WELLMONT WEXFORD HOUSE: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- WELLMONT WEXFORD HOUSE (EIN 58-1859039)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-10
- IRS object ID
- 201911309349300951
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-10T09:15:15-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581859039 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WELLMONT WEXFORD HOUSE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WELL | BusinessNameControlTxt |
| Phone | 4233023374 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1905 AMERICAN WAY | AddressLine1Txt |
| City | KINGSPORT | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37660 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHELE RUSEK | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 4232308200 | PhoneNum |
| Signature | 2019-05-10 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 151.102.241.104 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-10 | IPDt |
| IP Tm | 09:15:15 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | B63603CA6CC0E7A9B40672C01A3D6D8A952705BD | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 39095CF110B0C8EE9B5E629A9826572B753F4624 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHELE RUSEK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1905 AMERICAN WAY | AddressLine1Txt |
| City | KINGSPORT | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37660 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,802,628 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | BALLADHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE FACILITIES AND HEALTHCARE FOR THE ELDERLY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 273 | TotalEmployeeCnt |
| Total Volunteers | 5 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $55 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,423,499 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,765,989 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $40,358 | PYOtherRevenueAmt |
| CY Other Revenue | $36,639 | CYOtherRevenueAmt |
| PY Total Revenue | $15,463,912 | PYTotalRevenueAmt |
| CY Total Revenue | $14,802,628 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,533,095 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,782,891 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,349,877 | PYOtherExpensesAmt |
| CY Other Expenses | $5,115,809 | CYOtherExpensesAmt |
| PY Total Expenses | $14,882,972 | PYTotalExpensesAmt |
| CY Total Expenses | $13,898,700 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $580,940 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $903,928 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,946,670 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,094,241 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $965,944 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $859,853 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,980,726 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,234,388 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HONOR THOSE WE SERVE BY DELIVERING THE BEST POSSIBLE CARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $12,504,363 | ExpenseAmt |
| Revenue | $14,765,989 | RevenueAmt |
| Desc | 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. (CON'T ON SCHEDULE O) (CONT'D) DURING FISCAL YEAR 2018, WEXFORD HOUSE SERVED 562 RESIDENTS AND PROVIDED 58,334 PATIENT 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. WEXFORD HOUSE EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR ACCREDITATION AND CERTIFICATION IN AUGUST 2017 AND EXPIRES AUGUST 2020. IT ACHIEVED THAT DESIGNATION BY COMPLYING WITH NATIONAL STANDARDS FOR ADVANCED REHABILITATION SERVICES, HEALTHCARE QUALITY AND PATIENT AND RESIDENT SAFETY IN NURSING HOME CARE. THE ALIGNING OF THE TWO ORGANIZATIONS, WELLMONT WEXFORD HOUSE AND WELLMONT HEALTH SYSTEM, 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. IN ADDITION TO THE SERVICES NOTED ABOVE, OTHER EXAMPLES INCLUDE 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. | Desc |
| Total Program Service Expenses | $12,504,363 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | Yes (true) | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 273 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (true) | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LYNN KRUTAK | PersonNm |
