Exhibit 14.1 Outpatient analyses of the Geographic Service Area were conducted using counts of facilities for a variety of types of outpatient providers serving the area; these include out-of-area facilities. Facility-level data included the name, address, affiliation and type of service (e.g., ASC). A summary table for all categories of outpatient services is provided below and shows that for many services there is little or no overlap and that for the majority of services, independent providers account for a large share of total providers. In the few services in which there is higher share, there is no overlap. More detailed analyses were also conducted for three outpatient categories: urgent care, imaging facilities, and ambulatory surgery centers; and the tables below show that competing facilities account for 50% or greater share for each of these services. Maps show that these alternatives are located near those affiliated with Mountain States and Wellmont.

A. All Outpatient Facilities

*All Other may include competing facilities located outside of the Geographic Service Area yet serving patients from the Geographic Service Area.

Service Type

WHS & MSHS

Combined %

Mountain States

Mountain States- NsCH

Aff iliate Wellmont

Non-Managed

Joint Venture All Other* Total

Pharmacy 1.4% 5 0 0 0 349 354Fitness Center 0.0% 0 0 0 0 98 98XRAY 28.3% 14 0 12 0 66 92Nursing Home 7.6% 3 0 2 0 61 66Physical Therapy 6.6% 1 0 3 0 57 61Home Health 16.7% 8 0 2 0 50 60Rehabilitat ion 39.5% 9 0 8 0 26 43CT 51.2% 12 0 10 0 21 43MRI 43.9% 11 0 7 0 23 41Surgery - Endoscopy 45.2% 9 0 5 0 17 31Urgent Care 50.0% 8 0 8 0 16 32Surgery - Hospital-based 46.7% 9 0 5 0 16 30Dialysis Services 0.0% 0 0 0 0 25 25Wellness Center 14.3% 2 0 1 0 18 21Surgery - ASC 50.0% 2 0 3 4 9 18Chemotherapy 55.6% 4 1 5 0 8 18Rehabilitat ion & Physical Therapy 31.3% 0 0 5 0 11 16Radiat ion Therapy 54.5% 3 0 3 0 5 11Cancer Center 54.5% 3 0 3 0 5 11Weight Loss Center 14.3% 0 0 1 0 6 7Community Center 0.0% 0 0 0 0 6 6Cancer Support Services 0.0% 0 0 0 0 1 1Women's Cancer Services 100.0% 0 0 1 0 0 1

B. Urgent Care

Urgent Care Outpatient Facilit iesWellmont All Other Facil ities01 Greeneville Urgent Care 01 Appalachian After Hours Care02 Wellmont Extended Hours Clinic - Norton 02 AppUrgent Care03 Wellmont Urgent Care - Abingdon 03 College Park Medical Clinic04 Wellmont Urgent Care - Bristol 04 Doctors Care05 Wellmont Urgent Care - Johnson City 05 Express Health Clinic-Morristown06 Wellmont Urgent Care - Kingsport 06 Express Health Clinic-Newport07 Wellmont Urgent Care - Lebanon 07 FastMed Urgent Care

08 Wellmont Urgent Care - Rogersville 08 HealthStar Urgent Care ClinicMSHA 09 Holston Medical Group Urgent Care-Bristol01 First Assist Urgent Care - Abingdon 10 Holston Medical Group Urgent Care-Kingsport02 First Assist Urgent Care - Colonial Heights 11 MedExpress Urgent Care-Bluefield03 First Assist Urgent Care - Elizabethton 12 MedExpress Urgent Care-Bristol04 First Assist Urgent Care - Johnson City 13 Patmos EmergiClinic05 First Assist Urgent Care - Jonesborough 14 Prompt Family Care06 First Assist Urgent Care - Kingsport 15 State of Franklin Healthcare Associates Walk-in Clinic07 First Assist Urgent Care - Marion 16 Urgent Care of Erwin08 First Assist Urgent Care - Piney Flats

