WELLMONT HEALTH SYSTEM: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- WELLMONT HEALTH SYSTEM (EIN 62-1636465)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-22
- IRS object ID
- 201231439349300108
- Schema version
- 2010v3.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-22T09:21:48-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621636465 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WELLMONT HEALTH SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WELL | NameControl |
| Phone | 4232308200 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1905 AMERICAN WAY | AddressLine1 |
| City | KINGSPORT | City |
| State | TN | State |
| ZIP Code | 37660 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TODD J DOUGAN | Name |
| Title | SR. VP OF FINANCE | Title |
| Phone | 4232308200 | Phone |
| Date Signed | 2012-05-22 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Date Prepared | 2012-05-22 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | TODD J DOUGAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1905 AMERICAN WAY | AddressLine1 |
| City | KINGSPORT | City |
| State | TN | State |
| ZIP Code | 37660 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 851785997 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.WELLMONT.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1996 | YearFormation |
| State Legal Domicile | TN | StateLegalDomicile |
| Activity Or Mission Description | WE DELIVER SUPERIOR HEALTH CARE WITH COMPASSION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 5470 | TotalNbrEmployees |
| Total Nbr Volunteers | 793 | TotalNbrVolunteers |
| Total Gross UBI | 151530 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -3190 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2385595 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3106229 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 601472119 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 651047190 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 7814832 | InvestmentIncomePriorYear |
| Investment Income Current Year | 9545103 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 10322525 | OtherRevenuePriorYear |
| Other Revenue Current Year | 9646203 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 621995071 | TotalRevenuePriorYear |
| Total Revenue Current Year | 673344725 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1065798 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 697055 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 249808413 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 254579570 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 337180801 | OtherExpensePriorYear |
| Other Expenses Current Year | 387366874 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 588055012 | TotalExpensesPriorYear |
| Total Expenses Current Year | 642643499 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 33940059 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 30701226 | RevenuesLessExpensesCY |
| Total Assets BOY | 906473724 | TotalAssetsBOY |
| Total Assets EOY | 939337117 | TotalAssetsEOY |
| Total Liabilities BOY | 609622506 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 576621565 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 296851218 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 362715552 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | WE DELIVER SUPERIOR HEALTH CARE WITH COMPASSION. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 617478652 | Expense |
| Grants | 697055 | Grants |
| Revenue | 651047190 | Revenue |
| Description | 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 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. JIK 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 2011, WE PROVIDED SERVICES TO 52,309 PATIENTS IN A BED, 189,463 EMERGENCY ROOM VISITS, 214,864 OUTPATIENT REGISTRATIONS (EXCLUDING ER), 2,056 NEWBORN DELIVERIES, 23,151 SURGERIES, AND 250,103 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 45,246,909 IN BENEFITS TO OUR REGION, INCLUDING 33,581,368 OF COSTS FOR INDIGENT PATIENTS AND UNCOMPENSATED CARE FOR OTHER PATIENTS AND 11,665,541 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. 5,439 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 33,747,861 OF CHARGES AND INCURRING COST OF 10,025,120. 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 FINANCIAL SUPPORT OF 289,334 TO FRIENDS IN NEED WHICH INCLUDED CASH CONTRIBUTIONS TOTALING 150,000 AND DRUGS AND SUPPLIES AT A DIRECT COST OF 139,334. THE KINGSPORT-BASED CLINIC PROVIDES PRIMARY HEALTH CARE TO THE WORKING POOR AND THOSE WITHOUT INSURANCE COVERAGE. BRISTOL REGIONAL MEDICAL CENTER RECRUITED DR. DAVE ARNOLD TO SERVE AS MEDICAL DIRECTOR OF HEALING HANDS HEALTH CENTER IN BRISTOL, TENN. DR. ARNOLD'S SALARY AND BENEFITS ARE PAID BY WELLMONT PHYSICIAN SERVICES, A TAXABLE SUBSIDIARY OF WELLMONT HEALTH SYSTEM. BRISTOL REGIONAL PROVIDES SUPPLIES AND OTHER VARIOUS ITEMS VALUED AT 15,749 FOR THE HEALTH CENTER, WHICH PROVIDES QUALITY HEALTH CARE TO THE WORKING POOR. 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 5,330,059. 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 4,949,763 IN SUPPORT OF THE SCHOOL'S JAMES H. QUILLEN COLLEGE OF MEDICINE RESIDENCY PROGRAM. ADDITIONALLY, OUR HOSPITALS PROVIDE TRAINING FOR 50 PERCENT OF THE PHYSICIAN RESIDENTS IN THIS 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. WELLMONT HEALTH SYSTEM AND LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE AGAIN PARTNERED IN 2011 TO CREATE 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. CLINICIANS AT WELLMONT'S BRISTOL REGIONAL MEDICAL CENTER CAN NOW ENHANCE THEIR SKILLS IN A STATE-OF-THE-ART SIMULATION LABORATORY. ESTABLISHED IN PARTNERSHIP WITH EAST TENNESSEE STATE UNIVERSITY, THE LAB SIMULATES REAL-LIFE PATIENT CARE SITUATIONS USING A SPECIALLY DESIGNED MANNEQUIN THAT FEATURES A LIFELIKE HEARTBEAT, BREATHING SOUNDS AND A PULSE. WELLMONT HEALTH SYSTEM HAS EXERTED 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. THE COST OF IMPLEMENTATION OF THE ELECTRONIC HEALTH RECORD IN 2011 WAS 2,410,854, IN ADDITION TO SIGNIFICANT TRAINING AND EDUCATION FOR STAFF, AT A DIRECT COST OF 133,049. WELLMONT HEALTH SYSTEM HAS PUBLICLY SUPPORTED THE IDEA OF A MEDICAL SCHOOL AT KING COLLEGE TO PROVIDE ADDITIONAL PHYSICIANS TO OUR REGION. WELLMONT HEALTH SYSTEM HAS MADE AVAILABLE CONTINUING | Description |
| Total Program Service Expense | 617478652 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 392 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 5470 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | TN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | TODD J DOUGAN | NamePerson |
| Telephone Number | 4232308512 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1905 AMERICAN WAY | AddressLine1 |
| City | KINGSPORT | City |
| State | TN | State |
| ZIP Code | 37660 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (39 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| ROBERT F BURGIN - THROUGH 073110 | ||||||||
| INT. PRES. & | 40.00 | X | X | 398362 | 0 | 0 | ||
| DAVID THOMPSON MD | ||||||||
| BOARD MEMBER | 40.00 | X | 339447 | 0 | 8701 | |||
| PIERRE ISTFAN MD | ||||||||
| BOARD MEMBER | 40.00 | X | 322540 | 0 | 23654 | |||
| JULIE P BENNETT | ||||||||
| SECRETARY | 6.00 | X | X | 0 | 0 | 0 | ||
| MARVIN CAMERON | ||||||||
| EX-OFFICIO B | 6.00 | X | 0 | 0 | 0 | |||
| DAVE CROCKETT | ||||||||
| CHAIRMAN | 6.00 | X | X | 0 | 0 | 0 | ||
| WAYNE J KENNEDY | ||||||||
| EX-OFFICIO B | 6.00 | X | 0 | 0 | 0 | |||
| E WAYNE KIRK | ||||||||
| TREASURER | 6.00 | X | X | 0 | 0 | 0 | ||
| RAVEN KRICKBAUM | ||||||||
| BOARD MEMBER | 6.00 | X | 0 | 0 | 0 | |||
| ROGER L LEONARD | ||||||||
| BOARD MEMBER | 6.00 | X | 0 | 0 | 0 | |||
| ROGER K MOWEN | ||||||||
| BOARD MEMBER | 6.00 | X | 0 | 0 | 0 | |||
| THOMAS F PUGH MD | ||||||||
| BOARD MEMBER | 6.00 | X | 0 | 0 | 0 | |||
| T ARTHUR BUDDY SCOTT JR | ||||||||
| VICE CHAIRMA | 6.00 | X | X | 0 | 0 | 0 | ||
| GLEN SKIP SKINNER | ||||||||
