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BALLAD HEALTH: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
BALLAD HEALTH (EIN 61-1771290)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-09
IRS object ID
202211299349302141
Schema version
2020v4.2
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

FieldValueIRS element (for citing)
Return2022-05-09T11:59:35-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN611771290EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Ballad HealthBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBALLBusinessNameControlTxt
Phone4233023374PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11021 W Oakland Avenue Suite 103AddressLine1Txt
CityJohnson CityCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37604ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLynn KrutakPersonNm
Person TitleBH EVP & CFOPersonTitleTxt
Phone4233023374PhoneNum
Signature2022-05-09SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLynnPersonFirstNm
Person LastKrutakPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAlan LevinePresCEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1303 Med Tech Pkwy Ste 300AddressLine1Txt
CityJohnson CityCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37604ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$72,410,750GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addressballadhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2015FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionOur mission: Honor those we serve by delivering the best possible care.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee2664TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$21,831TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$18,748NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,025,330PYContributionsGrantsAmt
CY Contributions Grants$8,853,151CYContributionsGrantsAmt
PY Program Service Revenue$9,932,992PYProgramServiceRevenueAmt
CY Program Service Revenue$15,427,011CYProgramServiceRevenueAmt
PY Investment Income$45,008,980PYInvestmentIncomeAmt
CY Investment Income$48,569,618CYInvestmentIncomeAmt
PY Other Revenue-$570,910PYOtherRevenueAmt
CY Other Revenue-$6,779,789CYOtherRevenueAmt
PY Total Revenue$56,396,392PYTotalRevenueAmt
CY Total Revenue$66,069,991CYTotalRevenueAmt
PY Grants And Similar Paid$29,610PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$21,962,628PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,033,975CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$222,480CYTotalFundraisingExpenseAmt
PY Other Expenses$126,628,329PYOtherExpensesAmt
CY Other Expenses$71,080,701CYOtherExpensesAmt
PY Total Expenses$148,620,567PYTotalExpensesAmt
CY Total Expenses$87,114,676CYTotalExpensesAmt
PY Revenues Less Expenses-$92,224,175PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$21,044,685CYRevenuesLessExpensesAmt
Total Assets BOY$2,037,115,071TotalAssetsBOYAmt
Total Assets EOY$2,205,229,549TotalAssetsEOYAmt
Total Liabilities BOY$1,420,522,936TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,355,496,733TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$616,592,135NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$849,732,816NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHonor those we serve by delivering the best possible care.Ballad Health is dedicated to improving the health of the 29-county Appalachian Highlands region.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$100,423,543ExpenseAmt
Grant$0GrantAmt
Revenue$18,718,052RevenueAmt
DescSee Schedule ODesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescBallad Health (BH) is an integrated community health improvement organization serving 29 counties of the Appalachian Highlands in Northeast Tennessee, Southwest Virginia, Northwest North Carolina and Southeast Kentucky. Our system of 21 hospitals, including a dedicated children's hospital, post-acute care and behavioral health services, and a large multi-specialty group physician practice works closely with an active independent medical community and community stakeholders to improve the health and well-being of more than 1 million people. By leading in the adoption of value-based payments, addressing health-related social needs, funding clinical and health systems research and committing to long-term investments in strong children and families in our region, Ballad Health is striving to become a national model for rural health and healthcare. Ballad Health is a tax-exempt entity and the parent corporation of both Mountain States Health Alliance (MSHA) and Wellmont Health System (WHS). 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. Ballad Health operates under a Certificate of Public Advantage (COPA) in Tennessee and a Cooperative Agreement (CA) in Virginia. Pursuant to the COPA and CA, MSHA and WHS are required to fulfill the obligations, commitments and covenants set forth in the COPA. Such obligations include that Ballad Health shall meet, over the ten-year period beginning July 1, 2018, established minimum spending criteria on initiatives for expanded access to healthcare services, health research and graduate medical education, population health improvement, and a region-wide health information exchange. The full text of the COPA can be found on the Tennessee Department of Health's website, while the CA can be found on the Virginia Department of Health's website.Form 990 for MSHA includes seven wholly-owned hospitals including a children's hospital and a behavioral health hospital; four others, majority owned by MSHA, each file a separate return. Form 990 for WHS includes five wholly-owned hospitals; two others, also wholly-owned, each file a separate return. 2019 Novel Coronavirus (COVID-19) Public Health Emergency:The United States Secretary of Health and Human Services declared a Public Health Emergency (PHE) on January 31, 2020 due to confirmed cases of the 2019 Novel Coronavirus (COVID-19). On March 10, 2020 Ballad Health executed its disaster plan in response to the COVID-19 pandemic. This included the activation of its Corporate Emergency Operations Command (CEOC) to coordinate efforts across the system and around the region to rapidly plan for, and execute, ongoing response to the issues resulting from the COVID-19 pandemic. The policy establishing the CEOC is established and authorized by the Board of Directors, and follows guidelines established by the Federal Emergency Management Agency (FEMA) and the CDC. CEOC is led by an incident commander appointed by the Chief Executive Officer in this instance the Chief Operating Officer. The CEOC is composed of key leaders overseeing essential functions of the health system, including logistics, supply chain, communications, operations, finance, government relations and clinical services. The CEOC acts as the clearinghouse for all organizational planning and decision-making related to the event, and continues its responsibilities under the oversight of, and until discontinued by, the Chief Executive Officer. The Chief Executive Officer, who also serves as Chair of the Board of Directors, keeps the Board of Directors apprised of issues on an ongoing basis and ensures compliance with the Board's delegations of authority pursuant to Ballad Health's policies.During fiscal year 2021, CEOC continued to manage activities related to the PHE which included frequent communications to internal parties, news media, and the