2025-05-08T12:18:19-05:00 2024-06-30 990 2023-07-01 263557623 Wellmont Cardiology Services WELL 4233023467 311 Princeton Road Suite 1 Johnson City TN 376012080 Joshua McFall CFO,Corp,Retail & NonAcute Svc 4234311025 2025-05-08 1 Non-Paid Preparer P03077501 2023 2025-03-06 01:10:19Z Joshua McFall 303 Med Tech Prkwy Johnson City TN 37604 72522240 0 X balladhealth.org X 2010 TN Honor those we serve by delivering the best possible care. 12 0 432 0 0 0 2210 15000 74331948 71767396 6396 16672 90449 720736 74431003 72519804 0 0 0 0 59984147 59603417 0 0 0 15442150 14457411 75426297 74060828 -995294 -1541024 10322339 7200870 14232461 12652016 -3910122 -5451146 X 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. 0 0 72182596 70997598 Cardiovascular Associates was established in 1978 to provide comprehensive cardiovascular services to the Northeast Tennessee/Southwest Virginia region. In May 2010, Wellmont Cardiology Services (WCS) acquired substantially all of the assets of Cardiovascular Associates to become the region's largest provider of comprehensive cardiovascular services.This physician group provides top-quality cardiovascular services to Northeast Tennessee, Southwest Virginia, Southeast Kentucky and Northwest North Carolina, as well as areas of West Virginia.WCS strives to improve the cardiovascular health of the region and deliver high-quality, cost-effective heart and vascular care with compassion.WCS consists of 54 certified cardiologists and cardiovascular and thoracic surgeons who work in thirteen community offices and the seven member hospitals of Wellmont Health System. WCS diagnoses, treats and manages all aspects of adult cardiovascular disease. Services provided include general cardiology, preventive cardiology, electrophysiology, interventional cardiology, vascular medicine, structural heart disease, heart failure management, cardiovascular and thoracic surgery and advanced cardiovascular imaging. WCS also serves as a leader in clinical research and teaching institution through the Cardiovascular University.For fiscal year 2024, WCS had 157,961 outpatient encounters and performed 3,095 surgical procedures.WCS is dedicated to improving the community's access to quality, affordable healthcare, educating the region's caregivers, improving the health status of its communities, and contributing to the quality of life in the areas it serves.CHARITY AND OTHER UNREIMBURSED COSTS:CHARITY CARE: While reimbursement for healthcare services rendered is critical to the operation and sustainability of the organization, Wellmont Cardiology Services recognizes its obligation to provide care to individuals who cannot afford essential medical services, including emergency care. WCS accepts all patients regardless of their ability to pay. A patient is classified as a charity patient when they meet the established policies of WCS and guidelines outlined by the federal government. However, financial assistance decisions are not solely based on income. Unique financial circumstances are weighed with verified patient assets which can determine financial assistance eligibility. It is not until after verification of income and assets that a decision regarding the amount of financial assistance can be made. In fiscal year 2024, WCS incurred a loss of $777,731 attributable to the provision of charity care.TENNCARE/MEDICAID/MEDICARE/CHAMPUS: WCS provides care to persons covered by governmental programs, such as TennCare (Tennessee residents), Medicaid, Medicare and Champus. WCS incurred a loss of $13,021,385 providing care to this population of patients during the year.It is WCS's obligation to