEN OUR PARTNERSHIPS AND CONTINUUM OF CARE OPPORTUNITIES WITH AREA HEALTH DEPARTMENTS, FEDERALLY QUALIFIED HEALTH CENTERS AND FRONTIER HEALTH, THE REGION'S LEADING PROVIDER OF BEHAVIORAL HEALTH SERVICES. GROUP A, FACILITY 4, MOUNTAIN VIEW REGIONAL MEDICAL CTR - PART V, LINE 22D MOUNTAIN VIEW REGIONAL MEDICAL CENTER FOLLOWS TENNESSEE STATUTE WHICH IS 175% OF AVERAGE COST FOR ITS HOSPITAL (IN THE ABSENCE OF VIRGINIA STATUTE). GROUP A, FACILITY 5, HANCOCK COUNTY HOSPITAL - PART V, LINE 5 INFORMATION FOR THE CHNA ASSESSMENT WAS GATHERED FROM A VARIETY OF SOURCES, INCLUDING: -PHYSICIAN NEEDS ASSESSMENT -COMMUNITY HEALTH FACILITY ASSESSMENT -MENTAL HEALTH NEEDS ASSESSMENT -PUBLICLY AVAILABLE POPULATION AND DEMOGRAPHIC INFORMATION -PUBLICLY AVAILABLE POPULATION HEALTH INFORMATION, INCLUDING AMERICA'S HEALTH RANKINGS AND THE COUNTY HEALTH RANKINGS -STATE AND REGIONAL HEALTH DEPARTMENT DATA -THE SOUTHWEST VIRGINIA HEALTH AUTHORITY'S BLUEPRINT FOR HEALTH ENABLED PROSPERITY -THE ETSU, WELLMONT, MOUNTAIN STATES COMMUNITY WORK GROUP PROJECT -OTHER STUDIES SIGNIFICANT INFORMATION WAS GLEANED FROM A PROCESS CONDUCTED BY THE ETSU COLLEGE OF PUBLIC HEALTH AND SUPPORTED BY BOTH WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE. COMMUNITY WORKGROUPS WERE FORMED, INVOLVING A CROSS SECTION OF SUBJECT MATTER EXPERTS TO ASSESS REGIONAL HEALTH NEEDS, INCLUDING THOSE OF UNDERSERVED PEOPLE, FAMILIES, CHILDREN AND THOSE SUFFERING FROM MENTAL HEALTH AND SUBSTANCE ABUSE CHALLENGES. REGIONAL MEETINGS WERE ALSO HELD WHICH INCLUDED REPRESENTATIVES OF THE COMMUNITY AT LARGE, PATIENTS AND MINORITIES OR AGENCIES SERVING THEM. FINDINGS FROM THIS WORK WERE TAKEN INTO ACCOUNT IN BOTH THE ASSESSMENT AND IMPLEMENTATION PLAN. THE INFORMATION WAS THEN COLLATED AND ASSESSED TO DETERMINE THE GREATEST UNMET HEALTH NEEDS FACING OUR REGION. STRATEGIES TO ADDRESS THESE NEEDS WERE THEN DEVELOPED, UTILIZING INTERNAL RESOURCES AND PARTNERSHIPS WITH OTHER HEALTH CARE ORGANIZATIONS AND PHYSICIANS. GROUP A, FACILITY 5, HANCOCK COUNTY HOSPITAL - PART V, LINE 6A - BRISTOL REGIONAL MEDICAL CENTER - HOLSTON VALLEY MEDICAL CENTER - LONESOME PINE HOSPITAL - HAWKINS COUNTY MEMORIAL HOSPITAL - MOUNTAIN VIEW REGIONAL MEDICAL CENTER GROUP A, FACILITY 5, HANCOCK COUNTY HOSPITAL - PART V, LINE 11 KEY FINDINGS NOTED DURING THE CHNA WERE THE LOW RANKINGS OF THE COUNTIES WE SERVE IN SEVERAL CATEGORIES RELATED TO HEALTH AND WELLNESS, INCLUDING PREVALENCE OF CHRONIC DISEASE MANAGEMENT, TOBACCO USE, DIET AND EXERCISE, AS WELL AS A NEED FOR EXPANDED AND ENHANCED MENTAL 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, WELLMONT WILL CONTINUE TO STRENGTHEN OUR PARTNERSHIPS AND CONTINUUM OF CARE OPPORTUNITIES WITH AREA HEALTH DEPARTMENTS, FEDERALLY QUALIFIED HEALTH CENTERS AND FRONTIER HEALTH, THE REGION'S LEADING PROVIDER OF BEHAVIORAL HEALTH SERVICES. GROUP A, FACILITY 5, HANCOCK COUNTY HOSPITAL - PART V, LINE 22D HANCOCK COUNTY HOSPITAL FOLLOWS TENNESSEE STATUTE WHICH IS 175% OF AVERAGE COST FOR ITS HOSPITAL (IN THE ABSENCE OF VIRGINIA STATUTE). PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION PART I, LINE 6A: WELLMONT HEALTH SYSTEM PREPARES A CONSOLIDATED COMMUNITY BENEFIT REPORT WHICH INCLUDES THE ACTIVITIES OF ALL ITS OPERATIONS AND AFFILIATES. IN CONTRAST, AN IRS FORM 990 IS FILED FOR EACH TAX EXEMPT CORPORATION (7 SEPARATE FORM 990S) AND THERE IS NO SUCH IRS FORM FOR THE TAXABLE CORPORATIONS. IN ADDITION, THE IRS INSTRUCTIONS TO FORM 990 HAVE SPECIFIC DEFINITIONS, METHODS AND WORKSHEETS TO CALCULATE THE COMMUNITY BENEFITS TO BE INCLUDED ON THE FORM 990. AS A RESULT, THERE ARE SIGNIFICANT DIFFERENCES BETWEEN THE COMMUNITY BENEFITS REPORTED IN THE CONSOLIDATED COMMUNITY BENEFIT REPORT AND THE VARIOUS FORM 990S. THERE ARE ALSO FUNDS AND SERVICES THAT ARE PROVIDED THAT DO NOT MEET THE SPECIFIC DEFINITIONS OF THE IRS INSTRUCTIONS, SUCH AS CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS THAT DO NOT MEET THE DEFINITION OF "RESTRICTED TO ONE OR MORE OF THE ACTIVITIES DESCRIBED IN THE TABLE IN PART I, LINE 7...". PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE THE BAD DEBT EXPENSE OF 42,779,599 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO DETERMINE THE COSTS FOR AMOUNTS IN LINE 7A AND 7B, COL (C) BY FACILITY. THE COSTS INCLUDED IN THE COST-TO-CHARGE RATIO INCLUDED THE COSTS FROM ALL PATIENT SEGMENTS. ACTUAL COSTS FROM THE GENERAL LEDGER WERE USED FOR AMOUNTS IN LINE 7F AND 7I, COL.