| Phone | 4233023374 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 303 MED TECH PARKWAY SUITE 300 | AddressLine1Txt |
| City | JOHNSON CITY | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37604 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| BARTON HOVE RETIRED 1312018 | ||||||||
| WH PRES/WHS | 0.10 | 31.90 | Yes (X) | Yes (X) | $0 | $1,219,926 | $49,559 | |
| MARVIN EICHORN BEGIN 212018 | ||||||||
| WH PRES/BH E | 0.10 | 54.90 | Yes (X) | Yes (X) | $0 | $749,129 | $42,742 | |
| HERBERT LADLEY MD | ||||||||
| BD MEM/CMO-H | 0.10 | 44.90 | Yes (X) | $0 | $682,753 | $41,856 | ||
| ERIC DEATON | ||||||||
| BD MEM/SR VP | 0.10 | 49.90 | Yes (X) | $0 | $604,699 | $33,581 | ||
| TODD DOUGAN END 4302018 | ||||||||
| SEC/TREAS/FI | 0.10 | 44.90 | Yes (X) | Yes (X) | $0 | $488,418 | $36,727 | |
| MARTA WAYT MD | ||||||||
| BD MEM/STAFF | 0.10 | 39.90 | Yes (X) | $0 | $460,820 | $24,279 | ||
| TIM ATTEBERY | ||||||||
| BD MEM/PRESI | 0.10 | 44.90 | Yes (X) | $0 | $436,652 | $36,021 | ||
| HAMLIN WILSON | ||||||||
| BD MEM/SENIO | 0.10 | 49.90 | Yes (X) | $0 | $409,302 | $23,435 | ||
| FRED PELLE TERMED 462018 | ||||||||
| BD MEM/COO-H | 0.10 | 44.90 | Yes (X) | $0 | $291,238 | $25,878 | ||
| MICHELE RUSEK | ||||||||
| EXECUTIVE DI | 40.00 | 0.00 | Yes (X) | $149,935 | $0 | $19,288 | ||
| GARY MILLER | ||||||||
| BD MEM/SR VP | 0.10 | 49.90 | $0 | $520,874 | $27,097 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $149,935 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,863,811 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $360,463 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SODEXO INC & AFFILIATES | |||||
| P O BOX 360170 | PITTSBURGH | PA | 152516170 | PROFESSIONAL SV | $859,630 |
| REHAB SOLUTIONS INC | |||||
| 536 OLD HOWELL ROAD | GREENEVILLE | SC | 29615 | REHAB SERVICES | $827,619 |
| PHARMACY NETWORK SERVICES INC | |||||
| 527 N STATE OF FRANKLIN ROAD | JOHNSON CITY | TN | 37604 | MED. SUPPLIES | $466,389 |
| INTERIOR CONCEPTS | |||||
| 203 COLONIAL HEIGHTS ROAD | KINGSPORT | TN | 37663 | PROFESSIONAL SV | $150,500 |
| SUPPLYWORKS | |||||
| PO BOX 2317 | JACKSONVILLE | FL | 32203 | MISC. SUPPLIES | $108,590 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NURSING FACILITIES REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $14,765,989 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,765,989 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,765,989 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| BEAUTY SALON/BARBER | 900099 | $23,206 | $23,206 |
| CAFETERIA/VENDING | 900099 | $8,386 | $8,386 |
| LAUNDRY | 900099 | $1,857 | $1,857 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,190 | TotalRevenueColumnAmt |
| Exclusion | $3,190 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $36,639 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,802,628 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,765,989 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $36,639 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,470 | TotalAmt |
| Management And General | $170,470 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,625,051 | TotalAmt |
| Program Services | $5,957,306 | ProgramServicesAmt |
| Management And General | $667,745 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,688 | TotalAmt |
| Program Services | $115,863 | ProgramServicesAmt |
| Management And General | $18,825 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,365,992 | TotalAmt |
| Program Services | $1,269,438 | ProgramServicesAmt |
| Management And General | $96,554 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $486,690 | TotalAmt |
| Program Services | $427,161 | ProgramServicesAmt |
| Management And General | $59,529 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $258,670 | TotalAmt |
| Program Services | $258,670 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $379 | TotalAmt |
| Management And General | $379 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,171,413 | TotalAmt |
| Program Services | $987,707 | ProgramServicesAmt |