public. These communications included providing data related to the prevalence of the virus in the community, hospital capacity and constraints, and other timely information related to the progression of the pandemic. Upon release of vaccines, communications and efforts progressed to include the distribution of vaccination to eligible individuals. This was through newly established Ballad Health vaccination centers, outpatient clinics, supporting community partners, and other mobile outreach efforts. Ballad Health administered almost 88,000 vaccine doses through these efforts during the fiscal year starting with the delivery of the first dose in the service region on December 15, 2020. The system also discharged over 6,500 patients diagnosed with COVID-19 and referred an additional 1,600 patients from Emergency Departments into the "Safe at Home" program. Through the "Safe at Home" program and other measures, the healthcare system focused on delivery of care to patients in the most convenient and appropriate environment for their condition. These measures reduced hospital stays for patients in need of monitoring while conserving hospital beds for patients in need. Ballad Health also focused on supporting patients recovering from COVID-19 through the Center for Post-COVID Care and other COVID-19 support groups. This innovative approach creates an access point to comprehensive clinical care for those struggling with post-COVID symptoms. Through the Center for Post-COVID Care, Ballad Health provides a full spectrum of services, including care navigation and care management. The health system also fosters research and learning opportunities and collaborates with other leading institutions to understand post-COVID care and increase awareness to healthcare providers, patients and community members of this Long COVID condition.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$100,423,543TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document379IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2664EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lynn KrutakBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4233023374PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1303 Med Tech Parkway Suite 300AddressLine1Txt
CityJohnson CityCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37604ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Alan Levine PresidentCEO
Executive Chair59.006.00Yes (X)Yes (X)$2,837,324$0$224,600
Barbara Allen End 1021
Director4.00Yes (X)$0$0$0
Julie Bennett
Director4.00Yes (X)$0$0$0
Doug Springer MD
Secretary4.00Yes (X)Yes (X)$0$0$0
David Lester
Vice Chair4.00Yes (X)Yes (X)$0$0$0
David May MD
Director4.00Yes (X)$0$0$0
Scott Niswonger
Director4.00Yes (X)$0$0$0
Brian Noland
Director4.00Yes (X)$0$0$0
Gary Peacock
Treasurer4.001.00Yes (X)Yes (X)$0$0$0
David Golden
Director4.00Yes (X)$0$0$0
Keith Wilson
Director4.00Yes (X)$0$0$0
Aldo Noseda Beg 1021
Director4.00Yes (X)$0$0$0
Marvin Eichorn
EVP/CAO57.807.20Yes (X)$1,313,705$0$44,243
Lynn Krutak
EVP/CFO63.401.60Yes (X)$1,107,634$0$99,395
Eric Deaton
EVP/COO58.606.40Yes (X)$1,039,919$0$94,315
Shane Hilton SVP
CFO Market Operations53.002.00$647,926$0$81,399Yes (X)
Melissa Carr SVP
Financial Management54.800.20$409,510$0$57,734Yes (X)
Lisa Smithgall SVP
Chief Nursing Executiv55.00$619,140$0$70,249Yes (X)
Pam Austin SVP
CIO55.00$419,491$0$59,406Yes (X)
Shana Tate SVP End 620
Revenue Cycle27.50$228,179$0$8,606Yes (X)
Tim Belisle EVP
General Counsel59.006.00$779,407$0$86,025Yes (X)
Anthony Keck
EVP/CPHO64.400.60$774,362$0$82,066Yes (X)
Steve Kilgore
BHMA SVP54.300.70$810,551$0$90,587Yes (X)
Clay Runnels MD
EVP/Chief Phy Exec65.00$778,006$0$94,084Yes (X)
Deborah Dover SVP
CHRO41.0014.00$676,344$0$67,944Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$12,441,498TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,160,653TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K154IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Ensemble RCM LLC
13620 Reese BLVD E Suite 200HuntsvilleNC28078Rev Cycle Mgmt.$27,202,129
Impact Advisors LLC
PO Box 379NapervilleIL605560379IT Pro. Adv. Svcs.$12,013,441
Data Blue LLC
5300 Virginia WayBrentwoodTN37027IT Maint. Svcs.$6,589,890
Anesthesia Pain Consultants
1009 Lark St Suite 2Johnson CityTN37604Anesthesia Svcs.$4,492,500
Virginia Highlands Anesthesia PC
PO Box 1476AbingdonVA24212Anesthesia Svcs.$4,172,145
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K51CntrctRcvdGreaterThan100KCnt
Related Organizations$82,020RelatedOrganizationsAmt
Government Grants$8,486,227GovernmentGrantsAmt
All Other Contributions$284,904AllOtherContributionsAmt
Total Contributions$8,853,151TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Regional Blood Center622110$9,486,335$9,486,335
Wellness Programs622110$4,835,417$4,835,417
Rent Related Exempt Orgs531120$1,105,259$1,105,259
FieldValueIRS element (for citing)
Total Program Service Revenue$15,427,011TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,859,002TotalRevenueColumnAmt
Exclusion$19,859,002ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,034,772TotalRevenueColumnAmt
Exclusion$1,034,772ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$146,477RealAmt
Personal$21,831PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$273,797RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$127,320RealAmt
Personal$21,831PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$105,489TotalRevenueColumnAmt
Unrelated Business Revenue$21,831UnrelatedBusinessRevenueAmt
Exclusion-$127,320ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$27,639,301SecuritiesAmt
Other$6,103,505OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$6,066,962OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$27,639,301SecuritiesAmt
Other$36,543OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,675,844TotalRevenueColumnAmt
Related Or Exempt Func Income$36,543RelatedOrExemptFuncIncomeAmt
Exclusion$27,639,301ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
IPO Settlement900099$3,254,498$3,254,498
Laundry Services900099$2,025,394$2,025,394
Air Transport900099$760,580$760,580

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$12,714,772TotalRevenueColumnAmt
Exclusion-$12,714,772ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total-$6,674,300OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$66,069,991TotalRevenueColumnAmt
Related Or Exempt Func Income$18,718,052RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$21,831UnrelatedBusinessRevenueAmt
Exclusion$38,476,957ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$11,012,770TotalAmt
Management And General$11,012,770ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,850,251TotalAmt
Program Services$894,371ProgramServicesAmt
Management And General$2,750,000ManagementAndGeneralAmt
Fundraising$205,880FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$219,857TotalAmt
Program Services$13,416ProgramServicesAmt
Management And General$206,441ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$438,097TotalAmt
Program Services$17,024ProgramServicesAmt
Management And General$405,645ManagementAndGeneralAmt
Fundraising$15,428FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$513,000TotalAmt
Program Services$31,303ProgramServicesAmt
Management And General$481,697ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,619,784TotalAmt
Program Services$33,800ProgramServicesAmt
