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WELLMONT HEALTH SYSTEM: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WELLMONT HEALTH SYSTEM (EIN 62-1636465)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201321349349300177
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-14T10:27:11-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN621636465EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WELLMONT HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWELLNameControl
Phone4232308200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11905 AMERICAN WAYAddressLine1
CityKINGSPORTCity
StateTNState
ZIP Code37660ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTODD J DOUGANName
TitleSR. VP OF FINANCETitle
Phone4232308200Phone
Date Signed2013-05-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Date Prepared2013-05-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTODD J DOUGANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11905 AMERICAN WAYAddressLine1
CityKINGSPORTCity
StateTNState
ZIP Code37660ZIPCode
FieldValueIRS element (for citing)
Gross Receipts869896060GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WELLMONT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionWE DELIVER SUPERIOR HEALTH CARE WITH COMPASSION.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees6448TotalNbrEmployees
Total Nbr Volunteers4683TotalNbrVolunteers
Total Gross UBI201773TotalGrossUBI
Contributions Grants Prior Year3106229ContributionsGrantsPriorYear
Contributions Grants Current Year4400625ContributionsGrantsCurrentYear
Program Service Revenue Prior Year651047190ProgramServiceRevenuePriorYear
Program Service Revenue CY691289550ProgramServiceRevenueCY
Investment Income Prior Year9545103InvestmentIncomePriorYear
Investment Income Current Year18826444InvestmentIncomeCurrentYear
Other Revenue Prior Year9646203OtherRevenuePriorYear
Other Revenue Current Year21721215OtherRevenueCurrentYear
Total Revenue Prior Year673344725TotalRevenuePriorYear
Total Revenue Current Year736237834TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year697055GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY321497GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year254579570SalariesEtcPriorYear
Salaries Etc Current Year265319622SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year387366874OtherExpensePriorYear
Other Expenses Current Year409648889OtherExpensesCurrentYear
Total Expenses Prior Year642643499TotalExpensesPriorYear
Total Expenses Current Year675290008TotalExpensesCurrentYear
Revenues Less Expenses Prior Year30701226RevenuesLessExpensesPriorYear
Revenues Less Expenses CY60947826RevenuesLessExpensesCY
Total Assets BOY939337117TotalAssetsBOY
Total Assets EOY987213169TotalAssetsEOY
Total Liabilities BOY576621565TotalLiabilitiesBOY
Total Liabilities EOY600810507TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY362715552NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY386402662NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE DELIVER SUPERIOR HEALTH CARE WITH COMPASSION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense633050311Expense
Grants321497Grants
Revenue701387752Revenue
DescriptionWELLMONT 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. FOR EXAMPLE, THERE ARE SIGNIFICANT LOSSES INCURRED IN THE TAXABLE CORPORATIONS THAT CANNOT BE REFLECTED IN THE VARIOUS FORM 990S, THE LARGEST OF WHICH ARE THE COSTS AND REVENUES ASSOCIATED WITH THE PHYSICIANS AND OTHER PROVIDERS WITHIN THESE CORPORATIONS WHO PROVIDE INDISPENSIBLE SERVICES TO PATIENTS OF WELLMONT HEALTH SYSTEM. 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" OF SCHEDULE H. WELLMONT HEALTH SYSTEM 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 2012, WE PROVIDED SERVICES TO 55,613 PATIENTS IN A BED, 208,013 EMERGENCY ROOM VISITS, 236,437 OUTPATIENT REGISTRATIONS (EXCLUDING ER), 2,021 NEWBORN DELIVERIES, 23,162 SURGERIES, AND 272,672 PHYSICIAN OFFICE VISITS. WELLMONT IS A TENNESSEE NOT-FOR-PROFIT CORPORATION. SIX 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.), MOUNTAIN VIEW REGIONAL MEDICAL CENTER (NORTON, VA.) AND LEE REGIONAL MEDICAL CENTER (PENNINGTON GAP, VA.) - ARE INCLUDED IN THIS CORPORATION. BUT EVEN AS OUR SERVICE AREA SPANS MULTIPLE STATES AND OUR REVENUE IS REPORTED IN THE HUNDREDS OF MILLIONS OF DOLLARS, WE REMAIN A COMMUNITY-OWNED HEALTH SYSTEM. IT IS OUR MISSION TO DELIVER SUPERIOR HEALTH CARE WITH COMPASSION TO THE PEOPLE WE SERVE. IT IS OUR VISION TO DELIVER THE BEST HEALTH CARE ANYWHERE. CONSISTENT WITH THIS MISSION, WE HAVE WORKED TOWARD IMPROVING OUR COMMUNITY'S ACCESS TO QUALITY, AFFORDABLE HEALTH CARE, EDUCATING OUR REGION'S CAREGIVERS, IMPROVING THE HEALTH STATUS OF OUR COMMUNITIES AND CONTRIBUTING TO THE OVERALL QUALITY OF LIFE IN THE AREAS WE SERVE. OVERALL, WE RETURNED MORE THAN 44,616,485 IN BENEFITS TO OUR REGION, INCLUDING 32,960,400 OF COSTS FOR INDIGENT PATIENTS AND UNCOMPENSATED CARE FOR OTHER PATIENTS AND 11,656,085 FOR OTHER COMMUNITY ACTIVITIES OUTLINED BELOW. WELLMONT HEALTH SYSTEM 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 HEALTH SYSTEM'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. 5,714 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 HEALTH SYSTEM'S HOSPITALS TREAT ALL PATIENTS FOR MEDICALLY NECESSARY CONDITIONS. RECOGNIZING THAT SOME PATIENTS CANNOT AFFORD ESSENTIAL MEDICAL SERVICES, WELLMONT PROVIDED CARE FOR INDIGENT PATIENTS, WRITING OFF 58,085,229 OF CHARGES AND INCURRING COST OF 16,056,711. WELLMONT HEALTH SYSTEM 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 HEALTH SYSTEM'S COMMUNITY BENEFIT REPORT AS THE ABOVE AMOUNTS ARE REPORTED ON SCHEDULE H. OTHER RECENT INITIATIVES INCLUDE: 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. HOLSTON VALLEY MEDICAL CENTER PROVIDED DRUGS AND SUPPLIES AT A DIRECT COST OF 7,482 TO FRIENDS IN NEED HEALTH CLINIC. THE KINGSPORT-BASED CLINIC PROVIDES PRIMARY HEALTH CARE TO THE WORKING POOR AND THOSE WITHOUT INSURANCE COVERAGE. BRISTOL REGIONAL MEDICAL CENTER PROVIDES SUPPLIES AND OTHER VARIOUS ITEMS VALUED AT 18,220 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 WELLMONT PHYSICIANS SERVICES, A TAXABLE SUBSIDIARY OF WELLMONT HEALTH SYSTEM. THE WELLMONT FOUNDATION FUNDED THE PURCHASE OF SEVERAL HUNDRED INFANT CAR SEATS FOR NEWBORNS WHOSE FAMILIES COULDN'T AFFORD THEM. TRAINING AND EDUCATING OUR HEALTHCARE PROFESSIONALS WELLMONT HEALTH SYSTEM 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 6,262,419. RECENT INITIATIVES INCLUDE: WELLMONT HEALTH SYSTEM PROVIDED AND PARTICIPATED IN SEVERAL FORMAL TRAINING PROGRAMS FOR HEALTH PROFESSIONALS, INCLUDING EAST TENNESSEE STATE UNIVERSITY'S INTERNSHIP AND RESIDENCY PROGRAMS. OUR CONTRIBUTIONS TOTALED 1,694,573 IN SUPPORT OF THE SCHOOL'S JAMES H. QUILLEN COLLEGE OF MEDICINE RESIDENCY PROGRAM. WELLMONT HEALTH SYSTEM 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 IN WELLMONT'S MOUNTAIN REGION HOSPITALS - MOUNTAIN VIEW REGIONAL, LONESOME PINE HOSPITAL AND LEE REGIONAL MEDICAL CENTER. THE STUDENTS PERFORM SUBSPECIALTY ROTATIONS AT HOLSTON VALLEY MEDICAL CENTER AND BRISTOL REGIONAL MEDICAL CENTER AND PRIMARY CORE ROTATIONS AT HAWKINS COUNTY MEMORIAL HOSPITAL. OUR CONTRIBUTIONS TOTALED 581,419 IN SUPPORT OF THE DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE. WELLMONT HEALTH SYSTEM 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 33 SUCH PROGRAMS IN THE COUNTRY TO HELP TRAIN THE NEXT GENERATION OF SPECIALTY PHYSICIANS. OUR CONTRIBUTIONS TOTALED 479,678 IN SUPPORT OF THE LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE. WELLMONT HEALTH SYSTEM 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 HEALTH SYSTEM 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: -SOUTHWEST VIRGINIA EMS COUNCIL SYMPOSIUM; PROVIDED FREE OF CHARGE TO EMS PROVIDERS THROUGHOUT THE REGION; -ANNUAL STROKE SYMPOSIUM; OPEN TO WELLMONT HEALTH SYSTEM 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; -REGULAR EDUCATION FOR CLINICAL STAFF ON TOPICS INDescription
Total Program Service Expense633050311TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096405NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees6448NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddresstrueOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledTNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTODD J DOUGANNamePerson
Telephone Number4232308512TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11905 AMERICAN WAYAddressLine1
CityKINGSPORTCity
StateTNState
ZIP Code37660ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
PIERRE ISTFAN MD
BOARD MEMBER40.00X061226040171
JULIE P BENNETT
SECRETARY6.00X000X
MARVIN CAMERON
EX-OFFICIO B6.00X000
DAVE CROCKETT
CHAIRMAN6.00X000X
WAYNE J KENNEDY
ASST SECT/TR6.00X000X
RAVEN KRICKBAUM
BOARD MEMBER6.00X000
ROGER L LEONARD
BOARD MEMBER6.00X000
ROGER K MOWEN
BOARD MEMBER6.00X000
THOMAS F PUGH MD
BOARD MEMBER6.00X000
T ARTHUR BUDDY SCOTT JR
VICE CHAIRMA6.00X000X
GLEN SKIP SKINNER
BOARD MEMBER6.00X000
DOUGLAS J SPRINGER MD
BOARD MEMBER6.00X000
JOHN WILLIAMS
BOARD MEMBER6.00X000
DAVID LESTER
BOARD MEMBER6.00X000
WILLIAM SMITH MD
BOARD MEMBER6.00X000
MARGARET DENARVAEZ
PRESIDENT &40.00968330019800X
ELIZABETH WARD THROUGH 110611
EXECUTIVE VP0.0092783708596X
TRACEY P MOFFATT
SR.VP WHS OP40.0043293806532X
JOHN HOWARD
WMA PRES & C40.0035874608905X
HAMLIN J WILSON
SR. VP-HUMAN40.00317322021929X
ALICE POPE
SR. VP-FINAN40.00287279024623X
KENT PETTY
CHIEF INFORM40.00286225021279X
TODD J DOUGAN
SR. VP-FINAN40.00268068024625X
LOWELL TODD NORRIS
SR. VP-SYSTE40.00222123021196X
BARTHOLEMEW A HOVE
PRESIDENT-BR40.00445090033854X
VIRGINIA FRANK
PRESIDENT-HV40.00397010013424X
DAVID L BRASH THROUGH 060312
REGIONAL VP-40.00308808027797X
GREG NEAL
PRESIDENT/CE40.00272011024106X
JORGE LODEIRO MD
STAFF PHYSIC40.00827931044639X
EDWIN A MCELROY MD
STAFF PHYSIC40.00820004043503X
MARCO DASILVA MD
STAFF PHYSIC40.00732463043574X
ASHEESH SHIPSTONE MD
STAFF PHYSIC40.00694545042300X
DANIEL KRENK MD
STAFF PHYSIC40.00694005035383X
DAVID THOMPSON MD
BOARD MEMBER6.0003958109484X
FieldValueIRS element (for citing)
Total Reportable Comp From Org9260735TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1008070TotalReportableCompFrmRltdOrgs
Total Other Compensation515720TotalOtherCompensation
Number Individuals GT100 K228NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SOLSTAS LAB PARTNERS
4380 FEDERAL DRIVEGREENSBORONC27410LAB SERVICES11745590
HOLSTON ANESTHESIA ASSOCIATION
135 W RAVINE STREET SUITE 5BKINGSPORTTN37662MEDICAL SERVICE7562433
ROBINS & MORTON GROUP
5500 MARYLAND WAY SUITE 100BRENTWOODTN37027CONTRACTING2907831
HIGHLANDS PATHOLOGY CONSULTANTS SPC
10368 WALLACE ALLEYKINGSPORTTN37663MEDICAL SERVICE2130500
EMERGENCY COVERAGE CORP
PO BOX 634850CINCINNATIOH45263PHYSICIAN SERVI1885015
FieldValueIRS element (for citing)
Number Of Contractors GT100 K44NumberOfContractorsGT100K
Related Organizations3926042RelatedOrganizations
Government Grants468284GovernmentGrants
All Other Contributions6299AllOtherContributions
Total Contributions4400625TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE621990476508647476508647
PHARMACY REVENUE621990201469963201469963
BLOOD REVENUE6219901246419412464194
ADMINISTRATIVE REVENUE561000846746846746
FieldValueIRS element (for citing)
Total Program Service Revenue691289550TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column12646470TotalRevenueColumn
Exclusion$12,646,470ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real6464680Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1771750Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real4692930Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column4692930TotalRevenueColumn
Exclusion$4,692,930ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities135454979Securities
Other2611471Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities129741737Securities
Other2144739Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities5713242Securities
Other466732Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6179974TotalRevenueColumn
Unrelated Business Revenue5054UnrelatedBusinessRevenue
Exclusion$6,174,920ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MEANINGFUL USE FUNDS6219901009820210098202
CAFETERIA VENDING9000993313013$3,313,013
MISCELLANEOUS REVENUE4532202934477$2,934,477

