2020-07-09T11:56:13-07:00 2019-06-30 990 2018-07-01 581859039 Wellmont Wexford House WELL 4233023374 1021 W Oakland Avenue Suite 103 Johnson City TN 37604 Michele Rusek Executive Dir. 2020-07-09 2018 2021-01-29 14:40:06Z X Michele Rusek 2421 N John B Dennis Hwy Kingsport TN 37660 14910543 false false X balladhealth.org X 1989 TN Provide facilities and healthcare for the elderly. 6 0 238 6 0 0 14765989 14852465 0 36639 58078 14802628 14910543 0 0 8782891 9066336 0 0 5115809 6183173 13898700 15249509 903928 -338966 14094241 14769048 859853 1452211 13234388 13316837 Honor those we serve by delivering the best possible care. false false 12717273 14887505 Wellmont Wexford House is a 174-bed skilled and long-term care facility. Our team of professional caregivers has a goal to provide each resident with high-quality healthcare in a comfortable home-like environment. Their expertise ensures effective medical services for skilled and rehabilitative nursing care, including inpatient and outpatient physical therapy, speech therapy and occupational therapy, residential custodial care, respite and hospice care. During fiscal year 2019, Wexford House served 536 residents and provided 55,834 days of care.Serving the residents of Sullivan County and surrounding communities, our licensed and certified nursing facility is recognized by The Joint Commission as a healthcare leader, providing short-term and long-term medical care and rehabilitation. Wellmont Wexford House earned the Joint Commission's Gold Seal of Approval for accreditation and certification in August 2017 with an August 2020 expiration. Our facility achieved that designation by complying with national standards for advanced rehabilitation services, healthcare quality and patient and resident safety in nursing home care.With the aligning of Ballad Health's organizations, Wellmont Wexford House enhances the continuum of care the region's patients receive. It results in a seamless transition from one healthcare setting to another, while retaining the same quality throughout the care process.Special attention is given to the personal needs of each resident. Social, religious, recreational and educational programs, along with other amenities, are provided so each resident can lead a fulfilling life and experience as much personal freedom as possible.Services at Wellmont Wexford House include nursing and healthcare programs that offer a wide range of individualized care such as respiratory care, therapeutic management, restorative therapies, nutritional counseling and recreational activities, as well as convalescent nursing care for the acutely ill.Residents also have onsite access to diagnostic services such as ultrasound, X-ray and EKG.Motivational programs emphasize the rehabilitation of each resident to their maximum level of functioning. Other medical services offered include enteral nutritional and tube feeding, Foley catheter care, colostomy, urostomy, nephrostomy care, ventilator care, IV access care and therapy/antibiotics, pain management, diabetes care, wound care, lab services, orthopedic rehabilitation, incontinence care, and dental and vision care.Wexford House has also been recognized as a five-star facility by the Centers for Medicaid and Medicare Services and has garnered a perfect score from Tennessee Department of Health inspectors. 12717273 true false false false false false false false true false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false false false false true false false false true 6 0 true 238 true false false false false false false false false 0 false false false false false false false false false false false false X 6 0 false false false false true true true true true true false true true true true true true false false false X Lynn Krutak 4233023374 303 Med Tech Parkway Suite 300 Johnson City TN 37604 Marvin Eichorn end unknown WH Pres/BH EVP 0.10 59.90 X X 0 1011865 36694 Monty McLaurin end 11319 WH Pres/CEO-NW 0.10 44.90 X X 0 558099 42029 Tim Attebery end 83118 WH Pres/Pres HV 0.10 44.90 X X 0 422275 42806 Dale Poe end 41219 Sec/Tres/CFO-NW 0.10 44.90 X X 0 317756 30193 Andrew Wampler start 41319 Sec/Tres/CFO-NW 0.10 44.90 X X 0 199825 31448 Linda White start 11419 WH Pres/CEO-NW 0.10 44.90 X X 0 42714 5231 Eric Deaton BH EVP & COO 0.10 59.90 X 0 570270 42955 Marta Wayt MD Staff Physician 0.10 39.90 X 0 460794 28484 Hamlin Wilson VP Employee Rel 0.10 44.90 X 0 308244 34466 Grace Pereira start 91618 VP Non Acute Sv 0.10 44.90 X 0 268528 33536 Michele Rusek Executive Dir. 40.00 0.00 X 136103 0 20795 Pamela Poff LPN 40.00 0.00 X 98546 0 11345 Barton Hove