2014-05-14T17:22:40-05:00 2013-06-30 990 2012-07-01 621636465 WELLMONT HEALTH SYSTEM WELL 4232308200 1905 AMERICAN WAY KINGSPORT TN 37660 TODD J DOUGAN 4232308200 2014-05-14 2012 2015-11-30 17:44:51Z TODD J DOUGAN 1905 AMERICAN WAY KINGSPORT TN 37660 804056065 false X WWW.WELLMONT.ORG X 1996 TN WE DELIVER SUPERIOR HEALTH CARE WITH COMPASSION. 17 14 6543 2773 102751 -8369 4400625 1467930 691289550 664198681 18826444 18508931 21721215 25174849 736237834 709350391 321497 364038 0 265319622 267803376 0 0 409648889 397055767 675290008 665223181 60947826 44127210 987213169 1056851839 600810507 609658093 386402662 447193746 X WE DELIVER SUPERIOR HEALTH CARE WITH COMPASSION. false false 618522856 364038 WELLMONT HEALTH SYSTEM PREPARES A CONSOLIDATED COMMUNITY BENEFIT REPORT WHICH INCLUDES THE ACTIVITIES OF ALL ITS OPERATIONS AND AFFILIATES. IN CONTRAST, AN IRS FORM 990 IS FILED FOR EACH TAX-EXEMPT CORPORATION (7 SEPARATE FORM 990S), AND THERE IS NO SUCH IRS FORM FOR THE TAXABLE CORPORATIONS. IN ADDITION, THE IRS INSTRUCTIONS TO FORM 990 HAVE SPECIFIC DEFINITIONS, METHODS, AND WORKSHEETS TO CALCULATE THE COMMUNITY BENEFITS TO BE INCLUDED ON THE FORM 990. AS A RESULT, THERE ARE SIGNIFICANT DIFFERENCES BETWEEN THE COMMUNITY BENEFITS REPORTED IN THE CONSOLIDATED COMMUNITY BENEFIT REPORT AND THE VARIOUS FORM 990S. THERE ARE ALSO FUNDS AND SERVICES THAT ARE PROVIDED THAT DO NOT MEET THE SPECIFIC DEFINITIONS OF THE IRS INSTRUCTIONS, SUCH AS CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS THAT DO NOT MEET THE DEFINITION OF "RESTRICTED TO ONE OR MORE OF THE ACTIVITIES DESCRIBED IN THE TABLE IN PART I, LINE 7" OF SCHEDULE H. WELLMONT IS A PUBLIC TRUST. FROM KINGSPORT TO BRISTOL, FROM SNEEDVILLE TO NORTON, THE MEMBER HOSPITALS OF OUR ORGANIZATION WERE BORN OF THEIR COMMUNITIES' COMMITMENT TO SUPERIOR HEALTH CARE FOR THEIR CITIZENS. WE OFFER A VAST ARRAY OF MEDICAL SERVICES AND RESOURCES FOR THOUSANDS OF PATIENTS IN NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. IN 2013, WE PROVIDED SERVICES TO 51,462 PATIENTS IN A BED, 307,654 EMERGENCY ROOM VISITS, 217,125 OUTPATIENT REGISTRATIONS (EXCLUDING ER), 2,309 NEWBORN DELIVERIES, 21,324 SURGERIES AND 418,924 PHYSICIAN OFFICE VISITS. WELLMONT IS A TENNESSEE NOT-FOR-PROFIT CORPORATION. SIX TAX-EXEMPT COMMUNITY BASED HOSPITALS - BRISTOL REGIONAL MEDICAL CENTER (BRISTOL, TENN.), HOLSTON VALLEY MEDICAL CENTER (KINGSPORT, TENN.), LONESOME PINEHOSPITAL (BIG STONE GAP, VA.), HANCOCK COUNTY HOSPITAL (SNEEDVILLE, TENN.),MOUNTAIN VIEW REGIONAL MEDICAL CENTER (NORTON, VA.) AND LEE REGIONALMEDICAL 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 51,042,187 IN BENEFITS TO OUR REGION, INCLUDING 38,798,967 OF COSTS FOR INDIGENT PATIENTS AND UNCOMPENSATED CARE FOR OTHER PATIENTS AND 51,042,187 FOR OTHER COMMUNITY ACTIVITIES OUTLINED BELOW. WELLMONT IS IN COMPLIANCE WITH IRS GUIDELINES FOR FORM 990 SCHEDULE H REPORTING PURPOSES AND THE AMOUNTS REFLECTED ABOVE ARE NOT INCLUSIVE OF RESOURCES DESCRIBED IN WELLMONT'S COMMUNITY BENEFIT REPORT AS THE ABOVE AMOUNTS ARE REPORTED ON SCHEDULE H. WE ARE MINDFUL OF OUR RESPONSIBILITIES AS ONE OF THE REGION'S LARGEST EMPLOYERS. 5,740 FAMILIES COUNT ON US FOR THEIR LIVELIHOODS. CITIES AND COUNTIES THROUGHOUT OUR SERVICE AREA RELY ON US AS A DRIVER OF ECONOMIC DEVELOPMENT. IT IS OUR DUTY AS A CORPORATE CITIZEN TO SUPPORT THOSE ENDEAVORS AND CAUSES THAT IMPROVE THE QUALITY OF LIFE IN OUR REGION. AND WE ALSO RECOGNIZE IT IS OUR RESPONSIBILITY TO CARE FOR THOSE IN NEED - REGARDLESS OF THEIR ABILITY TO PAY. IT IS OUR COMMITMENT - INDEED, IT IS OUR MISSION - TO SUPPORT THE CAUSES AND DEVELOP THE INITIATIVES THAT WILL PROPEL OUR COMMUNITIES TOWARD A BETTER, BRIGHTER, HEALTHIER AND MORE VIBRANT FUTURE. SERVING THE UNDERSERVED REGARDLESS OF RACE, RELIGION, ETHNICITY OR ABILITY TO PAY, WELLMONT'S HOSPITALS TREAT ALL PATIENTS FOR MEDICALLY NECESSARY CONDITIONS. RECOGNIZING THAT SOME PATIENTS CANNOT AFFORD ESSENTIAL MEDICAL SERVICES, WELLMONT PROVIDED CARE FOR INDIGENT PATIENTS, WRITING OFF 58,057,581 OF CHARGES AND INCURRING COST OF 15,364,503. WELLMONT IS INCOMPLIANCE WITH IRS GUIDELINES FOR FORM 990 SCHEDULE H REPORTING PURPOSES AND THE AMOUNTS REFLECTED ABOVE ARE NOT INCLUSIVE OF RESOURCES DESCRIBED IN WELLMONT'S COMMUNITY BENEFIT REPORT AS THE ABOVE AMOUNTS ARE REPORTED ON SCHEDULE H. OTHER RECENT INITIATIVES INCLUDE: THE WELLMONT HEALTH COACH IS PART OF WELLMONT'S ONGOING EFFORTS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND ENCOURAGE WELLNESS IN THE MOUNTAINS OF NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. FUNDED BY COMMUNITY SUPPORT THROUGH THE WELLMONT FOUNDATION, THE COACH OFFERS A HOST OF COMPREHENSIVE SCREENINGS THAT HELP IDENTIFY POTENTIAL HEALTH PROBLEMS. OUR HEALTH SYSTEM, IN CONJUNCTION WITH A GRANT FROM SUSAN G. KOMEN FOR THE CURE TRI-CITIES, WAS ABLE TO FUND THE COST OF MAMMOGRAMS FOR SEVERAL HUNDRED WOMEN WHO WERE UNDERINSURED OR UNINSURED. PROJECT ACCESS TO BREASTCARE IS DESIGNED TO REACH WOMEN WHO LIVE IN HAWKINS, SULLIVAN, WASHINGTON, JOHNSON, UNICOI, HANCOCK, CARTER AND GREENE COUNTIES IN TENNESSEE AND WOMEN IN SCOTT COUNTY, VA. TO QUALIFY, WOMEN MUST BE BETWEEN THE AGES OF 35 AND 49 AND EITHER BE UNINSURED AND FINANCIALLY UNABLE TO PAY FOR A MAMMOGRAM OR INSURED AND HAVE A HIGH DEDUCTIBLE AND/OR CO-PAY THAT MAKES IT FINANCIALLY DIFFICULT TO OBTAIN A MAMMOGRAM. BRISTOL REGIONAL MEDICAL CENTER PROVIDES SUPPLIES AND OTHER VARIOUS ITEMS VALUED AT 24,151 TO HEALING HANDS HEALTH CENTER IN BRISTOL, TENN., WHICH PROVIDES QUALITY HEALTH CARE TO THE WORKING POOR. DR. DAVE ARNOLD SERVES AS THE MEDICAL DIRECTOR OF HEALING HANDS HEALTH CENTER IN BRISTOL, TENN. AND HIS SALARY AND BENEFITS ARE PAID BY WELLMONT PHYSICIANS SERVICES, A TAXABLE SUBSIDIARY OF WELLMONT. TRAINING AND EDUCATING OUR HEALTHCARE PROFESSIONALS WELLMONT WILL NOT SUCCEED IN OUR MISSION WITHOUT CONTINUALLY REINVESTING IN OUR MOST PRECIOUS RESOURCE - OUR PEOPLE. TO THAT END, WE SUPPORTED THE EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS AT A DIRECT COST OF 6,782,638. RECENT INITIATIVES INCLUDE: WELLMONT PROVIDED AND PARTICIPATED IN SEVERAL FORMAL TRAINING PROGRAMS FOR HEALTH PROFESSIONALS, INCLUDING EAST TENNESSEE STATE UNIVERSITY'S INTERNSHIP AND RESIDENCY PROGRAMS. OUR CONTRIBUTIONS TOTALED 620,041 IN SUPPORT OF THE SCHOOL'S JAMES H. QUILLEN COLLEGE OF MEDICINE RESIDENCY PROGRAM. WELLMONT CONTINUES TO WELCOME OSTEOPATHIC MEDICAL STUDENTS FROM LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE. THE STUDENTS PERFORM CLINICAL ROTATIONS IN WELLMONT HOSPITALS AS THEY MOVE TOWARD BECOMING THE NEXT GENERATION OF DOCTORS. THE STUDENTS, WHO RECEIVE FREE HOUSING ON THE CAMPUS OF MOUNTAIN VIEW REGIONAL MEDICAL CENTER, COMPLETE THEIR CORE CLINICAL ROTATIONS IN WELLMONT'S MOUNTAIN REGION HOSPITALS - MOUNTAIN VIEW REGIONAL AND LEE REGIONAL MEDICAL CENTER. THE STUDENTS PERFORM SUB-SPECIALTY ROTATIONS AT HOLSTON VALLEY MEDICAL CENTER AND BRISTOL REGIONAL MEDICAL CENTER AND PRIMARY CORE ROTATIONS AT HAWKINS COUNTY MEMORIAL HOSPITAL. OUR CONTRIBUTIONS TOTALED 1,029,041 IN SUPPORT OF THE DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE. WELLMONT AND LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE ALSO PARTNER TO PROVIDE THE WELLMONT ORTHOPEDIC RESIDENCY PROGRAM AT HOLSTON VALLEY MEDICAL CENTER, ONE OF JUST 33 SUCH PROGRAMS IN THE COUNTRY TO HELP TRAIN THE NEXT GENERATION OF SPECIALTY PHYSICIANS. OUR CONTRIBUTIONS TOTALED 864,989 IN SUPPORT OF THE LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE ORTHOPEDIC RESIDENCY PROGRAM. WELLMONT CONTINUES TO EXERT TREMENDOUS EFFORT TO ACHIEVE MEANINGFUL USE OF AN ELECTRONIC HEALTH RECORD. THIS NATIONAL MANDATE CREATES TREMENDOUS EFFICIENCIES FOR CAREGIVERS, ENHANCES PATIENT CARE AND ULTIMATELY IMPROVES PATIENT SAFETY BY REDUCING THE POTENTIAL FOR ERRORS ASSOCIATED WITH PAPER DOCUMENTATION AS WELL AS INCREASING THE SECURITY AND SHARING OF DATA AMONG PROVIDERS. WELLMONT STARTED THE IMPLEMENTATION OF MYWELLMONT, WHICH IS AN ONLINE PORTAL THAT ALLOWS WELLMONT PATIENTS TO SECURELY ACCESS THEIR HEALTH INFORMATION FROM VIRTUALLY ANYWHERE. PATIENTS CAN ELECTRONICALLY REQUEST APPOINTMENTS, VIEW TEST RESULTS, RENEW PRESCRIPTIONS, PAY BILLS AND PERFORM MANY OTHER ROUTINE ACTIVITIES. MOST IMPORTANTLY, PATIENTS AND PROVIDERS CAN CONNECT IN MORE WAYS THAN EVER BEFORE, ENHANCING RELATIONSHIPS AND BUILDING A TEAM-BASED APPROACH TO CARE. WELLMONT HAS MADE AVAILABLE CONTINUING EDUCATION AND TRAINING TO EMPLOYEES, MEDICAL STAFF, MEMBERS OF AFFILIATED HEALTH CAREORGANIZATIONS AND SCHOOLS AND INTERESTED MEMBERS OF THE PUBLIC. SOME OF THOSE OPPORTUNITIES INCLUDED: -ANNUAL STROKE SYMPOSIUM; OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -ANNUAL CRITICAL CARE AND TRAUMA CONFERENCE; OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -ANNUAL CARDIOVASCULAR SUMMIT; OPEN TO WELLMONT PHYSICIANS AND STAFFAND THE COMMUNITY; -REGULAR EDUCATION FOR CLINICAL STAFF ON TOPICS INCLUDING CPR PROGRAMS, ADVANCED CARDIOVASCULAR LIFE SUPPORT, PEDIATRIC ADVANCED LIFE SUPPORT, ADVANCED TRAUMA LIFE SUPPORT AND ADVANCED TRAUMA COURSE FOR NURSING. WELLMONT SU 618522856 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true false true true false false false false false false false false false true false false false false true true true true false false true 371 0 true 6543 true true true false false false false true true false false false false false false X 17 14 false false false false false false false true true false false true true true true true true true true true false TN X TODD J DOUGAN 4232308512 1905 AMERICAN WAY KINGSPORT TN 37660 X PIERRE ISTFAN MD 40.00 X 0 576762 39934 JULIE P BENNETT 6.00 X 0 0 0 MARVIN CAMERON 6.00 X 0 0 0 DAVE CROCKETT 6.00 X 0 0 0 WAYNE J KENNEDY 6.00 X 0 0 0 RAVEN KRICKBAUM 6.00 X 0 0 0 ROGER L LEONARD 6.00 X 0 0 0 T ARTHUR BUDDY SCOTT JR 6.00 X 0 0 0 GLEN SKIP SKINNER 6.00 X 0 0 0 DOUGLAS J SPRINGER MD 6.00 X 0 0 0 JOHN WILLIAMS 6.00 X 0 0 0 JACK BUTTERWORTH MD 6.00 X 0 0 0 DAVID LESTER 6.00 X 0 0 0 WILLIAM SMITH MD 6.00 X 0 0 0 DAVID SPARKS MD 6.00 X 0 0 0 MARY HALL 6.00 X 0 0 0 CHARLIE FLOYD 6.00 X 0 0 0 MARGARET DENARVAEZ 40.00 X 1031881 0 47176 JOHN HOWARD 40.00 X 532845 0 13270 TRACEY P MOFFATT 40.00 X 455389 0 25885 ALICE POPE 40.00 X 339958 0 27519 HAMLIN J WILSON 40.00 X 323035 0 22753 KENT PETTY 40.00 X 308767 0 30528 TODD J DOUGAN 40.00 X 271725 0 26356 LOWELL TODD NORRIS 8.00 32.00 X 48885 195538 24848 BARTHOLEMEW A HOVE 40.00 X 497375 0 37534 VIRGINIA FRANK 40.00 X 406608 0 31727 GREG NEAL 32.00 8.00 X 282637 70659 27618 DAVID L BRASH 40.00 X 299749 0 29484 SUSAN LINDENBUSCH 40.00 X 