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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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-16T14:13:05-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1401 COMMERCE STREET SUITE 1000AddressLine1
CityNASHVILLECity
StateTNState
ZIP Code37219ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN621636465EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameTODD J DOUGANName
TitleSENIOR VP OF FINANCETitle
Phone4232308512Phone
Date Signed2011-05-16DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6152441602Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11905 AMERICAN WAYAddressLine1
CityKINGSPORTCity
StateTNState
ZIP Code37660ZIPCode
FieldValueIRS element (for citing)
Gross Receipts681569486GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.WELLMONT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionWE DELIVER SUPERIOR HEALTH CARE WITH COMPASSION.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees6590TotalNbrEmployees
Total Nbr Volunteers514TotalNbrVolunteers
Total Gross UBI109936TotalGrossUBI
Contributions Grants Prior Year3318056ContributionsGrantsPriorYear
Contributions Grants Current Year2385595ContributionsGrantsCurrentYear
Program Service Revenue Prior Year610908730ProgramServiceRevenuePriorYear
Program Service Revenue CY601472119ProgramServiceRevenueCY
Investment Income Prior Year4870083InvestmentIncomePriorYear
Investment Income Current Year7814832InvestmentIncomeCurrentYear
Other Revenue Prior Year7078908OtherRevenuePriorYear
Other Revenue Current Year10322525OtherRevenueCurrentYear
Total Revenue Prior Year626175777TotalRevenuePriorYear
Total Revenue Current Year621995071TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1553071GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1065798GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year274246851SalariesEtcPriorYear
Salaries Etc Current Year249808413SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year348254463OtherExpensePriorYear
Other Expenses Current Year337180801OtherExpensesCurrentYear
Total Expenses Prior Year624054385TotalExpensesPriorYear
Total Expenses Current Year588055012TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2121392RevenuesLessExpensesPriorYear
Revenues Less Expenses CY33940059RevenuesLessExpensesCY
Total Assets BOY877490702TotalAssetsBOY
Total Assets EOY906473724TotalAssetsEOY
Total Liabilities BOY626969469TotalLiabilitiesBOY
Total Liabilities EOY609622506TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY250521233NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY296851218NetAssetsOrFundBalancesEOY
Mission DescriptionWE DELIVER SUPERIOR HEALTH CARE WITH COMPASSION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense571593793Expense
Grants1065798Grants
Revenue599173806Revenue
DescriptionWELLMONT HEALTH SYSTEM PREPARES A CONSOLIDATED COMMUNITY BENEFIT REPORT WHICH INCLUDES THE ACTIVITIES OF ALL ITS OPERATIONS AND AFFILIATES. IN CONTRAST, AN IRS FORM 990 IS FILED FOR EACH TAX EXEMPT CORPORATION (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 SYMPODescription
Total Program Service Expense571593793TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096358NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees6590NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledTNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTODD DOUGANNamePerson
Telephone Number4232308512TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
PETER GALE MD
BOARD MEMBER6.0X000
E WAYNE KIRK
TREASURER/ASSISTANT SECRETARY6.0X000
THOMAS F PUGH MD
BOARD MEMBER6.0X000
SPENCER QUESENBERRY
SECRETARY6.0X000
FIELDING ROLSTON
BOARD MEMBER6.0X000
DAVID THOMPSON MD
BOARD MEMBER/PHYSICIAN40.0X369456014934
DAVID CROCKETT
VICE-CHAIR6.0X000
ROGER MOWEN
CHAIRMAN6.0X000
SKIP SKINNER
BOARD MEMBER6.0X000
JOHN WILLIAMS
EX-OFFICIO6.0X000
ROGER LEONARD
BOARD MEMBER6.0X000
RAVAN KRICKBAUM
BOARD MEMBER6.0X000
PIERRE ISTFAN MD
BOARD MEMBER6.0X000
JULIE BENNETT
BOARD MEMBER6.0X000
WAYNE KENNEDY
EX-OFFICIO6.0X000
ROBERT F BURGIN
INTERIM PRES & CEO/BOARD MEM.6.0X000X
HAMLIN WILSON
SR VP OF HUMAN RESOURCES (WHS)40.0281491018601X
GARY D MILLER
SR VP LEGAL AFFAIRS (WHS)40.0260312025437X
PATRICK KANE
SR VP MARKETING & COMM. (WHS)40.0249610026223X
TODD J DOUGAN
SR. VP FINANCE (WHS)40.0227391026053X
MICHAEL SNOW
PRESIDENT & CEO (WHS)40.0719633025078X
TRUMAN ESMOND
INTERIM CFO40.028661400X
MICHAEL BUNDY
SR VP OF OPERATIONS (WHS)40.0267286026843X
ELIZABETH WARD
EXECUTIVE VP & CFO40.0000X
RON PREWITT
PRESIDENT (LRMC)40.0295040026468X
STEPHEN COMBS MD
PRESIDENT (WPS)40.0328275018232X
BLAINE DOUGLAS
PRESIDENT (HVMC)40.0383059031009X
BARTHOLEMEW A HOVE
PRESIDENT (BRMC)40.0385043030957X
DAVID L BRASH
REGIONAL VP-VA DIVISION40.0266517027421X
DALE SARGENT MD
CHIEF MEDICAL OFFICER40.0171513014386X
FRED PELLE
PRESIDENT (HCMH)2.02421821795523593X
JORGE LODEIRO MD
PHYSICIAN40.0857251059553X
ROBERT HARRIS MD
PHYSICIAN40.0760815052562X
EDWIN A MCELROY MD
PHYSICIAN40.0742893050781X
MALCOLM R MATTHEWS MD
PHYSICIAN40.0652783040570X
ASHEESH SHIPSTONE MD
