Civic Intelligence

Wellmont Wexford House

EIN 58-1859039 • 501(c)3 • Johnson City, TN

Profile

Provide facilities and healthcare for the elderly.

Refreshing map…

1021 W Oakland Avenue Suite 103Johnson City, TN 37604

www.wellmont.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

71st percentile

0.43x

Higher debt load relative to assets than 71% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

68th percentile

0.47x

Higher debt load relative to revenue than 68% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

7th percentile

-41%

Higher net margin than 7% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

99th percentile

$2,247,795

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 22.4% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

13th percentile

-8.1%

Faster asset growth than 13% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

55th percentile

9.5%

Faster revenue growth than 55% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Up

$12,017,543

Up $247,957 (+2.1%) from 2022

Liabilities

Down

$1,541,388

Down $532,149 (-26%) from 2022

Net Assets

Up

$10,476,155

Up $780,106 (+8.0%) from 2022

Revenue

Down

$9,150,384

Down $2,461,763 (-21%) from 2022

Expenses

Down

$13,142,889

Down $2,936,840 (-18%) from 2022

Net Income

Up

-$3,992,505

Up $475,077 (+11%) from 2022

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$15M$10M$5.0M$0Assets 2010: $6,738,213Liabilities 2010: $6,452,155Net Assets 2010: $286,0582010Assets 2011: $8,541,448Liabilities 2011: $7,518,382Net Assets 2011: $1,023,0662011Assets 2012: $9,095,007Liabilities 2012: $7,856,699Net Assets 2012: $1,238,3082012Assets 2013: $9,008,215Liabilities 2013: $6,816,180Net Assets 2013: $2,192,0352013Assets 2014: $2,164,274Liabilities 2014: $1,367,040Net Assets 2014: $797,2342014Assets 2015: $2,534,675Liabilities 2015: $1,107,058Net Assets 2015: $1,427,6172015Assets 2016: $17,284,875Liabilities 2016: $1,490,945Net Assets 2016: $15,793,9302016Assets 2017: $14,946,670Liabilities 2017: $965,944Net Assets 2017: $13,980,7262017Assets 2018: $14,094,241Liabilities 2018: $859,853Net Assets 2018: $13,234,3882018Assets 2019: $14,769,048Liabilities 2019: $1,452,211Net Assets 2019: $13,316,8372019Assets 2020: $13,462,829Liabilities 2020: $2,421,804Net Assets 2020: $11,041,0252020Assets 2021: $13,358,806Liabilities 2021: $2,846,718Net Assets 2021: $10,512,0882021Assets 2022: $11,769,586Liabilities 2022: $2,073,537Net Assets 2022: $9,696,0492022Assets 2023: $12,017,543Liabilities 2023: $1,541,388Net Assets 2023: $10,476,1552023

Highlighted filing

2023

Assets$12,017,543
Liabilities$1,541,388
Net Assets$10,476,155

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$20M$10M$0-$10MExpenses 2010: $11,089,7272010Expenses 2011: $11,834,7282011Expenses 2012: $13,839,1942012Revenue 2013: $14,855,100Expenses 2013: $13,901,373Net Income 2013: $953,7272013Revenue 2014: $15,207,877Expenses 2014: $14,098,592Net Income 2014: $1,109,2852014Revenue 2015: $15,098,830Expenses 2015: $13,671,213Net Income 2015: $1,427,6172015Revenue 2016: $16,872,271Expenses 2016: $14,936,731Net Income 2016: $1,935,5402016Revenue 2017: $15,463,912Expenses 2017: $14,882,972Net Income 2017: $580,9402017Revenue 2018: $14,802,628Expenses 2018: $13,898,700Net Income 2018: $903,9282018Revenue 2019: $14,910,543Expenses 2019: $15,249,509Net Income 2019: -$338,9662019Revenue 2020: $16,017,345Expenses 2020: $15,108,806Net Income 2020: $908,5392020Revenue 2021: $14,470,286Expenses 2021: $15,734,330Net Income 2021: -$1,264,0442021Revenue 2022: $11,612,147Expenses 2022: $16,079,729Net Income 2022: -$4,467,5822022Revenue 2023: $9,150,384Expenses 2023: $13,142,889Net Income 2023: -$3,992,5052023