| BOARD MEMBER | 6.00 | X | 0 | 0 | 0 | |||
| DOUGLAS J SPRINGER MD | ||||||||
| BOARD MEMBER | 6.00 | X | 0 | 0 | 0 | |||
| JOHN WILLIAMS | ||||||||
| BOARD MEMBER | 6.00 | X | 0 | 0 | 0 | |||
| MARGARET DENARVAEZ-080110-PRESENT | ||||||||
| PRESIDENT & | 40.00 | X | 758395 | 0 | 1602 | |||
| ELIZABETH WARD | ||||||||
| EXECUTIVE VP | 40.00 | X | 576536 | 0 | 7876 | |||
| J DALE SARGENT MD-THROUGH 2611 | ||||||||
| CHIEF MED. O | 40.00 | X | 347647 | 0 | 25077 | |||
| MICHAEL BUNDY - THROUGH 4811 | ||||||||
| SR. VP-OPERA | 40.00 | X | 303798 | 0 | 25746 | |||
| GARY D MILLER - THROUGH 122010 | ||||||||
| SR. VP-GEN C | 40.00 | X | 293006 | 0 | 25218 | |||
| HAMLIN J WILSON | ||||||||
| SR. VP-HUMAN | 40.00 | X | 292529 | 0 | 20888 | |||
| ALICE POPE | ||||||||
| SR. VP-FINAN | 40.00 | X | 261151 | 0 | 23307 | |||
| PATRICK KANE - THROUGH 63011 | ||||||||
| SR. VP-MARKE | 40.00 | X | 260199 | 0 | 23018 | |||
| TODD J DOUGAN | ||||||||
| SR. VP-FINAN | 40.00 | X | 235448 | 0 | 22359 | |||
| KENT PETTY - 3110 TO PRESENT | ||||||||
| CHIEF INFORM | 40.00 | X | 183432 | 0 | 8242 | |||
| VIRGINIA FRANK - 9710 TO PRESENT | ||||||||
| PRESIDENT-HV | 40.00 | X | 117388 | 0 | 1595 | |||
| TRACEY P MOFFATT-4911 TO PRESENT | ||||||||
| SR. VP-OPERA | 40.00 | X | 0 | 0 | 0 | |||
| JOHN HOWARD - 040111-PRESENT | ||||||||
| WPS PRES&GEN | 40.00 | X | 0 | 0 | 0 | |||
| BARTHOLEMEW A HOVE | ||||||||
| PRESIDENT-BR | 40.00 | 407011 | 0 | 31190 | X | |||
| RON PREWITT | ||||||||
| PRESIDENT-LR | 40.00 | 308032 | 0 | 22028 | X | |||
| DAVID L BRASH | ||||||||
| REGIONAL VP- | 40.00 | 292505 | 0 | 26276 | X | |||
| FRED PELLE | ||||||||
| PRESIDENT-HC | 2.00 | 246426 | 0 | 22843 | X | |||
| BLAINE DOUGLAS - THROUGH 7910 | ||||||||
| PRESIDENT-HV | 40.00 | 187071 | 0 | 15700 | X | |||
| JORGE LODEIRO MD | ||||||||
| 40.00 | 868851 | 0 | 45233 | X | ||||
| EDWIN A MCELROY MD | ||||||||
| 40.00 | 751291 | 0 | 40350 | X | ||||
| ROBERT HARRIS MD-THROUGH 103110 | ||||||||
| 40.00 | 693896 | 0 | 7755 | X | ||||
| MALCOLM R MATTHEWS MD-TO 5311 | ||||||||
| 40.00 | 658009 | 0 | 40434 | X | ||||
| MARCO DASILVA MD | ||||||||
| 40.00 | 648596 | 0 | 40711 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 9751566 | TotalReportableCompFromOrg |
| Total Other Compensation | 509803 | TotalOtherCompensation |
| Number Individuals GT100 K | 226 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SPECTRUM LABORATORY | |||||
| 4380 FEDERAL DRIVE | GREENSBORO | NC | 27410 | LAB SERVICES | 13180693 |
| ROBINS & MORTON GROUP | |||||
| 5500 MARYLAND WAY SUITE 100 | BRENTWOOD | TN | 37027 | CONTRACTING | 10000943 |
| HOLSTON ANESTHESIA ASSOCIATION | |||||
| 135 W RAVINE STREET | KINGSPORT | TN | 37662 | MEDICAL SERVICE | 7468099 |
| HIGHLANDS PATHOLOGY CONSULTANTS SPC | |||||
| 10368 WALLACE ALLEY 18 | KINGSPORT | TN | 37663 | MEDICAL SERVICE | 1934507 |
| EMERGENCY COVERAGE CORP | |||||
| PO BOX 634850 | CINCINNATI | OH | 45263 | PHYSICIAN SERVI | 1545498 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 51 | NumberOfContractorsGT100K |
| Related Organizations | 2892953 | RelatedOrganizations |
| Government Grants | 209350 | GovernmentGrants |
| All Other Contributions | 3926 | AllOtherContributions |
| Total Contributions | 3106229 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 621990 | 451576370 | 451576370 |
| PHARMACY REVENUE | 621990 | 186556496 | 186556496 |
| BLOOD REVENUE | 621990 | 12076273 | 12076273 |
| ADMINISTRATIVE REVENUE | 561000 | 838051 | 838051 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 651047190 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7765025 | TotalRevenueColumn |
| Exclusion | $7,765,025 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 6553454 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2346555 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 4206899 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4206899 | TotalRevenueColumn |
| Exclusion | $4,206,899 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 157265095 | Securities |
| Other | 20609700 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 156173958 | Securities |
| Other | 19920759 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1091137 | Securities |
| Other | 688941 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1780078 | TotalRevenueColumn |
| Exclusion | $1,780,078 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA VENDING | 722210 | 2954366 | $2,954,366 |
| MISCELLANEOUS REVENUE | 900099 | 1825279 | $1,825,279 |
| GIFT SHOP REVENUE | 453220 | 508129 | $508,129 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 151530 | TotalRevenueColumn |
| Unrelated Business Revenue | 151530 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 5439304 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 673344725 | TotalRevenueColumn |
| Related Or Exempt Function Income | 651047190 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 151530 | UnrelatedBusinessRevenue |
| Exclusion | $19,039,776 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 697055 | Total |
| Program Services | 697055 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6421728 | Total |
| Management And General | 6421728 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 189475107 | Total |
| Program Services | 188924404 | ProgramServices |
| Management And General | 550703 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8496802 | Total |
| Program Services | 7815138 | ProgramServices |
| Management And General | 681664 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35675815 | Total |
| Program Services | 35407720 | ProgramServices |
| Management And General | 268095 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14510118 | Total |
| Program Services | 14051779 | ProgramServices |
| Management And General | 458339 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 238200 | Total |
| Program Services | 238200 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1156956 | Total |
| Program Services | 1059350 | ProgramServices |
| Management And General | 97606 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 807349 | Total |
| Program Services | 787001 | ProgramServices |
| Management And General | 20348 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 143581 | Total |
| Program Services | 143581 | ProgramServices |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 274817 | Total |
| Program Services | 274817 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 108446465 | Total |
| Program Services | 98108578 | ProgramServices |
| Management And General | 10337887 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1000994 | Total |
| Program Services | 592665 | ProgramServices |
| Management And General | 408329 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 139711020 | Total |
| Program Services | 138276733 | ProgramServices |
| Management And General | 1434287 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8371446 | Total |
| Program Services | 8361712 | ProgramServices |
| Management And General | 9734 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21945311 | Total |
| Program Services | 21898751 | ProgramServices |
| Management And General | 46560 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1384659 | Total |
| Program Services | 1146017 | ProgramServices |
| Management And General | 238642 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32596 | Total |
| Program Services | 30356 | ProgramServices |
| Management And General | 2240 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20142495 | Total |
| Program Services | 20136901 | ProgramServices |
| Management And General | 5594 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41535435 | Total |
| Program Services | 40039838 | ProgramServices |
| Management And General | 1495597 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4016007 | Total |
| Program Services | 4016007 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR BAD DEBTS | 33729806 | 33705914 | 23892 |