PHYSICIAN40.0642232042648X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8171432TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs217955TotalReportableCompFrmRltdOrgs
Total Other Compensation581349TotalOtherCompensation
Number Individuals GT100 K238NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcestrueCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ROBINS AND MORTON GROUP
5500 MARYLAND WAY SUITE 100BRENTWOODTN37027CONTRACTORS39104392
HOLSTON ANESTHESIA ASSOCIATION
135 W RAVINE STREET SUITE 5BKINGSPORTTN37662MEDICAL SERVICES6311261
HIGHLANDS PATHOLOGY CONSULTANTS PC
10368 WALLACE VALLEY 18KINGSPORTTN37663MEDICAL SERVICES2435154
CARDIOVASCULAR ASSOCIATES
2050 MEADOWVIEW PARKWAYKINGSPORTTN37660MEDICAL SERVICES2791648
DELOITTE CONSULTING LLP
PO BOX 7247-6447PHILADELPHIAPA19170PERFORMANCE IMPROV3397781
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations1699958RelatedOrganizations
Government Grants683103GovernmentGrants
All Other Contributions2534AllOtherContributions
Total Contributions2385595TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE621990405677362405677362
PHARMACY REVENUE621990183288259183288259
BLOOD REVENUE6219901153682611536826
ADMINISTRATIVE REVENUE561000969672969672
FieldValueIRS element (for citing)
Total Program Service Revenue601472119TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8484433TotalRevenueColumn
Unrelated Business Revenue-25792UnrelatedBusinessRevenue
Exclusion$8,510,225ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real6071305Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1836466Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real4234839Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column4234839TotalRevenueColumn
Exclusion$4,234,840ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities50422215Securities
Other6646133Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities49736994Securities
Other8000955Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities685221Securities
Other-1354822Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-669601TotalRevenueColumn
Exclusion-$669,601ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA/VENDING7222102760674$2,760,674
GIFT SHOP REVENUE453220464552$464,552
MISCELLANEOUS REVENUE9000992862460$2,726,732135728
FieldValueIRS element (for citing)
Total Other Revenue6087686TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column621995071TotalRevenueColumn
Related Or Exempt Function Income601472119RelatedOrExemptFunctionIncome
Unrelated Business Revenue109936UnrelatedBusinessRevenue
Exclusion$18,027,422ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1065798Total
Program Services1065798ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5380259Total
Management And General5380259ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total170147018Total
Program Services169461947ProgramServices
Management And General685071ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total11381730Total
Program Services11142735ProgramServices
Management And General238995ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total48925883Total
Program Services48434219ProgramServices
Management And General491664ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13973523Total
Program Services13696504ProgramServices
Management And General277019ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1299891Total
Program Services856657ProgramServices
Management And General443234ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total797998Total
Program Services797998ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total96271Total
Program Services96271ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total45019Total
Program Services45019ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total71522612Total
Program Services69123756ProgramServices
Management And General2398856ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1313101Total
Program Services1310485ProgramServices
Management And General2616ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total138220455Total
Program Services136821260ProgramServices
Management And General1399195ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total689209Total
Program Services689209ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total19529398Total
Program Services19484111ProgramServices
Management And General45287ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1385385Total
Program Services1046926ProgramServices
Management And General338459ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total30040Total
Program Services30040ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total19307501Total
Program Services19307501ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total39929856Total
Program Services37933363ProgramServices
Management And General1996493ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total5115088Total
Program Services5115088ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBTS3232108932321089
PHYSICIAN RECRUITMENT27494357388312010604
DUES AND MEMBERSHIPS737672257654480018
MISCELLANEOUS EXPENSE17604531500308260145
BOOKS AND PUBLICATIONS33032831702413304

