Civic Intelligence

Wellmont Cardiology Services

990 • Fiscal year 2015 • EIN 26-3557623

Jul 01, 2014 to Jun 30, 2015 • Filed on May 11, 2016

1905 American WayKingsport, TN 37660

(423) 230-8200

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

94th percentile

1.01x

Higher debt load relative to assets than 94% of similar nonprofits.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2015

Liabilities / Revenue

36th percentile

0.19x

Higher debt load relative to revenue than 36% of similar nonprofits.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2015

Net Margin

3rd percentile

-74%

Higher net margin than 3% of similar nonprofits.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2015

Top Officer Pay

99th percentile

$2,619,802

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 9.1% of source-year revenue.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2015

Asset Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2014 to 2015

Revenue Growth

19th percentile

-9.5%

Faster revenue growth than 19% of similar nonprofits.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2014 to 2015

Assets

Up

$5,460,864

Up $15,125,983 (+157%) from 2014

Net Assets

Up

-$56,234

Up $12,383,237 (+100%) from 2014

Liabilities

Up

$5,517,098

Up $2,742,746 (+99%) from 2014

Revenue

Down

$28,761,678

Down $3,034,085 (-9.5%) from 2014

Expenses

Up

$49,939,734

Up $5,704,500 (+13%) from 2014

Net Income

Down

-$21,178,056

Down $8,738,585 (-70%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$20M$10M$0-$10M-$20MAssets 2013: -$7,829,048Liabilities 2013: $3,519,982Net Assets 2013: -$11,349,0302013Assets 2014: -$9,665,119Liabilities 2014: $2,774,352Net Assets 2014: -$12,439,4712014Assets 2015: $5,460,864Liabilities 2015: $5,517,098Net Assets 2015: -$56,2342015Assets 2016: $7,287,711Liabilities 2016: $6,831,956Net Assets 2016: $455,7552016Assets 2017: $8,569,395Liabilities 2017: $8,567,534Net Assets 2017: $1,8612017Assets 2018: $9,505,058Liabilities 2018: $9,505,058Net Assets 2018: $02018Assets 2019: $8,599,202Liabilities 2019: $10,138,456Net Assets 2019: -$1,539,2542019Assets 2020: $7,928,390Liabilities 2020: $12,538,253Net Assets 2020: -$4,609,8632020Assets 2021: $7,268,976Liabilities 2021: $10,657,550Net Assets 2021: -$3,388,5742021Assets 2022: $5,691,536Liabilities 2022: $11,951,369Net Assets 2022: -$6,259,8332022Assets 2023: $10,322,339Liabilities 2023: $14,232,461Net Assets 2023: -$3,910,1222023Assets 2024: $7,200,870Liabilities 2024: $12,652,016Net Assets 2024: -$5,451,1462024

Highlighted filing

2015

Assets$5,460,864
Liabilities$5,517,098
Net Assets-$56,234

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$100M$50M$0-$50MExpenses 2013: $42,559,5292013Revenue 2014: $31,795,763Expenses 2014: $44,235,234Net Income 2014: -$12,439,4712014Revenue 2015: $28,761,678Expenses 2015: $49,939,734Net Income 2015: -$21,178,0562015Revenue 2016: $28,564,464Expenses 2016: $42,627,341Net Income 2016: -$14,062,8772016Revenue 2017: $28,817,318Expenses 2017: $47,322,407Net Income 2017: -$18,505,0892017Revenue 2018: $50,476,375Expenses 2018: $50,469,015Net Income 2018: $7,3602018Revenue 2019: $52,221,772Expenses 2019: $49,861,692Net Income 2019: $2,360,0802019Revenue 2020: $49,063,818Expenses 2020: $48,611,342Net Income 2020: $452,4762020Revenue 2021: $55,508,640Expenses 2021: $55,155,179Net Income 2021: $353,4612021Revenue 2022: $62,431,042Expenses 2022: $61,907,108Net Income 2022: $523,9342022Revenue 2023: $74,431,003Expenses 2023: $75,426,297Net Income 2023: -$995,2942023Revenue 2024: $72,519,804Expenses 2024: $74,060,828Net Income 2024: -$1,541,0242024

Highlighted filing

2015

Revenue$28,761,678
Expenses$49,939,734
Net Income-$21,178,056
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
May 11, 2016
Return Version
2014v6.0
Gross Receipts
$28,786,847
Mission and Program Overview

Mission

Honor those we serve by delivering the best possible care.