| PHYSICIAN RECRUITMENT | 2330326 | 413222 | 1917104 |
| MISC EXPENSE | 1012708 | 777599 | 235109 |
| DUES AND MEMBERSHIPS | 724101 | 241397 | 482704 |
| BOOKS AND PUBLICATIONS | 362602 | 333917 | 28685 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 642643499 | Total |
| Program Services | 617478652 | ProgramServices |
| Management And General | 25164847 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19280 | BOY |
| EOY | 17919 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28821001 | BOY |
| EOY | 29872126 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97840693 | BOY |
| EOY | 100500580 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 29514 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14706814 | BOY |
| EOY | 15064889 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6425709 | BOY |
| EOY | 6525891 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 886796805 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 454343156 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 425483782 | BOY |
| EOY | 432453649 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 303622399 | BOY |
| EOY | 321289188 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20120565 | BOY |
| EOY | 18988817 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4778521 | BOY |
| EOY | 8745924 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4654960 | BOY |
| EOY | 5848620 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 906473724 | BOY |
| EOY | 939337117 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59772029 | BOY |
| EOY | 52916367 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 430070000 | BOY |
| EOY | 438747592 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119780477 | BOY |
| EOY | 84957606 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 609622506 | BOY |
| EOY | 576621565 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 296851218 | BOY |
| EOY | 362715552 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 296851218 | BOY |
| EOY | 362715552 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 906473724 | BOY |
| EOY | 939337117 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 30701226 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 35163108 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Form1120 Pol Filed | false | Form1120PolFiled |
Total Direct Lobbying TotalDirectLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 143581 | FilingOrganizationsTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 143581 | FilingOrganizationsTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 642499918 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 642643499 | FilingOrganizationsTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 1000000 | FilingOrganizationsTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 250000 | FilingOrganizationsTotals |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed | false | Form4720Filed |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 1000000 | CurrentYearMinus3 |
| Current Year Minus2 | 1000000 | CurrentYearMinus2 |
| Current Year Minus1 | 1000000 | CurrentYearMinus1 |
| Current Year | 1000000 | CurrentYear |
| Total | 4000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 91230 | CurrentYearMinus3 |
| Current Year Minus2 | 68925 | CurrentYearMinus2 |
| Current Year Minus1 | 96271 | CurrentYearMinus1 |
| Current Year | 143581 | CurrentYear |
| Total | 400007 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 250000 | CurrentYearMinus3 |
| Current Year Minus2 | 250000 | CurrentYearMinus2 |
| Current Year Minus1 | 250000 | CurrentYearMinus1 |
| Current Year | 250000 | CurrentYear |
| Total | 1000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmount |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
| Substantially All Dues Nondeduct | false | SubstantiallyAllDuesNondeduct |
| Only In House Lobbying | false | OnlyInHouseLobbying |
| Agree To Carryover Prior Year | false | AgreeToCarryoverPriorYear |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1307181 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 32663799 | OtherCostOrOtherBasis |
| Book Value | 33970980 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 519444184 | OtherCostOrOtherBasis |
| Depreciation | 204694980 | Depreciation |
| Book Value | 314749204 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2395334 | OtherCostOrOtherBasis |
| Depreciation | 474747 | Depreciation |
| Book Value | 1920587 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 330986307 | OtherCostOrOtherBasis |
| Depreciation | 249173429 | Depreciation |
| Book Value | 81812878 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 432453649 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OTHER LT LIABILITIES | $24,218,069 |
| OTHER CURRENT LIABILITIES | $18,760,892 |
| CAPITAL LEASE OBLIGATIONS | $16,102,252 |
| SWAP LIABILITY | $11,588,215 |
| POST RETIREMENT BENEFITS | $7,762,743 |
| DEFINED BENEFITS PENSION LIABILITY | $6,525,435 |
| TAXABLE BOND LIABILITIES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 84957606 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LIABILITY UNDER FIN 48 FOOTNOTE | Identifier |
| Return Reference | SCHEDULE D, PAGE 3, PART X | ReturnReference |
| Explanation | THE WELLMONT HEALTH SYSTEM ENTITIES ARE PRIMARILY CLASSIFIED AS ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) AS ENTITIES DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED FOR THESE ENTITIES IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE OPERATIONS OF WELLMONT HEALTH SYSTEM ARE SUBJECT TO STATE AND FEDERAL INCOME TAXES WHICH ARE ACCOUNTED FOR IN ACCORDANCE WITH ASC 740, INCOME TAXES; HOWEVER, SUCH AMOUNTS ARE NOT MATERIAL. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 1.50000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17239015 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 17239015 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02680 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 68091287 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 51748934 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16342353 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02540 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 85330302 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 51748934 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 33581368 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05230 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 476 | NumberOfActivitiesOrPrograms |
| Persons Served | 28811 | PersonsServed |
| Total Community Benefit Expense | 5728028 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5728028 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00890 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 18 | NumberOfActivitiesOrPrograms |
| Persons Served | 135 | PersonsServed |
| Total Community Benefit Expense | 8731418 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3556874 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5174544 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00810 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 11 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 81414 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15500 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 65914 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 273 | NumberOfActivitiesOrPrograms |
| Persons Served | 2775 | PersonsServed |
| Total Community Benefit Expense | 697055 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 697055 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 778 | NumberOfActivitiesOrPrograms |
| Persons Served | 31721 | PersonsServed |
| Total Community Benefit Expense | 15237915 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3572374 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11665541 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01820 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 778 | NumberOfActivitiesOrPrograms |
