WELLMONT HEALTH SYSTEM: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- WELLMONT HEALTH SYSTEM (EIN 62-1636465)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201111369349304631
- Schema version
- 2009v1.7
- 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 L
- Schedule O
- Schedule R
- Affiliated Group Attachment
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-16T14:13:05-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 COMMERCE STREET SUITE 1000 | AddressLine1 |
| City | NASHVILLE | City |
| State | TN | State |
| ZIP Code | 37219 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | 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 | SENIOR VP OF FINANCE | Title |
| Phone | 4232308512 | Phone |
| Date Signed | 2011-05-16 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6152441602 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | 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 | 681569486 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| 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 | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 6590 | TotalNbrEmployees |
| Total Nbr Volunteers | 514 | TotalNbrVolunteers |
| Total Gross UBI | 109936 | TotalGrossUBI |
| Contributions Grants Prior Year | 3318056 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2385595 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 610908730 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 601472119 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4870083 | InvestmentIncomePriorYear |
| Investment Income Current Year | 7814832 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 7078908 | OtherRevenuePriorYear |
| Other Revenue Current Year | 10322525 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 626175777 | TotalRevenuePriorYear |
| Total Revenue Current Year | 621995071 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1553071 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1065798 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 274246851 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 249808413 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 348254463 | OtherExpensePriorYear |
| Other Expenses Current Year | 337180801 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 624054385 | TotalExpensesPriorYear |
| Total Expenses Current Year | 588055012 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2121392 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 33940059 | RevenuesLessExpensesCY |
| Total Assets BOY | 877490702 | TotalAssetsBOY |
| Total Assets EOY | 906473724 | TotalAssetsEOY |
| Total Liabilities BOY | 626969469 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 609622506 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 250521233 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 296851218 | NetAssetsOrFundBalancesEOY |
| Mission Description | WE DELIVER SUPERIOR HEALTH CARE WITH COMPASSION. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 571593793 | Expense |
| Grants | 1065798 | Grants |
| Revenue | 599173806 | 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 (6 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" OF SCHEDULE H. WELLMONT HEALTH SYSTEM IS A PUBLIC TRUST. FROM KINGSPORT TO BRISTOL, FROM SNEEDVILLE TO NORTON, THE MEMBER HOSPITALS OF OUR ORGANIZATION WERE BORN OF THEIR COMMUNITIES' COMMITMENT TO SUPERIOR HEALTH CARE FOR THEIR CITIZENS. WE OFFER A VAST ARRAY OF MEDICAL SERVICES AND RESOURCES FOR THOUSANDS OF PATIENTS IN NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. IN 2010, WE PROVIDED SERVICES TO 50,910 PATIENTS IN A BED, 212,383 EMERGENCY ROOM VISITS, 218,400 OUTPATIENT REGISTRATIONS (EXCLUDING ER), 2,238 NEWBORN DELIVERIES, 36,559 SURGERIES, AND 258,263 PHYSICIAN OFFICE VISITS. WELLMONT IS A TENNESSEE NOT-FOR-PROFIT CORPORATION. SIX TAX-EXEMPT COMMUNITY BASED HOSPITALS - BRISTOL REGIONAL MEDICAL CENTER (BRISTOL, TN.), HOLSTON VALLEY MEDICAL CENTER (KINGSPORT, TN.), LONESOME PINE HOSPITAL (BIG STONE GAP, VA.), HANCOCK COUNTY HOSPITAL (SNEEDVILLE, TN.), 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 $31,252,081 IN BENEFITS TO OUR REGION, INCLUDING $18,924,174 OF COSTS FOR INDIGENT PATIENTS AND UNCOMPENSATED CARE FOR OTHER PATIENTS AND $12,327,907 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 COMPANIES. SIX THOUSAND FIVE HUNDRED NINETY 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 $ 32,343,421 OF CHARGES AND INCURRING COST OF $13,469,906. 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 $382,952 TO FRIENDS IN NEED WHICH INCLUDED CASH CONTRIBUTIONS TOTALING $150,000 AND DRUGS AND SUPPLIES AT A DIRECT COST OF $232,952. 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, EQUIPMENT AND OTHER VARIOUS ITEMS VALUED AT $12,832 FOR THE HEALTH CENTER, WHICH PROVIDES QUALITY HEALTH CARE TO THE WORKING POOR. BRISTOL REGIONAL MEDICAL CENTER PROVIDED CASH DONATIONS TO HEALING HANDS TOTALING $7,500. - THE WELLMONT FOUNDATION FUNDED THE PURCHASE OF SEVERAL HUNDRED INFANT CAR SEATS FOR NEWBORNS WHOSE FAMILIES COULDN'T AFFORD THEM. TRAINING AND EDUCATING OUR HEALTHCARE PROFESSIONALS WELLMONT HEALTH SYSTEM WILL NOT SUCCEED IN OUR MISSION WITHOUT CONTINUALLY REINVESTING IN OUR MOST PRECIOUS RESOURCE - OUR PEOPLE. TO THAT END, WE SUPPORTED THE EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS AT A DIRECT COST OF $6,991,127. 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 $3,645,457 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 MEDICAL CENTER, 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. - 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 PUBLICLY SUPPORTED THE IDEA OF A MEDICAL SCHOOL AT KING COLLEGE TO PROVIDE ADDITIONAL PHYSICIANS TO OUR REGION. - THROUGH A PARTNERSHIP WITH KING COLLEGE, WELLMONT PROVIDES EMPLOYEES IN MANAGEMENT ROLES THE OPPORTUNITY TO EARN A MASTER'S DEGREE IN BUSINESS ADMINISTRATION AT NO COST TO THE EMPLOYEE. THIRTY-TWO (32) EMPLOYEES ARE CURRENTLY ENROLLED IN THE PROGRAM. - ALSO IN COLLABORATION WITH KING COLLEGE, THE SYSTEM SUPPORTED THE WELLMONT-KING COLLEGE SCHOOL OF NURSING AT A DIRECT COST OF $79,267. - WELLMONT HEALTH SYSTEM HAS MADE AVAILABLE CONTINUING EDUCATION AND TRAINING TO EMPLOYEES, MEDICAL STAFF, MEMBERS OF AFFILIATED HEALTH CARE ORGANIZATIONS AND SCHOOLS AND INTERESTED MEMBERS OF THE PUBLIC. SOME OF THOSE OPPORTUNITIES INCLUDED: - SOUTHWEST VIRGINIA EMS COUNCIL SYMPOSIUM; PROVIDED FREE OF CHARGE TO EMS PROVIDERS THROUGHOUT THE REGION - ANNUAL STROKE SYMPO | Description |
| Total Program Service Expense | 571593793 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| 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 |