We deliver superior health care with compassion.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$3,325,160$3,580,342▲ $255,182
Accounts Receivable$-13,635,240$1,216,361▲ $14,851,601
Cash and Non-Interest-Bearing Accounts$189,773$204,780▲ $15,007
Inventories for Sale or Use$38,669$51,468▲ $12,799
Prepaid Expenses and Deferred Charges$25,712$19,513▼ $6,199
Intangible Assets$9,230$6,823▼ $2,407
Total Assets$-9,665,119$5,460,864▲ $15,125,983
Other Assets Total$381,577$381,577→ $0
Liabilities
Accounts Payable and Accrued Expenses$2,774,352$5,517,098▲ $2,742,746
Total Liabilities$2,774,352$5,517,098▲ $2,742,746
Net Assets / Fund Balance
Unrestricted Net Assets$-12,439,471$-56,234▲ $12,383,237
Total Net Assets Fund Balance$-12,439,471$-56,234▲ $12,383,237
Total Liabilities and Net Assets / Fund Balance$-9,665,119$5,460,864▲ $15,125,983

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$2,224,558$801,198$3,025,756
Equipment$1,271,083$1,551,274$2,822,357
Other Land Buildings$84,701$1,749,018$1,833,719
Other Assets Org$381,577--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Margaret D Denarvaez Term 91614Whs Presiden--$2,619,802$2,619,802
Mark Chang MdBoard Mem/phFT$613,554$27,461$641,015
Margaret D Denarvaez Term 91614Whs President & CEO-$568,141$72,874$641,015
Gerald G Blackwell MdPres/sec/phyFT$584,856$29,948$614,804
Mark Chang MdBoard Mem/physician-$568,141$46,663$614,804
Herbert Ladley MdBoard Mem/phFT$583,094$28,822$611,916
Gerald G Blackwell MdPres/sec/physician-$567,640$44,276$611,916
David Beckner MdBoard Mem/phFT$581,237$27,979$609,216
Herbert Ladley MdBoard Mem/physician-$548,341$60,875$609,216
James Merrill MdBoard Mem/phFT$582,441$24,494$606,935
Todd J DouganBoard Mem/whs Sr VP-$568,175$38,760$606,935
Alice PopeBoard Mem/whs CFO-$563,341$43,221$606,562
Timothy W AtteberyBoard Member-$562,641$42,262$604,903
Mark Mayhew MdBoard Mem/phFT$577,087$27,726$604,813
David Beckner MdBoard Mem/physician-$562,641$42,172$604,813
Jonathan Burress MdBoard Mem/phFT$577,004$27,012$604,016
Mark Mayhew MdBoard Mem/physician-$544,468$59,548$604,016
Robert K Kramer MdBoard Mem/phFT$576,261$26,565$602,826
Thomas M Bulle MdBoard Mem/physician-$561,642$41,184$602,826
Tracey P Moffatt Term 10314Board Mem/wh--$596,793$596,793
Harrison D Turner MdBoard Mem/phFT$566,218$30,261$596,479
Jonathan Burress MdBoard Mem/physician-$549,641$46,838$596,479
Greg NealBoard Mem/pres Brmc-$550,641$44,988$595,629
Barton a HovePresident/whs CEO-$545,288$42,263$587,551
Freddie M WilliamsBoard Mem/phFT$559,569$22,146$581,715
Tracey P Moffatt Term 10314Board Mem/whs COO-$545,141$36,574$581,715
Alice PopeBoard Mem/wh--$507,328$507,328
Thomas M Bulle MdBoard Mem/phFT$438,464$26,528$464,992
Harrison D Turner MdBoard Mem/physician-$426,577$38,415$464,992
Greg NealBoard Mem/pr--$433,759$433,759
Barton a HovePresident/wh--$411,287$411,287
Todd J DouganBoard Mem/wh--$312,287$312,287
Vyvyan DerouenExecutive DiFT$138,988$13,551$152,539
Freddie M WilliamsBoard Mem/physician-$129,550$22,989$152,539

Board Members and Trustees

NameTitle
James Merrill MdBoard Mem/physician
Robert K Kramer MdBoard Mem/physician
Vyvyan DerouenExecutive Director
Daniel SimpsonPhysician
John F BerryPhysician
John R BertusoPhysician
Pabitra Saha MdPhysician

Highest Paid Contractors

ContractorServicesLocationCompensation
Holston Medical GroupProfessional SvP O BOX 9, SUITE 410, Kingsport, TN 37662$1,095,143
Clinch Professional Physician LLCProfessional Sv67919 GOV GC PEERY HWY SUITE 3650, Richlands, VA 24641$261,142
Northeast Tn Emergency PhysiciansProfessional Sv415 BROAD STREET, Kingsport, TN 37660$253,170
Quality Systems INCProfessional SvPO BOX 809390, Chicago, IL 60680$249,751
Revenuemed INCProfessional SvDEPT AT 952843, Atlanta, GA 31192$172,065
Revenue and Support

