Norton Community Hospital: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: Norton Community Hospital (EIN 54-0566029)
Tax period: 2020-07-01 to 2021-02-28
Filed: 2022-01-13
IRS object ID: 202220139349300647
Schema version: 2020v4.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-01-13T15:35:09-08:00	ReturnTs
Tax Period End	2021-02-28	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	540566029	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Norton Community Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NORT	BusinessNameControlTxt
Phone	4233023374	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1021 W Oakland Ave 103	AddressLine1Txt
City	Johnson City	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37604	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Stephen Sawyer	PersonNm
Person Title	CFO NW Region	PersonTitleTxt
Signature	2022-01-13	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Stephen	PersonFirstNm
Person Last	Sawyer	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd
Federated Assurance Level	FAL1	FederatedAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Final Return	Yes (X)	FinalReturnInd
Principal Officer	Stephen Sawyer AVP	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 15th Street NW	AddressLine1Txt
City	Norton	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24273	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$44,075,336	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.balladhealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1949	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	Our mission: Honor those we serve by delivering the best possible care.Our vision: To build a legacy of superior health by listening to and caring for those we serve.	ActivityOrMissionDesc
Contract Termination	Yes (X)	ContractTerminationInd
Voting Members Governing Body	4	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	668	TotalEmployeeCnt
Total Volunteers	3	TotalVolunteersCnt
Total Gross UBI	$39,115	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$22,781	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$40,577	PYContributionsGrantsAmt
CY Contributions Grants	$159,378	CYContributionsGrantsAmt
PY Program Service Revenue	$74,288,417	PYProgramServiceRevenueAmt
CY Program Service Revenue	$42,927,615	CYProgramServiceRevenueAmt
PY Investment Income	$845,913	PYInvestmentIncomeAmt
CY Investment Income	$493,454	CYInvestmentIncomeAmt
PY Other Revenue	$525,358	PYOtherRevenueAmt
CY Other Revenue	$479,015	CYOtherRevenueAmt
PY Total Revenue	$75,700,265	PYTotalRevenueAmt
CY Total Revenue	$44,059,462	CYTotalRevenueAmt
PY Grants And Similar Paid	$65,356	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$21,732	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$39,505,586	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$24,028,929	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$29,867,296	PYOtherExpensesAmt
CY Other Expenses	$24,890,208	CYOtherExpensesAmt
PY Total Expenses	$69,438,238	PYTotalExpensesAmt
CY Total Expenses	$48,940,869	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,262,027	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$4,881,407	CYRevenuesLessExpensesAmt
Total Assets BOY	$95,277,680	TotalAssetsBOYAmt
Total Assets EOY	$0	TotalAssetsEOYAmt
Total Liabilities BOY	$52,493,301	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$42,784,379	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$0	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Our mission is to honor those we serve by delivering the best possible care.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$40,049,520	ExpenseAmt
Grant	$21,732	GrantAmt
Revenue	$43,244,871	RevenueAmt
Desc	See Schedule O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Desc	Norton Community Hospital (NCH) is located in Norton, Virginia. Our 129-bed acute-care facility has served Southwest Virginia and Southeastern Kentucky since 1949. As the largest healthcare facility in the coalfield region, NCH provides a wide array of services through highly trained physicians and support staff. NCH is a Virginia nonprofit corporation.During FY20, MSHA purchased CHCFs 49% membership resulting in MSHA being the sole member. Additional hospitals located in Wise Co. are Mountain View Regional Hospital (MVRH) and Lonesome Pine Hospital (LPH) which are reported on Wellmont Health System (WHS)s 990. In February 2021, NCH merged with these two hospitals in order to optimize healthcare in Wise County. This will be the final separate return for NCH. Norton Community Physician Services will have a member substitution from MSHA to WHS as its parent.Prior to the February merger, NCH was the sole owner of Dickenson Community Hospital (DCH), a critical access hospital located in Clintwood, Virginia. NCH and DCH are part of the Ballad Health network, created when Mountain States Health Alliance and Wellmont Health System merged February 2018. DCH will also have a member substitution from NCH to WHS as its parent. NCH is recognized for its outstanding inpatient rehabilitation services, an osteopathic internal medicine residency program, black lung treatment