Urgent Care Facility Locations and Counts, by System

Affiliation Facility Name County State Total Total 32 100.0% Wellmont Greeneville Urgent Care Greene TN Wellmont Wellmont Extended Hours Clinic - Norton Wise VA Wellmont Wellmont Urgent Care - Abingdon Washington VA Wellmont Wellmont Urgent Care - Bristol Sullivan TN Wellmont Wellmont Urgent Care - Johnson City Washington TN Wellmont Wellmont Urgent Care - Kingsport Sullivan TN Wellmont Wellmont Urgent Care - Lebanon Russell VA Wellmont Wellmont Urgent Care - Rogersville Rogersville TN Wellmont Total 8 25% Mountain States First Assist Urgent Care - Abingdon Washington VA Mountain States First Assist Urgent Care - Colonial Heights Sullivan TN Mountain States First Assist Urgent Care - Elizabethton Carter TN Mountain States First Assist Urgent Care - Johnson City Washington TN Mountain States First Assist Urgent Care - Jonesborough Washington TN Mountain States First Assist Urgent Care - Kingsport Sullivan TN Mountain States First Assist Urgent Care - Marion Smyth VA Mountain States First Assist Urgent Care - Piney Flats Washington TN Mountain States Total 8 25% All Other AppUrgent Care Watauga NC All Other Appalachian After Hours Care Wise VA All Other College Park Medical Clinic Hamblen TN All Other Doctors Care Washington TN All Other Express Health Clinic-Morristown Hamblen TN All Other Express Health Clinic-Newport Cocke TN All Other FastMed Urgent Care Watauga NC All Other HealthStar Urgent Care Clinic Hamblen TN All Other Holston Medical Group Urgent Care-Bristol Sullivan TN All Other Holston Medical Group Urgent Care-Kingsport Sullivan TN All Other MedExpress Urgent Care-Bluefield Tazewell VA All Other MedExpress Urgent Care-Bristol Sullivan TN All Other Patmos EmergiClinic Greene TN All Other Prompt Family Care Hamblen TN

All Other State of Franklin Healthcare Associates Walk-in Clinic Washington TN

All Other Urgent Care of Erwin Unicoi TN All Other Total 16 50%

C. CT/MRI

CT/MRI CapabilitiesWellmont All Other Facil ities01 Bristol Regional Medical Center 01 Appalachian Orthopaedic Associates, PC**02 Hancock County Hospital 02 Appalachian Orthopaedic Associates03 Hawkins County Memorial Hospital 03 Ashe Memorial Hospital04 Holston Valley Imaging Center, LLC 04 Blue Ridge Regional Hospital05 Holston Valley Medical Center 05 Buchanan General Hospital06 Lonesome Pine Hospital 06 Cannon Memorial Hospital07 Southwest Virginia Cancer Center 07 Carilion Tazewell Community Hospital

08 Takoma Regional Hospital (Independent)* 08 Clinch Valley Medical Center09 Volunteer Parkway Imaging Center 09 Community Radiology Of Virginia, Inc.10 Wellmont Mountain View Regional Medical Center 10 Harlan ARH Hospital11 Wellmont Urgent Care Abingdon 11 Healthstar Physicians, PCMSHA 12 Lakeway Regional Hospital01 Dickenson Community Hospital 13 Laughlin Memorial Hospital, Inc.02 Franklin Woods Community Hospital 14 Meadowview Outpatient Diagnostic Center03 Indian Path Medical Center 15 Medical Care, PLLC (Elizabethton)04 Johnson City Medical Center 16 Medical Care, PLLC (Johnson City)05 Johnson County Community Hospital 17 Morristown-Hamblen Hospital06 Johnston Memorial Hospital 18 Newport Medical Center07 Mountain States Imaging at Med Tech Parkway 19 Ortho-Carolina - Boone08 Norton Community Hospital 20 Sapling Grove Outpatient Diagnostic Center09 Russell County Medical Center 21 Watauga Medical Center10 Smyth County Community Hospital 22 Watauga Orthopaedics, PLC11 Sycamore Shoals Hospital 23 Whitesburg ARH Hospital12 Unicoi County Memorial Hospital, Inc. 24 Wythe County Community Hospital

* 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.

