Exhibit 5.1 A. Service Area Definitions Service areas were derived for each Wellmont and Mountain States hospital using patient discharge data for CY2014 from Tennessee and Virginia for all hospitals using standard methodologies for sorting zip codes from largest to smallest number of discharges. Service areas were defined based on 75% and 90% discharge areas for general acute care patients (less normal newborns defined as DRG 795) and all payers. Service areas for Quillen and Woodridge were defined the services they provide. Service areas are depicted for each hospital using maps and a table of the zip codes. Summary statistics on licensed and staffed beds, occupancy and ADC were developed from reports filed by Wellmont and Mountain States with state agencies in Tennessee and Virginia 1 ; trend data are provided and summary statistics are reported for the latest available year (2013). 1 Sources: Tennessee Joint Annual Reports FY10-FY13; Virginia Health Information Reports FY10-FY13. The Tennessee Joint annual reports can be found at https://apps.health.tn.gov/publicjars/default.aspx. The Virginia Health Information Reports were provided by the Parties.
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Exhibit 5.1
A. Service Area Definitions Service areas were derived for each Wellmont and Mountain States hospital using patient discharge data for CY2014 from Tennessee and Virginia for all hospitals using standard methodologies for sorting zip codes from largest to smallest number of discharges.
Service areas were defined based on 75% and 90% discharge areas for general acute care patients (less normal newborns defined as DRG 795) and all payers. Service areas for Quillen and Woodridge were defined the services they provide. Service areas are depicted for each hospital using maps and a table of the zip codes.
Summary statistics on licensed and staffed beds, occupancy and ADC were developed from reports filed by Wellmont and Mountain States with state agencies in Tennessee and Virginia1; trend data are provided and summary statistics are reported for the latest available year (2013).
1Sources: Tennessee Joint Annual Reports FY10-FY13; Virginia Health Information Reports FY10-FY13. The Tennessee Joint annual reports can be found at https://apps.health.tn.gov/publicjars/default.aspx. The Virginia Health Information Reports were provided by the Parties.
c:J Johnson City and Kingsport· Bristol· Bristol MSAs
US Highways
System State Hospital Name Symbol System State Hospital Name SymbolTN Johnson City Medical Center M01 Community Health Systems, Inc. TN Lakeway Regional Hospital CH1TN Indian Path Medical Center M02 VA Buchanan General Hospital CH2VA Smyth County Community Hospital M03 WV Bluefield Regional Medical Center CH3VA Johnston Memorial Hospital M04 WV Princeton Community Hospital CH4TN Franklin Woods Community Hospital M05 WV Welch Community Hospital CH5TN Sycamore Shoals Hospital M06 TN Fort Sanders Regional Medical CenterVA Russell County Medical Center M07 Covenant Health TN Morristown-Hamblen Healthcare System CV1TN Unicoi County Memorial Hospital M08 TN Parkwest Medical CenterVA Norton Community Hospital M09 TN Peninsula Hospital VA Dickenson Community Hospital M10 TN LeConte Medical Center CV4TN Johnson County Community Hospital M11 Tennova Healthcare TN Newport Medical Center TH1TN Woodridge Hospital M12 TN Physician Regional Medical CenterTN Quillen Rehabilitation Hospital*** M13 TN Jefferson Memorial Hospital TH3TN Wellmont Bristol Regional Medical Center W01 TN Turkey Creek Medical CenterTN Wellmont Holston Valley Medical Center W02 TN Claiborne County Hospital TH5VA Mountain View Regional Medical Center W03 TN Blount Memorial HospitalVA Wellmont Lonesome Pine Hospital W04 TN University of Tennessee Medical CenterVA Lee Regional Medical Center (Closed) * W05 TN Laughlin Memorial Hospital LM1TN Wellmont Hawkins County Memorial Hospital W06 TN East Tennessee Children's HospitalTN Wellmont Hancock County Hospital W07 TN St. Jude Children's Research HospitalTN Takoma Regional Hospital (Independent) ** W08 NC Valdese General Hospital BR1
Alliant Management Services NC Alleghany Memorial Hospital AM1 NC Grace Hospital BR2KY Harlan ARH Hospital AP1 Carolinas HealthCare System NC Wilkes Regional Medical Center CA1KY Whitesburg ARH Hospital AP2 Catholic Health Initiatives KY Saint Joseph - Martin CI1KY Hazard ARH Regional Medical Center AP3 KY Pikeville Medical Center CI2KY Williamson ARH Hospital KY Pineville Community Hospital Association CI3KY Middlesboro ARH Hospital AP5 KY Highlands Regional Medical CenterKY Mary Breckinridge ARH Hospital AP6 Duke LifePoint Healthcare VA Twin County Regional Hospital DU1KY McDowell ARH Hospital AP7 HCA VA LewisGale Hospital at Pulaski HA1NC Watauga Medical Center A01 Mission Health System NC Caldwell Memorial Hospital MH2NC Blowing Rock Hospital A02 NC McDowell Hospital MH3NC Charles A. Cannon Memorial Hospital A03 NC Blue Ridge Regional Hospital MH4VA Clinch Valley Medical Center LP1 NC Ashe Memorial Hospital MH5VA Wythe County Community Hospital LP2 NC Yancey Community Medical Center MH6
Carilion Clinic VA Carilion Tazewell Community Hospital CC1 Vanderbilt Health TN Vanderbilt University HospitalsVA Carilion Giles Community Hospital CC2
Blue Ridge HealthCare
LifePoint Hospitals, Inc.
Mountain States Health Alliance
Wellmont Health System
Appalachian Regional Healthcare, Inc.
Appalachian Regional Healthcare System
*Wellmont closed Lee Regional Medical Center (“LRMC”) in 2013. The Lee County Hospital Authority purchased the LRMC building from Wellmont in 2015 with plans to reopen the hospital as an independent facility. LRMC is no longer a Wellmont facility and, if reopened, it would not be included in the COPA.**Wellmont sold Takoma Regional Hospital (“Takoma”) to Adventist Health System in 2014. Wellmont has publicly announced its plan to repurchase Takoma. However, as of the date of this filing, the transaction has not yet closed and may not close. The Parties anticipate that, if Takoma is acquired by Wellmont before the COPA is granted, that Takoma would be included in the COPA.***Mountain States now has a joint venture with HealthSouth to operate Quillen Rehabilitation Hospital.
Some hospitals serving patients from the geographic service area are located outside the area depicted in the map. They are included in the legend for reference.
The Mountain Home VA Medical Center is also located in the Geographic Service Area but is not shown on this map. The Parties compete with this facility for the recruiting and hiring of staff, but do not compete with this facility for patients. The patients that may seek treatment at the Mountain Home VA Medical Center are limited to those individuals that meet certain government-established criteria.
B. Draw Area Maps and Summary Statistics 1. Bristol Regional Medical Center
Average Length of Stay 14.4 12.9 12.7 13.0 *In FY10 and FY11, the number of staffed beds exceeds licensed beds because staffed beds include licensed SNF beds co-located at Quillen Rehab Hospital. Source: Tennessee Joint Annual Reports FY10-FY13
15. Russell County Medical Center
Mountain States Russell County Comparative Statistics