| Management And General | $183,706 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,375 | TotalAmt |
| Management And General | $7,375 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $806,904 | TotalAmt |
| Program Services | $679,416 | ProgramServicesAmt |
| Management And General | $127,488 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,849 | TotalAmt |
| Program Services | $255,488 | ProgramServicesAmt |
| Management And General | $5,361 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,171 | TotalAmt |
| Program Services | $2,463 | ProgramServicesAmt |
| Management And General | $708 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,099 | TotalAmt |
| Program Services | $40 | ProgramServicesAmt |
| Management And General | $4,059 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $304,879 | TotalAmt |
| Program Services | $304,879 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $493,693 | TotalAmt |
| Program Services | $469,008 | ProgramServicesAmt |
| Management And General | $24,685 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,770 | TotalAmt |
| Program Services | $142,770 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| NURSING HOME ASSMNT TAX | $897,405 | $897,405 | |
| MEDICAL SUPPLIES | $737,087 | $736,749 | $338 |
| DUES AND MEMBERSHIPS | $14,153 | $14,153 | |
| PROPERTY TAXES | $3,325 | $3,325 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,637 | TotalAmt |
| Management And General | $9,637 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,898,700 | TotalAmt |
| Program Services | $12,504,363 | ProgramServicesAmt |
| Management And General | $1,394,337 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,882 | BOYAmt |
| EOY | $38,878 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,523,230 | BOYAmt |
| EOY | $1,728,095 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,305 | BOYAmt |
| EOY | $16,737 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,628,583 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,021,105 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,027,302 | BOYAmt |
| EOY | $4,607,478 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,622,979 | BOYAmt |
| EOY | $7,622,979 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $718,972 | BOYAmt |
| EOY | $80,074 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,946,670 | BOYAmt |
| EOY | $14,094,241 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $929,531 | BOYAmt |
| EOY | $776,224 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,413 | BOYAmt |
| EOY | $40,629 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $43,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $965,944 | BOYAmt |
| EOY | $859,853 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,980,726 | BOYAmt |
| EOY | $13,234,388 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,980,726 | BOYAmt |
| EOY | $13,234,388 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,946,670 | BOYAmt |
| EOY | $14,094,241 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $903,928 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1,650,266 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $728 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $55 | CurrentTaxYearMinus1YearAmt |
| Total | $783 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,207,877 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,032,184 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,820,972 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,423,499 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,765,989 | CurrentTaxYearAmt |
| Total | $77,250,521 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $66,646 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $50,571 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $40,358 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $36,639 | CurrentTaxYearAmt |
| Total | $194,214 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,207,877 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,098,830 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,872,271 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,463,912 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,802,628 | CurrentTaxYearAmt |