** Appalachian Orthopaedic Associates, PC is co-located with Bristol Regional Medical Center and is therefore not visible on the map

Imaging Capabilities Locations and Counts, by System

System Affiliation Facility Name County State CT

Capabilities MRI

Capabilities Total Total 47 100% 43 41 Wellmont Bristol Regional Medical Center Sullivan TN X X Wellmont Hancock County Hospital Hancock TN X

Wellmont Hawkins County Memorial Hospital Hawkins TN X X Wellmont Holston Valley Imaging Center, LLC Sullivan TN X X Wellmont Holston Valley Medical Center Sullivan TN X X Wellmont Lonesome Pine Hospital Wise VA X X Wellmont Southwest Virginia Cancer Center Wise VA X

Wellmont Volunteer Parkway Imaging Center Sullivan TN X X

Wellmont Wellmont Mountain View Regional Medical Center Wise VA X X

Wellmont Wellmont Urgent Care Abingdon Washington VA X Wellmont Total 10 21.3% 10 7

Mountain States Dickenson Community Hospital Dickenson VA X Mountain States Franklin Woods Community Hospital Washington TN X X

Mountain States Indian Path Medical Center Sullivan TN X X Mountain States Johnson City Medical Center Washington TN X X Mountain States Johnson County Community Hospital Johnson TN X X Mountain States Johnston Memorial Hospital Washington VA X X

Mountain States Mountain States Imaging at Med Tech Parkway Washington TN X X

Mountain States Norton Community Hospital Wise VA X X Mountain States Russell County Medical Center Russell VA X X Mountain States Smyth County Community Hospital Smyth VA X X Mountain States Sycamore Shoals Hospital Carter TN X X Mountain States Unicoi County Memorial Hospital, Inc. Unicoi TN X X Mountain States Total 12 25.5% 12 11 All Other Appalachian Orthopaedic Associates, PC Sullivan TN

X

All Other Appalachian Orthopedic Associates Washington TN

X All Other Ashe Memorial Hospital Ashe NC X X All Other Blue Ridge Regional Hospital Mitchell NC X X All Other Buchanan General Hospital Buchanan VA X X All Other Cannon Memorial Hospital Avery NC X X All Other Carilion Tazewell Community Hospital Tazewell VA X X All Other Clinch Valley Medical Center Tazewell VA X X All Other Community Radiology Of Virginia, Inc. Tazewell VA X X All Other Harlan ARH Hospital Harlan KY X X All Other Healthstar Physicians, PC Hamblen TN X X All Other Lakeway Regional Hospital Hamblen TN X X

System Affiliation Facility Name County State CT

Capabilities MRI

Capabilities All Other Laughlin Memorial Hospital, Inc. Greene TN X X

All Other Meadowview Outpatient Diagnostic Center Sullivan TN X X

All Other Medical Care, PLLC (Elizabethton) Carter TN X All Other Medical Care, PLLC (Johnson City) Washington TN X All Other Morristown-Hamblen Hospital Hamblen TN X X

All Other Newport Medical Center Cocke TN X X All Other Ortho-Carolina - Boone Watauga NC

X

All Other Sapling Grove Outpatient Diagnostic Center Sullivan TN X X

All Other Takoma Regional Hospital Greene TN X X All Other Watauga Medical Center Watauga NC X X All Other Watauga Orthopaedics, PLC Washington TN

X

All Other Whitesburg ARH Hospital Letcher KY X X All Other Wythe County Community Hospital Wythe VA X X All Other Total 25 53.2% 21 23

D. Ambulatory Surgical Centers2

2 ASCs include ambulatory surgical center facilities, hospital-based outpatient surgical facilities, and surgery-endoscopy facilities; these facilities are included in map and table.

