2018-05-11T17:13:44-04:00 2017-06-30 990 2016-07-01 581859039 WELLMONT WEXFORD HOUSE WELL 4232308200 1905 AMERICAN WAY KINGSPORT TN 37660 TODD J DOUGAN SEC/TREAS/CFO 4232308200 2018-05-11 2016 2022-09-23 18:48:47Z TODD J DOUGAN 1905 AMERICAN WAY KINGSPORT TN 37660 15463912 false X WWW.BALLADHEALTH.ORG X 1989 TN PROVIDE FACILITIES AND HEALTHCARE FOR THE ELDERLY. 8 0 274 8 0 728 55 16820964 15423499 8 0 50571 40358 16872271 15463912 0 0 8258413 8533095 0 0 6678318 6349877 14936731 14882972 1935540 580940 17284875 14946670 1490945 965944 15793930 13980726 X PROVIDE FACILITIES AND HEALTHCARE FOR THE ELDERLY. false false 13510469 15423499 A SKILLED NURSING FACILITY LOCATED IN KINGSPORT, TENNESSEE, WELLMONT WEXFORD HOUSE JOINED WELLMONT HEALTH SYSTEM IN DECEMBER 2013. SERVING THE RESIDENTS OF SULLIVAN COUNTY AND SURROUNDING COMMUNITIES, OUR LICENSED AND CERTIFIED NURSING FACILITY IS RECOGNIZED AS A HEALTH CARE LEADER, PROVIDING SHORT-TERM AND LONG-TERM MEDICAL CARE AND REHABILITATION. WELLMONT WEXFORD HOUSE IS A 174-BED SKILLED AND LONG-TERM CARE FACILITY WITH 274 EMPLOYEES. OUR TEAM OF PROFESSIONAL CAREGIVERS HAS A GOAL TO PROVIDE EACH RESIDENT WITH HIGH-QUALITY HEALTH CARE IN A COMFORTABLE HOME- LIKE ENVIRONMENT. THEIR EXPERTISE ENSURES EFFECTIVE MEDICAL SERVICES FOR SKILLED AND REHABILITATIVE NURSING CARE, INCLUDING (CON'T ON SCHEDULE O) INPATIENT AND OUTPATIENT PHYSICAL THERAPY, SPEECH THERAPY AND OCCUPATIONAL THERAPY, RESIDENTIAL CUSTODIAL CARE, RESPITE AND HOSPICE CARE. THE ALIGNING OF THE TWO ORGANIZATIONS 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 HEALTH CARE 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 TO 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, TRACHEOSTOMY CARE AND NASO/PHARYNGEAL SUCTIONING, IV ACCESS CARE AND THERAPY/ANTIBIOTICS, PAIN MANAGEMENT, DIABETES CARE, WOUND CARE, LAB SERVICES, ORTHOPEDIC REHABILITATION, INCONTINENCE CARE, AND DENTAL AND VISION CARE. WELLMONT WEXFORD HOUSE EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR ACCREDITATION AND CERTIFICATION. IT ACHIEVED THAT DESIGNATION BY COMPLYING WITH NATIONAL STANDARDS FOR ADVANCED REHABILITATION SERVICES, HEALTHCARE QUALITY AND PATIENT AND RESIDENT SAFETY IN NURSING HOME CARE. IT 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. FOR THE FOURTEENTH YEAR IN A ROW, WELLMONT WEXFORD HOUSE WAS SELECTED BY KINGSPORT TIMES-NEWS READERS AS THE BEST NURSING HOME. DURING FISCAL YEAR 2017, WELLMONT WEXFORD HOUSE SERVED 494 RESIDENTS AND PROVIDED 60,091 DAYS OF CARE. 13510469 true false false false false false false false true false true false false false false false 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 true false false false true 13 0 true 274 true false false false false false false X 8 0 false false false false true true true true true true false true true true true true true true true false X TODD J DOUGAN 4232308200 1905 AMERICAN WAY KINGSPORT TN 37660 BARTON A HOVE PRES/WHS PRE 1.00 39.00 X X 0 1205697 37323 HERBERT LADLEY MD BD MEM/STAFF 