| Total | $77,445,518 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $386,642 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $136,017 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $308,054 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $179,414 | CurrentTaxYearAmt |
| Total | $1,010,127 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $386,642 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $136,017 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $308,054 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $179,414 | CurrentTaxYearAmt |
| Total | $1,010,127 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $76,435,391 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $8 | CurrentTaxYearMinus2YearsAmt |
| Total | $21 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $8 | CurrentTaxYearMinus2YearsAmt |
| Total | $21 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,207,890 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,098,830 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,872,279 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,463,912 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,802,628 | CurrentTaxYearAmt |
| Total | $77,445,539 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98700 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99330 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | false | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (true) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $505,992 | OtherCostOrOtherBasisAmt |
| Book Value | $505,992 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,013,548 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,445,607 | DepreciationAmt |
| Book Value | $3,567,941 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $739,549 | OtherCostOrOtherBasisAmt |
| Depreciation | $387,745 | DepreciationAmt |
| Book Value | $351,804 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $369,494 | OtherCostOrOtherBasisAmt |
| Depreciation | $187,753 | DepreciationAmt |
| Book Value | $181,741 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,607,478 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO THIRD-PARTY PAYORS | Desc |
| Amt | $43,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $43,000 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART IV, LINE 2B | THE PATIENT TRUST LIABILITY ACCOUNT IS MONIES OWNED BY THE RESIDENTS OF WELLMONT WEXFORD HOUSE TO BE USED FOR PERSONAL EXPENSES. THE RESIDENT'S SOCIAL SECURITY CHECK AND OTHER PERSONAL FUNDS ARE DEPOSITED TO WELLMONT WEXFORD HOUSE SUNTRUST BANK ACCOUNT, SOLELY USED FOR THE RESIDENTS, AND CHECKS ARE WRITTEN FROM THIS ACCOUNT BY BALLAD HEALTH ACCOUNTS PAYABLE DEPARTMENT, VIA CHECK REQUESTS SUBMITTED BY WELLMONT WEXFORD HOUSE BUSINESS OFFICER MANAGER, FOR RESIDENT'S PERSONAL EXPENSES. THE PATIENT TRUST LIABILITY ACCOUNT IS MONITORED CLOSELY BY THE STATE OF TENNESSEE TO ENSURE DISBURSEMENTS ARE IN COMPLIANCE WITH STATE LAW. |
| SCHEDULE D, PAGE 3, PART X | 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 HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR BALLAD AND ITS TAX- EXEMPT SUBSIDIARIES. BALLAD'S TAXABLE SUBSIDIARIES ARE DISCUSSED IN NOTE L. BALLAD HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS AT JUNE 30, 2018. AT JUNE 30, 2018, TAX RETURNS FOR MSHA AND WHS FOR 2015 THROUGH 2017 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE." |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BARTON HOVE RETIRED 1312018 | ||||||||||||
| WH PRES/WHS PRES/CEO | $817,290 | $391,085 | $11,551 | $27,695 | $21,864 | $1,269,485 | ||||||
| MARVIN EICHORN BEGIN 212018 | ||||||||||||
| WH PRES/BH EVP & COO | $576,562 | $128,590 | $43,977 | $18,900 | $23,842 | $791,871 | ||||||
| HERBERT LADLEY MD | ||||||||||||
| BD MEM/CMO-HVMC | $459,623 | $221,331 | $1,799 | $22,094 | $19,762 | $724,609 | ||||||
| ERIC DEATON | ||||||||||||
| BD MEM/SR VP MKT OPR | $398,970 | $196,460 | $9,269 | $18,578 | $15,003 | $638,280 | ||||||
| TODD DOUGAN END 4302018 | ||||||||||||
| SEC/TREAS/FIN INTEGR | $344,429 | $143,894 | $95 | $15,519 | $21,208 | $525,145 | ||||||
| MARTA WAYT MD | ||||||||||||
| BD MEM/STAFF PHY | $398,775 | $61,845 | $200 | $15,420 | $8,859 | $485,099 | ||||||