| Persons Served | 31721 | PersonsServed |
| Total Community Benefit Expense | 100568217 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 55321308 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 45246909 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07040 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 199 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 199 | NetCommunityBuildingExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 122 | NumberOfActivitiesOrPrograms |
| Persons Served | 882 | PersonsServed |
| Total Community Building Expense | 20317 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 2630 | DirectOffsettingRevenue |
| Net Community Building Expense | 17687 | NetCommunityBuildingExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 1025 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1025 | NetCommunityBuildingExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 8 | NumberOfActivitiesOrPrograms |
| Persons Served | 36 | PersonsServed |
| Total Community Building Expense | 1424 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1424 | NetCommunityBuildingExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 30 | NumberOfActivitiesOrPrograms |
| Persons Served | 590 | PersonsServed |
| Total Community Building Expense | 934 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 934 | NetCommunityBuildingExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 38 | NumberOfActivitiesOrPrograms |
| Persons Served | 860 | PersonsServed |
| Total Community Building Expense | 34755 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 34755 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 13 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 997 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 997 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 218 | NumberOfActivitiesOrPrograms |
| Persons Served | 2368 | PersonsServed |
| Total Community Building Expense | 59651 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 2630 | DirectOffsettingRevenue |
| Net Community Building Expense | 57021 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $10,025,120 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 162869585 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 160898845 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1970740 | MedicareSurplusOrShortfall |
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| HOLSTON VALLEY IMAG | ||
| RADIOLOGY SERVICES | 0.75000 | 0.25000 |
| HOLSTON VALLEY AMB | ||
| SURGERY SERVICES | 0.52000 | 0.48000 |
| SAPLING GROVE AMB | ||
| SURGICAL SERVICES | 0.65000 | 0.35000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 6 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (6 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | Teaching HospitalTeachingHospital | Er24 HoursEr24Hours | Critical Access HospitalCriticalAccessHospital | Address Line2Address/AddressLine2 |
|---|---|---|---|---|---|---|---|---|---|
| BRISTOL REGIONAL MEDICAL CENTER | |||||||||
| 1 | 1 MEDICAL PARK BLVD | BRISTOL | TN | 37620 | X | X | X | ||
| HOLSTON VALLEY MEDICAL CENTER | |||||||||
| 2 | 130 RAVINE ROAD | KINGSPORT | TN | 37660 | X | X | X | ||
| LONESOME PINE HOSPITAL | |||||||||
| 3 | 1990 HOLTON AVENUE | BIG STONE GAP | VA | 24219 | X | X | X | ||
| HANCOCK COUNTY HOSPITAL | |||||||||
| 4 | 1519 MAIN STREET | SNEEDVILLE | TN | 37869 | X | X | X | ||
| MOUNTAIN VIEW REGIONAL MEDICAL CENT | |||||||||
| 5 | 310 3RD STREET NE | NORTON | VA | 24273 | X | X | |||
| LEE REGIONAL MEDICAL CENTER | |||||||||
| 6 | PO BOX 589 | PENNINGTON GAP | VA | 24277 | X | X | 127 HEALTH CARE DRIVE | ||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (6 entries)
| Hospital Facility NumberHospitalFacilityNumber | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Medical IndigencyMedicalIndigency | Insurance StatusInsuranceStatus | Uninsured DiscountUninsuredDiscount | Medicaid MedicareMedicaidMedicare | State RegulationStateRegulation | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Posted In Emergency RoomPostedInEmergencyRoom | Posted In Admission OfficePostedInAdmissionOffice | Available On RequestAvailableOnRequest | Actions On NonpaymentActionsOnNonpayment | Permit Report To Credit AgencyPermitReportToCreditAgency | Permit LawsuitPermitLawsuit | Permit Lien On ResidencePermitLienOnResidence | Permit Body AttachmentPermitBodyAttachment | Permit Other ActionsPermitOtherActions | Collection ActivitiesCollectionActivities | Report To Credit AgencyReportToCreditAgency | LawsuitLawsuit | Lien On ResidenceLienOnResidence | Body AttachmentBodyAttachment | Other ActionsOtherActions | Notify Upon AdmissionNotifyUponAdmission | Notify Before DischargeNotifyBeforeDischarge | Documented DeterminationDocumentedDetermination | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRISTOL REGIONAL MEDICAL CENTER | ||||||||||||||||||||||||||||||||||||||
| 1 | true | true | 100.0 | true | 150.0 | true | X | X | X | X | X | X | X | true | true | X | X | X | X | true | X | X | X | X | X | true | X | X | X | X | X | X | X | X | true | X | false | false |
| HOLSTON VALLEY MEDICAL CENTER | ||||||||||||||||||||||||||||||||||||||
| 2 | true | true | 100.0 | true | 150.0 | true | X | X | X | X | X | X | X | true | true | X | X | X | X | true | X | X | X | X | X | true | X | X | X | X | X | X | X | X | true | X | false | false |
| LONESOME PINE HOSPITAL | ||||||||||||||||||||||||||||||||||||||
| 3 | true | true | 100.0 | true | 150.0 | true | X | X | X | X | X | X | X | true | true | X | X | X | X | true | X | X | X | X | X | true | X | X | X | X | X | X | X | X | true | X | false | false |
| HANCOCK COUNTY HOSPITAL | ||||||||||||||||||||||||||||||||||||||
| 4 | true | true | 100.0 | true | 150.0 | true | X | X | X | X | X | X | X | true | true | X | X | X | X | true | X | X | X | X | X | true | X | X | X | X | X | X | X | X | true | X | false | false |
| MOUNTAIN VIEW REGIONAL MEDICAL CENT | ||||||||||||||||||||||||||||||||||||||
| 5 | true | true | 100.0 | true | 150.0 | true | X | X | X | X | X | X | X | true | true | X | X | X | X | true | X | X | X | X | X | true | X | X | X | X | X | X | X | X | true | X | false | false |
| LEE REGIONAL MEDICAL CENTER | ||||||||||||||||||||||||||||||||||||||
| 6 | true | true | 100.0 | true | 150.0 | true | X | X | X | X | X | X | X | true | true | X | X | X | X | true | X | X | X | X | X | true | X | X | X | X | X | X | X | X | true | X | false | false |
Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUBSIDIZED HEALTH SERVICES EXPLANATION | PART I LINE 7G | PART I LINE 6A WELLMONT HEALTH SYSTEM PREPARES A CONSOLIDATED COMMUNITY BENEFIT REPORT WHICH INCLUDES THE ACTIVITIES OF ALL ITS OPERATIONS AND AFFILIATES IN CONTRAST AN IRS FORM 990 IS FILED FOR EACH TAX EXEMPT CORPORATION 7 SEPARATE FORM 990S AND THERE IS NO SUCH IRS FORM FOR THE TAXABLE CORPORATIONS IN ADDITION THE IRS INSTRUCTIONS TO FORM 990 HAVE SPECIFIC DEFINITIONS METHODS AND WORKSHEETS TO CALCULATE THE COMMUNITY BENEFITS TO BE INCLUDED ON THE FORM 990 AS A RESULT THERE ARE SIGNIFICANT DIFFERENCES BETWEEN THE COMMUNITY BENEFITS REPORTED IN THE CONSOLIDATED COMMUNITY BENEFIT REPORT AND THE VARIOUS FORM 990S 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 EXPENSE | PART I LINE 7 COLUMN F | THE BAD DEBT EXPENSE OF 33729806 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 EXPLANATION | PART I LINE 7 | RATIO 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 |