1.00 39.00 X 0 609799 30188 ERIC DEATON BD MEM/EVP & 1.00 39.00 X 0 587068 28425 MARTA WAYT MD BD MEM/STAFF 1.00 39.00 X 0 453435 19528 TIM ATTEBERY BD MEM/PRESI 1.00 39.00 X 0 434569 24875 HAMLIN WILSON BD MEM/SENIO 1.00 39.00 X 0 402876 17581 TODD J DOUGAN SEC/TREAS/CF 1.00 39.00 X X 0 368432 22028 FRED PELLE BD MEM/COO-H 1.00 39.00 X 0 300606 20619 MICHELE RUSEK EXECUTIVE DI 40.00 X 142407 0 8924 GARY MILLER BD MEM/EVP 0.00 40.00 X 0 495239 20368 ALICE POPE TERMED 42216 SEC/TRES/WHS X 0 217643 10356 142407 5075364 240215 1 true true false REHAB SOLUTIONS 536 OLD HOWELL ROAD GREENEVILLE SC 29615 REHAB SERVICES 1028180 SODEXO INC & AFFILIATES P O BOX 536922 ATLANTA GA 30353 PROFESSIONAL 628072 PHARMACY NETWORK SERVICES 527 N STATE OF FRANKLIN ROAD JOHNSON CITY TN 37604 MEDICAL SUPPLIE 504577 MCKESSON MEDICAL-SURGICAL P O BOX 204786 DALLAS TX 75320 MEDICAL SUPPLIE 152421 SUPPLYWORKS P O BOX 418636 BOSTON MA 02241 MISC SUPPLIES 108282 9 55 55 NURSING FACILITIES REVENUE 623000 15422399 15422399 MEDICAL RECORD FEES 624100 1100 1100 15423499 MISCELLANEOUS REVENUE 900099 31606 31606 CAFETERIA/VENDING 900099 8752 8752 40358 15463912 15423499 40358 X 159858 159858 6601769 5967311 634458 131231 113288 17943 1153333 1050714 102619 486904 429081 57823 1812 1812 1748064 1518191 229873 9833 9833 987288 864136 123152 279484 273443 6041 6462 4982 1480 184958 184958 467819 444428 23391 191295 191295 OTHER EXPENSE 934499 930279 4220 PROVISION FOR BAD DEBTS 776991 776991 MEDICAL SUPPLIES 761372 761372 14882972 13510469 1372503 0 39813 32882 2052819 1523230 21555 21305 6554713 1527411 5104525 5027302 7622979 7622979 2443184 718972 17284875 14946670 1452358 929531 38587 36413 1490945 965944 X 15793930 13980726 15793930 13980726 17284875 14946670 580940 -2394144 X X false true X true false X 728 55 783 14854991 15207877 15032184 16820972 15423499 77339523 66646 50571 40358 157575 14854991 15207877 15098830 16872271 15463912 77497881 386642 136017 522659 386642 136017 522659 76975222 109 13 8 130 109 13 8 130 14855100 15207890 15098830 16872279 15463912 77498011 0.99330 0.99310 0.00000 0.00000 X false true X 505992 505992 4957601 1101213 3856388 721626 278544 443082 369494 147654 221840 5027302 SCHEDULE D, PAGE 2, PART IV, LINE 2B 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 WELLMONT HEALTH SYSTEM 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. X true true false false false false false false true false false BARTON A HOVE PRES/WHS PRES/CEO 789605 404004 12088 27331 9992 1243020 HERBERT LADLEY MD BD MEM/STAFF PHY 458677 149755 1367 20628 9560 639987 ERIC DEATON BD MEM/EVP & COO 391386 186579 9103 18433 9992 615493 MARTA WAYT MD BD MEM/STAFF PHY 264258 55258 133919 15276 4252 472963 TIM ATTEBERY BD MEM/PRESIDENT-HV 345355 76737 12477 14883 9992 459444 HAMLIN WILSON BD MEM/SENIOR VP 280244 121688 944 13329 4252 420457 TODD J DOUGAN SEC/TREAS/CFO 260491 107769 172 12036 9992 390460 FRED PELLE BD MEM/COO-HV 254640 44758 1208 10627 9992 321225 MICHELE RUSEK EXECUTIVE