343679 0 22424 DANIEL CARLSON 40.00 X 340118 0 5620 TROY SYBERT 40.00 X 303601 0 29543 WILLIAM TROY CLARK 40.00 X 289403 0 25553 MARTHA CHILL 40.00 X 277264 0 21873 6352919 842959 489645 162 false true false SOLSTAS LAB PARTNERS 4380 FEDERAL DRIVE GREENSBORO NC 27410 LAB SERVICES 13684325 HOLSTON ANESTHESIA ASSOCIATION 135 W RAVINE STREET SUITE 5B PO BOX 1308 KINGSPORT TN 37662 MEDICAL SERVICE 7837121 NORTHEAST TN EMERGENCY PHYSICIANS 415 BROAD STREET KINGSPORT TN 37660 PHYSICIAN SVS 3115540 HTA - MOUNTAIN EMPIRE LLC DEPT 2046 PO BOX 11407 BIRMINGHAM AL 35246 LEASE 2794656 HIGHLANDS PATHOLOGY CONSULTANTS SPC 10368 WALLACE ALLEY KINGSPORT TN 37663 MEDICAL SERVICE 2133342 53 1101725 259736 106469 1467930 NET PATIENT REVENUE 621990 436136617 436136617 PHARMACY REVENUE 621990 215687439 215687439 BLOOD REVENUE 621990 11536558 11536558 ADMINISTRATIVE REVENUE 561000 838067 838067 664198681 15719801 15719801 6552896 1963950 4588946 4588946 4588946 90603404 4927450 87817247 4924477 2786157 2973 2789130 1606 2787524 MEANINGFUL USE FUNDS 621990 11541076 11541076 MISCELLANEOUS REVENUE 453220 5207727 5207727 CAFETERIA VENDING 900099 3260828 3260828 576272 101145 475127 20585903 709350391 675739757 102751 32039953 X 364038 364038 5733811 5733811 201887470 184456132 17431338 10798205 7487914 3310291 34813891 32413172 2400719 14569999 13242278 1327721 1217609 61229 1156380 815827 790008 25819 957405 919405 38000 64174 64174 413832 413832 85261121 82206050 3055071 1236682 1226377 10305 29276516 26470484 2806032 11165931 10653939 511992 19184534 15738168 3446366 1339695 637558 702137 11397 11397 21431105 21429438 1667 45202544 42957448 2245096 4598691 4598691 DRUGS & MEDICAL SUPPLIES 119083741 119083741 PROVISION FOR BAD DEBTS 51183441 51082419 101022 MISC EXPENSE 2069213 1483432 585781 PHYSICIAN RECRUITMENT 1425230 210680 1214550 1117079 520852 596227 665223181 618522856 46700325 0 948014 321617 35772409 49779799 118465911 115810678 8681 15281656 16664616 6897997 8333651 987960886 539626200 429068956 448334686 343401965 380769767 20328086 20038518 11618870 8745924 5420624 8052583 987213169 1056851839 60100983 67473674 442481059 450196234 950645 10955180 97277820 81033005 600810507 609658093 X 386402662 447193746 386402662 447193746 987213169 1056851839 44127210 16663874 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 64174 64174 665159007 665223181 1000000 250000 1000000 1000000 1000000 1000000 4000000 6000000 96271 143581 63081 64174 367107 250000 250000 250000 250000 1000000 1500000 107181 32684199 32791380 534273701 239583667 294690034 6670029 1050329 5619700 326585985 260501663 66084322 87639791 38490541 49149250 448334686 OTHER LT LIABILITIES 25664648 CAPITAL LEASE OBLIGATIONS 21340839 OTHER CURRENT LIABILITIES 11626519 DEFINED BENEFITS PENSION LIABILITY 10392912 SWAP LIABILITY 7425743 POST RETIREMENT BENEFITS 4582344 81033005 X LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X THE WELLMONT HEALTH SYSTEM ENTITIES ARE PRIMARILY CLASSIFIED AS ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) AS ENTITIES DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED FOR THESE ENTITIES IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE OPERATIONS OF WELLMONT HEALTH SYSTEM ARE SUBJECT TO STATE AND FEDERAL INCOME TAXES WHICH ARE ACCOUNTED FOR IN ACCORDANCE WITH ASC 740, INCOME TAXES; HOWEVER, SUCH AMOUNTS ARE NOT MATERIAL. true true X true X false true true false true true 15364503 15364503 0.02310 100347494 76913030 23434464 0.03520 115711997 76913030 38798967 0.05830 272 94067 5172124 5172124 0.00780 62 3232 6716405 6716405 0.01010 76 1606 96143 37 96106 0.00010 88 2400 258585 258585 0.00040 498 101305 12243257 37 12243220 0.01840 498 101305 127955254 76913067 51042187 0.07670 12 6290 13464 3500 9964 12 342 342 15 1091 2002 2002 2 1005 1281 1281 41 8386 17089 3500 13589 false 13585633 150503719 144346758 6156961 true true HOLSTON VALLEY IMAG RADIOLOGY SERVICES 0.75000 0.25000 HOLSTON VALLEY AMB SURGICAL SERVICES 0.52000 0.48000 SAPLING GROVE AMB SURGICAL SERVICES 0.65000 0.35000 6 1 HOLSTON VALLEY MEDICAL CENTER

130 RAVINE STREET KINGSPORT TN 37660

X X X X 2 BRISTOL REGIONAL MEDICAL CENTER

1 MEDICAL PARK BLVD BRISTOL TN 37620

X X X X 3 LONESOME PINE HOSPITAL

1990 HOLTON AVENUE BIG STONE GAP VA 24219

X X X X 4 MOUNTAIN VIEW REGIONAL MEDICAL CENT

310 3RD STREET NE NORTON VA 24273

X X X 5 LEE REGIONAL MEDICAL CENTER

PO BOX 589 PENNINGTON GAP VA 24277

X X X 6 HANCOCK COUNTY HOSPITAL

1519 MAIN STREET SNEEDVILLE TN 37869

X X X HOLSTON VALLEY MEDICAL CENTER 1 true X X X X X X X X 13 true true true X X X X X X X X false false true true 200.0 false true X X X X X X X true true X X X X true X X X X X true X X X X X X X X true X false false BRISTOL REGIONAL MEDICAL CENTER 2 true X X X X X X X X 13 true true true X X X X X X X X false false true true 200.0 false true X X X X X X X true true X X X X true X X X X X true X X X X X X X X true X false false LONESOME PINE HOSPITAL 3 true X X X X X X X X 13 true true true X X X X X X X X false false true true 200.0 false true X X X X X X X true true X X X X true X X X X X true X X X X X X X X true X false false MOUNTAIN VIEW REGIONAL MEDICAL CENT 4 true X X X X X X X X 13 true true true X X X X X X X X false false true true 200.0 false true X X X X X X X true true X X X X true X X X X X true X X X X X X X X true X false false LEE REGIONAL MEDICAL CENTER 5 true X X X X X X X X 13 true true true X X X X X X X X false false true true 200.0 false true X X X X X X X true true X X X X true X X X X X true X X X X X X X X true X false false HANCOCK COUNTY HOSPITAL 6 true X X X X X X X X 13 true true true X X X X X X X X false false true true 200.0 false true X X X X X X X true true X X X X true X X X X X true X X X X X X X X true X false false SUBSIDIZED HEALTH SERVICES EXPLANATION PART I LINE 7G PART I LINE 6A WELLMONT HEALTH SYSTEM PREPARES A CONSOLIDATED COMMUNITY BENEFIT REPORT WHICH INCLUDES THE ACTIVITIES OF ALL ITS OPERATIONS AND AFFILIATES IN CONTRAST AN IRS FORM 990 IS FILED FOR EACH TAX EXEMPT CORPORATION 7 SEPARATE FORM 990S AND THERE IS NO SUCH IRS FORM FOR THE TAXABLE CORPORATIONS IN ADDITION THE IRS INSTRUCTIONS TO FORM 990 HAVE SPECIFIC DEFINITIONS METHODS AND WORKSHEETS TO CALCULATE THE COMMUNITY BENEFITS TO BE INCLUDED ON THE FORM 990 AS A RESULT THERE ARE SIGNIFICANT DIFFERENCES BETWEEN THE COMMUNITY BENEFITS REPORTED IN THE CONSOLIDATED COMMUNITY BENEFIT REPORT AND THE VARIOUS FORM 990S THERE ARE ALSO FUNDS AND SERVICES THAT ARE PROVIDED THAT DO NOT MEET THE SPECIFIC DEFINITIONS OF THE IRS INSTRUCTIONS SUCH AS CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS THAT DO NOT MEET THE DEFINITION OF RESTRICTED TO ONE OR MORE OF THE ACTIVITIES DESCRIBED IN THE TABLE IN PART I LINE 7 EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE PART I LINE 7 COLUMN F THE BAD DEBT EXPENSE OF 51183441 WAS INCLUDED ON FORM 990 PART IX LINE 25 COLUMN A BUT WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN COSTING METHODOLOGY EXPLANATION PART I LINE 7 RATIO OF PATIENT CARE COSTTOCHARGES WAS USED TO DETERMINE THE COSTS FOR AMOUNTS IN LINE 7A AND 7B COL C BY FACILITY THE COSTS INCLUDED IN THE COSTTOCHARGE RATIO INCLUDED THE COSTS FROM ALL PATIENT SEGMENTS ACTUAL COSTS FROM THE GENERAL LEDGER WERE USED FOR AMOUNTS IN LINE 7F AND 7I COLC COMMUNITY BUILDING ACTIVITIES PART II WELLMONT HEALTH SYSTEM PROMOTED THE HEALTH OF THE COMMUNITIES IT SERVES IN A VARIETY OF WAYS COMMUNITY SUPPORT SEVERAL EMPLOYEES OF HOLSTON VALLEY MEDICAL CENTER HVMCSERVE AS BOARD MEMBERS FOR SUSAN G KOMEN AND RONALD MCDONALD HOUSE COALITION BUILDING STAFF FROM HOLSTON VALLEY MEDICAL CENTER HVMC PARTICIPATED IN SEVERAL COMMUNITY GROUPS TO INCLUDE INTEGRATED EMERGENCY PLANNING COMMITTEE REGIONAL MEDICAL COMMUNICATION COMMITTEE KINGSPORT AREA SAFETY COUNCIL AND NORTHEAST TENNESSEE REGIONAL HOSPITAL EMERGENCY PREPAREDNESS COMMITTEE THE CHIEF ADMINISTRATIVE OFFICER FOR THE COMMUNITY HOSPITALS SERVED ON THE REMOTE AREA MEDICAL RAM EVENT PLANNING COMMITTEE THE RAM CLINIC BRINGS FREE HEALTH DENTAL AND VISION CARE TO UNINSURED AND UNDERINSURED PEOPLE THE WISE VA CLINIC HELD ON JULY 1921 2013 WAS THE 648TH RAM EXPEDITION SINCE 1985 AND DREW 3459 PATIENT ENCOUNTERS FOR VARIOUS MEDICAL EYE AND DENTAL NEEDS COMMUNITY HEALTH IMPROVEMENT ADVOCACY TO PROMOTE COMMUNITY HEALTH IMPROVEMENTS AND SAFETY HOLSTON VALLEY MEDICAL CENTER HVMC PROVIDED RESOURCES TO CONDUCT VARIOUS PRESENTATIONS SUCH AS TRAUMA NURSE TALK TOUGH TN GOVERNORS COMMISSION ON INJURY PREVENTION AND HEARING CONSERVATION WORKFORCE DEVELOPMENT BRISTOL REGIONAL MEDICAL CENTER BRMC ORGANIZED A DISCUSSION WITH BRISTOL TENNESSEE CITY SCHOOL SYSTEM TEACHERS REGARDING SKILLS THEIR STUDENTS NEED TO BE TAUGHT IN ORDER TO WORK AT BRMC IN VARIOUS DEPARTMENTS NEEDS ASSESSMENT PART VI WELLMONT HEALTH SYSTEM EXAMINES THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES BY CONDUCTING PHYSICIAN NEEDS ASSESSMENTS FOR ITS HOSPITALS AS PART OF THIS EFFORT WELLMONT REVIEWS ITS SERVICE AREA AND DEMOGRAPHICS EXAMINES PHYSICIAN DEMOGRAPHICS AND CONDUCTS FOCUS GROUPS IT MAKES A DETERMINATION OF PHYSICIAN NEED WHILE CALCULATING ITS PHYSICIAN SURPLUSES AND DEFICITS AND HIGHLIGHTING ITS RECRUITMENT PRIORITIES AND PLANS WELLMONT ANNUALLY DETERMINES ITS PRIMARY SECONDARY AND TERTIARY MARKETS THROUGH THE USE OF COUNTYBYCOUNTY ANALYSIS TO IDENTIFY THE FOLLOWING CUSTOMER GROUPS PATIENTS AND POTENTIAL PATIENTS COMMUNITYEMPLOYER GROUPS AND LOCAL PHYSICIANS THE HEALTH SYSTEM ALSO RELIES ON THE EXPERTISE OF CONSULTANTS TO PERIODICALLY REVIEW ALL FACETS OF OPERATIONS AND MAKE RECOMMENDATIONS FOR CHANGES PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI WELLMONT HEALTH SYSTEM PROACTIVELY INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY BY POSTING THE POLICY ON ITS WEB SITE AS WELL AS POSTING THE POLICY AT POINTS OF REGISTRATION IN THE HOSPITALS WELLMONT HEALTH SYSTEM USES PROGRAM ELIGIBILITY SPECIALISTS WHO CONTACT THE UNINSURED PATIENT POPULATION THESE SPECIALISTS DISCUSS THE VARIOUS GOVERNMENTAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE TO PATIENTS IN ORDER TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR ANY OF THESE PROGRAMS THE SPECIALISTS WILL WORK WITH THE PATIENTS TO COMPLETE ANY NECESSARY APPLICATIONS AND WILL HELP THEM THROUGH THE QUALIFICATION PROCESS COMMUNITY INFORMATION PART VI WELLMONT HEALTH SYSTEMS SERVICE AREA IS DEFINED BY MANAGEMENT AT THE COUNTY LEVEL BASED ON PATIENT ACTIVITY AND LOCATIONS OF OUR CAMPUSES THE PRIMARY SERVICE AREA PSA INCLUDES THE TENNESSEE COUNTIES OF SULLIVAN HAWKINS AND HANCOCK AND THE VIRGINIA COUNTIES OF