| NEEDS ASSESSMENT | PART VI | WELLMONT HEALTH SYSTEM EXAMINES THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES BY CONDUCTING PHYSICIAN NEEDS ASSESSMENTS FOR ITS HOSPITALS AS PART OF THIS EFFORT WELLMONT REVIEWS ITS SERVICE AREA AND DEMOGRAPHICS EXAMINES PHYSICIAN DEMOGRAPHICS AND CONDUCTS FOCUS GROUPS IT MAKES A DETERMINATION OF PHYSICIAN NEED WHILE CALCULATING ITS PHYSICIAN SURPLUSES AND DEFICITS AND HIGHLIGHTING ITS RECRUITMENT PRIORITIES AND PLANS WELLMONT ANNUALLY DETERMINES ITS PRIMARY SECONDARY AND TERTIARY MARKETS THROUGH THE USE OF 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 ASSISTANCE | PART VI | WELLMONT HEALTH SYSTEM PROACTIVELY INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY BY POSTING THE POLICY ON ITS WEB SITE AS WELL AS POSTING THE POLICY AT POINTS OF REGISTRATION IN THE HOSPITALS WELLMONT HEALTH SYSTEM USES PROGRAM ELIGIBILITY SPECIALISTS WHO CONTACT THE UNINSURED PATIENT POPULATION THESE SPECIALISTS DISCUSS THE VARIOUS GOVERNMENTAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE TO PATIENTS IN ORDER TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR ANY OF THESE PROGRAMS THE SPECIALISTS WILL WORK WITH THE PATIENTS TO COMPLETE ANY NECESSARY APPLICATIONS AND WILL HELP THEM THROUGH THE QUALIFICATION PROCESS |
| COMMUNITY INFORMATION | PART VI | WELLMONT 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 365567 MEDIAN HOUSEHOLD INCOME 37319 SSA POPULATION 461210 MEDIAN HOUSEHOLD INCOME 35861 APPROXIMATELY 211 OF OUR PATIENTS ARE MEDICAID RECIPIENTS AND 107 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 PURPOSE | PART VI | WELLMONT HEALTH SYSTEMS HOSPITALS AND OTHER HEALTHCARE FACILITIES FURTHER THEIR EXEMPT PURPOSE BY PROVIDING MILLIONS IN UNCOMPENSATED CARE AND OTHER CHARITABLE DONATIONS IN FISCAL YEAR 20102011 WELLMONT PROVIDED 74738000 IN UNCOMPENSATED CARE THE HEALTH SYSTEM ALSO DONATED 1023420 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 5820139 FOR COMMUNITY HEALTH AND OUTREACH AND 5330059 FOR TRAINING AND EDUCATION OF HEALTHCARE PROFESSIONALS EMPLOYEES PHYSICIANS AND VOLUNTEERS DONATED IN EXCESS OF 102900 HOURS OF COMMUNITY SERVICE |
| AFFILIATED HEALTH CARE INFORMATION | PART VI | WELLMONT 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 15 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 FILED | PART VI | TENNESSEE VIRGINIA |
| ADDITIONAL INFORMATION | PART VI | PART III LINE 4 THE COST REPORTED ON LINE 2 IS CALCULATED AS THE BAD DEBT EXPENSE FROM THE GENERAL LEDGER TIMES THE RATIO OF COST TO CHARGES AS CALCULATED ON WORKSHEET 2 BY FACILITY THERE ARE NO AMOUNTS REPORTED ON LINE 3 DISCOUNTS ON PATIENT ACCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE PAYMENTS ON PATIENT ACCOUNTS THAT HAVE BEEN PREVIOUSLY WRITTEN OFF AS BAD DEBT ARE USED TO REDUCE BAD DEBT EXPENSE A THIRD PARTY VENDOR IS USED TO HELP DETERMINE THE AMOUNT THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY COULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE POLICY TEXT OF NOTE TO FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE NET PATIENT SERVICE REVENUE IS REPORTED ON THE ACCRUAL BASIS IN THE PERIOD IN WHICH SERVICES ARE PROVIDED AT THE NET REALIZABLE AMOUNTS EXPECTED TO BE COLLECTED NET PATIENT SERVICE REVENUE INCLUDES AMOUNTS ESTIMATED BY MANAGEMENT TO BE REIMBURSABLE BY PATIENTS AND VARIOUS 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 THIRDPARTY VENDOR WAS USED BEGINNING IN FISCAL YEAREND 6302010 TO IDENTIFY PATIENTS WHO HAD BEEN SENT TO A COLLECTION AGENCY BUT WHO LIKELY WOULD QUALIFY FOR CHARITY CARE THESE PATIENTS ACCOUNTS ARE THEN WRITTEN OFF AS CHARITY CARE |
| BRISTOL REGIONAL MEDICAL CENTER LINE NUMBER 1 PART V LINE 15E | PART V LINE 15E | WELLMONT BRISTOL REGIONAL MEDICAL CENTER S OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES |
| BRISTOL REGIONAL MEDICAL CENTER LINE NUMBER 1 PART V LINE 16E | PART V LINE 16E | WELLMONT BRISTOL REGIONAL MEDICAL CENTER S OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES |
| HOLSTON VALLEY MEDICAL CENTER LINE NUMBER 2 PART V LINE 15E | PART V LINE 15E | WELLMONT HOLSTON VALLEY MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES |
| HOLSTON VALLEY MEDICAL CENTER LINE NUMBER 2 PART V LINE 16E | PART V LINE 16E | WELLMONT HOLSTON VALLEY MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES |
| LONESOME PINE HOSPITAL LINE NUMBER 3 PART V LINE 15E | PART V LINE 15E | WELLMONT LONESOME PINE HOSPITAL S OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES |
| LONESOME PINE HOSPITAL LINE NUMBER 3 PART V LINE 16E | PART V LINE 16E | WELLMONT LONESOME PINE HOSPITAL S OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES |
| HANCOCK COUNTY HOSPITAL LINE NUMBER 4 PART V LINE 15E | PART V LINE 15E | WELLMONT HANCOCK COUNTY HOSPITALS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES |
| HANCOCK COUNTY HOSPITAL LINE NUMBER 4 PART V LINE 16E | PART V LINE 16E | WELLMONT HANCOCK COUNTY HOSPITALS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES |
| MOUNTAIN VIEW REGIONAL MEDICAL CENT LINE NUMBER 5 PART V LINE 15E | PART V LINE 15E | WELLMONT MOUNTAIN VIEW REGIONAL MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES |
| MOUNTAIN VIEW REGIONAL MEDICAL CENT LINE NUMBER 5 PART V LINE 16E | PART V LINE 16E | WELLMONT MOUNTAIN VIEW REGIONAL MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES |
| LEE REGIONAL MEDICAL CENTER LINE NUMBER 6 PART V LINE 15E | PART V LINE 15E | WELLMONT LEE REGIONAL MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES |
| LEE REGIONAL MEDICAL CENTER LINE NUMBER 6 PART V LINE 16E | PART V LINE 16E | WELLMONT LEE REGIONAL MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (17 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Address Line2AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|---|---|
| APPALACHIAN COLLEGE OF PHARMACY CON | ||||||||
| 1060 DRAGON RD | OAKWOOD | VA | 24631 | 260069167 | 501 | 10000 | SPONSORSHIP | |
| AMERICAN CANCER SOCIETY | ||||||||
| 508 PRINCETON RD | JOHNSON CITY | TN | 37601 | 640329099 | 501 | 18000 | RELAY FOR LIFE SPONS | SUITE 102 |
| AMERICAN HEART ASSOCIATION | ||||||||
| PO BOX 4002900 | DES MOINES | IA | 50340 | 135613797 | 501 | 35000 | GO RED FOR WOMEN SPO | |
| BARTER THEATRE FOUNDATION | ||||||||
| PO BOX 867 | ABINDGON | VA | 24212 | 546000120 | 501 | 20000 | CORPORATE SPONSORSHI | |
| CROSSROADS MEDICAL MISSION | ||||||||
| PO BOX 16852 | BRISTOL | VA | 242096852 | 542038877 | 501 | 12500 | CORPORATE SPONSOR | |
| FISCHER ROSS GROUP INC | ||||||||
| 2 SOUND VIEW DR | GREENWICH | CT | 06830 | 205111271 | COR | 17500 | JOAN LUNDEN TALENT | SUITE 100 |
| FRIENDS IN NEED HEALTH CENTER | ||||||||
| 1105 WEST STONE DR | KINGSPORT | TN | 37660 | 621541637 | 501 | 151500 | UNINSURED HEALTHCARE | |
| FUN FEST KINGSPORT TN | ||||||||
| 151 EAST MAIN ST | KINGSPORT | TN | 37660 | 620446834 | 501 | 12140 | FUN FEST SPONSORSHIP | |
| KINGSPORT CHAMBER OF COMMERCE | ||||||||
| 151 EAST MAIN ST | KINGSPORT | TN | 37662 | 620446834 | 501 | 24655 | ANNUAL SPONSORSHIP | |
| KINGSPORT TOMORROW | ||||||||
| 301 LOUIS ST | KINGSPORT | TN | 37660 | 581941002 | 501 | 10000 | ANNUAL HEALTHCARE SY | SUITE 303 |
| KOMEN TRI-CITIES AFFILIATE | ||||||||
| PO BOX 5835 | KINGSPORT | TN | 37663 | 841689067 | 501 | 50000 | RACE FOR THE CURE SP | |
| MARCH OF DIMES | ||||||||
| 2313 BROWNS MILL RD | JOHNSON CITY | TN | 37604 | 131846366 | 501 | 9500 | SIGNATURE CHEF ADDIT | SUITE 3 |
| RHYTHM & ROOTS REUNION | ||||||||
| PO BOX 1927 | BRISTOL | VA | 24203 | 721526206 | 501 | 8000 | GOLD SPONSORSHIP FOR | |
| SYMPHONY OF THE MOUNTAINS | ||||||||
| 1200 E CENTER ST | KINGSPORT | TN | 37660 | 620534228 | 501 | 35000 | WELLMONT HOLIDAY CON | |
| TENNESSEE CHAMBER OF COMMERCE | ||||||||
| 611 COMMERCE ST | NASHVILLE | TN | 37203 | 621236022 | 501 | 6000 | ANNUAL SPONSORSHIP | SUITE 3030 |
| WATAUGA SPORTS MEDICINE FOUNDATION | ||||||||
| PO BOX 2267 | JOHNSON CITY | TN | 37605 | 621586264 | PLC | 40000 | ATHLETE OF THE WEEK | |
| WCYB | ||||||||
| PO BOX 601063 | CHARLOTTE | NC | 28260 | 540467002 | COR | 18084 | GO RED FOR WOMEN MED | |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES | Identifier |
| Return Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | ReturnReference |
| Explanation | ALL REQUESTS FOR CHARITABLE ASSISTANCE ARE REVIEWED BY THE SENIOR VICE PRESIDENT OF MARKETING COMMUNICATIONS. 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Travel For Companions | X | TravelForCompanions |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | true | InitialContractException |
| Rebuttable Presumption Procedure | true | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg |
|---|---|---|---|---|---|
| ROBERT F BURGIN - THROUGH 073110 | |||||
| 380843 | 17519 | 398362 | |||
| DAVID THOMPSON MD | |||||
| 285736 | 14395 | 348148 | 39316 | 8701 | |
| PIERRE ISTFAN MD | |||||
| 274151 | 271 | 346194 | 48118 | 6507 | 17147 |
| MARGARET DENARVAEZ-080110-PRESENT | |||||
| 269230 | 489165 | 759997 | 1602 | ||
| ELIZABETH WARD | |||||
| 414980 | 239 | 584412 | 161317 | 7876 | |
| J DALE SARGENT MD-THROUGH 2611 | |||||
| 286098 | 774 | 372724 | 60775 | 6088 | 18989 |
| MICHAEL BUNDY - THROUGH 4811 | |||||
| 252456 | 162 | 329544 | 51180 | 9383 | 16363 |
| GARY D MILLER - THROUGH 122010 | |||||
| 240935 | 891 | 318224 | 51180 | 9503 | 15715 |
| HAMLIN J WILSON | |||||
| 240935 | 414 | 313417 | 51180 | 5173 | 15715 |
| ALICE POPE | |||||
| 223439 | 180 | 284458 | 37532 | 8794 | 14513 |
| PATRICK KANE - THROUGH 63011 | |||||
| 207376 | 8893 | 283217 | 43930 | 9512 | 13506 |
| TODD J DOUGAN | |||||
| 192798 | 257807 | 42650 | 9512 | 12847 | |
| KENT PETTY - 3110 TO PRESENT | |||||
| 177694 | 5738 | 191674 | 8242 | ||
| BARTHOLEMEW A HOVE | |||||
| 336293 | 7822 | 438201 | 62896 | 9512 | 21678 |
| RON PREWITT | |||||
| 253318 | 774 | 330060 | 53940 | 5502 | 16526 |
| DAVID L BRASH | |||||
| 240935 | 270 | 318781 | 51300 | 10281 | 15995 |
| FRED PELLE | |||||
| 206795 | 954 | 269269 | 38677 | 9512 | 13331 |
| BLAINE DOUGLAS - THROUGH 7910 | |||||
| 186564 | 507 | 202771 | 5765 | 9935 | |
| JORGE LODEIRO MD | |||||
| 712000 | 849 | 914084 | 156002 | 9150 | 36083 |
| EDWIN A MCELROY MD | |||||
| 587738 | 270 | 791641 | 163283 | 9512 | 30838 |
| ROBERT HARRIS MD-THROUGH 103110 | |||||
| 693030 | 866 | 701651 | 7755 | ||
| MALCOLM R MATTHEWS MD-TO 5311 | |||||
| 476494 | 1308 | 698443 | 180207 | 9512 | 30922 |
| MARCO DASILVA MD | |||||
| 481054 | 774 | 689307 | 166768 | 10281 | 30430 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FRINGE OR EXPENSE EXPLANATION | SCHEDULE J, PAGE 1, PART I, LINE 1A | AIRPLANE 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, 2011. THE HOUSING ALLOWANCE PAID TO THE EXECUTIVE WAS INCLUDED IN HIS TAXABLE COMPENSATION. HEALTH OR SOCIAL CLUB DUES DURING THE FISCAL YEAR ENDED JUNE 30, 2011, WELLMONT HEALTH SYSTEM PROVIDED COUNTRY CLUB MEMBERSHIPS TO MARGARET DENARVAEZ, PRESIDENT AND CEO, BART HOVE, PRESIDENT OF BRISTOL REGIONAL MEDICAL CENTER, JOHN HOWARD, SR. VP OF LEGAL AFFAIRS, PATRICK KANE, SR. VP OF MARKETING AND COMMUNICATIONS, AND TRACEY MOFFATT, SR. VP OF OPERATIONS. THESE AMOUNTS ARE INCLUDED IN TAXABLE COMPENSATION. |
| COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATION | SCHEDULE J, PAGE 1, PART I, LINE 6A | INCENTIVE COMPENSATION IS PARTIALLY BASED ON MEETING BUDGETED OPERATING MARGIN GOALS. |
| PURSUANT TO CONTRACT PER REGS. SECTION 53.4958-4(A)(3) | SCHEDULE J, PAGE 1, PART I, LINE 8 | ON AUGUST 1, 2010, MARGARET D. DENARVAEZ BECAME THE PRESIDENT AND CEO OF WELLMONT HEALTH SYSTEM. AS PART OF HER EMPLOYMENT CONTRACT, WHICH WAS REVIEWED, APPROVED AND DOCUMENTED BY WELLMONT HEALTH SYSTEM'S PERSONNEL COMMITTEE AND ALSO THE BOARD OF DIRECTORS, NONE OF WHICH HAD A CONFLICT OF INTEREST WITH RESPECT TO THE EMPLOYMENT CONTRACT, HER FORMER RESIDENCE WAS TO BE PURCHASED BY WELLMONT HEALTH SYSTEM FOR THE GREATER OF A FIXED PAYMENT AMOUNT OR ITS APPRAISED VALUE. THREE INDEPENDENT APPRAISALS WERE OBTAINED TO SUBSTANTIATE THE FAIR MARKET VALUE OF THE HOUSE. THE DIFFERENCE BETWEEN THE PURCHASE PRICE OF THE HOUSE AND THE APPRAISED FAIR MARKET VALUE OF THE HOUSE WAS INCLUDED IN THE 2010 FORM W-2 OF MARGARET D. DENARVAEZ. ADDITIONALLY, PRIOR TO DECEMBER 31, 2010, WELLMONT HEALTH SYSTEM RECEIVED AN INTERMEDIATE SANCTION REVIEW CONDUCTED BY AN INDEPENDENT COMPANY FOR THE CEO POSITION WHICH DETERMINED THAT THE COMPENSATION RATE WAS IN THE COMPETITIVE RANGE AND IN COMPLIANCE WITH SECTION 4958 OF THE INTERNAL REVENUE CODE. |
| OTHER ADDITIONAL INFORMATION | SCHEDULE J, PART III | WELLMONT HEALTH SYSTEM HAS AN EXECUTIVE RETIREMENT PROGRAM THAT INCLUDED MARGARET DENARVAEZ, JOHN HOWARD AND ELIZABETH WARD FOR THE FISCAL YEAR ENDING JUNE 30, 2011. 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, 2011. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| SULLIVAN CNTY TENN HEALTH EDL & HSG | |||||||
| 621256662 | 865293AC8 | 2006-11-02 | 200000000 | RENOVATION/CONSTRUCTION OF HOLSTON VALLEY | false | false | false |
| VIRGINIA SMALL BUSINESS FING AUTH H | |||||||
| 541300845 | 928101AC8 | 2007-07-31 | 55000000 | PURCHASE OF HOSPITALS | false | false | false |
| SULLIVAN CNTY TENN HEALTH EDL & HSG | |||||||
| 621256662 | 865292DY9 | 2003-06-01 | 59100000 | REFUND OF PREVIOUSLY ISSUED BOND | false | false | false |
| SULLIVAN CNTY TENN HEALTH EDL & HSG | |||||||
| 621256662 | 865292DZ6 | 2005-12-13 | 70620000 | REFUND OF PREVIOUSLY ISSUED BOND | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|---|---|
| 207055314 | 18977995 | 2164568 | 187573513 | 12534857 | 2011 | false | false | false | true | |
| 55658570 | 5464590 | 1026366 | 2007 | false | false | true | true | 49167614 | ||
| 67546371 | 5300282 | 2184358 | 2003 | false | true | true | true | |||
| 71923735 | 266958 | 126950 | 2005 | false | true | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| false | false | false | false | true | true |
| false | false | false | false | true | true |
| false | false | false | false | true | true |
| false | false | false | false | true | false |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated |
|---|---|---|---|---|---|---|---|---|---|---|
| MERRILL LYNCH | ||||||||||
| false | false | false | true | 4.0 | true | false | false | |||
| (no name) | ||||||||||
| false | false | false | false | false | false | |||||
| (no name) | ||||||||||
| false | false | false | false | false | false | |||||
| LEHMAN BROTHERS | ||||||||||
| false | true | true | false | false | false | 10.8 | false | false | ||
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| SULLIVAN CNTY TENN HEALTH EDL & HSG | |||||||
| 621256662 | 865293AC8 | 2006-11-02 | 200000000 | RENOVATION/CONSTRUCTION OF HOLSTON VALLEY | false | false | false |
| VIRGINIA SMALL BUSINESS FING AUTH H | |||||||
| 541300845 | 928101AC8 | 2007-07-31 | 55000000 | PURCHASE OF HOSPITALS | false | false | false |
| SULLIVAN CNTY TENN HEALTH EDL & HSG | |||||||
| 621256662 | 865292DY9 | 2003-06-01 | 59100000 | REFUND OF PREVIOUSLY ISSUED BOND | false | false | false |
| SULLIVAN CNTY TENN HEALTH EDL & HSG | |||||||
| 621256662 | 865292DZ6 | 2005-12-13 | 70620000 | REFUND OF PREVIOUSLY ISSUED BOND | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|---|---|
| 207055314 | 18977995 | 2164568 | 187573513 | 12534857 | 2011 | false | false | false | true | |
| 55658570 | 5464590 | 1026366 | 2007 | false | false | true | true | 49167614 | ||
| 67546371 | 5300282 | 2184358 | 2003 | false | true | true | true | |||
| 71923735 | 266958 | 126950 | 2005 | false | true | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| false | false | false | false | true | true |
| false | false | false | false | true | true |
| false | false | false | false | true | true |
| false | false | false | false | true | false |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated |
|---|---|---|---|---|---|---|---|---|---|---|
| MERRILL LYNCH | ||||||||||
| false | false | false | true | 4.0 | true | false | false | |||
| (no name) | ||||||||||
| false | false | false | false | false | false | |||||
| (no name) | ||||||||||
| false | false | false | false | false | false | |||||
| LEHMAN BROTHERS | ||||||||||
| false | true | true | false | false | false | 10.8 | false | false | ||
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOHN HOWARD | NamePerson |
| Purpose Of Loan | RELOCATION ASSISTANCE | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $31,250 | OriginalPrincipalAmount |
| Balance Due | 29514 | BalanceDue |
| Default | false | Default |
| Approved By Board | true | ApprovedByBoard |