DIRECTOR 129434 12824 149 8924 151331 GARY MILLER BD MEM/EVP 334622 158905 1712 16116 4252 515607 ALICE POPE TERMED 42216 SEC/TRES/WHS EVP&CFO 204250 10000 3393 6351 4005 227999 SCHEDULE J, PAGE 1, PART I, LINE 1A DURING THE FISCAL YEAR ENDED JUNE 30, 2017, WELLMONT HEALTH SYSTEM PROVIDED A COUNTRY CLUB MEMBERSHIP TO BARTON A. HOVE. THE AMOUNT IS INCLUDED IN TAXABLE COMPENSATION. SCHEDULE J, PAGE 1, PART I, LINE 3 WELLMONT HEALTH SYSTEM USES ONE OR MORE OF THE METHODS DESCRIBED TO ESTABLISH THE COMPENSATION OF ALL PERSONS LISTED ON FORM 990, PART VII, SECTION A AS MORE FULLY DESCRIBED IN SCHEDULE O. SCHEDULE J, PAGE 1, PART I, LINE 6B INCENTIVE COMPENSATION IS BASED ON MEETING BUDGETED OPERATING MARGIN GOALS. FORM 990, PAGE 2, PART III, LINE 4A INPATIENT AND OUTPATIENT PHYSICAL THERAPY, SPEECH THERAPY AND OCCUPATIONAL THERAPY, RESIDENTIAL CUSTODIAL CARE, RESPITE AND HOSPICE CARE. THE ALIGNING OF THE TWO ORGANIZATIONS 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 HEALTH CARE 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 TO 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, TRACHEOSTOMY CARE AND NASO/PHARYNGEAL SUCTIONING, IV ACCESS CARE AND THERAPY/ANTIBIOTICS, PAIN MANAGEMENT, DIABETES CARE, WOUND CARE, LAB SERVICES, ORTHOPEDIC REHABILITATION, INCONTINENCE CARE, AND DENTAL AND VISION CARE. WELLMONT WEXFORD HOUSE EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR ACCREDITATION AND CERTIFICATION. IT ACHIEVED THAT DESIGNATION BY COMPLYING WITH NATIONAL STANDARDS FOR ADVANCED REHABILITATION SERVICES, HEALTHCARE QUALITY AND PATIENT AND RESIDENT SAFETY IN NURSING HOME CARE. IT 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. FOR THE FOURTEENTH YEAR IN A ROW, WELLMONT WEXFORD HOUSE WAS SELECTED BY KINGSPORT TIMES-NEWS READERS AS THE BEST NURSING HOME. DURING FISCAL YEAR 2017, WELLMONT WEXFORD HOUSE SERVED 494 RESIDENTS AND PROVIDED 60,091 DAYS OF CARE. 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 SEE FORM 990, PART VI, SECTION A, LINE 6 EXPLANATION. FORM 990, PAGE 6, PART VI, LINE 7B SEE FORM 990, PART VI, SECTION A, LINE 6 EXPLANATION. FORM 990, PAGE 6, PART VI, LINE 9 BARTON A. HOVE 1905 AMERICAN WAY KINGSPORT, TN 37660 FRED PELLE 1905 AMERICAN WAY KINGSPORT, TN 37660 ALICE POPE (TERMED 4/22/16) 1905 AMERICAN WAY KINGSPORT, TN 37660 FORM 990, PAGE 6, PART VI, LINE 11B WELLMONT WEXFORD HOUSE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR OF WELLMONT WEXFORD HOUSE, THE CHIEF FINANCIAL OFFICER, THE CORPORATE CONTROLLER, AND THE MANAGER OF ACCOUNTING FOR WELLMONT HEALTH SYSTEM, AND THE BOARD OF DIRECTORS OF WELLMONT WEXFORD HOUSE PRIOR TO FILING. ANY QUESTIONS OR COMMENTS ARISING FROM THE INITIAL REVIEW ARE ADDRESSED TO ENSURE THE RETURN IS COMPLETE AND ACCURATE. ANY CHANGES OR CORRECTIONS ARE MADE, AND THE RETURN IS THEN PROVIDED TO THE ABOVE INDIVIDUALS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PAGE 6, PART VI, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY ACKNOWLEDGEMENT. ANY POTENTIAL CONFLICTS ARE