Management And General$1,585,984ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$644,724TotalAmt
Management And General$644,724ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$902,041TotalAmt
Management And General$902,041ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,151,455TotalAmt
Program Services$987,599ProgramServicesAmt
Management And General$1,163,856ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$18,460,983TotalAmt
Program Services$8,648,897ProgramServicesAmt
Management And General$9,812,086ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,050,427TotalAmt
Program Services$590,627ProgramServicesAmt
Management And General$1,459,800ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,787,580TotalAmt
Program Services$3,149,259ProgramServicesAmt
Management And General$1,637,559ManagementAndGeneralAmt
Fundraising$762FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,214,430TotalAmt
Program Services$2,159,310ProgramServicesAmt
Management And General$3,055,120ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,585,020TotalAmt
Program Services$2,346,068ProgramServicesAmt
Management And General$3,238,952ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$565,741TotalAmt
Program Services$298,739ProgramServicesAmt
Management And General$267,002ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$11,690,696TotalAmt
Program Services$10,787,853ProgramServicesAmt
Management And General$902,843ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$43,741,148TotalAmt
Program Services$33,671,431ProgramServicesAmt
Management And General$10,069,717ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,085,219TotalAmt
Program Services$528,585ProgramServicesAmt
Management And General$556,634ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Taxes - UBIT$88,546$40,646$47,900
Maintenance$38,632,314$24,230,788$14,401,526
Dues & Subscriptions$3,764,993$2,081,254$1,683,739
Population Health$3,163,767$3,163,767

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$73,068,167TotalAmt
Program Services$6,748,806ProgramServicesAmt
Management And General-$79,817,383ManagementAndGeneralAmt
Fundraising$410FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$87,114,676TotalAmt
Program Services$100,423,543ProgramServicesAmt
Management And General-$13,531,347ManagementAndGeneralAmt
Fundraising$222,480FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,059BOYAmt
EOY$8,726,917EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$314,541,361BOYAmt
EOY$304,846,349EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$475,776BOYAmt
EOY$1,752,519EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,093,336BOYAmt
EOY$1,397,208EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$4,565,659BOYAmt
EOY$4,565,659EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$23,247,208BOYAmt
EOY$29,876,296EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,262,000BOYAmt
EOY$8,885,856EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$19,585,480BOYAmt
EOY$21,634,558EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$627,861,005LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$371,640,001LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$245,934,475BOYAmt
EOY$256,221,004EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$775,123,176BOYAmt
EOY$927,900,240EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$18,938,691BOYAmt
EOY$18,941,004EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$448,424,068BOYAmt
EOY$448,729,709EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$133,326,592BOYAmt
EOY$133,326,592EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$36,589,190BOYAmt
EOY$38,425,638EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,037,115,071BOYAmt
EOY$2,205,229,549EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$91,008,482BOYAmt
EOY$114,696,786EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$359,026BOYAmt
EOY$284,185EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,176,741,601BOYAmt
EOY$1,158,577,182EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$24,542,975BOYAmt
EOY$22,317,393EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$127,870,852BOYAmt
EOY$59,621,187EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,420,522,936BOYAmt
EOY$1,355,496,733EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$616,210,175BOYAmt
EOY$849,335,967EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$381,960BOYAmt
EOY$396,849EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$616,592,135BOYAmt
EOY$849,732,816EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,037,115,071BOYAmt
EOY$2,205,229,549EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$21,044,685ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$118,962,652NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$135,222,714OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations2SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (2 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
Mountain States Health Alliance
6204762823Yes (1)$0$0
Wellmont Health System
6216364653Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total2SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (1)MajorityDirTrstSupportedOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$56,340GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$869,847DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$926,187TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationBallad Health had lobbying expenses of $56,340 which represents the portion of dues paid to numerous organizations, including Tennessee Business Roundtable, Tennessee Chamber of Commerce & Industry, Tennessee Association of Mental Health Organizations, Kingsport Chamber Government Relations, attributable to lobbying. Representatives of Ballad Health's Community & Government Relations department attended the following legislative conferences: *Premier Federal Affairs Network meeting *America's Essential Hospitals Policy meeting *Tennessee Hospital Association Legislative Advocacy Day *Tennessee Public & Teaching Hospitals Association annual meeting *Participated in Children's Hospital Association Public Policy Sub-Committee Representatives of Ballad Health's Community & Government Relations department also contacted congressional offices concerning the following issues: *Opposed any cuts in Medicare/Medicaid *Supported area wage index permanent fix (introduced Save Rural Hospital Act) *Supported the continuance of Medicare Dependent Hospital and Low-Volume designations *Opposed cuts to 340B program and changes in eligibility resulting from the pandemic *Supported a reasonable remedy for "surprise" billing *Monitored progress of the TN Medicaid Block Grant *Supported Provider Financial Relief Efforts for COVID related expenses and revenue losses Representatives of Ballad Health's Community & Government Relations department responded via letter, phone, or in person to the following Tennessee and Virginia legislative issues and supported the following: *Certificate Of Need reform (TN)/Certificate Of Public Need (VA) reform *Continuation and monitoring of hospital assessment fee in Tennessee and Virginia *Mental health funding for inpatient psychiatric care in Tennessee and overall behavioral health funding in Virginia *Adequate TennCare funding in Tennessee *Limited hospital reporting requirements for surprise billing *Advocated for Temporary Assistance for Needy Families funding to support residential treatment center for mothers with substance use disorders and their young children in TennesseeExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,216,073OtherCostOrOtherBasisAmt