WASHINGTON WISE LEE AND SCOTT THE SECONDARY SERVICE AREA SSA IS DEFINED AS WASHINGTON GREENE CARTER JOHNSON AND UNICOI COUNTIES OF TENNESSEE AND RUSSELL BUCHANAN SMYTH TAZEWELL DICKENSON AND WYTHE COUNTIES OF VIRGINIA THE DEMOGRAPHICS OF THESE AREAS ARE AS FOLLOWS PSA POPULATION 363395 MEDIAN HOUSEHOLD INCOME 38282 SSA POPULATION 459656 MEDIAN HOUSEHOLD INCOME 36763 APPROXIMATELY 1949 OF OUR PATIENTS ARE MEDICAID RECIPIENTS AND 1058 ARE UNINSURED AND TWO OF THE PSA COUNTIES ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS HAWKINS COUNTY TENNESSEE AND LEE COUNTY VIRGINIA HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI WELLMONT HEALTH SYSTEMS HOSPITALS AND OTHER HEALTHCARE FACILITIES FURTHER THEIR EXEMPT PURPOSE BY PROVIDING MILLIONS IN UNCOMPENSATED CARE AND OTHER CHARITABLE DONATIONS IN FISCAL YEAR 2013 WELLMONT PROVIDED 70 050546 IN UNCOMPENSATED CARE THE HEALTH SYSTEM ALSO DONATED 758810 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 5966504 FOR COMMUNITY HEALTH AND OUTREACH 47093 FOR COMMUNITY BENEFIT OPERATIONS 21332 FOR COMMUNITY BUILDING ACTIVITIES 6782638 FOR TRAINING AND EDUCATION OF HEALTHCARE PROFESSIONALS AND 96106 FOR CLINICAL TRIALS AND RESEARCH EMPLOYEESPHYSICIANS AND VOLUNTEERS DONATED IN EXCESS OF 88446 HOURS OF COMMUNITY SERVICE AFFILIATED HEALTH CARE INFORMATION PART VI WELLMONT HEALTH SYSTEMWELLMONT IS A TENNESSEE NONPROFIT CORPORATION BASED IN KINGSPORT TENNESSEEAND A PREMIER PROVIDER OF HEALTHCARE SERVICES IN NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA WELLMONT WAS FORMED IN JULY 1996 WITH THE MERGER OF BRISTOL MEMORIAL HOSPITAL IN BRISTOL TENNESSEE AND HOLSTON VALLEY MEDICAL CENTER IN KINGSPORT TENNESSEE OVER THE PAST 17 YEARS WELLMONT HAS GROWN TO INCLUDE SIX ADDITIONAL HOSPITALS AN INTEGRATED PHYSICIAN NETWORK AND SEVERAL AMBULATORY SITES WELLMONT HOSPITALS OFFER A BROAD SCOPE OF SERVICES RANGING FROM COMMUNITY BASED ACUTE CARE TO HIGHLY SPECIALIZED TERTIARY SERVICES INCLUDING TWO TRAUMA CENTERS COMPREHENSIVE HEART CARE AND CANCER CARE WELLMONT OWNS AND OPERATES AN INTEGRATED HEALTH CARE DELIVERY SYSTEM PROVIDING INPATIENT OUTPATIENT AND OTHER HEALTH CARE SERVICES AT MULTIPLE LOCATIONS IN NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA CURRENTLY WELLMONT OWNS AND OPERATES SIX ACUTE CARE HOSPITAL FACILITIES AND ONE CRITICAL ACCESS HOSPITAL WITH A TOTAL OF 1253 LICENSED BEDS AND THROUGH A JOINT VENTURE PARTNERS TO OPERATE AN ADDITIONAL ACUTE CARE HOSPITAL FACILITY WITH 100 LICENSED BEDS THE ACUTE CARE FACILITIES OWNED BY WELLMONT INCLUDE HOLSTON VALLEY MEDICAL CENTER BRISTOL REGIONAL MEDICAL CENTER MOUNTAIN VIEW REGIONAL MEDICAL CENTER IN NORTON VIRGINIA LEE REGIONAL MEDICAL CENTER IN PENNINGTON GAP VIRGINIA LONESOME PINE HOSPITAL IN BIG STONE GAP VIRGINIA HAWKINS COUNTY MEMORIAL HOSPITAL IN ROGERSVILLE TENNESSEE AND THE CRITICAL ACCESS HOSPITAL HANCOCK COUNTY HOSPITAL IN SNEEDVILLE TENNESSEE WELLMONT IS THE MAJORITY PARTNER WITH ADVENTIST HEALTH SYSTEM AT TAKOMA REGIONAL HOSPITAL AN ACUTE CARE HOSPITAL IN GREENEVILLE TENNESSEE WELLMONT ALSO DIRECTLY OR INDIRECTLY CONTROLS OWNS OR IS AFFILIATED WITH VARIOUS NONPROFIT AND FORPROFIT CORPORATIONS AND OTHER ORGANIZATIONS THAT CURRENTLY PROVIDE HEALTH CARE AND HEALTH CARERELATED SERVICES THROUGHOUT THE SERVICE AREA IN ADDITION TO THE HOSPITAL CAMPUSES AND AMBULATORY CARE CENTERS DESCRIBED ABOVE WELLMONT ALSO OPERATES MEDICAL CLINICS AMBULATORY SURGERY CENTERS COMPREHENSIVE CANCER CARE CENTERS AND IMAGING FACILITIES LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED PART VI TENNESSEE ADDITIONAL INFORMATION PART VI PART III LINE 4 THE COST REPORTED ON LINE 2 IS CALCULATED AS THE BAD DEBT EXPENSE FROM THE GENERAL LEDGER TIMES THE RATIO OF COST TO CHARGES AS CALCULATED ON WORKSHEET 2 BY FACILITY THERE ARE NO AMOUNTS REPORTED ON LINE 3 DISCOUNTS ON PATIENT ACCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE PAYMENTS ON PATIENT ACCOUNTS THAT HAVE BEEN PREVIOUSLY WRITTEN OFF AS BAD DEBT ARE USED TO REDUCE BAD DEBT EXPENSE A THIRD PARTY VENDOR IS USED TO HELP DETERMINE THE AMOUNT THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY COULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE POLICY TEXT OF NOTE TO FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE NET PATIENT SERVICE REVENUE IS REPORTED ON THE ACCRUAL BASIS IN THE PERIOD IN WHICH SERVICES ARE PROVIDED AT THE NET REALIZABLE AMOUNTS EXPECTED TO BE COLLECTED NET PATIENT SERVICE REVENUE INCLUDES AMOUNTS ESTIMATED BY MANAGEMENT TO BE REIMBURSABLE BY PATIENTS AND VARIOUS THIRDPARTY PAYORS UNDER PROVISIONS OF REIMBURSEMENT FORMULAS IN EFFECT INCLUDING RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS ESTIMATED RETROACTIVE ADJUSTMENTS ARE ACCRUED IN THE PERIOD RELATED SERVICES ARE RENDERED AND ADJUSTED IN PERIODS AS FINAL AND OTHER SETTLEMENTS ARE DETERMINED WELLMONT PROVIDES CARE TO PATIENTS WHO MEET CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES BECAUSE WELLMONT DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE THEY ARE NOT INCLUDED IN NET PATIENT SERVICE REVENUE PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF BOTH AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS THE CONTRACTUAL ALLOWANCE REPRESENTS THE DIFFERENCE BETWEEN ESTABLISHED BILLING RATES AND ESTIMATED REIMBURSEMENT FROM MEDICARE TENNCARE MEDICAID AND OTHER THIRDPARTY PAYMENT PROGRAMS WELLMONTS POLICY DOES NOT REQUIRE COLLATERAL OR OTHER SECURITY FOR PATIENT ACCOUNTS RECEIVABLE WELLMONT ROUTINELY OBTAINS ASSIGNMENT OF OR IS OTHERWISE ENTITLED TO RECEIVE PATIENT BENEFITS PAYABLE UNDER HEALTH INSURANCE PROGRAMS PLANS OR POLICIES THE MEDICARE COST REPORT COST FINDING METHODOLOGY AND COST TO CHARGE RATIOS WERE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 LINE 7 IS A SURPLUS SO IT IS NOT INCLUDED AS COMMUNITY BENEFIT THE IRS INSTRUCTIONS FOR SCHEDULE H PART III SECTION B LINES 57 SPECIFICALLY INDICATE TO INCLUDE ONLY THOSE APPLICABLE COSTS AND MEDICARE REIMBURSEMENTS THAT ARE REPORTED IN THE ORGANIZATIONS MEDICARE COST REPORT FOR THE YEAR THIS REPORTING DOES NOT TAKE INTO ACCOUNT THOSE COSTS AND REVENUES ASSOCIATED WITH PHYSICIANS WHO ARE TREATING MEDICARE PATIENTS AT HOSPITALOWNED CLINIC AND PHYSICIAN PRACTICE SITES ACCORDINGLY THE RESULT OF TREATING MEDICARE PATIENTS FROM A FINANCIAL PERSPECTIVE MAY DIFFER AS REPORTED FOR FINANCIAL REPORTING PURPOSES AND COMMUNITY BENEFIT REPORTING PURPOSES FROM THE SURPLUS OR SHORTFALL SHOWN ON LINE 7 OF SECTION B OF PART III OF SCHEDULE H PART III LINE 9B A THIRD PARTY VENDOR IS USED TO HELP DETERMINE THE AMOUNT THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY COULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE POLICY HOLSTON VALLEY MEDICAL CENTER LINE NUMBER 1 PART V LINE 3 PART V LINE 3 INFORMATION FOR THE CHNA ASSESSMENT WAS GATHERED FROM A VARIETY OF SOURCES INCLUDING INTERVIEWS WITH PATIENTS INTERVIEWS WITH KEY COMMUNITY LEADERS AND STAKEHOLDERS INCLUDING REPRESENTATIVE OF UNDERSERVED POPULATIONS AND AREAS WITH HEALTHCARE DISPARITIES INTERVIEWS WITH LEADERS AND STAFF IN OTHER HEALTHCARE ORGANIZATIONS OR CIVIC ORGANIZATIONS WITH A SHARED MISSION TO POSITIVELY IMPACT THE HEALTH STATUS OF THE COMMUNITY PHYSICIAN NEEDS ASSESSMENT COMMUNITY HEALTH FACILITY ASSESSMENT MENTAL HEALTH NEEDS ASSESSMENT DIALYSIS AND DENTAL NEEDS ASSESSMENT PUBLICLY AVAILABLE POPULATION AND DEMOGRAPHIC INFORMATION PUBLICLY AVAILABLE POPULATION HEALTH INFORMATION THE INFORMATION WAS THEN COLLATED AND ASSESSED TO DETERMINE THE GREATEST UNMET HEALTH NEEDS FACING OUR REGION STRATEGIES TO ADDRESS THESE NEEDS WERE THEN DEVELOPED UTILIZING INTERNAL RESOURCES AND PARTNERSHIPS WITH OTHER HEALTHCARE ORGANIZATIONS AND PHYSICIANS SEVERAL COMMUNITY LEADERS PARTICIPATED IN THE CHNA THROUGH PERSONAL INTERVIEWS SURVEYS AND OTHER MEANS THEIR FEEDBACK WAS INVALUABLE IN ASSESSING THE HEALTH NEEDS OF THE COMMUNITIES WE SERVE AND DEVELOPING ACTIONS PLANS TO ENSURE THOSE NEEDS WERE MET THE TIME TALENT AND INSIGHT OF ELECTED REPRESENTATIVES AND LEADERS OF BUSINESSES MUNICIPALITIES AND ORGANIZATIONS LISTED BELOW WERE GREATLY APPRECIATED ADVANCED HOME CARE BELIEVE IN BRISTOL BILL GATTON AUTOMOTIVE GROUP BRISTOL COMPRESSORS INTERNATIONAL BRISTOL TENNESEE CITY SCHOOLS VIRGINIA STATE SENATOR BILL CARRICO CHILTERN INTERNATIONAL CITY OF BRISTOL TN CITY OF BRISTOL VA CITY OF KINGSPORT TN CITY OF NORTON VA CITY OF NORTON SCHOOL SYSTEM CITY OF ROGERSVILLE TN CITY OF SNEEDVILLE TN DICKENSON COUNTY CHAMBER OF COMMERCE DOMTAR DR GLENN E VANCE JR DDS ELECTROMECHANICAL CORPORATION FIRST TENNESSEE BANK FRIENDS IN NEED HEALTHCARE INC FRONTIER HEALTH US REPRESENTATIVE MORGAN GRIFFITH HANCOCK MANOR NURSING HOME HAWKINS COUNTY GAS UTILITY HAWKINS AND HANCOCK COUNTY HEALTH DEPARTMENTS HEALING HANDS HEALTH CENTER THE HEALTH WAGON HUNTER SMITH DAVIS ATTORNEYS AT LAW INDUSTRIAL DEVELOPMENT AUTHORITY OF DICKENSON COUNTY KVAT FOOD STORES KAVANAUGH CALL CENTER GROUP VIRGINIA STATE DELEGATE TERRY KILGORE KINGSPORT AREA CHAMBER OF COMMERCE KINGSPORT OFFICE OF SMALL BUSINESS DEVELOPMENT ENTREPRENEURSHIP LANDMARK REALTY INC LEE COUNTY VA MEADOWVIEW CONFERENCE RESORT CONVENTION CENTER VIRGINIA STATE DELEGATE JAMES WILL MOREFIELD MOUNTAIN EMPIRE OLDER CITIZENS INC NASH AND POWERS INSURANCE SERVICES NORTON INDUSTRIAL DEVELOPMENT AUTHORITY OAK HILL CEMETERY VIRGINIA STATE DELEGATE ISRAEL OQUINN PHARMACEUTICAL PRODUCT DEVELOPMENT VIRGINIA STATE SENATOR PHILLIP PUCKETT TENNESSEE LT GOVERNOR RON RAMSEY THE REGIONAL EYE CENTER THE ROBINETTE COMPANY RURAL HEALTH SERVICES CONSORTIUM SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC STRONGWELL CORPORATION SULLIVAN COUNTY TN SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT SULLIVAN COUNTY SCHOOL SYSTEM TELEOPTICS INC TOWN OF ABINGDON VA TOWN OF BIG STONE GAP VA TOWN OF PENNINGTON GAP VA TOWN OF JONESVILLE VA TRISUMMIT BANK UNIVERSAL FIBERS UNIVERSITY OF VIRGINIAS COLLEGE AT WISE VIRGINIA CITY HYBRID ENERGY CENTER VIRGINIA DEPARTMENT OF HEALTH CUMBERLAND PLATEAU HEALTH DISTRICT VIRGINIA DEPARTMENT OF HEALTH LENOWISCO DISTRICT WCYBTV WELLMONT MEDICAL ASSOCIATES WISE COUNTY CHAMBER OF COMMERCE WISE COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY WISE COUNTY VA YWCA BRISTOL HOLSTON VALLEY MEDICAL CENTER LINE NUMBER 1 PART V LINE 4 PART V LINE 4 BRISTOL REGIONAL MEDICAL CENTER LONESOME PINE HOSPITAL HAWKINS COUNTY MEMORIAL HOSPITAL HANCOCK COUNTY HOSPITAL MOUNTAIN VIEW REGIONAL MEDICAL CENTER LEE REGIONAL MEDICAL CENTER TAKOMA REGIONAL MEDICAL CENTER HOLSTON VALLEY MEDICAL CENTER LINE NUMBER 1 PART V LINE 7 PART V LINE 7 KEY FINDINGS NOTED DURING THE CHNA WERE LACK OF SUFFICIENT PSYCHIATRIC HEALTH