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column682593TotalRevenueColumn
Unrelated Business Revenue196719UnrelatedBusinessRevenue
Exclusion$485,874ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue17028285TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column736237834TotalRevenueColumn
Related Or Exempt Function Income701387752RelatedOrExemptFunctionIncome
Unrelated Business Revenue201773UnrelatedBusinessRevenue
Exclusion$30,247,684ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total321497Total
Program Services321497ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6497800Total
Management And General6497800ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total202475231Total
Program Services185007939ProgramServices
Management And General17467292ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7549413Total
Program Services6325310ProgramServices
Management And General1224103ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total33952098Total
Program Services31755107ProgramServices
Management And General2196991ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total14845080Total
Program Services13452597ProgramServices
Management And General1392483ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3069270Total
Program Services2496686ProgramServices
Management And General572584ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total845352Total
Program Services706544ProgramServices
Management And General138808ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total860540Total
Program Services743159ProgramServices
Management And General117381ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total63081Total
Program Services63081ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total376477Total
Program Services376477ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total81465218Total
Program Services80283367ProgramServices
Management And General1181851ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1414382Total
Program Services1367431ProgramServices
Management And General46951ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total29829851Total
Program Services27024663ProgramServices
Management And General2805188ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total9512813Total
Program Services9512813ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total22415193Total
Program Services20006015ProgramServices
Management And General2409178ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1683887Total
Program Services878795ProgramServices
Management And General805092ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total50546Total
Program Services50546ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total21327202Total
Program Services21324461ProgramServices
Management And General2741ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total41198940Total
Program Services39155446ProgramServices
Management And General2043494ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4669000Total
Program Services4669000ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DRUGS & MEDICAL SUPPLIES121114994121114994
PROVISION FOR BAD DEBTS6540768365121783285900
PHYSICIAN RECRUITMENT16036172881311315486
MISC EXPENSE15877674290191158748

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1153076Total
Program Services575450ProgramServices
Management And General577626ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total675290008Total
Program Services633050311ProgramServices
Management And General42239697ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY17919BOY
EOY948014EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY29872126BOY
EOY35772409EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY100500580BOY
EOY118465911EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY29514BOY
EOY8681EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY15064889BOY
EOY15281656EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6525891BOY
EOY6897997EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis924135949LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec495066993LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY432453649BOY
EOY429068956EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY321289188BOY
EOY343401965EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY18988817BOY
EOY20328086EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY8745924BOY
EOY11618870EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5848620BOY
EOY5420624EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY939337117BOY
EOY987213169EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY52843847BOY
EOY60100983EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY438747592BOY
EOY442481059EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY950645EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY85030126BOY
EOY97277820EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY576621565BOY
EOY600810507EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY362715552BOY
EOY386402662EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY362715552BOY
EOY386402662EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY939337117BOY
EOY987213169EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses60947826ReconcilationRevenueExpenses
Reconcilation Other Changes-37260716ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Form1120 Pol FiledfalseForm1120PolFiled

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals63081FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals63081FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals675226927FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals675290008FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
FieldValueIRS element (for citing)
Form4720 FiledfalseForm4720Filed

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus368925CurrentYearMinus3
Current Year Minus296271CurrentYearMinus2
Current Year Minus1143581CurrentYearMinus1
Current Year63081CurrentYear
Total371858Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax
Substantially All Dues NondeductfalseSubstantiallyAllDuesNondeduct
Only In House LobbyingfalseOnlyInHouseLobbying
Agree To Carryover Prior YearfalseAgreeToCarryoverPriorYear