Former Officer-Retired 0.00 0.00 X 0 1296774 17936 Todd Dougan Former Officer-Retired 0.00 10.00 X 0 488595 18367 Gary Miller Former Board Member 0.00 50.00 X 0 347667 30404 234649 6293406 426689 1 true true false 0 0 Nursing Facilities Rev 623000 14852465 14852465 14852465 0 0 0 0 0 0 0 0 Beauty Salon/Barber 900099 15082 15082 Cafeteria/Vending 900099 7069 7069 Revenue from Parent 900099 35040 35040 887 887 58078 14910543 14887505 23038 X 0 0 0 0 169880 169880 0 6995840 6242663 753177 113797 92195 21602 1336322 1252566 83756 450497 415662 34835 0 648 648 0 0 0 0 1633627 1413514 220113 4409 4409 294671 234328 60343 0 0 250850 223993 26857 1443 1440 3 0 0 616523 500015 116508 0 505521 429112 76409 113833 106305 7528 Nursing Home Assessment Tax 909115 909115 Medical Supplies 755915 754669 1246 Management Fees 395885 395885 Maintenance 82124 73635 8489 618609 68061 550548 15249509 12717273 2532236 0 38878 59713 0 0 1728095 1556238 0 0 0 0 16737 16737 6865730 2526627 4607478 4339103 0 0 0 7622979 7622979 80074 1174278 14094241 14769048 776224 1204806 40629 40083 43000 207322 859853 1452211 X 13234388 13316837 13234388 13316837 14094241 14769048 X -338966 421415 X false true X true false X 728 55 783 15032184 16820972 15423499 14765989 14887505 76930149 66646 50571 40358 36639 23038 217252 0 0 15098830 16872271 15463912 14802628 14910543 77148184 0 386642 136017 308054 179414 238885 1249012 386642 136017 308054 179414 238885 1249012 75899172 8 8 0 8 8 0 0 15098830 16872279 15463912 14802628 14910543 77148192 0.98380 0.98700 0.00000 X false true X 505992 505992 5016243 1931421 3084822 1187925 506584 681341 155570 88622 66948 4339103 AWUIL 40083 Due from Affiliates 1111770 Due from Third-Party Payor 17779 Reserve for Prof Liabilities 4646 1174278 Pharmacy, Medical, Worker's Comp 207322 207322 X Part IV, Line 2b: Explanation of escrow account liability The patient trust liability account is monies owned by the residents of Wellmont Wexford House to be used for personal expenses. The residents' social security checks and other personal funds are deposited to Wellmont Wexford House SunTrust Bank account, solely used for the residents'. Checks are written from this account by Ballad Health Accounts Payable department via check requests submitted by Wellmont Wexford House business office manager for residents' personal expenses. The patient trust liability account is monitored closely by the State of Tennessee to ensure disbursements are in compliance with state law. Part X : FIN48 Footnote Wellmont Wexford House is included in the audited consolidated financial statements of Ballad Health. The footnote explanation relative to income taxes reads: "Ballad is classified as an organization exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. As such, no provision for federal income taxes is included in the accompanying consolidated financial statements. Taxable subsidiaries are discussed in Note K. No significant uncertain tax positions exist at June 30, 2019. Tax returns for 2016 through 2018 are subject to examination by the Internal Revenue Service." true true false false false false false false false false Andrew Wampler start 41319 Sec/Tres/CFO-NW 192873 6952 19327 12121 231273 Barton Hove Former Officer-Retired 246667 161333 888774 9467 8469 1314710 Dale Poe end 41219 Sec/Tres/CFO-NW 271619 44683 1454 11110 19083 347949 Eric Deaton BH EVP & COO 497063 40165 33042 26522 16433 613225 Gary Miller Former Board Member 301352 39377 6938 18235 12169 378071 Grace Pereira start 91618 VP Non Acute Sv 250125 10000 8403 15291 18245 302064 Hamlin Wilson VP Employee Rel 273463 32513 2268 23829 10637 342710 Marta Wayt MD Staff Physician 260842 62991 136961 16193 12291 489278 Marvin Eichorn end unknown WH Pres/BH EVP 678984 300000 32881 12241 24453 1048559 Michele Rusek Executive Dir. 134505 1310 288 4108 16687 156898 Monty McLaurin end 11319 WH Pres/CEO-NW 357053 157624 43422 18299 23730 600128 16160 Tim Attebery end 83118 WH Pres/Pres HV 363268 30785 28222 22809 19997 465081 Todd Dougan Former Officer-Retired 446194 35385 7016 6061 12306 506962 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The business and affairs of Wellmont Wexford House (the Corporation) shallbe governed exclusively by the Board of Directors. The Corporation's Boardof Directors is designated by Wellmont Health System, the sole member ofthe Corporation.In addition to such rights of approval and consent as may be reserved tothe sole member of the Corporation pursuant to applicable law, transactionsof the following matters by the Corporation shall require the priorapproval of Wellmont Health System:A) Implementation of the Corporation's annual budget,B) Incurring any loan or other indebtedness for borrowed money,C) Acquisition of any equipment or personal property for a purchase price in excess of $50,000 or the acquisition of any real estate, regardless of purchase price,D) The undertaking of certain contractual commitments,E) Entering into any plan of merger or consolidation,F) Acquisition of substantially all of the assets of any other legal entity, andG) Institution of any litigation by or on behalf of the Corporation. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The Board of Directors are appointed by the Wellmont Health System Board ofDirectors. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders Certain decisions of the board are, pursuant to charter, subject toapproval of the members. No ordinary, day-to-day decisions are subject tomember approval. Form 990, Part VI, Line 9: Officer, Director, Trustee, Key Employee Mailing Address Tim Attebery1905 American WayKingsport, TN 37660Dale Poe1905 American WayKingsport, TN 37660 Form 990, Part VI, Line 11b: Form 990 Review Process The Executive Director of Wellmont Wexford House reviewed the Wellmont Wexford House Form 990 with the Wellmont Wexford House Board of Directors prior to filing. The return was made available to each board member in an electronic format prior the review. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Ballad Health has a conflict of interest policy for all members of the Board of Directors, the Executive Chair/President, Executive Vice Presidents, Senior Vice Presidents,and Vice Presidents, and applies to all Ballad organizations. All persons covered by this policy are required to complete a conflict of interest disclosure on an annual basis. Should a conflict arise, it is the responsibility of the conflicted individual to update his or her disclosure immediately. All meetings of the board and board committees have a standing agenda item first on the agenda titled "Conflicts of Interest". If a member of the board or board committee has a conflict of interest involving any issue on the board agenda, he or she must declare the conflict of interest during the period allotted for disclosure. If any issue arises during a meeting in which the board member has a conflict of interest, he or she must immediately declare the conflict. While each member of the board or board committees are responsible for disclosing conflicts of interest, it is also the responsibility of any board member aware of a conflict which has not been disclosed to ensure the board is made aware. The presiding officer of a board or board committee meeting may ask a conflicted member to excuse themselves from the meeting during the discussion related to the issue with which the conflict of interest applies. Under no circumstances shall a member vote on a matter that gives rise to a potential conflict. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Governing documents and conflict of interest policy are made available upon request to the appropriate parties requesting them. Financial statements are made available upon request to appropriate parties requesting them, and they are made available to those parties who own indebtedness of the company on a quarterly basis. Other Changes In Net Assets Or Fund Balances - Other Increases Capital contribution from parent = $421415 Form 990, Part VI, Line 15a - Compensation Process for Top Official On an annual basis, Ballad Health's Human Resources (HR) Department evaluates compensation for all executives at a position level of Assistant Vice President and above. The review includes Ballad Health's CEO-Northwest Market, who also serves as board president of Wellmont Wexford House. HR's evaluation is based on market data obtained from independent third-party consultants for positions with similar responsibilities at similarly situated organizations. Based on this comparable data, Ballad Health's President and CEO evaluates the data and submits his recommendations to Ballad Health's Board of Directors for their final review and approval. In addition, Ballad Health offers an incentive plan to executives based on targeted achievement metrics set in advance of the pay year. Established metrics include: quality and access measures, evidence-based care scores, and value based purchasing, etc.Similar to Ballad Health's CEO-Northwest Market, Wellmont Wexford House's Executive Director receives compensation that complies with Ballad Health's salary policy. Her pay is set at a market percentile specific to her position as