WELLMONT-MADISON HOUSE ALZHEIMERS CENTER OF UPPER E TENNESSEE: Form 990, tax year 2009
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- Organization
- WELLMONT-MADISON HOUSE ALZHEIMERS CENTER OF UPPER E TENNESSEE (EIN 62-1308216)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-04-29
- IRS object ID
- 201141199349300034
- Schema version
- 2009v1.7
- 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) |
|---|---|---|
| Timestamp | 2011-04-29T16:35:00-04:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 COMMERCE STREET SUITE 1000 | AddressLine1 |
| City | NASHVILLE | City |
| State | TN | State |
| ZIP Code | 372192422 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621308216 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WELLMONT MADISON HOUSE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WELL | NameControl |
| Phone | 4232308200 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1905 AMERICAN WAY | AddressLine1 |
| City | KINGSPORT | City |
| State | TN | State |
| ZIP Code | 37660 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TODD J DOUGAN | Name |
| Title | SR. VP OF FINANCE (WHS) | Title |
| Phone | 4232308512 | Phone |
| Date Signed | 2011-04-29 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6152441602 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | TODD J DOUGAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1905 AMERICAN WAY | AddressLine1 |
| City | KINGSPORT | City |
| State | TN | State |
| ZIP Code | 37660 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1079427 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.WELLMONT.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1989 | YearFormation |
| State Legal Domicile | TN | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE ADULT DAY CARE AND ACCESSIBLE, AFFORDABLE SUPERVISED ASSISTED LIVING CARE FOR SENIOR AND MID-LIFE ADULTS IN NEED OF SPECIAL ASSISTANCE IN A RESIDENTIAL ENVIRONMENT. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 31 | TotalNbrEmployees |
| Total Nbr Volunteers | 96 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1419 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 875 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 919808 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1078552 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 921227 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1079427 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 755450 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 710092 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 469677 | OtherExpensePriorYear |
| Other Expenses Current Year | 421262 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1225127 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1131354 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -303900 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -51927 | RevenuesLessExpensesCY |
| Total Assets BOY | 1401739 | TotalAssetsBOY |
| Total Assets EOY | 1356397 | TotalAssetsEOY |
| Total Liabilities BOY | 691323 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 87683 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 710416 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1268714 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE ADULT DAY CARE AND ACCESSIBLE, AFFORDABLE SUPERVISED ASSISTED LIVING CARE FOR SENIORS AND MID-LIFE ADULTS WITH CHRONIC ILLNESSES IN NEED OF SPECIAL COMBINATIONS OF HOUSING, SUPPORTIVE SERVICES, PERSONALIZED ASSISTANCE AND HEALTH CARE IN A RESIDENTIAL ENVIRONMENT. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 1049971 | Expense |
| Revenue | 1078552 | Revenue |
| Description | WELLMONT MADISON HOUSE PROVIDES ADULT DAY CARE SERVICES THAT OFFER HALF AND FULL DAY OPTIONS, OVERNIGHT RESPITE CARE FOR MID-LIFE ADULTS WITH CHRONIC CONDITIONS, AND ASSISTED LIVING SERVICES TO SENIOR ADULTS REQUIRING 24-HOUR PERSONAL CARE. PATIENTS ARE ADMITTED WITHOUT REGARD TO RACE, CREED, SECT, OR NATIONAL ORIGIN. DURING FISCAL YEAR 2010, WELLMONT MADISON HOUSE PROVIDED SERVICES TO 77 INDIVIDUALS. | Description |
| Total Program Service Expense | 1049971 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 5 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 31 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | TN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | TODD J DOUGAN | NamePerson |
| Telephone Number | 4232308512 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1905 AMERICAN WAY | AddressLine1 |
| City | KINGSPORT | City |
| State | TN | State |
| ZIP Code | 37660 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (7 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| GARY D MILLER | ||||||