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis107181InvestmentCostOrOtherBasis
Other Cost Or Other Basis32684199OtherCostOrOtherBasis
Book Value32791380BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis527214440OtherCostOrOtherBasis
Depreciation221855941Depreciation
Book Value305358499BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5945947OtherCostOrOtherBasis
Depreciation2181941Depreciation
Book Value3764006BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis358184182OtherCostOrOtherBasis
Depreciation271029111Depreciation
Book Value87155071BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings429068956TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
OTHER LT LIABILITIES$26,265,375
OTHER CURRENT LIABILITIES$18,905,103
CAPITAL LEASE OBLIGATIONS$17,996,545
DEFINED BENEFITS PENSION LIABILITY$17,290,175
SWAP LIABILITY$9,781,539
POST RETIREMENT BENEFITS$7,039,083
FieldValueIRS element (for citing)
Total Of Amounts97277820TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierLIABILITY UNDER FIN 48 FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PAGE 3, PART XReturnReference
ExplanationTHE WELLMONT HEALTH SYSTEM ENTITIES ARE PRIMARILY CLASSIFIED AS ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) AS ENTITIES DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED FOR THESE ENTITIES IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE OPERATIONS OF WELLMONT HEALTH SYSTEM ARE SUBJECT TO STATE AND FEDERAL INCOME TAXES WHICH ARE ACCOUNTED FOR IN ACCORDANCE WITH ASC 740, INCOME TAXES; HOWEVER, SUCH AMOUNTS ARE NOT MATERIAL.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense16056711TotalCommunityBenefitExpense
Net Community Benefit Expense16056711NetCommunityBenefitExpense
Percent Of Total Expense0.02380PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense70182490TotalCommunityBenefitExpense
Direct Offsetting Revenue53278801DirectOffsettingRevenue
Net Community Benefit Expense16903689NetCommunityBenefitExpense
Percent Of Total Expense0.02500PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense86239201TotalCommunityBenefitExpense
Direct Offsetting Revenue53278801DirectOffsettingRevenue
Net Community Benefit Expense32960400NetCommunityBenefitExpense
Percent Of Total Expense0.04880PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs129NumberOfActivitiesOrPrograms
Persons Served5915PersonsServed
Total Community Benefit Expense5040894TotalCommunityBenefitExpense
Net Community Benefit Expense5040894NetCommunityBenefitExpense
Percent Of Total Expense0.00750PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs355NumberOfActivitiesOrPrograms
Persons Served7699PersonsServed
Total Community Benefit Expense9982762TotalCommunityBenefitExpense
Direct Offsetting Revenue3808793DirectOffsettingRevenue
Net Community Benefit Expense6173969NetCommunityBenefitExpense
Percent Of Total Expense0.00910PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs110NumberOfActivitiesOrPrograms
Persons Served1214PersonsServed
Total Community Benefit Expense89384TotalCommunityBenefitExpense
Net Community Benefit Expense89384NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs209NumberOfActivitiesOrPrograms
Persons Served2300PersonsServed
Total Community Benefit Expense351838TotalCommunityBenefitExpense
Net Community Benefit Expense351838NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs803NumberOfActivitiesOrPrograms
Persons Served17128PersonsServed
Total Community Benefit Expense15464878TotalCommunityBenefitExpense
Direct Offsetting Revenue3808793DirectOffsettingRevenue
Net Community Benefit Expense11656085NetCommunityBenefitExpense
Percent Of Total Expense0.01730PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs803NumberOfActivitiesOrPrograms
Persons Served17128PersonsServed
Total Community Benefit Expense101704079TotalCommunityBenefitExpense
Direct Offsetting Revenue57087594DirectOffsettingRevenue
Net Community Benefit Expense44616485NetCommunityBenefitExpense
Percent Of Total Expense0.06610PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs20NumberOfActivitiesOrPrograms
Persons Served400PersonsServed
Total Community Building Expense10501TotalCommunityBuildingExpense
Net Community Building Expense10501NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense95TotalCommunityBuildingExpense
Net Community Building Expense95NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs17NumberOfActivitiesOrPrograms
Persons Served96PersonsServed
Total Community Building Expense699TotalCommunityBuildingExpense
Net Community Building Expense699NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs16NumberOfActivitiesOrPrograms
Persons Served646PersonsServed
Total Community Building Expense2815TotalCommunityBuildingExpense
Net Community Building Expense2815NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served2PersonsServed
Total Community Building Expense477TotalCommunityBuildingExpense
Net Community Building Expense477NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs56NumberOfActivitiesOrPrograms
Persons Served1144PersonsServed
Total Community Building Expense14587TotalCommunityBuildingExpense
Net Community Building Expense14587NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$17,578,026BadDebtExpenseAmount
Amount Reimbursed By Medicare159565497AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare155153960CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall4411537MedicareSurplusOrShortfall
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
HOLSTON VALLEY IMAG
RADIOLOGY SERVICES0.750000.25000
HOLSTON VALLEY AMB
SURGICAL SERVICES0.520000.48000
SAPLING GROVE AMB
SURGICAL SERVICES0.650000.35000
FieldValueIRS element (for citing)
Number Of Hospital Facilities6NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (6 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursCritical Access HospitalCriticalAccessHospital
HOLSTON VALLEY MEDICAL CENTER
1130 RAVINE STREETKINGSPORTTN37660XXXX
BRISTOL REGIONAL MEDICAL CENTER
21 MEDICAL PARK BLVDBRISTOLTN37620XXXX
LONESOME PINE HOSPITAL
31990 HOLTON AVENUEBIG STONE GAPVA24219XXXX
MOUNTAIN VIEW REGIONAL MEDICAL CENT
4310 3RD STREET NENORTONVA24273XXX
LEE REGIONAL MEDICAL CENTER
5PO BOX 589PENNINGTON GAPVA24277XXX
HANCOCK COUNTY HOSPITAL
61519 MAIN STREETSNEEDVILLETN37869XXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (6 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareState RegulationStateRegulationExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsitePosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentPermit Report To Credit AgencyPermitReportToCreditAgencyPermit LawsuitPermitLawsuitPermit Lien On ResidencePermitLienOnResidencePermit Body AttachmentPermitBodyAttachmentPermit Other ActionsPermitOtherActionsCollection ActivitiesCollectionActivitiesReport To Credit AgencyReportToCreditAgencyLawsuitLawsuitLien On ResidenceLienOnResidenceBody AttachmentBodyAttachmentOther ActionsOtherActionsNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeDocumented DeterminationDocumentedDeterminationNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
HOLSTON VALLEY MEDICAL CENTER
1truetrue200.0falsetrueXXXXXXXtruetrueXXXXtrueXXXXXtrueXXXXXXXXtrueXfalsefalse
BRISTOL REGIONAL MEDICAL CENTER
2truetrue200.0falsetrueXXXXXXXtruetrueXXXXtrueXXXXXtrueXXXXXXXXtrueXfalsefalse
LONESOME PINE HOSPITAL
3truetrue200.0falsetrueXXXXXXXtruetrueXXXXtrueXXXXXtrueXXXXXXXXtrueXfalsefalse
MOUNTAIN VIEW REGIONAL MEDICAL CENT
4truetrue200.0falsetrueXXXXXXXtruetrueXXXXtrueXXXXXtrueXXXXXXXXtrueXfalsefalse
LEE REGIONAL MEDICAL CENTER
5truetrue200.0falsetrueXXXXXXXtruetrueXXXXtrueXXXXXtrueXXXXXXXXtrueXfalsefalse
HANCOCK COUNTY HOSPITAL
6truetrue200.0falsetrueXXXXXXXtruetrueXXXXtrueXXXXXtrueXXXXXXXXtrueXfalsefalse