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total588055012Total
Program Services571593793ProgramServices
Management And General16461219ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY57660480BOY
EOY19280EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY29828198EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY92122111BOY
EOY86312132EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY13954244BOY
EOY14706814EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4363804BOY
EOY5418512EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis857948314LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec432464532LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY419298668BOY
EOY425483782EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY247801678BOY
EOY303622399EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY32557713BOY
EOY20120565EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY4778521BOY
EOY4778521EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4953483BOY
EOY16183521EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY877490702BOY
EOY906473724EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY64424711BOY
EOY59772029EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY454290000BOY
EOY430070000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY108254758BOY
EOY119780477EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY626969469BOY
EOY609622506EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY250521233BOY
EOY296851218EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY250521233BOY
EOY296851218EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY877490702BOY
EOY906473724EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup
Total Grassroots LobbyingTotalGrassrootsLobbying

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals96271FilingOrganizationsTotals
Affiliated Group Totals96271AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals96271FilingOrganizationsTotals
Affiliated Group Totals96271AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals587886289FilingOrganizationsTotals
Affiliated Group Totals620904477AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals587982560FilingOrganizationsTotals
Affiliated Group Totals621000748AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250000AffiliatedGroupTotals
FieldValueIRS element (for citing)
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
Form4720 FiledfalseForm4720Filed

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

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

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3193609CurrentYearMinus3
Current Year Minus291230CurrentYearMinus2
Current Year Minus168925CurrentYearMinus1
Current Year96271CurrentYear
Total450035Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis107181InvestmentCostOrOtherBasis
Other Cost Or Other Basis32446099OtherCostOrOtherBasis
Book Value32553280BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis514152398OtherCostOrOtherBasis
Depreciation203319062Depreciation
Book Value310833336BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2297835OtherCostOrOtherBasis
Depreciation348351Depreciation
Book Value1949484BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis301421167OtherCostOrOtherBasis
Depreciation228797119Depreciation
Book Value72624048BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7523634OtherCostOrOtherBasis
Book Value7523634BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings425483782TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
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
FieldValueIRS element (for citing)
Total Of Amounts119780477TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierASC TOPIC 740 (FIN 48) DISCLOSUREIdentifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationON 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

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense13469906TotalCommunityBenefitExpense
Net Community Benefit Expense13469906NetCommunityBenefitExpense
Percent Of Total Expense0.02130PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense62104513TotalCommunityBenefitExpense
Direct Offsetting Revenue56650245DirectOffsettingRevenue
Net Community Benefit Expense5454268NetCommunityBenefitExpense
Percent Of Total Expense0.00860PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense75574419TotalCommunityBenefitExpense
Direct Offsetting Revenue56650245DirectOffsettingRevenue
Net Community Benefit Expense18924174NetCommunityBenefitExpense
Percent Of Total Expense0.02990PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense6347400TotalCommunityBenefitExpense
Direct Offsetting Revenue1057382DirectOffsettingRevenue
Net Community Benefit Expense5290018NetCommunityBenefitExpense
Percent Of Total Expense0.00840PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense8097525TotalCommunityBenefitExpense
Direct Offsetting Revenue1399061DirectOffsettingRevenue
Net Community Benefit Expense6698464NetCommunityBenefitExpense
Percent Of Total Expense0.01060PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense5950TotalCommunityBenefitExpense
Direct Offsetting Revenue3600DirectOffsettingRevenue
Net Community Benefit Expense2350NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense337075TotalCommunityBenefitExpense
Net Community Benefit Expense337075NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense14787950TotalCommunityBenefitExpense
Direct Offsetting Revenue2460043DirectOffsettingRevenue
Net Community Benefit Expense12327907NetCommunityBenefitExpense
Percent Of Total Expense0.01950PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense90362369TotalCommunityBenefitExpense
Direct Offsetting Revenue59110288DirectOffsettingRevenue
Net Community Benefit Expense31252081NetCommunityBenefitExpense
Percent Of Total Expense0.04940PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$9,346,603BadDebtExpenseAmount
Amount Reimbursed By Medicare161977054AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare155906211CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall6070843MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
HWHN INC
WHS HEALTH NETWORK0.500000.50000
HOLSTON VALLEY IMAG
RADIOLOGY SERVICES0.750000.50000
RENAISSANCE SUR CTR
SURGICAL SERVICES0.333300.67670
HOLSTON VALLEY AMB
SURGICAL SERVICES0.520000.48000
SAPLING GROVE AMB
SURGICAL SERVICES0.650000.35000