| TIM ATTEBERY | ||||||||||||
| BD MEM/PRESIDENT-HV | $365,931 | $51,492 | $19,229 | $15,043 | $20,978 | $472,673 | ||||||
| HAMLIN WILSON | ||||||||||||
| BD MEM/SENIOR VP | $286,471 | $121,812 | $1,019 | $13,394 | $10,041 | $432,737 | ||||||
| FRED PELLE TERMED 462018 | ||||||||||||
| BD MEM/COO-HVMC | $259,996 | $30,034 | $1,208 | $10,535 | $15,343 | $317,116 | ||||||
| MICHELE RUSEK | ||||||||||||
| EXECUTIVE DIRECTOR | $131,458 | $18,300 | $177 | $4,064 | $15,224 | $169,223 | ||||||
| GARY MILLER | ||||||||||||
| BD MEM/SR VP COPA | $348,799 | $170,792 | $1,283 | $16,306 | $10,791 | $547,971 | ||||||
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | (CONT'D) DURING FISCAL YEAR 2018, WEXFORD HOUSE SERVED 562 RESIDENTS AND PROVIDED 58,334 PATIENT 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. WEXFORD HOUSE EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR ACCREDITATION AND CERTIFICATION IN AUGUST 2017 AND EXPIRES AUGUST 2020. IT ACHIEVED THAT DESIGNATION BY COMPLYING WITH NATIONAL STANDARDS FOR ADVANCED REHABILITATION SERVICES, HEALTHCARE QUALITY AND PATIENT AND RESIDENT SAFETY IN NURSING HOME CARE. THE ALIGNING OF THE TWO ORGANIZATIONS, WELLMONT WEXFORD HOUSE AND WELLMONT HEALTH SYSTEM, 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. IN ADDITION TO THE SERVICES NOTED ABOVE, OTHER EXAMPLES INCLUDE 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. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE BUSINESS AND AFFAIRS OF WELLMONT WEXFORD HOUSE (THE CORPORATION) SHALL BE GOVERNED EXCLUSIVELY BY THE BOARD OF DIRECTORS. THE CORPORATION'S BOARD OF DIRECTORS IS DESIGNATED BY WELLMONT HEALTH SYSTEM, THE SOLE MEMBER OF THE CORPORATION. IN ADDITION TO SUCH RIGHTS OF APPROVAL AND CONSENT AS MAY BE RESERVED TO THE SOLE MEMBER OF THE CORPORATION PURSUANT TO APPLICABLE LAW, TRANSACTIONS OF THE FOLLOWING MATTERS BY THE CORPORATION SHALL REQUIRE THE PRIOR APPROVAL OF WELLMONT HEALTH SYSTEM, THE SOLE MEMBER OF THE CORPORATION: 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, AND G) INSTITUTION OF ANY LITIGATION BY OR ON BEHALF OF THE CORPORATION. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE BOARD OF DIRECTORS ARE APPOINTED BY THE WELLMONT HEALTH SYSTEM BOARD OF DIRECTORS, WELLMONT WEXFORD HOUSE'S SOLE MEMBER. |
| FORM 990, PAGE 6, PART VI, LINE 7B | CERTAIN DECISIONS OF THE BOARD ARE, PURSUANT TO CHARTER, SUBJECT TO APPROVAL OF THE MEMBERS. NO ORDINARY, DAY-TO-DAY DECISIONS ARE SUBJECT TO MEMBER APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 9 | BARTON HOVE (RETIRED 1/31/2018) |
| FORM 990, PAGE 6, PART VI, LINE 11B | 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 TO THE REVIEW. |
| FORM 990, PAGE 6, PART VI, LINE 12C | WELLMONT WEXFORD HOUSE IS PART OF THE NEWLY FORMED BALLAD HEALTH HEALTHCARE SYSTEM FORMED WHEN WELLMONT HEALTH SYSTEM AND MOUNTAIN STATES HEALTH ALLIANCE MERGED IN FEBRUARY 2018. 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 HEALTH ORGANIZATIONS. ALL PERSONS COVERED BY THIS POLICY ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM 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 OR 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, PAGE 6, PART VI, LINE 15A | 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 WELLMONT HEALTH SYSTEM'S CEO, 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. SIMILAR TO WELLMONT HEALTH SYSTEM'S CEO, 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, THEREFORE HER COMPENSATION AND BENEFITS ARE CONSISTENT WITH OTHER TRH NON-EXECUTIVE POSITIONS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SIMILAR TO WELLMONT HEALTH SYSTEM'S CEO, 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 WELLMONT HEALTH SYSTEM'S CEO, AS DESCRIBED IN 15A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | 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. |
| FORM 990, PART XI, LINE 9 | CAPITAL DISTRIBUTION TO PARENT -1,650,266 |