Form990 Schedule H Part VI Form990ScheduleHPartVI (29 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUBSIDIZED HEALTH SERVICES EXPLANATIONPART I LINE 7GPART 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 FOR EXAMPLE THERE ARE SIGNIFICANT LOSSES INCURRED IN THE TAXABLE CORPORATIONS THAT CANNOT BE REFLECTED IN THE VARIOUS FORM 990S THE LARGEST OF WHICH ARE THE COSTS AND REVENUES ASSOCIATED WITH THE PHYSICIANS AND OTHER PROVIDERS WITHIN THESE CORPORATIONS WHO PROVIDE INDISPENSABLE SERVICES TO PATIENTS OF WELLMONT HEALTH SYSTEM 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
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSEPART I LINE 7 COLUMN FTHE BAD DEBT EXPENSE OF 65407683 WAS INCLUDED ON FORM 990 PART IX LINE 25 COL A BUT WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN
COSTING METHODOLOGY EXPLANATIONPART I LINE 7RATIO OF PATIENT CARE COSTTOCHARGES WAS USED TO DETERMINE THE COSTS FOR AMOUNTS IN LINE 7A AND 7B COL C BY FACILITY THE COSTS INCLUDED IN THE COSTTOCHARGE RATIO INCLUDED THE COSTS FROM ALL PATIENT SEGMENTS ACTUAL COSTS FROM THE GENERAL LEDGER WERE USED FOR AMOUNTS IN LINE 7F AND 7I COLC
COMMUNITY BUILDING ACTIVITIESPART IIWELLMONT HEALTH SYSTEM PROMOTED THE HEALTH OF THE COMMUNITIES IT SERVES IN A VARIETY OF WAYS COMMUNITY SUPPORT SEVERAL EMPLOYEES OF HOLSTON VALLEY MEDICAL CENTER HVMCSERVE AS BOARD MEMBERS FOR SUSAN G KOMEN AND RONALD MCDONALD HOUSE HVMC TRAUMA SERVICES ORGANIZED A PICNIC TO HONOR LOCAL EMS FIRE AND POLICE AGENCIES FOR THEIR SERVICE TO THE HOSPITAL AS WELL AS THE COMMUNITY LONESOME PINE HOSPITALS OBNURSERY NURSE MANAGER AND STAFF PARTICIPATE IN THE COORDINATION AND REGISTRATION OF THE LOCAL MARCH OF DIMES WALK HELD IN BIG STONE GAP VA LEADERSHIP DEVELOPMENT TRAINING FOR COMMUNITY MEMBERS AN ADMINISTRATIVE HEALTH CARE LEADER FROM HOLSTON VALLEY MEDICAL CENTER HVMC PARTICIPATED IN THE REGIONAL COMMUNITY HEALTH LEADERS PROGRAM COALITION BUILDING STAFF FROM HOLSTON VALLEY MEDICAL CENTER HVMC PARTICIPATED IN SEVERAL COMMUNITY GROUPS TO INCLUDE INTEGRATED EMERGENCY PLANNING COMMITTEE REGIONAL MEDICAL COMMUNICATION COMMITTEE KINGSPORT AREA SAFETY COUNCIL AND NORTHEAST TENNESSEE REGIONAL HOSPITAL EMERGENCY PREPAREDNESS COMMITTEE THE COMMUNITY AFFAIRS COORDINATOR FOR LONESOME PINE HOSPITAL MOUNTAIN VIEW REGIONAL MEDICAL CENTER AND LEE REGIONAL MEDICAL CENTER SERVED ON THE REMOTE AREA MEDICAL RAM EVENT PLANNING COMMITTEE THE RAM CLINIC BRINGS FREE HEALTH DENTAL AND VISION CARE TO UNINSURED AND UNDERINSURED PEOPLE THE WISE VA CLINIC HELD ON JULY 20 2012 WAS THE 647TH RAM EXPEDITION SINCE 1985 AND DREW 1700 PATIENTS FROM 14 STATES COMMUNITY HEALTH IMPROVEMENT ADVOCACY TO PROMOTE COMMUNITY HEALTH IMPROVEMENTS AND SAFETY HOLSTON VALLEY MEDICAL CENTER HVMC PROVIDED RESOURCES TO CONDUCT VARIOUS PRESENTATIONS SUCH AS TRAUMA NURSE TALK TOUGH TN GOVERNORS COMMISSION ON INJURY PREVENTION HEARING CONSERVATION AND SAFE COMMUNITIES NETWORKING CONFERENCE HELD IN CHICAGO IL WORKFORCE DEVELOPMENT BRISTOL REGIONAL MEDICAL CENTER BRMC ORGANIZED A DISCUSSION WITH BRISTOL TENNESSEE CITY SCHOOL SYSTEM TEACHERS REGARDING SKILLS THEIR STUDENTS NEED TO BE TAUGHT IN ORDER TO WORK AT BRMC IN VARIOUS DEPARTMENTS
NEEDS ASSESSMENTPART VIWELLMONT 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 COUNTYBYCOUNTY ANALYSIS TO IDENTIFY THE FOLLOWING CUSTOMER GROUPS PATIENTS AND POTENTIAL PATIENTS COMMUNITYEMPLOYER 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
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPART VIWELLMONT 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
COMMUNITY INFORMATIONPART VIWELLMONT HEALTH SYSTEMS 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 364456 MEDIAN HOUSEHOLD INCOME 38278 SSA POPULATION 460829 MEDIAN HOUSEHOLD INCOME 36620 APPROXIMATELY 1936 OF OUR PATIENTS ARE MEDICAID RECIPIENTS AND 113 ARE UNINSURED AND 2 OF THE PSA COUNTIES ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS HAWKINS COUNTY TENNESSEE AND LEE COUNTY VIRGINIA
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSEPART VIWELLMONT HEALTH SYSTEMS HOSPITALS AND OTHER HEALTHCARE FACILITIES FURTHER THEIR EXEMPT PURPOSE BY PROVIDING MILLIONS IN UNCOMPENSATED CARE AND OTHER CHARITABLE DONATIONS IN FISCAL YEAR 20112012 WELLMONT PROVIDED 77489118 IN UNCOMPENSATED CARE THE HEALTH SYSTEM ALSO DONATED 541316 TO COMMUNITY ORGANIZATIONS SUCH AS THE AMERICAN HEART ASSOCIATION UNITED WAY SUSAN G KOMEN FOR THE CURE AND THE AMERICAN CANCER SOCIETY WELLMONT PROVIDED NEARLY 5235468 FOR COMMUNITY HEALTH AND OUTREACH 6262419 FOR TRAINING AND EDUCATION OF HEALTHCARE PROFESSIONALS AND 89384 FOR CLINICAL TRIALS AND RESEARCH EMPLOYEES PHYSICIANS AND VOLUNTEERS DONATED IN EXCESS OF 102954 HOURS OF COMMUNITY SERVICE
AFFILIATED HEALTH CARE INFORMATIONPART VIWELLMONT HEALTH SYSTEMWELLMONT IS A TENNESSEE NONPROFIT CORPORATION BASED IN KINGSPORT TENNESSEEAND 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 16 YEARS WELLMONT HAS GROWN TO INCLUDE SIX 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 SIX ACUTE CARE HOSPITAL FACILITIES AND ONE CRITICAL ACCESS HOSPITAL WITH A TOTAL OF 1253 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 LEE REGIONAL MEDICAL CENTER IN PENNINGTON GAP 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 IS THE MAJORITY PARTNER WITH ADVENTIST HEALTH SYSTEM AT TAKOMA REGIONAL HOSPITAL AN ACUTE CARE HOSPITAL IN GREENEVILLE TENNESSEE WELLMONT ALSO DIRECTLY OR INDIRECTLY CONTROLS OWNS OR IS AFFILIATED WITH VARIOUS NONPROFIT AND FORPROFIT CORPORATIONS AND OTHER ORGANIZATIONS THAT CURRENTLY PROVIDE HEALTH CARE AND HEALTH CARERELATED 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
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILEDPART VITENNESSEE VIRGINIA
ADDITIONAL INFORMATIONPART VIPART 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 THIRDPARTY 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 THIRDPARTY PAYMENT PROGRAMS WELLMONTS 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 57 SPECIFICALLY INDICATE TO INCLUDE ONLY THOSE APPLICABLE COSTS AND MEDICARE REIMBURSEMENTS THAT ARE REPORTED IN THE ORGANIZATIONS 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 HOSPITALOWNED 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
HOLSTON VALLEY MEDICAL CENTER LINE NUMBER 1 PART V LINE 15EPART V LINE 15EWELLMONT HOLSTON VALLEY MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES
HOLSTON VALLEY MEDICAL CENTER LINE NUMBER 1 PART V LINE 16EPART V LINE 16EWELLMONT HOLSTON VALLEY MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES
HOLSTON VALLEY MEDICAL CENTER LINE NUMBER 1 PART V LINE 19DPART V LINE 19DWELLMONT HOLSTON VALLEY MEDICAL CENTER FOLLOWS TENNESSEE STATUTE WHICH IS 175 OF AVERAGE COST FOR ITS HOSPITALS
BRISTOL REGIONAL MEDICAL CENTER LINE NUMBER 2 PART V LINE 15EPART V LINE 15EWELLMONT BRISTOL REGIONAL MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES
BRISTOL REGIONAL MEDICAL CENTER LINE NUMBER 2 PART V LINE 16EPART V LINE 16EWELLMONT BRISTOL REGIONAL MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES
BRISTOL REGIONAL MEDICAL CENTER LINE NUMBER 2 PART V LINE 19DPART V LINE 19DWELLMONT BRISTOL REGIONAL MEDICAL CENTER FOLLOWS TENNESSEE STATUTE WHICH IS 175 OF AVERAGE COST FOR ITS HOSPITALS
LONESOME PINE HOSPITAL LINE NUMBER 3 PART V LINE 15EPART V LINE 15EWELLMONT LONESOME PINE HOSPITALS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES
LONESOME PINE HOSPITAL LINE NUMBER 3 PART V LINE 16EPART V LINE 16EWELLMONT LONESOME PINE HOSPITALS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES
LONESOME PINE HOSPITAL LINE NUMBER 3 PART V LINE 19DPART V LINE 19DWELLMONT LONESOME PINE HOSPITAL FOLLOWS TENNESSEE STATUTE WHICH IS 175 OF AVERAGE COST FOR ITS HOSPITALS IN THE ABSENCE OF VIRGINIA STATUTE
MOUNTAIN VIEW REGIONAL MEDICAL CENT LINE NUMBER 4 PART V LINE 15EPART V LINE 15EWELLMONT MOUNTAIN VIEW REGIONAL MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES
MOUNTAIN VIEW REGIONAL MEDICAL CENT LINE NUMBER 4 PART V LINE 16EPART V LINE 16EWELLMONT MOUNTAIN VIEW REGIONAL MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES
MOUNTAIN VIEW REGIONAL MEDICAL CENT LINE NUMBER 4 PART V LINE 19DPART V LINE 19DWELLMONT MOUNTAIN VIEW REGIONAL MEDICAL CENTER FOLLOWS TENNESSEE STATUTE WHICH IS 175 OF AVERAGE COST FOR ITS HOSPITALS IN THE ABSENCE OF VIRGINIA STATUTE
LEE REGIONAL MEDICAL CENTER LINE NUMBER 5 PART V LINE 15EPART V LINE 15EWELLMONT LEE REGIONAL MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES
LEE REGIONAL MEDICAL CENTER LINE NUMBER 5 PART V LINE 16EPART V LINE 16EWELLMONT LEE REGIONAL MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES
LEE REGIONAL MEDICAL CENTER LINE NUMBER 5 PART V LINE 19DPART V LINE 19DWELLMONT LEE REGIONAL MEDICAL CENTER FOLLOWS TENNESSEE STATUTE WHICH IS 175 OF AVERAGE COST FOR ITS HOSPITALS IN THE ABSENCE OF VIRGINIA STATUTE
HANCOCK COUNTY HOSPITAL LINE NUMBER 6 PART V LINE 15EPART V LINE 15EWELLMONT HANCOCK COUNTY HOSPITALS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES
HANCOCK COUNTY HOSPITAL LINE NUMBER 6 PART V LINE 16EPART V LINE 16EWELLMONT HANCOCK COUNTY HOSPITALS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES
HANCOCK COUNTY HOSPITAL LINE NUMBER 6 PART V LINE 19DPART V LINE 19DWELLMONT HANCOCK COUNTY HOSPITAL FOLLOWS TENNESSEE STATUTE WHICH IS 175 OF AVERAGE COST FOR ITS HOSPITALS

