Civic Intelligence

Takoma Regional Hospital Foundation Inc

EIN 47-1334302 • 501(c)3 • Kingsport, TN

Profile

The promotion of philanthrophy and goodwill for Takoma Regional Hospital, Inc.

1905 American WayKingsport, TN 37660

www.takoma.org/giving

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2017

Liabilities / Revenue

62nd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2017

Net Margin

99th percentile

100%

Higher net margin than 99% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2017

Top Officer Pay

100th percentile

$1,269,485

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 5077940.0% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2017

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2016 to 2017

Revenue Growth

3rd percentile

-100%

Faster revenue growth than 3% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2016 to 2017

Assets

Down

$0

Down $230,147 (-100%) from 2016

Liabilities

Down

$0

Down $1,188 (-100%) from 2016

Net Assets

Down

$0

Down $228,959 (-100%) from 2016

Revenue

Down

$25

Down $95,035 (-100%) from 2016

Expenses

Down

$0

Down $36,517 (-100%) from 2016

Net Income

Down

$25

Down $58,518 (-100%) from 2016

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300K$200K$100K$0Assets 2014: $139,546Liabilities 2014: $0Net Assets 2014: $139,5462014Assets 2015: $169,274Liabilities 2015: $0Net Assets 2015: $169,2742015Assets 2016: $230,147Liabilities 2016: $1,188Net Assets 2016: $228,9592016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017

Highlighted filing

2017

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$100K$50K$0Revenue 2014: $73,028Expenses 2014: $0Net Income 2014: $73,0282014Revenue 2015: $95,111Expenses 2015: $55,054Net Income 2015: $40,0572015Revenue 2016: $95,060Expenses 2016: $36,517Net Income 2016: $58,5432016Revenue 2017: $25Expenses 2017: $0Net Income 2017: $252017

Highlighted filing

2017

Revenue$25
Expenses$0
Net Income$25

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Jan 29, 2019
Return Version
2017v2.3
Gross Receipts
$25
Mission and Program Overview

Mission

The promotion of philanthrophy and goodwill for Takoma Regional Hospital, Inc.

Takoma regional hospital foundation, inc. Provided fundraising activities for takoma regional hospital, inc. In prior years, but in conjunction with the acquisition of takoma regional hospital, inc. By wellmont health system as of january 1, 2017, the assets and operations of takoma regional hospital foundation, inc. Were transferred to wellmont foundation, inc. As of january 1, 2017. Therefore, there were no operations in takoma regional hospital foundation, inc. During calendar year 2017.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$230,147--
Total Assets$230,147$0▼ $230,147
Liabilities
Accounts Payable and Accrued Expenses$1,188--
Total Liabilities$1,188$0▼ $1,188
Net Assets / Fund Balance
Temporarily Rstr Net Assets$199,808--
Unrestricted Net Assets$29,151--
Total Net Assets Fund Balance$228,959$0▼ $228,959
Total Liabilities and Net Assets / Fund Balance$230,147$0▼ $230,147
Compensation and Service Providers

Employees

NameTitleOtherTotal
Barton a HovePresident/ce$1,269,485$1,269,485
Eric DeatonEvp & COO-wh$638,280$638,280
Gary MillerEvp & Chief$547,971$547,971
Lowell Todd NorrisSr VP Inst &$397,581$397,581
Tammy AlbrightPresident/ce$228,698$228,698

Board Members and Trustees

NameTitle
Tammy AlbrightPresident/CEO-trh
Barton a HovePresident/CEO-whs
Todd DouganEvp & CFO
Gary MillerEvp & Chief Gen Coun
Eric DeatonEvp & COO-whs
Lowell Todd NorrisSr VP Inst & Sys Adv
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$25
Other Revenue
$0
Change in Net Assets
$25
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Page 6, Part VI, Line 3

The assets and operations of takoma regional hospital foundation, inc. Were transferred to wellmont foundation, inc. As of january 1, 2017. All management duties were delegated to wellmont foundation, inc. Effective january 1, 2017. Management duties performed under the direct supervision of wellmont foundation, inc. Included, but not limited to, hiring, firing, and supervising personnel, planning and executing budgets, and supervising exempt operations of the organization. Names of persons performing management duties: - lowell todd norris, executive director, wellmont foundation, inc. & sr vp of institutional & system advancement-wellmont health system - john thompson, director of development, wellmont foundation, inc.

Form 990, Page 6, Part VI, Line 6

Takoma regional hospital foundation, inc. (qualified non-survivor) merged into wellmont foundation, inc. (qualified survivor) effective december 31, 2017. The business and affairs of takoma regional hospital foundation, inc. Were governed exclusively by the board of governors of wellmont foundation, inc.