| 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 | false | 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 | true | 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 |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 358 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 6590 | 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 | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | 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 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 |
Form990 Part VII Section A Form990PartVIISectionA (36 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| PETER GALE MD | ||||||||
| BOARD MEMBER | 6.0 | X | 0 | 0 | 0 | |||
| E WAYNE KIRK | ||||||||
| TREASURER/ASSISTANT SECRETARY | 6.0 | X | 0 | 0 | 0 | |||
| THOMAS F PUGH MD | ||||||||
| BOARD MEMBER | 6.0 | X | 0 | 0 | 0 | |||
| SPENCER QUESENBERRY | ||||||||
| SECRETARY | 6.0 | X | 0 | 0 | 0 | |||
| FIELDING ROLSTON | ||||||||
| BOARD MEMBER | 6.0 | X | 0 | 0 | 0 | |||
| DAVID THOMPSON MD | ||||||||
| BOARD MEMBER/PHYSICIAN | 40.0 | X | 369456 | 0 | 14934 | |||
| DAVID CROCKETT | ||||||||
| VICE-CHAIR | 6.0 | X | 0 | 0 | 0 | |||
| ROGER MOWEN | ||||||||
| CHAIRMAN | 6.0 | X | 0 | 0 | 0 | |||
| SKIP SKINNER | ||||||||
| BOARD MEMBER | 6.0 | X | 0 | 0 | 0 | |||
| JOHN WILLIAMS | ||||||||
| EX-OFFICIO | 6.0 | X | 0 | 0 | 0 | |||
| ROGER LEONARD | ||||||||
| BOARD MEMBER | 6.0 | X | 0 | 0 | 0 | |||
| RAVAN KRICKBAUM | ||||||||
| BOARD MEMBER | 6.0 | X | 0 | 0 | 0 | |||
| PIERRE ISTFAN MD | ||||||||
| BOARD MEMBER | 6.0 | X | 0 | 0 | 0 | |||
| JULIE BENNETT | ||||||||
| BOARD MEMBER | 6.0 | X | 0 | 0 | 0 | |||
| WAYNE KENNEDY | ||||||||
| EX-OFFICIO | 6.0 | X | 0 | 0 | 0 | |||
| ROBERT F BURGIN | ||||||||
| INTERIM PRES & CEO/BOARD MEM. | 6.0 | X | 0 | 0 | 0 | X | ||
| HAMLIN WILSON | ||||||||
| SR VP OF HUMAN RESOURCES (WHS) | 40.0 | 281491 | 0 | 18601 | X | |||
| GARY D MILLER | ||||||||
| SR VP LEGAL AFFAIRS (WHS) | 40.0 | 260312 | 0 | 25437 | X | |||
| PATRICK KANE | ||||||||
| SR VP MARKETING & COMM. (WHS) | 40.0 | 249610 | 0 | 26223 | X | |||
| TODD J DOUGAN | ||||||||
| SR. VP FINANCE (WHS) | 40.0 | 227391 | 0 | 26053 | X | |||
| MICHAEL SNOW | ||||||||
| PRESIDENT & CEO (WHS) | 40.0 | 719633 | 0 | 25078 | X | |||
| TRUMAN ESMOND | ||||||||
| INTERIM CFO | 40.0 | 286614 | 0 | 0 | X | |||
| MICHAEL BUNDY | ||||||||
| SR VP OF OPERATIONS (WHS) | 40.0 | 267286 | 0 | 26843 | X | |||
| ELIZABETH WARD | ||||||||
| EXECUTIVE VP & CFO | 40.0 | 0 | 0 | 0 | X | |||
| RON PREWITT | ||||||||
| PRESIDENT (LRMC) | 40.0 | 295040 | 0 | 26468 | X | |||
| STEPHEN COMBS MD | ||||||||
| PRESIDENT (WPS) | 40.0 | 328275 | 0 | 18232 | X | |||
| BLAINE DOUGLAS | ||||||||
| PRESIDENT (HVMC) | 40.0 | 383059 | 0 | 31009 | X | |||
| BARTHOLEMEW A HOVE | ||||||||
| PRESIDENT (BRMC) | 40.0 | 385043 | 0 | 30957 | X | |||
| DAVID L BRASH | ||||||||
| REGIONAL VP-VA DIVISION | 40.0 | 266517 | 0 | 27421 | X | |||
| DALE SARGENT MD | ||||||||
| CHIEF MEDICAL OFFICER | 40.0 | 171513 | 0 | 14386 | X | |||
| FRED PELLE | ||||||||
| PRESIDENT (HCMH) | 2.0 | 24218 | 217955 | 23593 | X | |||
| JORGE LODEIRO MD | ||||||||
| PHYSICIAN | 40.0 | 857251 | 0 | 59553 | X | |||
| ROBERT HARRIS MD | ||||||||
| PHYSICIAN | 40.0 | 760815 | 0 | 52562 | X | |||
| EDWIN A MCELROY MD | ||||||||
| PHYSICIAN | 40.0 | 742893 | 0 | 50781 | X | |||
| MALCOLM R MATTHEWS MD | ||||||||
| PHYSICIAN | 40.0 | 652783 | 0 | 40570 | X | |||
| ASHEESH SHIPSTONE MD | ||||||||
| PHYSICIAN | 40.0 | 642232 | 0 | 42648 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 8171432 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 217955 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 581349 | TotalOtherCompensation |
| Number Individuals GT100 K | 238 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | true | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ROBINS AND MORTON GROUP | |||||
| 5500 MARYLAND WAY SUITE 100 | BRENTWOOD | TN | 37027 | CONTRACTORS | 39104392 |
| HOLSTON ANESTHESIA ASSOCIATION | |||||
| 135 W RAVINE STREET SUITE 5B | KINGSPORT | TN | 37662 | MEDICAL SERVICES | 6311261 |
| HIGHLANDS PATHOLOGY CONSULTANTS PC | |||||
| 10368 WALLACE VALLEY 18 | KINGSPORT | TN | 37663 | MEDICAL SERVICES | 2435154 |
| CARDIOVASCULAR ASSOCIATES | |||||
| 2050 MEADOWVIEW PARKWAY | KINGSPORT | TN | 37660 | MEDICAL SERVICES | 2791648 |
| DELOITTE CONSULTING LLP | |||||
| PO BOX 7247-6447 | PHILADELPHIA | PA | 19170 | PERFORMANCE IMPROV | 3397781 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Related Organizations | 1699958 | RelatedOrganizations |
| Government Grants | 683103 | GovernmentGrants |
| All Other Contributions | 2534 | AllOtherContributions |
| Total Contributions | 2385595 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 621990 | 405677362 | 405677362 |
| PHARMACY REVENUE | 621990 | 183288259 | 183288259 |
| BLOOD REVENUE | 621990 | 11536826 | 11536826 |
| ADMINISTRATIVE REVENUE | 561000 | 969672 | 969672 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 601472119 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8484433 | TotalRevenueColumn |
| Unrelated Business Revenue | -25792 | UnrelatedBusinessRevenue |
| Exclusion | $8,510,225 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 6071305 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1836466 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 4234839 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4234839 | TotalRevenueColumn |
| Exclusion | $4,234,840 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 50422215 | Securities |
| Other | 6646133 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 49736994 | Securities |
| Other | 8000955 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 685221 | Securities |
| Other | -1354822 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -669601 | TotalRevenueColumn |
| Exclusion | -$669,601 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| CAFETERIA/VENDING | 722210 | 2760674 | $2,760,674 | |
| GIFT SHOP REVENUE | 453220 | 464552 | $464,552 | |
| MISCELLANEOUS REVENUE | 900099 | 2862460 | $2,726,732 | 135728 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 6087686 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 621995071 | TotalRevenueColumn |
| Related Or Exempt Function Income | 601472119 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 109936 | UnrelatedBusinessRevenue |
| Exclusion | $18,027,422 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1065798 | Total |
| Program Services | 1065798 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5380259 | Total |
| Management And General | 5380259 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170147018 | Total |
| Program Services | 169461947 | ProgramServices |
| Management And General | 685071 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11381730 | Total |
| Program Services | 11142735 | ProgramServices |