(C). PART II - COMMUNITY BUILDING ACTIVITIES WELLMONT HEALTH SYSTEM PROMOTED THE HEALTH OF THE COMMUNITIES IT SERVES IN A VARIETY OF WAYS. COMMUNITY SUPPORT BRISTOL REGIONAL MEDICAL CENTER (BRMC) ADMINISTRATION AND LEADERS HAD 48 PEOPLE VOLUNTEER DURING UNITED WAY WEEK OF CARING. BRMC STAFF ALSO PARTICIPATED IN THE FOLLOWING PROJECTS DURING THE FISCAL YEAR - FAMILY PROMISE, FISH BOWLING WITH GIRLS, INC., SALVATION ARMY, FRONTIER INDUSTRIES, HEALING HANDS, TECHGYRLS, AND GIRLS, INC. REWARD DRIVE. COMMUNITY HEALTH IMPROVEMENT ADVOCACY TO PROMOTE COMMUNITY HEALTH IMPROVEMENTS AND SAFETY, HOLSTON VALLEY MEDICAL CENTER (HVMC) SET UP AN INJURY PREVENTION BOOTH AT THE UNICOI COUNTY APPLE FESTIVAL SERVING 15,000 PEOPLE. HVMC PROVIDED RESOURCES TO CONDUCT VARIOUS PRESENTATIONS TO THE COMMUNITY SUCH AS TRAUMA NURSES TALK TOUGH, TRAUMA ROLLOVER SIMULATOR, DRIVER SAFETY, AND A TOUGH PILL TO SWALLOW. PART VI, LINE 2 - NEEDS ASSESSMENT WELLMONT HEALTH SYSTEM EXAMINES THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES BY CONDUCTING PHYSICIAN NEEDS ASSESSMENTS FOR ITS HOSPITALS. AS PART OF THIS EFFORT, WELLMONT REVIEWS ITS SERVICE AREA AND DEMOGRAPHICS, EXAMINES PHYSICIAN DEMOGRAPHICS AND CONDUCTS FOCUS GROUPS. IT MAKES A DETERMINATION OF PHYSICIAN NEED WHILE CALCULATING ITS PHYSICIAN SURPLUSES AND DEFICITS AND HIGHLIGHTING ITS RECRUITMENT PRIORITIES AND PLANS. WELLMONT ANNUALLY DETERMINES ITS PRIMARY, SECONDARY AND TERTIARY MARKETS THROUGH THE USE OF COUNTY-BY-COUNTY ANALYSIS TO IDENTIFY THE FOLLOWING CUSTOMER GROUPS: PATIENTS AND POTENTIAL PATIENTS, COMMUNITY/EMPLOYER GROUPS AND LOCAL PHYSICIANS. THE HEALTH SYSTEM ALSO RELIES ON THE EXPERTISE OF CONSULTANTS TO PERIODICALLY REVIEW ALL FACETS OF OPERATIONS AND MAKE RECOMMENDATIONS FOR CHANGES. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE WELLMONT HEALTH SYSTEM PROACTIVELY INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY BY POSTING THE POLICY ON ITS WEB SITE AS WELL AS POSTING THE POLICY AT POINTS OF REGISTRATION IN THE HOSPITALS. WELLMONT HEALTH SYSTEM USES PROGRAM ELIGIBILITY SPECIALISTS WHO CONTACT THE UNINSURED PATIENT POPULATION. THESE SPECIALISTS DISCUSS THE VARIOUS GOVERNMENTAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE TO PATIENTS IN ORDER TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR ANY OF THESE PROGRAMS. THE SPECIALISTS WILL WORK WITH THE PATIENTS TO COMPLETE ANY NECESSARY APPLICATIONS AND WILL HELP THEM THROUGH THE QUALIFICATION PROCESS. PART VI, LINE 4 - COMMUNITY INFORMATION WELLMONT HEALTH SYSTEM'S SERVICE AREA IS DEFINED BY MANAGEMENT AT THE COUNTY LEVEL BASED ON PATIENT ACTIVITY AND LOCATIONS OF OUR CAMPUSES. THE PRIMARY SERVICE AREA ("PSA") INCLUDES THE TENNESSEE COUNTIES OF SULLIVAN, HAWKINS, AND HANCOCK, AND THE VIRGINIA COUNTIES OF WASHINGTON, WISE, LEE, AND SCOTT. THE SECONDARY SERVICE AREA ("SSA") IS DEFINED AS WASHINGTON, GREENE, CARTER, JOHNSON, AND UNICOI COUNTIES OF TENNESSEE, AND RUSSELL, BUCHANAN, SMYTH, TAZEWELL, DICKENSON, AND WYTHE COUNTIES OF VIRGINIA. THE DEMOGRAPHICS OF THESE AREAS ARE AS FOLLOWS: PSA- POPULATION 359,358; MEDIAN HOUSEHOLD INCOME 38,875 SSA- POPULATION 454,774; MEDIAN HOUSEHOLD INCOME 37,317 APPROXIMATELY 18.37% OF OUR PATIENTS ARE MEDICAID RECIPIENTS, AND 9.26% ARE UNINSURED AND TWO OF THE PSA COUNTIES ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS (HAWKINS COUNTY, TENNESSEE, AND LEE COUNTY, VIRGINIA). PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH WELLMONT HEALTH SYSTEM'S HOSPITALS AND OTHER HEALTHCARE FACILITIES FURTHER THEIR EXEMPT PURPOSE BY PROVIDING MILLIONS IN UNCOMPENSATED CARE AND OTHER CHARITABLE DONATIONS. IN FISCAL YEAR 2016, WELLMONT PROVIDED 64,786,035 IN UNCOMPENSATED CARE. THE HEALTH SYSTEM ALSO DONATED 991,662 TO COMMUNITY ORGANIZATIONS SUCH AS CHILDREN'S MIRACLE NETWORK, UNITED WAY, SUSAN G. KOMEN FOR THE CURE, AND THE AMERICAN CANCER SOCIETY. WELLMONT PROVIDED 5,223,537 FOR COMMUNITY HEALTH AND OUTREACH, 13,521 FOR COMMUNITY BENEFIT OPERATIONS, 23,518 FOR COMMUNITY BUILDING ACTIVITIES, 5,088,066 FOR TRAINING AND EDUCATION OF HEALTHCARE PROFESSIONALS AND 22,983 FOR CLINICAL TRIALS AND RESEARCH. EMPLOYEES, PHYSICIANS, AND VOLUNTEERS DONATED IN EXCESS OF 76,294 HOURS OF COMMUNITY SERVICE. PART VI, LINE 6 - AFFILIATED HEALTH CARE 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. OVER THE PAST 18 YEARS, WELLMONT HAS GROWN TO INCLUDE FIVE ADDITIONAL HOSPITALS, AN INTEGRATED PHYSICIAN NETWORK, AND SEVERAL AMBULATORY SITES. WELLMONT HOSPITALS OFFER A BROAD SCOPE OF SERVICES RANGING FROM COMMUNITY BASED ACUTE CARE TO HIGHLY SPECIALIZED TERTIARY SERVICES INCLUDING TWO TRAUMA CENTERS, COMPREHENSIVE HEART CARE, AND CANCER CARE. WELLMONT OWNS AND OPERATES AN INTEGRATED HEALTH CARE DELIVERY SYSTEM PROVIDING INPATIENT, OUTPATIENT, AND OTHER HEALTH CARE SERVICES AT MULTIPLE LOCATIONS IN NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. CURRENTLY, WELLMONT OWNS AND OPERATES