support causes that improve the quality of life in the region. WCS sponsored or participated in educational, community-based programs on healthy lifestyles, risk factor identification, diagnostic and treatment options, including continuing education programs for physicians, nurses and allied health professionals. Such initiatives included:-Annual Cardiovascular Summit-Presentations to medical societiesWCS received the highest 2019 Performance Achievement Award from the American College of Cardiology, the nation's largest and most authoritative quality improvement registry with 1.5 million patient records. WCS's platinum level award recognizes its quality performance score of 100% for NSTEMI (a type of heart attack) and STEMI (a very serious type of heart attack in which one of the heart's major arteries is blocked). 72182596 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 1 432 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X Shane Hilton 4233023467 303 Med Tech Parkway Suite 300 Johnson City TN 37604 Benjamin Culp MD Vice-President 40.00 0.00 X X 653990 0 48231 Clay Runnels MD BH EVP & Chief Physician Executive 0.10 64.90 X 0 970301 118739 David Metzger MD beg Jun 2023 Physician/President 40.00 0.00 X X 834862 0 31533 Eric Deaton BH EVP/COO 0.10 64.90 X X 0 1121767 123773 Jack Whitaker MDend Jan 2024 Physician 40.00 0.00 X 748199 0 43011 Jonathan Burress MD end Sep 2023 Physician 40.00 0.00 X 660147 0 47938 Keith Kramer MD Physician 40.00 0.00 X 653622 0 48539 Mark Chang MD start Aug 2023 SVP,CV Strategy & Transformation/President 0.50 54.50 X 643330 0 78617 Marvin Eichorn BH EVP/CAO/Secretary 0.10 64.90 X X 0 1073543 50738 Sherryl Croitor MD end Oct 2023 Physician 40.00 0.00 X 551572 0 16301 Stanley Gall Jr MD Physician/Treasurer 40.00 0.00 X X 656980 0 46609 Thomas Helton MD start Sep 2023 Physician/President 40.00 0.00 X X 279830 0 6446 Tony Keck end Aug 2023 BH EVP/Sys Innov & CPMO 0.10 64.90 X X 0 716766 102173 Steven Hopkins MD beg Jan 2024 Physician 40.00 0.00 X 668984 0 47761 Gaurav Rana MD Physician 40.00 0.00 X 643817 0 47771 Nafees Mohammed MD beg Sep 2023 Physician 40.00 0.00 X 645902 0 10220 Mark Aziz MD end Jan 2024 Physician 40.00 0.00 X 659843 0 24310 Greg Miller MD beg Jan 2024 Physician 40.00 0.00 X 661706 0 45546 Mark Patterson MD SVP/President-BHMA 54.50 0.50 X 634528 0 98762 Matthew Lazari CFO-BHMA 40.00 0.00 X 0 218945 34835 Ahmed Khan MD Physician 40.00 0.00 X 946555 0 44472 Shobha Hiremagalur MD Physician 40.00 0.00 X 1297634 0 18532 Fawwaz Hamati MD Physician 40.00 0.00 X 941395 0 19004 Vipulkumar Brahmbhatt MD Physician 40.00 0.00 X 867295 0 19566 Israel Garcia MD Physician 40.00 0.00 X 848881 0 39793 Chase Wilson end Apr 2023 Former Officer 0.00 45.00 X 0 278455 41749 Leanne Cox end Oct 2020 Former Officer VP/CFO 0.00 40.00 X 0 110888 34061 14499072 4490665 1289030 100 1 1 0 0 15000 15000 Net Patient Revenue 621990 35157945 35157945 Hospital Support 900099 33320845 33320845 Clinical Services 621990 1480510 1480510 Medical Education Training 900099 1040734 1040734 Research Revenue 541700 767362 767362 71767396 19108 19108 2436 -2436 -2436 -2436 Medical Director Fees 900099 709242 709242 Medical Records 900099 7703 7703 Gain on Settlement 900099 3791 3791 720736 72519804 70997598 0 1507206 8333894 8333894 44304844 43093938 1210906 1415540 1370975 44565 3165090 2944525 220565 2384049 2310262 73787 3057 3057 2120785 2117585 3200 3733 3733 293469 151713 141756 2430183 2426359 3824 436600 435004 1596 320041 311692 8349 187109 187109 Support Services 6822562 6822562 Maintenance 1040969 1040969 Medical Supplies 262634 262576 58 Dues & Subscriptions 232750 