Highlighted filing

2023

Revenue$9,150,384
Expenses$13,142,889
Net Income-$3,992,505

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$12.0$1.54$10.5$9.15$13.1$3.99
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.8$2.07$9.70$11.6$16.1$4.47
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.4$2.85$10.5$14.5$15.7$1.26
2020Detailed filing. Detailed filing data is available for this year.$13.5$2.42$11.0$16.0$15.1$0.91
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.8$1.45$13.3$14.9$15.2$0.34
2018Summary only. Only limited summary data is available for this year.$14.1$0.86$13.2$14.8$13.9$0.90
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.9$0.97$14.0$15.5$14.9$0.58
2016Detailed filing. Detailed filing data is available for this year.$17.3$1.49$15.8$16.9$14.9$1.94
2015Detailed filing. Detailed filing data is available for this year.$2.53$1.11$1.43$15.1$13.7$1.43
2014Detailed filing. Detailed filing data is available for this year.$2.16$1.37$0.80$15.2$14.1$1.11
2013Summary only. Only limited summary data is available for this year.$9.01$6.82$2.19$14.9$13.9$0.95
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.10$7.86$1.24$13.8
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.54$7.52$1.02$11.8
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.74$6.45$0.29$11.1
Latest Detailed Filing

The latest 2023 filing currently has summary financial data only. Showing the latest detailed filing from 2020 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2019 to Jun 30, 2020
Signed
May 13, 2021
Return Version
2019v5.0
Gross Receipts
$16,017,345
Mission and Program Overview

Mission

Honor those we serve by delivering the best possible care.Ballad Health is dedicated to improving the health of the 29-county Appalachian Highlands region.

Provide facilities and healthcare for the elderly.

Balance Sheet Detail
LineBeginningEndChange
Assets
Intangible Assets$7,622,979$7,622,979→ $0
Land, Buildings, and Equipment, Net$4,339,103$4,068,134▼ $270,969
Accounts Receivable$1,556,238$1,546,107▼ $10,131
Cash and Non-Interest-Bearing Accounts$59,713$68,377▲ $8,664
Prepaid Expenses and Deferred Charges$16,737$10,062▼ $6,675
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Inventories for Sale or Use-$0-
Total Assets$14,769,048$13,462,829▼ $1,306,219
Other Assets Total$1,174,278$147,170▼ $1,027,108
Liabilities
Accounts Payable and Accrued Expenses$1,204,806$1,286,061▲ $81,255
Other Liabilities$207,322$1,054,478▲ $847,156
Escrow Account Liability$40,083$81,265▲ $41,182
Total Liabilities$1,452,211$2,421,804▲ $969,593
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$13,316,837$11,041,025▼ $2,275,812
Total Net Assets Fund Balance$13,316,837$11,041,025▼ $2,275,812
Total Liabilities and Net Assets / Fund Balance$14,769,048$13,462,829▼ $1,306,219

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$2,926,171$2,146,610$5,072,781
Equipment$584,275$786,487$1,370,762
Land$505,992-$505,992
Other Land Buildings$51,696$103,874$155,570
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Andrew WamplerSec/Tres/CFO-NW-$137,035$47,422$184,457
Pamela PoffLpnFT$101,581$13,022$114,603

Board Members and Trustees

NameTitle
Michele RusekExecutive Director
Gary MillerFormer Board Member
Eric DeatonBh Evp/COO
Dale PoeFormer Officer
Marvin EichornFormer Officer
Monty McLaurinFormer Officer
Barton HoveFormer Officer-Retired
Todd DouganFormer Officer-Retired
Marta Wayt MDStaff Physician
Hamlin WilsonVP/Employee Rel
Grace PereiraVP/Non Acute Sv
Linda WhiteWH Pres/CEO-NW