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
AMERICAN HEART ASSOCIATION
PO BOX 4002900DES MOINESIA5034013561379750136000GO RED FOR WOMEN SPO
BARTER THEATRE FOUNDATION
PO BOX 867ABINDGONVA2421254600012050120000CORPORATE SPONSORSHI
BRISTOL MOTOR SPEEDWAY
PO BOX 3966BRISTOLTN3762562101676010000CHILDREN'S CHARITIES
EAST TENNESSEE STATE UNIVERSITY
PO BOX 70732JOHNSON CITYTN3761423709273150120000ATHLETIC SCHOLARSHIP
FUN FEST KINGSPORT TN
151 EAST MAIN STKINGSPORTTN376606204468345016025FUN FEST SPONSORSHIP
KINGSPORT CHAMBER OF COMMERCE
151 EAST MAIN STKINGSPORTTN3766262044683450133120ANNUAL SPONSORSHIP
KOMEN TRI-CITIES AFFILIATE
PO BOX 5835KINGSPORTTN3766384168906750155747RACE FOR THE CURE SP
RHYTHM & ROOTS REUNION
PO BOX 1927BRISTOLVA2420372152620650110000SPONSORSHIP
ADVANCED HOME CARE
PO BOX 18079GREENSBORONC274195618446515015060CHARITY GOLF EVENT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants8TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Travel For CompanionsXTravelForCompanions
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
PIERRE ISTFAN MD
4539951578514142869511476652431
MARGARET DENARVAEZ
72199823100015332141265674988130
ELIZABETH WARD THROUGH 110611
3848081076634353668596936433
TRACEY P MOFFATT
30454155945724526532439470
JOHN HOWARD
26828438672517908905367651
HAMLIN J WILSON
26681650506162045725339251
ALICE POPE
24091146368148569767311902
KENT PETTY
24470541250270895712322307504
TODD J DOUGAN
225986420821346911156292693
LOWELL TODD NORRIS
187165347232351004011156243319
BARTHOLEMEW A HOVE
3637507319381472269811156478944
VIRGINIA FRANK
33699555313470238409584410434
DAVID L BRASH THROUGH 060312
264594439442701614511652336605
GREG NEAL
23502636015970142829824296117
JORGE LODEIRO MD
6794239965748851351559484872570
EDWIN A MCELROY MD
6154952042392703234711156863507
MARCO DASILVA MD
5197442119457743192211652776037
ASHEESH SHIPSTONE MD
5197441739078943114411156736845
DANIEL KRENK MD
66550028325180281007283729388
DAVID THOMPSON MD
25577694572454629484405294

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FRINGE OR EXPENSE EXPLANATIONSCHEDULE J, PAGE 1, PART I, LINE 1ACHARTER TRAVEL AND TRAVEL FOR COMPANIONS WELLMONT HEALTH SYSTEM PROVIDED AIRPLANE TRAVEL FOR ITS EXECUTIVES THROUGH A PARTIAL OWNERSHIP OF AN AIRPLANE. ON OCCASION, TRAVEL WAS PROVIDED FOR EXECUTIVES AND THEIR COMPANIONS FOR PERSONAL USE. WELLMONT HEALTH SYSTEM FOLLOWED IRS GUIDELINES AND INCLUDED THE APPROPRIATE AMOUNTS IN THEIR TAXABLE COMPENSATION. HOUSING ALLOWANCE WELLMONT HEALTH SYSTEM OFFERED A HOUSING ALLOWANCE FOR JOHN HOWARD, SR. VP OF LEGAL AFFAIRS, DURING THE FISCAL YEAR ENDED JUNE 30, 2012. THE HOUSING ALLOWANCES PAID TO THE EXECUTIVE WAS INCLUDED IN HIS TAXABLE COMPENSATION. HEALTH OR SOCIAL CLUB DUES DURING THE FISCAL YEAR ENDED JUNE 30, 2012, WELLMONT HEALTH SYSTEM PROVIDED COUNTRY CLUB MEMBERSHIPS TO MARGARET DENARVAEZ, VIRGINIA FRANK, JOHN HOWARD, BARTON A. HOVE, AND TRACEY MOFFATT. THESE AMOUNTS ARE INCLUDED IN TAXABLE COMPENSATION.
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSSCHEDULE J, PAGE 1, PART I, LINE 4ELIZABETH WARD (THROUGH 11/06/11) 435,000 0 0
COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATIONSCHEDULE J, PAGE 1, PART I, LINE 6AINCENTIVE COMPENSATION IS PARTIALLY BASED ON MEETING BUDGETED OPERATING MARGIN GOALS.
OTHER ADDITIONAL INFORMATIONSCHEDULE J, PART IIIWELLMONT HEALTH SYSTEM HAS AN EXECUTIVE RETIREMENT PROGRAM THAT INCLUDED MARGARET DENARVAEZ, JOHN HOWARD AND ELIZABETH WARD FOR THE FISCAL YEAR ENDING JUNE 30, 2012. THIS PROGRAM HAS A TARGET BENEFIT OF 60% OF THE HIGHEST THREE YEAR AVERAGE SALARY (LESS EMPLOYER PROVIDER BENEFITS) AND THE EXECUTIVE MUST HAVE TWENTY YEARS OF SERVICE TO RECEIVE THE FULL BENEFIT. THE EXECUTIVE MAY RETIRE EARLY AT AGE 60 AND RECEIVE REDUCED BENEFITS. THERE WERE NO PAYMENTS MADE UNDER THIS PROGRAM FOR THE FISCAL YEAR ENDING JUNE 30, 2012.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
SULLIVAN CNTY TENN HEALTH EDL & HSG
621256662865293AC82006-11-02200000000RENOVATION/CONSTRUCTION OF HOLSTON VALLEYfalsefalsefalse
VIRGINIA SMALL BUSINESS FING AUTH H
541300845928101AC82007-07-3155000000PURCHASE OF HOSPITALSfalsefalsefalse
SULLIVAN CNTY TENN HEALTH EDL & HSG
621256662865292DY92003-06-0159100000REFUND OF PREVIOUSLY ISSUED BONDfalsefalsefalse
SULLIVAN CNTY TENN HEALTH EDL & HSG
621256662865292DZ62005-12-1370620000REFUND OF PREVIOUSLY ISSUED BONDfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindRefunding EscrowRefundingEscrowWorking Capital ExpendituresWorkingCapitalExpenditures
20705531418977995216456818187844640343052011falsefalsefalsetrue
5565857054645901026366491676142007falsefalsetruetrue
67546371530028221843582003falsetruetruetrue60061731
719237352669582005falsetruetruetrue71529827126950

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsefalsetruetrue
falsefalsefalsefalsefalsetruetrue
falsefalsefalsefalsefalsetruetrue
falsefalsefalsefalsefalsetruetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
MERRILL LYNCH
falsefalsefalsetrue4.0truefalsefalse
(no name)
falsefalsefalsefalsefalsefalse
(no name)
falsefalsefalsefalsefalsefalse
LEHMAN BROTHERS
falsetruetruefalsefalsefalse10.8falsefalse

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierDIFFERENCES IN ISSUE PRICE EXPLANATIONIdentifier
Return ReferenceSCHEDULE KReturnReference
ExplanationSULLIVAN CNTY TENN HEALTH EDL HSG ADDITIONAL PROCEEDS ON PART II LINE 3 WERE FROM PREMIUMS ON BOND ISSUES ACCRUED INTEREST AND INITIAL RESERVE FUNDSExplanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
SULLIVAN CNTY TENN HEALTH EDL & HSG
621256662865293AC82006-11-02200000000RENOVATION/CONSTRUCTION OF HOLSTON VALLEYfalsefalsefalse
VIRGINIA SMALL BUSINESS FING AUTH H
541300845928101AC82007-07-3155000000PURCHASE OF HOSPITALSfalsefalsefalse
SULLIVAN CNTY TENN HEALTH EDL & HSG
621256662865292DY92003-06-0159100000REFUND OF PREVIOUSLY ISSUED BONDfalsefalsefalse
SULLIVAN CNTY TENN HEALTH EDL & HSG
621256662865292DZ62005-12-1370620000REFUND OF PREVIOUSLY ISSUED BONDfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindRefunding EscrowRefundingEscrowWorking Capital ExpendituresWorkingCapitalExpenditures
20705531418977995216456818187844640343052011falsefalsefalsetrue
5565857054645901026366491676142007falsefalsetruetrue
67546371530028221843582003falsetruetruetrue60061731
719237352669582005falsetruetruetrue71529827126950

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsefalsetruetrue
falsefalsefalsefalsefalsetruetrue
falsefalsefalsefalsefalsetruetrue
falsefalsefalsefalsefalsetruetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
MERRILL LYNCH
falsefalsefalsetrue4.0truefalsefalse
(no name)
falsefalsefalsefalsefalsefalse
(no name)
falsefalsefalsefalsefalsefalse
LEHMAN BROTHERS
falsetruetruefalsefalsefalse10.8falsefalse