| BOARD MEMBER (07/01-03/31) | 1.0 | X | 0 | 260312 | 25437 | |
| TROY CLARK | ||||||
| BOARD MEMBER (07/01-03/31) | 1.0 | X | 0 | 223327 | 21836 | |
| GREG NEAL | ||||||
| SEC/TREASURER (07/01-03/31) | 1.0 | X | 0 | 228450 | 24220 | |
| TODD DOUGAN | ||||||
| PRESIDENT (07/01-03/31) | 1.0 | X | 0 | 227391 | 26053 | |
| MARTHA CHILL | ||||||
| PRESIDENT (04/01-06/30) | 3.0 | X | 0 | 208990 | 20652 | X |
| BRAD PRICE | ||||||
| VP/SEC/TREAS (04/01-06/30) | 1.0 | X | 0 | 244878 | 5065 | X |
| SUE DAVIDSON | ||||||
| BOARD MEMBER | 3.0 | X | 0 | 89033 | 13539 | X |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1482381 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 136802 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Related Organizations | 875 | RelatedOrganizations |
| Total Contributions | 875 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT CARE REVENUE | Description |
| Business Code | 623990 | BusinessCode |
| Total Revenue Column | 1078552 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1078552 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1078552 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1079427 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1078552 | RelatedOrExemptFunctionIncome |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55602 | Total |
| Management And General | 55602 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 542400 | Total |
| Program Services | 542400 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20675 | Total |
| Program Services | 18890 | ProgramServices |
| Management And General | 1785 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44424 | Total |
| Program Services | 44424 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46991 | Total |
| Program Services | 43080 | ProgramServices |
| Management And General | 3911 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30232 | Total |
| Program Services | 29561 | ProgramServices |
| Management And General | 671 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2738 | Total |
| Program Services | 2738 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100134 | Total |
| Program Services | 94513 | ProgramServices |
| Management And General | 5621 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60846 | Total |
| Program Services | 57804 | ProgramServices |
| Management And General | 3042 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4403 | Total |
| Program Services | 4331 | ProgramServices |
| Management And General | 72 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 227 | Total |
| Program Services | 60 | ProgramServices |
| Management And General | 167 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 194227 | Total |
| Program Services | 184516 | ProgramServices |
| Management And General | 9711 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16019 | Total |
| Program Services | 15218 | ProgramServices |
| Management And General | 801 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| RECERTIFICATION & LICENSING | 1450 | 1450 |
| BOOKS & PUBLICATIONS | 328 | 328 |
| BAD DEBT | 10658 | 10658 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1131354 | Total |
| Program Services | 1049971 | ProgramServices |
| Management And General | 81383 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -3279 | BOY |
| EOY | 11928 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19947 | BOY |
| EOY | 30793 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3476496 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2285652 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1385071 | BOY |
| EOY | 1190844 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 122832 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1401739 | BOY |
| EOY | 1356397 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81323 | BOY |
| EOY | 87683 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 610000 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 691323 | BOY |
| EOY | 87683 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 710416 | BOY |
| EOY | 1268714 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 710416 | BOY |
| EOY | 1268714 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1401739 | BOY |
| EOY | 1356397 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | false | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 829 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1071 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 36 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1419 | CurrentTaxYearMinus1Year |
| Current Tax Year | 875 | CurrentTaxYear |