74232 158518 303519 299201 4318 74060828 72182596 1878232 0 2456 2905 2029056 3254379 156606 283101 2187169 1725150 6773541 5465745 1473604 1307796 423677 423677 4049771 203862 10322339 7200870 12013782 10611443 2218679 2040573 14232461 12652016 X -3910122 -5451146 -3910122 -5451146 10322339 7200870 -1541024 0 X 0 1 X 1 1 1 X 5425 50 2210 15000 22685 48275613 54585889 60941219 72715590 70997599 307515910 20405 17161 462591 86062 720736 1306955 48296018 54608475 61403860 72803862 71733335 308845550 0 0 0 308845550 6536 6357 8785 9493 19108 50279 6536 6357 8785 9493 19108 50279 761264 893809 1018397 1617648 767362 5058480 49063818 55508641 62431042 74431003 72519805 313954309 0.98370 0.98310 0.00020 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 135137 51245 83892 2947151 2212513 734638 3589149 3201987 387162 102104 102104 1307796 Operating Lease Obligation ST 595528 Operating Lease Obligation LT 1060507 Due to Affiliates 296726 Due to 3rd Parties - Stimulus 569 Due to Third Parties 87243 2040573 X Part X, Line 2: Wellmont Cardiology Services 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, 2024 and 2023. Tax returns for 2021 through 2023 are subject to examination by the Internal Revenue Service." 0 1 0 0 0 0 0 0 0 Shobha Hiremagalur MD Physician 850354 0 0 0 447280 0 18300 0 232 0 1316166 0 0 0 Eric Deaton BH EVP/COO 0 851884 0 253329 0 16554 0 98731 0 25042 0 1245540 0 0 Marvin Eichorn BH EVP/CAO/Secretary 0 782057 0 240415 0 51071 0 19805 0 30933 0 1124281 0 0 Clay Runnels MD BH EVP & Chief Physician Executive 0 746205 0 217294 0 6802 0 90442 0 28297 0 1089040 0 0 Ahmed Khan MD Physician 933779 0 12776 0 0 0 20755 0 23717 0 991027 0 0 0 Fawwaz Hamati MD Physician 928610 0 0 0 12785 0 18300 0 704 0 960399 0 0 0 Israel Garcia MD Physician 837500 0 0 0 11381 0 18300 0 21493 0 888674 0 0 0 Vipulkumar Brahmbhatt MD Physician 867000 0 0 0 295 0 18315 0 1251 0 886861 0 0 0 David Metzger MD beg Jun 2023 Physician/President 457696 0 139565 0 237601 0 13685 0 17848 0 866395 0 0 0 Tony Keck end Aug 2023 BH EVP/Sys Innov & CPMO 0 540176 0 163908 0 12682 0 71915 0 30258 0 818939 0 0 Jack Whitaker MDend Jan 2024 Physician 662733 0 75982 0 9484 0 20470 0 22541 0 791210 0 0 0 Mark Patterson MD SVP/President-BHMA 479821 0 140696 0 14011 0 68528 0 30234 0 733290 0 0 0 Mark Chang MD start Aug 2023 SVP,CV Strategy & Transformation/Pre 564349 0 75711 0 3270 0 48689 0 29928 0 721947 0 0 0 Steven Hopkins MD beg Jan 2024 Physician 592203 0 75982 0 799 0 19805 0 27956 0 716745 0 0 0 Jonathan Burress MD end Sep 2023 Physician 579905 0 75457 0 4785 0 21714 0 26224 0 708085 0 0 0 Greg Miller MD beg Jan 2024 Physician 579527 0 75982 0 6197 0 18300 0 27246 0 707252 0 0 0 Stanley Gall Jr MD Physician/Treasurer 579785 0 75982 0 1213 0 19621 0 26988 0 703589 0 0 0 Benjamin Culp MD Vice-President 577803 0 75982 0 205 0 19260 0 28971 0 702221 0 0 0 Keith Kramer MD Physician 577841 0 74482 0 1299 0 19607 0 28932 0 702161 0 0 0 Gaurav Rana MD Physician 568629 0 64984 0 10204 0 19425 0 28346 0 691588 0 0 0 Mark Aziz MD end Jan 2024 Physician 585013 0 74538 0 292 0 2550 0 21760 0 684153 0 0 0 Nafees Mohammed MD beg Sep 2023 Physician 582024 0 63691 0 187 0 0 0 10220 0 656122 0 0 0 Sherryl Croitor MD end Oct 2023 Physician 473906 0 74482 0 3184 0 16088 0 213 0 567873 0 0 0 Chase Wilson end Apr 2023 Former Officer 0 216567 0 61672 0 216 0 13590 0 28159 0 320204 0 0 Thomas Helton MD start Sep 2023 Physician/President 256998 0 22795 0 37 0 4325 0 2121 0 286276 0 0 0 Matthew Lazari CFO-BHMA 0 175437 0 42457 0 1051 0 10904 0 23931 0 253780 0 0 Leanne Cox end Oct 2020 Former Officer VP/CFO 0 109874 0 0 0 1014 0 