FIVE ACUTE CARE HOSPITAL FACILITIES AND ONE CRITICAL ACCESS HOSPITAL WITH A TOTAL OF 1,091 LICENSED BEDS. THE ACUTE CARE FACILITIES OWNED BY WELLMONT INCLUDE HOLSTON VALLEY MEDICAL CENTER, BRISTOL REGIONAL MEDICAL CENTER, MOUNTAIN VIEW REGIONAL MEDICAL CENTER IN NORTON, VIRGINIA, LONESOME PINE HOSPITAL IN BIG STONE GAP, VIRGINIA, HAWKINS COUNTY MEMORIAL HOSPITAL IN ROGERSVILLE, TENNESSEE, AND THE CRITICAL ACCESS HOSPITAL, HANCOCK COUNTY HOSPITAL IN SNEEDVILLE, TENNESSEE. WELLMONT ALSO, DIRECTLY OR INDIRECTLY, CONTROLS, OWNS, OR IS AFFILIATED WITH VARIOUS NON-PROFIT AND FOR-PROFIT CORPORATIONS AND OTHER ORGANIZATIONS THAT CURRENTLY PROVIDE HEALTH CARE AND HEALTH CARE-RELATED SERVICES THROUGHOUT THE SERVICE AREA. IN ADDITION TO THE HOSPITAL CAMPUSES AND AMBULATORY CARE CENTERS DESCRIBED ABOVE, WELLMONT ALSO OPERATES MEDICAL CLINICS, AMBULATORY SURGERY CENTERS, COMPREHENSIVE CANCER CARE CENTERS, AND IMAGING FACILITIES. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT TENNESSEE ADDITIONAL INFORMATION PART III, LINE 4: THE COST REPORTED ON LINE 2 IS CALCULATED AS THE BAD DEBT EXPENSE FROM THE GENERAL LEDGER TIMES THE RATIO OF COST TO CHARGES AS CALCULATED ON WORKSHEET 2 BY FACILITY. THERE ARE NO AMOUNTS REPORTED ON LINE 3. DISCOUNTS ON PATIENT ACCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. PAYMENTS ON PATIENT ACCOUNTS THAT HAVE BEEN PREVIOUSLY WRITTEN OFF AS BAD DEBT ARE USED TO REDUCE BAD DEBT EXPENSE. A THIRD PARTY VENDOR IS USED TO HELP DETERMINE THE AMOUNT THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY COULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE POLICY. TEXT OF NOTE TO FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: NET PATIENT SERVICE REVENUE IS REPORTED ON THE ACCRUAL BASIS IN THE PERIOD IN WHICH SERVICES ARE PROVIDED AT THE NET REALIZABLE AMOUNTS EXPECTED TO BE COLLECTED. NET PATIENT SERVICE REVENUE INCLUDES AMOUNTS ESTIMATED BY MANAGEMENT TO BE REIMBURSABLE BY PATIENTS AND VARIOUS THIRD-PARTY PAYORS UNDER PROVISIONS OF REIMBURSEMENT FORMULAS IN EFFECT, INCLUDING RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS. ESTIMATED RETROACTIVE ADJUSTMENTS ARE ACCRUED IN THE PERIOD RELATED SERVICES ARE RENDERED AND ADJUSTED IN PERIODS AS FINAL AND OTHER SETTLEMENTS ARE DETERMINED. WELLMONT PROVIDES CARE TO PATIENTS WHO MEET CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE WELLMONT DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUE. PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF BOTH AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS. THE CONTRACTUAL ALLOWANCE REPRESENTS THE DIFFERENCE BETWEEN ESTABLISHED BILLING RATES AND ESTIMATED REIMBURSEMENT FROM MEDICARE, TENNCARE, MEDICAID, AND OTHER THIRD-PARTY PAYMENT PROGRAMS. WELLMONT'S POLICY DOES NOT REQUIRE COLLATERAL OR OTHER SECURITY FOR PATIENT ACCOUNTS RECEIVABLE. WELLMONT ROUTINELY OBTAINS ASSIGNMENT OF, OR IS OTHERWISE ENTITLED TO RECEIVE, PATIENT BENEFITS PAYABLE UNDER HEALTH INSURANCE PROGRAMS, PLANS, OR POLICIES. THE MEDICARE COST REPORT COST FINDING METHODOLOGY AND COST TO CHARGE RATIOS WERE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6. LINE 7 IS A SURPLUS, SO IT IS NOT INCLUDED AS COMMUNITY BENEFIT. THE IRS INSTRUCTIONS FOR SCHEDULE H, PART III, SECTION B, LINES 5-7, SPECIFICALLY INDICATE TO INCLUDE ONLY THOSE APPLICABLE COSTS AND MEDICARE REIMBURSEMENTS THAT ARE REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT FOR THE YEAR. THIS REPORTING DOES NOT TAKE INTO ACCOUNT THOSE COSTS AND REVENUES ASSOCIATED WITH PHYSICIANS WHO ARE TREATING MEDICARE PATIENTS AT HOSPITAL-OWNED CLINIC AND PHYSICIAN PRACTICE SITES. ACCORDINGLY, THE RESULT OF TREATING MEDICARE PATIENTS FROM A FINANCIAL PERSPECTIVE MAY DIFFER AS REPORTED FOR FINANCIAL REPORTING PURPOSES AND COMMUNITY BENEFIT REPORTING PURPOSES FROM THE SURPLUS OR SHORTFALL SHOWN ON LINE 7 OF SECTION B OF PART III OF SCHEDULE H. PART III, LINE 9B: A THIRD PARTY VENDOR IS USED TO HELP DETERMINE THE AMOUNT THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY COULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE POLICY. true AMERICAN CANCER SOCIETY 508 PRINCETON RD SUITE 102 JOHNSON CITY TN 37601 640329099 501(C) 15000 SPONSORSHIP BARTER THEATRE PO BOX 867 ABINDGON VA 24212 546000120 501(C) 10000 SPONSORSHIP EAST TENNESSEE FOUNDATION 520 W SUMMIT HILL SUITE 1101 KNOXVILLE TN 37902 621586446 501(C) 100000 SPONSORSHIP FRIENDS IN NEED HEALTH CENTER INC 1105 W STONE DRIVE KINGSPORT TN 37660 621541637 501(C) 15000 NEED FUNFEST 151 EAST MAIN ST KINGSPORT TN 37662 620446834 501(C) 10000 SPONSORSHIP GREATER KINGSPORT FAMILY YMCA 1840 MEADOWVIEW PKWY KINGSPORT TN 37660 581564232 501(C) 10000 SPONSORSHIP HEALTHY