Exhibit 5.1 A. Service Area Definitions
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1 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 The Virginia Health Information Reports were provided by the Parties.
2 Kentucky Radford Harlan II Grayson Ashe Ill Avery II North carolina Sevierville II Miles Madson Ill Yancey II Ill - Lenoir II - Morganton II f.111!11!1 : c:j 21 County Area 29 County Area Counties c:j Johnson City and Kingsport Bristol Bristol MSAs US Highways
3 System State Hospital Name Symbol System State Hospital Name Symbol Mountain States Health Alliance TN Johnson City Medical Center M01 Community Health Systems, Inc. TN Lakeway Regional Hospital CH1 TN Indian Path Medical Center M02 VA Buchanan General Hospital CH2 VA Smyth County Community Hospital M03 WV Bluefield Regional Medical Center CH3 VA Johnston Memorial Hospital M04 WV Princeton Community Hospital CH4 TN Franklin Woods Community Hospital M05 WV Welch Community Hospital CH5 TN Sycamore Shoals Hospital M06 TN Fort Sanders Regional Medical Center VA Russell County Medical Center M07 Covenant Health TN Morristown-Hamblen Healthcare System CV1 TN Unicoi County Memorial Hospital M08 TN Parkwest Medical Center VA Norton Community Hospital M09 TN Peninsula Hospital VA Dickenson Community Hospital M10 TN LeConte Medical Center CV4 TN Johnson County Community Hospital M11 Tennova Healthcare TN Newport Medical Center TH1 TN Woodridge Hospital M12 TN Physician Regional Medical Center TN Quillen Rehabilitation Hospital*** M13 TN Jefferson Memorial Hospital TH3 Wellmont Health System TN Wellmont Bristol Regional Medical Center W01 TN Turkey Creek Medical Center TN Wellmont Holston Valley Medical Center W02 TN Claiborne County Hospital TH5 VA Mountain View Regional Medical Center W03 TN Blount Memorial Hospital VA Wellmont Lonesome Pine Hospital W04 TN University of Tennessee Medical Center VA Lee Regional Medical Center (Closed) * W05 TN Laughlin Memorial Hospital LM1 TN Wellmont Hawkins County Memorial Hospital W06 TN East Tennessee Children's Hospital TN Wellmont Hancock County Hospital W07 TN St. Jude Children's Research Hospital TN Takoma Regional Hospital (Independent) ** W08 Blue Ridge HealthCare NC Valdese General Hospital BR1 Alliant Management Services NC Alleghany Memorial Hospital AM1 NC Grace Hospital BR2 Appalachian Regional Healthcare, Inc. KY Harlan ARH Hospital AP1 Carolinas HealthCare System NC Wilkes Regional Medical Center CA1 KY Whitesburg ARH Hospital AP2 Catholic Health Initiatives KY Saint Joseph - Martin CI1 KY Hazard ARH Regional Medical Center AP3 KY Pikeville Medical Center CI2 KY Williamson ARH Hospital KY Pineville Community Hospital Association CI3 KY Middlesboro ARH Hospital AP5 KY Highlands Regional Medical Center KY Mary Breckinridge ARH Hospital AP6 Duke LifePoint Healthcare VA Twin County Regional Hospital DU1 KY McDowell ARH Hospital AP7 HCA VA LewisGale Hospital at Pulaski HA1 Appalachian Regional Healthcare System NC Watauga Medical Center A01 Mission Health System NC Caldwell Memorial Hospital MH2 NC Blowing Rock Hospital A02 NC McDowell Hospital MH3 NC Charles A. Cannon Memorial Hospital A03 NC Blue Ridge Regional Hospital MH4 LifePoint Hospitals, Inc. VA Clinch Valley Medical Center LP1 NC Ashe Memorial Hospital MH5 VA Wythe County Community Hospital LP2 NC Yancey Community Medical Center MH6 Carilion Clinic VA Carilion Tazewell Community Hospital CC1 Vanderbilt Health TN Vanderbilt University Hospitals VA Carilion Giles Community Hospital CC2 *Wellmont closed Lee Regional Medical Center ( LRMC ) in 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 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.