Book Value$33,216,073BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$106,606,132OtherCostOrOtherBasisAmt
Depreciation$38,889,843DepreciationAmt
Book Value$67,716,289BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,493,708OtherCostOrOtherBasisAmt
Depreciation$2,718,935DepreciationAmt
Book Value$1,774,773BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$474,522,055OtherCostOrOtherBasisAmt
Depreciation$328,364,449DepreciationAmt
Book Value$146,157,606BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,023,037OtherCostOrOtherBasisAmt
Depreciation$1,666,774DepreciationAmt
Book Value$7,356,263BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$256,221,004TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (10 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Investment - BRMMC$100,310,432C
Investment - MSHA$125,042,522C
Investment - JMH$132,000,000C
Investment - SCCH$72,400,494C
Investment - Consortia$400,000C
Investment - Health South$546,482C
Investment - Premier$18,724,952C
Investment - MSJC-$1,064,220C
Investment - PRAM HLDG$260,529C
Investment - DePre HLDG$108,518C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$448,729,709TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
Reserve - Other$8,466,832
Retirement Obligations$3,664,605
Retiree Health Care Benefit$1,458,544
Long-term Compensation Payable$4,499,957
Contributions Payable$18,194,151
Operating Lease-Current Portion$1,715,512
Operatig Lease-LT Portion$4,525,242
COVID-19 FICA Loan$1,967,014
SWAPS$729,895
Due to Affiliates$14,399,435
FieldValueIRS element (for citing)
Total Liability$59,621,187TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationFASB ASC740 Footnote: "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, 2021. Tax returns for 2018 through 2020 are subject to examination by the Internal Revenue Service."ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmYes (1)EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Alan Levine PresidentCEO
Executive Chair$1,105,435$0$1,577,573$0$154,316$0$203,351$0$21,249$0$3,061,924$0$122,199$0
Marvin Eichorn
EVP/CAO$701,564$0$576,630$0$35,511$0$17,300$0$26,943$0$1,357,948$0$0$0
Lynn Krutak
EVP/CFO$606,603$0$494,254$0$6,777$0$79,271$0$20,124$0$1,207,029$0$0$0
Eric Deaton
EVP/COO$577,023$0$447,591$0$15,305$0$73,799$0$20,516$0$1,134,234$0$0$0
Steve Kilgore
BHMA SVP$441,644$0$340,511$0$28,396$0$63,262$0$27,325$0$901,138$0$0$0
Clay Runnels MD
EVP/Chief Phy Exec$474,281$0$289,754$0$13,971$0$68,948$0$25,136$0$872,090$0$0$0
Tim Belisle EVP
General Counsel$418,179$0$345,978$0$15,250$0$60,679$0$25,346$0$865,432$0$0$0
Anthony Keck
EVP/CPHO$421,607$0$345,978$0$6,777$0$60,598$0$21,468$0$856,428$0$0$0
Deborah Dover SVP
CHRO$368,187$0$281,321$0$26,836$0$55,076$0$12,868$0$744,288$0$0$0
Shane Hilton SVP
CFO Market Operations$361,853$0$279,296$0$6,777$0$56,155$0$25,244$0$729,325$0$0$0
Lisa Smithgall SVP
Chief Nursing Executiv$344,915$0$262,405$0$11,820$0$52,096$0$18,153$0$689,389$0$0$0
Pam Austin SVP
CIO$304,716$0$106,794$0$7,981$0$48,461$0$10,945$0$478,897$0$0$0
Melissa Carr SVP
Financial Management$300,742$0$105,416$0$3,352$0$47,003$0$10,731$0$467,244$0$0$0
Shana Tate SVP End 620
Revenue Cycle$133,809$0$0$0$94,370$0$7,986$0$620$0$236,785$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aUnless expressly approved by the Ballad Health Executive Chair/President, first-class transportation is generally not permitted. The Executive Chair/President may utilize first class travel for flights of a long duration. The Vice Chair/Lead Independent Director of the Board of Directors reviews and determines approval for expense reimbursement requests made by the Executive Chair/President. Charter flights must be approved in advance by the Executive Chair/President and are limited to business trips that can be justified based on financial savings, essential time savings and meeting logistics. On an annual basis, the Internal Audit Department of Ballad Health validates all charter travel was for valid business purposes and in compliance with the Ballad Health senior executive travel and business reimbursement policy.
Part I, Lines 4a-cThe 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. Alan Levine $186,051 Lynn Krutak $61,972 Eric Deaton $56,507 Tim Belisle $43,383 Tony Keck $43,383 Steve Kilgore $45,962 Melissa Carr $30,077 Clay Runnels, MD $49,677 Shane Hilton $37,701 Lisa Smithgall $34,871 Pam Austin $31,702 Deborah Dover $37,974

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Hlth & Edu Facil Bd 2018BusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN830682499BondIssuerEIN
CUSIP396649EX9CUSIPNum
Bond Issued2018-06-06BondIssuedDt
Issue Price$820,526,657IssuePriceAmt
PurposeAssets & Capital ImprovementsPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$29,980,000RetiredAmt
Total Proceeds$820,545,037TotalProceedsAmt
Issuance Costs From Proceeds$9,240IssuanceCostsFromProceedsAmt
Capital Expenditures$820,535,798CapitalExpendituresAmt
Substantial Completion2019SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II, Line 10FormAndLineReferenceDesc
ExplanationPursuant to Section 1.150 - 1(a)(2)(ii) of the Treasury Regulations, the proceeds of the Bonds were used to acquire the assets of Mountain States Health Alliance and Wellmont Health System, and such expenditures would be treated as capital expenditures, and not the refunding of prior debt. Additional CUSIP#: 396649EY7ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1M EichornBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship With OrgOfficerRelationshipWithOrgTxt
Loan PurposeSPLITLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$2,808,925OriginalPrincipalAmt
Balance Due$4,565,659BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written Agreement0WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$4,565,659TotalBalanceDueAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart ll, Line 10FormAndLineReferenceDesc

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Program Service Accomplishments (continued):IMPROVING THE COMMUNITY'S HEALTH STATUS: ACCOUNTABLE CARE COMMUNITY ACHIEVEMENTS - To help address the broader needs of the community at large, Ballad Health has convened the nation's largest accountable care community (ACC), spanning two states with more than 300 participating organizations in 21 counties throughout the Appalachian Highlands. Through five months of regional focus groups and stakeholder meetings, the ACC selected four priority areas to influence through its work: substance abuse, tobacco use, overweight and obesity, childhood trauma and resiliency. The ACC leadership council has agreed that the most impactful way to address the four priority areas is by focusing on interventions that benefit children and families. To reflect this commitment toward youth, the group chose the name STRONG (Striving Toward Resilience and Opportunity for the Next Generation) Accountable Care Community and is organizing activities into four categories: STRONG Starts (conception through kindergarten), STRONG Youth (kindergarten through 12 years old), STRONG Teens (13 to 18 years old) and STRONG Families (adults and caregivers). In May, Ballad Health announced it would invest $2 million in 21 regional, community-based organizations to support strategies aimed