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

The sole member of the filing organization is takoma regional hospital, inc. (trh). The board of directors of the filing organization are appointed by the sole member, trh, who has the right to elect, appoint or remove any member of the board of directors of the filing organization. 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 11B

The sr vp of institutional & system advancement of wellmont health system and the executive director of wellmont foundation, inc. Reviewed the takoma regional hospital foundation, inc. Form 990 with the takoma regional hospital foundation, inc. Board of directors prior to filing. The return was made available to each board member in an electronic format prior to the review.

Form 990, Page 6, Part VI, Line 12C

Officers and directors are required to sign a conflict of interest policy acknowledgement. Any potential conflicts are required to be discussed with compliance and audit services as they arise. Takoma regional hospital foundation, inc.'s officers and directors 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 compliance and audit services for resolution. Wellmont health system uses a hotline that allows anonymous reporting of possible conflict of interest situations for investigation by compliance and audit services.

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

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 the board of directors. Barton a. Hove is also on the board of directors of takoma regional hospital foundation, inc. 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 november 7, 2017. In addition, these bodies use comparability data to determine the appropriate compensation. All compensation deliberations and reviews are contemporaneously documented.

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

The wellmont health system human resources committee of the board of directors reviews the salary data for each executive-level position reporting to the president and ceo of wellmont health system. The compensation of lowell todd norris, senior vp of institutional & system advancement for wellmont health system and executive director of wellmont foundation, inc., eric deaton, evp and chief operating officer of wellmont health system, todd dougan, evp and cfo of wellmont health system, gary miller, evp and chief general counsel of wellmont health system, and tammy albright, president and ceo of takoma regional hospital, inc. Were reviewed, approved and documented by this committee. In addition, these bodies use comparability data to determine the appropriate compensation. All compensation deliberations and reviews are contemporaneously documented.

Form 990, Page 6, Part VI, Line 19

Takoma regional hospital foundation, inc.'s governing documents and conflict of interest policy are not available to the public.

Filing and Contact Details

Filer

Filer Name
Takoma Regional Hospital Foundation
EIN
47-1334302
Phone
4233023374
Address
1905 AMERICAN WAY, KINGSPORT, TN 37660

Signing Officer

Name
Todd Dougan
Title
Evp & CFO
Phone
4233023374
Signed
2019-01-29

Organization Details

Principal Officer
Tammy Albright
Formed
2014
Legal Domicile
Tn
Voting Board Members
6
Independent Board Members
0
Employees
0
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Cash transfer to wellmont foundation, inc. -228,984