| Management And General | 238995 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48925883 | Total |
| Program Services | 48434219 | ProgramServices |
| Management And General | 491664 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13973523 | Total |
| Program Services | 13696504 | ProgramServices |
| Management And General | 277019 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1299891 | Total |
| Program Services | 856657 | ProgramServices |
| Management And General | 443234 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 797998 | Total |
| Program Services | 797998 | ProgramServices |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96271 | Total |
| Program Services | 96271 | ProgramServices |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45019 | Total |
| Program Services | 45019 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71522612 | Total |
| Program Services | 69123756 | ProgramServices |
| Management And General | 2398856 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1313101 | Total |
| Program Services | 1310485 | ProgramServices |
| Management And General | 2616 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 138220455 | Total |
| Program Services | 136821260 | ProgramServices |
| Management And General | 1399195 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 689209 | Total |
| Program Services | 689209 | ProgramServices |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19529398 | Total |
| Program Services | 19484111 | ProgramServices |
| Management And General | 45287 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1385385 | Total |
| Program Services | 1046926 | ProgramServices |
| Management And General | 338459 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30040 | Total |
| Program Services | 30040 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19307501 | Total |
| Program Services | 19307501 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39929856 | Total |
| Program Services | 37933363 | ProgramServices |
| Management And General | 1996493 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5115088 | Total |
| Program Services | 5115088 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR BAD DEBTS | 32321089 | 32321089 | |
| PHYSICIAN RECRUITMENT | 2749435 | 738831 | 2010604 |
| DUES AND MEMBERSHIPS | 737672 | 257654 | 480018 |
| MISCELLANEOUS EXPENSE | 1760453 | 1500308 | 260145 |
| BOOKS AND PUBLICATIONS | 330328 | 317024 | 13304 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 588055012 | Total |
| Program Services | 571593793 | ProgramServices |
| Management And General | 16461219 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57660480 | BOY |
| EOY | 19280 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 29828198 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 92122111 | BOY |
| EOY | 86312132 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13954244 | BOY |
| EOY | 14706814 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4363804 | BOY |
| EOY | 5418512 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 857948314 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 432464532 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 419298668 | BOY |
| EOY | 425483782 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 247801678 | BOY |
| EOY | 303622399 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32557713 | BOY |
| EOY | 20120565 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4778521 | BOY |
| EOY | 4778521 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4953483 | BOY |
| EOY | 16183521 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 877490702 | BOY |
| EOY | 906473724 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64424711 | BOY |
| EOY | 59772029 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 454290000 | BOY |
| EOY | 430070000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 108254758 | BOY |
| EOY | 119780477 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 626969469 | BOY |
| EOY | 609622506 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250521233 | BOY |
| EOY | 296851218 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250521233 | BOY |
| EOY | 296851218 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 877490702 | BOY |
| EOY | 906473724 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
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) |
|---|---|---|
| Org Belongs To Affiliated Group | X | OrgBelongsToAffiliatedGroup |
| Total Grassroots Lobbying | TotalGrassrootsLobbying |
Total Direct Lobbying TotalDirectLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 96271 | FilingOrganizationsTotals |
| Affiliated Group Totals | 96271 | AffiliatedGroupTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 96271 | FilingOrganizationsTotals |
| Affiliated Group Totals | 96271 | AffiliatedGroupTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 587886289 | FilingOrganizationsTotals |
| Affiliated Group Totals | 620904477 | AffiliatedGroupTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 587982560 | FilingOrganizationsTotals |
| Affiliated Group Totals | 621000748 | AffiliatedGroupTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 1000000 | FilingOrganizationsTotals |
| Affiliated Group Totals | 1000000 | AffiliatedGroupTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 250000 | FilingOrganizationsTotals |
| Affiliated Group Totals | 250000 | AffiliatedGroupTotals |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| 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 | 193609 | CurrentYearMinus3 |
| Current Year Minus2 | 91230 | CurrentYearMinus2 |
| Current Year Minus1 | 68925 | CurrentYearMinus1 |
| Current Year | 96271 | CurrentYear |
| Total | 450035 | 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 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 107181 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 32446099 | OtherCostOrOtherBasis |
| Book Value | 32553280 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 514152398 | OtherCostOrOtherBasis |
| Depreciation | 203319062 | Depreciation |
| Book Value | 310833336 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2297835 | OtherCostOrOtherBasis |
| Depreciation | 348351 | Depreciation |
| Book Value | 1949484 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 301421167 | OtherCostOrOtherBasis |
| Depreciation | 228797119 | Depreciation |
| Book Value | 72624048 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7523634 | OtherCostOrOtherBasis |
| Book Value | 7523634 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 425483782 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| POST RETIREMENT BENEFITS | $5,860,787 |