4 B. Draw Area Maps and Summary Statistics 1. Bristol Regional Medical Center Wellmont Bristol Regional Comparative Statistics Staffed Beds Licensed Beds Staffed Beds Occupancy 64.2% 68.0% 66.6% 65.0% Licensed Beds Occupancy 53.7% 56.9% 55.7% 54.4% Average Daily Census Patient Days 61,136 64,788 63,609 61,909 Discharges/Admissions 14,044 14,501 14,506 13,742 Average Length of Stay Source: Tennessee Joint Annual Reports FY10-FY13
5 2. Hancock County Hospital Wellmont Hancock County Comparative Statistics Staffed Beds Licensed Beds Staffed Beds Occupancy 27.5% 22.1% 32.8% 30.9% Licensed Beds Occupancy 27.5% 22.1% 32.8% 30.9% Average Daily Census Patient Days 1, ,199 1,127 Discharges/Admissions Average Length of Stay Source: Tennessee Joint Annual Reports FY10-FY13
6 3. Hawkins County Memorial Hospital Wellmont Hawkins County Comparative Statistics Staffed Beds Licensed Beds Staffed Beds Occupancy 30.8% 30.7% 21.0% 18.7% Licensed Beds Occupancy 28.3% 28.2% 19.3% 17.2% Average Daily Census Patient Days 5,165 5,153 3,530 3,139 Discharges/Admissions 1,710 1,603 1,291 1,241 Average Length of Stay Source: Tennessee Joint Annual Reports FY10-FY13
7 4. Holston Valley Medical Center Wellmont Holston Valley Comparative Statistics Staffed Beds Licensed Beds Staffed Beds Occupancy 69.1% 72.8% 69.9% 66.4% Licensed Beds Occupancy 46.4% 48.9% 46.9% 44.6% Average Daily Census Patient Days 85,555 90,104 86,711 82,127 Discharges/Admissions 18,612 19,150 18,451 17,825 Average Length of Stay Source: Tennessee Joint Annual Reports FY10-FY13
8 5. Lonesome Pine Hospital Wellmont Lonesome Pine Comparative Statistics Staffed Beds Licensed Beds Staffed Beds Occupancy 45.9% 42.6% 26.0% 49.6% Licensed Beds Occupancy 36.7% 34.0% 26.0% 17.4% Average Daily Census Patient Days 8,041 7,455 5,715 3,799 Discharges/Admissions 2,529 2,392 1,955 1,484 Average Length of Stay Source: Virginia Health Information Reports FY10-FY13
9 6. Mountain View Regional Medical Center Wellmont Mountain View Comparative Statistics Staffed Beds Licensed Beds Staffed Beds Occupancy 95.6% 98.3% 107.7% 69.5% Licensed Beds Occupancy 20.8% 21.2% 23.3% 16.9% Average Daily Census Patient Days 5,929 5,739 6,305 4,565 Discharges/Admissions 1,615 1,716 1,583 1,573 Average Length of Stay Source: Virginia Health Information Reports FY10-FY13
10 7. Dickenson Community Hospital Mountain States Dickenson Community Comparative Statistics Staffed Beds Licensed Beds Staffed Beds Occupancy 2.7% 0.3% 3.8% 1.6% Licensed Beds Occupancy 0.1% 0.0% 0.2% 0.1% Average Daily Census Patient Days Discharges/Admissions Average Length of Stay Source: Virginia Health Information Reports FY10-FY13
11 8. Franklin Woods Community Hospital Franklin Woods Community Hospital Mountain States Franklin Woods Comparative Statistics Staffed Beds Licensed Beds Staffed Beds Occupancy 50.0% 48.6% 54.1% Licensed Beds Occupancy 50.0% 48.6% 52.1% Average Daily Census Patient Days 14,612 14,233 15,199 Discharges/Admissions 3,721 3,719 4,189 Average Length of Stay Source: Tennessee Joint Annual Reports FY11-FY13
12 9. Indian Path Medical Center Mountain States Indian Path Comparative Statistics Staffed Beds Licensed Beds Staffed Beds Occupancy 40.9% 33.8% 39.5% 37.4% Licensed Beds Occupancy 32.7% 26.7% 27.9% 26.3% Average Daily Census Patient Days 28,532 23,303 24,432 22,907 Discharges/Admissions 6,549 6,149 6,146 5,877 Average Length of Stay Source: Tennessee Joint Annual Reports FY10-FY13
13 10. Johnson City Medical Center Mountain States Johnson City Comparative Statistics Staffed Beds Licensed Beds Staffed Beds Occupancy 75.8% 72.8% 72.4% 69.3% Licensed Beds Occupancy 75.8% 72.8% 72.4% 68.7% Average Daily Census Patient Days 138, , , ,692 Discharges/Admissions 27,129 26,103 25,751 23,644 Average Length of Stay Source: Tennessee Joint Annual Reports FY10-FY13