at improving children's health outcomes in the region, including providing social support services and navigation for women suffering from addiction, preventing food insecurity, parenting and resiliency training and keeping youth from dropping out of school. The work these community organizations are doing will help ensure that children and families reach their full potential. Ballad Health and the region's STRONG Accountable Care Community unveiled a new partnership and coordinated care network with Unite Us that will enhance community members' health and well-being. The partnership, announced in June, will join Ballad Health with the Unite Tennessee and Unite Virginia networks. These networks connect people with unmet health and social service needs, such as housing, food, transportation and employment. Within Ballad Health, specially trained staff now conduct health related social needs screenings for gaps in care, such as food and housing insecurity, transportation challenges or other obstacles. The Unite Us technology helps staff connect families with community organizations committed to resolving those issues. The network, however, is not dependent on Ballad Health. Participating organizations also now use the system to refer clients to each other even if the people they're referring aren't Ballad Health patients. CREATION OF NEW BALLAD HEALTH BEHAVIORAL SERVICES DIVISION - To achieve success in a value-based healthcare environment and to achieve the goals for improved access to behavioral services for the region, Ballad Health created the Behavioral Health Services Division. CREATION OF THE BALLAD HEALTH INNOVATION CENTER - Ballad Health created The Innovation Center to serve as a hub for development of partnerships and collaborations that can bring to market life-saving initiatives and other technologies and services that can improve the human condition. COMMUNITY RESOURCES - Ballad Health parish nurses work with individual congregations to help people in religious communities improve their health, prevent illness and injury and ease suffering associated with any health crisis. The parish nurse acts as counselor, educator and healthcare provider by identifying needs of the congregation, coordinating health screenings, providing educational programs, supplying health literature and referring congregants to supportive health services where appropriate. Also, the parish nurse maintains an active visitation program to parishioners who are homebound, hospitalized or in nursing homes. Currently, there are dozens of churches in Northeast Tennessee and Southwest Virginia that are serviced by the Ballad Health parish nurse program. Ballad Health's Nurse Connect is a toll-free line that connects community members with experienced nurses around the clock. The nurses provide expert medical advice anytime, day or night, make referrals to a primary care provider with a location and hours convenient to the community member and referrals to a physician specialist when they need advanced local medical care. They also provide health information and resources, including health screenings and immunizations, and make referrals to urgent care clinics to see a doctor near the community member the same day. Ballad Health's Marsh Regional Blood Center supplies the blood needs of 25 medical facilities, all regional cancer centers, and local rescue aircraft across the Appalachian Highlands. This is accomplished through our collection facilities in Kingsport, Johnson City, Bristol, and mobile blood drives. CHARITABLE CONTRIBUTIONS- From its inception in February of 2018, Ballad Health made significant contributions to the community it serves totaling over $27 million to date in direct contributions and other community health improvement initiatives. A few examples from fiscal year 2021 include: contribution towards Center for Rural Health and Research Fund, contribution towards Strong BRAIN Institute, support for Milligan University's Addiction Counseling Program, support towards a Medical / Legal Partnership to improve access to health care and patient health. IMPROVING ACCESS TO HEALTHCARE SERVICES: RE-IMAGINE RURAL HEALTHCARE - Since 2010, more than 136 rural hospitals have closed in the United States, according to the North Carolina Rural Health Research Program. Compared to other states, Tennessee ranks worst in the nation, with 16 rural hospital closures since 2005. In the region served by Ballad Health, however, it is a different story. Every community in the region with a hospital prior to the merger creating Ballad Health continues to be served by a hospital. In fact, in the middle of the pandemic, Ballad Health opened the country's newest rural hospital. In July 2021, Ballad Health followed through on its promise to the residents of Lee County, Virginia, and reopened Lee County Community Hospital in Pennington Gap. REOPENING HOSPITAL IN LEE COUNTY, VA - Ballad Health took significant strides towards reopening Lee County Community Hospital as a Critical Access Hospital despite impacts of the COVID-19 pandemic. During renovations of the hospital, Ballad Health staffed a new urgent care center to provide residents in the area with immediate access to care. All preparation work and renovations were completed during fiscal year 2021 in order to meet the July 1, 2021 grand reopening date. This 10-bed modern medical facility will serve the community in rural Southwest Virginia and Southeast Kentucky. GREENE COUNTY, TN CONSOLIDATION AND NEW SERVICES- During the 2018 fiscal year, the two hospitals in Greene County, Laughlin Memorial and Takoma Regional, saw combined operating losses of $11 million, with cumulative two-year losses totaling nearly $25 million. As competing hospitals in the community, both hospitals were failing financially. With Ballad Health's creation, both hospitals were consolidated into one, with the Laughlin Memorial campus being renamed Greeneville Community Hospital. Ballad Health continues to identify ways to reduce unnecessary administrative and overhead cost, improve quality, eliminate unnecessary duplication of high-cost services, and seek better supply pricing all of which further reduced the overall cost of care for patients in the Appalachian Highlands. Ballad Health has utilized the savings it has created and invested them into a population health infrastructure, Epic electronic medical record platform, provider recruitment, academics and training. STRONG Futures - In early 2021, Ballad Health announced a major investment into serving the specialized needs of pregnant women, babies and families who suffer from the pain of addiction. Ballad Health STRONG Futures is housed in the former Takoma Regional Hospital in Greeneville and provides residential and other care for pregnant women and mothers who suffer from addiction or need other behavioral health services. The program provides a range of residential and intensive outpatient behavioral health services that help ensure the strongest-possible new beginnings for women and their children. The program is unique in that children may live with the mother during treatment. Programs for financial stability, educational classes and fathers are also offered. STRONG Futures serves community members in Carter, Cocke, Greene, Hamblen, Hancock, Hawkins, Johnson, Sullivan, Unicoi and Washington counties. The STRONG Futures program has served 147 families, impacting over 800 individuals.