| SWAP LIABILITY | $12,943,505 |
| OTHER LONG-TERM LIABILITIES | $25,585,271 |
| CAPITAL LEASE OBLIGATION | $15,279,603 |
| OTHER CURRENT LIABILITIES | $33,283,589 |
| DEFINED BENEFITS PENSION LIABI | $10,017,722 |
| TAXABLE BOND LIABILITIES | $16,810,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 119780477 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ASC TOPIC 740 (FIN 48) DISCLOSURE | Identifier |
| Return Reference | SCHEDULE D, PART X, LINE 2 | ReturnReference |
| Explanation | ON JULY 1, 2007, WELLMONT ADOPTED NEW GUIDANCE ISSUED ON THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS NOW CODIFIED INTO ASC TOPIC 740. IT ALSO PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE WAS NO IMPACT ON WELLMONT'S CONSOLIDATED FINANCIAL STATEMENTS AS A RESULT OF THE ADOPTION OF THE NEW GUIDANCE. | 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 |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| 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 | 13469906 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 13469906 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02130 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 62104513 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 56650245 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5454268 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00860 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 75574419 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 56650245 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18924174 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02990 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6347400 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1057382 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5290018 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00840 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8097525 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1399061 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6698464 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01060 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5950 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3600 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2350 | NetCommunityBenefitExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 337075 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 337075 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14787950 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2460043 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12327907 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01950 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 90362369 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 59110288 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 31252081 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04940 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $9,346,603 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 161977054 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 155906211 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 6070843 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| HWHN INC | ||
| WHS HEALTH NETWORK | 0.50000 | 0.50000 |
| HOLSTON VALLEY IMAG | ||
| RADIOLOGY SERVICES | 0.75000 | 0.50000 |
| RENAISSANCE SUR CTR | ||
| SURGICAL SERVICES | 0.33330 | 0.67670 |
| HOLSTON VALLEY AMB | ||
| SURGICAL SERVICES | 0.52000 | 0.48000 |
| SAPLING GROVE AMB | ||
| SURGICAL SERVICES | 0.65000 | 0.35000 |
Form990 Schedule H Part V Form990ScheduleHPartV (10 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | Teaching HospitalTeachingHospital | Er24 HoursEr24Hours | Critical Access HospitalCriticalAccessHospital | OtherOther | General Medical And SurgicalGeneralMedicalAndSurgical |
|---|---|---|---|---|---|---|---|---|---|
| BRISTOL REGIONAL MEDICAL CENTER | |||||||||
| 1 MEDICAL PARK BLVD | BRISTOL | TN | 37620 | X | X | X | |||
| HOLSTON VALLEY MEDICAL CENTER | |||||||||
| 130 RAVINE ROAD | KINGSPORT | TN | 37660 | X | X | X | |||
| LONESOME PINE HOSPITAL | |||||||||
| 1990 HOLTON AVENUE | BIG STONE GAP | VA | 24219 | X | X | ||||
| HANCOCK COUNTY HOSPITAL | |||||||||
| 1519 MAIN STREET | SNEEDVILLE | TN | 37869 | X | X | X | |||
| JENKINS COMMUNITY HOSPITAL | |||||||||
| PO BOX 4729480 HIGHWAY 805MAIN ST | JENKINS | KY | 41537 | X | X | X | SOLD APRIL 1, 2009 | ||
| MOUNTAIN VIEW REGIONAL MEDICAL CENTER | |||||||||
| 310 3RD STREET NE | NORTON | VA | 24273 | X | X | ||||
| LEE REGIONAL MEDICAL CENTER | |||||||||
| PO BOX 589 127 HEALTH CARE DRIVE | PENNINGTON GAP | VA | 24277 | X | |||||
| HOLSTON VALLEY AMBULATORY SURGERY CENTER | |||||||||
| 103 WEST STONE DRIVE SUITE 100 | KINGSPORT | TN | 37760 | JOINT VENTURE AMB. SURGERY CENTER | X | ||||
| SAPLING GROVE AMBULATORY SURGERY CENTER | |||||||||
| 220 MEDICAL PARK BOULEVARD SUITE 2 | BRISTOL | TN | 37620 | JOINT VENTURE AMB. SURGERY CENTER | X | ||||
| RENAISSANCE SURGERY CENTER | |||||||||
| 320 BRISTOL WEST BOULEVARD SUITE 1 | BRISTOL | TN | 37620 | JOINT VENTURE AMB. SURGERY CENTER | X | ||||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Annual Community Benefit Expln | 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 (6 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..." | AnnualCommunityBenefitExpln |
| Costing Method Used | RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO DETERMINE THE COSTS FOR AMOUNTS IN LINE 7A AND 7B COLUMN (C) BY FACILITY. THE COSTS INCLUDED IN THE COST-TO-CHARGE RATIO INCLUDED THE COSTS FROM ALL PATIENT SEGMENTS. ACTUAL COSTS FROM THE GENERAL LEDGER WERE USED FOR AMOUNTS IN LINE 7F AND 7I COLUMN (C). | CostingMethodUsed |
| Percent Of Total Expense Expln | THE BAD DEBT EXPENSE OF $32,321,089 WAS INCLUDED ON FORM 990 PART IX, LINE 25 COLUMN (A) BUT WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. IN ADDITION, $22,331 WAS SUBTRACTED FOR WELLMONT HEALTH SYSTEM'S SHARE OF JOINT VENTURE BAD DEBT EXPENSE. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | 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 (INCLUDING JOINT VENTURES). THERE ARE NO AMOUNTS REPORTED ON LINE 3. DISCOUNTS ON PATIENT ACCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. PAYMENTS ON PATIENT ACCOUNTS THAT HAVE PREVIOUSLY BEEN WRITTEN OFF AS BAD DEBT ARE USED TO REDUCE BAD DEBT EXPENSE. A THIRD PARTY VENDOR IS USED TO HELP DETERMINE THE AMOUNT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE POLICY. TEXT OF NOTE TO FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: NET PATIENT SERVICE REVENUE IS REPORTED ON THE ACCRUAL BASIS IN THE PERIOD IN WHICH SERVICES ARE PROVIDED AT THE ESTIMATED NET REALIZABLE AMOUNTS EXPECTED TO BE COLLECTED. NET PATIENT SERVICE REVENUE INCLUDES AMOUNTS ESTIMATED BY MANAGEMENT TO BE REIMBURSABLE BY PATIENTS AND VARIOUS THIRD-PARTY PAYORS UNDER PROVISIONS OF REIMBURSEMENT FORMULAS IN EFFECT, INCLUDING RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS. ESTIMATED RETROACTIVE ADJUSTMENTS ARE ACCRUED IN THE PERIOD RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL AND OTHER SETTLEMENTS ARE DETERMINED. WELLMONT PROVIDES CARE TO PATIENTS WHO MEET CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE WELLMONT DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUE. PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF BOTH AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS. THE CONTRACTUAL ALLOWANCE REPRESENTS THE DIFFERENCE BETWEEN ESTABLISHED BILLING RATES AND ESTIMATED REIMBURSEMENT FROM MEDICARE, TENNCARE, MEDICAID, AND OTHER THIRD-PARTY PAYMENT PROGRAMS. WELLMONT'S POLICY DOES NOT REQUIRE COLLATERAL OR OTHER SECURITY FOR PATIENT ACCOUNTS RECEIVABLE. WELLMONT ROUTINELY OBTAINS ASSIGNMENT OF, OR IS OTHERWISE ENTITLED TO RECEIVE, PATIENT BENEFITS PAYABLE UNDER HEALTH INSURANCE PROGRAMS, PLANS, OR POLICIES. | BadDebtFootnote |
| Shortfall As Community Benefit | THE MEDICARE COST REPORT COST FINDING METHODOLOGY AND COST TO CHARGE RATIOS WERE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6. LINE 7 IS A SURPLUS SO IT IS NOT INCLUDED AS COMMUNITY BENEFIT. THE IRS INSTRUCTIONS FOR SCHEDULE H, PART III, SECTION B, LINES 5-7 SPECIFICALLY INDICATE TO INCLUDE ONLY THOSE ALLOWABLE COSTS AND MEDICARE REIMBURSEMENTS THAT ARE REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT FOR THE YEAR. THIS REPORTING DOES NOT TAKE INTO ACCOUNT THOSE COSTS AND REVENUES ASSOCIATED WITH PHYSICIANS WHO ARE TREATING MEDICARE PATIENTS AT HOSPITAL-OWNED CLINIC AND PHYSICIAN PRACTICE SITES. ACCORDINGLY, THE NET 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. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | A THIRD PARTY VENDOR WAS USED BEGINNING IN FISCAL YEAR 2010 (TAX YEAR 2009) 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. SUCH PATIENTS ARE NOTIFIED OF THE REDUCTION OR ELIMINATION OF THE OUTSTANDING CHARGES AND COLLECTIONS ARE NOT PURSUED. | DebtCollectionPolicy |
| Needs Assessment | WELLMONT HEALTH SYSTEM EXAMINES THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES BY CONDUCTING PHYSICIAN NEEDS ASSESSMENTS FOR ITS HOSPITALS. AS PART OF THIS EFFORT, WELLMONT REVIEWS ITS SERVICE AREA AND DEMOGRAPHICS, EXAMINES PHYSICIAN DEMOGRAPHICS AND CONDUCTS FOCUS GROUPS. IT MAKES A DETERMINATION OF PHYSICIAN NEED WHILE CALCULATING ITS PHYSICIAN SURPLUSES AND DEFICITS AND HIGHLIGHTING ITS RECRUITMENT PRIORITIES AND PLANS. WELLMONT ANNUALLY DETERMINES ITS PRIMARY, SECONDARY AND TERTIARY MARKETS THROUGH THE USE OF COUNTY-BY-COUNTY ANALYSIS TO IDENTIFY THE FOLLOWING CUSTOMER GROUPS: PATIENTS AND POTENTIAL PATIENTS, COMMUNITY/EMPLOYER GROUPS AND LOCAL PHYSICIANS. THE HEALTH SYSTEM ALSO RELIES ON THE EXPERTISE OF CONSULTANTS TO PERIODICALLY REVIEW ALL FACETS OF OPERATIONS AND MAKE RECOMMENDATIONS FOR CHANGES. | NeedsAssessment |
| Patient Education Assistance | WELLMONT HEALTH SYSTEM PROACTIVELY INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY BY POSTING THE POLICY ON ITS WEB SITE AS WELL AS POSTING THE POLICY AT POINTS OF REGISTRATION IN THE HOSPITALS. WELLMONT HEALTH SYSTEM USES PROGRAM ELIGIBILITY SPECIALISTS WHO CONTACT THE UNINSURED PATIENT POPULATION. THESE SPECIALISTS DISCUSS THE VARIOUS GOVERNMENTAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE TO PATIENTS IN ORDER TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR ANY OF THESE PROGRAMS. THE SPECIALISTS WILL WORK WITH THE PATIENTS TO COMPLETE ANY NECESSARY APPLICATIONS AND WILL HELP THEM THROUGH THE QUALIFICATION PROCESS. | PatientEducationAssistance |
| Community Information | WELLMONT HEALTH SYSTEM'S SERVICE AREA IS DEFINED BY MANAGEMENT AT THE COUNTY LEVEL BASED ON PATIENT ACTIVITY AND LOCATIONS OF OUR CAMPUSES. THE PRIMARY SERVICE AREA ("PSA") INCLUDES THE TENNESSEE COUNTIES OF SULLIVAN, HAWKINS AND HANCOCK AND THE VIRGINIA COUNTIES OF WASHINGTON, WISE, LEE AND SCOTT. THE SECONDARY SERVICE AREA ("SSA") IS DEFINED AS WASHINGTON, GREENE, CARTER, JOHNSON AND UNICOI COUNTIES OF TENNESSEE AND RUSSELL, BUCHANAN, SMYTH, TAZEWELL, DICKENSON AND WYTHE COUNTIES OF VIRGINIA. THE DEMOGRAPHICS OF THESE AREAS ARE AS FOLLOWS: PSA - POPULATION 384,685; MEDIAN HOUSEHOLD INCOME $37,711. SSA - POPULATION 456,180; MEDIAN HOUSEHOLD INCOME $33,982. APPROXIMATELY 13.5% OF OUR PATIENTS ARE MEDICAID RECIPIENTS AND 6.5% ARE UNINSURED AND TWO OF THE PSA COUNTIES ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS (HAWKINS COUNTY, TENNESSEE AND LEE COUNTY, VIRGINIA). | CommunityInformation |
| Other Information | WELLMONT HEALTH SYSTEM'S HOSPITALS AND OTHER HEALTHCARE FACILITIES FURTHER THEIR EXEMPT PURPOSE BY PROVIDING MILLIONS IN UNCOMPENSATED CARE AND OTHER CHARITABLE DONATIONS. IN FISCAL YEAR 2009-10, WELLMONT PROVIDED $71,028,000 IN UNCOMPENSATED CARE. THE HEALTH SYSTEM ALSO DONATED $918,448 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 $5,375,454 FOR COMMUNITY HEALTH AND OUTREACH AND $6,991,127 FOR TRAINING AND EDUCATION OF HEALTHCARE PROFESSIONALS. EMPLOYEES, PHYSICIANS, AND VOLUNTEERS DONATED 102,619 HOURS OF COMMUNITY SERVICE. | OtherInformation |
| Affiliated Health Care System | WELLMONT HEALTH SYSTEM ("WELLMONT") IS A TENNESSEE NON-PROFIT CORPORATION BASED IN KINGSPORT, TENNESSEE AND A PREMIER PROVIDER OF HEALTHCARE SERVICES IN NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. WELLMONT WAS FORMED IN JULY 1996 WITH THE MERGER OF BRISTOL MEMORIAL HOSPITAL IN BRISTOL, TENNESSEE AND HOLSTON VALLEY MEDICAL CENTER IN KINGSPORT, TENNESSEE. OVER THE PAST DECADE, 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 1,253 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 FOR-PROFIT CORPORATIONS AND OTHER ORGANIZATIONS THAT CURRENTLY PROVIDE HEALTH CARE AND HEALTH CARE-RELATED SERVICES THROUGHOUT THE SERVICE AREA. IN ADDITION TO THE HOSPITAL CAMPUSES AND AMBULATORY CARE CENTERS DESCRIBED ABOVE, WELLMONT ALSO OPERATES MEDICAL CLINICS, AMBULATORY SURGERY CENTERS, COMPREHENSIVE CANCER CARE CENTERS, AND IMAGING FACILITIES. | AffiliatedHealthCareSystem |
| Reports Filed With States | TN | ReportsFiledWithStates |
| Reports Filed With States | VA | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (30 entries)
| Address Line1AddressUS/AddressLine1 | Address Line2AddressUS/AddressLine2 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | |||||||||||
| 508 PRINCETON ROAD | SUITE 102 | JOHNSON CITY | TN | 37601 | 640329009 | 501(C)(3) | 15351 | RELAY FOR LIFE SPONSORSHIP | |||
| BARTER FOUNDATION INC STATE THEATRE OF VA | |||||||||||
| PO BOX 867 | ABINGDON | VA | 24212 | 546000120 | 501(C)(3) | 20000 | SEASONAL SPONSORSHIP | ||||
| KINGSPORT AREA CHAMBER OF COMMERCE | |||||||||||