Executive Director of Wellmont Wexford House. Form 990, Part VI, Line 15b - Compensation for Officers Similar to Ballad Health's CEO-Northwest Market, other officers reported on Wellmont Wexford House's Part VII receive compensation that complies with Ballad Health's salary policy and undergoes the same review and approval process by Ballad Health's Board of Directors as described in 15a. Mountain States Health Alliance 303 Med Tech Parkway Suite 220 Johnson City TN 37604 620476282 Hosp. Sys. TN 501c3 3 BALLAD false MSHA Auxiliary 400 N State of Franklin Road Johnson City TN 37604 581418345 Supp. Org. TN 501c3 12a MSHA false Smyth County Community Hospital 245 Medical Park Drive Marion VA 24354 540794913 Hospital VA 501c3 3 MSHA false Norton Community Hospital 100 15th Street NW Norton VA 24273 540566029 Hospital VA 501c3 3 NA false Dickenson Community Hospital 312 Hospital Drive Clintwood VA 24228 770599553 Hospital VA 501c3 3 NCH false Johnston Memorial Hospital 16000 Johnston Memorial Drive Abingdon VA 24211 540544705 Hospital VA 501c3 3 NA false Abingdon Physician Partners 16000 Johnston Memorial Drive Abingdon VA 24211 205485346 Med. Serv. VA 501c3 12a JMH false Ballad Health 303 Med Tech Parkway Suite 220 Johnson City TN 37604 611771290 Supp. Org. TN 501c3 12b NA false Wellmont Health System 1905 American Way Kingsport TN 37660 621636465 Hosp. Sys. TN 501c3 3 BALLAD false Wellmont Hawkins Co Memorial Hosp 851 Locust Street Rogersville TN 37857 621816368 Hospital TN 501c3 3 WHS false Takoma Regional Hospital Inc DBA GCH 401 Takoma Avenue Greeneville TN 37743 510603966 Hospital TN 501c3 3 WHS false Wellmont Cardiology Services 1905 American Way Kingsport TN 37660 263557623 Med. Serv. TN 501c3 10 WHS false Wellmont Medical Associates 1905 American Way Kingsport TN 37660 270898372 Med. Serv. TN 501c3 7 WHS false Ballad Health Foundation 1019 West Oakland Ave Suite 2 Johnson City TN 37604 581594191 Fundraiser TN 501c3 7 BALLAD false Wellmont Madison House 2000 Greenway Street Kingsport TN 37660 621308216 Asst. Liv. TN 501c3 10 WHS false Wellmont Imaging Services Inc 1905 American Way Kingsport TN 37660 861103148 Healthcare TN 501c3 12a WHS false Wellmont Sleep Services 1905 American Way Kingsport TN 37660 273777167 Med. Serv. TN 501c3 3 WHS false Laughlin Memorial Hospital Inc 1420 Tusculum Boulevard Greeneville TN 37745 620701119 Hospital TN 501c3 3 MSHA false Laughlin Healthcare Foundation 1420 Tusculum Boulevard Greeneville TN 37745 582105493 Fundraiser TN 501c3 12a MSHA false East TN Healthcare Holdings Inc 203 Gray Commons Circle Gray TN 37615 815475903 Opioid Treatment TN 501c3 3 MSHA false Sapling Grove Ambulatory Surgery Center 220 Medical Park Boulevard Bristol TN 37620 204450153 Med. Serv. TN WHS false false Holston Valley Ambulatory Surgery Center 103 West Stone Drive Kingsport TN 37660 621816864 Med. Serv. TN WHS false false Greeneville Physician Services LLC 1905 American Way Kingsport TN 37660 455070419 Med. Serv. TN NA false false Wellmont Inc 1905 American Way Kingsport TN 37660 621320035 Med. Serv. TN WHS C false Wellmont Collections Inc 2004 American Way Suite 101 Kingsport TN 37660 621325938 Bus. Serv. TN NA C false Medical Mall Pharmacy Inc 1905 American Way Kingsport TN 37660 621565006 Med. Serv. TN NA C false Wellmont Physician Services 1905 American Way Kingsport TN 37660 621567353 Med. Serv. TN NA C false WPS Providers Inc 1905 American Way Kingsport TN 37660 205564642 Med. Serv. TN NA C false Wellmont Health Services Inc 1905 American Way Kingsport TN 37660 621254373 Med. Serv. TN NA C false Blue Ridge Medical Management Corp 1905 American Way Kingsport TN 37660 621490616 Med. Serv. TN MSHA C false Mediserve Medical Equipment 1905 American Way Kingsport TN 37660 621212286 DME TN BRMMC C false Mountain States Properties 1905 American Way Kingsport TN 37660 621845895 Prop. Mgmt. TN BRMMC C false Mountain States Physician Grp 1905 American Way Kingsport TN 37660 621700412 Med. Serv. TN BRMMC C false Community Home Care Inc 1490 Park Avenue NW Suite B Norton VA 24273 541453810 DME VA NCH C false Wilson Pharmacy Inc PO Box 5289 Johnson City TN 37604 620329587 Pharmacy TN BRMMC C false Crestpoint Health Insurance Company 509 Med Tech Parkway Suite 100 Johnson City TN 37604 620381170 Insurance TN ISHN C false Nolichuckey Management Svcs Inc 1420 Tusculum Boulevard Greeneville TN 37745 621776681 Med. Serv. TN LMH C false Wellmont Insurance Co SPC LTD PO Box 30600 Grand Cayman CJ KY1-1203 981195624 Insurance CJ NA C false false false true false false false false false false false false false true false true true true true true