Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 431,349 | 24,975 | 156,474 | 44,458 | 657,256 | |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 14,022,439 | 11,593,640 | 9,122,969 | 9,861,686 | 7,441,019 | 52,041,753 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 16,466 | 18,507 | 2,395 | 1,332 | 1,889 | 40,589 |
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 14,470,254 | 11,612,147 | 9,150,339 | 10,019,492 | 7,487,366 | 52,739,598 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 253,816 | 208,438 | 430,278 | 572,084 | 1,143,469 | 2,608,085 |
| c | Add lines 7a and 7b.. | 253,816 | 208,438 | 430,278 | 572,084 | 1,143,469 | 2,608,085 |
| 8 | Public support. (Subtract line 7c from line 6.) | 50,131,513 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 14,470,254 | 11,612,147 | 9,150,339 | 10,019,492 | 7,487,366 | 52,739,598 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 33 | 45 | 6 | 27 | 111 | |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 33 | 45 | 6 | 27 | 111 | |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 14,470,287 | 11,612,147 | 9,150,384 | 10,019,498 | 7,487,393 | 52,739,709 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2024 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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6
Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2025. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| Form 990, Part III, line 3 | Wellmont Wexford House ceased operation of its skilled and long-term care facility following the sale of all real estate, furniture, fixtures and equipment on 05/01/2025. This entity is in the process of winding down for eventual dissolution. |
| Form 990, Part III, Line 4a - Program Service Accomplishments | During the year, Wellmont Wexford House (WWH) continued to operate a 174-bed skilled and long-term care facility through May 1, when it completed the sale of assets and ceased operations. WWH's 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. 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. WWH earned the Joint Commission's Gold Seal of Approval for accreditation and recertification in March 2023 with a March 31, 2026, expiration. The facility achieved that designation by complying with national standards for advanced post-acute rehabilitation services, healthcare quality and patient and resident safety in nursing home care. With the aligning of Ballad Health's organizations, WWH 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 WWH 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 Sleep Studies, Ultrasound, Echo, 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. WWH was also rated among the best long term care facilities in Tennessee for 2023, 2024 and 2025 by Newsweek. |
| Form 990, Part V, Line 1a | Ballad Health (BH), WWH's parent organization, filed form 1096 on a consolidated basis for all subsidiaries that were required to file Forms 1099-MISC/NEC. WWH reimburses BH for all expenses related to vendor payments and the expenses are recorded on WWH's books. |
| Form 990, Part VI, Section A, line 6 | Wellmont Health System is the sole member of Wellmont Wexford House. |
| Form 990, Part VI, Section A, line 7a | There is a single class of member, Wellmont Health System. |
| Form 990, Part VI, Section A, line 7b | Certain decisions of the board are, pursuant to charter, subject to approval of the members. No ordinary, day-to-day decisions are subject to member approval. |
| Form 990, Part VI, Section B, line 11b | 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 CFO of Corporate, Retail & Non-Acute Services 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, Section B, line 12c | Ballad Health policy requires Board of Directors and Board Committee members, the Executive Chair/President, and Executive Vice Presidents to complete a conflict of interest disclosure statement on an annual basis. Ballad Health policy also requires team members to complete an annual acknowledgement that they have read and understand the conflict of interest policy and they will complete a conflict of interest disclosure statement if they have a conflict of interest. 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. This applies to all Ballad Health organizations. |
| Form 990, Part VI, Section B, line 15 | Form 990, Part VI, Line 15a - Compensation Process for Top Official The executive compensation committee serves as the compensation oversight committee of Ballad Health's Board of Directors. The executive compensation committee is comprised of members who are determined to be independent and whom are not reliant upon any business relationship with Ballad Health for income or compensation. The compensation plan for Alan Levine, Ballad Health's Chairman, President and CEO, was reviewed and approved by the executive compensation committee and then by the Ballad Health Board of Directors in accordance with the Board's compensation policy and practice. The Board of Directors relies upon the advice of an independent and experienced compensation consultant with knowledge about pay practices for comparable positions within the industry, and who has access to broad data, studies and surveys in order to ensure the compensation falls within competitive and appropriate ranges for the position. Form 990, Part VI, Line 15b - Compensation Process for Officers On an annual basis, Ballad Health's Human Resources (H/R) Department evaluates compensation for all executives at a position level of Assistant Vice President and above. H/R'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 & CEO evaluates the data and, if appropriate, makes necessary adjustments. Any adjustments to Senior Vice Presidents or above are reviewed by the Board of Directors Executive Compensation Committee. In addition, Ballad Health offers an incentive plan to executives based on targeted achievement metrics categorized by; Quality, Service and Safety; Access to Care; Financial Stewardship, and any other metrics approved from time to time by the Board of Directors. Wellmont Wexford House's Senior Director receives compensation that complies with Ballad Health's salary policy. Her pay is set at a market percentile specific to her position as Senior Director of Wellmont Wexford House. |
| Form 990, Part VI, Section C, line 19 | Governing documents and conflict of interest policy are made available upon request to the appropriate parties requesting them. Financial statements are made available upon request to appropriate parties requesting them, and they are made available to those parties who own indebtedness of the company on a quarterly basis. |
| Form 990, Part IX, line 11g | Dietary Services: Program service expenses 712,393. Management and general expenses 0. Fundraising expenses 0. Total expenses 712,393. Contract Labor: Program service expenses 349,612. Management and general expenses 0. Fundraising expenses 0. Total expenses 349,612. IP Physical Therapy: Program service expenses 139,337. Management and general expenses 0. Fundraising expenses 0. Total expenses 139,337. IP Occupational Therapy: Program service expenses 190,325. Management and general expenses 0. Fundraising expenses 0. Total expenses 190,325. Environmental Services: Program service expenses 392,743. Management and general expenses 0. Fundraising expenses 0. Total expenses 392,743. IP Speech Therapy: Program service expenses 72,585. Management and general expenses 0. Fundraising expenses 0. Total expenses 72,585. Facilities & Construction Management Services: Program service expenses 0. Management and general expenses 121,200. Fundraising expenses 0. Total expenses 121,200. Physician Fees: Program service expenses 27,500. Management and general expenses 0. Fundraising expenses 0. Total expenses 27,500. Other: Program service expenses 116,262. Management and general expenses 729. Fundraising expenses 0. Total expenses 116,991. Administrative Services: Program service expenses 0. Management and general expenses 190,182. Fundraising expenses 0. Total expenses 190,182. |
| Form 990, Part XI, line 9: | Intercompany Transfers 26,072. |
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