Revenue Composition

Contributions and Grants
$13,419
Program Service Revenue
$27,069,316
Investment Income
$-812
Other Revenue
$1,679,755
Change in Net Assets
$-21,178,056
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$40,054,893
Other Expenses$9,875,441
Grants and Similar Amounts Paid$9,400
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$28,926,273$464,394-$29,390,667
Current Officers, Directors, Trustees, and Key Employees$6,116,755$150,326-$6,267,081
Other Employee Benefits$2,252,477$122,313-$2,374,790
Occupancy$1,534,102$806,811-$2,340,913
Payroll Taxes$1,315,240$43,793-$1,359,033
Fees for Services Other$1,303,309$49,620-$1,352,929
Fees for Services Management$838,223--$838,223
Pension Plan Contributions$645,621$17,701-$663,322
Office Expenses$551,635$71,046-$622,681
Depreciation Depletion$440,831$87,438-$528,269
Travel$349,571$5,439-$355,010
Insurance$309,330--$309,330
All Other Expenses$155,457$265-$155,722
Other Expenses$132,763$5,784-$138,547
Information Technology$50,515--$50,515
Advertising$43,163--$43,163
Grants to Domestic Orgs$9,400--$9,400
Interest-$71-$71
Fees for Services Legal-$25-$25
Total Functional Expenses$47,996,449$1,943,285$0$49,939,734
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Laughlin Memorial Hospital FoundatiGreeneville, TN501c3Sponsorship$5,400
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
The Heart Center PartnershipBoard OverlapLease AgreementNo$1,408,067
Tri-state Professional Suites OwnerBoard OverlapLease AgreementNo$360,542
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 6

The business and affairs of wellmont cardiology services (the corporation) shall be governed exclusively by the board of directors. The corporation's board of directors is designated by wellmont health system, the sole member of the corporation. In addition to such rights of approval and consent as may be reserved to the sole member of the corporation pursuant to applicable law, transactions of the following matters by the corporation shall require the prior approval of wellmont health system, the sole member of the corporation: (a)implementation of corporation's annual budget, (b)incurring any loan or other indebtedness for borrowed money, (c) acquisition of any equipment or personal property for a purchase price in excess of 50,000 or the acquisition of any real estate, regardless of purchase price, (d) the undertaking of certain contractual commitments, (e) entering into any plan of merger or consolidation, (f) acquisition of substantially all of the assets of any other legal entity, and (g) institution of any litigation by or on behalf of corporation.

Form 990, Page 6, Part VI, Line 7A

See form 990, part vi, section a, line 6 for explanation.

Form 990, Page 6, Part VI, Line 7B

See form 990, part vi, section a, line 6 for explanation.

Form 990, Page 6, Part VI, Line 9

Margaret d. Denarvaez (term 9/16/14) 1905 american way kingsport, tn 37660 tracey p. Moffatt (term 10/3/14) 1905 american way kingsport, tn 37660 vyvyan derouen 1905 american way kingsport, tn 37660

Form 990, Page 6, Part VI, Line 11B

Wellmont cardiology services' form 990 is reviewed by the senior vice president of finance, the corporate controller, and the manager of accounting for wellmont health system and the board of directors of wellmont cardiology services prior to filing. 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.

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 cardiology services' officers, directors and key employees are governed by wellmont health system's conflict of interest policy. 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.

Form 990, Page 6, Part VI, Line 15A

Gerald g. Blackwell, m.d. Receives no compensation for serving as president of the board of directors of wellmont cardiology services. The compensation that gerald g. Blackwell, m.d. Receives as a physician of wellmont cardiology services is reviewed, approved and documented by the wellmont health system board of directors. Wellmont health system uses one or more of the methods described to establish the compensation of gerald g. Blackwell, m.d. The compensation of barton a. Hove, the president and ceo of wellmont health system, is reviewed, approved and documented by the wellmont health system human resources committee and board of directors. Barton a. Hove is also a board member of wellmont cardiology services. In addition, these bodies use comparability data to determine the appropriate compensation. All compensation deliberations and reviews are contemporaneously documented. The last compensation deliberation and review process for barton a. Hove was completed and approved by the board of directors of wellmont health system on march 20, 2015. The compensation of margaret d. Denarvaez, the former president and ceo of wellmont health system through september 16, 2014, is reviewed, approved and documented by the wellmont health system human resources committee and the board of directors. Margaret d. Denarvaez is also on the board of directors of wellmont cardiology services. The last compensation deliberation and review process for margaret d. Denarvaez was completed november 29, 2012, and approved by the board of directors of wellmont health system on december 4, 2012.