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierDIFFERENCES IN ISSUE PRICE EXPLANATIONIdentifier
Return ReferenceSCHEDULE KReturnReference
ExplanationSULLIVAN CNTY TENN HEALTH EDL HSG ADDITIONAL PROCEEDS ON PART II LINE 3 WERE FROM PREMIUMS ON BOND ISSUES ACCRUED INTEREST AND INITIAL RESERVE FUNDSExplanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonJOHN HOWARDNamePerson
Purpose Of LoanRELOCATION ASSISTANCEPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$31,250OriginalPrincipalAmount
Balance Due8681BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due8681TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BRISTOL ANESTHESIA SERVICES PCBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipVENDORRelationship
Amount Of Transaction141953AmountOfTransaction
Description Of TransactionANESTHESIA SERVICESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE L PART VReturnReference
ExplanationTHE TERMS OF MR HOWARDS EMPLOYMENT OFFER INCLUDING RELOCATION ALLOWANCE AND TEMPORARY HOUSING WAS APPROVED BY THE WELLMONT HEALTH SYSTEMS HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS AT ITS MEETING HELD JANUARY 27 2011 WILLIAM SMITH MD SERVES AS PRESIDENT OF BRISTOL ANESTHESIA SERVICES PC WHO PROVIDES ANESTHESIA SERVICES TO BRISTOL REGIONAL MEDICAL CENTERExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ADDITIONAL INFORMATIONFORM 990FORM 990, PART X, BALANCE SHEET CERTAIN BALANCE SHEET ACCOUNTS HAVE BEEN RECLASSIFIED FOR BETTER COMPARISON TO THE CURRENT YEAR FINANCIAL STATEMENTS.
FIRST ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4AREVENUES ASSOCIATED WITH THE PHYSICIANS AND OTHER PROVIDERS WITHIN THESE CORPORATIONS WHO PROVIDE INDISPENSIBLE SERVICES TO PATIENTS OF WELLMONT HEALTH SYSTEM. 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" OF SCHEDULE H. WELLMONT HEALTH SYSTEM 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 2012, WE PROVIDED SERVICES TO 55,613 PATIENTS IN A BED, 208,013 EMERGENCY ROOM VISITS, 236,437 OUTPATIENT REGISTRATIONS (EXCLUDING ER), 2,021 NEWBORN DELIVERIES, 23,162 SURGERIES, AND 272,672 PHYSICIAN OFFICE VISITS. WELLMONT IS A TENNESSEE NOT-FOR-PROFIT CORPORATION. SIX 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.), MOUNTAIN VIEW REGIONAL MEDICAL CENTER (NORTON, VA.) AND LEE REGIONAL MEDICAL CENTER (PENNINGTON GAP, VA.) - ARE INCLUDED IN THIS CORPORATION. BUT EVEN AS OUR SERVICE AREA SPANS MULTIPLE STATES AND OUR REVENUE IS REPORTED IN THE HUNDREDS OF MILLIONS OF DOLLARS, WE REMAIN A COMMUNITY-OWNED HEALTH SYSTEM. IT IS OUR MISSION TO DELIVER SUPERIOR HEALTH CARE WITH COMPASSION TO THE PEOPLE WE SERVE. IT IS OUR VISION TO DELIVER THE BEST HEALTH CARE ANYWHERE. CONSISTENT WITH THIS MISSION, WE HAVE WORKED TOWARD IMPROVING OUR COMMUNITY'S ACCESS TO QUALITY, AFFORDABLE HEALTH CARE, EDUCATING OUR REGION'S CAREGIVERS, IMPROVING THE HEALTH STATUS OF OUR COMMUNITIES AND CONTRIBUTING TO THE OVERALL QUALITY OF LIFE IN THE AREAS WE SERVE. OVERALL, WE RETURNED MORE THAN 44,616,485 IN BENEFITS TO OUR REGION, INCLUDING 32,960,400 OF COSTS FOR INDIGENT PATIENTS AND UNCOMPENSATED CARE FOR OTHER PATIENTS AND 11,656,085 FOR OTHER COMMUNITY ACTIVITIES OUTLINED BELOW. WELLMONT HEALTH SYSTEM 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 HEALTH SYSTEM'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. 5,714 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 HEALTH SYSTEM'S HOSPITALS TREAT ALL PATIENTS FOR MEDICALLY NECESSARY CONDITIONS. RECOGNIZING THAT SOME PATIENTS CANNOT AFFORD ESSENTIAL MEDICAL SERVICES, WELLMONT PROVIDED CARE FOR INDIGENT PATIENTS, WRITING OFF 58,085,229 OF CHARGES AND INCURRING COST OF 16,056,711. WELLMONT HEALTH SYSTEM 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 HEALTH SYSTEM'S COMMUNITY BENEFIT REPORT AS THE ABOVE AMOUNTS ARE REPORTED ON SCHEDULE H. OTHER RECENT INITIATIVES INCLUDE: 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. HOLSTON VALLEY MEDICAL CENTER PROVIDED DRUGS AND SUPPLIES AT A DIRECT COST OF 7,482 TO FRIENDS IN NEED HEALTH CLINIC. THE KINGSPORT-BASED CLINIC PROVIDES PRIMARY HEALTH CARE TO THE WORKING POOR AND THOSE WITHOUT INSURANCE COVERAGE. BRISTOL REGIONAL MEDICAL CENTER PROVIDES SUPPLIES AND OTHER VARIOUS ITEMS VALUED AT 18,220 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 WELLMONT PHYSICIANS SERVICES, A TAXABLE SUBSIDIARY OF WELLMONT HEALTH SYSTEM. THE WELLMONT FOUNDATION FUNDED THE PURCHASE OF SEVERAL HUNDRED INFANT CAR SEATS FOR NEWBORNS WHOSE FAMILIES COULDN'T AFFORD THEM. TRAINING AND EDUCATING OUR HEALTHCARE PROFESSIONALS WELLMONT HEALTH SYSTEM 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 6,262,419. RECENT INITIATIVES INCLUDE: WELLMONT HEALTH SYSTEM PROVIDED AND PARTICIPATED IN SEVERAL FORMAL TRAINING PROGRAMS FOR HEALTH PROFESSIONALS, INCLUDING EAST TENNESSEE STATE UNIVERSITY'S INTERNSHIP AND RESIDENCY PROGRAMS. OUR CONTRIBUTIONS TOTALED 1,694,573 IN SUPPORT OF THE SCHOOL'S JAMES H. QUILLEN COLLEGE OF MEDICINE RESIDENCY PROGRAM. WELLMONT HEALTH SYSTEM 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 IN WELLMONT'S MOUNTAIN REGION HOSPITALS - MOUNTAIN VIEW REGIONAL, LONESOME PINE HOSPITAL AND LEE REGIONAL MEDICAL CENTER. THE STUDENTS PERFORM SUBSPECIALTY ROTATIONS AT HOLSTON VALLEY MEDICAL CENTER AND BRISTOL REGIONAL MEDICAL CENTER AND PRIMARY CORE ROTATIONS AT HAWKINS COUNTY MEMORIAL HOSPITAL. OUR CONTRIBUTIONS TOTALED 581,419 IN SUPPORT OF THE DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE. WELLMONT HEALTH SYSTEM 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 33 SUCH PROGRAMS IN THE COUNTRY TO HELP TRAIN THE NEXT GENERATION OF SPECIALTY PHYSICIANS. OUR CONTRIBUTIONS TOTALED 479,678 IN SUPPORT OF THE LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE. WELLMONT HEALTH SYSTEM 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 HEALTH SYSTEM 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: -SOUTHWEST VIRGINIA EMS COUNCIL SYMPOSIUM; PROVIDED FREE OF CHARGE TO EMS PROVIDERS THROUGHOUT THE REGION; -ANNUAL STROKE SYMPOSIUM; OPEN TO WELLMONT HEALTH SYSTEM 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; -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 HEALTH SYSTEM 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 368,396, 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 FINDINGS AND THINKING. WELLMONT HEALTH SYSTEM A
OFFICERS WHO CANNOT BE REACHEDFORM 990, PAGE 6, PART VI, LINE 9ELIZABETH WARD (THROUGH 11/06/11)
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BWELLMONT HEALTH SYSTEM'S FORM 990 IS REVIEWED BY THREE INDIVIDUALS OF WELLMONT HEALTH SYSTEM (THE SENIOR VICE PRESIDENT OF FINANCE, THE CORPORATE CONTROLLER, AND THE MANAGER OF ACCOUNTING) AND THE BOARD OF DIRECTORS OF WELLMONT HEALTH SYSTEM. ANY QUESTIONS OR COMMENTS ARISING FROM THE INITIAL REVIEW ARE ADDRESSED TO ENSURE THE RETURN IS COMPLETE AND ACCURATE. ANY CHANGES OR CORRECTIONS ARE IDENTIFIED, REVISED IN THE RETURN, AND REVIEWED BY THE INDIVIDUALS LISTED ABOVE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12COFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY ACKNOWLEDGEMENT. ANY POTENTIAL CONFLICTS ARE DISCUSSED WITH THE COMPLIANCE AND AUDIT SERVICES DEPARTMENT AS THEY ARISE. WELLMONT HEALTH SYSTEM ALSO HAS A POLICY ON BUSINESS PRACTICES THAT DISCUSSES CONFLICT OF INTEREST AND INFORMS THE WORKFORCE TO DISCLOSE ANY ISSUES TO THE COMPLIANCE AND AUDIT SERVICES DEPARTMENT, FOR RESOLUTION. WELLMONT HEALTH SYSTEM ALSO USES A HOTLINE THAT ALLOWS ANONYMOUS REPORTING OF POSSIBLE CONFLICT OF INTEREST SITUATIONS FOR INVESTIGATION BY THE COMPLIANCE AND AUDIT SERVICES DEPARTMENT.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE COMPENSATION OF MARGARET DENARVAEZ, THE PRESIDENT AND CEO OF WELLMONT HEALTH SYSTEM IS REVIEWED, APPROVED AND DOCUMENTED BY THE WELLMONT HEALTH SYSTEM HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS. IN ADDITION, THESE BODIES USE COMPARABILITY DATA TO DETERMINE THE APPROPRIATE COMPENSATION. ALL COMPENSATION DELIBERATIONS AND REVIEWS ARE CONTEMPORANEOUSLY DOCUMENTED. THE LAST COMPENSATION DELIBERATION AND REVIEW PROCESS FOR MARGARET DENARVAEZ WAS COMPLETED MARCH 15, 2011.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES OF WELLMONT HEALTH SYSTEM ARE REVIEWED, APPROVED AND DOCUMENTED BY THE WELLMONT HEALTH SYSTEM HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS. OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION HAVE WRITTEN EMPLOYMENT CONTRACTS, AND COMPENSATION IS BASED ON SURVEYS/STUDIES AND THEN APPROVED BY THE WELLMONT HEALTH SYSTEM CEO. IN ADDITION, THESE BODIES USE COMPARABILITY DATA TO DETERMINE THE APPROPRIATE COMPENSATION. ALL COMPENSATION DELIBERATIONS AND REVIEWS ARE CONTEMPORANEOUSLY DOCUMENTED. THIS PROCESS IN COMPLETED ON AN ANNUAL BASIS. THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS REVIEWED THE SALARY AND MARKET COMPENSATION DATA FOR THE FOLLOWING OTHER OFFICERS AND KEY EMPLOYEES ON NOVEMBER 17, 2011. WELLMONT HEALTH SYSTEM SR. VP OF OPERATIONS - TRACEY P. MOFFAT WELLMONT MEDICAL ASSOCIATES PRESIDENT AND CEO - JOHN HOWARD WELLMONT HEALTH SYSTEM SR. VP OF HUMAN RESOURCES - HAMLIN J. WILSON WELLMONT HEALTH SYSTEM SR. VP OF SYSTEM ADVANCEMENT - LOWELL TODD NORRIS BRISTOL REGIONAL MEDICAL CENTER PRESIDENT - BARTHOLOMEW A. HOVE HOLSTON VALLEY MEDICAL CENTER PRESIDENT - VIRGINIA FRANK REGIONAL VP VIRGINIA DIVISION - DAVID L. BRASH THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS REVIEWED THE SALARY AND MARKET COMPENSATION DATA FOR ELIZABETH WARD, WELLMONT HEALTH SYSTEM EXECUTIVE VP AND CFO, ON MARCH 15, 2011. WELLMONT HEALTH SYSTEM USES ONE OR MORE OF THE METHODS DESCRIBED TO ESTABLISH THE COMPENSATION OF THE FOLLOWING OTHER OFFICERS AND KEY EMPLOYEES. WELLMONT HEALTH SYSTEM SR. VP OF FINANCE - ALICE POPE WELLMONT HEALTH SYSTEM SR. VP OF FINANCE - TODD J. DOUGAN WELLMONT HEALTH SYSTEM CHIEF INFORMATION OFFICER - KENT PETTY WELLMONT COMMUNITY HOSPITAL DIVISION PRESIDENT AND CEO - GREG NEAL
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19WELLMONT HEALTH SYSTEM'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT AVAILABLE TO THE PUBLIC. WELLMONT HEALTH SYSTEM'S AUDITED FINANCIAL STATEMENTS AND QUARTERLY UNAUDITED FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE.
GROUP RETURN METHODFORM 990, PAGE 7, PART VIIPARENT ORGANIZATION HAS FILED A CONSOLIDATED RETURN
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5INTERCOMPANY RESOLUTION ( 8,407,816) WPS ALLOCATION (14,148,022) CHANGE IN PENSION LIABILITY (10,494,687) UNREALIZED LOSS ON INVESTMENTS ( 8,166,903) UNREALIZED GAIN ON SWAP 1,806,676 JOINT VENTURES BEGINNING BALANCES 3,754,366 NONCONTROLLING INTERESTS ( 1,604,330) ----------- TOTAL CHANGES (37,260,716) ===========