Form 990, Part III, Program Service Accomplishments (continued):EXPANDED ACCESS TO RURAL COMMUNITIES - In addition to opening new hospitals in rural communities, Ballad Health has focused on expansion of access to other healthcare services. Ballad Health opened a new urgent care center in Banner Elk, North Carolina. This center provides convenient access to residents who previously were required to travel excessive distances for care. This clinic also serves as a convenient resource for students, faculty, and staff of a nearby college. CREATED SINGLE COORDINATED REGIONAL TRAUMA SYSTEM - One of the most significant ways Ballad Health has been able to comply with the provisions of the Certificate of Public Advantage and Cooperative Agreement, which required avoidance of duplication of services where appropriate, was the consolidation of the two Level I trauma centers operating in the region and the subsequent creation of a coordinated regional trauma system. In approving this move in advance, the State of Tennessee relied upon the evidence published in multiple respected studies which found higher volume trauma centers lead to improved outcomes. The move toward a single coordinated trauma system followed the guidance of the American College of Surgeons (ACS), which verifies trauma centers. The Tennessee Department of Health, after conducting a rigorous review of the trauma program at Johnson City Medical Center, issued its Level I Trauma Center Reverification Site Visit Report. The report found the hospital "has demonstrated an outstanding commitment to care for the injured patient." Further, the survey resulted in zero deficiencies, a first for trauma care in the region. CONSOLIDATED REGIONAL PERINATAL CENTER - Tennessee law requires a regionalized system of care for high-risk newborns. The result of this law is a policy in Tennessee that recognizes five regional perinatal centers. Niswonger Children's Hospital at Johnson City Medical Center is the designated center for regional perinatal care for the Appalachian Highlands. Prior to the merger, perinatal care in the Appalachian Highlands did not meet the goals of the state, with two NICUs that were not coordinated and shared volumes. Ballad Health immediately took steps to correct this after the merger, leading to a more sustainable and coordinated system of care for neonates, while also reducing the costs associated with maintaining two lower-volume units. After this consolidation, Ballad Health partnered with ETSU's Quillen College of Medicine, which provides ongoing expert neonatology coverage for the hospital, ensuring Ballad Health has neonatology provider coverage 24 hours per day. With more than 25 pediatric specialists to provide support for the Perinatal Center, this is the first time every newborn in the region has access to such highly specialized care. EXPANDED ACCESS TO PEDIATRIC SPECIALTIES - With financial support from Ballad Health and the State of Tennessee, the ETSU Quillen College of Medicine was able to successfully recruit pediatric surgeons to support the Niswonger Children's Hospital. Our partners at ETSU's Quillen College of Medicine also provide 24/7 neonatology coverage for the NICU. Ballad Health now proudly meets the highest standards for regional perinatal care, something that was not thought possible prior to the merger creating Ballad Health. PARTNERSHIP WITH ETSU TO CREATE FELLOWSHIP PROGRAM IN ADDICTION MEDICINE - Ballad Health and East Tennessee State University formed a partnership to create a new fellowship program in addiction medicine. As part of its commitment to expand education and training in the region, Ballad Health will fund any unreimbursed costs of the fellowship program which, over a 10-year period, could cost more than $2.5 million. ESTABLISHMENT OF CENTER FOR RURAL HEALTH RESEARCH - Tennessee Governor Bill Lee announced the creation of a new Center for Rural Health Research that will be housed at the College of Public Health at East Tennessee State University. In addition to state funding, Ballad Health has committed to contributing more than $15 million during the next 10 years to the Center. The goal of the Center will be to work with Ballad Health, local healthcare delivery partners, national experts and the leadership of ETSU Health to identify new mechanisms to improve health in rural and nonurban communities. Specific emphasis will be placed on strategies that disrupt inter-generational cycles of behaviors that contribute to poor health outcomes, which ultimately can affect college and career-readiness. RECRUITMENT OF NEW PHYSICIANS TO RURAL SOUTHWEST VIRGINIA - Ballad Health provided the necessary resources to recruit new specialists to serve our region, many of whom were recruited to private practices not owned by Ballad Health. The addition of specialists is helping to improve access to care in rural communities. For instance, Wise County, in Virginia now benefits from an orthopedist, a cardiologist and several other physicians and providers. Wythe County, in Virginia, a community not served by a Ballad Health hospital, benefits from a cardiologist recruited by Ballad Health. Throughout the region, new physicians and advanced practitioners, recruited and funded by Ballad Health, are serving the region from trauma care to pediatrics, from Wythe County, Virginia to Hancock County, Tennessee. CREATION OF APPALACHIAN HIGHLANDS CARE NETWORK - Unveiled a major, coordinated effort to increase healthcare access for low-income uninsured people, aiming to reduce health disparity and inequity. The new Appalachian Highlands Care Network is designed to bridge gaps, improve health and reduce avoidable healthcare cost and utilization. The program includes all Ballad Health hospitals, outpatient services and physician practices, along with a regional network of non-Ballad Health care providers and primary care services offered through regional safety-net clinics, health departments and federally-qualified health centers. The new network was adapted from Appalachian Mountain Project Access, part of a national model of care that has served parts of the Appalachian Highlands, mainly Washington County, Tennessee, for many years. In addition to more than $75 million Ballad Health spends annually providing access to care for people with serious financial limitations through uncompensated care, charity care and unreimbursed Medicaid, the health system is also making significant investments into Project Access across the health system's entire 21-county service area the entire Appalachian Highlands. LAUNCH OF NISWONGER CHILDREN'S NETWORK - Unveiled philanthropic investment of nearly $60 million into a comprehensive, regional system of care for children, families and the future of the Appalachian Highlands. The Niswonger Children's Network is a regional system of healthcare and community services marking a new phase in high standards of care and well-being for children, regardless of where they live, across Northeast Tennessee and Southwest Virginia.