Ambulatory Surgical Centers Outpatient Facil itiesWellmont01 Bristol Regional Medical Center 07 Ashe Memorial Hospital02 Bristol Surgery Center 08 Blue Ridge Regional Hospital03 Hawkins County Memorial Hospital 09 Buchanan General Hospital04 Holston Valley Medical Center 10 Cannon Memorial Hospital05 Holston Valley Surgery Center, LLC 11 Carilion Tazewell Community Hospital06 Lonesome Pine Hospital 12 Clinch Valley Medical Center07 Sapling Grove ASC 13 Endoscopy Center of Northeast Tennessee, PC08 Takoma Regional Hospital (Independent)* 14 Harlan ARH Hospital09 Wellmont Mountain View Regional Medical 15 Lakeway Regional HospitalMSHA 16 Laughlin Memorial Hospital01 Franklin Woods Community Hospital 17 Morristown-Hamblen Healthcare System02 Indian Path Medical Center 18 Mountain Empire Cataract and Eye Surgery Center03 Johnson City Medical Center 19 PMA Surgery Center, LLC04 Johnston Memorial Hospital 20 Reeves Eye Surgery Center05 Kingsport Ambulatory Surgery Center** 21 Renaissance Surgery Center06 Norton Community Hospital 22 State of Frankin OB/GYN Specialists07 Russell County Medical Center 23 Sullivan Digestive Center08 Smyth County Community Hospital 24 Tennova Healthcare - Newport Medical Center09 Sycamore Shoals Hospital 25 The Endoscopy Center of Bristol10 Unicoi County Community Hospital 26 The Regional Eye Surgery CenterAll Other Facil ities 27 Tri Cities Gastroenterology01 East Tennessee Ambulatory Surgery Center, LLC*** 28 Tri-Cities Outpatient Surgery, LLC02 Johnson City Eye Surgery Center*** 29 Twin County Regional Hospital03 Mountain Empire Surgery Center, LP*** 30 Watauga Medical Center04 TriCities Laser Center*** 31 Whitesburg ARH Hospital05 Appalachian Gastroenterology 32 Wythe County Community Hospital06 Appalachian Orthopaedic Associates, PC

** Managed Joint Venture*** Non-Managed Joint Venture

* 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.

Ambulatory Surgical Center Locations and Counts, by System

System Affiliation Facility Name County

State

Surgery - ASC

Surgery -

Endoscopy

Surgery -

Hospital-

based Total Total 17 31 30 Wellmont Bristol Regional Medical Center Sullivan TN X X Wellmont Bristol Surgery Center Sullivan TN X Wellmont Hawkins County Memorial Hospital Hawkins TN X X Wellmont Holston Valley Medical Center Sullivan TN X X Wellmont Holston Valley Surgery Center, LLC Sullivan TN X Wellmont Lonesome Pine Hospital Wise VA X X Wellmont Sapling Grove ASC Sullivan TN X

Wellmont Wellmont Mountain View Regional Medical Wise VA X X

Wellmont Total 3 5 5

Mountain States Franklin Woods Community Hospital

Washington TN X X

Mountain States Indian Path Medical Center Sullivan TN X X

Mountain States Johnson City Medical Center Washington TN X X

Mountain States Johnston Memorial Hospital Washington VA X X X

Mountain States Kingsport Ambulatory Surgery Center3 Sullivan TN X

Mountain States Norton Community Hospital Wise VA X X Mountain States Russell County Medical Center Russell VA X X Mountain States Smyth County Community Hospital Smyth VA X X Mountain States Sycamore Shoals Hospital Carter TN X X Mountain States Unicoi County Community Hospital Unicoi TN X X Mountain States Total 2 9 9 Non-Managed Joint Venture