KINGSPORT 151 EAST MAIN ST KINGSPORT TN 37662 620446834 501(C) 26445 SPONSORSHIP KINGSPORT CHAMBER FOUNDATION 151 EAST MAIN ST KINGSPORT TN 37662 620446834 501(C) 25118 SPONSORSHIP KINGSPORT CHAMBER OF COMMERCE 151 EAST MAIN ST KINGSPORT TN 37662 620446834 501(C) 6335 ANNUAL SPONSORSHIP KOMEN TRI CITIES AFFILIATE 301 LOUIS ST STE 304 KINGSPORT TN 37660 841689067 501(C) 25000 SPONSORSHIP LONESOME PINE ARTS & CRAFTS INC PO BOX 1976 BIG STONE GAP VA 24219 540829604 501(C) 10000 SPONSORSHIP PREVENTION CONNECTIONS 701 EAST FRANKLIN STREET STE 501 RICHMOND VA 23219 421609865 501(C) 10000 SPONSORSHIP PUBLIC GOOD PROJECTS 120 E 23RD STREET 5TH FLOOR NEW YORK NY 10010 462717584 501(C) 25000 SPONSORSHIP TAKOMA REGIONAL HOSPITAL 401 TAKOMA AVENUE GREENEVILLE TN 37743 471334302 501(C) 6000 SPONSORSHIP 14 SCHEDULE I, PAGE 1, PART I, LINE 2 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. X true true X X X X false true false false false true false false false STANLEY GALL MD BOARD MEMBER 536434 227739 23323 9990 797486 DAVID THOMPSON MD BOARD MEMBER 319934 138084 9067 9215 476300 BARTON A HOVE WHS PRESIDENT & CEO 798729 520000 63863 28581 9990 1421163 BUFORD E DEATON EXEC VP & WHS COO 426232 185000 9090 9990 630312 GARY D MILLER SR VP & GEN COUNSEL 342340 132500 1842 15992 3797 496471 HAMLIN J WILSON SR VP-HUMAN RESOURC 321748 118194 944 13825 4265 458976 TODD J DOUGAN CFO 262307 109891 140 10638 9990 392966 LOWELL TODD NORRIS SR VP INST & SYS ADV 50292 201169 20084 80338 84 336 2360 9440 1998 7992 74818 299275 DAVID L BRASH SR VP OF BUS DEV 341357 116250 570 14955 11115 484247 TIMOTHY ATTEBERY PRESIDENT/CEO-HVMC 393955 62751 841 15438 9306 482291 GREG NEAL PRESIDENT/CEO-BRMC 373693 75832 1120 14988 9990 475623 MARTHA CHILL CHIEF INFORMTN OFFCR 289593 54076 2464 11060 12015 369208 REBECCA BECK PRESIDENT/COMMUNITY 137425 12816 173 5617 12015 168046 SUSAN LINDENBUSCH VP WHS ONCOLOGY SVS 291996 115434 9344 13372 4265 434411 BRAD PRICE SR VP-RESOURCE MGMT 279371 109764 355 12941 402431 DAVID ARROWOOD CRNA 177145 8539 114479 10205 9990 320358 WILLIAM TILSON CRNA 212678 8234 64916 10735 9810 306373 JAMES WATTS CRNA 192025 10729 61316 9696 8165 281931 PIERRE ISTFAN MD BOARD MEMBER-FORMER 552710 227739 844 23842 9990 815125 ALICE POPE TERMED 42216 EVP & CFO 429481 184100 8820 18549 12015 652965 MARGARET DENARVAEZ TERMED 91614 PRESIDENT/CEO 136339 9872 146211 WILLIAM SHOWALTER TERMED 41715 SR VP - INFO TECH 118258 338 2365 3006 123967 SCHEDULE J, PAGE 1, PART I, LINE 1A HEALTH OR SOCIAL CLUB DUES DURING THE FISCAL YEAR ENDED JUNE 30, 2016, WELLMONT HEALTH SYSTEM PROVIDED A COUNTRY CLUB MEMBERSHIP TO BARTON A. HOVE. THESE AMOUNTS ARE INCLUDED IN TAXABLE COMPENSATION. SCHEDULE J, PAGE 1, PART I, LINE 6A INCENTIVE COMPENSATION IS PARTIALLY BASED ON MEETING BUDGETED OPERATING MARGIN GOALS. SCHEDULE J, PART III PART I, LINE 4A - SEVERANCE PAYMENT MARGARET DENARVAEZ, FORMER CEO OF WELLMONT HEALTH SYSTEM, ENTERED INTO A CONFIDENTIAL SEPARATION AGREEMENT AND GENERAL RELEASE (THE "AGREEMENT") AS OF SEPTEMBER 16, 2014. THERE WERE OTHER PAYMENTS FOR EARNED INCENTIVE COMPENSATION AND REIMBURSEMENT OF RELOCATION COSTS THAT ARE NOT CONSIDERED "SEVERANCE". PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ALICE POPE TERMINATED EMPLOYMENT WITH WELLMONT HEALTH SYSTEM IN APRIL 2016. WELLMONT HEALTH SYSTEM HAS AN EXECUTIVE RETIREMENT PROGRAM THAT INCLUDED ALICE POPE UNTIL APRIL 2016. THERE WERE NO PAYMENTS MADE AND THERE ARE NO CURRENT PARTICIPANTS IN THIS PROGRAM. A SULLIVAN CTY TN HEALTH EDL & HS 06C 621256662 865293AC8 2006-11-02 200000000 CONSTRUCTION AT HVMC false false false B VIRGINIA SMALL BUS FIN AUTH HO 07A 541300845 928101AC8 2007-07-31 55000000 PURCHASE OF HOSPITALS false false false C SULLIVAN CNTY TENN HEALTH EDL & HSG 621256662 865293AG9 2011-05-05 76165000 REFUND 2006A BOND false false false D SULLIVAN CNTY TENN HEALTH EDL& HSG 2012 TAX-EXEMPT MASTER LEASE/SUBLEA 621256662 2012-12-01 42500000 PURCHASE EPIC EMR false false false A 207055314 18977995 2164568 182892751 2011 false false true true B 55658570 5464590 1026366 49167614 2007 false false true true C 76165000 74942165 1298533 2011 false true true true D 42500000 31809 42468191 2014 false false true true A false false false false false false true B false false false false false false true C false false false false false false true D false false false false false false true A false false false true false false true MASS MUTUAL LIF 4.000000000000 true false false B false false false true false false false false false C false false true false false true BANK OF AMERICA 2.000000000000 false false false false false D false false true false false false