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Wellmont Health System

1905 American Way
Kingsport, TN 37660
EIN: 621636465
Individual Facility Details: Lee Regional Medical Center
127 Health Care Drive
Pennington Gap, VA 24277
Bed count70Medicare provider number490012Member of the Council of Teaching HospitalsNOChildren's hospitalNO

Wellmont Health SystemDisplay data for year:

Community Benefit Spending- 2012
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
7.67%
Spending by Community Benefit Category- 2012
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2012
Additional data

Community Benefit Expenditures: 2012

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 665,223,181
      Total amount spent on community benefits
      as % of operating expenses
      $ 51,042,187
      7.67 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 15,364,503
        2.31 %
        Medicaid
        as % of operating expenses
        $ 23,434,464
        3.52 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 6,716,405
        1.01 %
        Subsidized health services
        as % of operating expenses
        $ 0
        0 %
        Research
        as % of operating expenses
        $ 96,106
        0.01 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 5,172,124
        0.78 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 258,585
        0.04 %
        Community building*
        as % of operating expenses
        $ 13,589
        0.00 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)41
          Physical improvements and housing0
          Economic development0
          Community support12
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building12
          Community health improvement advocacy15
          Workforce development2
          Other0
          Persons served (optional)8,386
          Physical improvements and housing0
          Economic development0
          Community support6,290
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy1,091
          Workforce development1,005
          Other0
          Community building expense
          as % of operating expenses
          $ 13,589
          0.00 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          0 %
          Economic development
          as % of community building expenses
          $ 0
          0 %
          Community support
          as % of community building expenses
          $ 9,964
          73.32 %
          Environmental improvements
          as % of community building expenses
          $ 0
          0 %
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          0 %
          Coalition building
          as % of community building expenses
          $ 342
          2.52 %
          Community health improvement advocacy
          as % of community building expenses
          $ 2,002
          14.73 %
          Workforce development
          as % of community building expenses
          $ 1,281
          9.43 %
          Other
          as % of community building expenses
          $ 0
          0 %
          Direct offsetting revenue$ 3,500
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 3,500
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2012

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 13,585,633
        2.04 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 0
        0 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyYES
        Filed lawsuitYES
        Placed liens on residenceYES
        Issue body attachments? (an order by the court commanding a sheriff or other official to physically bring before the court a person who is guilty of contempt of court)YES
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?NO
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?YES
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2012

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES
        Did the tax-exempt hospital execute the implementation strategy?YES
        Did the tax-exempt hospital participate in the development of a community-wide plan?Not available

    Supplemental Information: 2012

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
    • 4A (Expenses $ 618522856 including grants of $ 364038) (Revenue $ 0)
      "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"
      Supplemental Information
      Schedule H (Form 990) Part VI
      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