AND DENTAL CARE THESE FINDINGS FALL OUTSIDE THE CORE BUSINESS AND MISSON OF WELLMONT HEALTH SYSTEM TO HELP MEET THESE NEEDS WELLMONT HEALTH SYSTEM WILL CONTINUE TO STRENGTHEN OUR PARTNERSHIPS AND CONTINUUM OF CARE OPPORTUNITIES WITH AREA HEALTH DEPARTMENTS FEDERALLY QUALIFIED HEALTH CENTERS AND FRONTIER HEALTH THE REGIONS LEADING PROVIDER OF BEHAVIORAL HEALTH SERVICES HOLSTON VALLEY MEDICAL CENTER LINE NUMBER 1 PART V LINE 15E PART V LINE 15E WELLMONT HOLSTON VALLEY MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES HOLSTON VALLEY MEDICAL CENTER LINE NUMBER 1 PART V LINE 16E PART V LINE 16E WELLMONT HOLSTON VALLEY MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES HOLSTON VALLEY MEDICAL CENTER LINE NUMBER 1 PART V LINE 19D PART V LINE 19D WELLMONT LEE REGIONAL MEDICAL CENTER FOLLOWS TENNESSEE STATUTE WHICH IS 175 OF AVERAGE COST FOR ITS HOSPITALS BRISTOL REGIONAL MEDICAL CENTER LINE NUMBER 2 PART V LINE 3 PART V LINE 3 INFORMATION FOR THE CHNA ASSESSMENT WAS GATHERED FROM A VARIETY OF SOURCES INCLUDING INTERVIEWS WITH PATIENTS INTERVIEWS WITH KEY COMMUNITY LEADERS AND STAKEHOLDERS INCLUDING REPRESENTATIVE OF UNDERSERVED POPULATIONS AND AREAS WITH HEALTHCARE DISPARITIES INTERVIEWS WITH LEADERS AND STAFF IN OTHER HEALTHCARE ORGANIZATIONS OR CIVIC ORGANIZATIONS WITH A SHARED MISSION TO POSITIVELY IMPACT THE HEALTH STATUS OF THE COMMUNITY PHYSICIAN NEEDS ASSESSMENT COMMUNITY HEALTH FACILITY ASSESSMENT MENTAL HEALTH NEEDS ASSESSMENT DIALYSIS AND DENTAL NEEDS ASSESSMENT PUBLICLY AVAILABLE POPULATION AND DEMOGRAPHIC INFORMATION PUBLICLY AVAILABLE POPULATION HEALTH INFORMATION THE INFORMATION WAS THEN COLLATED AND ASSESSED TO DETERMINE THE GREATEST UNMET HEALTH NEEDS FACING OUR REGION STRATEGIES TO ADDRESS THESE NEEDS WERE THEN DEVELOPED UTILIZING INTERNAL RESOURCES AND PARTNERSHIPS WITH OTHER HEALTHCARE ORGANIZATIONS AND PHYSICIANS SEVERAL COMMUNITY LEADERS PARTICIPATED IN THE CHNA THROUGH PERSONAL INTERVIEWS SURVEYS AND OTHER MEANS THEIR FEEDBACK WAS INVALUABLE IN ASSESSING THE HEALTH NEEDS OF THE COMMUNITIES WE SERVE AND DEVELOPING ACTIONS PLANS TO ENSURE THOSE NEEDS WERE MET THE TIME TALENT AND INSIGHT OF ELECTED REPRESENTATIVES AND LEADERS OF BUSINESSES MUNICIPALITIES AND ORGANIZATIONS LISTED BELOW WERE GREATLY APPRECIATED ADVANCED HOME CARE BELIEVE IN BRISTOL BILL GATTON AUTOMOTIVE GROUP BRISTOL COMPRESSORS INTERNATIONAL BRISTOL TENNESEE CITY SCHOOLS VIRGINIA STATE SENATOR BILL CARRICO CHILTERN INTERNATIONAL CITY OF BRISTOL TN CITY OF BRISTOL VA CITY OF KINGSPORT TN CITY OF NORTON VA CITY OF NORTON SCHOOL SYSTEM CITY OF ROGERSVILLE TN CITY OF SNEEDVILLE TN DICKENSON COUNTY CHAMBER OF COMMERCE DOMTAR DR GLENN E VANCE JR DDS ELECTROMECHANICAL CORPORATION FIRST TENNESSEE BANK FRIENDS IN NEED HEALTHCARE INC FRONTIER HEALTH US REPRESENTATIVE MORGAN GRIFFITH HANCOCK MANOR NURSING HOME HAWKINS COUNTY GAS UTILITY HAWKINS AND HANCOCK COUNTY HEALTH DEPARTMENTS HEALING HANDS HEALTH CENTER THE HEALTH WAGON HUNTER SMITH DAVIS ATTORNEYS AT LAW INDUSTRIAL DEVELOPMENT AUTHORITY OF DICKENSON COUNTY KVAT FOOD STORES KAVANAUGH CALL CENTER GROUP VIRGINIA STATE DELEGATE TERRY KILGORE KINGSPORT AREA CHAMBER OF COMMERCE KINGSPORT OFFICE OF SMALL BUSINESS DEVELOPMENT ENTREPRENEURSHIP LANDMARK REALTY INC LEE COUNTY VA MEADOWVIEW CONFERENCE RESORT CONVENTION CENTER VIRGINIA STATE DELEGATE JAMES WILL MOREFIELD MOUNTAIN EMPIRE OLDER CITIZENS INC NASH AND POWERS INSURANCE SERVICES NORTON INDUSTRIAL DEVELOPMENT AUTHORITY OAK HILL CEMETERY VIRGINIA STATE DELEGATE ISRAEL OQUINN PHARMACEUTICAL PRODUCT DEVELOPMENT VIRGINIA STATE SENATOR PHILLIP PUCKETT TENNESSEE LT GOVERNOR RON RAMSEY THE REGIONAL EYE CENTER THE ROBINETTE COMPANY RURAL HEALTH SERVICES CONSORTIUM SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC STRONGWELL CORPORATION SULLIVAN COUNTY TN SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT SULLIVAN COUNTY SCHOOL SYSTEM TELEOPTICS INC TOWN OF ABINGDON VA TOWN OF BIG STONE GAP VA TOWN OF PENNINGTON GAP VA TOWN OF JONESVILLE VA TRISUMMIT BANK UNIVERSAL FIBERS UNIVERSITY OF VIRGINIAS COLLEGE AT WISE VIRGINIA CITY HYBRID ENERGY CENTER VIRGINIA DEPARTMENT OF HEALTH CUMBERLAND PLATEAU HEALTH DISTRICT VIRGINIA DEPARTMENT OF HEALTH LENOWISCO DISTRICT WCYBTV WELLMONT MEDICAL ASSOCIATES WISE COUNTY CHAMBER OF COMMERCE WISE COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY WISE COUNTY VA YWCA BRISTOL BRISTOL REGIONAL MEDICAL CENTER LINE NUMBER 2 PART V LINE 4 PART V LINE 4 HOLSTON VALLEY MEDICAL CENTER LONESOME PINE HOSPITAL HAWKINS COUNTY MEMORIAL HOSPITAL HANCOCK COUNTY HOSPITAL MOUNTAIN VIEW REGIONAL MEDICAL CENTER LEE REGIONAL MEDICAL CENTER TAKOMA REGIONAL MEDICAL CENTER BRISTOL REGIONAL MEDICAL CENTER LINE NUMBER 2 PART V LINE 7 PART V LINE 7 KEY FINDINGS NOTED DURING THE CHNA WERE LACK OF SUFFICIENT PSYCHIATRIC HEALTH AND DENTAL CARE THESE FINDINGS FALL OUTSIDE THE CORE BUSINESS AND MISSON OF WELLMONT HEALTH SYSTEM TO HELP MEET THESE NEEDS WELLMONT HEALTH SYSTEM WILL CONTINUE TO STRENGTHEN OUR PARTNERSHIPS AND CONTINUUM OF CARE OPPORTUNITIES WITH AREA HEALTH DEPARTMENTS FEDERALLY QUALIFIED HEALTH CENTERS AND FRONTIER HEALTH THE REGIONS LEADING PROVIDER OF BEHAVIORAL HEALTH SERVICES BRISTOL REGIONAL MEDICAL CENTER LINE NUMBER 2 PART V LINE 15E PART V LINE 15E WELLMONT BRISTOL REGIONAL MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES BRISTOL REGIONAL MEDICAL CENTER LINE NUMBER 2 PART V LINE 16E PART V LINE 16E WELLMONT BRISTOL REGIONAL MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES BRISTOL REGIONAL MEDICAL CENTER LINE NUMBER 2 PART V LINE 19D PART V LINE 19D WELLMONT HOLSTON VALLEY MEDICAL CENTER FOLLOWS TENNESSEE STATUTE WHICH IS 175 OF AVERAGE COST FOR ITS HOSPITALS LONESOME PINE HOSPITAL LINE NUMBER 3 PART V LINE 3 PART V LINE 3 INFORMATION FOR THE CHNA ASSESSMENT WAS GATHERED FROM A VARIETY OF SOURCES INCLUDING INTERVIEWS WITH PATIENTS INTERVIEWS WITH KEY COMMUNITY LEADERS AND STAKEHOLDERS INCLUDING REPRESENTATIVE OF UNDERSERVED POPULATIONS AND AREAS WITH HEALTHCARE DISPARITIES INTERVIEWS WITH LEADERS AND STAFF IN OTHER HEALTHCARE ORGANIZATIONS OR CIVIC ORGANIZATIONS WITH A SHARED MISSION TO POSITIVELY IMPACT THE HEALTH STATUS OF THE COMMUNITY PHYSICIAN NEEDS ASSESSMENT COMMUNITY HEALTH FACILITY ASSESSMENT MENTAL HEALTH NEEDS ASSESSMENT DIALYSIS AND DENTAL NEEDS ASSESSMENT PUBLICLY AVAILABLE POPULATION AND DEMOGRAPHIC INFORMATION PUBLICLY AVAILABLE POPULATION HEALTH INFORMATION THE INFORMATION WAS THEN COLLATED AND ASSESSED TO DETERMINE THE GREATEST UNMET HEALTH NEEDS FACING OUR REGION STRATEGIES TO ADDRESS THESE NEEDS WERE THEN DEVELOPED UTILIZING INTERNAL RESOURCES AND PARTNERSHIPS WITH OTHER HEALTHCARE ORGANIZATIONS AND PHYSICIANS SEVERAL COMMUNITY LEADERS PARTICIPATED IN THE CHNA THROUGH PERSONAL INTERVIEWS SURVEYS AND OTHER MEANS THEIR FEEDBACK WAS INVALUABLE IN ASSESSING THE HEALTH NEEDS OF THE COMMUNITIES WE SERVE AND DEVELOPING ACTIONS PLANS TO ENSURE THOSE NEEDS WERE MET THE TIME TALENT AND INSIGHT OF ELECTED REPRESENTATIVES AND LEADERS OF BUSINESSES MUNICIPALITIES AND ORGANIZATIONS LISTED BELOW WERE GREATLY APPRECIATED ADVANCED HOME CARE BELIEVE IN BRISTOL BILL GATTON AUTOMOTIVE GROUP BRISTOL COMPRESSORS INTERNATIONAL BRISTOL TENNESEE CITY SCHOOLS VIRGINIA STATE SENATOR BILL CARRICO CHILTERN INTERNATIONAL CITY OF BRISTOL TN CITY OF BRISTOL VA CITY OF KINGSPORT TN CITY OF NORTON VA CITY OF NORTON SCHOOL SYSTEM CITY OF ROGERSVILLE TN CITY OF SNEEDVILLE TN DICKENSON COUNTY CHAMBER OF COMMERCE DOMTAR DR GLENN E VANCE JR DDS ELECTROMECHANICAL CORPORATION FIRST TENNESSEE BANK FRIENDS IN NEED HEALTHCARE INC FRONTIER HEALTH US REPRESENTATIVE MORGAN GRIFFITH HANCOCK MANOR NURSING HOME HAWKINS COUNTY GAS UTILITY HAWKINS AND HANCOCK COUNTY HEALTH DEPARTMENTS HEALING HANDS HEALTH CENTER THE HEALTH WAGON HUNTER SMITH DAVIS ATTORNEYS AT LAW INDUSTRIAL DEVELOPMENT AUTHORITY OF DICKENSON COUNTY KVAT FOOD STORES KAVANAUGH CALL CENTER GROUP VIRGINIA STATE DELEGATE TERRY KILGORE KINGSPORT AREA CHAMBER OF COMMERCE KINGSPORT OFFICE OF SMALL BUSINESS DEVELOPMENT ENTREPRENEURSHIP LANDMARK REALTY INC LEE COUNTY VA MEADOWVIEW CONFERENCE RESORT CONVENTION CENTER VIRGINIA STATE DELEGATE JAMES WILL MOREFIELD MOUNTAIN EMPIRE OLDER CITIZENS INC NASH AND POWERS INSURANCE SERVICES NORTON INDUSTRIAL DEVELOPMENT AUTHORITY OAK HILL CEMETERY VIRGINIA STATE DELEGATE ISRAEL OQUINN PHARMACEUTICAL PRODUCT DEVELOPMENT VIRGINIA STATE SENATOR PHILLIP PUCKETT TENNESSEE LT GOVERNOR RON RAMSEY THE REGIONAL EYE CENTER THE ROBINETTE COMPANY RURAL HEALTH SERVICES CONSORTIUM SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC STRONGWELL CORPORATION SULLIVAN COUNTY TN SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT SULLIVAN COUNTY SCHOOL SYSTEM TELEOPTICS INC TOWN OF ABINGDON VA TOWN OF BIG STONE GAP VA TOWN OF PENNINGTON GAP VA TOWN OF JONESVILLE VA TRISUMMIT BANK UNIVERSAL FIBERS UNIVERSITY OF VIRGINIAS COLLEGE AT WISE VIRGINIA CITY HYBRID ENERGY CENTER VIRGINIA DEPARTMENT OF HEALTH CUMBERLAND PLATEAU HEALTH DISTRICT VIRGINIA DEPARTMENT OF HEALTH LENOWISCO DISTRICT WCYBTV WELLMONT MEDICAL ASSOCIATES WISE COUNTY CHAMBER OF COMMERCE WISE COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY WISE COUNTY VA YWCA BRISTOL LONESOME PINE HOSPITAL LINE NUMBER 3 PART V LINE 4 PART V LINE 4 BRISTOL REGIONAL MEDICAL CENTER HOLSTON VALLEY MEDICAL CENTER HAWKINS COUNTY MEMORIAL HOSPITAL HANCOCK COUNTY HOSPITAL MOUNTAIN VIEW REGIONAL MEDICAL CENTER LEE REGIONAL MEDICAL CENTER TAKOMA REGIONAL MEDICAL CENTER LONESOME PINE HOSPITAL LINE NUMBER 3 PART V LINE 7 PART V LINE 7 KEY FINDINGS NOTED DURING THE CHNA WERE LACK OF SUFFICIENT PSYCHIATRIC HEALTH AND DENTAL CARE THESE FINDINGS FALL OUTSIDE THE CORE BUSINESS AND MISSON OF WELLMONT HEALTH SYSTEM TO HELP MEET THESE NEEDS WELLMONT HEALTH SYSTEM WILL CONTINUE TO STRENGTHEN OUR PARTNERSHIPS AND CONTINUUM OF CARE OPPORTUNITIES WITH AREA HEALTH DEPARTMENTS FEDERALLY QUALIFIED HEALTH CENTERS AND FRONTIER HEALTH THE REGIONS LEADING PROVIDER OF BEHAVIORAL HEALTH SERVICES LONESOME PINE HOSPITAL LINE NUMBER 3 PART V LINE 15E PART V LINE 15E WELLMONT LONESOME PINE HOSPITALS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES LONESOME PINE HOSPITAL LINE NUMBER 3 PART V LINE 16E PART V LINE 16E WELLMONT LONESOME PINE HOSPITALS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES LONESOME PINE HOSPITAL LINE NUMBER 3 PART V LINE 19D PART V LINE 19D WELLMONT BRISTOL REGIONAL MEDICAL CENTER FOLLOWS TENNESSEE STATUTE WHICH IS 175 OF AVERAGE COST FOR ITS HOSPITALS MOUNTAIN VIEW REGIONAL MEDICAL CENT LINE NUMBER 4 PART V LINE 3 PART V LINE 3 INFORMATION FOR THE CHNA ASSESSMENT WAS GATHERED