services, high-quality imaging technology, and many other service lines. Improving the Communitys Health Status:NCHs black lung clinic offers the regions only program approved and federally certified by the U.S. Department of Labor for the Federal Black Lung program. We have eleven approved providers for our black lung program. Our black lung clinic offers disease screening/diagnostic testing and pulmonary rehabilitation services. Black lung disease, or coal workers pneumoconiosis, is a lung disease that results from breathing in dust from coal graphite, or man-made carbon over a long period of time. We provided just under 1,900 black lung procedures this year. NCH offers a free support group, The Better Breathers Club, for people with COPD, asthma, chronic bronchitis, lung cancer and other pulmonary diseases. The club meets monthly where members can receive valuable information and develop skills to help better manage breathing difficulties and improve their quality of life. Improving Access to Healthcare Services:Norton Community Hospital continues to subsidize a rural physician clinic to provide some relief of the physician shortage in our area. Our FY21 subsidy was just under $520,000. The primary care physician ratio in our county (number of residents to 1 primary care physician) is 46% higher than the overall state ratio. Recruiting physicians to a rural county such as ours is often challenging due to a myriad of factors, such as geography, economics, culture and education. Geographically, rural communities are often far removed from suburban and urban centers that provide access to educational, cultural and economic opportunities. These limitations influence the relocation decision of the physician candidate and his/her spouse/children to locate to a rural area. The American Medical Colleges (AAMC) issued a press release dated June 11, 2021 stating that the United States could see a shortage of up to 124,000 physicians by 2034 including shortfalls in both primary and specialty care. The U.S. population is estimated to grow by nearly 11%, with those over age 65 increasing 42.4% by 2034. Much of the increased demand comes from a growing, aging population. The aging population will also affect physician supply since more than 2 out of every 5 of all currently active doctors will be older than 65 in the next decade and likely to retire. AAMCs president and CEO David J. Skorton, MD stated: The COVID-19 pandemic has highlighted many of the deepest disparities in health and access to health care services and exposed vulnerabilities in the health care system. The pandemic also has underscored the vital role that physicians and other health care providers play in our nations health care infrastructure and the need to ensure we have enough physicians to meet Americas needs. AAMC points out that data conducted in 2019 indicated that an additional 31,758 physicians would have been needed if underserved populations utilized the same health care services as insured individuals. The data looked at people in non-metropolitan areas and people without insurance compared to people living in metropolitan areas. Furthermore, the study indicated nearly half of the shortage was in the South. NCH spent almost $11,000 during FY21 to recruit and retain physicians. NCH recruitment efforts are based on documented community need. NCH is located within a MUA (medically underserved area), as designated by the U.S. Health Resources & Services Administration (HRSA). MUA designation indicates an area as: having too few primary care providers, having a high infant mortality, a high poverty rate or a high elderly population.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Desc	Benefits of an Integrated Health System:Since 2010, more than 130 rural hospitals have closed in the United States, according to the North Carolina Rural Health Research Program. Studies have shown rural communities that lose their hospitals struggle with reductions in access to physicians, healthcare services and in overall health status. Through Ballad Health, the scale and ability for larger and more financially solvent hospitals to subsidize losses in smaller rural communities is a clear and convincing foundational public benefit. It is clear the steps Ballad Health has taken to reduce overhead cost, realign services, invest capital and prioritize high quality have led to the sustainability of services - expanding, rather than reducing access, as has been seen in rural regions throughout the nation. Ballad Health invested more than $200 million to adopt a common information technology platform for all their merged hospitals and care sites. With Epic as the single technology platform for Ballad Health, patient data will be controlled by patients and their providers, and it will be more secure than ever before. New services will be available to health information, transparency in pricing and, most importantly, better coordination between healthcare providers, regardless of where the providers are or what data systems they use. Mountain States Health Alliance (Mountain States) is one of only 29 organizations in the country participating