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1WELLMONT HEALTH MANAGEMENTBusinessNameLine1
Business Name Line2SERVICES LLCBusinessNameLine2

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11905 AMERICAN WAYAddressLine1
CityKINGSPORTCity
StateTNState
ZIP Code37660ZIPCode
FieldValueIRS element (for citing)
EIN621825259EIN
Primary ActivitiesHEALTHCAREPrimaryActivities
Legal Domicile StateTNLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WHSBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
WELLMONT HAWKINS CO MEMORIAL HOSPI
1905 AMERICAN WAYKINGSPORTTN37660621816368HEALTHCARETN501C33NAtrue
WELLMONT MADISON HOUSE
1905 AMERICAN WAYKINGSPORTTN37660621308216HEALTHCARETN501C39WHStrue
WELLMONT FOUNDATION
1905 AMERICAN WAYKINGSPORTTN37660581594191HEALTHCARETN501C37WHStrue
TAKOMA REGIONAL HOSPITAL
401 TAKOMA AVEGREENVILLETN37734510603966HEALTHCARETN501C33WHStrue
WELLMONT CARDIOLOGY SERVICES
1905 AMERICAN WAYKINGSPORTTN37660263557623HEALTHCARETN501C33WHStrue
WELLMONT IMAGING SERVICES INC
1905 AMERICAN WAYKINGSPORTTN37660861103148HEALTHCARETN501C311AWHStrue
WELLMONT MEDICAL ASSOCIATES
1905 AMERICAN WAYKINGSPORTTN37660270898372HEALTHCARETN501C33WHStrue
WELLMONT SLEEP SERVICES
1906 AMERICAN WAYKINGSPORTTN37660HEALTHCARETN501C33WHStrue

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Business Name Line2DirectControllingEntityName/BusinessNameLine2Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipBusiness Name Line2NameOfRelatedOrg/BusinessNameLine2Share Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssets
HOLSTON VALLEY IMAGING CENTER
103 WEST STONE DRIVEKINGSPORTTN37660TNWHSIMAGINGRELATEDfalsefalse0.75000
SAPLING GROVE AMBULATORY
220 MEDICAL PARK BOULEVARDBRISTOLTN37620TNWHSRELATEDfalsefalse0.65000SURGERY8924734426500
HOLSTON VALLEY AMBULATORY
103 WEST STONE DRIVEKINGSPORTTN37660TNWHSRELATEDfalsefalse0.52000SURGERY12890561628206
HOLSTON VALLEY IMAGING CENTER
103 WEST STONE DRIVEKINGSPORTTN37660TNWHSIMAGINGRELATEDfalsefalse0.75000
SAPLING GROVE AMBULATORY
220 MEDICAL PARK BOULEVARDBRISTOLTN37620TNWHSRELATEDfalsefalse0.65000SURGERY8924734426500
HOLSTON VALLEY AMBULATORY
103 WEST STONE DRIVEKINGSPORTTN37660TNWHSRELATEDfalsefalse0.52000SURGERY12890561628206