FROM A VARIETY OF SOURCES INCLUDING INTERVIEWS WITH PATIENTS INTERVIEWS WITH KEY COMMUNITY LEADERS AND STAKEHOLDERS INCLUDING REPRESENTATIVE OF UNDERSERVED POPULATIONS AND AREAS WITH HEALTHCARE DISPARITIES INTERVIEWS WITH LEADERS AND STAFF IN OTHER HEALTHCARE ORGANIZATIONS OR CIVIC ORGANIZATIONS WITH A SHARED MISSION TO POSITIVELY IMPACT THE HEALTH STATUS OF THE COMMUNITY PHYSICIAN NEEDS ASSESSMENT COMMUNITY HEALTH FACILITY ASSESSMENT MENTAL HEALTH NEEDS ASSESSMENT DIALYSIS AND DENTAL NEEDS ASSESSMENT PUBLICLY AVAILABLE POPULATION AND DEMOGRAPHIC INFORMATION PUBLICLY AVAILABLE POPULATION HEALTH INFORMATION THE INFORMATION WAS THEN COLLATED AND ASSESSED TO DETERMINE THE GREATEST UNMET HEALTH NEEDS FACING OUR REGION STRATEGIES TO ADDRESS THESE NEEDS WERE THEN DEVELOPED UTILIZING INTERNAL RESOURCES AND PARTNERSHIPS WITH OTHER HEALTHCARE ORGANIZATIONS AND PHYSICIANS SEVERAL COMMUNITY LEADERS PARTICIPATED IN THE CHNA THROUGH PERSONAL INTERVIEWS SURVEYS AND OTHER MEANS THEIR FEEDBACK WAS INVALUABLE IN ASSESSING THE HEALTH NEEDS OF THE COMMUNITIES WE SERVE AND DEVELOPING ACTIONS PLANS TO ENSURE THOSE NEEDS WERE MET THE TIME TALENT AND INSIGHT OF ELECTED REPRESENTATIVES AND LEADERS OF BUSINESSES MUNICIPALITIES AND ORGANIZATIONS LISTED BELOW WERE GREATLY APPRECIATED ADVANCED HOME CARE BELIEVE IN BRISTOL BILL GATTON AUTOMOTIVE GROUP BRISTOL COMPRESSORS INTERNATIONAL BRISTOL TENNESEE CITY SCHOOLS VIRGINIA STATE SENATOR BILL CARRICO CHILTERN INTERNATIONAL CITY OF BRISTOL TN CITY OF BRISTOL VA CITY OF KINGSPORT TN CITY OF NORTON VA CITY OF NORTON SCHOOL SYSTEM CITY OF ROGERSVILLE TN CITY OF SNEEDVILLE TN DICKENSON COUNTY CHAMBER OF COMMERCE DOMTAR DR GLENN E VANCE JR DDS ELECTROMECHANICAL CORPORATION FIRST TENNESSEE BANK FRIENDS IN NEED HEALTHCARE INC FRONTIER HEALTH US REPRESENTATIVE MORGAN GRIFFITH HANCOCK MANOR NURSING HOME HAWKINS COUNTY GAS UTILITY HAWKINS AND HANCOCK COUNTY HEALTH DEPARTMENTS HEALING HANDS HEALTH CENTER THE HEALTH WAGON HUNTER SMITH DAVIS ATTORNEYS AT LAW INDUSTRIAL DEVELOPMENT AUTHORITY OF DICKENSON COUNTY KVAT FOOD STORES KAVANAUGH CALL CENTER GROUP VIRGINIA STATE DELEGATE TERRY KILGORE KINGSPORT AREA CHAMBER OF COMMERCE KINGSPORT OFFICE OF SMALL BUSINESS DEVELOPMENT ENTREPRENEURSHIP LANDMARK REALTY INC LEE COUNTY VA MEADOWVIEW CONFERENCE RESORT CONVENTION CENTER VIRGINIA STATE DELEGATE JAMES WILL MOREFIELD MOUNTAIN EMPIRE OLDER CITIZENS INC NASH AND POWERS INSURANCE SERVICES NORTON INDUSTRIAL DEVELOPMENT AUTHORITY OAK HILL CEMETERY VIRGINIA STATE DELEGATE ISRAEL OQUINN PHARMACEUTICAL PRODUCT DEVELOPMENT VIRGINIA STATE SENATOR PHILLIP PUCKETT TENNESSEE LT GOVERNOR RON RAMSEY THE REGIONAL EYE CENTER THE ROBINETTE COMPANY RURAL HEALTH SERVICES CONSORTIUM SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC STRONGWELL CORPORATION SULLIVAN COUNTY TN SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT SULLIVAN COUNTY SCHOOL SYSTEM TELEOPTICS INC TOWN OF ABINGDON VA TOWN OF BIG STONE GAP VA TOWN OF PENNINGTON GAP VA TOWN OF JONESVILLE VA TRISUMMIT BANK UNIVERSAL FIBERS UNIVERSITY OF VIRGINIAS COLLEGE AT WISE VIRGINIA CITY HYBRID ENERGY CENTER VIRGINIA DEPARTMENT OF HEALTH CUMBERLAND PLATEAU HEALTH DISTRICT VIRGINIA DEPARTMENT OF HEALTH LENOWISCO DISTRICT WCYBTV WELLMONT MEDICAL ASSOCIATES WISE COUNTY CHAMBER OF COMMERCE WISE COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY WISE COUNTY VA YWCA BRISTOL MOUNTAIN VIEW REGIONAL MEDICAL CENT LINE NUMBER 4 PART V LINE 4 PART V LINE 4 BRISTOL REGIONAL MEDICAL CENTER HOLSTON VALLEY MEDICAL CENTER LONESOME PINE HOSPITAL HAWKINS COUNTY MEMORIAL HOSPITAL HANCOCK COUNTY HOSPITAL LEE REGIONAL MEDICAL CENTER TAKOMA REGIONAL MEDICAL CENTER MOUNTAIN VIEW REGIONAL MEDICAL CENT LINE NUMBER 4 PART V LINE 7 PART V LINE 7 KEY FINDINGS NOTED DURING THE CHNA WERE LACK OF SUFFICIENT PSYCHIATRIC HEALTH AND DENTAL CARE THESE FINDINGS FALL OUTSIDE THE CORE BUSINESS AND MISSON OF WELLMONT HEALTH SYSTEM TO HELP MEET THESE NEEDS WELLMONT HEALTH SYSTEM WILL CONTINUE TO STRENGTHEN OUR PARTNERSHIPS AND CONTINUUM OF CARE OPPORTUNITIES WITH AREA HEALTH DEPARTMENTS FEDERALLY QUALIFIED HEALTH CENTERS AND FRONTIER HEALTH THE REGIONS LEADING PROVIDER OF BEHAVIORAL HEALTH SERVICES MOUNTAIN VIEW REGIONAL MEDICAL CENT LINE NUMBER 4 PART V LINE 15E PART V LINE 15E WELLMONT MOUNTAIN VIEW REGIONAL MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES MOUNTAIN VIEW REGIONAL MEDICAL CENT LINE NUMBER 4 PART V LINE 16E PART V LINE 16E WELLMONT MOUNTAIN VIEW REGIONAL MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES MOUNTAIN VIEW REGIONAL MEDICAL CENT LINE NUMBER 4 PART V LINE 19D PART V LINE 19D WELLMONT LONESOME PINE HOSPITAL FOLLOWS TENNESSEE STATUTE WHICH IS 175 OF AVERAGE COST FOR ITS HOSPITALS IN THE ABSENCE OF VIRGINIA STATUTE LEE REGIONAL MEDICAL CENTER LINE NUMBER 5 PART V LINE 1J PART V LINE 1J LEE REGIONAL MEDICAL CENTER CEASED OPERATIONS EFFECTIVE OCTOBER 1 2013 DUE TO THE COMMUNITYS LOW USE OF THE HOSPITAL AND A LACK OF CONSISTENT PHYSICIAN COVERAGE IN ADDITION THE CLOSURE IS DUE IN PART TO MAJOR CUTS IN MEDICARE REIMBURSEMENTS BY THE FEDERAL GOVERNMENT ASSOCIATED WITH THE AFFORDABLE CARE ACT AND A LACK OF MEDICAID EXPANSION BY THE COMMONWEALTH OF VIRGINIA LEE REGIONAL MEDICAL CENTER LINE NUMBER 5 PART V LINE 3 PART V LINE 3 INFORMATION FOR THE CHNA ASSESSMENT WAS GATHERED FROM A VARIETY OF SOURCES INCLUDING INTERVIEWS WITH PATIENTS INTERVIEWS WITH KEY COMMUNITY LEADERS AND STAKEHOLDERS INCLUDING REPRESENTATIVE OF UNDERSERVED POPULATIONS AND AREAS WITH HEALTHCARE DISPARITIES INTERVIEWS WITH LEADERS AND STAFF IN OTHER HEALTHCARE ORGANIZATIONS OR CIVIC ORGANIZATIONS WITH A SHARED MISSION TO POSITIVELY IMPACT THE HEALTH STATUS OF THE COMMUNITY PHYSICIAN NEEDS ASSESSMENT COMMUNITY HEALTH FACILITY ASSESSMENT MENTAL HEALTH NEEDS ASSESSMENT DIALYSIS AND DENTAL NEEDS ASSESSMENT PUBLICLY AVAILABLE POPULATION AND DEMOGRAPHIC INFORMATION PUBLICLY AVAILABLE POPULATION HEALTH INFORMATION THE INFORMATION WAS THEN COLLATED AND ASSESSED TO DETERMINE THE GREATEST UNMET HEALTH NEEDS FACING OUR REGION STRATEGIES TO ADDRESS THESE NEEDS WERE THEN DEVELOPED UTILIZING INTERNAL RESOURCES AND PARTNERSHIPS WITH OTHER HEALTHCARE ORGANIZATIONS AND PHYSICIANS SEVERAL COMMUNITY LEADERS PARTICIPATED IN THE CHNA THROUGH PERSONAL INTERVIEWS SURVEYS AND OTHER MEANS THEIR FEEDBACK WAS INVALUABLE IN ASSESSING THE HEALTH NEEDS OF THE COMMUNITIES WE SERVE AND DEVELOPING ACTIONS PLANS TO ENSURE THOSE NEEDS WERE MET THE TIME TALENT AND INSIGHT OF ELECTED REPRESENTATIVES AND LEADERS OF BUSINESSES MUNICIPALITIES AND ORGANIZATIONS LISTED BELOW WERE GREATLY APPRECIATED ADVANCED HOME CARE BELIEVE IN BRISTOL BILL GATTON AUTOMOTIVE GROUP BRISTOL COMPRESSORS INTERNATIONAL BRISTOL TENNESEE CITY SCHOOLS VIRGINIA STATE SENATOR BILL CARRICO CHILTERN INTERNATIONAL CITY OF BRISTOL TN CITY OF BRISTOL VA CITY OF KINGSPORT TN CITY OF NORTON VA CITY OF NORTON SCHOOL SYSTEM CITY OF ROGERSVILLE TN CITY OF SNEEDVILLE TN DICKENSON COUNTY CHAMBER OF COMMERCE DOMTAR DR GLENN E VANCE JR DDS ELECTROMECHANICAL CORPORATION FIRST TENNESSEE BANK FRIENDS IN NEED HEALTHCARE INC FRONTIER HEALTH US REPRESENTATIVE MORGAN GRIFFITH HANCOCK MANOR NURSING HOME HAWKINS COUNTY GAS UTILITY HAWKINS AND HANCOCK COUNTY HEALTH DEPARTMENTS HEALING HANDS HEALTH CENTER THE HEALTH WAGON HUNTER SMITH DAVIS ATTORNEYS AT LAW INDUSTRIAL DEVELOPMENT AUTHORITY OF DICKENSON COUNTY KVAT FOOD STORES KAVANAUGH CALL CENTER GROUP VIRGINIA STATE DELEGATE TERRY KILGORE KINGSPORT AREA CHAMBER OF COMMERCE KINGSPORT OFFICE OF SMALL BUSINESS DEVELOPMENT ENTREPRENEURSHIP LANDMARK REALTY INC LEE COUNTY VA MEADOWVIEW CONFERENCE RESORT CONVENTION CENTER VIRGINIA STATE DELEGATE JAMES WILL MOREFIELD MOUNTAIN EMPIRE OLDER CITIZENS INC NASH AND POWERS INSURANCE SERVICES NORTON INDUSTRIAL DEVELOPMENT AUTHORITY OAK HILL CEMETERY VIRGINIA STATE DELEGATE ISRAEL OQUINN PHARMACEUTICAL PRODUCT DEVELOPMENT VIRGINIA STATE SENATOR PHILLIP PUCKETT TENNESSEE LT GOVERNOR RON RAMSEY THE REGIONAL EYE CENTER THE ROBINETTE COMPANY RURAL HEALTH SERVICES CONSORTIUM SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC STRONGWELL CORPORATION SULLIVAN COUNTY TN SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT SULLIVAN COUNTY SCHOOL SYSTEM TELEOPTICS INC TOWN OF ABINGDON VA TOWN OF BIG STONE GAP VA TOWN OF PENNINGTON GAP VA TOWN OF JONESVILLE VA TRISUMMIT BANK UNIVERSAL FIBERS UNIVERSITY OF VIRGINIAS COLLEGE AT WISE VIRGINIA CITY HYBRID ENERGY CENTER VIRGINIA DEPARTMENT OF HEALTH CUMBERLAND PLATEAU HEALTH DISTRICT VIRGINIA DEPARTMENT OF HEALTH LENOWISCO DISTRICT WCYBTV WELLMONT MEDICAL ASSOCIATES WISE COUNTY CHAMBER OF COMMERCE WISE COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY WISE COUNTY VA YWCA BRISTOL LEE REGIONAL MEDICAL CENTER LINE NUMBER 5 PART V LINE 4 PART V LINE 4 BRISTOL REGIONAL MEDICAL CENTER HOLSTON VALLEY MEDICAL CENTER LONESOME PINE HOSPITAL HAWKINS COUNTY MEMORIAL HOSPITAL HANCOCK COUNTY HOSPITAL MOUNTAIN VIEW REGIONAL MEDICAL CENTER TAKOMA REGIONAL MEDICAL CENTER LEE REGIONAL MEDICAL CENTER LINE NUMBER 5 PART V LINE 7 PART V LINE 7 KEY FINDINGS NOTED DURING THE CHNA WERE LACK OF SUFFICIENT PSYCHIATRIC HEALTH AND DENTAL CARE THESE FINDINGS FALL OUTSIDE THE CORE BUSINESS AND MISSON OF WELLMONT HEALTH SYSTEM TO HELP MEET THESE NEEDS WELLMONT HEALTH SYSTEM WILL CONTINUE TO STRENGTHEN OUR PARTNERSHIPS AND CONTINUUM OF CARE OPPORTUNITIES WITH AREA HEALTH DEPARTMENTS FEDERALLY QUALIFIED HEALTH CENTERS AND FRONTIER HEALTH THE REGIONS LEADING PROVIDER OF BEHAVIORAL HEALTH SERVICES LEE REGIONAL MEDICAL CENTER LINE NUMBER 5 PART V LINE 15E PART V LINE 15E WELLMONT LEE REGIONAL MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES LEE REGIONAL MEDICAL CENTER LINE NUMBER 5 PART V LINE 16E PART V LINE 16E WELLMONT LEE REGIONAL MEDICAL CENTERS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES LEE REGIONAL MEDICAL CENTER LINE NUMBER 5 PART V LINE 19D PART V LINE 19D WELLMONT MOUNTAIN VIEW REGIONAL MEDICAL CENTER FOLLOWS TENNESSEE STATUTE WHICH IS 175 OF AVERAGE COST FOR ITS HOSPITALS IN THE ABSENCE OF VIRGINIA STATUTE HANCOCK COUNTY HOSPITAL LINE NUMBER 6 PART V LINE 3 PART V LINE 3 INFORMATION FOR THE CHNA ASSESSMENT WAS GATHERED FROM A VARIETY OF SOURCES INCLUDING INTERVIEWS WITH PATIENTS INTERVIEWS WITH KEY COMMUNITY LEADERS AND STAKEHOLDERS INCLUDING REPRESENTATIVE OF UNDERSERVED POPULATIONS AND AREAS WITH HEALTHCARE DISPARITIES INTERVIEWS WITH LEADERS AND STAFF IN OTHER HEALTHCARE ORGANIZATIONS OR CIVIC ORGANIZATIONS WITH A SHARED MISSION TO POSITIVELY IMPACT THE HEALTH STATUS OF THE COMMUNITY PHYSICIAN NEEDS ASSESSMENT COMMUNITY HEALTH FACILITY ASSESSMENT MENTAL