| Total | 4230 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 741242 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 867250 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 824459 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 919808 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1078552 | CurrentTaxYear |
| Total | 4431311 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 742071 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 868321 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 824495 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 921227 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1079427 | CurrentTaxYear |
| Total | 4435541 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 505928 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 466253 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 443193 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 419475 | CurrentTaxYearMinus1Year |
| Current Tax Year | 546251 | CurrentTaxYear |
| Total | 2381100 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 505928 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 466253 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 443193 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 419475 | CurrentTaxYearMinus1Year |
| Current Tax Year | 546251 | CurrentTaxYear |
| Total | 2381100 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 2054441 | PublicSupportTotal509 |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 742071 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 868321 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 824495 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 921227 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1079427 | CurrentTaxYear |
| Total | 4435541 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.46318 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.43523 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00000 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 40000 | OtherCostOrOtherBasis |
| Book Value | 40000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 3126230 | OtherCostOrOtherBasis |
| Depreciation | 2052371 | Depreciation |
| Book Value | 1073859 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 275982 | OtherCostOrOtherBasis |
| Depreciation | 208651 | Depreciation |
| Book Value | 67331 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 34284 | OtherCostOrOtherBasis |
| Depreciation | 24630 | Depreciation |
| Book Value | 9654 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1190844 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO/FROM RELATED PARTY | Description |
| Book Value | 122832 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 122832 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
| Total Of Amounts | 0 | TotalOfAmounts |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GARY D MILLER | |||||||||||||
| 0 | 204386 | 0 | 41305 | 0 | 14621 | 0 | 11255 | 0 | 14182 | 0 | 285749 | 0 | 0 |
| TROY CLARK | |||||||||||||
| 0 | 171904 | 0 | 24921 | 0 | 26502 | 0 | 10080 | 0 | 11756 | 0 | 245163 | 0 | 0 |
| GREG NEAL | |||||||||||||
| 0 | 186193 | 0 | 26327 | 0 | 15930 | 0 | 10390 | 0 | 13830 | 0 | 252670 | 0 | 0 |
| TODD DOUGAN | |||||||||||||
| 0 | 174616 | 0 | 35050 | 0 | 17725 | 0 | 10002 | 0 | 16051 | 0 | 253444 | 0 | 0 |
| MARTHA CHILL | |||||||||||||
| 0 | 171141 | 0 | 25586 | 0 | 12263 | 0 | 5102 | 0 | 15550 | 0 | 229642 | 0 | 0 |
| BRAD PRICE | |||||||||||||
| 0 | 196596 | 0 | 32560 | 0 | 15722 | 0 | 0 | 0 | 5065 | 0 | 249943 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| VOLUNTEER HOURS | FORM 990, PART I, LINE 6 | WELLMONT MADISON HOUSE'S 96 VOLUNTEERS MADE 1048 VISITS DURING THE FISCAL YEAR. VOLUNTEERS OFFER MUSIC, SPIRITUAL SERVICES, MENTAL STIMULATION THROUGH GAMES AND ACTIVITIES, READING, AND ASSIST WITH GROUNDS CLEANING. |
| SOLE MEMBER AND ELECTION/OVERSIGHT OF GOVERNING BODY | FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B | THE BUSINESS AND AFFAIRS OF WELLMONT MADISON HOUSE (THE CORPORATION) SHALL BE GOVERNED EXCLUSIVELY BY THE BOARD OF DIRECTORS. THE CORPORATION'S BOARD OF DIRECTORS ARE 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 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 SUBTANTIALLY ALL OF THE ASSETS OF ANY OTHER LEGAL ENTITY, AND G) INSTITUTION OF ANY LITIGATION BY OR ON BEHALF OF CORPORATION. |