Form990 Schedule H Part V Form990ScheduleHPartV (10 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursCritical Access HospitalCriticalAccessHospitalOtherOtherGeneral Medical And SurgicalGeneralMedicalAndSurgical
BRISTOL REGIONAL MEDICAL CENTER
1 MEDICAL PARK BLVDBRISTOLTN37620XXX
HOLSTON VALLEY MEDICAL CENTER
130 RAVINE ROADKINGSPORTTN37660XXX
LONESOME PINE HOSPITAL
1990 HOLTON AVENUEBIG STONE GAPVA24219XX
HANCOCK COUNTY HOSPITAL
1519 MAIN STREETSNEEDVILLETN37869XXX
JENKINS COMMUNITY HOSPITAL
PO BOX 4729480 HIGHWAY 805MAIN STJENKINSKY41537XXXSOLD APRIL 1, 2009
MOUNTAIN VIEW REGIONAL MEDICAL CENTER
310 3RD STREET NENORTONVA24273XX
LEE REGIONAL MEDICAL CENTER
PO BOX 589 127 HEALTH CARE DRIVEPENNINGTON GAPVA24277X
HOLSTON VALLEY AMBULATORY SURGERY CENTER
103 WEST STONE DRIVE SUITE 100KINGSPORTTN37760JOINT VENTURE AMB. SURGERY CENTERX
SAPLING GROVE AMBULATORY SURGERY CENTER
220 MEDICAL PARK BOULEVARD SUITE 2BRISTOLTN37620JOINT VENTURE AMB. SURGERY CENTERX
RENAISSANCE SURGERY CENTER
320 BRISTOL WEST BOULEVARD SUITE 1BRISTOLTN37620JOINT VENTURE AMB. SURGERY CENTERX

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Annual Community Benefit ExplnWELLMONT 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 UsedRATIO 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 ExplnTHE 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 FootnoteTHE 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 BenefitTHE 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 PolicyA 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 AssessmentWELLMONT 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 AssistanceWELLMONT 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 InformationWELLMONT 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 InformationWELLMONT 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 SystemWELLMONT 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 StatesTNReportsFiledWithStates
Reports Filed With StatesVAReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (30 entries)