HEALTH NEEDS ASSESSMENT DIALYSIS AND DENTAL NEEDS ASSESSMENT PUBLICLY AVAILABLE POPULATION AND DEMOGRAPHIC INFORMATION PUBLICLY AVAILABLE POPULATION HEALTH INFORMATION THE INFORMATION WAS THEN COLLATED AND ASSESSED TO DETERMINE THE GREATEST UNMET HEALTH NEEDS FACING OUR REGION STRATEGIES TO ADDRESS THESE NEEDS WERE THEN DEVELOPED UTILIZING INTERNAL RESOURCES AND PARTNERSHIPS WITH OTHER HEALTHCARE ORGANIZATIONS AND PHYSICIANS SEVERAL COMMUNITY LEADERS PARTICIPATED IN THE CHNA THROUGH PERSONAL INTERVIEWS SURVEYS AND OTHER MEANS THEIR FEEDBACK WAS INVALUABLE IN ASSESSING THE HEALTH NEEDS OF THE COMMUNITIES WE SERVE AND DEVELOPING ACTIONS PLANS TO ENSURE THOSE NEEDS WERE MET THE TIME TALENT AND INSIGHT OF ELECTED REPRESENTATIVES AND LEADERS OF BUSINESSES MUNICIPALITIES AND ORGANIZATIONS LISTED BELOW WERE GREATLY APPRECIATED ADVANCED HOME CARE BELIEVE IN BRISTOL BILL GATTON AUTOMOTIVE GROUP BRISTOL COMPRESSORS INTERNATIONAL BRISTOL TENNESEE CITY SCHOOLS VIRGINIA STATE SENATOR BILL CARRICO CHILTERN INTERNATIONAL CITY OF BRISTOL TN CITY OF BRISTOL VA CITY OF KINGSPORT TN CITY OF NORTON VA CITY OF NORTON SCHOOL SYSTEM CITY OF ROGERSVILLE TN CITY OF SNEEDVILLE TN DICKENSON COUNTY CHAMBER OF COMMERCE DOMTAR DR GLENN E VANCE JR DDS ELECTROMECHANICAL CORPORATION FIRST TENNESSEE BANK FRIENDS IN NEED HEALTHCARE INC FRONTIER HEALTH US REPRESENTATIVE MORGAN GRIFFITH HANCOCK MANOR NURSING HOME HAWKINS COUNTY GAS UTILITY HAWKINS AND HANCOCK COUNTY HEALTH DEPARTMENTS HEALING HANDS HEALTH CENTER THE HEALTH WAGON HUNTER SMITH DAVIS ATTORNEYS AT LAW INDUSTRIAL DEVELOPMENT AUTHORITY OF DICKENSON COUNTY KVAT FOOD STORES KAVANAUGH CALL CENTER GROUP VIRGINIA STATE DELEGATE TERRY KILGORE KINGSPORT AREA CHAMBER OF COMMERCE KINGSPORT OFFICE OF SMALL BUSINESS DEVELOPMENT ENTREPRENEURSHIP LANDMARK REALTY INC LEE COUNTY VA MEADOWVIEW CONFERENCE RESORT CONVENTION CENTER VIRGINIA STATE DELEGATE JAMES WILL MOREFIELD MOUNTAIN EMPIRE OLDER CITIZENS INC NASH AND POWERS INSURANCE SERVICES NORTON INDUSTRIAL DEVELOPMENT AUTHORITY OAK HILL CEMETERY VIRGINIA STATE DELEGATE ISRAEL OQUINN PHARMACEUTICAL PRODUCT DEVELOPMENT VIRGINIA STATE SENATOR PHILLIP PUCKETT TENNESSEE LT GOVERNOR RON RAMSEY THE REGIONAL EYE CENTER THE ROBINETTE COMPANY RURAL HEALTH SERVICES CONSORTIUM SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC STRONGWELL CORPORATION SULLIVAN COUNTY TN SULLIVAN COUNTY REGIONAL HEALTH DEPARTMENT SULLIVAN COUNTY SCHOOL SYSTEM TELEOPTICS INC TOWN OF ABINGDON VA TOWN OF BIG STONE GAP VA TOWN OF PENNINGTON GAP VA TOWN OF JONESVILLE VA TRISUMMIT BANK UNIVERSAL FIBERS UNIVERSITY OF VIRGINIAS COLLEGE AT WISE VIRGINIA CITY HYBRID ENERGY CENTER VIRGINIA DEPARTMENT OF HEALTH CUMBERLAND PLATEAU HEALTH DISTRICT VIRGINIA DEPARTMENT OF HEALTH LENOWISCO DISTRICT WCYBTV WELLMONT MEDICAL ASSOCIATES WISE COUNTY CHAMBER OF COMMERCE WISE COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY WISE COUNTY VA YWCA BRISTOL HANCOCK COUNTY HOSPITAL LINE NUMBER 6 PART V LINE 4 PART V LINE 4 BRISTOL REGIONAL MEDICAL CENTER HOLSTON VALLEY MEDICAL CENTER LONESOME PINE HOSPITAL HAWKINS COUNTY MEMORIAL HOSPITAL MOUNTAIN VIEW REGIONAL MEDICAL CENTER LEE REGIONAL MEDICAL CENTER TAKOMA REGIONAL MEDICAL CENTER HANCOCK COUNTY HOSPITAL LINE NUMBER 6 PART V LINE 7 PART V LINE 7 KEY FINDINGS NOTED DURING THE CHNA WERE LACK OF SUFFICIENT PSYCHIATRIC HEALTH AND DENTAL CARE THESE FINDINGS FALL OUTSIDE THE CORE BUSINESS AND MISSON OF WELLMONT HEALTH SYSTEM TO HELP MEET THESE NEEDS WELLMONT HEALTH SYSTEM WILL CONTINUE TO STRENGTHEN OUR PARTNERSHIPS AND CONTINUUM OF CARE OPPORTUNITIES WITH AREA HEALTH DEPARTMENTS FEDERALLY QUALIFIED HEALTH CENTERS AND FRONTIER HEALTH THE REGIONS LEADING PROVIDER OF BEHAVIORAL HEALTH SERVICES HANCOCK COUNTY HOSPITAL LINE NUMBER 6 PART V LINE 15E PART V LINE 15E WELLMONT HANCOCK COUNTY HOSPITALS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES HANCOCK COUNTY HOSPITAL LINE NUMBER 6 PART V LINE 16E PART V LINE 16E WELLMONT HANCOCK COUNTY HOSPITALS OTHER ACTIONS INCLUDE GARNISHMENT OF WAGES HANCOCK COUNTY HOSPITAL LINE NUMBER 6 PART V LINE 19D PART V LINE 19D WELLMONT LEE REGIONAL MEDICAL CENTER FOLLOWS TENNESSEE STATUTE WHICH IS 175 OF AVERAGE COST FOR ITS HOSPITALS IN THE ABSENCE OF VIRGINIA STATUTE true AMERICAN CANCER SOCIETY 508 PRINCETON RD SUITE 102 JOHNSON CITY TN 37601 640329099 501(C) 19000 RELAY FOR LIFE SPONS APPALACHIAN MOUNTAIN PROJECT ACCESS 1060 DRAGON RD OAKWOOD VA 24631 260069167 501(C) 40000 SPONSORSHIP BARTER THEATRE PO BOX 867 ABINDGON VA 24212 546000120 501(C) 15000 SPONSORSHIP BRISTOL MOTOR SPEEDWAY PO BOX 3966 BRISTOL TN 37625 621016760 10000 CHILDREN'S CHARITIES BRISTOL CONVENTION & VISITORS BUREA PO BOX 519 BRISTOL VA 24203 540150315 501(C) 25000 SPONSOR PICK PINK EAST TENNESSEE STATE UNIVERSITY PO BOX 70732 JOHNSON CITY TN 37614 237092731 501(C) 20000 ATHLETIC SPONSORSHIP FUN FEST KINGSPORT TN 151 EAST MAIN ST KINGSPORT TN 37660 620446834 501(C) 17750 SPONSORSHIP KINGSPORT CHAMBER OF COMMERCE 151 EAST MAIN ST KINGSPORT TN 37662 620446834 501(C) 25835 ANNUAL SPONSORSHIP KINGSPORT TOMORROW 301 LOUIS ST SUITE 303 KINGSPORT TN 37660 581941002 501(C) 10000 HEALTHCARE SYMPOSIUM OTHERS 5000 116351 SPONSORSHIPS RHYTHM & ROOTS REUNION PO BOX 1927 BRISTOL VA 24203 721526206 501(C) 10000 SPONSORSHIP SUSAN G KOMEN FOR THE CURE PO BOX 5835 KINGSPORT TN 37663 841689067 501(C) 55102 SPONSORSHIP PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 ALL REQUESTS FOR CHARITABLE ASSISTANCE ARE REVIEWED BY THE SENIOR VICE PRESIDENT OF SYSTEM ADVANCEMENT. THE REQUEST FOR GRANT FUNDS IS EVALUATED ON THE BASIS OF THE FOLLOWING ITEMS: THE DEGREE TO WHICH THE REQUEST SUPPORTS WELLMONT HEALTH SYSTEM'S MISSION, REPRESENTATION OF WELLMONT HEALTH SYSTEM AS A GOOD CORPORATE CITIZEN, AND THE ANNUAL BUDGET. THE SENIOR VICE PRESIDENT THEN MAKES A DETERMINATION OF APPROVAL FOR ALL REQUESTS AND THE REQUEST IS SENT DIRECTLY TO ACCOUNTS PAYABLE FOR PAYMENT. WELLMONT HEALTH SYSTEM MAKES MINIMAL GRANTS (LESS THAN 5,000 PER ENTITY) THROUGHOUT THE YEAR. THE USE OF THESE GRANT FUNDS IS NOT MONITORED BY WELLMONT HEALTH SYSTEM AS THESE GRANTS ARE MADE IN GENERAL SUPPORT OF THE GRANT RECIPIENT. X X X X true true X X X X false true false false false true false false false PIERRE ISTFAN MD 453995 122353 414 27630 12304 616696 MARGARET DENARVAEZ 762876 247353 21652 40877 6299 1079057 JOHN HOWARD 385821 80476 66548 13270 546115 TRACEY P MOFFATT 369216 72923 13250 17400 8485 481274 ALICE POPE 292230 47458 270 17216 10303 367477 HAMLIN J WILSON 270848 51773 414 16454 6299 345788 KENT PETTY 266827 41670 270 16250 14278 339295 TODD J DOUGAN 228588 43137 13662 12694 298081 LOWELL TODD NORRIS 40767 163069 8066 32262 52 207 2431 9723 2539 10155 53855 215416 BARTHOLEMEW A HOVE 415032 73573 8770 24840 12694 534909 VIRGINIA FRANK 337495 63983 5130 18258 13469 438335 GREG NEAL 237175 59294 38526 9631 6936 1734 13507 3377 8587 2147 304731 76183 DAVID L BRASH 264964 34515 270 15936 13548 329233 SUSAN LINDENBUSCH 262501 50004 31174 8146 14278 366103 DANIEL CARLSON 243523 38610 57985 5620 345738 TROY SYBERT 261661 41670 270 16055 13488 333144 WILLIAM TROY CLARK 251866 37375 162 15213 10340 314956 MARTHA CHILL 238967 37109 1188 11175 10698 299137 FRINGE OR EXPENSE EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1A CHARTER TRAVEL AND TRAVEL FOR COMPANIONS WELLMONT HEALTH SYSTEM PROVIDED AIRPLANE TRAVEL FOR ITS EXECUTIVES THROUGH A PARTIAL OWNERSHIP OF AN AIRPLANE. ON OCCASION, TRAVEL WAS PROVIDED FOR EXECUTIVES AND THEIR COMPANIONS FOR PERSONAL USE. WELLMONT HEALTH SYSTEM FOLLOWED IRS GUIDELINES AND INCLUDED THE APPROPRIATE AMOUNTS IN THEIR TAXABLE COMPENSATION. HOUSING ALLOWANCE WELLMONT HEALTH SYSTEM OFFERED A HOUSING ALLOWANCE FOR JOHN HOWARD, SR. VP OF LEGAL AFFAIRS, KIM ONESKO, CHIEF ADMINISTRATIVE OFFICER FOR WELLMONT MEDICAL ASSOCIATES, SUSAN LINDENBUSCH, VP OF ONCOLOGY SERVICES, DURING THE FISCAL YEAR ENDED JUNE 30, 2013. THE HOUSING ALLOWANCES PAID TO THE EXECUTIVES WERE INCLUDED IN THEIR TAXABLE COMPENSATION. HEALTH OR SOCIAL CLUB DUES DURING THE FISCAL YEAR ENDED JUNE 30, 2013, WELLMONT HEALTH SYSTEM PROVIDED COUNTRY CLUB MEMBERSHIPS TO MARGARET DENARVAEZ, VIRGINIA FRANK, JOHN HOWARD, BARTON A. HOVE, AND TRACEY MOFFATT. THESE AMOUNTS ARE INCLUDED IN TAXABLE COMPENSATION. COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATION SCHEDULE J, PAGE 1, PART I, LINE 6A INCENTIVE COMPENSATION IS PARTIALLY BASED ON MEETING BUDGETED OPERATING MARGIN GOALS. OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III WELLMONT HEALTH SYSTEM HAS AN EXECUTIVE RETIREMENT PROGRAM THAT INCLUDED MARGARET DENARVAEZ, JOHN HOWARD AND ALICE POPE FOR THE FISCAL YEAR ENDING JUNE 30, 2013. THIS PROGRAM HAS A TARGET BENEFIT OF 60% OF THE HIGHEST THREE YEAR AVERAGE SALARY (LESS EMPLOYER PROVIDER BENEFITS) AND THE EXECUTIVE MUST HAVE TWENTY YEARS OF SERVICE TO RECEIVE THE FULL BENEFIT. THE EXECUTIVE MAY RETIRE EARLY AT AGE 60 AND RECEIVE REDUCED BENEFITS. THERE WERE NO PAYMENTS MADE UNDER THIS PROGRAM FOR THE FISCAL YEAR ENDING JUNE 30, 2013. A SULLIVAN CNTY TENN HEALTH EDL & HSG 621256662 865293AC8 2006-11-02 200000000 CONSTRUCTION AT HVMC false false false B VIRGINIA SMALL BUSINESS FING AUTH H 541300845 928101AC8 2007-07-31 55000000 PURCHASE OF HOSPITALS false false false C SULLIVAN CNTY TENN HEALTH EDL & HSG 621256662 865292DY9 2003-06-01 59100000 REFUND 1993 BOND false false false D SULLIVAN CNTY TENN HEALTH EDL & HSG 621256662 865292DZ6 2005-12-13 70620000 REFUND 2002 BOND false false false A 207055314 18977995 2164568 182892682 69 2011 false false false true B 55658570 5464590 1026366 49167614 2007 false false true true C 67546371 5300282 60061731 699922 1541817 2003 false true true true D 71923735 71529827 266958 126950 2005 false true true true A false false false false false false false true B false false false false false false false true C false false false false false false false true D false false false false false false false true A false false false true false false true MERRILL LYNCH 4.0 true false false B false false false true false false false false false C false false false true false false false false false D false false false true true true LEHMAN BROTHERS 10.8 false false false false false A false DIFFERENCES IN ISSUE PRICE EXPLANATION SCHEDULE K SULLIVAN CNTY TENN HEALTH EDL HSG ADDITIONAL PROCEEDS ON PART II LINE 3 WERE FROM PREMIUMS ON BOND ISSUES ACCRUED INTEREST AND INITIAL RESERVE FUNDS DATE REBATE COMPUTATION PERFORMED SCHEDULE K SULLIVAN CNTY TENN HEALTH EDL HSG 103111 VIRGINIA SMALL BUSINESS FING AUTH H 073112 SULLIVAN CNTY TENN HEALTH EDL HSG 053113 SULLIVAN