| 151 E MAIN STREET | KINGSPORT | TN | 37660 | 620446834 | 501(C)(6) | 31113 | KPT CHAMBER SPONSORS | ||||
| SCIENCE HILL HIGH SCHOOL | |||||||||||
| 1509 JOHN EXUM PARKWAY | JOHNSON CITY | TN | 37604 | 626000320 | GOVERNMENT | 5300 | ATHLETIC SPONSORSHIP | ||||
| TENNESSEE CHAMBER OF COMMERCE AND INDUSTRY | |||||||||||
| 611 COMMERCE STREET | SUITE 3030 | NASHVILLE | TN | 37203 | 621236022 | 501(C)(6) | 5500 | ANNUAL SPONSORSHIP | |||
| YWCA | |||||||||||
| 106 STATE STREET | BRISTOL | TN | 37620 | 620488044 | 501(C)(3) | 10000 | TRIBUTE TO WOMEN SPONSORSHIP | ||||
| KOSBE | |||||||||||
| 151 EAST MAIN ST | KINSGPORT | TN | 37660 | 581453565 | 501(C)(3) | 7757 | SPONSORSHIP | ||||
| AMERICAN HEART & STROKE ASSOCIATION | |||||||||||
| 1101 NORTHCHAST PKWY | SUITE 1 | MARIETTA | GA | 30067 | 135613797 | 501(C)(3) | 36200 | GO RED FOR WOMEN SPONSORSHIP | |||
| SYMPHONY OF THE MOUNTAINS | |||||||||||
| 1200 E CENTER STREET | BOX 13 | KINGSPORT | TN | 37660 | 620534228 | 501(C)(3) | 17800 | 2009 HOLIDAY CONCERT SPONSORSHIP | |||
| TENNESSEE HIGH VIKING BOOSTER CLUB | |||||||||||
| PO BOX 3224 | BRISTOL | TN | 37625 | 621757051 | 501(C)(3) | 5500 | FUNDRAISING CAMPAIGN | ||||
| GREATER KINGSPORT FAMILY YMCA | |||||||||||
| 1100 FRANKLIN SQUARE | KINGSPORT | TN | 37664 | 581564232 | 501(C)(3) | 22500 | ANNUAL CONTRIBUTION | ||||
| APPALACHIAN MOUNTAIN PROJECT ACCESS | |||||||||||
| PO BOX 973 | JOHNSON CITY | TN | 37605 | 262102040 | 501(C)(3) | 34000 | HEALTH ACCESS PROJECT CONTRIBUTION | ||||
| BUCCANEER ATHLETIC SCHOLARSHIP ASSOCIATION | |||||||||||
| BOX 70707 | JOHNSON CITY | TN | 37614 | 237092731 | 501(C)(3) | 23000 | ATHLETIC SPONSORSHIP | ||||
| FRIENDS IN NEED HEALTH CENTER | |||||||||||
| 1105 WEST STONE DRIVE | KINGSPORT | TN | 37660 | 621541637 | 501(C)(3) | 150000 | HEALTHCARE ASSISTANCE FOR UNINS. | 232952 | COST | DRUGS AND SUPPLIES | |
| HEALING HANDS HEALTH CENTER | |||||||||||
| 210 MEMORIAL DRIVE | BRISTOL | TN | 37620 | 621677000 | 501(C)(3) | 7500 | HEALTHCARE ASSISTANCE FOR UNINS. | 12832 | COST | MEDICAL SUPPLIES | |
| AMERICAN CANCER SOCIETY | |||||||||||
| PO BOX 246 | ABINGDON | VA | 24212 | 580659875 | 501(C)(3) | 8250 | RELAY FOR LIFE SPONSORSHIP | ||||
| BRISTOL CHAMBER OF COMMERCE | |||||||||||
| 20 VOLUNTEER PARKWAY | BRISTOL | TN | 37620 | 540150315 | 501(C)(6) | 5615 | SPONSORSHIP | ||||
| CARDINAL HEALTH | |||||||||||
| PO BOX 95600 | ALBUQUERQUE | NM | 87100 | 344095179 | N/A | HAITI RELIEF FUND | 27174 | FMV | MEDICAL SUPPLIES | ||
| CONTACT CONCERN OF KINGSPORT | |||||||||||
| PO BOX 3336 | KINGSPORT | TN | 37664 | 620962876 | 501(C)(3) | 9500 | CONTRIBUTION | ||||
| DOWNTOWN KINGSPORT ASSOCIATION | |||||||||||
| 140 W MAIN STREET | KINGSPORT | TN | 37660 | 626097264 | 501(C)(3) | 10000 | SPONSORSHIP JULY 4TH FIREWORKS | ||||
| FISCHER ROSS GROUP INC | |||||||||||
| 2 SOUND VIEW DRIVE | SUITE 100 | GREENWICH | CT | 06830 | 205111271 | N/A | 15066 | TALENT FEE FOR GO RED LUNCHEON | |||
| FUN FEST 2010 | |||||||||||
| 151 EAST MAIN ST | KINGSPORT | TN | 37660 | 620446834 | 501(C)(6) | 6140 | HOT AIR BALLOON RALLY SPONSORSHIP | ||||
| GAP PARTNERSHIP | |||||||||||
| 619 GILLEY AVENUE | BIG STONE GAP | VT | 24219 | 541269523 | 501(C)(3) | 6000 | SPONSORSHIP | ||||
| KINGSPORT LEADERSHIP | |||||||||||
| PO BOX 1403 | KINGSPORT | TN | 37662 | 581453565 | 501(C)(3) | 20000 | SPONSORSHIP | ||||
| KINGSPORT TIMES-NEWS | |||||||||||
| PO BOX 479 | KINGSPORT | TN | 37662 | 620673926 | N/A | 5881 | SPONSORSHIP WOMEN'S EXPO | ||||
| KINGSPORT TOMORROW | |||||||||||
| 214 COMMERCE STREET | SUITE 103 | KINGSPORT | TN | 37660 | 581941002 | 501(C)(3) | 11950 | GOLF TOURNAMENT SPONSORSHIP | |||
| MISSIONARY FLIGHTS INTERNATIONAL | |||||||||||
| 3170 AIRMANS DRIVE | FORT PIERCE | FL | 34946 | 237199063 | 501(C)(3) | HAITI RELIEF FUND | 10000 | FMV | MEDICAL SUPPLIES | ||
| WATAUGA ORTHOPAEDICS | |||||||||||
| PO BOX 2267 | JOHNSON CITY | TN | 37605 | 621586264 | N/A | 20000 | ATHLETE OF THE WEEK SPONSORSHIP | ||||
| WCYB APPALACHIAN BROADCASTING CORP | |||||||||||
| PO BOX 601063 | CHARLOTTE | NC | 28260 | 540467002 | N/A | 19936 | MEDIA PLACEMENT GO RED | ||||
| CARE SPARK | |||||||||||
| PO BOX 657 | KINGSPORT | TN | 37664 | 202694144 | 501(C)(3) | 50000 | GENERAL SUPPORT | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 22 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 9 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | MONITORING THE USE OF GRANT FUNDS | Identifier |
| Return Reference | 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 PAYMENT IS SENT DIRECTLY TO ACCOUNTS PAYABLE FOR PAYMENT. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | 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 | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HAMLIN WILSON | |||||||||||||
| 209539 | 0 | 43560 | 0 | 28392 | 0 | 12144 | 0 | 6457 | 0 | 300092 | 0 | 0 | 0 |
| GARY D MILLER | |||||||||||||
| 204386 | 0 | 41305 | 0 | 14621 | 0 | 11255 | 0 | 14182 | 0 | 285749 | 0 | 0 | 0 |
| RON PREWITT | |||||||||||||
| 234881 | 0 | 44603 | 0 | 15556 | 0 | 12819 | 0 | 13649 | 0 | 321508 | 0 | 0 | 0 |
| DAVID THOMPSON MD | |||||||||||||
| 282514 | 0 | 83046 | 0 | 3896 | 0 | 0 | 0 | 14934 | 0 | 384390 | 0 | 0 | 0 |
| PATRICK KANE | |||||||||||||
| 184609 | 0 | 38677 | 0 | 26324 | 0 | 10402 | 0 | 15821 | 0 | 275833 | 0 | 0 | 0 |
| STEPHEN COMBS MD | |||||||||||||
| 249808 | 0 | 40913 | 0 | 37554 | 0 | 13299 | 0 | 4933 | 0 | 346507 | 0 | 0 | 0 |
| TODD J DOUGAN | |||||||||||||
| 174616 | 0 | 35050 | 0 | 17725 | 0 | 10002 | 0 | 16051 | 0 | 253444 | 0 | 0 | 0 |
| BLAINE DOUGLAS | |||||||||||||
| 303237 | 0 | 60023 | 0 | 19799 | 0 | 16408 | 0 | 14601 | 0 | 414068 | 0 | 0 | 0 |
| BARTHOLEMEW A HOVE | |||||||||||||
| 290108 | 0 | 60986 | 0 | 33949 | 0 | 16409 | 0 | 14548 | 0 | 416000 | 0 | 0 | 0 |
| DAVID L BRASH | |||||||||||||
| 216560 | 0 | 42884 | 0 | 7073 | 0 | 11767 | 0 | 15654 | 0 | 293938 | 0 | 0 | 0 |
| MICHAEL SNOW | |||||||||||||
| 472501 | 0 | 177424 | 0 | 69708 | 0 | 18207 | 0 | 6871 | 0 | 744711 | 0 | 0 | 0 |
| TRUMAN ESMOND | |||||||||||||
| 136614 | 0 | 150000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 286614 | 0 | 0 | 0 |
| MICHAEL BUNDY | |||||||||||||
| 213997 | 0 | 42544 | 0 | 10745 | 0 | 11481 | 0 | 15362 | 0 | 294129 | 0 | 0 | 0 |
| DALE SARGENT MD | |||||||||||||
| 163078 | 0 | 0 | 0 | 8435 | 0 | 7125 | 0 | 7261 | 0 | 185899 | 0 | 0 | 0 |
| JORGE LODEIRO MD | |||||||||||||
| 706468 | 0 | 149423 | 0 | 1360 | 0 | 43766 | 0 | 15787 | 0 | 916804 | 0 | 0 | 0 |
| ROBERT HARRIS MD | |||||||||||||
| 760345 | 0 | 200 | 0 | 270 | 0 | 18578 | 0 | 13984 | 0 | 793377 | 0 | 0 | 0 |
| EDWIN A MCELROY MD | |||||||||||||
| 628417 | 0 | 114358 | 0 | 118 | 0 | 37744 | 0 | 13037 | 0 | 793674 | 0 | 0 | 0 |
| MALCOLM R MATTHEWS MD | |||||||||||||