DISCUSSED WITH THE COMPLIANCE AND AUDIT SERVICES DEPARTMENT, AS THEY ARISE. WELLMONT WEXFORD HOUSE OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE GOVERNED BY WELLMONT HEALTH SYSTEM'S CONFLICT OF INTEREST POLICY. WELLMONT HEALTH SYSTEM ALSO HAS A POLICY ON BUSINESS PRACTICES THAT DISCUSSES CONFLICT OF INTEREST AND INFORMS THE WORKFORCE TO DISCLOSE ANY ISSUES TO THE COMPLIANCE AND AUDIT SERVICES DEPARTMENT, FOR RESOLUTION. WELLMONT HEALTH SYSTEM ALSO USES A HOTLINE THAT ALLOWS ANONYMOUS REPORTING OF POSSIBLE CONFLICT OF INTEREST SITUATIONS FOR INVESTIGATION BY THE COMPLIANCE AND AUDIT SERVICES DEPARTMENT. FORM 990, PAGE 6, PART VI, LINE 15A THE COMPENSATION OF BARTON A. HOVE, THE PRESIDENT AND CEO OF WELLMONT HEALTH SYSTEM, IS REVIEWED, APPROVED AND DOCUMENTED BY THE WELLMONT HEALTH SYSTEM HUMAN RESOURCES COMMITTEE AND BOARD OF DIRECTORS. BARTON A. HOVE IS ALSO A BOARD MEMBER OF WELLMONT WEXFORD HOUSE. IN ADDITION, THESE BODIES USE COMPARABILITY DATA TO DETERMINE THE APPROPRIATE COMPENSATION. ALL COMPENSATION DELIBERATIONS AND REVIEWS ARE CONTEMPORANEOUSLY DOCUMENTED. THE LAST COMPENSATION DELIBERATION AND REVIEW PROCESS FOR BARTON A. HOVE WAS COMPLETED AND APPROVED BY THE BOARD OF DIRECTORS OF WELLMONT HEALTH SYSTEM ON NOVEMBER 07, 2017. FORM 990, PAGE 6, PART VI, LINE 15B THE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES OF WELLMONT WEXFORD HOUSE ARE REVIEWED, APPROVED AND DOCUMENTED BY THE WELLMONT HEALTH SYSTEM HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS. OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION HAVE WRITTEN EMPLOYMENT CONTRACTS, AND COMPENSATION IS BASED ON SURVEYS/STUDIES AND THEN APPROVED BY THE WELLMONT HEALTH SYSTEM CEO. IN ADDITION, THESE BODIES USE COMPARABILITY DATA TO DETERMINE THE APPROPRIATE COMPENSATION. ALL COMPENSATION DELIBERATIONS AND REVIEWS ARE CONTEMPORANEOUSLY DOCUMENTED. THIS PROCESS IS COMPLETED ON AN ANNUAL BASIS. THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS REVIEW THE SALARY AND MARKET COMPENSATION DATA FOR THE FOLLOWING OTHER OFFICERS AND KEY EMPLOYEES ON OCTOBER 26, 2017. -WELLMONT HEALTH SYSTEM CHIEF OPERATIONS OFFICER - BUFORD E. DEATON -WELLMONT HEALTH SYSTEM CHIEF FINANCIAL OFFICER - TODD J. DOUGAN WELLMONT HEALTH SYSTEM USES ONE OR MORE OF THE METHODS DESCRIBED TO ESTABLISH THE COMPENSATION OF THE FOLLOWING OTHER OFFICERS AND KEY EMPLOYEES. - WELLMONT HEALTH SYSTEM SENIOR VP HUMAN RESOURCES - HAMLIN WILSON - HOLSTON VALLEY MEDICAL CENTER PRESIDENT - TIM ATTEBERY - HOLSTON VALLEY MEDICAL CENTER VP/COO - FRED PELLE - WELLMONT WEXFORD HOUSE EXECUTIVE DIRECTOR - MICHELE RUSEK FORM 990, PAGE 6, PART VI, LINE 19 WELLMONT WEXFORD HOUSE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. WELLMONT HEALTH SYSTEM'S AUDITED FINANCIAL STATEMENTS AND QUARTERLY UNAUDITED FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE. FORM 990, PART IX, LINE 11G PURCHASE SERVICES 1,518,191 229,873 0 FORM 990, PART XI, LINE 9 INTERCOMPANY DISTRUBTION -2,394,144 FORM 990, PAGE 12, PART XII, LINE 