14 11. Johnson County Community Hospital Mountain States Johnson County Community Comparative Statistics Staffed Beds Licensed Beds Staffed Beds Occupancy 9.5% 5.9% 7.2% 6.0% Licensed Beds Occupancy 9.5% 5.9% 7.2% 6.0% Average Daily Census Patient Days Discharges/Admissions Average Length of Stay Source: Tennessee Joint Annual Reports FY10-FY13
15 12. Johnston Memorial Hospital Mountain States Johnston Memorial Comparative Statistics Staffed Beds Licensed Beds Staffed Beds Occupancy 61.4% 51.6% 60.1% 58.3% Licensed Beds Occupancy 45.5% 51.6% 60.1% 56.3% Average Daily Census Patient Days 22,427 21,866 25,511 23,822 Discharges/Admissions 5,883 6,156 7,053 7,215 Average Length of Stay Source: Virginia Health Information Reports FY10-FY13
16 13. Norton Community Hospital Mountain States Norton Community Comparative Statistics Staffed Beds Licensed Beds Staffed Beds Occupancy 95.3% 94.9% 72.8% 70.5% Licensed Beds Occupancy 29.6% 29.4% 28.2% 27.3% Average Daily Census Patient Days 13,916 13,858 13,320 12,859 Discharges/Admissions 4,308 4,375 4,149 3,685 Average Length of Stay Source: Virginia Health Information Reports FY10-FY13
17 14. Quillen Rehabilitation Hospital Mountain States James H. and Cecile C. Quillen Rehab Hospital Comparative Statistics Staffed Beds* Licensed Beds Staffed Beds Occupancy 45.3% 38.6% 81.0% 77.8% Licensed Beds Occupancy 57.8% 49.3% 81.0% 77.8% Average Daily Census Patient Days 9,923 8,453 7,705 7,384 Discharges/Admissions , Average Length of Stay *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
18 15. Russell County Medical Center Mountain States Russell County Comparative Statistics Staffed Beds Licensed Beds Staffed Beds Occupancy 44.9% 45.7% 43.3% 58.5% Licensed Beds Occupancy 44.9% 45.7% 43.3% 36.7% Average Daily Census Patient Days 12,789 13,010 12,371 10,461 Discharges/Admissions 3,117 3,061 2,869 2,464 Average Length of Stay Source: Virginia Health Information Reports FY10-FY13
19 16. Smyth County Community Hospital Mountain States Smyth County Comparative Statistics Staffed Beds Licensed Beds Staffed Beds Occupancy 43.5% 51.3% 49.4% 48.1% Licensed Beds Occupancy 13.8% 13.3% 15.6% 48.1% Average Daily Census Patient Days 8,569 8,234 7,951 7,729 Discharges/Admissions 2,498 2,275 1,962 1,713 Average Length of Stay Source: Virginia Health Information Reports FY10-FY13
20 17. Sycamore Shoals Hospital Mountain States Sycamore Shoals Comparative Statistics Staffed Beds Licensed Beds Staffed Beds Occupancy 53.2% 53.1% 52.6% 57.0% Licensed Beds Occupancy 34.7% 34.7% 34.3% 34.9% Average Daily Census Patient Days 15,334 15,299 15,206 15,398 Discharges/Admissions 3,448 3,640 3,673 3,430 Average Length of Stay Source: Tennessee Joint Annual Reports FY10-FY13
21 18. Unicoi County Memorial Hospital Mountain States Unicoi County Comparative Statistics Staffed Beds Licensed Beds Staffed Beds Occupancy 49.3% 126.6% 166.4% 169.7% Licensed Beds Occupancy 25.7% 26.4% 24.3% 24.7% Average Daily Census Patient Days 4,499 4,622 4,262 4,336 Discharges/Admissions 1,223 1,221 1,098 1,060 Average Length of Stay Source: Tennessee Joint Annual Reports FY10-FY13
22 19. Woodridge Hospital Mountain States Woodridge Psychiatric Comparative Statistics Staffed Beds Licensed Beds Staffed Beds Occupancy 63.8% 64.7% 69.4% 76.0% Licensed Beds Occupancy 63.8% 64.7% 69.4% 72.4% Average Daily Census Patient Days 19,572 19,827 21,329 22,182 Discharges/Admissions 3,310 3,412 3,573 3,824 Average Length of Stay Source: Tennessee Joint Annual Reports FY10-FY13
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