Form 990, Part III, Program Service Accomplishments (continued):IMPROVING HEALTHCARE QUALITY: QUALITY METRICS - Ballad Health continues to make headway in its aim of being a zero-harm, top-decile health system by improving the quality of care delivered to patients by reducing hospital-acquired infection rates and improving other key indicators related to quality care. The State of Tennessee established a scoring system in the COPA to measure key indicators related to quality care and compares those scores to a baseline figure established prior to the merger. In 2021, seven of our quality measures performed among the top decile in the country, the most in the health system's history. Those metrics included in-hospital fall with hip fracture rate, post-operative sepsis rate and perioperative hemorrhage or hematoma rate, among others. These quality metrics were achieved during a time when COVID-19 had a terrible impact on hospital operations, while associated infections and complications have deteriorated nationally. FOCUS ON QUALITY - Ballad Health launched a series of initiatives, including the work of the Clinical Council, implementation of systemwide tiered safety huddles and bold and ambitious initiatives like "30 in 90" reducing infections by 30% over 90 days that target hospital-acquired infections like Clostridioides difficile (C. diff), Catheter-associated Urinary Tract Infections (CAUTI), surgical site infections and others. Not only did Ballad Health achieve its goal of reducing the number of C. diff cases by 30% within 90 days, the reduction in C. diff cases has continued as Ballad Health has now reduced C. diff cases by 70% since the program's inception. As part of Ballad Health's systemwide initiative to improve safety and reduce harm, Ballad Health has continued its tiered-safety huddle program throughout the pandemic, which continues to grow in popularity among frontline caregivers. Any issues identified during those huddles are elevated to hospital leadership. If hospital leadership cannot resolve the issue, the issue is further elevated to the market level and then to the corporate level. Using this approach, Ballad Health can improve outcomes and enhance safety by rapidly deploying resources to support and solve safety issues as they arise. PARTICIPATION IN THE MEDICAID TRANSFORMATION PROJECT - Ballad Health and a group of the nation's leading health systems joined forces to identify ways to better care for some of the nation's most vulnerable populations. The project is a national effort to transform healthcare and address social determinants of health for the nearly 75 million Americans who rely on Medicaid. The work focused on four keys areas of opportunity: behavioral health, child and maternal health, substance use disorder and avoidable emergency department visits. PARTICIPATION IN THE HIGH-VALUE CARE COLLABORATIVE - Ballad Health was chosen for a national initiative, The High-Value Care Collaborative, a partnership of the American Hospital Association, the American Board of Internal Medicine Foundation's Choosing Wisely campaign, and the Costs of Care organization. The High-Value Care Collaborative brings together participants to improve efficiency, decrease cost and improve quality in healthcare. During the past year, Ballad Health and other participants in the program adopted strategies to reduce unnecessary cost and deliver evidence-based care that has been demonstrated to reduce the burden on patients. INVESTMENTS: COMMON ELECTRONIC HEALTH RECORD - Ballad Health continued building on prior progress around a common electronic medical record. An implementation plan was developed to include infrastructure enhancements to support the expansion. This investment of over $200 million will allow patient information to be shared immediately at the point of service regardless of where a patient enters the Ballad Health system, providing clinical staff with information to better manage patients in the emergency room, clinics, acute and post-acute settings. In the midst of, and despite the global health pandemic, on October 1, Ballad Health successfully completed the acute care phase of the transition. This new common platform will provide patients and their doctors with new options for access, care and security of patient records unprecedented in Ballad Health's service area. This concluded a multi-year effort to transition to a single patient record platform. With this accomplishment, Ballad Health expects to optimize its connectivity to consumers, improving the patient experience dramatically. Ballad Health's conversion to a single technology platform, is just the first of many steps the system is taking as part of its digital transformation journey. Last year, Ballad Health launched an app for patients, giving them direct access to new services, including real-time scheduling, digital access to health information, price transparency and better coordination between providers, regardless of their location. More than 150,000 Ballad Health patients use the Ballad Health app, with thousands joining each month. CHARITY CARE CONTRIBUTIONS - For 2021, Ballad Health provided more than $80 million in free care, cost that is not reimbursed by any payer nor recovered from the patient who qualifies for charity assistance. Following the merger, Ballad Health increased the threshold for patients to qualify for charity care from 200% of the federal poverty level to 225% of the federal poverty level and provides significant discounts for people up to 450% of the federal poverty level. ACCOUNTABLE CARE ORGANIZATION SAVINGS - Ballad Health was among the first health systems to implement and successfully demonstrate that value-based care led to reduced costs through its Accountable Care Organization (ACO), AnewCare Collaborative. Value-based care means payments for healthcare are based on the quality of care provided and in the reduction of the total cost of care. Since the United States Centers for Medicare and Medicaid Services established the shared savings program six years ago, AnewCare has been one of only 18 ACOs in the nation to generate savings for taxpayers each year saving taxpayers more than $60 million since inception. MEDICAL EDUCATION - Ballad Health continues to offer free Certified Nursing Assistant (CNA) classes, which are open to the public. The CNA courses are approved and regulated by either the Tennessee State Board of Nursing or the Virginia Board of Nursing. The training opportunity can lead to career opportunities for those who complete the program. Ballad Health offers the course free of charge and participants who successfully complete the course meet criteria to sit for the state certification examination. The program includes classroom sessions followed by clinical experience. Clinical hours are conducted at various Ballad Health facilities. RESEARCH the Ballad Health research department serves as the central source of oversight for multi-specialty research. In addition to providing full spectrum support for research studies at Ballad Health, the department also provides oversight for studies generated externally. Teaching and continuing education play a large role at Ballad Health and research staff participate in conferences/webinars and conduct a monthly research orientation sessions. The research department has participated in several large-scale, multi-center trials with a high subject retention rate and sponsor/monitoring rating. Oversight services include administrative, legal, regulatory support, internal service arrangement and financial management. The department maintains reportable metrics and financial reports on a quarterly basis. The focus for principal investigators is mostly in therapeutic areas such as oncology, neuro/trauma/ortho, pharmacology, endocrinology, pediatrics, and cardiology. A variety of studies include different designs that may include, but are not limited to, pharmaceutical/investigational trials, retrospective medical chart reviews and registry studies. The research department is dedicated to: *providing consistent oversight and management of clinical research performed at all Ballad Health facilities, *ensuring regulatory compliance and fiscal responsibility, and *creating a research culture across Ballad Health facilities
Form 990, Part III, Program Service Accomplishments (continued):OTHER NOTABLE EVENTS AND AWARDS: *Recognized by Forbes Magazine as being a top employer for diversity and inclusion ranked 29th in the entire nation and fifth among employers in the "Healthcare and Social" industry. *Earned the College of Healthcare Information Management Executives (CHIME) Digital Health Most Wired recognition. *Smyth County Community Hospital earned CMS 5 Star rating for patient experience. *Ballad Health provided support to build the Miracle League Field at Brickyard Park in Kingsport, TN that provides opportunities for children and adults with both mental and physical disabilities to play baseball on a safe, smooth, cushioned field. It is the only field of its kind in Northeast Tennessee. *Received its Accreditation/Department of Distinction from the International Association for Healthcare Security & Safety (IAHSS). *Partnered with East Tennessee State University (ETSU) to launch Strong BRAIN Institute to study adverse childhood experiences. The Strong BRAIN (Building Resilience through Adverse Childhood Events -Informed Networking) Institute facilitates the development and dissemination of evidence-based practices that prevent, reduce or mitigate the negative effects of Adverse Childhood Events (ACEs) on health and health disparities. The Institute will also work to inform the citizenry and workforce in the Appalachian Highlands on the importance of being trauma informed. Established through a five-year gift from Ballad Health to ETSU, the Strong BRAIN Institute will be guided by an advisory board comprised of ETSU experts, Ballad Health experts and community members. *Recognized by Harvard University and UnitedHealthcare as one of four healthcare organizations leading the way towards a 3D model for value-based care. *Partnered with Mayo Clinic, in response to the COVID-19 Pandemic to conduct research into convalescent plasma as an experimental treatment.