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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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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm4LOWELL TODD NORRIS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm5TAMMY ALBRIGHT
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1EVP & COO-WHS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2EVP & CHIEF GEN COUN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3EVP & CFO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt4SR VP INST & SYS ADV
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt5PRESIDENT/CEO-TRH
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm0WELLMONT FOUNDATION INC
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt01905 AMERICAN WAY
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0KINGSPORT
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IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0BENEFIT NAME RELATIONSHIP RECEIVED BARTON A. HOVE DIRECTOR/OFFICER - WELLMONT NONE FOUNDATION, INC. LOWELL TODD NORRIS DIRECTOR - WELLMONT FOUNDATION, NONE INC.
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt1THE ASSETS AND OPERATIONS OF TAKOMA REGIONAL HOSPITAL FOUNDATION, INC. WERE ASSUMED BY WELLMONT FOUNDATION, INC. AS OF JANUARY 1, 2017. THE ONLY ASSET TRANSFERRED FROM TAKOMA REGIONAL HOSPITAL FOUNDATION, INC. TO WELLMONT FOUNDATION, INC. WAS CASH TOTALING 228,984.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE N, PAGE 1, PART I, LINE 2E
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE N
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ASSETS AND OPERATIONS OF TAKOMA REGIONAL HOSPITAL FOUNDATION, INC. WERE TRANSFERRED TO WELLMONT FOUNDATION, INC. AS OF JANUARY 1, 2017. ALL MANAGEMENT DUTIES WERE DELEGATED TO WELLMONT FOUNDATION, INC. EFFECTIVE JANUARY 1, 2017. MANAGEMENT DUTIES PERFORMED UNDER THE DIRECT SUPERVISION OF WELLMONT FOUNDATION, INC. INCLUDED, BUT NOT LIMITED TO, HIRING, FIRING, AND SUPERVISING PERSONNEL, PLANNING AND EXECUTING BUDGETS, AND SUPERVISING EXEMPT OPERATIONS OF THE ORGANIZATION. NAMES OF PERSONS PERFORMING MANAGEMENT DUTIES: - LOWELL TODD NORRIS, EXECUTIVE DIRECTOR, WELLMONT FOUNDATION, INC. & SR VP OF INSTITUTIONAL & SYSTEM ADVANCEMENT-WELLMONT HEALTH SYSTEM - JOHN THOMPSON, DIRECTOR OF DEVELOPMENT, WELLMONT FOUNDATION, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1TAKOMA REGIONAL HOSPITAL FOUNDATION, INC. (QUALIFIED NON-SURVIVOR) MERGED INTO WELLMONT FOUNDATION, INC. (QUALIFIED SURVIVOR) EFFECTIVE DECEMBER 31, 2017. THE BUSINESS AND AFFAIRS OF TAKOMA REGIONAL HOSPITAL FOUNDATION, INC. WERE GOVERNED EXCLUSIVELY BY THE BOARD OF GOVERNORS OF WELLMONT FOUNDATION, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE SOLE MEMBER OF THE FILING ORGANIZATION IS TAKOMA REGIONAL HOSPITAL, INC. (TRH). THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION ARE APPOINTED BY THE SOLE MEMBER, TRH, WHO HAS THE RIGHT TO ELECT, APPOINT OR REMOVE ANY MEMBER OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION. SEE FORM 990, PART VI, SECTION A, LINE 6 FOR EXPLANATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3SEE FORM 990, PART VI, SECTION A, LINE 6 FOR EXPLANATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE SR VP OF INSTITUTIONAL & SYSTEM ADVANCEMENT OF WELLMONT HEALTH SYSTEM AND THE EXECUTIVE DIRECTOR OF WELLMONT FOUNDATION, INC. REVIEWED THE TAKOMA REGIONAL HOSPITAL FOUNDATION, INC. FORM 990 WITH THE TAKOMA REGIONAL HOSPITAL FOUNDATION, INC. BOARD OF DIRECTORS PRIOR TO FILING. THE RETURN WAS MADE AVAILABLE TO EACH BOARD MEMBER IN AN ELECTRONIC FORMAT PRIOR TO THE REVIEW.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5OFFICERS AND DIRECTORS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY ACKNOWLEDGEMENT. ANY POTENTIAL CONFLICTS ARE REQUIRED TO BE DISCUSSED WITH COMPLIANCE AND AUDIT SERVICES AS THEY ARISE. TAKOMA REGIONAL HOSPITAL FOUNDATION, INC.'S OFFICERS AND DIRECTORS 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 COMPLIANCE AND AUDIT SERVICES FOR RESOLUTION. WELLMONT HEALTH SYSTEM USES A HOTLINE THAT ALLOWS ANONYMOUS REPORTING OF POSSIBLE CONFLICT OF INTEREST SITUATIONS FOR INVESTIGATION BY COMPLIANCE AND AUDIT SERVICES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE 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 THE BOARD OF DIRECTORS. BARTON A. HOVE IS ALSO ON THE BOARD OF DIRECTORS OF TAKOMA REGIONAL HOSPITAL FOUNDATION, INC. 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 NOVEMBER 7, 2017. IN ADDITION, THESE BODIES USE COMPARABILITY DATA TO DETERMINE THE APPROPRIATE COMPENSATION. ALL COMPENSATION DELIBERATIONS AND REVIEWS ARE CONTEMPORANEOUSLY DOCUMENTED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE WELLMONT HEALTH SYSTEM HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE SALARY DATA FOR EACH EXECUTIVE-LEVEL POSITION REPORTING TO THE PRESIDENT AND CEO OF WELLMONT HEALTH SYSTEM. THE COMPENSATION OF LOWELL TODD NORRIS, SENIOR VP OF INSTITUTIONAL & SYSTEM ADVANCEMENT FOR WELLMONT HEALTH SYSTEM AND EXECUTIVE DIRECTOR OF WELLMONT FOUNDATION, INC., ERIC DEATON, EVP AND CHIEF OPERATING OFFICER OF WELLMONT HEALTH SYSTEM, TODD DOUGAN, EVP AND CFO OF WELLMONT HEALTH SYSTEM, GARY MILLER, EVP AND CHIEF GENERAL COUNSEL OF WELLMONT HEALTH SYSTEM, AND TAMMY ALBRIGHT, PRESIDENT AND CEO OF TAKOMA REGIONAL HOSPITAL, INC. WERE REVIEWED, APPROVED AND DOCUMENTED BY THIS COMMITTEE. IN ADDITION, THESE BODIES USE COMPARABILITY DATA TO DETERMINE THE APPROPRIATE COMPENSATION. ALL COMPENSATION DELIBERATIONS AND REVIEWS ARE CONTEMPORANEOUSLY DOCUMENTED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8TAKOMA REGIONAL HOSPITAL FOUNDATION, INC.'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9CASH TRANSFER TO WELLMONT FOUNDATION, INC. -228,984
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PAGE 6, PART VI, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9FORM 990, PART XI, LINE 9
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