Highest Paid Contractors

ContractorServicesLocationCompensation
HealthPRO Heritage LLCRehabilitation services536 Old Howell Road, Greeneville, SC 29615$785,140
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$15,904,348
Investment Income
$0
Other Revenue
$112,997
Change in Net Assets
$908,539
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$8,191,352
Other Expenses$6,917,454
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,696,715$692,297-$6,389,012
Fees for Services Other$2,704,150$49,737-$2,753,887
Other Employee Benefits$833,864$220,563-$1,054,427
Interest$469,586$127,812-$597,398
Depreciation Depletion$418,489$91,855-$510,344
Payroll Taxes$416,047$25,377-$441,424
Occupancy$298,288$23,724-$322,012
Office Expenses$142,104$87,353-$229,457
Current Officers, Directors, Trustees, and Key Employees-$196,227-$196,227
All Other Expenses$111,274$42,821-$154,095
Insurance$108,341$11,261-$119,602
Pension Plan Contributions$98,941$11,321-$110,262
Other Expenses$71,491$4,345-$75,836
Fees for Services Legal-$55,286-$55,286
Travel$3,983$2,447-$6,430
Advertising-$781-$781
Total Functional Expenses$13,081,816$2,026,990$0$15,108,806
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to 3rd Parties-Stimulus Reserve$495,567
Due to 3rd Parties-Medicare Adv Pmts L/T$227,264
Pharmacy, Medical, Worker's Comp$184,299
COVID-19 FICA Loan$88,119
Due to 3rd Parties-Medicare Adv Pmts S/T$50,571
Due to Affiliates$8,658
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder

The business and affairs of Wellmont Wexford House (the Corporation) shallbe governed exclusively by the Board of Directors. The Corporation's Boardof Directors is designated by Wellmont Health System, the sole member ofthe Corporation.In addition to such rights of approval and consent as may be reserved tothe sole member of the Corporation pursuant to applicable law, transactionsof the following matters by the Corporation shall require the priorapproval of Wellmont Health System:A) Implementation of the Corporation's annual budget,B) Incurring any loan or other indebtedness for borrowed money,C) Acquisition of any equipment or personal property for a purchase price in excess of $50,000 or the acquisition of any real estate, regardless of purchase price,D) The undertaking of certain contractual commitments,E) Entering into any plan of merger or consolidation,F) Acquisition of substantially all of the assets of any other legal entity, andG) Institution of any litigation by or on behalf of the Corporation.

Form 990, Part VI, Line 7A: How Members or Shareholders Elect Governing Body

The Board of Directors are appointed by the Wellmont Health System Board ofDirectors.

Form 990, Part VI, Line 7B: Describe Decisions of Governing Body Approval by Members or Shareholders

Certain decisions of the board are, pursuant to charter, subject toapproval of the members. No ordinary, day-to-day decisions are subjectmember approval.

Form 990, Part VI, Line 11B: Form 990 Review Process

The Ballad Health Tax Department prepares and reviews the Form 990. During preparation other functional areas within the organization provide information and support to complete an accurate return. The return is reviewed by the organization's Executive Director and is provided in electronic form to all members of the Board of Directors prior to being filed with the IRS.

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

Ballad Health has a conflict of interest policy for all members of the Board of Directors, the Executive Chair/President, Executive Vice Presidents, Senior Vice Presidents,and Vice Presidents, and applies to all Ballad organizations. All persons covered by this policy are required to complete a conflict of interest disclosure 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 committee is responsible for disclosing conflicts of interest, it is also the responsibility of any board member aware of a conflict which has not been disclosed to ensure the board is made aware. The presiding officer of a board or board committee meeting may ask a conflicted member to excuse themselves from the meeting during the discussion related to the issue with which the conflict of interest applies. Under no circumstances shall a member vote on a matter that gives rise to a potential conflict.

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

Governing documents and conflict of interest policy are made available upon request to the appropriate parties requesting them. Financial statements are made available upon request to appropriate parties requesting them, and they are made available to those parties who own indebtedness of the company on a quarterly basis.

Form 990, Part VI, Line 15A - Compensation Process for Top Official

On an annual basis, Ballad Health's Human Resources (HR) Department evaluates compensation for all executives at a position level of Assistant Vice President and above. The review includes Ballad Health's CEO-Northwest Market, who also serves as board president of Wellmont Wexford House. HR's evaluation is based on market data obtained from independent third-party consultants for positions with similar responsibilities at similarly situated organizations. Based on this comparable data, Ballad Health's President and CEO evaluates the data and submits his recommendations to Ballad Health's Board of Directors for their final review and approval. In addition, Ballad Health offers an incentive plan to executives based on targeted achievement metrics approved by the Ballad Health Board of Directors which include Quality of Care, Access to Care, Cost Management, Etc.Similar to Ballad Health's CEO-Northwest Market, Wellmont Wexford House's Executive Director receives compensation that complies with Ballad Health's salary policy. Her pay is set at a market percentile specific to her position as Executive Director of Wellmont Wexford House.