Address Line1AddressUS/AddressLine1Address Line2AddressUS/AddressLine2CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
AMERICAN CANCER SOCIETY
508 PRINCETON ROADSUITE 102JOHNSON CITYTN37601640329009501(C)(3)15351RELAY FOR LIFE SPONSORSHIP
BARTER FOUNDATION INC STATE THEATRE OF VA
PO BOX 867ABINGDONVA24212546000120501(C)(3)20000SEASONAL SPONSORSHIP
KINGSPORT AREA CHAMBER OF COMMERCE
151 E MAIN STREETKINGSPORTTN37660620446834501(C)(6)31113KPT CHAMBER SPONSORS
SCIENCE HILL HIGH SCHOOL
1509 JOHN EXUM PARKWAYJOHNSON CITYTN37604626000320GOVERNMENT5300ATHLETIC SPONSORSHIP
TENNESSEE CHAMBER OF COMMERCE AND INDUSTRY
611 COMMERCE STREETSUITE 3030NASHVILLETN37203621236022501(C)(6)5500ANNUAL SPONSORSHIP
YWCA
106 STATE STREETBRISTOLTN37620620488044501(C)(3)10000TRIBUTE TO WOMEN SPONSORSHIP
KOSBE
151 EAST MAIN STKINSGPORTTN37660581453565501(C)(3)7757SPONSORSHIP
AMERICAN HEART & STROKE ASSOCIATION
1101 NORTHCHAST PKWYSUITE 1MARIETTAGA30067135613797501(C)(3)36200GO RED FOR WOMEN SPONSORSHIP
SYMPHONY OF THE MOUNTAINS
1200 E CENTER STREETBOX 13KINGSPORTTN37660620534228501(C)(3)178002009 HOLIDAY CONCERT SPONSORSHIP
TENNESSEE HIGH VIKING BOOSTER CLUB
PO BOX 3224BRISTOLTN37625621757051501(C)(3)5500FUNDRAISING CAMPAIGN
GREATER KINGSPORT FAMILY YMCA
1100 FRANKLIN SQUAREKINGSPORTTN37664581564232501(C)(3)22500ANNUAL CONTRIBUTION
APPALACHIAN MOUNTAIN PROJECT ACCESS
PO BOX 973JOHNSON CITYTN37605262102040501(C)(3)34000HEALTH ACCESS PROJECT CONTRIBUTION
BUCCANEER ATHLETIC SCHOLARSHIP ASSOCIATION
BOX 70707JOHNSON CITYTN37614237092731501(C)(3)23000ATHLETIC SPONSORSHIP
FRIENDS IN NEED HEALTH CENTER
1105 WEST STONE DRIVEKINGSPORTTN37660621541637501(C)(3)150000HEALTHCARE ASSISTANCE FOR UNINS.232952COSTDRUGS AND SUPPLIES
HEALING HANDS HEALTH CENTER
210 MEMORIAL DRIVEBRISTOLTN37620621677000501(C)(3)7500HEALTHCARE ASSISTANCE FOR UNINS.12832COSTMEDICAL SUPPLIES
AMERICAN CANCER SOCIETY
PO BOX 246ABINGDONVA24212580659875501(C)(3)8250RELAY FOR LIFE SPONSORSHIP
BRISTOL CHAMBER OF COMMERCE
20 VOLUNTEER PARKWAYBRISTOLTN37620540150315501(C)(6)5615SPONSORSHIP
CARDINAL HEALTH
PO BOX 95600ALBUQUERQUENM87100344095179N/AHAITI RELIEF FUND27174FMVMEDICAL SUPPLIES
CONTACT CONCERN OF KINGSPORT
PO BOX 3336KINGSPORTTN37664620962876501(C)(3)9500CONTRIBUTION
DOWNTOWN KINGSPORT ASSOCIATION
140 W MAIN STREETKINGSPORTTN37660626097264501(C)(3)10000SPONSORSHIP JULY 4TH FIREWORKS
FISCHER ROSS GROUP INC
2 SOUND VIEW DRIVESUITE 100GREENWICHCT06830205111271N/A15066TALENT FEE FOR GO RED LUNCHEON
FUN FEST 2010
151 EAST MAIN STKINGSPORTTN37660620446834501(C)(6)6140HOT AIR BALLOON RALLY SPONSORSHIP
GAP PARTNERSHIP
619 GILLEY AVENUEBIG STONE GAPVT24219541269523501(C)(3)6000SPONSORSHIP
KINGSPORT LEADERSHIP
PO BOX 1403KINGSPORTTN37662581453565501(C)(3)20000SPONSORSHIP
KINGSPORT TIMES-NEWS
PO BOX 479KINGSPORTTN37662620673926N/A5881SPONSORSHIP WOMEN'S EXPO
KINGSPORT TOMORROW
214 COMMERCE STREETSUITE 103KINGSPORTTN37660581941002501(C)(3)11950GOLF TOURNAMENT SPONSORSHIP
MISSIONARY FLIGHTS INTERNATIONAL
3170 AIRMANS DRIVEFORT PIERCEFL34946237199063501(C)(3)HAITI RELIEF FUND10000FMVMEDICAL SUPPLIES
WATAUGA ORTHOPAEDICS
PO BOX 2267JOHNSON CITYTN37605621586264N/A20000ATHLETE OF THE WEEK SPONSORSHIP
WCYB APPALACHIAN BROADCASTING CORP
PO BOX 601063CHARLOTTENC28260540467002N/A19936MEDIA PLACEMENT GO RED
CARE SPARK
PO BOX 657KINGSPORTTN37664202694144501(C)(3)50000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants22TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations9TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORING THE USE OF GRANT FUNDSIdentifier
Return ReferencePART I, LINE 2ReturnReference
ExplanationALL 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