false false false A false B false C false D false SCHEDULE K - DATE REBATE COMPUTATION PERFORMED SULLIVAN CTY TN HEALTH EDL & HS 06C 10/31/16 VIRGINIA SMALL BUS FIN AUTH HO 07A 07/31/12 NELSON GWALTNEY MD VENDOR/BRD MEMB 142770 MEDICAL DIRECTORSHIP false RAVAN KRICKBAUM BOARD MEMBER 83055 COMPENSATION false ROGER LEONARD BOARD MEMBER 14106 COMPENSATION false SCHEDULE L, PART V NELSON GWALTNEY, MD IS PART OWNER OF BRISTOL SURGICAL ASSOCIATES, MEMBER AND BOARD MEMBER OF QUALUABLE, MEMBER AND BOARD MEMBER OF HIGHLANDS PHYSICIANS, INC., BOARD MEMBER OF HIGHLANDS WELLMONT HEALTH NETWORK, INC., AND MEDICAL DIRECTOR OF BRISTOL REGIONAL MEDICAL CENTER VASCULAR LAB AND WOUND CARE CLINIC. DR. GWALTNEY'S OWNERSHIP IS LESS THAN 35% IN ALL OF THE ABOVE ENTITIES. TWO OF RAVAN KRICKBAUM'S DAUGHTERS ARE EMPLOYEES OF WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL, INC., WHICH IS AN AFFILIATE OF WELLMONT HEALTH SYSTEM. ONE DAUGHTER IS A REGISTERED NURSE WORKING IN CASE MANAGEMENT AND HAS WORKED THERE FOR 11 YEARS. THE OTHER DAUGHTER IS A RADIOLOGY SPECIAL PROCEDURES TECHNOLOGIST AND HAS WORKED THERE FOR 9 YEARS. ROGER LEONARD'S WIFE IS A PART-TIME EMPLOYEE OF BRISTOL REGIONAL MEDICAL CENTER, WHICH IS AN AFFILIATE OF WELLMONT HEALTH SYSTEM. SHE IS A REGISTERED NURSE WORKING IN THE POST ANESTHESIA CARE UNIT AND HAS WORKED THERE FOR 21 YEARS. FORM 990 FORM 990, PART X, BALANCE SHEET CERTAIN BALANCE SHEET ACCOUNTS HAVE BEEN RECLASSIFIED FOR BETTER COMPARISON TO THE CURRENT YEAR FINANCIAL STATEMENTS. FORM 990, PAGE 2, PART III, LINE 4A ORGANIZATIONS THAT DO NOT MEET THE DEFINITION OF "RESTRICTED TO ONE OR MORE OF THE ACTIVITIES DESCRIBED IN THE TABLE IN PART I, LINE 7" OF SCHEDULE H. WELLMONT IS A PUBLIC TRUST. FROM KINGSPORT TO BRISTOL, FROM SNEEDVILLE TO NORTON, THE MEMBER HOSPITALS OF OUR ORGANIZATION WERE BORN OF THEIR COMMUNITIES' COMMITMENT TO SUPERIOR HEALTH CARE FOR THEIR CITIZENS. WE OFFER A VAST ARRAY OF MEDICAL SERVICES AND RESOURCES FOR THOUSANDS OF PATIENTS IN NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. IN 2016, WE PROVIDED SERVICES TO 31,289 PATIENTS IN A BED, 164,981 EMERGENCY ROOM VISITS, 1,954 NEWBORN DELIVERIES, AND 21,325 SURGERIES. WELLMONT IS A TENNESSEE NOT-FOR-PROFIT CORPORATION. FIVE TAX-EXEMPT COMMUNITY BASED HOSPITALS - BRISTOL REGIONAL MEDICAL CENTER (BRISTOL, TENN.), HOLSTON VALLEY MEDICAL CENTER (KINGSPORT, TENN.), LONESOME PINE HOSPITAL (BIG STONE GAP, VA.), HANCOCK COUNTY HOSPITAL (SNEEDVILLE, TENN.), AND MOUNTAIN VIEW REGIONAL MEDICAL CENTER (NORTON, VA.)- ARE INCLUDED IN THIS CORPORATION. BUT EVEN AS OUR SERVICE AREA SPANS MULTIPLE STATES AND OUR REVENUE IS REPORTED IN THE HUNDREDS OF MILLIONS OF DOLLARS, WE REMAIN A COMMUNITY- OWNED HEALTH SYSTEM. IT IS OUR MISSION TO DELIVER SUPERIOR HEALTH CARE WITH COMPASSION TO THE PEOPLE WE SERVE. IT IS OUR VISION TO DELIVER THE BEST HEALTH CARE ANYWHERE. CONSISTENT WITH THIS MISSION, WE HAVE WORKED TOWARD IMPROVING OUR COMMUNITY'S ACCESS TO QUALITY, AFFORDABLE HEALTH CARE, EDUCATING OUR REGION'S CAREGIVERS, IMPROVING THE HEALTH STATUS OF OUR COMMUNITIES AND CONTRIBUTING TO THE OVERALL QUALITY OF LIFE IN THE AREAS WE SERVE. OVERALL, WE RETURNED MORE THAN 48,509,416 IN BENEFITS TO OUR REGION, INCLUDING 39,123,920 OF COSTS FOR INDIGENT PATIENTS AND UNCOMPENSATED CARE FOR OTHER PATIENTS AND 9,385,496 FOR OTHER COMMUNITY ACTIVITIES OUTLINED BELOW. WELLMONT IS IN COMPLIANCE WITH IRS GUIDELINES FOR FORM 990 SCHEDULE H REPORTING PURPOSES AND THE AMOUNTS REFLECTED ABOVE ARE NOT INCLUSIVE OF RESOURCES DESCRIBED IN WELLMONT'S COMMUNITY BENEFIT REPORT AS THE ABOVE AMOUNTS ARE REPORTED ON SCHEDULE H. WE ARE MINDFUL OF OUR RESPONSIBILITIES AS ONE OF THE REGION'S LARGEST EMPLOYERS. 6,106 FAMILIES COUNT ON US FOR THEIR LIVELIHOODS. CITIES AND COUNTIES THROUGHOUT OUR SERVICE AREA RELY ON US AS A DRIVER OF ECONOMIC DEVELOPMENT. IT IS OUR DUTY AS A CORPORATE CITIZEN TO SUPPORT THOSE ENDEAVORS AND CAUSES THAT IMPROVE THE QUALITY OF LIFE IN OUR REGION. AND WE ALSO RECOGNIZE IT IS OUR RESPONSIBILITY TO CARE FOR THOSE IN NEED - REGARDLESS OF THEIR ABILITY TO PAY. IT IS OUR COMMITMENT - INDEED, IT IS OUR MISSION - TO SUPPORT THE CAUSES AND DEVELOP THE INITIATIVES THAT WILL PROPEL OUR COMMUNITIES TOWARD A BETTER, BRIGHTER, HEALTHIER AND MORE VIBRANT FUTURE. SERVING THE UNDERSERVED REGARDLESS OF RACE, RELIGION, ETHNICITY OR ABILITY TO PAY, WELLMONT'S HOSPITALS TREAT ALL PATIENTS FOR MEDICALLY NECESSARY CONDITIONS. RECOGNIZING THAT SOME PATIENTS CANNOT AFFORD ESSENTIAL MEDICAL SERVICES, WELLMONT PROVIDED CARE FOR INDIGENT PATIENTS, WRITING OFF 74,561,619 OF CHARGES AND INCURRING COST OF 17,647,003. WELLMONT IS IN COMPLIANCE WITH IRS GUIDELINES FOR