Form 990, Part VI, Line 15B - Compensation for Officers

Similar to Ballad Health's CEO-Northwest Market, other officers reported on Wellmont Wexford House's Part VII receive compensation that complies with Ballad Health's salary policy and undergoes the same review and approval process by Ballad Health's Board of Directors as described in 15a.

Filing and Contact Details

Filer

Filer Name
Wellmont Wexford House
EIN
58-1859039
Phone
4233023374
Address
1021 W Oakland Avenue Suite 103, Johnson City, TN 37604

Signing Officer

Name
Michele Rusek
Title
Executive Director
Signed
2021-05-13

Organization Details

Principal Officer
Michele Rusek
Formed
1989
Legal Domicile
Tn
Voting Board Members
6
Independent Board Members
0
Employees
231
Supplemental Narrative

Additional Explanations

Other Changes In Net Assets Or Fund Balances - Other Decreases

Intercompany Transfers = -$3184351

Financial Statement Notes

Part IV, Line 2B: Explanation of escrow account liability

The patient trust liability account is monies owned by the residents of Wellmont Wexford House to be used for personal expenses. The residents' social security checks and other personal funds are deposited to Wellmont Wexford House SunTrust Bank account, solely used for the residents'. Checks are written from this account by Ballad Health Accounts Payable department via check requests submitted by Wellmont Wexford House business office manager for residents' personal expenses. The patient trust liability account is monitored closely by the State of Tennessee to ensure disbursements are in compliance with state law.

Part X : FIN48 Footnote

Wellmont Wexford House is included in the audited consolidated financial statements of Ballad Health. The footnote explanation relative to income taxes reads: "Ballad is classified as an organization exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. As such, no provision for federal income taxes is included in the accompanying consolidated financial statements. Taxable subsidiaries are discussed in Note K. No significant uncertain tax positions exist at June 30, 2020. Tax returns for 2017 through 2019 are subject to examination by the Internal Revenue Service."

Raw XML AppendixShowing 400 of 1,109 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0Wellmont Wexford House is a 174-bed skilled and long-term care facility. Our team of professional caregivers has a goal to provide each resident with high-quality healthcare in a comfortable home-like environment. Their expertise ensures effective medical services for skilled and rehabilitative nursing care, including inpatient and outpatient physical therapy, speech therapy and occupational therapy, residential custodial care, respite and hospice care. During fiscal year 2020, Wexford House served 599 residents and provided 56,316 days of care.Serving the residents of Sullivan County and surrounding communities, our licensed and certified nursing facility is recognized by The Joint Commission as a healthcare leader, providing short-term and long-term medical care and rehabilitation. Wellmont Wexford House earned the Joint Commission's Gold Seal of Approval for accreditation and certification in August 2017 with a December 31, 2020 expiration. Our facility achieved that designation by complying with national standards for advanced rehabilitation services, healthcare quality and patient and resident safety in nursing home care.With the aligning of Ballad Health's organizations, Wellmont Wexford House enhances the continuum of care the region's patients receive. It results in a seamless transition from one healthcare setting to another, while retaining the same quality throughout the care process.Special attention is given to the personal needs of each resident. Social, religious, recreational and educational programs, along with other amenities, are provided so each resident can lead a fulfilling life and experience as much personal freedom as possible.Services at Wellmont Wexford House include nursing and healthcare programs that offer a wide range of individualized care such as respiratory care, therapeutic management, restorative therapies, nutritional counseling and recreational activities, as well as convalescent nursing care for the acutely ill.Residents also have onsite access to diagnostic services such as ultrasound, X-ray and EKG.Motivational programs emphasize the rehabilitation of each resident to their maximum level of functioning. Other medical services offered include enteral nutritional and tube feeding, Foley catheter care, colostomy, urostomy, nephrostomy care, ventilator care, IV access care and therapy/antibiotics, pain management, diabetes care, wound care, lab services, orthopedic rehabilitation, incontinence care, and dental and vision care.Wexford House has also been recognized as a five-star facility by the Centers for Medicaid and Medicare Services and has garnered a perfect score from Tennessee Department of Health inspectors.
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