Form990 Schedule R Part IV Form990ScheduleRPartIV (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipDirect Controlling Entity NADirectControllingEntityNABusiness Name Line2NameOfRelatedOrg/BusinessNameLine2
WELLMONT INC
1905 AMERICAN WAYKINGSPORTTN37660621320035PHYS. SVCSTNWHSC CORP-25048913-844870251.00000
MCOT INC
1905 AMERICAN WAYKINGSPORTTN37660621325938MED. SVCS.TNN/A
MEDICAL LAUNDRY OF TRI-CITIES
1905 AMERICAN WAYKINGSPORTTN37660621482226MED. SVCS.TNN/AMEDICAL LAUNDRY OF TRI-CITIES
MEDICAL MALL PHARMACY INC
1905 AMERICAN WAYKINGSPORTTN37660621565006MED. SVCS.TNN/A
WELLMONT PHYSICIAN SERVICES
1905 AMERICAN WAYKINGSPORTTN37660621567353PHYS. SVCSTNN/AWELLMONT PHYSICIAN SERVICES
WELLMONT HEALTH SERVICES INC
1905 AMERICAN WAYKINGSPORTTN37660621254373HEALTHCARETNN/A
WPS PROVIDERS INC
1905 AMERICAN WAYKINGSPORTTN37660205564642PHYS. SVCSTNN/A
WELLMONT INC
1905 AMERICAN WAYKINGSPORTTN37660621320035PHYS. SVCSTNWHSC CORP-25048913-844870251.00000
MCOT INC
1905 AMERICAN WAYKINGSPORTTN37660621325938MED. SVCS.TNN/A
MEDICAL LAUNDRY OF TRI-CITIES
1905 AMERICAN WAYKINGSPORTTN37660621482226MED. SVCS.TNN/AMEDICAL LAUNDRY OF TRI-CITIES
MEDICAL MALL PHARMACY INC
1905 AMERICAN WAYKINGSPORTTN37660621565006MED. SVCS.TNN/A
WELLMONT PHYSICIAN SERVICES
1905 AMERICAN WAYKINGSPORTTN37660621567353PHYS. SVCSTNN/AWELLMONT PHYSICIAN SERVICES
WELLMONT HEALTH SERVICES INC
1905 AMERICAN WAYKINGSPORTTN37660621254373HEALTHCARETNN/A
WPS PROVIDERS INC
1905 AMERICAN WAYKINGSPORTTN37660205564642PHYS. SVCSTNN/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (125 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HOLSTON VALLEY AMBULATORY SURGERY C
I879962LEASE AGREEMENT
HOLSTON VALLEY IMAGING CENTER INC
I861591LEASE AGREEMENT
HOLSTON VALLEY IMAGING CENTER INC
P483077COST MAINT CONTRACTS
MCOT INC
L1898158COLLECTION AGREEMENT
MEDICAL LAUNDRY OF TRI-CITIES INC
I92750LEASE AGREEMENT
MEDICAL LAUNDRY OF TRI-CITIES INC
L2071808FMV
SAPLING GROVE AMBULATORY SURGE
R572650DISTRIBUTION
WELLMONT CARDIOLOGY SERVICES
K2938893SERVICE AGREEMENT
WELLMONT FOUNDATION
C4698427NEED
WELLMONT HAWKINS COUNTY MEMORIAL HO
B376107CAPITAL CONTRIBUTIONS
WELLMONT HAWKINS COUNTY MEMORIAL HO
I196914LEASE AGREEMENT
WELLMONT HAWKINS COUNTY MEMORIAL HO
K3605705SUPPORT SERVICES
WELLMONT MADISON HOUSE
B89472CAPITAL CONTRIBUTIONS
WELLMONT PHYSICIAN SERVICES INC
I1104444LEASE AGREEMENT
WELLMONT PHYSICIAN SERVICES INC
L131533SERVICE AGREEMENT
WELLMONT FOUNDATION
B93647NEED
WELLMONT MEDICAL ASSOCIATES
L547832SERVICE AGREEMENT
WELLMONT CARDIOLOGY SERVICES
B11268808CAPITAL CONTRIBUTIONS
WELLMONT CARDIOLOGY SERVICES
L456447MANAGEMENT AGREEMENT
HOLSTON VALLEY AMBULATORY SURGERY C
R1031680DISTRIBUTION
HOLSTON VALLEY IMAGING CENTER INC
P244921COST ISSUES
HOLSTON VALLEY IMAGING CENTER INC
P108367COST INVOICES
HOLSTON VALLEY IMAGING CENTER INC
P771746MANAGEMENT AGREEMENT
WELLMONT MEDICAL ASSOCIATES
J45201LEASE AGREEMENT
WELLMONT MEDICAL ASSOCIATES
I153077LEASE AGREEMENT
HOLSTON VALLEY AMBULATORY SURGERY C
I879962LEASE AGREEMENT
HOLSTON VALLEY IMAGING CENTER INC
I861591LEASE AGREEMENT
HOLSTON VALLEY IMAGING CENTER INC
P483077COST MAINT CONTRACTS
MCOT INC
L1898158COLLECTION AGREEMENT
MEDICAL LAUNDRY OF TRI-CITIES INC
I92750LEASE AGREEMENT
MEDICAL LAUNDRY OF TRI-CITIES INC
L2071808FMV
SAPLING GROVE AMBULATORY SURGE
R572650DISTRIBUTION
WELLMONT CARDIOLOGY SERVICES
K2938893SERVICE AGREEMENT
WELLMONT FOUNDATION
C4698427NEED
WELLMONT HAWKINS COUNTY MEMORIAL HO
B376107CAPITAL CONTRIBUTIONS
WELLMONT HAWKINS COUNTY MEMORIAL HO
I196914LEASE AGREEMENT
WELLMONT HAWKINS COUNTY MEMORIAL HO
K3605705SUPPORT SERVICES
WELLMONT MADISON HOUSE
B89472CAPITAL CONTRIBUTIONS
WELLMONT PHYSICIAN SERVICES INC
I1104444LEASE AGREEMENT
WELLMONT PHYSICIAN SERVICES INC
L131533SERVICE AGREEMENT
WELLMONT FOUNDATION
B93647NEED
WELLMONT MEDICAL ASSOCIATES
L547832SERVICE AGREEMENT
WELLMONT CARDIOLOGY SERVICES
B11268808CAPITAL CONTRIBUTIONS
WELLMONT CARDIOLOGY SERVICES
L456447MANAGEMENT AGREEMENT
HOLSTON VALLEY AMBULATORY SURGERY C
R1031680DISTRIBUTION
HOLSTON VALLEY IMAGING CENTER INC
P244921COST ISSUES
HOLSTON VALLEY IMAGING CENTER INC
P108367COST INVOICES
HOLSTON VALLEY IMAGING CENTER INC
P771746MANAGEMENT AGREEMENT
WELLMONT MEDICAL ASSOCIATES
J45201LEASE AGREEMENT
WELLMONT MEDICAL ASSOCIATES
I153077LEASE AGREEMENT
HOLSTON VALLEY AMBULATORY SURGERY C
I879962LEASE AGREEMENT
HOLSTON VALLEY IMAGING CENTER INC
I861591LEASE AGREEMENT
HOLSTON VALLEY IMAGING CENTER INC
P483077COST MAINT CONTRACTS
MCOT INC
L1898158COLLECTION AGREEMENT
MEDICAL LAUNDRY OF TRI-CITIES INC
I92750LEASE AGREEMENT
MEDICAL LAUNDRY OF TRI-CITIES INC
L2071808FMV
SAPLING GROVE AMBULATORY SURGE
R572650DISTRIBUTION
WELLMONT CARDIOLOGY SERVICES
K2938893SERVICE AGREEMENT
WELLMONT FOUNDATION
C4698427NEED
WELLMONT HAWKINS COUNTY MEMORIAL HO
B376107CAPITAL CONTRIBUTIONS
WELLMONT HAWKINS COUNTY MEMORIAL HO
I196914LEASE AGREEMENT
WELLMONT HAWKINS COUNTY MEMORIAL HO
K3605705SUPPORT SERVICES
WELLMONT MADISON HOUSE
B89472CAPITAL CONTRIBUTIONS
WELLMONT PHYSICIAN SERVICES INC
I1104444LEASE AGREEMENT
WELLMONT PHYSICIAN SERVICES INC
L131533SERVICE AGREEMENT
WELLMONT FOUNDATION
B93647NEED
WELLMONT MEDICAL ASSOCIATES
L547832SERVICE AGREEMENT
WELLMONT CARDIOLOGY SERVICES
B11268808CAPITAL CONTRIBUTIONS
WELLMONT CARDIOLOGY SERVICES
L456447MANAGEMENT AGREEMENT
HOLSTON VALLEY AMBULATORY SURGERY C
R1031680DISTRIBUTION
HOLSTON VALLEY IMAGING CENTER INC
P244921COST ISSUES
HOLSTON VALLEY IMAGING CENTER INC
P108367COST INVOICES
HOLSTON VALLEY IMAGING CENTER INC
P771746MANAGEMENT AGREEMENT
WELLMONT MEDICAL ASSOCIATES
J45201LEASE AGREEMENT
WELLMONT MEDICAL ASSOCIATES
I153077LEASE AGREEMENT
HOLSTON VALLEY AMBULATORY SURGERY C
I879962LEASE AGREEMENT
HOLSTON VALLEY IMAGING CENTER INC
I861591LEASE AGREEMENT
HOLSTON VALLEY IMAGING CENTER INC
P483077COST MAINT CONTRACTS
MCOT INC
L1898158COLLECTION AGREEMENT
MEDICAL LAUNDRY OF TRI-CITIES INC
I92750LEASE AGREEMENT
MEDICAL LAUNDRY OF TRI-CITIES INC
L2071808FMV
SAPLING GROVE AMBULATORY SURGE
R572650DISTRIBUTION
WELLMONT CARDIOLOGY SERVICES
K2938893SERVICE AGREEMENT
WELLMONT FOUNDATION
C4698427NEED
WELLMONT HAWKINS COUNTY MEMORIAL HO
B376107CAPITAL CONTRIBUTIONS
WELLMONT HAWKINS COUNTY MEMORIAL HO
I196914LEASE AGREEMENT
WELLMONT HAWKINS COUNTY MEMORIAL HO
K3605705SUPPORT SERVICES
WELLMONT MADISON HOUSE
B89472CAPITAL CONTRIBUTIONS
WELLMONT PHYSICIAN SERVICES INC
I1104444LEASE AGREEMENT
WELLMONT PHYSICIAN SERVICES INC
L131533SERVICE AGREEMENT
WELLMONT FOUNDATION
B93647NEED
WELLMONT MEDICAL ASSOCIATES
L547832SERVICE AGREEMENT
WELLMONT CARDIOLOGY SERVICES
B11268808CAPITAL CONTRIBUTIONS
WELLMONT CARDIOLOGY SERVICES
L456447MANAGEMENT AGREEMENT
HOLSTON VALLEY AMBULATORY SURGERY C
R1031680DISTRIBUTION
HOLSTON VALLEY IMAGING CENTER INC
P244921COST ISSUES
HOLSTON VALLEY IMAGING CENTER INC
P108367COST INVOICES
HOLSTON VALLEY IMAGING CENTER INC
P771746MANAGEMENT AGREEMENT
WELLMONT MEDICAL ASSOCIATES
J45201LEASE AGREEMENT
WELLMONT MEDICAL ASSOCIATES
I153077LEASE AGREEMENT
HOLSTON VALLEY AMBULATORY SURGERY C
I879962LEASE AGREEMENT
HOLSTON VALLEY IMAGING CENTER INC
I861591LEASE AGREEMENT
HOLSTON VALLEY IMAGING CENTER INC
P483077COST MAINT CONTRACTS
MCOT INC
L1898158COLLECTION AGREEMENT
MEDICAL LAUNDRY OF TRI-CITIES INC
I92750LEASE AGREEMENT
MEDICAL LAUNDRY OF TRI-CITIES INC
L2071808FMV
SAPLING GROVE AMBULATORY SURGE
R572650DISTRIBUTION
WELLMONT CARDIOLOGY SERVICES
K2938893SERVICE AGREEMENT
WELLMONT FOUNDATION
C4698427NEED
WELLMONT HAWKINS COUNTY MEMORIAL HO
B376107CAPITAL CONTRIBUTIONS
WELLMONT HAWKINS COUNTY MEMORIAL HO
I196914LEASE AGREEMENT
WELLMONT HAWKINS COUNTY MEMORIAL HO
K3605705SUPPORT SERVICES
WELLMONT MADISON HOUSE
B89472CAPITAL CONTRIBUTIONS
WELLMONT PHYSICIAN SERVICES INC
I1104444LEASE AGREEMENT
WELLMONT PHYSICIAN SERVICES INC
L131533SERVICE AGREEMENT
WELLMONT FOUNDATION
B93647NEED
WELLMONT MEDICAL ASSOCIATES
L547832SERVICE AGREEMENT
WELLMONT CARDIOLOGY SERVICES
B11268808CAPITAL CONTRIBUTIONS
WELLMONT CARDIOLOGY SERVICES
L456447MANAGEMENT AGREEMENT
HOLSTON VALLEY AMBULATORY SURGERY C
R1031680DISTRIBUTION
HOLSTON VALLEY IMAGING CENTER INC
P244921COST ISSUES
HOLSTON VALLEY IMAGING CENTER INC
P108367COST INVOICES
HOLSTON VALLEY IMAGING CENTER INC
P771746MANAGEMENT AGREEMENT
WELLMONT MEDICAL ASSOCIATES
J45201LEASE AGREEMENT
WELLMONT MEDICAL ASSOCIATES
I153077LEASE AGREEMENT