| FORM 990, PAGE 12, PART XII, LINE 2C | BALLAD HEALTH (BALLAD) IS A TAX-EXEMPT ENTITY AND THE PARENT CORPORATION OF BOTH WELLMONT HEALTH SYSTEM (WHS) AND MOUNTAIN STATES HEALTH ALLIANCE (MSHA). THE TWO HEALTHCARE SYSTEMS CAME TOGETHER ON FEBRUARY 1, 2018 AS A RESULT OF A MERGER APPROVED BY BOTH TENNESSEE AND VIRGINIA DEPARTMENTS OF HEALTH. THE INDIVIDUALS SERVING AS THE BOARD OF DIRECTORS OF BALLAD ALSO SERVE AS THE BOARD OF DIRECTORS OF WHS AND MSHA. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF BALLAD INCLUDE WHS, MSHA AND THEIR SUBSIDIARIES AND AFFILIATES WHICH WERE PREVIOUSLY INCLUDED IN EITHER WHS OR MSHA AUDITED CONSOLIDATED FINANCIAL STATEMENTS. BALLAD HAS AN AUDIT COMMITTEE WHICH ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||
| 401 TAKOMA AVENUE | GREENEVILLE | TN | 37743 | 510603966 | HOSPITAL | TN | 501C3 | 3 | WHS | false |
| TAKOMA REGIONAL HOSPITAL FDN INC | ||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 471334302 | FUNDRAISER | TN | 501C3 | 7 | 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 |
| WELLMONT SLEEP SERVICES | ||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 273777167 | MED. SERV. | TN | 501C3 | 3 | WHS | false |
| WELLMONT FOUNDATION INC | ||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 581594191 | FUNDRAISER | TN | 501C3 | 7 | WHS | false |
| WELLMONT MADISON HOUSE | ||||||||||
| 1905 AMERICAN WAY | 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 |
| MOUNTAIN STATES HEALTH ALLIANCE | ||||||||||
| 303 MED TECH PARKWAY SUITE 220 | JOHNSON CITY | TN | 37604 | 620476282 | HOSP. SYS. | TN | 501C3 | 3 | BALLAD | false |
| MOUNTAIN STATES FOUNDATION | ||||||||||
| 2335 KNOB CREEK ROAD SUITE 101 | JOHNSON CITY | TN | 37604 | 581418862 | FUNDRAISER | TN | 501C3 | 12A | MSHA | 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 |
| EAST TN HEALTHCARE HOLDINGS INC | ||||||||||
| 203 GRAY COMMONS CIRCLE | GRAY | TN | 37615 | 815475903 | OPIOID TRT | TN | 501C3 | 3 | MSHA | 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 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| SAPLING GROVE AMB SURGERY CENTER | |||||||||
| 220 MEDICAL PARK BOULEVARD | BRISTOL | TN | 37620 | 204450153 | MED. SERV. | TN | N/A | false | false |
| HOLSTON VALLEY AMB SURGERY CENTER | |||||||||
| 103 WEST STONE DRIVE | KINGSPORT | TN | 37660 | 621816864 | MED. SERV. | TN | N/A | false | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|
| WELLMONT INC | ||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621320035 | MED. SERV. | TN | N/A | false |
| MCOT INC | ||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621325938 | BUS. SERV. | TN | N/A | false |
| MEDICAL MALL PHARMACY | ||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621565006 | MED. SERV. | TN | N/A | false |
| WELLMONT PHYSICIAN SERVICES INC | ||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621567353 | MED. SERV. | TN | N/A | false |
| WPS PROVIDERS INC | ||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 205564642 | MED. SERV. | TN | N/A | false |
| WELLMONT HEALTH SERVICES INC | ||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621254373 | MED. SERV. | TN | N/A | false |
| WELLMONT INSURANCE CO SPC LTD | ||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 981195624 | INSURANCE | N/A | false | |
| BLUE RIDGE MEDICAL MANAGEMENT CORP | ||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621490616 | MED. SERV. | TN | N/A | false |
| MEDISERVE MEDICAL EQUIPMENT | ||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621212286 | DME | TN | N/A | false |
| MOUNTAIN STATES PROPERTIES | ||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621845895 | PROP. MGMT | TN | N/A | false |
| MOUNTAIN STATES PHYSICIAN GROUP | ||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621700412 | MED. SERV. | TN | N/A | false |
| COMMUNITY HOME CARE INC | ||||||||
| 1905 PARK AVENUE NW SUITE B | NORTON | VA | 24273 | 541453810 | DME | VA | N/A | false |
| WILSON PHARMACY INC | ||||||||
| PO BOX 5289 | JOHNSON CITY | TN | 37604 | 620329587 | PHARMACY | TN | N/A | false |
| CRESTPOINT HEALTH INSURANCE COMPANY | ||||||||
| 509 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | 620381170 | INSURANCE | TN | N/A | false |
| INTEGRATED SOLUTIONS HEALTH NETWORK | ||||||||
| 509 MED TECH PARKWAY SUITE 100 | JOHNSON CITY | TN | 37604 | 621711997 | HLTH NETWK | TN | N/A | false |
| NOLICHUCKEY MANAGEMENT SVCS INC | ||||||||
| 1420 TUSCULUM BOULEVARD | GREENEVILLE | TN | 37745 | 621776681 | MED. SERV. | TN | N/A | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |