WELLMONT MEDICAL ASSOCIATES INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- WELLMONT MEDICAL ASSOCIATES INC (EIN 27-0898372)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-13
- IRS object ID
- 201911339349302661
- 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 | 2019-05-13T09:30:52-05:00 | 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 | 270898372 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WELLMONT MEDICAL ASSOCIATES INC | 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 | LEANNE COX | PersonNm |
| Person Title | VP CFO | PersonTitleTxt |
| Phone | 4233023374 | PhoneNum |
| Signature | 2019-05-13 | 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 | 2019-05-13 | IPDt |
| IP Tm | 09:30:52 | 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 | LEANNE COX | 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 | $149,282,472 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | BALLADHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2008 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | MISSION: HONOR THOSE WE SERVE BY DELIVERING THE BEST POSSIBLE CARE. VISION: TO BUILD A LEGACY OF SUPERIOR HEALTH BY LISTENING TO AND CARING FOR THOSE WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 1055 | TotalEmployeeCnt |
| Total Gross UBI | $22,420 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $21,420 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $797 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,888 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $108,299,781 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $148,824,625 | CYProgramServiceRevenueAmt |
| CY Investment Income | -$54,796 | CYInvestmentIncomeAmt |
| PY Other Revenue | $340,001 | PYOtherRevenueAmt |
| CY Other Revenue | $404,330 | CYOtherRevenueAmt |
| PY Total Revenue | $108,640,579 | PYTotalRevenueAmt |
| CY Total Revenue | $149,176,047 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $88,922,126 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $91,125,923 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $46,723,067 | PYOtherExpensesAmt |
| CY Other Expenses | $58,889,685 | CYOtherExpensesAmt |
| PY Total Expenses | $135,645,193 | PYTotalExpensesAmt |
| CY Total Expenses | $150,015,608 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$27,004,614 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$839,561 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $24,682,966 | TotalAssetsBOYAmt |
| Total Assets EOY | $24,202,148 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,228,549 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $24,202,148 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,454,417 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | 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 | $136,514,055 | ExpenseAmt |
| Revenue | $148,946,175 | RevenueAmt |
| Desc | WELLMONT MEDICAL ASSOCIATES, INC. IS PHYSICIAN-LED AND PROFESSIONALLY MANAGED. FROM ITS BOARD OF DIRECTORS AND LEADERSHIP TEAM MEMBERS TO THE PROVIDERS WHO CARE FOR PATIENTS EVERY DAY, WELLMONT MEDICAL ASSOCIATES' COMMITMENT TO PHYSICIAN LEADERSHIP IS CLEAR. WELLMONT MEDICAL ASSOCIATES, A NON-PROFIT HEALTHCARE PROVIDER, DELIVERS EXCEPTIONAL CARE TO PATIENTS IN THE TRI-CITIES REGION OF NORTHEAST TENNESSEE AND SOUTHWEST VIRGINIA. BASED IN KINGSPORT, TENNESSEE, AS WELL AS LOCATIONS EXPANDING FROM SNEEDVILLE, TENNESSEE, TO MARION, VIRGINIA, WELLMONT MEDICAL ASSOCIATES OFFERS THE LATEST IN TECHNOLOGICAL ADVANCES TO ENSURE PATIENTS RECEIVE SUPERIOR CARE. (CON'T ON SCHEDULE O) MEDICAL SERVICES PROVIDED BY WELLMONT MEDICAL ASSOCIATES INCLUDE: -PRIMARY CARE -OB/GYN -SURGERY -ONCOLOGY -OUTPATIENT AND URGENT CARE CENTERS -NEUROLOGY -PULMONOLOGY -SPINE AND REHABILITATION -BEHAVORIAL HEALTH -SLEEP CENTER -OCCUPATIONAL MEDICINE -PHYSICAL THERAPY -PAIN MANAGEMENT -PALLIATIVE MEDICINE -HOSPITALISTS WE ARE DEDICATED TO IMPROVING OUR COMMUNITY'S ACCESS TO QUALITY, AFFORDABLE HEALTHCARE, EDUCATING OUR REGION'S CAREGIVERS, IMPROVING THE HEALTH STATUS OF OUR COMMUNITIES AND CONTRIBUTING TO THE OVERALL QUALITY OF LIFE IN THE AREAS WE SERVE. IN FISCAL YEAR 2018, WE HAD 532,608 OFFICE VISITS AND 168,505 HOSPITAL/NURSING HOME VISITS FOR A TOTAL OF 701,113 PATIENT ENCOUNTERS. RECOGNIZING SOME PATIENTS CANNOT AFFORD ESSENTIAL MEDICAL SERVICES, WE PROVIDED CARE FOR INDIGENT PATIENTS INCURRING UNREIMBURSED COSTS OF 2,773,193. ADDITIONALLY, WE PROVIDED CARE TO PEOPLE COVERED BY MEDICARE, MEDICAID, TENNCARE AND CHAMPUS AT A LOSS. DUE TO MANDATED REDUCTIONS IN MEDICARE FUNDING AND DECLINING REIMBURSEMENT FROM TENNCARE, THE SHORTFALL BETWEEN REIMBURSEMENT AND THE COST OF PROVIDING CARE TO THESE PATIENTS TOTALED 63,730,721. IT IS OUR OBLIGATION TO SUPPORT THE CAUSES THAT IMPROVE THE QUALITY OF LIFE IN OUR REGION. WE SPONSORED EDUCATIONAL, COMMUNITY-BASED PROGRAMS ON HEALTHY LIFESTYLES, RISK FACTOR IDENTIFICATION AND OPTIONS FOR DIAGNOSIS AND TREATMENT. PROGRAMS INCLUDED: -LECTURES ABOUT ASTHMA TO AREA ELEMENTARY SCHOOLS -PROVIDING A FREE CLINIC IN CHURCH HILL, TENNESSEE -PROVIDING FREE MEDICAL CARE THROUGH THE REMOTE AREA MEDICAL CLINIC -SUPPORTING THE HEALTH WAGON IN WISE, VIRGINIA -TEACHING AT LINCOLN MEMORIAL UNIVERSITY-DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE -TEACHING AT THE UNIVERSITY OF VIRGINIA'S COLLEGE AT WISE -WORKING WITH APPALACHIAN MOUNTAIN PROJECT ACCESS -WORKING WITH FRIENDS IN NEED, A LOCAL NONPROFIT THAT PROVIDES PRIMARY CARE AND DENTAL CARE TO THE WORKING UNINSURED AND UNDERINSURED AS WELL AS FULL TIME COLLEGE STUDENTS WE ALSO PARTICIPATED IN A NUMBER OF HEALTH FAIRS AND COMMUNITY SCREENINGS. EMPLOYEES GAVE THEIR TIME TO AREA NONPROFIT ORGANIZATIONS, WHICH INCLUDED THE UNITED WAY AND THE EAST TENNESSEE AFFILIATE OF SUSAN G. KOMEN FOR THE CURE. | Desc |
| Total Program Service Expenses | $136,514,055 | 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 | false | 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 | Yes (true) | 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 | 72 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1055 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| 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 | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | 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 (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| BARTON HOVE RETIRED 1312018 | |||||||||
| WHS PRESIDEN | 0.10 | 31.90 | Yes (X) | $0 | $1,219,926 | $49,559 | |||
| PAUL JETT MD | |||||||||
| DIRECTOR/VIC | 40.00 | 0.00 | Yes (X) | $1,086,770 | $0 | $49,346 | Yes (X) | ||
| GIRENDRA HOSKERE MD | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $946,580 | $0 | $27,856 | |||
| IBRAHIM NAKHOUL MD | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $589,969 | $0 | $39,744 | |||
| PUSHKAS GOPALAN MD | |||||||||
| DIRECTOR | 40.00 | Yes (X) | $510,161 | $0 | $34,460 | ||||
| MAURICE NIDA DO | |||||||||
| DIRECTOR/CHA | 40.00 | 0.00 | Yes (X) | $468,396 | $0 | $30,220 | Yes (X) | ||
| LINDA PEARSON MD | |||||||||
| DIRECTOR | 40.00 | Yes (X) | $462,783 | $0 | $23,907 | ||||
| MARTA WAYT MD | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $460,820 | $0 | $24,279 | |||
| STEPHEN COMBS MD | |||||||||
| DIRECTOR/CEM | 40.00 | 0.00 | Yes (X) | $457,846 | $0 | $36,588 | Yes (X) | ||
| DAVID THOMPSON MD | |||||||||
| DIRECTOR/CAM | 40.00 | Yes (X) | $451,658 | $0 | $28,977 | Yes (X) | |||
| DAVID BRASH | |||||||||
| DIR/WMA PRES | 40.00 | 0.00 | Yes (X) | $451,251 | $0 | $35,268 | Yes (X) | ||
| BRYAN WATSON MD | |||||||||
| DIRECTOR | 40.00 | Yes (X) | $338,163 | $0 | $23,816 | ||||
| PARMINDERJIT SINGH MD | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $330,468 | $0 | $32,453 | |||
| STEVE BAUMRUCKER MD | |||||||||
| DIRECTOR | 40.00 | Yes (X) | $319,434 | $0 | $18,745 | ||||
| LENITA THIBAULT MD | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $267,496 | $0 | $15,847 | |||
| LANDON COMBS MD | |||||||||
| DIRECTOR/SEC | 40.00 | 0.00 | Yes (X) | $248,349 | $0 | $24,207 | Yes (X) | ||
| DAVID ASTIN MD | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $233,943 | $0 | $24,482 | |||
| VYVYAN DEROUEN | |||||||||
| DIRECTOR/CAO | 40.00 | 0.00 | Yes (X) | $179,276 | $0 | $20,528 | Yes (X) | ||
| WENDY VOGEL NP | |||||||||
| DIRECTOR | 40.00 | Yes (X) | $94,252 | $0 | $20,937 | ||||
| KAREN WILLIAMS | |||||||||
| VP COO | 40.00 | 0.00 | $215,623 | $0 | $20,221 | Yes (X) | |||
| DANIEL KRENK MD | |||||||||
| PHYSICIAN | 40.00 | $851,333 | $0 | $43,285 | Yes (X) | ||||
| PAUL KRAMER MD | |||||||||
| PHYSICIAN | 40.00 | $789,979 | $0 | $40,251 | Yes (X) | ||||
| ADEL EL ABBASSI MD | |||||||||
| PHYSICIAN | 40.00 | $702,019 | $0 | $21,553 | Yes (X) | ||||
| SAMUEL DEEL MD | |||||||||
| PHYSICIAN | 40.00 | $595,050 | $0 | $35,717 | Yes (X) | ||||
| ROGER MCSHARRY MD | |||||||||
| PHYSICIAN | 40.00 | $547,424 | $0 | $39,248 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $11,599,043 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,219,926 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $761,494 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 225 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | 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 |
|---|---|---|---|---|---|
| BLUE RIDGE RADIOLOGY PC | |||||
| 3053 WEST STATE STREET | BRISTOL | TN | 37620 | RADIOLOGY SVCS | $504,188 |
| WEATHERBY LOCUMS INC | |||||
| 15300 WESTON PARKWAY | CARY | NC | 27513 | PHYSICIAN SVCS | $435,313 |
| HAYES LOCUMS | |||||
| 6700 N ANDREWS AVE SUITE 600 | FORT LAUDERDALE | FL | 33309 | PHYSICIAN SVCS | $351,173 |
| BARTON ASSOCIATES INC | |||||
| PO BOX 417844 | BOSTON | MA | 02241 | PHYSICIAN SVCS | $288,826 |
| WATAUGA ORTHOPAEDICS PLC | |||||
| 2410 SUSANNAH STREET | JOHNSON CITY | TN | 37601 | MEDICAL CARE | $260,949 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,888 | RelatedOrganizationsAmt |
| Total Contributions | $1,888 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE-NET | 621990 | $114,011,321 | $114,011,321 |
| HOSPITAL SUPPORT | 621990 | $32,906,680 | $32,906,680 |
| QUALITY & PERFORMANCE REVENUE | 621990 | $1,463,059 | $1,463,059 |
| WELLNESS REVENUE | 621990 | $373,534 | $373,534 |
| VASCULAR READS REVENUE | 621990 | $47,449 | $47,449 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,582 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,582 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $148,824,625 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $101,010 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $32,519 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $68,491 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $68,491 | TotalRevenueColumnAmt |
| Exclusion | $68,491 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $19,110 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $73,906 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$54,796 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$54,796 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$54,796 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| MEDICAL RECORDS | 621990 | $98,098 | $98,098 | |
| REIMBURSEMENT FROM TENANT | 900099 | $67,100 | $67,100 | |
| TELECOMMUNICATIONS REBATES | 900099 | $63,691 | $63,691 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $106,950 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $78,248 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $22,420 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,282 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $335,839 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $149,176,047 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $148,946,175 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $22,420 | UnrelatedBusinessRevenueAmt |
| Exclusion | $205,564 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,834,623 | TotalAmt |
| Program Services | $7,862,510 | ProgramServicesAmt |
| Management And General | $972,113 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,853,597 | TotalAmt |
| Program Services | $67,736,777 | ProgramServicesAmt |
| Management And General | $2,116,820 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,952,775 | TotalAmt |
| Program Services | $1,901,461 | ProgramServicesAmt |
| Management And General | $51,314 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,239,628 | TotalAmt |
| Program Services | $5,886,928 | ProgramServicesAmt |
| Management And General | $352,700 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,245,300 | TotalAmt |
| Program Services | $4,044,402 | ProgramServicesAmt |
| Management And General | $200,898 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,218 | TotalAmt |
| Management And General | $3,218 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,353,635 | TotalAmt |
| Program Services | $9,738,438 | ProgramServicesAmt |
| Management And General | $615,197 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,498 | TotalAmt |
| Management And General | $9,498 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $773,847 | TotalAmt |
| Program Services | $730,842 | ProgramServicesAmt |
| Management And General | $43,005 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,672,449 | TotalAmt |
| Program Services | $6,231,263 | ProgramServicesAmt |
| Management And General | $441,186 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $285,244 | TotalAmt |
| Program Services | $225,438 | ProgramServicesAmt |
| Management And General | $59,806 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $400,001 | TotalAmt |
| Program Services | $378,754 | ProgramServicesAmt |
| Management And General | $21,247 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,223,314 | TotalAmt |
| Program Services | $2,223,314 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $261,910 | TotalAmt |
| Management And General | $261,910 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DRUGS & MEDICAL SUPPLIES | $28,495,818 | $28,495,818 | |
| BILLING & IT FEES | $7,803,678 | $7,803,678 | |
| REPAIRS & MAINTENANCE | $655,139 | $447,109 | $208,030 |
| DUES AND MEMBERSHIPS | $546,085 | $263,065 | $283,020 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $405,849 | TotalAmt |
| Program Services | $347,936 | ProgramServicesAmt |
| Management And General | $57,913 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,015,608 | TotalAmt |
| Program Services | $136,514,055 | ProgramServicesAmt |
| Management And General | $13,501,553 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,333 | BOYAmt |
| EOY | $18,633 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,324,960 | BOYAmt |
| EOY | $7,807,529 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $26,334 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $953,668 | BOYAmt |
| EOY | $914,419 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $656,120 | BOYAmt |
| EOY | $529,625 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,978 | BOYAmt |
| EOY | $79,407 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $32,860,943 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $19,324,198 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,319,451 | BOYAmt |
| EOY | $13,536,745 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,289,456 | BOYAmt |
| EOY | $1,289,456 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,682,966 | BOYAmt |
| EOY | $24,202,148 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,228,549 | BOYAmt |
| EOY | $10,527,526 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $13,674,622 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,228,549 | BOYAmt |
| EOY | $24,202,148 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,454,417 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,454,417 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,682,966 | BOYAmt |
| EOY | $24,202,148 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$839,561 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$14,614,856 | 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 Minus4 Years | $38,508 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,086 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,358 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $797 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,888 | CurrentTaxYearAmt |
| Total | $53,637 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $66,564,675 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $73,921,151 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $74,067,183 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $108,656,694 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $149,020,081 | CurrentTaxYearAmt |
| Total | $472,229,784 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $137,073 | CurrentTaxYearAmt |
| Total | $137,073 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $66,603,183 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $73,928,237 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $74,072,541 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $108,657,491 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $149,159,042 | CurrentTaxYearAmt |
| Total | $472,420,494 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $472,420,494 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $153,831 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $156,801 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $89,681 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $114,832 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $101,010 | CurrentTaxYearAmt |
| Total | $616,155 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $153,831 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $156,801 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $89,681 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $114,832 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $101,010 | CurrentTaxYearAmt |
| Total | $616,155 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $66,757,014 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $74,085,038 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $74,162,222 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $108,772,323 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $149,260,052 | CurrentTaxYearAmt |
| Total | $473,036,649 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99870 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99950 | 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,688 | OtherCostOrOtherBasisAmt |
| Book Value | $28,688 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,840,252 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,866,927 | DepreciationAmt |
| Book Value | -$26,675 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,133,747 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,515,738 | DepreciationAmt |
| Book Value | $9,618,009 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,624,886 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,846,928 | DepreciationAmt |
| Book Value | $3,777,958 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,233,370 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,094,605 | DepreciationAmt |
| Book Value | $138,765 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,536,745 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $13,674,622 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,674,622 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | WELLMONT MEDICAL ASSOCIATES 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." | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Written Policy Ref T And E Expnss | false | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | false | SubstantiationRequiredInd |
| 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 (24 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 | ||||||||||||
| WHS PRESIDENT/CEO | $817,290 | $391,085 | $11,551 | $27,695 | $21,864 | $1,269,485 | ||||||
| PAUL JETT MD | ||||||||||||
| DIRECTOR/VICE-CHAIR | $805,626 | $280,871 | $273 | $29,116 | $20,230 | $1,136,116 | ||||||
| GIRENDRA HOSKERE MD | ||||||||||||
| DIRECTOR | $528,236 | $418,054 | $290 | $25,800 | $2,056 | $974,436 | ||||||
| IBRAHIM NAKHOUL MD | ||||||||||||
| DIRECTOR | $523,121 | $66,300 | $548 | $19,187 | $20,557 | $629,713 | ||||||
| PUSHKAS GOPALAN MD | ||||||||||||
| DIRECTOR | $487,527 | $22,344 | $290 | $13,773 | $20,687 | $544,621 | ||||||
| MAURICE NIDA DO | ||||||||||||
| DIRECTOR/CHAIR | $467,602 | $794 | $15,658 | $14,562 | $498,616 | |||||||
| LINDA PEARSON MD | ||||||||||||
| DIRECTOR | $369,674 | $92,945 | $164 | $9,345 | $14,562 | $486,690 | ||||||
| MARTA WAYT MD | ||||||||||||
| DIRECTOR | $398,775 | $61,845 | $200 | $15,420 | $8,859 | $485,099 | ||||||
| STEPHEN COMBS MD | ||||||||||||
| DIRECTOR/CEMO | $405,497 | $46,790 | $5,559 | $16,334 | $20,254 | $494,434 | ||||||
| DAVID THOMPSON MD | ||||||||||||
| DIRECTOR/CAMO | $391,467 | $58,947 | $1,244 | $9,189 | $19,788 | $480,635 | ||||||
| DAVID BRASH | ||||||||||||
| DIR/WMA PRESIDENT | $314,430 | $136,312 | $509 | $14,837 | $20,431 | $486,519 | ||||||
| BRYAN WATSON MD | ||||||||||||
| DIRECTOR | $234,175 | $71,185 | $32,803 | $7,398 | $16,418 | $361,979 | ||||||
| PARMINDERJIT SINGH MD | ||||||||||||
| DIRECTOR | $307,942 | $22,344 | $182 | $12,123 | $20,330 | $362,921 | ||||||
| STEVE BAUMRUCKER MD | ||||||||||||
| DIRECTOR | $294,621 | $23,571 | $1,242 | $11,533 | $7,212 | $338,179 | ||||||
| LENITA THIBAULT MD | ||||||||||||
| DIRECTOR | $261,131 | $4,059 | $2,306 | $10,080 | $5,767 | $283,343 | ||||||
| LANDON COMBS MD | ||||||||||||
| DIRECTOR/SEC/TREAS | $201,554 | $44,278 | $2,517 | $9,034 | $15,173 | $272,556 | ||||||
| DAVID ASTIN MD | ||||||||||||
| DIRECTOR | $189,643 | $43,594 | $706 | $8,845 | $15,637 | $258,425 | ||||||
| VYVYAN DEROUEN | ||||||||||||
| DIRECTOR/CAO | $161,479 | $17,568 | $229 | $6,559 | $13,969 | $199,804 | ||||||
| KAREN WILLIAMS | ||||||||||||
| VP COO | $181,247 | $33,511 | $865 | $7,621 | $12,600 | $235,844 | ||||||
| DANIEL KRENK MD | ||||||||||||
| PHYSICIAN | $826,043 | $25,000 | $290 | $24,173 | $19,112 | $894,618 | ||||||
| PAUL KRAMER MD | ||||||||||||
| PHYSICIAN | $615,812 | $173,733 | $434 | $25,194 | $15,057 | $830,230 | ||||||
| ADEL EL ABBASSI MD | ||||||||||||
| PHYSICIAN | $511,570 | $190,257 | $192 | $20,942 | $611 | $723,572 | ||||||
| SAMUEL DEEL MD | ||||||||||||
| PHYSICIAN | $466,607 | $102,219 | $26,224 | $16,898 | $18,819 | $630,767 | ||||||
| ROGER MCSHARRY MD | ||||||||||||
| PHYSICIAN | $371,892 | $174,515 | $1,017 | $18,437 | $20,811 | $586,672 | ||||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 1A | DISCRETIONARY SPENDING WELLMONT MEDICAL ASSOCIATES PROVIDED A MONTHLY VEHICLE ALLOWANCE TO STEPHEN COMBS, M.D. FOR TRAVEL EXPENSES DURING THE FISCAL YEAR ENDED JUNE 30, 2018. THE AMOUNT IS INCLUDED IN TAXABLE COMPENSATION. |
| SCHEDULE J, PAGE 1, PART I, LINE 1B | AS PART OF DR. COMBS' EMPLOYMENT AGREEMENT FOR ASSUMING THE WMA CEMO POSITION, HE RECEIVES 400 A MONTH TO PROVIDE FOR HIS PERSONAL AUTO USAGE. AS CEMO, DR. COMBS IS REQUIRED TO ATTEND NUMEROUS MEDICAL STAFF MEETINGS, EXECUTIVE BUSINESS MEETINGS, SERVE ON VARIOUS COMMITTEES AND IS RESPONSIBLE FOR VARIOUS OTHER CLINICAL DUTIES. HE TRAVELS TO MULTIPLE LOCATIONS IN EAST TENNESSEE AND SOUTHWEST VIRGINIA IN PERFORMANCE OF THESE RESPONSIBILITIES. THE AGREEMENT WAS APPROVED BY THE WELLMONT HEALTH SYSTEM CEO. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| SAMUEL DEEL MD | |||||||
| HIGHEST COMPENSATED | MEDICAL SCHOOL LOAN ASSISTANCE | Yes (X) | $80,000 | $25,188 | false | false | Yes (true) |
| BRYAN WATSON MD | |||||||
| BOARD MEMBER | MEDICAL SCHOOL LOAN ASSISTANCE | Yes (X) | $30,000 | $1,146 | false | false | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $26,334 | TotalBalanceDueAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | SCHEDULE L, PART II, LINE 1, LOANS TO AND/OR FROM INTERESTED PERSONS: SAMUEL DEEL'S EMPLOYMENT AGREEMENT ALLOWS FOR THREE (3) INSTALLMENT PAYMENTS UP TO 80,000 FOR THE PURPOSE OF REPAYING LOANS INCURRED BY HIM WHILE IN MEDICAL SCHOOL. THE PROMISSORY NOTE WAS APPROVED BY THE PRESIDENT OF WELLMONT HEALTH SYSTEM. BRYAN WATSON'S EMPLOYMENT AGREEMENT ALLOWS FOR A PAYMENT OF 30,000 FOR THE PURPOSE OF REPAYING LOANS INCURRED BY HIM WHILE IN MEDICAL SCHOOL. THE PROMISSORY NOTE WAS APPROVED BY THE PRESIDENT OF WELLMONT MEDICAL ASSOCIATES, INC. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | MEDICAL SERVICES PROVIDED BY WELLMONT MEDICAL ASSOCIATES INCLUDE: -PRIMARY CARE -OB/GYN -SURGERY -ONCOLOGY -OUTPATIENT AND URGENT CARE CENTERS -NEUROLOGY -PULMONOLOGY -SPINE AND REHABILITATION -BEHAVORIAL HEALTH -SLEEP CENTER -OCCUPATIONAL MEDICINE -PHYSICAL THERAPY -PAIN MANAGEMENT -PALLIATIVE MEDICINE -HOSPITALISTS WE ARE DEDICATED TO IMPROVING OUR COMMUNITY'S ACCESS TO QUALITY, AFFORDABLE HEALTHCARE, EDUCATING OUR REGION'S CAREGIVERS, IMPROVING THE HEALTH STATUS OF OUR COMMUNITIES AND CONTRIBUTING TO THE OVERALL QUALITY OF LIFE IN THE AREAS WE SERVE. IN FISCAL YEAR 2018, WE HAD 532,608 OFFICE VISITS AND 168,505 HOSPITAL/NURSING HOME VISITS FOR A TOTAL OF 701,113 PATIENT ENCOUNTERS. RECOGNIZING SOME PATIENTS CANNOT AFFORD ESSENTIAL MEDICAL SERVICES, WE PROVIDED CARE FOR INDIGENT PATIENTS INCURRING UNREIMBURSED COSTS OF 2,773,193. ADDITIONALLY, WE PROVIDED CARE TO PEOPLE COVERED BY MEDICARE, MEDICAID, TENNCARE AND CHAMPUS AT A LOSS. DUE TO MANDATED REDUCTIONS IN MEDICARE FUNDING AND DECLINING REIMBURSEMENT FROM TENNCARE, THE SHORTFALL BETWEEN REIMBURSEMENT AND THE COST OF PROVIDING CARE TO THESE PATIENTS TOTALED 63,730,721. IT IS OUR OBLIGATION TO SUPPORT THE CAUSES THAT IMPROVE THE QUALITY OF LIFE IN OUR REGION. WE SPONSORED EDUCATIONAL, COMMUNITY-BASED PROGRAMS ON HEALTHY LIFESTYLES, RISK FACTOR IDENTIFICATION AND OPTIONS FOR DIAGNOSIS AND TREATMENT. PROGRAMS INCLUDED: -LECTURES ABOUT ASTHMA TO AREA ELEMENTARY SCHOOLS -PROVIDING A FREE CLINIC IN CHURCH HILL, TENNESSEE -PROVIDING FREE MEDICAL CARE THROUGH THE REMOTE AREA MEDICAL CLINIC -SUPPORTING THE HEALTH WAGON IN WISE, VIRGINIA -TEACHING AT LINCOLN MEMORIAL UNIVERSITY-DEBUSK COLLEGE OF OSTEOPATHIC MEDICINE -TEACHING AT THE UNIVERSITY OF VIRGINIA'S COLLEGE AT WISE -WORKING WITH APPALACHIAN MOUNTAIN PROJECT ACCESS -WORKING WITH FRIENDS IN NEED, A LOCAL NONPROFIT THAT PROVIDES PRIMARY CARE AND DENTAL CARE TO THE WORKING UNINSURED AND UNDERINSURED AS WELL AS FULL TIME COLLEGE STUDENTS WE ALSO PARTICIPATED IN A NUMBER OF HEALTH FAIRS AND COMMUNITY SCREENINGS. EMPLOYEES GAVE THEIR TIME TO AREA NONPROFIT ORGANIZATIONS, WHICH INCLUDED THE UNITED WAY AND THE EAST TENNESSEE AFFILIATE OF SUSAN G. KOMEN FOR THE CURE. |
| FORM 990, PAGE 6, PART VI, LINE 2 | STEPHEN COMBS, M.D. LANDON COMBS, M.D. DIRECTOR DIR./OFFICER FAMILY RELATIONSHIP |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE BUSINESS AND AFFAIRS OF WELLMONT MEDICAL ASSOCIATES, INC. (WMA) ARE GOVERNED BY WELLMONT HEALTH SYSTEM'S BOARD OF DIRECTORS. WMA'S BOARD OF DIRECTORS IS DESIGNATED BY WELLMONT HEALTH SYSTEM, THE SOLE MEMBER OF WMA. IN ADDITION TO SUCH RIGHTS OF APPROVAL AND CONSENT AS MAY BE RESERVED TO THE SOLE MEMBER OF WMA PURSUANT TO APPLICABLE LAW, TRANSACTIONS OF THE FOLLOWING MATTERS BY WMA REQUIRE THE PRIOR APPROVAL OF WELLMONT HEALTH SYSTEM: (A) IMPLEMENTATION OF WMA'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 WMA. |
| FORM 990, PAGE 6, PART VI, LINE 7A | WELLMONT HEALTH SYSTEM (WHS) IS WMA'S SOLE MEMBER. THE BOARD OF DIRECTORS OF BALLAD HEALTH, WHS'S PARENT ORGANIZATION, SERVES AS WHS'S BOARD OF DIRECTORS AND IS RESPONSIBLE FOR APPOINTING THE DIRECTORS OF WMA'S BOARD. |