| 450490 | 0 | 201105 | 0 | 1188 | 0 | 27325 | 0 | 13245 | 0 | 693353 | 0 | 0 | 0 |
| ASHEESH SHIPSTONE MD | |||||||||||||
| 450344 | 0 | 191384 | 0 | 504 | 0 | 29257 | 0 | 13391 | 0 | 684880 | 0 | 0 | 0 |
| FRED PELLE | |||||||||||||
| 19491 | 175418 | 3832 | 34485 | 895 | 8052 | 1056 | 9500 | 1304 | 11733 | 26578 | 239188 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| HOUSING ALLOWANCE | SCHEDULE J, PART I, LINE 1 | WELLMONT HEALTH SYSTEM OFFERED MIKE SNOW A HOUSING ALLOWANCE DURING THE FISCAL YEAR ENDED JUNE 30,2010. THE HOUSING ALLOWANCE PAID TO MIKE SNOW WAS INCLUDED IN HIS TAXABLE COMPENSATION. |
| HEALTH OR SOCIAL CLUB DUES | SCHEDULE J, PART I, LINE 1 | DURING THE FISCAL YEAR ENDED JUNE 30,2010, WELLMONT HEALTH SYSTEM PROVIDED COUNTRY CLUB MEMBERSHIPS FOR BARTHOLEMEW HOVE, PATRICK KANE, RON PREWITT, AND MIKE SNOW. IN ADDITION, WELLMONT HEALTH SYSTEM PROVIDES HEALTH CLUB MEMBERSHIPS FOR BLAINE DOUGLAS, GARY D. MILLER, JORGE LODEIRO MD, AND FRED PELLE. THESE AMOUNTS ARE INCLUDED IN TAXABLE COMPENSATION. |
| MANAGEMENT COMPANY | SCHEDULE J, PART II | FOR THE CALENDAR YEAR 2009, WELLMONT HEALTH SYSTEM PAID TATUM, LLC (EIN: 58-2361736) IN THE AMOUNT OF $561,441 FOR SERVICES THAT TRUMAN ESMOND PROVIDED TO WELLMONT HEALTH SYSTEM. IN ADDITION, WELLMONT HEALTH SYSTEM ISSUED A FORM 1099 DIRECTLY TO MR. ESMOND IN THE AMOUNT OF $286,614 FOR SERVICES RENDERED TO WELLMONT HEALTH SYSTEM. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (5 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| SULLIVAN COUNTY TENNESSEE HEALTH EDL AND FACS | ||||||
| 621256662 | 865293AC8 | 2006-11-02 | 200000000 | RENOVATION/CONS. OF HOLSTON VALLEY | false | false |
| VIRGINIA SMALL BUSINESS FINANCING AUTHORITY | ||||||
| 541300845 | 928101AC8 | 2007-07-31 | 55000000 | PURCHASE OF HOSPITALS | false | false |
| SULLIVAN COUNTY TENNESSEE HEALTH EDL AND FACS | ||||||
| 621256662 | 865292DY9 | 2003-06-01 | 59100000 | REFUND OF PREVIOUSLY ISSUED BOND | false | false |
| SULLIVAN COUNTY TENNESSEE HEALTH EDL AND FACS | ||||||
| 621256662 | 865292DZ6 | 2005-12-13 | 70620000 | REFUND OF PREVIOUSLY ISSUED BOND | false | false |
| SULLIVAN COUNTY TENNESSEE HEALTH EDL AND FACS | ||||||
| 621256662 | 865293AB0 | 2006-06-29 | 76595000 | REFUND OF PREVIOUSLY ISSUED BOND | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (5 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Amount DefeasedAmountDefeased | Amount UnspentAmountUnspent | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 207055314 | 18977995 | 0 | 12534857 | 2164568 | 0 | 187573513 | 2011 | false | false | false | true |
| 55658570 | 5464590 | 0 | 0 | 1026366 | 0 | 49167614 | 2007 | false | false | true | true |
| 67546371 | 5300282 | 60061731 | 0 | 2184358 | 0 | 0 | 2003 | false | true | true | true |
| 71923735 | 0 | 71529827 | 0 | 266958 | 126950 | 0 | 2005 | false | true | true | true |
| 76595000 | 0 | 75610171 | 0 | 984829 | 0 | 0 | 2006 | false | true | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (5 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (5 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 | Term Of HedgeTermOfHedge |
|---|---|---|---|---|---|---|---|
| MERRIL LYNCH | |||||||
| false | false | false | true | 4. | true | false | |
| (no name) | |||||||
| false | false | false | false | false | |||
| (no name) | |||||||
| false | false | false | false | false | |||
| LEHMAN BROTHERS | |||||||
| false | true | true | false | false | 10.8 | ||
| (no name) | |||||||
| false | true | false | false | false | |||
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | HIGHLANDS PATHOLOGY CONSULTANTS PC | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | PETER GALE, >5% | Relationship |
| Amount Of Transaction | 1881186 | AmountOfTransaction |
| Description Of Transaction | PATHOLOGY SERVICES | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| VOLUNTEER HOURS | FORM 990, PART I, LINE 6 | WELLMONT HEALTH SYSTEM'S 514 VOLUNTEERS PROVIDED SERVICES WHICH INCLUDED ANSWERING TELEPHONES, GREETING AND ESCORTING PATIENTS/VISITORS, AND VARIOUS OTHER SERVICES. THESE VOLUNTEERS ALSO INCLUDE CHAPLAIN SERVICES FOR THE HOSPITAL AND ARE AVAILABLE TWENTY-FOUR HOURS, SEVEN DAYS A WEEK TO PATIENTS, PATIENTS' FAMILIES AND EMPLOYEES. |
| DELEGATION OF MANAGEMENT DUTIES TO A MANAGEMENT COMPANY OR OTHER PERSON | FORM 990 PART VI, SECTION A, LINE 3 | WELLMONT HEALTH SYSTEM CONTRACTED WITH TATUM, LLC TO PERFORM AN EXECUTIVE SEARCH IN ORDER TO PLACE AN INTERIM CFO DURING THE PREVIOUS TAX YEAR. TRUMAN ESMOND WAS PLACED BY TATUM, LLC TO ACT AS INTERIM CFO. MR. ESMOND DISCONTINUED HIS POSITION WITH WELLMONT HEALTH SYSTEM ON DECEMBER 31, 2010. |
| REVIEW OF 990 | FORM 990 PART VI, SECTION A, LINE 11A | WELLMONT HEALTH SYSTEM'S FORM 990 IS REVIEWED BY THE WELLMONT HEALTH SYSTEM BOARD, EXECUTIVE VICE PRESIDENT/CFO, SENIOR VICE PRESIDENT OF FINANCE, AND THE MANAGER OF ACCOUNTING FOR WELLMONT HEALTH SYSTEM PRIOR TO FILING. ANY QUESTIONS/COMMENTS ARISING FROM THE INITIAL REVIEW ARE ADDRESSED TO ENSURE THE RETURN IS COMPLETE AND ACCURATE. ANY CHANGES/CORRECTIONS ARE MADE AND THE RETURN IS THEN PROVIDED TO THE ABOVE INDIVIDUALS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| CONFLICT OF INTEREST POLICY | FORM 990 PART VI, SECTION B, LINE 12C | WELLMONT HEALTH SYSTEM HAS A CONFLICT OF INTEREST POLICY. ANNUALLY, BOARD MEMBERS ARE PROVIDED THE POLICY AND GIVEN A DISCLOSURE FORM THAT IS SENT TO GENERAL COUNSEL FOR REVIEW AND ACTION. WELLMONT ALSO HAS A POLICY ON BUSINESS PRACTICES THAT ALL EMPLOYEES MUST REVIEW AND SIGN THAT DISCUSSES CONFLICT OF INTEREST AND INFORMS THE WORKFORCE TO DISCLOSE ANY ISSUES TO THE CORPORATE COMPLIANCE OFFICER FOR RESOLUTION. WELLMONT ALSO USES A HOTLINE THAT ALLOWS ANONYMOUS REPORTING OF POSSIBLE CONFLICT OF INTEREST SITUATIONS FOR INVESTIGATION BY THE CORPORATE COMPLIANCE OFFICER. |
| COMPENSATION REVIEW | FORM 990 PART VI, SECTION B, LINE 15A & B | THE WELLMONT HEALTH SYSTEM CEO AND HIS DIRECT REPORTS' COMPENSATION (LISTED BELOW)IS REVIEWED, APPROVED,AND DOCUMENTED BY THE WELLMONT HEALTH SYSTEM PERSONNEL COMMITTEE AND BOARD OF DIRECTORS. THESE BODIES USE COMPARABILITY DATA TO DETERMINE APPROPRIATE COMPENSATION. ALL COMPENSATION DELIBERATIONS AND REVIEWS ARE CONTEMPORANEOUSLY DOCUMENTED. THIS PROCESS IS COMPLETED ON AN ANNUAL BASIS WITH THE LAST PROCESS BEING COMPLETED IN JULY 2009. OTHER OFFICERS/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. WELLMONT HEALTH SYSTEM EVP AND CFO WELLMONT HEALTH SYSTEM SR. VP OF OPERATIONS WELLMONT HEALTH SYSTEM SR. VP OF HUMAN RESOURCES WELLMONT HEALTH SYSTEM SR. VP OF LEGAL AFFAIRS WELLMONT HEALTH SYSTEM CHIEF MEDICAL OFFICER WELLMONT HEALTH SYSTEM SR. VP OF MARKETING AND COMMUNICATION BRISTOL REGIONAL MEDICAL CENTER CEO HOLSTON VALLEY MEDICAL CENTER CEO LONESOME PINE HOSPITAL CEO HANCOCK COUNTY HOSPITAL CEO MOUNTAIN VIEW REGIONAL MEDICAL CENTER CEO LEE REGIONAL MEDICAL CENTER CEO |