2C WELLMONT WEXFORD HOUSE FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF WELLMONT HEALTH SYSTEM. WELLMONT WEXFORD HOUSE FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30,2017 WERE AUDITED AS PART OF WELLMONT HEALTH SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS. WELLMONT HEALTH SYSTEM HAS AN AUDIT COMMITTEE WHICH ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. THIS REVIEW PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. WELLMONT HEALTH SYSTEM 1905 AMERICAN WAY KINGSPORT TN 37660 621636465 HEALTHCARE TN 501C3 3 WHS false WELLMONT HAWKINS COUNTY MEM HOSPITA 1905 AMERICAN WAY KINGSPORT TN 37660 621816368 HEALTHCARE TN 501C3 3 WHS false TAKOMA REGIONAL HOSPITAL INC 1905 AMERICAN WAY KINGSPORT TN 37660 510603966 HEALTHCARE TN 501C3 3 WHS false WELLMONT CARDIOLOGY SERVICES 1905 AMERICAN WAY KINGSPORT TN 37660 263557623 HEALTHCARE TN 501C3 3 WHS false WELLMONT MEDICAL ASSOCIATES 1905 AMERICAN WAY KINGSPORT TN 37660 270898372 HEALTHCARE TN 501C3 7 WHS false WELLMONT INTEGRATED NETWORK LLC 1905 AMERICAN WAY KINGSPORT TN 37660 621308216 HEALTHCARE TN 501C3 10 WHS false WELLMONT SLEEP SERVICES 1905 AMERICAN WAY KINGSPORT TN 37660 273777167 HEALTHCARE TN 501C3 3 WHS false WELLMONT FOUNDATION INC 1905 AMERICAN WAY KINGSPORT TN 37660 581594191 HEALTHCARE TN 501C3 7 WHS false WELLMONT MADISON HOUSE 1905 AMERICAN WAY KINGSPORT TN 37660 621308216 HEALTHCARE TN 501C3 10 WHS false WELLMONT IMAGING SERVICES INC 1905 AMERICAN WAY KINGSPORT TN 37660 861103148 HEALTHCARE TN 501C3 12A WHS false HOLSTON VALLEY IMAGING CENTER 103 WEST STONE DRIVE KINGSPORT TN 37660 202043285 HEALTHCARE TN N/A false false SAPLING GROVE AMBULATORY SURGERY 220 MEDICAL PARK BOULEVARD BRISTOL TN 37620 204450153 HEALTHCARE TN N/A false false HOLSTON VALLEY AMBULATORY SURGERY C 103 WEST STONE DRIVE KINGSPORT TN 37660 621816864 HEALTHCARE TN N/A false false WELLMONT INC 1905 AMERICAN WAY KINGSPORT TN 37660 621320035 PHYS SVCS TN N/A false MCOT INC 1905 AMERICAN WAY KINGSPORT TN 37660 621325938 MED SVCS TN N/A false MEDICAL MALL PHARMACY 1905 AMERICAN WAY KINGSPORT TN 37660 621565006 MED SVCS TN N/A false WELLMONT PHYSICIAN SERVICES INC 1905 AMERICAN WAY KINGSPORT TN 37660 621567353 PHYS SVCS TN N/A false WPS PROVIDERS INC 1905 AMERICAN WAY KINGSPORT TN 37660 205564642 PHYS SVCS TN N/A false WELLMONT HEALTH SERVICES INC 1905 AMERICAN WAY KINGSPORT TN 37660 621254373 HEALTHCARE TN N/A false false true true false false false false false false false false false true false false false false false false WELLMONT HEALTH SYSTEM B 2394143 CAPITAL DISTRIBUTION SCHEDULE R PART V, LINE 2 RELATED ORGANIZATION TRANSACTIONS WITH WELLMONT FOUNDATION, WELLMONT CARDIOLOGY SERVICES AND WELLMONT MEDICAL ASSOCIATES FOR THE FISCAL YEAR ENDED JUNE 30, 2017, THAT DID NOT MEET THE 50,000 THRESHOLD AMOUNT FOR SEPARATE DISCLOSURE. ORGANIZATION TRANS TYPE AMOUNT METHOD DETERMINATION WELLMONT FOUNDATION C 55 NEED WELLMONT CARDIOLOGY SERVICES M 24 INVOICES WELLMONT MEDICAL ASSOCIATES M 619 INVOICES