| 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 HOVE (RETIRED 1/31/2018) |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE VP/CFO OF WMA REVIEWED THE FORM 990 WITH WMA'S BOARD OF DIRECTORS PRIOR TO FILING THE RETURN. BOARD MEMBERS WERE PROVIDED THE RETURN IN AN ELECTRONIC FORMAT PRIOR TO THE REVIEW. |
| FORM 990, PAGE 6, PART VI, LINE 12C | WMA 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 | WMA'S BOARD CHAIR, DR. NIDA, RECEIVES NO COMPENSATION FOR HIS BOARD SERVICE TO WMA. HIS COMPENSATION IS DERIVED FROM MEDICAL SERVICES PROVIDED TO WMA. HIS COMPENSATION, CONSISTENT WITH ALL WMA PHYSICIANS, IS EVALUATED PERIODICALLY BY WELLMONT HEALTH SYSTEM'S HUMAN RESOURCES DEPARTMENT UTILIZING MGMA DATA. COMPENSATION FOR DAVID BRASH, WMA'S PRESIDENT, WAS REVIEWED AND APPROVED DURING THE TAX YEAR BY THE HUMAN RESOURCES COMMITTEE OF WMA'S SOLE MEMBER, WELLMONT HEALTH SYSTEM, AND SUBSEQUENTLY APPROVED BY THE BOARD OF WELLMONT'S PARENT ORGANIZATION, BALLAD HEALTH. WELLMONT MERGED WITH MOUNTAIN STATES HEALTH ALLIANCE DURING FY18 TO FORM BALLAD HEALTH. AT MERGER, BALLAD'S BOARD OF DIRECTORS ASSUMED BOARD RESPONSIBILITIES FOR BOTH WELLMONT AND MOUNTAIN STATES. DATA OF COMPARABLE POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS FROM AN INDEPENDENT COMPENSATION CONSULTANT WAS USED WHEN DETERMINING COMPENSATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | PHYSICIAN DIRECTORS/OFFICERS DO NOT RECEIVE COMPENSATION FOR SERVICES PROVIDED TO WMA AS A BOARD MEMBER. PHYSICIAN SALARIES ARE EVALUATED BY WELLMONT HEALTH SYSTEM'S CORPORATE HUMAN RESOURCES (HR) DEPARTMENT UTILIZING MGMA DATA. NON-PHYSICIAN OFFICER AND KEY EMPLOYEE COMPENSATION IS DETERMINED ACCORDING TO BALLAD HEALTH'S SALARY POLICY: POSITIONS AT THE ASSISTANT VICE PRESIDENT LEVEL AND ABOVE ARE REVIEWED AND APPROVED ON AN ANNUAL BASIS BY BALLAD HEALTH'S BOARD OF DIRECTORS. POSITIONS BELOW ASSISTANT VICE PRESIDENT ARE EVALUATED PERIODICALLY BY HR USING DATA FROM VARIOUS EXTERNAL SOURCES FOR SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. |
| 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. |
| FORM 990, PART XI, LINE 9 | INTERCOMPANY SETTLEMENTS -14,592,436 EMPLOYER PROVIDED PARKING - NOT ON BOOKS -22,420 TOTAL -14,614,856 |
| 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), WELLMONT MEDICAL ASSOCIATES' SOLE MEMBER, 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. FORM 990 - ADDITIONAL INFORMATION FY18 FORM 990 HAS NUMEROUS CHANGES FROM PRIOR YEAR RETURNS. WE BELIEVE THESE CHANGES ARE NECESSARY TO BETTER REFLECT THE ORGANIZATION'S ACTIVITY. |
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 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 WEXFORD HOUSE | ||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 581859039 | NSG. HOME | TN | 501C3 | 10 | WHS | false |
| WELLMONT SLEEP SERVICES | ||||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 273777167 | MED. SERV. | TN | 501C3 | 3 | 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 |
| WELLMONT MALL PHARMACY INC | ||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621565006 | MED. SERV. | TN | N/A | false |
| WELLMONT PHYSICIANS SERVICES INC | ||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621567353 | MED. SERV. | TN | N/A | false |
| WELLMONT HEALTH SERVICES INC | ||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 621254373 | MED. SERV. | TN | N/A | false |
| WPS PROVIDERS INC | ||||||||
| 1905 AMERICAN WAY | KINGSPORT | TN | 37660 | 625564642 | 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 | ||||||||
| 1490 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 | Yes (true) | 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 | Yes (true) | 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 | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
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