CNTY TENN HEALTH EDL HSG 090112 ADDITIONAL INFORMATION SCHEDULE K SULLIVAN CNTY TENN HEALTH EDL HSG DIFFERENCE IN PROCEEDS VERSUS ISSUE PRICE EXPLANATION FOR 2012 TAXEXEMPT MASTER LEASESUBLEASE PROCEEDS ON PART II LINE 3 DIFFER FROM THE ISSUE PRICE ON PART I E BECAUSE AS OF FY 2013 ONLY TWO DRAWS WERE MADE AGAINST THE BOND TOTALING 16150175 BRISTOL ANESTHESIA SERVICES PC VENDOR 101421 ANESTHESIA SERVICES false ADDITIONAL INFORMATION SCHEDULE L PART V WILLIAM SMITH MD PRACTICES WITH BRISTOL ANESTHESIA SERVICES PC WHO PROVIDES ANESTHESIA SERVICES TO BRISTOL REGIONAL MEDICAL CENTER ADDITIONAL INFORMATION FORM 990 FORM 990, PART X, BALANCE SHEET CERTAIN BALANCE SHEET ACCOUNTS HAVE BEEN RECLASSIFIED FOR BETTER COMPARISON TO THE CURRENT YEAR FINANCIAL STATEMENTS. FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A NOT MEET THE DEFINITION OF "RESTRICTED TO ONE OR MORE OF THE ACTIVITIES DESCRIBED IN THE TABLE IN PART I, LINE 7" OF SCHEDULE H. WELLMONT IS A PUBLIC TRUST. FROM KINGSPORT TO BRISTOL, FROM SNEEDVILLE TO NORTON, THE MEMBER HOSPITALS OF OUR ORGANIZATION WERE BORN OF THEIR COMMUNITIES' COMMITMENT TO SUPERIOR HEALTH CARE FOR THEIR CITIZENS. WE OFFER A VAST ARRAY OF MEDICAL SERVICES AND RESOURCES FOR THOUSANDS OF PATIENTS IN NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. IN 2013, WE PROVIDED SERVICES TO 51,462 PATIENTS IN A BED, 307,654 EMERGENCY ROOM VISITS, 217,125 OUTPATIENT REGISTRATIONS (EXCLUDING ER), 2,309 NEWBORN DELIVERIES, 21,324 SURGERIES AND 418,924 PHYSICIAN OFFICE VISITS. WELLMONT IS A TENNESSEE NOT-FOR-PROFIT CORPORATION. SIX TAX-EXEMPT COMMUNITY BASED HOSPITALS - BRISTOL REGIONAL MEDICAL CENTER (BRISTOL, TENN.), HOLSTON VALLEY MEDICAL CENTER (KINGSPORT, TENN.), LONESOME PINEHOSPITAL (BIG STONE GAP, VA.), HANCOCK COUNTY HOSPITAL (SNEEDVILLE, TENN.),MOUNTAIN VIEW REGIONAL MEDICAL CENTER (NORTON, VA.) AND LEE REGIONALMEDICAL 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 51,042,187 IN BENEFITS TO OUR REGION, INCLUDING 38,798,967 OF COSTS FOR INDIGENT PATIENTS AND UNCOMPENSATED CARE FOR OTHER PATIENTS AND 51,042,187 FOR OTHER COMMUNITY ACTIVITIES OUTLINED BELOW. WELLMONT IS IN COMPLIANCE WITH IRS GUIDELINES FOR FORM 990 SCHEDULE H REPORTING PURPOSES AND THE AMOUNTS REFLECTED ABOVE ARE NOT INCLUSIVE OF RESOURCES DESCRIBED IN WELLMONT'S COMMUNITY BENEFIT REPORT AS THE ABOVE AMOUNTS ARE REPORTED ON SCHEDULE H. WE ARE MINDFUL OF OUR RESPONSIBILITIES AS ONE OF THE REGION'S LARGEST EMPLOYERS. 5,740 FAMILIES COUNT ON US FOR THEIR LIVELIHOODS. CITIES AND COUNTIES THROUGHOUT OUR SERVICE AREA RELY ON US AS A DRIVER OF ECONOMIC DEVELOPMENT. IT IS OUR DUTY AS A CORPORATE CITIZEN TO SUPPORT THOSE ENDEAVORS AND CAUSES THAT IMPROVE THE QUALITY OF LIFE IN OUR REGION. AND WE ALSO RECOGNIZE IT IS OUR RESPONSIBILITY TO CARE FOR THOSE IN NEED - REGARDLESS OF THEIR ABILITY TO PAY. IT IS OUR COMMITMENT - INDEED, IT IS OUR MISSION - TO SUPPORT THE CAUSES AND DEVELOP THE INITIATIVES THAT WILL PROPEL OUR COMMUNITIES TOWARD A BETTER, BRIGHTER, HEALTHIER AND MORE VIBRANT FUTURE. SERVING THE UNDERSERVED REGARDLESS OF RACE, RELIGION, ETHNICITY OR ABILITY TO PAY, WELLMONT'S HOSPITALS TREAT ALL PATIENTS FOR MEDICALLY NECESSARY CONDITIONS. RECOGNIZING THAT SOME PATIENTS CANNOT AFFORD ESSENTIAL MEDICAL SERVICES, WELLMONT PROVIDED CARE FOR INDIGENT PATIENTS, WRITING OFF 58,057,581 OF CHARGES AND INCURRING COST OF 15,364,503. WELLMONT IS INCOMPLIANCE WITH IRS GUIDELINES FOR FORM 990 SCHEDULE H REPORTING PURPOSES AND THE AMOUNTS REFLECTED ABOVE ARE NOT INCLUSIVE OF RESOURCES DESCRIBED IN WELLMONT'S COMMUNITY BENEFIT REPORT AS THE ABOVE AMOUNTS ARE REPORTED ON SCHEDULE H. OTHER RECENT INITIATIVES INCLUDE: THE WELLMONT HEALTH COACH IS PART OF WELLMONT'S ONGOING EFFORTS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND ENCOURAGE WELLNESS IN THE MOUNTAINS OF NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. FUNDED BY COMMUNITY SUPPORT THROUGH THE WELLMONT FOUNDATION, THE COACH OFFERS A HOST OF COMPREHENSIVE SCREENINGS THAT HELP IDENTIFY POTENTIAL HEALTH PROBLEMS. OUR HEALTH SYSTEM, IN CONJUNCTION WITH A GRANT FROM SUSAN G. KOMEN FOR THE CURE TRI-CITIES, WAS ABLE TO FUND THE COST OF MAMMOGRAMS FOR SEVERAL HUNDRED WOMEN WHO WERE UNDERINSURED OR UNINSURED. PROJECT ACCESS TO BREASTCARE IS DESIGNED TO REACH WOMEN WHO LIVE IN HAWKINS, SULLIVAN, WASHINGTON, JOHNSON, UNICOI, HANCOCK, CARTER AND GREENE COUNTIES IN TENNESSEE AND WOMEN IN SCOTT COUNTY, VA. TO QUALIFY, WOMEN MUST BE BETWEEN THE AGES OF 35 AND 49 AND EITHER BE UNINSURED AND FINANCIALLY UNABLE TO PAY FOR A MAMMOGRAM OR INSURED AND HAVE A HIGH DEDUCTIBLE AND/OR CO-PAY THAT MAKES IT FINANCIALLY DIFFICULT TO OBTAIN A MAMMOGRAM. BRISTOL REGIONAL MEDICAL CENTER PROVIDES SUPPLIES AND OTHER VARIOUS ITEMS VALUED AT 24,151 TO HEALING HANDS HEALTH CENTER IN BRISTOL, TENN., WHICH PROVIDES QUALITY HEALTH CARE TO THE WORKING POOR. DR. DAVE ARNOLD SERVES AS THE MEDICAL DIRECTOR OF HEALING HANDS HEALTH CENTER IN BRISTOL, TENN. AND HIS SALARY AND BENEFITS ARE PAID BY WELLMONT PHYSICIANS SERVICES, A TAXABLE SUBSIDIARY OF WELLMONT. TRAINING AND EDUCATING OUR HEALTHCARE PROFESSIONALS WELLMONT WILL NOT SUCCEED IN OUR MISSION WITHOUT CONTINUALLY REINVESTING IN OUR MOST PRECIOUS RESOURCE - OUR PEOPLE. TO THAT END, WE SUPPORTED THE EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS AT A DIRECT COST OF 6,782,638. RECENT INITIATIVES INCLUDE: WELLMONT PROVIDED AND PARTICIPATED IN SEVERAL FORMAL TRAINING PROGRAMS FOR HEALTH PROFESSIONALS, INCLUDING EAST TENNESSEE STATE UNIVERSITY'S INTERNSHIP AND RESIDENCY PROGRAMS. OUR CONTRIBUTIONS TOTALED 620,041 IN SUPPORT OF THE SCHOOL'S JAMES H. QUILLEN COLLEGE OF MEDICINE RESIDENCY PROGRAM. WELLMONT CONTINUES TO WELCOME OSTEOPATHIC MEDICAL STUDENTS FROM LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE. THE STUDENTS PERFORM CLINICAL ROTATIONS IN WELLMONT HOSPITALS AS THEY MOVE TOWARD BECOMING THE NEXT GENERATION OF DOCTORS. THE STUDENTS, WHO RECEIVE FREE HOUSING ON THE CAMPUS OF MOUNTAIN VIEW REGIONAL MEDICAL CENTER, COMPLETE THEIR CORE CLINICAL ROTATIONS IN WELLMONT'S MOUNTAIN REGION HOSPITALS - MOUNTAIN VIEW REGIONAL AND LEE REGIONAL MEDICAL CENTER. THE STUDENTS PERFORM SUB-SPECIALTY ROTATIONS AT HOLSTON VALLEY MEDICAL CENTER AND BRISTOL REGIONAL MEDICAL CENTER AND PRIMARY CORE ROTATIONS AT HAWKINS COUNTY MEMORIAL HOSPITAL. OUR CONTRIBUTIONS TOTALED 1,029,041 IN SUPPORT OF THE DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE. WELLMONT AND LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE ALSO PARTNER TO PROVIDE THE WELLMONT ORTHOPEDIC RESIDENCY PROGRAM AT HOLSTON VALLEY MEDICAL CENTER, ONE OF JUST 33 SUCH PROGRAMS IN THE COUNTRY TO HELP TRAIN THE NEXT GENERATION OF SPECIALTY PHYSICIANS. OUR CONTRIBUTIONS TOTALED 864,989 IN SUPPORT OF THE LINCOLN MEMORIAL UNIVERSITY'S DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE ORTHOPEDIC RESIDENCY PROGRAM. WELLMONT CONTINUES TO EXERT TREMENDOUS EFFORT TO ACHIEVE MEANINGFUL USE OF AN ELECTRONIC HEALTH RECORD. THIS NATIONAL MANDATE CREATES TREMENDOUS EFFICIENCIES FOR CAREGIVERS, ENHANCES PATIENT CARE AND ULTIMATELY IMPROVES PATIENT SAFETY BY REDUCING THE POTENTIAL FOR ERRORS ASSOCIATED WITH PAPER DOCUMENTATION AS WELL AS INCREASING THE SECURITY AND SHARING OF DATA AMONG PROVIDERS. WELLMONT STARTED THE IMPLEMENTATION OF MYWELLMONT, WHICH IS AN ONLINE PORTAL THAT ALLOWS WELLMONT PATIENTS TO SECURELY ACCESS THEIR HEALTH INFORMATION FROM VIRTUALLY ANYWHERE. PATIENTS CAN ELECTRONICALLY REQUEST APPOINTMENTS, VIEW TEST RESULTS, RENEW PRESCRIPTIONS, PAY BILLS AND PERFORM MANY OTHER ROUTINE ACTIVITIES. MOST IMPORTANTLY, PATIENTS AND PROVIDERS CAN CONNECT IN MORE WAYS THAN EVER BEFORE, ENHANCING RELATIONSHIPS AND BUILDING A TEAM-BASED APPROACH TO CARE. WELLMONT HAS MADE AVAILABLE CONTINUING EDUCATION AND TRAINING TO EMPLOYEES, MEDICAL STAFF, MEMBERS OF AFFILIATED HEALTH CAREORGANIZATIONS AND SCHOOLS AND INTERESTED MEMBERS OF THE PUBLIC. SOME OF THOSE OPPORTUNITIES INCLUDED: -ANNUAL STROKE SYMPOSIUM; OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -ANNUAL CRITICAL CARE AND TRAUMA CONFERENCE; OPEN TO WELLMONT PHYSICIANS AND STAFF AND THE COMMUNITY; -ANNUAL CARDIOVASCULAR SUMMIT; OPEN TO WELLMONT PHYSICIANS AND STAFFAND THE COMMUNITY; -REGULAR EDUCATION FOR CLINICAL STAFF ON TOPICS INCLUDING CPR PROGRAMS, ADVANCED CARDIOVASCULAR LIFE SUPPORT, PEDIATRIC ADVANCED LIFE SUPPORT, ADVANCED TRAUMA LIFE SUPPORT AND ADVANCED TRAUMA COURSE FOR NURSING. WELLMONT SUPPORTS A NURSE EXTERN PROGRAM THAT UTILIZES NURSING STAFF THAT HAVE COMPLETED A DEGREE BUT NOT YET PASSED BOARD CERTIFICATION. THIS PROVIDES INVALUABLE EXPERIENCE FOR NEW NURSES, WHO ARE SUPERVISED BY BOARD CERTIFIED NURSES DURING THIS TIME. THE EXTERNS ARE NOT REQUIRED TO WORK FOR WELLMONT AFTER EARNING THEIR CERTIFICATION. AT A DIRECT COST OF 385,158, OUR ORGANIZATION STAFFED AND MAINTAINED A MEDICAL LIBRARY PROGRAM FOR EMPLOYEES, MEDICAL STAFF AND MEMBERS OF AFFILIATED HEALTHCARE ORGANIZATIONS TO HELP ENHANCE KNOWLEDGE WITH THE LATEST RESEARCH FINDING AND THINKING. WELLMONT AND NORTHEAST STATE TECHNICAL COMMUNITY COLLEGE HAVE PARTNERED TO ESTABLISH A NURSING SCHOOL THAT WILL ENHANCE CAREER OPPORTUNITIES FOR STUDENTS AND BOLSTER THE SUPPLY OF NURSES THROUGHOUT THE REGION. PROVIDING ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B WELLMONT HEALTH SYSTEM'S FORM 990 IS REVIEWED BY THREE INDIVIDUALS OF WELLMONT HEALTH SYSTEM (THE SENIOR VICE PRESIDENT OF FINANCE, THE CORPORATE CONTROLLER, AND THE MANAGER OF ACCOUNTING) AND THE BOARD OF DIRECTORS OF WELLMONT HEALTH SYSTEM. ANY QUESTIONS OR COMMENTS ARISING FROM THE INITIAL REVIEW ARE ADDRESSED TO ENSURE THE RETURN IS COMPLETE AND ACCURATE. ANY CHANGES OR CORRECTIONS ARE IDENTIFIED, REVISED IN THE RETURN, AND REVIEWED BY THE INDIVIDUALS LISTED ABOVE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY ACKNOWLEDGEMENT. ANY POTENTIAL CONFLICTS ARE DISCUSSED WITH THE COMPLIANCE AND AUDIT SERVICES DEPARTMENT AS THEY ARISE. WELLMONT HEALTH SYSTEM ALSO HAS A POLICY ON BUSINESS PRACTICES THAT DISCUSSES CONFLICT OF INTEREST AND INFORMS THE WORKFORCE TO DISCLOSE ANY ISSUES TO THE COMPLIANCE AND AUDIT SERVICES DEPARTMENT, FOR RESOLUTION. WELLMONT HEALTH SYSTEM ALSO USES A HOTLINE THAT ALLOWS ANONYMOUS REPORTING OF POSSIBLE CONFLICT OF INTEREST SITUATIONS FOR INVESTIGATION BY THE COMPLIANCE AND AUDIT SERVICES DEPARTMENT. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE COMPENSATION OF MARGARET DENARVAEZ, THE PRESIDENT AND CEO OF WELLMONT HEALTH SYSTEM, IS REVIEWED, APPROVED AND DOCUMENTED BY THE WELLMONT HEALTH SYSTEM HUMAN RESOURCES COMMITTEE AND THE BOARD OF DIRECTORS. IN ADDITION, THESE BODIES USE COMPARABILITY DATA TO DETERMINE THE APPROPRIATE COMPENSATION. ALL COMPENSATION DELIBERATIONS AND REVIEWS ARE CONTEMPORANEOUSLY DOCUMENTED. THIS PROCESS IS COMPLETED ON AN ANNUAL BASIS. THE LAST COMPENSATION DELIBERATION AND REVIEW PROCESS FOR MARGARET DENARVAEZ WAS COMPLETED NOVEMBER 29, 2012 AND APPROVED BY THE BOARD OF DIRECTORS OF WELLMONT HEALTH SYSTEM ON DECEMBER 4, 2012. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B THE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES OF WELLMONT HEALTH SYSTEM ARE REVIEWED, APPROVED AND DOCUMENTED BY THE WELLMONT HEALTH SYSTEM HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS. OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION HAVE WRITTEN EMPLOYMENT CONTRACTS, AND COMPENSATION IS BASED ON SURVEYS/STUDIES AND THEN APPROVED BY THE WELLMONT HEALTH SYSTEM CEO. IN ADDITION, THESE BODIES USE COMPARABILITY DATA TO DETERMINE THE APPROPRIATE COMPENSATION. ALL COMPENSATION DELIBERATIONS AND REVIEWS ARE CONTEMPORANEOUSLY DOCUMENTED. THIS PROCESS IN COMPLETED ON AN ANNUAL BASIS. THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS REVIEWED THE SALARY AND MARKET COMPENSATION DATA FOR THE FOLLOWING OTHER OFFICERS AND KEY EMPLOYEES ON NOVEMBER 29, 2012. WELLMONT HEALTH SYSTEM CHIEF OPERATIONS OFFICER - TRACEY P. MOFFAT EXECUTIVE VP OF LEGAL AND CORPORATE AFFAIRS - JOHN HOWARD WELLMONT HEALTH SYSTEM EXECUTIVE VP AND CHIEF FINANCIAL OFFICER - ALICE POPE WELLMONT HEALTH SYSTEM SR. VP OF HUMAN RESOURCES - HAMLIN J. WILSON WELLMONT HEALTH SYSTEM VP OF MARKETING AND COMMUNICATIONS - LOWELL TODD NORRIS BRISTOL REGIONAL MEDICAL CENTER PRESIDENT - BARTHOLOMEW A. HOVE COMMUNITY HOSPITAL PRESIDENT AND CEO AND INTERIM BRISTOL REGIONAL MEDICAL CENTER PRESIDENT - GREG NEAL HOLSTON VALLEY MEDICAL CENTER PRESIDENT - VIRGINIA FRANK WELLMONT HEALTH SYSTEM USES ONE OR MORE OF THE METHODS DESCRIBED TO ESTABLISH THE COMPENSATION OF THE FOLLOWING OTHER OFFICERS AND KEY EMPLOYEES. WELLMONT HEALTH SYSTEM SR. VP OF FINANCE - TODD J. DOUGAN WELLMONT HEALTH SYSTEM CHIEF INFORMATION OFFICER - KENT PETTY REGIONAL VP VIRGINIA DIVISION - DAVID L. BRASH GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 WELLMONT HEALTH SYSTEM'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT AVAILABLE TO THE PUBLIC. WELLMONT HEALTH SYSTEM'S AUDITED FINANCIAL STATEMENTS AND QUARTERLY UNAUDITED FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE. GROUP RETURN METHOD FORM 990, PAGE 7, PART VII PARENT ORGANIZATION HAS FILED A CONSOLIDATED RETURN OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES 75,083,339 2,958,005 0 TN COVERAGE FEE 11,807,524 0 0 WHS ALLOCATION -4,712,066 0 0 JV 27,253 97,066 0 OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 9 UNREALIZED SWAP GAIN 2,355,796 INTERCOMPANY RESOLUTION 1,214,203 UNREALIZED GAIN ON INVESTMENTS 5,735,177 CHANGE IN PENSION LIABILITY 7,358,624 ROUNDING 74 WELLMONT HEALTH MANAGEMENT WELLMONT HEALTH MANAGEMENT 1905 AMERICAN WAY KINGSPORT TN 37660 621825259 HEALTHCARE TN WHS WELLMONT INTEGRATED NETWORK LLC WELLMONT INTEGRATED NETWORK LLC 1905 AMERICAN WAY KINGSPORT TN 37660 455443060 HEALTHCARE TN WHS WELLMONT HAWKINS CO MEMORIAL HOSPI 1905 AMERICAN WAY KINGSPORT TN 37660 621816368 HEALTHCARE TN 501C3 3 NA true WELLMONT MADISON HOUSE 1905 AMERICAN WAY KINGSPORT TN 37660 621308216 HEALTHCARE TN 501C3 9 WHS true WELLMONT FOUNDATION 1905 AMERICAN WAY KINGSPORT TN 37660 581594191 HEALTHCARE TN 501C3 7 WHS true TAKOMA REGIONAL HOSPITAL 401 TAKOMA AVE GREENVILLE TN 37734 510603966 HEALTHCARE TN 501C3 3 WHS true WELLMONT CARDIOLOGY SERVICES 1905 AMERICAN WAY KINGSPORT TN 37660 263557623 HEALTHCARE TN 501C3 9 WHS true WELLMONT IMAGING SERVICES INC 1905 AMERICAN WAY KINGSPORT TN 37660 861103148 HEALTHCARE TN 501C3 11A WHS true WELLMONT MEDICAL ASSOCIATES 1905 AMERICAN WAY KINGSPORT TN 37660 270898372 HEALTHCARE TN 501C3 7 WHS true WELLMONT SLEEP SERVICES 1906 AMERICAN WAY KINGSPORT TN 37660 HEALTHCARE TN 501C3 3 WHS true HOLSTON VALLEY IMAGING CENTER 103 WEST STONE DRIVE KINGSPORT TN 37660 TN WHS IMAGING RELATED false false 0.75000 SAPLING GROVE AMBULATORY SURGERY 220 MEDICAL PARK BOULEVARD BRISTOL TN 37620 TN WHS RELATED 360471 3869364 false false HOLSTON VALLEY AMBULATORY SURGERY 103 WEST STONE DRIVE KINGSPORT TN 37660 TN WHS RELATED 1119634 1479413 false false HOLSTON VALLEY IMAGING CENTER 103 WEST STONE DRIVE KINGSPORT TN 37660 TN WHS IMAGING RELATED false false 0.75000 SAPLING GROVE AMBULATORY SURGERY 220 MEDICAL PARK BOULEVARD BRISTOL TN 37620 TN WHS RELATED 360471 3869364 false false HOLSTON VALLEY AMBULATORY SURGERY 103 WEST STONE DRIVE KINGSPORT TN 37660 TN WHS RELATED 1119634 1479413 false false WELLMONT INC 1905 AMERICAN WAY KINGSPORT TN 37660 621320035 PHYS. SVCS TN WHS C CORP -6854420 -87271683 1.00000 false MCOT INC 1905 AMERICAN WAY KINGSPORT TN 37660 621325938 MED. SVCS. TN N/A false MEDICAL LAUNDRY OF TRI-CITIES MEDICAL LAUNDRY OF TRI-CITIES 1905 AMERICAN WAY KINGSPORT TN 37660 621482226 MED. SVCS. TN N/A false MEDICAL MALL PHARMACY INC 1905 AMERICAN WAY KINGSPORT TN 37660 621565006 MED. SVCS. TN N/A false WELLMONT PHYSICIAN SERVICES WELLMONT PHYSICIAN SERVICES 1905 AMERICAN WAY KINGSPORT TN 37660 621567353 PHYS. SVCS TN N/A false WELLMONT HEALTH SERVICES INC 1905 AMERICAN WAY KINGSPORT TN 37660 621254373 HEALTHCARE TN N/A false WPS PROVIDERS INC 1905 AMERICAN WAY KINGSPORT TN 37660 205564642 PHYS. SVCS TN N/A false WELLMONT INC 1905 AMERICAN WAY KINGSPORT TN 37660 621320035 PHYS. SVCS TN WHS C CORP -6854420 -87271683 1.00000 false MCOT INC 1905 AMERICAN WAY KINGSPORT TN 37660 621325938 MED. SVCS. TN N/A false MEDICAL LAUNDRY OF TRI-CITIES MEDICAL LAUNDRY OF TRI-CITIES 1905 AMERICAN WAY KINGSPORT TN 37660 621482226 MED. SVCS. TN N/A false MEDICAL MALL PHARMACY INC 1905 AMERICAN WAY KINGSPORT TN 37660 621565006 MED. SVCS. TN N/A false WELLMONT PHYSICIAN SERVICES WELLMONT PHYSICIAN SERVICES 1905 AMERICAN WAY KINGSPORT TN 37660 621567353 PHYS. SVCS TN N/A false WELLMONT HEALTH SERVICES INC 1905 AMERICAN WAY KINGSPORT TN 37660 621254373 HEALTHCARE TN N/A false WPS PROVIDERS INC 1905 AMERICAN WAY KINGSPORT TN 37660 205564642 PHYS. SVCS TN N/A false false true true false false false true false true true true true true false false false false true false WELLMONT CARDIOLOGY SERVICES B 4968647 CAPITAL CONTRIBUTIONS WELLMONT HAWKINS COUNTY MEMORIAL HO B 2359040 CAPITAL CONTRIBUTIONS WELLMONT FOUNDATION C 1810746 NEED HOLSTON VALLEY IMAGING CENTER INC I 2396248 INTERCOMPANY SETTLEMENT HOLSTON VALLEY AMBULATORY SURGERY C J 906361 LEASE AGREEMENT MEDICAL LAUNDRY OF TRI-CITIES INC J 92750 LEASE AGREEMENT WELLMONT CARDIOLOGY SERVICES J 360343 COST INVOICES WELLMONT MEDICAL ASSOCIATES J 1230862 LEASE AGREEMENT WELLMONT HAWKINS COUNTY MEMORIAL HO J 198436 LEASE AGREEMENT WELLMONT MEDICAL ASSOCIATES K 57906 LEASE AGREEMENT WELLMONT HAWKINS COUNTY MEMORIAL HO L 4853098 SUPPORT SERVICES MCOT INC M 2167950 COLLECTION AGREEMENT MEDICAL LAUNDRY OF TRI-CITIES INC M 2071808 FMV WELLMONT CARDIOLOGY SERVICES M 3223371 COST INVOICES WELLMONT MEDICAL ASSOCIATES M 582250 SERVICE AGREEMENT HOLSTON VALLEY AMBULATORY SURGERY C R 968760 DISTRIBUTION SAPLING GROVE AMBULATORY SURGE R 604500 DISTRIBUTION WELLMONT MEDICAL ASSOCIATES G 829136 ASSET TRANSFER WELLMONT FOUNDATION M 667811 INVOICES WELLMONT CARDIOLOGY SERVICES B 4968647 CAPITAL CONTRIBUTIONS WELLMONT HAWKINS COUNTY MEMORIAL HO B 2359040 CAPITAL CONTRIBUTIONS WELLMONT FOUNDATION C 1810746 NEED HOLSTON VALLEY IMAGING CENTER INC I 2396248 INTERCOMPANY SETTLEMENT HOLSTON VALLEY AMBULATORY SURGERY C J 906361 LEASE AGREEMENT MEDICAL LAUNDRY OF TRI-CITIES INC J 92750 LEASE AGREEMENT WELLMONT CARDIOLOGY SERVICES J 360343 COST INVOICES WELLMONT MEDICAL ASSOCIATES J 1230862 LEASE AGREEMENT WELLMONT HAWKINS COUNTY MEMORIAL HO J 198436 LEASE AGREEMENT WELLMONT MEDICAL ASSOCIATES K 57906 LEASE AGREEMENT WELLMONT HAWKINS COUNTY MEMORIAL HO L 4853098 SUPPORT SERVICES MCOT INC M 2167950 COLLECTION AGREEMENT MEDICAL LAUNDRY OF TRI-CITIES INC M 2071808 FMV WELLMONT CARDIOLOGY SERVICES M 3223371 COST INVOICES WELLMONT MEDICAL ASSOCIATES M 582250 SERVICE AGREEMENT HOLSTON VALLEY AMBULATORY SURGERY C R 968760 DISTRIBUTION SAPLING GROVE AMBULATORY SURGE R 604500 DISTRIBUTION WELLMONT MEDICAL ASSOCIATES G 829136 ASSET TRANSFER WELLMONT FOUNDATION M 667811 INVOICES WELLMONT CARDIOLOGY SERVICES B 4968647 CAPITAL CONTRIBUTIONS WELLMONT HAWKINS COUNTY MEMORIAL HO B 2359040 CAPITAL CONTRIBUTIONS WELLMONT FOUNDATION C 1810746 NEED HOLSTON VALLEY IMAGING CENTER INC I 2396248 INTERCOMPANY SETTLEMENT HOLSTON VALLEY AMBULATORY SURGERY C J 906361 LEASE AGREEMENT MEDICAL LAUNDRY OF TRI-CITIES INC J 92750 LEASE AGREEMENT WELLMONT CARDIOLOGY SERVICES J 360343 COST INVOICES WELLMONT MEDICAL ASSOCIATES J 1230862 LEASE AGREEMENT WELLMONT HAWKINS COUNTY MEMORIAL HO J 198436 LEASE AGREEMENT WELLMONT MEDICAL ASSOCIATES K 57906 LEASE AGREEMENT WELLMONT HAWKINS COUNTY MEMORIAL HO L 4853098 SUPPORT SERVICES MCOT INC M 2167950 COLLECTION AGREEMENT MEDICAL LAUNDRY OF TRI-CITIES INC M 2071808 FMV WELLMONT CARDIOLOGY SERVICES M 3223371 COST INVOICES WELLMONT MEDICAL ASSOCIATES M 582250 SERVICE AGREEMENT HOLSTON VALLEY AMBULATORY SURGERY C R 968760 DISTRIBUTION SAPLING GROVE AMBULATORY SURGE R 604500 DISTRIBUTION WELLMONT MEDICAL ASSOCIATES G 829136 ASSET TRANSFER WELLMONT FOUNDATION M 667811 INVOICES WELLMONT CARDIOLOGY SERVICES B 4968647 CAPITAL CONTRIBUTIONS WELLMONT HAWKINS COUNTY MEMORIAL HO B 2359040 CAPITAL CONTRIBUTIONS WELLMONT FOUNDATION C 1810746 NEED HOLSTON VALLEY IMAGING CENTER INC I 2396248 INTERCOMPANY SETTLEMENT HOLSTON VALLEY AMBULATORY SURGERY C J 906361 LEASE AGREEMENT MEDICAL LAUNDRY OF TRI-CITIES INC J 92750 LEASE AGREEMENT WELLMONT CARDIOLOGY SERVICES J 360343 COST INVOICES WELLMONT MEDICAL ASSOCIATES J 1230862 LEASE AGREEMENT WELLMONT HAWKINS COUNTY MEMORIAL HO J 198436 LEASE AGREEMENT WELLMONT MEDICAL ASSOCIATES K 57906 LEASE AGREEMENT WELLMONT HAWKINS COUNTY MEMORIAL HO L 4853098 SUPPORT SERVICES MCOT INC M 2167950 COLLECTION AGREEMENT MEDICAL LAUNDRY OF TRI-CITIES INC M 2071808 FMV WELLMONT CARDIOLOGY SERVICES M 3223371 COST INVOICES WELLMONT MEDICAL ASSOCIATES M 582250 SERVICE AGREEMENT HOLSTON VALLEY AMBULATORY SURGERY C R 968760 DISTRIBUTION SAPLING GROVE AMBULATORY SURGE R 604500 DISTRIBUTION WELLMONT MEDICAL ASSOCIATES G 829136 ASSET TRANSFER WELLMONT FOUNDATION M 667811 INVOICES ADDITIONAL INFORMATION SCHEDULE R PART V LINE 2 WELLMONT FOUNDATION PERFORMS FUNDRAISING SERVICES FOR WELLMONT HEALTH SYSTEM AND ITS RELATED 501C3 ENTITIES THE COST OF THESE SERVICES IS 667811 AND CANNOT BE DETERMINED BY ENTITY