| Written Agreement | true | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 29514 | TotalBalanceDue |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE L PART V | ReturnReference |
| Explanation | THE TERMS OF MR HOWARDS EMPLOYMENT OFFER INCLUDING RELOCATION ALLOWANCE AND TEMPORARY HOUSING WAS APPROVED BY THE WELLMONT HEALTH SYSTEMS PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS AT ITS MEETING HELD JANUARY 27 2011 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ADDITIONAL INFORMATION | FORM 990 | FORM 990, PART X, BALANCE SHEET CERTAIN BALANCE SHEET ACCOUNTS HAVE BEEN RECLASSIFIED FOR BETTER COMPARISON TO THE CURRENT YEAR FINANCIAL STATEMENTS. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | WELLMONT 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. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY ACKNOWLEDGEMENT THAT IS RECEIVED AND REVIEWED BY GENERAL COUNSEL. 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 SENIOR VICE PRESIDENT, COMPLIANCE AND AUDIT SERVICES, FOR RESOLUTION. WELLMONT HEALTH SYSTEM ALSO USES A HOTLINE THAT ALLOWS ANONYMOUS REPORTING OF POSSIBLE CONFLICT OF INTEREST SITUATIONS FOR INVESTIGATION BY THE SENIOR VICE PRESIDENT, COMPLIANCE AND AUDIT SERVICES. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE COMPENSATION OF MARGARET DENARVAEZ, THE PRESIDENT AND CEO (08/01/10 TO PRESENT) OF WELLMONT HEALTH SYSTEM IS REVIEWED, APPROVED AND DOCUMENTED BY THE WELLMONT HEALTH SYSTEM PERSONNEL COMMITTEE AND BOARD OF DIRECTORS. THE COMPENSATION OF ROBERT BURGIN, THE PRESIDENT AND CEO (INTERIM - 02/01/10 TO 07/31/10) OF WELLMONT HEALTH SYSTEM, WAS REVIEWED, APPROVED AND DOCUMENTED BY THE WELLMONT HEALTH SYSTEM PERSONNEL COMMITTEE AND THE BOARD OF DIRECTORS. IN ADDITION, THESE BODIES USE COMPARABILITY DATA TO DETERMINE THE APPROPRIATE COMPENSATION. ALL COMPENSATION DELIBERATIONS AND REVIEWS ARE CONTEMPORANEOUSLY DOCUMENTED. THIS PROCESS IS COMPLETED ON AN ANNUAL BASIS. THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS REVIEWED THE SALARY AND MARKET COMPENSATION DATA FOR MARGARET DENARVAEZ IMMEDIATELY PRIOR TO TENDERING HER OFFER OF EMPLOYMENT. THE LAST COMPENSATION DELIBERATION AND REVIEW PROCESS FOR MARGARET DENARVAEZ WAS COMPLETED MARCH 15, 2011. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | THE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES OF WELLMONT HEALTH SYSTEM ARE REVIEWED, APPROVED AND DOCUMENTED BY THE WELLMONT HEALTH SYSTEM PERSONNEL COMMITTEE AND 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 AUGUST 26, 2010. WELLMONT HEALTH SYSTEM EXECUTIVE VP AND CFO - ELIZABETH WARD WELLMONT HEALTH SYSTEM SR. VP OF OPERATIONS - MICHAEL BUNDY WELLMONT HEALTH SYSTEM SR. VP OF HUMAN RESOURCES - HAMLIN J. WILSON WELLMONT HEALTH SYSTEM SR. VP GENERAL COUNSEL - GARY D. MILLER WELLMONT HEALTH SYSTEM CHIEF MEDICAL OFFICER - DALE SARGENT, M.D. WELLMONT HEALTH SYSTEM SR. VP OF MARKETING AND COMMUNICATIONS - PATRICK KANE BRISTOL REGIONAL MEDICAL CENTER PRESIDENT - BARTHOLOMEW A. HOVE HOLSTON VALLEY MEDICAL CENTER PRESIDENT - VIRGINIA FRANK HAWKINS COUNTY MEMORIAL HOSPITAL PRESIDENT - FRED PELLE REGIONAL VP VIRGINIA DIVISION - DAVID L. BRASH THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS REVIEWED THE SALARY AND MARKET COMPENSATION DATA FOR THE FOLLOWING OTHER OFFICERS AND KEY EMPLOYEES, IMMEDIATELY PRIOR TO TENDERING THEIR OFFERS OF EMPLOYMENT. WELLMONT HEALTH SYSTEM SR. VP OF OPERATIONS - TRACEY P. MOFFAT WELLMONT PHYSICIAN SERVICES PRESIDENT AND WELLMONT HEALTH SERVICES GENERAL COUNSEL - JOHN HOWARD 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 LEE REGIONAL MEDICAL CENTER PRESIDENT - RON PREWITT |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | WELLMONT HEALTH SYSTEM'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT AVAILABLE TO THE PUBLIC. WELLMONT HEALTH SYSTEM'S AUDITED FINANCIAL STATEMENTS AND QUARTERLY UNAUDITED FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE. |
| GROUP RETURN METHOD | FORM 990, PAGE 7, PART VII | PARENT ORGANIZATION HAS FILED A CONSOLIDATED RETURN |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WELLMONT HEALTH MANAGEMENT | BusinessNameLine1 |
| Business Name Line2 | SERVICES LLC | BusinessNameLine2 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1905 AMERICAN WAY | AddressLine1 |
| City | KINGSPORT | City |
| State | TN | State |
| ZIP Code | 37660 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621825259 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivities |
| Legal Domicile State | TN | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHS | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| WELLMONT HAWKINS CO MEMORIAL HOSPI | ||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621816368 | HEALTHCARE | TN | 501C3 | 3 | NA | true |
| WELLMONT MADISON HOUSE | ||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621308216 | HEALTHCARE | TN | 501C3 | 9 | WHS | true |
| WELLMONT FOUNDATION | ||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 581594191 | HEALTHCARE | TN | 501C3 | 7 | WHS | true |
| TAKOMA REGIONAL HOSPITAL | ||||||||||
| 401 TAKOMA AVE | GREENVILLE | TN | 37734 | 510603966 | HEALTHCARE | TN | 501C3 | 3 | WHS | true |
| WELLMONT CARDIOLOGY SERVICES | ||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 263557623 | HEALTHCARE | TN | 501C3 | 3 | WHS | true |
| WELLMONT IMAGING SERVICES INC | ||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 861103148 | HEALTHCARE | TN | 501C3 | 11A | WHS | true |
| WELLMONT MEDICAL ASSOCIATES | ||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 270898372 | HEALTHCARE | TN | 501C3 | 3 | WHS | true |
| WELLMONT SLEEP SERVICES | ||||||||||
| 1906 AMERICAN WAY | KINGSPORT | TN | 37660 | HEALTHCARE | TN | 501C3 | 3 | WHS | true | |
Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Business Name Line2DirectControllingEntityName/BusinessNameLine2 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership | Business Name Line2NameOfRelatedOrg/BusinessNameLine2 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HOLSTON VALLEY IMAGING CENTER | |||||||||||||
| 103 WEST STONE DRIVE | KINGSPORT | TN | 37660 | TN | WHS | IMAGING | RELATED | false | false | 0.75000 | |||
| SAPLING GROVE AMBULATORY | |||||||||||||
| 220 MEDICAL PARK BOULEVARD | BRISTOL | TN | 37620 | TN | WHS | RELATED | false | false | 0.65000 | SURGERY | 615822 | 4532492 | |
| HOLSTON VALLEY AMBULATORY | |||||||||||||
| 103 WEST STONE DRIVE | KINGSPORT | TN | 37660 | TN | WHS | RELATED | false | false | 0.52000 | SURGERY | 1098698 | 1895900 | |
| HOLSTON VALLEY IMAGING CENTER | |||||||||||||
| 103 WEST STONE DRIVE | KINGSPORT | TN | 37660 | TN | WHS | IMAGING | RELATED | false | false | 0.75000 | |||
| SAPLING GROVE AMBULATORY | |||||||||||||
| 220 MEDICAL PARK BOULEVARD | BRISTOL | TN | 37620 | TN | WHS | RELATED | false | false | 0.65000 | SURGERY | 615822 | 4532492 | |
| HOLSTON VALLEY AMBULATORY | |||||||||||||
| 103 WEST STONE DRIVE | KINGSPORT | TN | 37660 | TN | WHS | RELATED | false | false | 0.52000 | SURGERY | 1098698 | 1895900 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (14 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Direct Controlling Entity NADirectControllingEntityNA | Business Name Line2NameOfRelatedOrg/BusinessNameLine2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WELLMONT INC | |||||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621320035 | PHYS. SVCS | TN | WHS | C CORP | -15105870 | -50166284 | 1.00000 | ||
| MCOT INC | |||||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621325938 | MED. SVCS. | TN | N/A | ||||||
| MEDICAL LAUNDRY OF TRI-CITIES | |||||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621482226 | MED. SVCS. | TN | N/A | MEDICAL LAUNDRY OF TRI-CITIES | |||||
| MEDICAL MALL PHARMACY INC | |||||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621565006 | MED. SVCS. | TN | N/A | ||||||
| WELLMONT PHYSICIAN SERVICES | |||||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621567353 | PHYS. SVCS | TN | N/A | WELLMONT PHYSICIAN SERVICES | |||||
| WELLMONT HEALTH SERVICES INC | |||||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621254373 | HEALTHCARE | TN | N/A | ||||||