East Tennessee Ambulatory Surgery Center, LLC

Washington TN X

Non-Managed Joint Venture Johnson City Eye Surgery Center

Washington TN X

Non-Managed Joint Venture

Mountain Empire Surgery Center, LP

Washington TN X

Non-Managed Joint Venture TriCities Laser Center

Washington TN X

Non-Managed Joint Venture Total 4 0 0

3 Kingsport Ambulatory Surgery Center is a Managed Joint Venture

Ambulatory Surgical Center Locations and Counts, by System

System Affiliation Facility Name County

State

Surgery - ASC

Surgery -

Endoscopy

Surgery -

Hospital-

based

All Other Appalachian Gastroenterology Watauga NC X

All Other Ashe Memorial Hospital Ashe NC X X All Other Blue Ridge Regional Hospital Mitchell NC X X

All Other Buchanan General Hospital Buchanan VA X X

All Other Cannon Memorial Hospital Avery NC X X

All Other Carilion Tazewell Community Hospital Tazewell VA X

All Other Clinch Valley Medical Center Tazewell VA X X

All Other Endoscopy Center of Northeast Tennessee, PC

Washington TN X

All Other Harlan ARH Hospital Harlan KY X X

All Other Lakeway Regional Hospital Hamblen TN X X

All Other Laughlin Memorial Hospital Greene TN X X

All Other Morristown-Hamblen Healthcare System

Hamblen TN X X

All Other Mountain Empire Cataract and Eye Surgery Center Sullivan TN X

All Other PMA Surgery Center, LLC Washington TN X

All Other Reeves Eye Surgery Center Washington TN X

All Other Regional Surgical Services Tazewell VA X All Other Renaissance Surgery Center Sullivan TN X

All Other State of Franklin OB/GYN Specialists Washington TN X

All Other Sullivan Digestive Center Sullivan TN X All Other Takoma Regional Hospital Greene TN X

All Other Tennova Healthcare - Newport Medical Center Cocke TN X X

All Other The Endoscopy Center of Bristol Sullivan TN X All Other The Regional Eye Surgery Center Sullivan TN X All Other Tri Cities Gastroenterology Sullivan TN X

All Other Tri-Cities Outpatient Surgery, LLC Washington TN X

All Other Twin County Regional Hospital Grayson VA X All Other Watauga Medical Center Wataug NC X X

Ambulatory Surgical Center Locations and Counts, by System

System Affiliation Facility Name County

State

Surgery - ASC

Surgery -

Endoscopy

Surgery -

Hospital-

based a

All Other Whitesburg ARH Hospital Letcher KY X X All Other Wythe County Community Hospital Wythe VA X All Other Total 8 17 16

E. Physician Status by Specialty/Employment Data were developed by specialty to identify physicians employed by Wellmont, employed by Mountain States (or affiliated with Mountain States) and independent physicians. Data on independent physicians were developed using names and specialties for physicians with admitting privileges at Wellmont and/or Mountain States hospitals. The Overlap Flag identifies specialties in which both systems employed physicians.

Specialty Overlap

Flag Total Independent Wellmont Mountain

States

Mountain States

Affiliate* Grand Total (Overlap/Non-Overlap)

2,142 70% 9% 17% 4%

Emergency Medicine X 141 95% 1% 1% 3% Neurology X 75 91% 3% 4% 3% Otolaryngology X 21 90% 5% 5% 0% Pediatrics X 87 87% 3% 9% 0% General Surgery X 57 70% 7% 19% 4% Internal Medicine X 178 67% 19% 13% 1% Ob/GYN X 81 67% 10% 23% 0% Neurosurgery X 20 65% 5% 25% 5% Family Medicine X 183 63% 16% 20% 1% Orthopedic Surgery X 68 63% 3% 32% 1% Psychology X 5 60% 20% 20% 0% Psychiatry X 30 57% 10% 33% 0% Pain Management X 6 50% 17% 17% 17% Cardiothoracic Surgery X 21 43% 38% 19% 0% Pulmonology X 37 38% 38% 19% 5% Occupational Medicine X 5 20% 40% 40% 0% Hematology/Oncology X 34 15% 44% 35% 6% Cardiology X 70 14% 49% 36% 1% Hospital Medicine X 123 14% 10% 58% 15%