FORM 990 SCHEDULE H REPORTING PURPOSES AND THE AMOUNTS REFLECTED ABOVE ARE NOT INCLUSIVE OF RESOURCES DESCRIBED IN WELLMONT'S COMMUNITY BENEFIT REPORT AS THE ABOVE AMOUNTS ARE REPORTED ON SCHEDULE H. OTHER RECENT INITIATIVES INCLUDE: THE WELLMONT HEALTH COACH IS PART OF WELLMONT'S ONGOING EFFORTS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND ENCOURAGE WELLNESS IN THE MOUNTAINS OF NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. FUNDED BY COMMUNITY SUPPORT THROUGH THE WELLMONT FOUNDATION, THE COACH OFFERS A HOST OF COMPREHENSIVE SCREENINGS THAT HELP IDENTIFY POTENTIAL HEALTH PROBLEMS. OUR HEALTH SYSTEM, IN CONJUNCTION WITH A GRANT FROM SUSAN G. KOMEN FOR THE CURE TRI-CITIES, WAS ABLE TO FUND THE COST OF MAMMOGRAMS FOR SEVERAL HUNDRED WOMEN WHO WERE UNDERINSURED OR UNINSURED. PROJECT ACCESS TO BREAST CARE IS DESIGNED TO REACH WOMEN WHO LIVE IN HAWKINS, SULLIVAN, WASHINGTON, JOHNSON, UNICOI, HANCOCK, CARTER AND GREENE COUNTIES IN TENNESSEE AND WOMEN IN SCOTT COUNTY, VA. TO QUALIFY, WOMEN MUST BE BETWEEN THE AGES OF 35 AND 49 AND EITHER BE UNINSURED AND FINANCIALLY UNABLE TO PAY FOR A MAMMOGRAM OR INSURED AND HAVE A HIGH DEDUCTIBLE AND/OR CO-PAY THAT MAKES IT FINANCIALLY DIFFICULT TO OBTAIN A MAMMOGRAM. BRISTOL REGIONAL MEDICAL CENTER PROVIDES SUPPLIES AND OTHER VARIOUS ITEMS VALUED AT 8,318 TO HEALING HANDS HEALTH CENTER IN BRISTOL, TENN., WHICH PROVIDES QUALITY HEALTH CARE TO THE WORKING POOR. DR. DAVE ARNOLD SERVES AS THE MEDICAL DIRECTOR OF HEALING HANDS HEALTH CENTER IN BRISTOL, TENN. AND HIS SALARY AND BENEFITS ARE PAID BY HEALING HANDS HEALTH CENTER. TRAINING AND EDUCATING OUR HEALTHCARE PROFESSIONALS WELLMONT WILL NOT SUCCEED IN OUR MISSION WITHOUT CONTINUALLY REINVESTING IN OUR MOST PRECIOUS RESOURCE - OUR PEOPLE. TO THAT END, WE SUPPORTED THE EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS AT A DIRECT COST OF 5,088,066. RECENT INITIATIVES INCLUDE: WELLMONT PROVIDED AND PARTICIPATED IN SEVERAL FORMAL TRAINING PROGRAMS FOR HEALTH PROFESSIONALS, INCLUDING EAST TENNESSEE STATE UNIVERSITY'S INTERNSHIP AND RESIDENCY PROGRAMS. OUR CONTRIBUTIONS TOTALED 1,058,191 IN SUPPORT OF THE SCHOOL'S JAMES H. QUILLEN COLLEGE OF MEDICINE RESIDENCY PROGRAM. WELLMONT CONTINUES TO WELCOME OSTEOPATHIC MEDICAL STUDENTS FROM LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE. THE STUDENTS PERFORM CLINICAL ROTATIONS IN WELLMONT HOSPITALS AS THEY MOVE TOWARD BECOMING THE NEXT GENERATION OF DOCTORS. THE STUDENTS, WHO RECEIVE FREE HOUSING ON THE CAMPUS OF MOUNTAIN VIEW REGIONAL MEDICAL CENTER, COMPLETE THEIR CORE CLINICAL ROTATIONS AT MOUNTAIN VIEW REGIONAL. THE STUDENTS PERFORM SUB-SPECIALTY ROTATIONS AT HOLSTON VALLEY MEDICAL CENTER AND BRISTOL REGIONAL MEDICAL CENTER AND PRIMARY CORE ROTATIONS AT HAWKINS COUNTY MEMORIAL HOSPITAL. FREE HOUSING IS AVAILABLE ON THE MOUNTAIN VIEW REGIONAL MEDICAL CENTER AND HOLSTON VALLEY MEDICAL CENTER CAMPUSES FOR OUR MOUNTAIN REGION CORE SITE MEDICAL STUDENTS. OUR CONTRIBUTIONS TOTALED 269,027 IN SUPPORT OF THE DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE. WELLMONT AND LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE ALSO PARTNER TO PROVIDE THE WELLMONT ORTHOPEDIC RESIDENCY PROGRAM AT HOLSTON VALLEY MEDICAL CENTER, ONE OF JUST 41 SUCH PROGRAMS IN THE COUNTRY TO HELP TRAIN THE NEXT GENERATION OF SPECIALTY PHYSICIANS. OUR CONTRIBUTIONS TOTALED 333,930 IN SUPPORT OF THE LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE ORTHOPEDIC RESIDENCY PROGRAM. WELLMONT CONTINUES TO EXERT TREMENDOUS EFFORT TO ACHIEVE MEANINGFUL USE OF AN ELECTRONIC HEALTH RECORD. THIS NATIONAL MANDATE CREATES TREMENDOUS EFFICIENCIES FOR CAREGIVERS, ENHANCES PATIENT CARE AND ULTIMATELY IMPROVES PATIENT SAFETY BY REDUCING THE POTENTIAL FOR ERRORS ASSOCIATED WITH PAPER DOCUMENTATION AS WELL AS INCREASING THE SECURITY AND SHARING OF DATA AMONG PROVIDERS. WELLMONT COMPLETED THE IMPLEMENTATION OF MYWELLMONT, WHICH IS AN ONLINE PORTAL THAT ALLOWS WELLMONT PATIENTS TO SECURELY ACCESS THEIR HEALTH INFORMATION FROM VIRTUALLY ANYWHERE. PATIENTS CAN ELECTRONICALLY REQUEST APPOINTMENTS, VIEW TEST RESULTS, RENEW PRESCRIPTIONS, PAY BILLS AND PERFORM MANY OTHER ROUTINE ACTIVITIES. MOST IMPORTANTLY, PATIENTS AND PROVIDERS CAN CONNECT IN MORE WAYS THAN EVER BEFORE, ENHANCING RELATIONSHIPS AND BUILDING A TEAM-BASED APPROACH TO CARE. WELLMONT HAS MADE AVAILABLE CONTINUING EDUCATION AND TRAINING TO EMPLOYEES, MEDICAL STAFF, MEMBERS OF AFFILIATED HEALTH CARE ORGANIZATIONS AND SCHOOLS AND INTERESTED MEMBERS OF THE PUBLIC. SOME OF THOSE OPPORTUNITIES INCLUDED: -ANNUAL STROKE SYMPOSIUM; OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -ANNUAL CRITICAL CARE AND TRAUMA