| REVIEW OF 990 | FORM 990, PART VI, SECTION B, LINE 11 | WELLMONT MADISON HOUSE'S FORM 990 IS REVIEWED BY THE HOLSTON VALLEY MEDICAL CENTER CFO, THE SENIOR VICE PRESIDENT OF FINANCE AND THE MANAGER OF ACCOUNTING FOR WELLMONT HEALTH SYSTEM AS WELL AS THE EXECUTIVE DIRECTOR OF WELLMONT MADISON HOUSE PRIOR TO FILING. ANY QUESTIONS/COMMENTS ARISING FROM THE INITIAL REVIEW ARE ADDRESSED TO ENSURE THE RETURN IS COMPLETE AND ACCURATE. ANY CHANGES/CORRECTIONS ARE MADE AND THE RETURN IS THEN PROVIDED TO THE ABOVE INDIVIDUALS AND THE COMPLETE WELLMONT MADISON HOUSE BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTION B, LINE 12 | OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY ACKNOWLEDGEMENT. ANY POTENTIAL CONFLICTS ARE DISCUSSED WITH THE EXECUTIVE DIRECTOR AS THEY ARISE. WELLMONT MADISON HOUSE'S 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 CORPORATE COMPLIANCE OFFICER FOR RESOLUTION. WELLMONT HEALTH SYSTEM ALSO USES A HOTLINE THAT ALLOWS ANONYMOUS REPORTING OF POSSIBLE CONFLICT OF INTEREST SITUATIONS FOR INVESTIGATION BY THE CORPORATE COMPLIANCE OFFICER. |
| COMPENSATION REVIEW | FORM 990, PART VI, SECTION B, LINE 15A & B | THE COMPENSATION OF THE PRESIDENT/CEO AND VICE PRESIDENT IS REVIEWED, APPROVED AND DOCUMENTED BY THE WELLMONT HEALTH SYSTEM PERSONNEL COMMITTEE AND BOARD OF GOVERNORS. 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 WITH THE LAST PROCESS BEING COMPLETED IN JULY 2009. |
| AVERAGE HOURS PER WEEK | FORM 990, PART VII, SECTION A, COLUMN (B) | ALL INDIVIDUALS LISTED IN PART VII, WITH THE EXCEPTION OF SUE DAVIDSON AND MARTHA CHILL, DEVOTED THE MAJORITY OF THEIR TIME (40 HOURS PER WEEK ON AVERAGE) PERFORMING SERVICES TO WELLMONT HEALTH SYSTEM OR OTHER RELATED ENTITIES. SUE DAVIDSON AND MARTHA CHILL DEVOTED APPROXIMATELY 37 HOURS PER WEEK TO A RELATED ENTITY. |
| PUBLIC DISCLOSURE | FORM 990, PART VI, SECTION C, LINE 19 | THE WELLMONT MADISON HOUSE'S 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. |
| AUDIT OF FINANCIAL STATEMENTS | FORM 990, PART XI, LINE 2 | WELLMONT MADISON HOUSE'S FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2010 WERE AUDITED AS PART OF WELLMONT HEALTH SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS. WELLMONT HEALTH SYSTEM HAS AN AUDIT COMMITTEE WHICH ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| WELLMONT HEALTH SYSTEM | |||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621636465 | HEALTHCARE | TN | 501(c)(3) | 3 | NA |
| WELLMONT HAWKINS CO MEMORIAL HOSPITAL | |||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621816368 | HEALTHCARE | TN | 501(c)(3) | 3 | WHS |
| WELLMONT FOUNDATION | |||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 581594191 | HEALTHCARE | TN | 501(c)(3) | 7 | WHS |
| WELLMONT IMAGING SERVICES INC | |||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 861103148 | HEALTHCARE | TN | 501(c)(3) | 3 | WHS |
| TAKOMA REGIONAL HOSPITAL INC | |||||||||
| 401 TAKOMA AVE | GREENEVILLE | TN | 37743 | 510603966 | HEALTHCARE | TN | 501(c)(3) | 3 | WHS |
| WELLMONT CARDIOLOGY SERVICES | |||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 263557623 | HEALTHCARE | TN | 501(c)(3) | 3 | WHS |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HOLSTON VALLEY IMAGING CENTER | ||||||||||||
| 103 W STONE DR | KINGSPORT | TN | 37660 | 202043285 | HEALTHCARE | TN | WELLMONT IMAG | RELATED | 0 | 0 | false | false |
| SAPLING GROVE AMBULATORY SURGERY CENTER | ||||||||||||
| 220 MEDICAL PARK BLVD | BRISTOL | TN | 37620 | 204450153 | HEALTHCARE | TN | WHS | RELATED | 0 | 0 | false | false |
| HOLSTON VALLEY AMBULATORY SURGERY CENTER | ||||||||||||
| 103 WEST STONE DRIVE | KINGSPORT | TN | 37660 | 621816864 | SURGERY | TN | WHS | RELATED | 0 | 0 | false | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WELLMONT INC | |||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621320035 | PHYSICIAN SERVICE | TN | WHS | C | 0 | 0 | 0.00000 |
| MCOT INC | |||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621325938 | MEDICAL SERVICES | TN | WELLMONT INC | C | 0 | 0 | 0.00000 |
| MEDICAL LAUNDRY OF TRI-CITIESINC | |||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621482226 | MEDICAL SERVICES | TN | WELLMONT INC | C | 0 | 0 | 0.00000 |
| MEDICAL MALL PHARMACY INC | |||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621565006 | MEDICAL SERVICES | TN | WELLMONT INC | C | 0 | 0 | 0.00000 |
| WELLMONT PHYSICIAN SERVICES INC | |||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621567353 | PHYSICIAN SERVICE | TN | WELLMONT INC | C | 0 | 0 | 0.00000 |
| WELLMONT HEALTH SERVICES INC | |||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621254373 | HEALTHCARE | TN | WELLMONT INC | C | 0 | 0 | 0.00000 |
| WPS PROVIDERS INC | |||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 205564642 | PHYSICIAN SERVICE | TN | WELLMONT INC | C | 0 | 0 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WELLMONT HEALTH SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionType |
| Amount Involved | 610224 | AmountInvolved |