DEPARTMENT OF LABOR

Employment and Training Administration

TA-W-91,343

HOLSTON MEDICAL GROUP
REVENUE CYCLE INSURANCE PROCESSING UNIT
INCLUDING ON-SITE LEASED WORKERS FROM ACCUFORCE
KINGSPORT, TENNESSEE

Certification Regarding Eligibility
To Apply for Worker Adjustment Assistance

In accordance with Section 223 of the Trade Act of 1974, as
amended (“Act”), 19 U.S.C. § 2273, the Department of Labor
herein presents the results of an investigation regarding
certification of eligibility to apply for worker adjustment
assistance.
The group eligibility requirements for workers of a firm
under Section 222(a) of the Act, 19 U.S.C. § 2272(a), are
satisfied if the following criteria are met:
(1) a significant number or proportion of the
workers in such workers' firm have become totally or
partially separated, or are threatened to become
totally or partially separated;
(2)(B)(i)(I) there has been a shift by the workers’
firm to a foreign country in the production of
articles or supply of services like or directly
competitive with those produced/supplied by the
workers’ firm; OR
(II) there has been an acquisition from a
foreign country by the workers’ firm of
articles/services that are like or directly
competitive with those produced/supplied by
the workers’ firm; AND
(ii) the shift/acquisition must have contributed
importantly to the workers’ separation or
threat of separation.

The investigation was initiated in response to a petition
filed on January 14, 2015 by a company official on behalf of
workers of Holston Medical Group, Revenue Cycle Insurance
Processing Unit, Kingsport, Tennessee (Holston Medical Group-
Revenue Cycle). The subject firm supplies medical care; the
subject worker group (Holston Medical Group-Revenue Cycle) is
engaged in activities related to the supply of revenue cycle
insurance processing services.
The subject worker group includes on-site leased workers
from Accuforce.
During the course of the investigation, information was
collected from the workers’ firm.
Section 222(a)(1) has been met because a significant
number or proportion of the workers in Holston Medical Group-
Revenue Cycle have become totally or partially separated, or are
threatened to become totally or partially separated.
Section 222(a)(2)(B) has been met because the workers’
firm has acquired from a foreign country services like or
directly competitive with services supplied by the subject
worker group which contributed importantly to worker group
separations a Holston Medical Group-Revenue Cycle.

Conclusion
After careful review of the facts obtained in the
investigation, I determine that workers of Holston Medical Group-
Revenue Cycle, who are engaged in activities related to the
supply of revenue cycle insurance processing services, meet the
worker group certification criteria under Section 222(a) of the
Act, 19 U.S.C. § 2272(a). In accordance with Section 223 of the
Act, 19 U.S.C. § 2273, I make the following certification:
“All workers of Holston Medical Group, Revenue Cycle
Insurance Processing Unit, including on-site leased
workers from Accuforce, Kingsport, Tennessee, who became
totally or partially separated from employment on or after
January 13, 2015 through two years from the date of
certification, and all workers in the group threatened with
total or partial separation from employment on the date of
certification through two years from the date of
certification, are eligible to apply for adjustment
assistance under Chapter 2 of Title II of the Trade Act of
1974, as amended.”

Signed in Washington, D.C., this 6th day of February, 2016

/s/Del Min Amy Chen
______________________________
DEL MIN AMY CHEN
Certifying Officer, Office of
Trade Adjustment Assistance