7131 0 26930 0 144949 0 0 Part I, Line 4b The following executives listed in Schedule J, Part II participated in a 457(f) retirement plan provided by Ballad Health (BH). The 457(f) plan is a nonqualified tax-deferred compensation plan available to a select group of key executives for the intent of supporting retention and to offer a competitive total retirement program. Account balances have a "substantial risk of forfeiture". In addition to creditor risk, substantial risk of forfeiture is created through default risk if the participant's employment with BH is terminated prior to age 65. However, the 457(f) plan contains a non-compete provision that provides the account balance to be paid in a lump sum after the executive satisfies the two-year non-compete period. This provision applies to employer contributions if the executive has provided eligible service for six or more years. The executive will receive the entire account balance if he/she becomes disabled, dies or if the executive terminates for "good reason or is involuntarily terminated without "good cause" within a 24-month period after a change-of-control occurs. Distributions from this plan are subject to federal, state, and local taxes on the entire account balance upon distribution. Eric Deaton $78,933 Clay Runnels, M.D. $70,664 Tony Keck $52,137 Mark Patterson. M.D. $48,905 Mark Chang, M.D. $28,423 Form 990, Part V, line 1a Ballad Health (BH), WCS's parent organization, filed Form 1096 on a consolidated basis for all subsidiaries that were required to file Forms 1099-MISC/NEC. WCS reimburses BH for all expenses related to vendor payments and the expenses are recorded on WCS's books. Form 990, Part VI, Section A, line 6 The business and affairs of Wellmont Cardiology Services (WCS) are governed exclusively by the Board of Directors. WCS's Board of Directors is designated by Wellmont Health System, the sole member of WCS. In addition to such rights of approval and consent as may be reserved to the sole member of WCS pursuant to applicable law, transactions of the following matters by WCS require the prior approval of Wellmont Health System: (A) Implementation of Corporation's annual budget, (B) Incurring any loan or other indebtedness for borrowed money, (C) Acquisition of any equipment or personal property for a purchase price in excess of $50,000 or the acquisition of any real estate, regardless of purchase price, (D) The undertaking of certain contractual commitments, (E) Entering into any plan of merger or consolidation, (F) Acquisition of substantially all of the assets of any other legal entity, and (G) Institution of any litigation by or on behalf of WCS. Form 990, Part VI, Section A, line 7a Wellmont Health System (WHS) is WCS'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 WCS's board. 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 organization's VP/COO 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 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 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, Section B, line 15 Line 15a - Compensation Process for Top Official During FY24, the President of WCS received no compensation for his board services to WCS. His compensation is derived from medical services provided to WCS. His compensation, consistent with all WCS physicians, is evaluated annually by the board utilizing an independent third-party physician compensation database. 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 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. 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. 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