Specialty Overlap Flag

Total Independent Wellmont Mountain States

Mountain States

Affiliate* Grand Total (Overlap/Non-Overlap)

2,142 70% 9% 17% 4%

Allergy and Immunology - 5 100% 0% 0% 0% Child Development - 1 100% 0% 0% 0% Colorectal Surgery - 2 100% 0% 0% 0% Dentistry - 8 100% 0% 0% 0% Hand Surgery - 2 100% 0% 0% 0% Maternal and Fetal Medicine - 2 100% 0% 0% 0% Neonatology - 8 100% 0% 0% 0% Ophthalmology - 35 100% 0% 0% 0% Optometry - 1 100% 0% 0% 0% Oral Surgery - 11 100% 0% 0% 0% Pathology - 24 100% 0% 0% 0% Pediatric Dentistry - 7 100% 0% 0% 0% Pediatric Emergency Medicine - 3 100% 0% 0% 0% Pediatric Gastroenterology - 2 100% 0% 0% 0% Pediatric Hematology Oncology - 2 100% 0% 0% 0% Pediatric Nephrology - 1 100% 0% 0% 0% Pediatric Pulmonology - 1 100% 0% 0% 0% Pediatric Surgery - 1 100% 0% 0% 0% Perfusionist - 1 100% 0% 0% 0% Physician Assistant - 55 100% 0% 0% 0% Plastic Surgery - 13 100% 0% 0% 0% Podiatry - 20 100% 0% 0% 0% Radiology - 186 100% 0% 0% 0% Rheumatology - 6 100% 0% 0% 0% Sports Medicine - 3 100% 0% 0% 0% Telemedicine - 2 100% 0% 0% 0% Teleradiology - 10 100% 0% 0% 0%

Specialty Overlap Flag

Total Independent Wellmont Mountain States

Mountain States

Affiliate* Grand Total (Overlap/Non-Overlap)

2,142 70% 9% 17% 4%

Nurse Practitioner - 89 98% 0% 2% 0% CRNA - 75 97% 0% 0% 3% Anesthesiology - 65 97% 0% 0% 3% Nephrology - 16 94% 0% 6% 0% Gastroenterology - 30 90% 0% 10% 0% Unknown - 9 89% 0% 11% 0% Urology - 23 87% 0% 13% 0% Physical Medicine and Rehabilitation - 11 82% 18% 0% 0% Infectious Disease - 10 80% 20% 0% 0% Dermatology - 6 67% 0% 33% 0% Pediatric Critical Care - 3 67% 0% 0% 33% Palliative Care - 2 50% 50% 0% 0% Pediatric Cardiology - 4 50% 50% 0% 0% Pediatric Neurology - 2 50% 0% 0% 50% Surgical Oncology - 2 50% 50% 0% 0% Radiation Oncology - 11 36% 64% 0% 0% Oncology - 7 29% 43% 0% 29% Trauma Surgery - 29 21% 0% 38% 41% Critical Care - 15 7% 0% 80% 13% Behavioral Health - 8 0% 0% 50% 50% Endocrinology - 4 0% 0% 50% 25% Pediatric Endocrinology - 1 0% 0% 0% 100% Pediatric Hospital Medicine - 6 0% 0% 0% 100% Sleep Medicine - 2 0% 0% 50% 50% Urgent Care - 58 0% 0% 86% 14%

*Mountain States Affiliate physicians are those physicians who are not employed by Mountain States but who do provide services to Mountain States through a contractual arrangement. To be conservative, these physicians are counted along with the Mountain States employed physicians in assessing the "overlap" between Mountain States and Wellmont.