Form 990, Part VI, Section B, line 11bThe 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 EVP/CFO 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 12cBallad 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 15Part 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. Part VI, Line 15b Compensation Process for Officers & Key Employees: The executive committee reviewed and approved compensation for all Ballad Health executives at the vice-president level and above during FY21 using the same methodology used to determine the CEO's compensation. 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.
Form 990, Part VI, Section C, line 19Governing 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 11gCOVID - 19: Program service expenses 1,206,210. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,206,210. Consulting: Program service expenses 0. Management and general expenses 1,340,301. Fundraising expenses 0. Total expenses 1,340,301. Contract Labor: Program service expenses 1,762,877. Management and general expenses 472,118. Fundraising expenses 0. Total expenses 2,234,995. Mars Julia Davis Collection Center: Program service expenses 2,027,507. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,027,507. COPA Compliance: Program service expenses 0. Management and general expenses 789,172. Fundraising expenses 0. Total expenses 789,172. Other: Program service expenses 3,652,303. Management and general expenses 7,210,495. Fundraising expenses 0. Total expenses 10,862,798.
Form 990, Part XI, line 9:Change in Fair Value of interest Rate Swap 4,145,652. Elimination of Intercompany Rec/Pay 135,859,436. Other Acquisition -4,797,264. Temp. Restricted Grants 14,890.

Schedule R IRS990ScheduleR

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MSHA Auxiliary
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Smyth County Community Hospital
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Norton Community Hospital
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Dickenson Community Hospital
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Johnston Memorial Hospital
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Abingdon Physician Partners
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East TN Healthcare Holdings Inc
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Wellmont Health System
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Wellmont Hawkins Co Memorial Hosp
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Takoma Regional Hospital Inc DBA Greeneville Comm Hosp
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Wellmont Cardiology Services
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Wellmont Medical Associates
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Ballad Health Foundation
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Wellmont Madison House
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Wellmont Wexford House
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Wellmont Imaging Services Inc
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Wellmont Sleep Services
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Emmaus Community Healthcare PLLC
6419 Bristol HwyPiney FlatsTN37686200577483Medical ServicesTNN/AN/A00
Medical Specialists of Johnson City LLC
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East Tennessee Ambulatory Surgical Ctr
701 Med Tech Parkway Ste 100Johnson CityTN37604621787537Medical ServicesTNN/A00NA
Greeneville Physician Services LLC
1905 American WayKingsportTN37660455070419Medical ServicesTNN/AN/A00
Rehabilitation Hospital of Bristol LLC
103 North StreetBristolVA24201205612001Medical ServicesVAN/AN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)

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Mediserve Medical Equipment
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Mountain States Properties
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Mountain States Physician Grp
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Community Home Care Inc
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Wilson Pharmacy Inc
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Crestpoint Health Insurance Company
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Wellmont Inc
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Wellmont Collections Inc
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Medical Mall Pharmacy Inc
1905 American WayKingsportTN37660621565006Medical ServicesTNWHSC1.000000
Wellmont Physician Services
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WPS Providers Inc
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Wellmont Health Services Inc
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Wellmont Insurance Co SPC LTD
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Nolichuckey Management Svcs Inc
1420 Tusculum BoulevardGreenevilleTN37745621776681Medical ServicesTNTRHC$5,125,145$677,8341.000000
Ballad Ventures LLC
400 N State of Franklin RdJohnson CityTN37604844214681InvestmentsTNBalladC1.000000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other OrgYes (1)AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (48 entries)

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Mountain States Health Alliance
O$35,278,794Cost
Mountain States Health Alliance
Q$100,078,811Cost
Mountain States Health Alliance
S$17,780,145Cost
Mountain States Health Alliance
A$1,150,757Cost
Mountain States Health Alliance
M$667,692Cost
Wellmont Health System
O$29,667,555Cost
Wellmont Health System
Q$111,169,632Cost
Wellmont Health System
K$92,750Cost
Mountain States Health Alliance Auxiliary
Q$554,594Cost
Ballad Health Foundation
C$82,020Cost
Ballad Health Foundation
Q$328,807Cost
Smyth County Community Hospital
D$15,271,960Cost
Smyth County Community Hospital
O$2,046,010Cost
Smyth County Community Hospital
Q$25,461,511Cost
Smyth County Community Hospital
R$4,947,518Cost
Johnston Memorial Hospital
O$6,073,306Cost
Johnston Memorial Hospital
Q$97,829,977Cost
Abingdon Physician Partners
Q$529,718Cost
Abingdon Physician Partners
R$1,325,671Cost
East TN Healthcare Holdings Inc
A$257,930Cost
East TN Healthcare Holdings Inc
D$2,660,000Cost
East TN Healthcare Holdings Inc
Q$99,277Cost
Wellmont Hawkins Co Memorial Hospital
O$595,065Cost
Wellmont Hawkins Co Memorial Hospital
Q$4,114,788Cost
Wellmont Hawkins Co Memorial Hospital
A$346,508Cost
Takoma Regional Hospital Inc DBA Greeneville Comm Hosp
O$4,419,256Cost
Takoma Regional Hospital Inc DBA Greeneville Comm Hosp
Q$21,231,068Cost
Norton Community Hospital
O$2,268,685Cost
Norton Community Hospital
Q$9,774,287Cost
Norton Community Hospital
S$24,050,763Cost
Dickenson CommunityHospital
O$516,591Cost
Dickenson CommunityHospital
Q$1,143,529Cost
Dickenson CommunityHospital
S$5,000,000Cost
Wellmont Madison House
Q$123,914Cost
Wellmont Wexford House
O$414,864Cost
Wellmont Wexford House
Q$2,482,692Cost
Wellmont Cardiology Services
Q$2,650,516Cost
Wellmont Medical Associates
A$1,018,519Cost
Wellmont Medical Associates
Q$6,594,853Cost
Blue Ridge Medical Management
L$125,000Cost
Blue Ridge Medical Management
M$59,940Cost
Blue Ridge Medical Management
Q$15,827,635Cost
Blue Ridge Medical Management
O$4,040,894Cost
Mediserve Medical Equipment
Q$2,227,159Cost
Mountain States Properties
K$933,950Cost
Mountain States Properties
Q$6,782,045Cost
Mountain States Physicians Group
Q$102,856Cost
Wilson Pharmacy
Q$16,447,232Cost