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
HAMLIN WILSON
209539043560028392012144064570300092000
GARY D MILLER
2043860413050146210112550141820285749000
RON PREWITT
2348810446030155560128190136490321508000
DAVID THOMPSON MD
28251408304603896000149340384390000
PATRICK KANE
1846090386770263240104020158210275833000
STEPHEN COMBS MD
249808040913037554013299049330346507000
TODD J DOUGAN
1746160350500177250100020160510253444000
BLAINE DOUGLAS
3032370600230197990164080146010414068000
BARTHOLEMEW A HOVE
2901080609860339490164090145480416000000
DAVID L BRASH
216560042884070730117670156540293938000
MICHAEL SNOW
4725010177424069708018207068710744711000
TRUMAN ESMOND
13661401500000000000286614000
MICHAEL BUNDY
2139970425440107450114810153620294129000
DALE SARGENT MD
163078000843507125072610185899000
JORGE LODEIRO MD
7064680149423013600437660157870916804000
ROBERT HARRIS MD
760345020002700185780139840793377000
EDWIN A MCELROY MD
628417011435801180377440130370793674000
MALCOLM R MATTHEWS MD
4504900201105011880273250132450693353000
ASHEESH SHIPSTONE MD
450344019138405040292570133910684880000
FRED PELLE
194911754183832344858958052105695001304117332657823918800

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
HOUSING ALLOWANCESCHEDULE J, PART I, LINE 1WELLMONT 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 DUESSCHEDULE J, PART I, LINE 1DURING 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 COMPANYSCHEDULE J, PART IIFOR 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 EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
SULLIVAN COUNTY TENNESSEE HEALTH EDL AND FACS
621256662865293AC82006-11-02200000000RENOVATION/CONS. OF HOLSTON VALLEYfalsefalse
VIRGINIA SMALL BUSINESS FINANCING AUTHORITY
541300845928101AC82007-07-3155000000PURCHASE OF HOSPITALSfalsefalse
SULLIVAN COUNTY TENNESSEE HEALTH EDL AND FACS
621256662865292DY92003-06-0159100000REFUND OF PREVIOUSLY ISSUED BONDfalsefalse
SULLIVAN COUNTY TENNESSEE HEALTH EDL AND FACS
621256662865292DZ62005-12-1370620000REFUND OF PREVIOUSLY ISSUED BONDfalsefalse
SULLIVAN COUNTY TENNESSEE HEALTH EDL AND FACS
621256662865293AB02006-06-2976595000REFUND OF PREVIOUSLY ISSUED BONDfalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (5 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundAmount DefeasedAmountDefeasedAmount UnspentAmountUnspentIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
20705531418977995012534857216456801875735132011falsefalsefalsetrue
5565857054645900010263660491676142007falsefalsetruetrue
6754637153002826006173102184358002003falsetruetruetrue
71923735071529827026695812695002005falsetruetruetrue
765950000756101710984829002006falsetruetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (5 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsetrue0.000000.000000.00000true
falsefalsefalsefalsetrue0.000000.000000.00000true
falsefalsefalsefalsetrue0.000000.000000.00000true
falsefalsefalsefalsetrue0.000000.000000.00000true
falsefalsefalsefalsetrue0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (5 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedTerm Of HedgeTermOfHedge
MERRIL LYNCH
falsefalsefalsetrue4.truefalse
(no name)
falsefalsefalsefalsefalse
(no name)
falsefalsefalsefalsefalse
LEHMAN BROTHERS
falsetruetruefalsefalse10.8
(no name)
falsetruefalsefalsefalse

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonHIGHLANDS PATHOLOGY CONSULTANTS PCNamePerson
FieldValueIRS element (for citing)
RelationshipPETER GALE, >5%Relationship
Amount Of Transaction1881186AmountOfTransaction
Description Of TransactionPATHOLOGY SERVICESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
VOLUNTEER HOURSFORM 990, PART I, LINE 6WELLMONT 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 PERSONFORM 990 PART VI, SECTION A, LINE 3WELLMONT 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 990FORM 990 PART VI, SECTION A, LINE 11AWELLMONT 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 POLICYFORM 990 PART VI, SECTION B, LINE 12CWELLMONT 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 REVIEWFORM 990 PART VI, SECTION B, LINE 15A & BTHE 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 ARRANGEMENTSFORM 990 PART VI, SECTION B, LINE 16WELLMONT 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 WEEKFORM 990 PART VII, SECTION A, COLUMN BTHE 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 DISCLOSUREFORM 990 PART VI, SECTION C, LINE 19THE 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 STATEMENTSFORM 990, PART XI, LINE 2CWELLMONT 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