| WPS PROVIDERS INC | |||||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 205564642 | PHYS. SVCS | TN | N/A | ||||||
| WELLMONT INC | |||||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621320035 | PHYS. SVCS | TN | WHS | C CORP | -15105870 | -50166284 | 1.00000 | ||
| MCOT INC | |||||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621325938 | MED. SVCS. | TN | N/A | ||||||
| MEDICAL LAUNDRY OF TRI-CITIES | |||||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621482226 | MED. SVCS. | TN | N/A | MEDICAL LAUNDRY OF TRI-CITIES | |||||
| MEDICAL MALL PHARMACY INC | |||||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621565006 | MED. SVCS. | TN | N/A | ||||||
| WELLMONT PHYSICIAN SERVICES | |||||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621567353 | PHYS. SVCS | TN | N/A | WELLMONT PHYSICIAN SERVICES | |||||
| WELLMONT HEALTH SERVICES INC | |||||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621254373 | HEALTHCARE | TN | N/A | ||||||
| WPS PROVIDERS INC | |||||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 205564642 | PHYS. SVCS | TN | N/A | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (84 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HOLSTON VALLEY AMBULATORY SURGERY C | ||
| I | 854332 | LEASE AGREEMENT |
| HOLSTON VALLEY IMAGING CENTER INC | ||
| I | 824189 | LEASE AGREEMENT |
| HOLSTON VALLEY IMAGING CENTER INC | ||
| P | 607651 | COST |
| MCOT INC | ||
| L | 2017149 | COLLECTION AGREEMENT |
| MEDICAL LAUNDRY OF TRI-CITIES INC | ||
| I | 92750 | LEASE AGREEMENT |
| MEDICAL LAUNDRY OF TRI-CITIES INC | ||
| L | 2020989 | FMV |
| MEDICAL MALL PHARMACY INC | ||
| L | 71996 | COST |
| SAPLING GROVE AMBULATORY SURGE | ||
| R | 975000 | DISTRIBUTION |
| WELLMONT CARDIOLOGY SERVICES | ||
| L | 362589 | MANAGEMENT AGREEMENT |
| WELLMONT FOUNDATION | ||
| C | 3325105 | NEED |
| WELLMONT HAWKINS COUNTY MEMORIAL HO | ||
| B | 893279 | INTERCOMPANY TRANSFER |
| WELLMONT HAWKINS COUNTY MEMORIAL HO | ||
| I | 190632 | LEASE AGREEMENT |
| WELLMONT HAWKINS COUNTY MEMORIAL HO | ||
| K | 2167859 | SUPPORT SERVICES |
| WELLMONT MADISON HOUSE | ||
| B | 122833 | INTERCOMPANY TRANSFER |
| WELLMONT PHYSICIAN SERVICES INC | ||
| I | 1284739 | LEASE AGREEMENT |
| WELLMONT PHYSICIAN SERVICES INC | ||
| L | 135238 | SERVICE AGREEMENT |
| WELLMONT FOUNDATION | ||
| B | 122063 | NEED |
| WELLMONT MEDICAL ASSOCIATES | ||
| L | 285000 | SERVICES AGREEMENT |
| WELLMONT CARDIOLOGY SERVICES | ||
| K | 2896947 | SERVICES AGREEMENT |
| WELLMONT CARDIOLOGY SERVICES | ||
| F | 350850 | NET BOOK VALUE |
| HOLSTON VALLEY AMBULATORY SURGERY C | ||
| R | 906360 | DISTRIBUTION |
| HOLSTON VALLEY AMBULATORY SURGERY C | ||
| I | 854332 | LEASE AGREEMENT |
| HOLSTON VALLEY IMAGING CENTER INC | ||
| I | 824189 | LEASE AGREEMENT |
| HOLSTON VALLEY IMAGING CENTER INC | ||
| P | 607651 | COST |
| MCOT INC | ||
| L | 2017149 | COLLECTION AGREEMENT |
| MEDICAL LAUNDRY OF TRI-CITIES INC | ||
| I | 92750 | LEASE AGREEMENT |
| MEDICAL LAUNDRY OF TRI-CITIES INC | ||
| L | 2020989 | FMV |
| MEDICAL MALL PHARMACY INC | ||
| L | 71996 | COST |
| SAPLING GROVE AMBULATORY SURGE | ||
| R | 975000 | DISTRIBUTION |
| WELLMONT CARDIOLOGY SERVICES | ||
| L | 362589 | MANAGEMENT AGREEMENT |
| WELLMONT FOUNDATION | ||
| C | 3325105 | NEED |
| WELLMONT HAWKINS COUNTY MEMORIAL HO | ||
| B | 893279 | INTERCOMPANY TRANSFER |
| WELLMONT HAWKINS COUNTY MEMORIAL HO | ||
| I | 190632 | LEASE AGREEMENT |
| WELLMONT HAWKINS COUNTY MEMORIAL HO | ||
| K | 2167859 | SUPPORT SERVICES |
| WELLMONT MADISON HOUSE | ||
| B | 122833 | INTERCOMPANY TRANSFER |
| WELLMONT PHYSICIAN SERVICES INC | ||
| I | 1284739 | LEASE AGREEMENT |
| WELLMONT PHYSICIAN SERVICES INC | ||
| L | 135238 | SERVICE AGREEMENT |
| WELLMONT FOUNDATION | ||
| B | 122063 | NEED |
| WELLMONT MEDICAL ASSOCIATES | ||
| L | 285000 | SERVICES AGREEMENT |
| WELLMONT CARDIOLOGY SERVICES | ||
| K | 2896947 | SERVICES AGREEMENT |
| WELLMONT CARDIOLOGY SERVICES | ||
| F | 350850 | NET BOOK VALUE |
| HOLSTON VALLEY AMBULATORY SURGERY C | ||
| R | 906360 | DISTRIBUTION |
| HOLSTON VALLEY AMBULATORY SURGERY C | ||
| I | 854332 | LEASE AGREEMENT |
| HOLSTON VALLEY IMAGING CENTER INC | ||
| I | 824189 | LEASE AGREEMENT |
| HOLSTON VALLEY IMAGING CENTER INC | ||
| P | 607651 | COST |
| MCOT INC | ||
| L | 2017149 | COLLECTION AGREEMENT |
| MEDICAL LAUNDRY OF TRI-CITIES INC | ||
| I | 92750 | LEASE AGREEMENT |
| MEDICAL LAUNDRY OF TRI-CITIES INC | ||
| L | 2020989 | FMV |
| MEDICAL MALL PHARMACY INC | ||
| L | 71996 | COST |
| SAPLING GROVE AMBULATORY SURGE | ||
| R | 975000 | DISTRIBUTION |
| WELLMONT CARDIOLOGY SERVICES | ||
| L | 362589 | MANAGEMENT AGREEMENT |
| WELLMONT FOUNDATION | ||
| C | 3325105 | NEED |
| WELLMONT HAWKINS COUNTY MEMORIAL HO | ||
| B | 893279 | INTERCOMPANY TRANSFER |
| WELLMONT HAWKINS COUNTY MEMORIAL HO | ||
| I | 190632 | LEASE AGREEMENT |
| WELLMONT HAWKINS COUNTY MEMORIAL HO | ||
| K | 2167859 | SUPPORT SERVICES |
| WELLMONT MADISON HOUSE | ||
| B | 122833 | INTERCOMPANY TRANSFER |
| WELLMONT PHYSICIAN SERVICES INC | ||
| I | 1284739 | LEASE AGREEMENT |
| WELLMONT PHYSICIAN SERVICES INC | ||
| L | 135238 | SERVICE AGREEMENT |
| WELLMONT FOUNDATION | ||
| B | 122063 | NEED |
| WELLMONT MEDICAL ASSOCIATES | ||
| L | 285000 | SERVICES AGREEMENT |
| WELLMONT CARDIOLOGY SERVICES | ||
| K | 2896947 | SERVICES AGREEMENT |
| WELLMONT CARDIOLOGY SERVICES | ||
| F | 350850 | NET BOOK VALUE |
| HOLSTON VALLEY AMBULATORY SURGERY C | ||
| R | 906360 | DISTRIBUTION |
| HOLSTON VALLEY AMBULATORY SURGERY C | ||
| I | 854332 | LEASE AGREEMENT |
| HOLSTON VALLEY IMAGING CENTER INC | ||
| I | 824189 | LEASE AGREEMENT |
| HOLSTON VALLEY IMAGING CENTER INC | ||
| P | 607651 | COST |
| MCOT INC | ||
| L | 2017149 | COLLECTION AGREEMENT |
| MEDICAL LAUNDRY OF TRI-CITIES INC | ||
| I | 92750 | LEASE AGREEMENT |
| MEDICAL LAUNDRY OF TRI-CITIES INC | ||
| L | 2020989 | FMV |
| MEDICAL MALL PHARMACY INC | ||
| L | 71996 | COST |
| SAPLING GROVE AMBULATORY SURGE | ||
| R | 975000 | DISTRIBUTION |
| WELLMONT CARDIOLOGY SERVICES | ||
| L | 362589 | MANAGEMENT AGREEMENT |
| WELLMONT FOUNDATION | ||
| C | 3325105 | NEED |
| WELLMONT HAWKINS COUNTY MEMORIAL HO | ||
| B | 893279 | INTERCOMPANY TRANSFER |
| WELLMONT HAWKINS COUNTY MEMORIAL HO | ||
| I | 190632 | LEASE AGREEMENT |
| WELLMONT HAWKINS COUNTY MEMORIAL HO | ||
| K | 2167859 | SUPPORT SERVICES |
| WELLMONT MADISON HOUSE | ||
| B | 122833 | INTERCOMPANY TRANSFER |
| WELLMONT PHYSICIAN SERVICES INC | ||
| I | 1284739 | LEASE AGREEMENT |
| WELLMONT PHYSICIAN SERVICES INC | ||
| L | 135238 | SERVICE AGREEMENT |
| WELLMONT FOUNDATION | ||
| B | 122063 | NEED |
| WELLMONT MEDICAL ASSOCIATES | ||
| L | 285000 | SERVICES AGREEMENT |
| WELLMONT CARDIOLOGY SERVICES | ||
| K | 2896947 | SERVICES AGREEMENT |
| WELLMONT CARDIOLOGY SERVICES | ||
| F | 350850 | NET BOOK VALUE |
| HOLSTON VALLEY AMBULATORY SURGERY C | ||
| R | 906360 | DISTRIBUTION |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | WELLMONT HEALTH SYSTEM REQUESTED THE INTERNAL REVENUE SERVICE'S APPROVAL OF A ONE-TIME EXTENSION TO MAY 15, 2012 FOR OUR FORM 990 RETURN. THE ORIGINAL REQUEST FOR THE FIRST EXTENSION WAS INADVERTENTLY FILED ONE DAY AFTER THE REQUIRED DUE DATE OF NOVEMBER 15, 2011. AS A COST SAVING INITIATIVE, WE BROUGHT THE RETURN PREPARATION IN-HOUSE AND PURCHASED ULTRATAX SOFTWARE TO ASSIST WITH THE FILING. UNFORTUNATELY, WE ATTEMPTED TO FILE THE REQUEST FOR EXTENSION ELECTRONICALLY WITH THE NEW SOFTWARE, BUT WE WERE UNSUCCESSFUL AFTER MUCH EFFORT. THEREFORE, WE HURRIEDLY FILED THE EXTENSION MANUALLY. IN THE MEANTIME, ONE OF OUR RELATED ORGANIZATIONS FILED AN ORIGINAL REQUEST FOR A FIRST EXTENSION ON THE SAME DAY THAT WELLMONT HEALTH SYSTEM FILED AN ORIGINAL REQUEST FOR A FIRST EXTENSION, AND WAS GRANTED AN EXTENSION. WELLMONT HEALTH SYSTEM HAS TAKEN ACTIONS TO ENSURE THAT ALL FUTURE FILINGS WILL BE TIMELY BY PROPERLY INSTALLING AND PROVIDING TRAINING ON THE ULTRATAX SOFTWARE SYSTEM. A CORPORATE ANNU | Explanation |