Form 990, Page 6, Part VI, Line 15B

The compensation of the other officers and key employees of wellmont cardiology services 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 is completed on an annual basis. The human resources committee of the board of directors review the salary and market compensation data for the following other officers and key employees on december 10, 2013. - wellmont health system chief operations officer - tracey p. Moffatt - wellmont health system executive vp and chief financial officer - alice pope wellmont health system uses one or more of the methods described to establish the compensation of the following other officers and key employees. - bristol regional medical center president - greg neal - holston valley medical center president - tim attebery - wellmont health system vp of finance - todd dougan - wellmont cardiology services executive director - vyvyan derouen

Form 990, Page 6, Part VI, Line 19

Wellmont cardiology services' governing documents and conflict of interest policy 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.

Form 990, Page 7, Part VII

Average hours per week the secretary and various board members serve in a different capacity for several related organizations. The majority of their time is devoted to a related organization (greater than 38 hours per week). However, board members who are physicians have dedicated an average of 40 hours per week to wellmont cardiology services.

Filing and Contact Details

Filer

Filer Name
Wellmont Cardiology Services
EIN
26-3557623
Phone
4232308200
Address
1905 AMERICAN WAY, KINGSPORT, TN 37660

Signing Officer

Name
Todd J Dougan
Title
Sr. VP of Finance
Phone
4232308200
Signed
2016-05-11

Organization Details

Principal Officer
Todd J Dougan
Formed
2010
Legal Domicile
Tn
Voting Board Members
12
Independent Board Members
0
Employees
315
Supplemental Narrative

Additional Explanations

Form 990, Page 2, Part III, Line 4A

In 2013, holston valley medical center and bristol regional medical center were two of only 197 hospitals nationwide to receive the american college of cardiology's platinum performance achievement award. This award recognizes the hospitals' commitment to and success in implementing a higher standard of care for heart attack patients and signifies they have reached an aggressive goal of treating these patients to standard levels of care outlined by the american college of cardiology. Our mission is to improve the cardiovascular health of our region. It is our vision to deliver high quality, cost-effective heart and vascular care with compassion. Wellmont cardiology services consists of 38 board-certified cardiologists and cardiovascular and thoracic surgeons serving 13 community offices and the seven member hospitals of wellmont health system. We diagnose, treat and manage all aspects of adult cardiovascular disease. Our services include general cardiology, preventive cardiology, electrophysiology, interventional cardiology, vascular medicine, structural heart disease, heart failure management, cardiovascular and thoracic surgery and advanced cardiovascular imaging. We also serve as a leader in clinical research and teaching institution through the cardiovascular university. We are dedicated to 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 quality of life in the areas we serve. Overall, we returned more than 21,852,184 in benefits to our community. For fiscal year 2015, we had 96,835 outpatient encounters and performed 1,417 inpatient surgical procedures. Regardless of race, religion, ethnicity or ability to pay, wellmont cardiovascular services treats all patients for medically necessary conditions. Recognizing that some patients cannot afford essential medical services, we provided care for indigent patients, writing off 2,399,553 of charges and incurring costs of 1,463,727. Additionally, we provided care to persons covered by medicare, medicaid, tenncare and champus at less than cost. Due to mandated reductions in medicare funding from the balanced budget act and declining reimbursement from tenncare, the shortfall between receipts and the cost of providing care to these patients totaled 17,988,904. It is our obligation to support the causes that improve the quality of life in our region. We sponsored or participated in educational, community- based programs on healthy lifestyles, risk factor identification, diagnosing and treatment options, including continuing education programs for physicians, nurses and allied health professionals. Such initiatives included: -9th annual heart talk -regional healthcare symposium -diabetes expo -diabetes symposium -presentation to medical societies -community outreach with area churches -participation with local support groups -presentations to area civic organizations we participated in the following employer-based events: -robinette company health fair, which included blood pressure screenings -bristol compressors heart healthy lunch and learns additionally, donations totaling 9,400 were made to laughlin memorial hospital and neil danehy heart foundation. The level one heart attack network is a partnership with local communities, emergency medical service providers, area emergency departments and wellmont cardiology services. The continued development of the network has improved our ability to provide prompt and effective heart attack treatment for patients experiencing a cardiac emergency. Bristol regional medical center was the only hospital in tennessee and virginia to receive gold recognition by the american heart association for the 2013 mission: lifeline stemi-receiving award for rapid and effective heart attack treatment times. And this year, bristol regional received mission: lifeline gold, gold plus and gold plus achievement awards for following the

Form 990, Part XI, Line 9

Intercompany resolution 12,439,471 intercompany - hospital allocations 21,121,823 rounding -1

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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