FieldValueIRS element (for citing)
Business Name Line1WELLMONT HEALTH MANAGEMENT SERVICES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11905 AMERICAN WAYAddressLine1
CityKINGSPORTCity
StateTNState
ZIP Code37660ZIPCode
FieldValueIRS element (for citing)
EIN621825259EIN
Primary ActivitiesHEALTHCAREPrimaryActivities
Legal Domicile StateTNLegalDomicileState
Total Income0TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WHSBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
WELLMONT HAWKINS CO MEMORIAL HOSPITAL
1905 AMERICAN WAYKINGSPORTTN37660621816368HEALTHCARETN501(C)(3)3NA
WELLMONT MADISON HOUSE
1905 AMERICAN WAYKINGSPORTTN37660621308216HEALTHCARETN501(C)(3)9WHS
WELLMONT IMAGING SERVICES INC
1905 AMERICAN WAYKINGSPORTTN37660861103148HEALTHCARETN501(C)(3)3WHS
WELLMONT FOUNDATION
1905 AMERICAN WAYKINGSPORTTN37660581594191HEALTHCARETN501(C)(3)7WHS
TAKOMA REGIONAL HOSPITAL INC
401 TAKOMA AVENUEGREENEVILLETN37743510603966HEALTHCARETN501(C)(3)3WHS
WELLMONT CARDIOLOGY SERVICES
1905 AMERICAN WAYKINGSPORTTN37660263557623HEALTHCARETN501(C)(3)3WHS

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartner
HOLSTON VALLEY IMAGING CENTER
103 W STONE DRIVEKINGSPORTTN37660202043285HEALTHCARETNWELLMONT IMAGINRELATED00false$0false
SAPLING GROVE AMBULATORY SURGERY CENTER
220 MEDICAL PARK BLVDBRISTOLTN37620204450153SURGERYTNWHSRELATED3646904442797false$0false
HOLSTON VALLEY AMBULATORY SURGERY
103 WEST STONE DRIVEKINGSPORTTN37660621816864SURGERYTNWHSRELATED7244581641229false$0false

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
WELLMONT INC
1905 AMERICAN WAYKINGSPORTTN37660621320035PHYSICIAN SVCSTNWHSC CORP-12890251-461510311.00000
MCOT INC
1905 AMERICAN WAYKINGSPORTTN37660621325938MEDICAL SVCSTNWELLMONT INCC CORP000.00000
MEDICAL LAUNDRY OF TRI-CITIES INC
1905 AMERICAN WAYKINGSPORTTN37660621482226MEDICAL SVCSTNWELLMONT INCC CORP000.00000
MEDICAL MALL PHARMACY INC
1905 AMERICAN WAYKINGSPORTTN37660621565006MEDICAL SVCSTNWELLMONT INCC CORP000.00000
WELLMONT PHYSICIAN SERVICES INC
1905 AMERICAN WAYKINGSPORTTN37660621567353PHYSICIAN SVCSTNWELLMONT INCC CORP000.00000
WELLMONT HEALTH SERVICES INC
1905 AMERICAN WAYKINGSPORTTN37660621254373HEALTHCARETNWELLMONT INCC CORP000.00000
WPS PROVIDERS INC
1905 AMERICAN WAYKINGSPORTTN37660205564642PHYSICIAN SVCSTNWELLMONT INCC CORP000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
WELLMONT MADISON HOUSE
B610224
WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL
B5122476
WELLMONT FOUNDATION INC
C1666687
HOLSTON VALLEY IMAGING CENTER INC
I935215
WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL
I183766
MEDICAL LAUNDRY OF TRI-CITIES INC
I92750
HOLSTON VALLEY AMBULATORY SURGERY CENTER
I826104
WELLMONT PHYSICIAN SERVICES INC
I1065024
WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL
K2035949
MCOT INC
L2290699
MEDICAL MALL PHARMACY INC
L239220
MEDICAL LAUNDRY OF TRI-CITIES INC
L1996746
WELLMONT PHYSICIAN SERVICES INC
L132140
WELLMONT CARDIOLOGY SERVICES INC
L511776
HOLSTON VALLEY IMAGING CENTER INC
P592313
SAPLING GROVE AMBULATORY SURGERY CENTER
R495000

Affiliated Group Attachment AffiliatedGroupAttachment

FieldValueIRS element (for citing)
ExplanationFOR 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