CONFERENCE; OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -ANNUAL CARDIOVASCULAR SUMMIT; OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -ANNUAL WOMEN AND CHILDREN'S EXPO, OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -ANNUAL DIABETES EXPO, OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -REGULAR EDUCATION FOR CLINICAL STAFF ON TOPICS INCLUDING CPR PROGRAMS, ADVANCED CARDIOVASCULAR LIFE SUPPORT, PEDIATRIC ADVANCED LIFE SUPPORT, ADVANCED TRAUMA LIFE SUPPORT AND ADVANCED TRAUMA COURSE FOR NURSING WELLMONT SUPPORTS A NURSE EXTERN PROGRAM THAT UTILIZES NURSING STAFF THAT HAVE COMPLETED A DEGREE BUT NOT YET PASSED BOARD CERTIFICATION. THIS PROVIDES INVALUABLE EXPERIENCE FOR NEW NURSES, WHO ARE SUPERVISED BY BOARD-CERTIFIED NURSES DURING THIS TIME. THE EXTERNS ARE NOT REQUIRED TO WORK FOR WELLMONT AFTER EARNING THEIR CERTIFICATION. AT A DIRECT COST OF 482,982, OUR ORGANIZATION STAFFED AND MAINTAINED A MEDICAL LIBRARY PROGRAM FOR EMPLOYEES, MEDICAL STAFF AND MEMBERS OF AFFILIATED HEALTHCARE ORGANIZATIONS TO HELP ENHANCE KNOWLEDGE WITH THE LATEST RESEARCH FINDING AND THINKING. WELLMONT AND NORTHEAST STATE TECHNICAL COMMUNITY COLLEGE HAVE PARTNERED TO ESTABLISH A NUR FORM 990, PAGE 6, PART VI, LINE 9 MARGARET DENARVAEZ (TERMED 9/16/14) 1905 AMERICAN WAY KINGSPORT, TN 37660 ALICE POPE (TERMED 4/22/16) 1905 AMERICAN WAY KINGSPORT, TN 37660 WILLIAM SHOWALTER (TERMED 4/17/15) 1905 AMERICAN WAY KINGSPORT, TN 37660 FORM 990, PAGE 6, PART VI, LINE 11B WELLMONT HEALTH SYSTEM'S FORM 990 IS REVIEWED BY THREE INDIVIDUALS OF WELLMONT HEALTH SYSTEM (THE CHIEF FINANCIAL OFFICER, THE CORPORATE CONTROLLER, AND THE MANAGER OF ACCOUNTING) AND THE BOARD OF DIRECTORS OF WELLMONT HEALTH SYSTEM. ANY QUESTIONS OR COMMENTS ARISING FROM THE INITIAL REVIEW ARE ADDRESSED TO ENSURE THE RETURN IS COMPLETE AND ACCURATE. ANY CHANGES OR CORRECTIONS ARE IDENTIFIED, REVISED IN THE RETURN, AND REVIEWED BY THE INDIVIDUALS LISTED ABOVE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PAGE 6, PART VI, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY ACKNOWLEDGEMENT. ANY POTENTIAL CONFLICTS ARE DISCUSSED WITH THE COMPLIANCE AND AUDIT SERVICES DEPARTMENT AS THEY ARISE. WELLMONT 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. BARTON A. HOVE IS ALSO ON THE BOARD OF DIRECTORS OF WELLMONT FOUNDATION, INC. THE LAST COMPENSATION DELIBERATION AND REVIEW PROCESS FOR BARTON A. HOVE WAS COMPLETED AND APPROVED BY THE BOARD OF DIRECTORS OF WELLMONT HEALTH SYSTEM ON MARCH 20, 2015. IN ADDITION, THESE BODIES USE COMPARABILITY DATA TO DETERMINE THE APPROPRIATE COMPENSATION. ALL COMPENSATION DELIBERATIONS AND REVIEWS ARE CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PAGE 6, PART VI, LINE 15B THE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES OF WELLMONT HEALTH SYSTEM ARE REVIEWED, APPROVED AND DOCUMENTED BY THE WELLMONT HEALTH SYSTEM HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS. OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION HAVE WRITTEN EMPLOYMENT CONTRACTS, AND COMPENSATION IS BASED ON SURVEYS/STUDIES AND THEN APPROVED BY THE WELLMONT HEALTH SYSTEM CEO. IN ADDITION, THESE BODIES USE COMPARABILITY DATA TO DETERMINE THE APPROPRIATE COMPENSATION. ALL COMPENSATION DELIBERATIONS AND REVIEWS ARE CONTEMPORANEOUSLY DOCUMENTED. THIS PROCESS IN COMPLETED ON AN ANNUAL BASIS. THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS REVIEWED THE SALARY AND MARKET COMPENSATION DATA FOR THE FOLLOWING OTHER OFFICERS AND KEY EMPLOYEES ON NOVEMBER 18,2016. -WELLMONT HEALTH SYSTEM EXECUTIVE VP AND CHIEF OPERATING OFFICER - BUFORD E. DEATON -WELLMONT HEALTH SYSTEM CHIEF FINANCIAL OFFICER - TODD DOUGAN -WELLMONT HEALTH SYSTEM SR. VP OF HUMAN RESOURCES - HAMLIN J. WILSON -WELLMONT HEALTH SYSTEM VP OF MARKETING AND COMMUNICATIONS - LOWELL TODD NORRIS -BRISTOL REGIONAL MEDICAL CENTER PRESIDENT - GREG NEAL -COMMUNITY HOSPITAL PRESIDENT AND CEO - FRED PELLE -HOLSTON VALLEY MEDICAL CENTER PRESIDENT - TIM ATTEBERY WELLMONT HEALTH SYSTEM USES ONE OR MORE OF THE METHODS DESCRIBED TO ESTABLISH THE COMPENSATION OF THE FOLLOWING OTHER OFFICERS AND KEY EMPLOYEES. -WELLMONT HEALTH SYSTEM SR. VP OF BUSINESS DEVELOPMENT & RURAL STRATEGY - DAVID L. BRASH -WELLMONT HEALTH SYSTEM SR. VP GENERAL COUNSEL - GARY MILLER -WELLMONT HEALTH SYSTEM CHIEF INFORMATION OFFICER - MARTHA CHILL FORM 990, PAGE 6, PART VI, LINE 19 WELLMONT HEALTH SYSTEM'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT AVAILABLE TO THE PUBLIC. WELLMONT HEALTH SYSTEM'S AUDITED FINANCIAL STATEMENTS AND QUARTERLY UNAUDITED FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES 60,061,453 17,597,878 0 TN COVERAGE FEE 11,807,524 0 0 WHS ALLOCATION 0 -11,399,324 0 JOINT VENTURES 185,723 9,775 0 MSO ALLOCATIONS -8,858,152 0 0 FORM 990, PART XI, LINE 9 UNREALIZED SWAP GAIN 82,470 INTERCOMPANY RESOLUTION -15,877,539 UNREALIZED LOSS ON INVESTMENTS -7,998,484 CHANGE IN PENSION LIABILITY -5,218,173 DISTRIBUTIONS TO WHS -546,800 INTERCOMPANY - RELATED ORGANIZATIONS -33,834,191 OTHER -87,562 TOTAL -63,480,279 WELLMONT HEALTH MANAGEMENT WELLMONT HEALTH MANAGEMENT 1905 AMERICAN WAY KINGSPORT TN 37660 621825259 HEALTHCARE TN WHS WELLMONT INTEGRATED NETWORK LLC WELLMONT INTEGRATED NETWORK LLC 1905 AMERICAN WAY KINGSPORT TN 37660 455443060 HEALTHCARE TN WHS WELLMONT HAWKINS CO MEMORIAL HOSPI 1905 AMERICAN WAY KINGSPORT TN 37660 621816368 HEALTHCARE TN 501C3 3 WHS true WELLMONT CARDIOLOGY SERVICES 1905 AMERICAN WAY KINGSPORT TN 37660 263557623 HEALTHCARE TN 501C3 9 WHS true WELLMONT MEDICAL ASSOCIATES 1905 AMERICAN WAY KINGSPORT TN 37660 270898372 HEALTHCARE TN 501C3 7 WHS true WELLMONT FOUNDATION 1905 AMERICAN WAY KINGSPORT TN 37660 581594191 HEALTHCARE TN 501C3 7 WHS true WELLMONT MADISON HOUSE 1905 AMERICAN WAY KINGSPORT TN 37660 621308216 HEALTHCARE TN 501C3 9 WHS true WELLMONT WEXFORD HOUSE 1905 AMERICAN WAY KINGSPORT TN 37660 581859039 HEALTHCARE TN 501C3 9 WHS false WELLMONT IMAGING SERVICES INC 1905 AMERICAN WAY KINGSPORT TN 37660 861103148 HEALTHCARE TN 501C3 11A WHS true WELLMONT SLEEP SERVICES 1905 AMERICAN WAY KINGSPORT TN 37660 HEALTHCARE TN 501C3 3 WHS true SAPLING GROVE AMBULATORY SURGERY 220 MEDICAL PARK BOULEVARD BRISTOL TN 37620 TN WHS RELATED -18611 3405023 false false HOLSTON VALLEY AMBULATORY SURGERY 103 WEST STONE DRIVE KINGSPORT TN 37660 TN WHS RELATED 1661265 967853 false false HOLSTON VALLEY IMAGING CENTER 103 WEST STONE DRIVE KINGSPORT TN 37660 TN WHS IMAGING RELATED false false WELLMONT INC 1905 AMERICAN WAY KINGSPORT TN 37660 621320035 PHYS. SVCS TN WHS C CORP -1286861 -89856163 false MCOT INC 1905 AMERICAN WAY KINGSPORT TN 37660 621325938 MED. SVCS. TN N/A false MEDICAL MALL PHARMACY INC 1905 AMERICAN WAY KINGSPORT TN 37660 621565006 MED. SVCS. TN N/A false WELLMONT PHYSICIAN SERVICES INC 1905 AMERICAN WAY KINGSPORT TN 37660 621567353 PHYS. SVCS TN N/A false WPS PROVIDERS INC 1905 AMERICAN WAY KINGSPORT TN 37660 205564642 PHYS. SVCS TN N/A false WELLMONT HEALTH SERVICES INC 1905 AMERICAN WAY KINGSPORT TN 37660 621254373 HEALTHCARE TN N/A false false true true false false false false false true true true true true false false false true true false WELLMONT CARDIOLOGY SERVICES B 56234 CAPITAL CONTRIBUTIONS WELLMONT MEDICAL ASSOCIATES B 16903504 CAPITAL CONTRIBUTIONS WELLMONT WEXFORD HOUSE B 12430773 CAPITAL CONTRIBUTIONS WELLMONT HAWKINS COUNTY MEMORIAL HO C 12367425 CAPITAL CONTRIBUTIONS WELLMONT FOUNDATION C 4685019 NEED MCOT INC C 985933 CAPITAL CONTRIBUTIONS WELLMONT MEDICAL ASSOCIATES I 50000 ASSET TRANSFER WELLMONT HAWKINS COUNTY MEMORIAL HO J 323713 LEASE AGREEMENT WELLMONT CARDIOLOGY SERVICES J 383698 LEASE AGREEMENT WELLMONT MEDICAL ASSOCIATES J 1435400 LEASE AGREEMENT HOLSTON VALLEY AMBULATORY SURGERY C J 982393 LEASE AGREEMENT WELLMONT HAWKINS COUNTY MEMORIAL HO L 82460 SUPPORT SERVICES WELLMONT HAWKINS COUNTY MEMORIAL HO L 58058 INVOICES WELLMONT MEDICAL ASSOCIATES L 70218 SUPPORT SERVICES WELLMONT CARDIOLOGY SERVICES M 2035874 COST - INVOICES WELLMONT FOUNDATION M 633837 INVOICES MCOT INC M 2044669 COLLECTION AGREEMENT WELLMONT HAWKINS COUNTY MEMORIAL HO O 176796 NEED HOLSTON VALLEY AMBULATORY SURGERY C R 720976 DISTRIBUTIONS WELLMONT CARDIOLOGY SERVICES Q 168010 INVOICES SCHEDULE R PART V, LINE 2 WELLMONT FOUNDATION PERFORMS FUNDRAISING SERVICES FOR WELLMONT HEALTH SYSTEM AND ITS RELATED 501(C)(3) ENTITIES. THE COST OF THESE SERVICES IS 633,837 AND CANNOT BE DETERMINED BY ENTITY. OTHER RELATED ORGANIZATION TRANSACTIONS WITH WELLMONT CARDIOLOGY SERVICES, WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL, INC., WELLMONT MADISON HOUSE AND WELLMONT MEDICAL ASSOCIATES TOTALED 161,844 DURING THE FISCAL YEAR ENDED JUNE 30, 2016, AND DID NOT MEET THE 50,000 THRESHOLD AMOUNT FOR SEPARATE DISCLOSURE. ORGANIZATION TRANS TYPE AMOUNT METHOD DETERMINATION WELLMONT CARDIOLOGY SERVICES K 25,225 LEASE AGREEMENT WELLMONT CARDIOLOGY SERVICES L 31,052 SUPPORT SERVICES WELLMONT HAWKINS COUNTY I 23,552 ASSET TRANSFER MEMORIAL HOSPITAL, INC. WELLMONT HAWKINS COUNTY L 3,709 SUPPORT SERVICES MEMORIAL HOSPITAL, INC. WELLMONT HAWKINS COUNTY Q 488 INVOICES MEMORIAL HOSPITAL, INC. WELLMONT MADISON HOUSE B 17,834 CAPITAL CONTRIBUTIONS WELLMONT MADISON HOUSE L 31,132 SERVICE AGREEMENTS WELLMONT MEDICAL ASSOCIATES L 17,450 SUPPORT SERVICES WELLMONT MEDICAL ASSOCIATES M 11,357 INVOICES WELLMONT MEDICAL ASSOCIATES Q 45 INVOICES TOTAL 161,844