| PARTICIPATION WITH JOINT VENTURES OR SIMILAR ARRANGEMENTS | FORM 990 PART VI, SECTION B, LINE 16 | WELLMONT HEALTH SYSTEM HAS TAKEN STEPS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS. THE WELLMONT HEALTH SYSTEM LEGAL DEPARTMENT REVIEWS ALL JOINT VENTURE RELATIONS AND DETERMINES IF THE RELATIONSHIP MEETS WELLMONT HEALTH SYSTEM'S EXEMPT PURPOSE. IF THE RELATIONSHIP MEETS WELLMONT HEALTH SYSTEM'S EXEMPT PURPOSE, THE BOARD OF DIRECTORS WILL APPROVE THE RELATIONSHIP. ANY ONGOING RELATIONSHIP IS THEN MONITORED AND REVIEWED DURING THE ANNUAL AUDIT OF THE CONSOLIDATED WELLMONT HEALTH SYSTEM CONSOLIDATED GROUP. |
| AVERAGE HOURS PER WEEK | FORM 990 PART VII, SECTION A, COLUMN B | THE FOLLOWING OFFICERS AND VOTING BOARD MEMBERS DEVOTED TIME PROVIDING SERVICES TO A RELATED ENTITY. FRED PELLE (38 HOURS) GARY MILLER (1 HOUR) MICHAEL SNOW (1 HOUR) ELIZABETH WARD (1 HOUR) TRUMAN ESMOND (1 HOUR) MICHAEL BUNDY (1 HOUR) BLAINE DOUGLAS (1 HOUR) BART HOVE (1 HOUR) TODD DOUGAN (1 HOUR) |
| PUBLIC DISCLOSURE | FORM 990 PART VI, SECTION C, LINE 19 | THE WELLMONT HEALTH SYSTEM'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. FEDERAL LAW DOES NOT REQUIRE SUCH DOCUMENTS BE MADE PUBLICLY AVAILABLE UNLESS THEY WERE INCLUDED ON FORMS THAT ARE PUBLICLY AVAILABLE SUCH AS FORM 1023 OR FORM 1024. WELLMONT HEALTH SYSTEM'S AUDITED FINANCIAL STATEMENTS AND QUARTERLY UNAUDITED FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE AS WELL AS THE CORPORATE OFFICE OF WELLMONT HEALTH SYSTEM. FORM 990 IS ALSO AVAILABLE FOR PUBLIC INSPECTION AT THE CORPORATE OFFICE OF WELLMONT HEALTH SYSTEM. |
| AUDIT OF FINANCIAL STATEMENTS | FORM 990, PART XI, LINE 2C | WELLMONT HEALTH SYSTEM'S FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2010 WERE AUDITED AS PART OF WELLMONT HEALTH SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS. WELLMONT HEALTH SYSTEM HAS AN AUDIT COMMITTEE WHICH ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
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 SERVICES LLC | BusinessNameLine1 |
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 |
| Total Income | 0 | TotalIncome |
| EOY Assets | 0 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHS | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (6 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 |
|---|---|---|---|---|---|---|---|---|---|
| WELLMONT HAWKINS CO MEMORIAL HOSPITAL | |||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621816368 | HEALTHCARE | TN | 501(C)(3) | 3 | NA |
| WELLMONT MADISON HOUSE | |||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621308216 | HEALTHCARE | TN | 501(C)(3) | 9 | WHS |
| WELLMONT IMAGING SERVICES INC | |||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 861103148 | HEALTHCARE | TN | 501(C)(3) | 3 | WHS |
| WELLMONT FOUNDATION | |||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 581594191 | HEALTHCARE | TN | 501(C)(3) | 7 | WHS |
| TAKOMA REGIONAL HOSPITAL INC | |||||||||
| 401 TAKOMA AVENUE | GREENEVILLE | TN | 37743 | 510603966 | HEALTHCARE | TN | 501(C)(3) | 3 | WHS |
| WELLMONT CARDIOLOGY SERVICES | |||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 263557623 | HEALTHCARE | TN | 501(C)(3) | 3 | WHS |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HOLSTON VALLEY IMAGING CENTER | |||||||||||||
| 103 W STONE DRIVE | KINGSPORT | TN | 37660 | 202043285 | HEALTHCARE | TN | WELLMONT IMAGIN | RELATED | 0 | 0 | false | $0 | false |
| SAPLING GROVE AMBULATORY SURGERY CENTER | |||||||||||||
| 220 MEDICAL PARK BLVD | BRISTOL | TN | 37620 | 204450153 | SURGERY | TN | WHS | RELATED | 364690 | 4442797 | false | $0 | false |
| HOLSTON VALLEY AMBULATORY SURGERY | |||||||||||||
| 103 WEST STONE DRIVE | KINGSPORT | TN | 37660 | 621816864 | SURGERY | TN | WHS | RELATED | 724458 | 1641229 | false | $0 | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WELLMONT INC | |||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621320035 | PHYSICIAN SVCS | TN | WHS | C CORP | -12890251 | -46151031 | 1.00000 |
| MCOT INC | |||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621325938 | MEDICAL SVCS | TN | WELLMONT INC | C CORP | 0 | 0 | 0.00000 |
| MEDICAL LAUNDRY OF TRI-CITIES INC | |||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621482226 | MEDICAL SVCS | TN | WELLMONT INC | C CORP | 0 | 0 | 0.00000 |
| MEDICAL MALL PHARMACY INC | |||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621565006 | MEDICAL SVCS | TN | WELLMONT INC | C CORP | 0 | 0 | 0.00000 |
| WELLMONT PHYSICIAN SERVICES INC | |||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621567353 | PHYSICIAN SVCS | TN | WELLMONT INC | C CORP | 0 | 0 | 0.00000 |
| WELLMONT HEALTH SERVICES INC | |||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621254373 | HEALTHCARE | TN | WELLMONT INC | C CORP | 0 | 0 | 0.00000 |
| WPS PROVIDERS INC | |||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 205564642 | PHYSICIAN SVCS | TN | WELLMONT INC | C CORP | 0 | 0 | 0.00000 |
| 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 (16 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| WELLMONT MADISON HOUSE | |
| B | 610224 |
| WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL | |
| B | 5122476 |
| WELLMONT FOUNDATION INC | |
| C | 1666687 |
| HOLSTON VALLEY IMAGING CENTER INC | |
| I | 935215 |
| WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL | |
| I | 183766 |
| MEDICAL LAUNDRY OF TRI-CITIES INC | |
| I | 92750 |
| HOLSTON VALLEY AMBULATORY SURGERY CENTER | |
| I | 826104 |
| WELLMONT PHYSICIAN SERVICES INC | |
| I | 1065024 |
| WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL | |
| K | 2035949 |
| MCOT INC | |
| L | 2290699 |
| MEDICAL MALL PHARMACY INC | |
| L | 239220 |
| MEDICAL LAUNDRY OF TRI-CITIES INC | |
| L | 1996746 |
| WELLMONT PHYSICIAN SERVICES INC | |
| L | 132140 |
| WELLMONT CARDIOLOGY SERVICES INC | |
| L | 511776 |
| HOLSTON VALLEY IMAGING CENTER INC | |
| P | 592313 |
| SAPLING GROVE AMBULATORY SURGERY CENTER | |
| R | 495000 |
Affiliated Group Attachment AffiliatedGroupAttachment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | FOR SCHEDULE C PURPOSES, WELLMONT HEALTH SYSTEM WOULD BE CONSIDERED AN AFFILIATED GROUP WITH THE FOLLOWING ENTITIES: WELLMONT HEALTH SYSTEM (62-1636465) WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL (62-1816368) WELLMONT MADISON HOUSE (62-1308216) WELLMONT IMAGING SERVICES, INC. (86-1103148) WELLMONT CARDIOLOGY SERVICES, INC. (26-3557623) THE FILING ORGANIZATION, WELLMONT HEALTH SYSTEM, IS THE ONLY ENTITY ABOVE THAT INCURRED LOBBYING EXPENSES. THE FILING ORGANIZATION IS THE ONLY ENTITY LISTED ABOVE THAT HAS MADE AN ELECTION UNDER IRC SECTION 501(H). | Explanation |