in the Centers for Medicare & Medicaid Services (CMS) new initiative, Accountable Health Communities Model (referred to as AHC Program), aimed at improving the health of eligible Medicare and Medicaid beneficiaries. The Southwest Virginia Accountable Health Communities Program (AHC) is a collaboration between community groups and Ballad Health that seeks to improve the overall health of Medicare and Medicaid beneficiaries by helping address patients health-related social needs. As part of the program, Medicare and Medicaid patients in Southwest Virginia are screened for health-related social needs when they visit a Ballad Health facility. Once those needs are identified, Ballad Health tries to link those patients with resources and programs within their communities to resolve those needs.On March 10, 2020, Ballad Health executed its disaster plan in response to the coronavirus disease 2019 (COVID-19) global pandemic. This included the activation of its Corporate Emergency Operations Center to coordinate efforts across the system, including NCH, to rapidly plan for, and execute, ongoing response to the issues resulting from the pandemic. In May 2020, Ballad Health partnered with Premier, Inc. on a new program to ensure our team members and patients are always protected through the availability of personal protective equipment, such as gloves, gowns and masks. This program focused on investing in domestic manufacturers to enhance supply chains for essential medical products and PPE. This program led to Ballad Health acquiring a minority stake in Prestige Ameritech, the largest domestic manufacturer of face masks, including N95 respirators and surgical masks. PPE products critical for the daily operations of health systems are overwhelmingly sourced overseas. The risks associated with this overreliance on overseas providers came into focus twice in 2020, as the supply chain was disrupted when an overseas provider failed to meet FDA requirements for sterile gowns, and again as the COVID-19 pandemic swept across the globe. Prestige Ameritech operates primarily in the United States, where it obtains its raw materials. Ballad Health provides numerous services to improve the health of our communities. The following services are provided by the Ballad Health entity but funded by the various hospitals and other divisions within our health system. The funding levels by NCH for these services are reflected below:The Ballad Health parish nurse program is designed to provide holistic ministry and special promotion services within the faith community. The parish nurse program assists individuals in gaining optimal mental, physical and spiritual health by complementing the ministry provided by pastors and other lay ministers. Some of the services and programs provided include screenings for blood pressure, cholesterol, diabetes, glaucoma and overall fitness, classes for all age groups offered on health related issues (nutrition, exercise, parenting, care for elderly parents, stress management, CPR), hospital, nursing home and home visits for assessment of health care needs, referrals to appropriate community resources and the creation of health tips in congregational newsletters, bulletin boards and other forms of communication. Currently, there are dozens of churches in Northeast Tennessee and Southwest Virginia that are serviced by the Ballad Health parish nurse program. NCH funded $2,005 for this program in FY21. Ballad Healths 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 new 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. NCH funded $15,211 toward this popular service during FY21.During FY21, Ballad Health unveiled a new name for its contracted emergency medical air service: The Highlands Emergency Air Rescue & Transport service, or HEART. Ballad Healths air transport service is conducted in partnership with Med-Trans Corporation. Ballad Health maintains four bases that cover the 21-county region served. Ballad Health also provide staffing, physicians, and medical supplies to the Commonwealth of Virginia for the Virginia State Polices (VSP) Med Flight air ambulance service. VSP Med Flight maintains its base in Abingdon, VA. NCHs contribution this year for the air ambulance services that are especially critical in rural areas was $12,811.Ballad Health is focused on investing in various initiatives to improve population health-the overall health and well-being of the residents living in the Appalachian Highlands. In FY19 Ballad Health established a new department, Population Health, to focus on these initiatives. NCH invested $55,854 in FY21 toward this initiative that supplements the many other forms of community benefit provided by our health systems hospitals.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$40,049,520	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	false	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	Yes (true)	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	118	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	668	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	4	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Lynn Krutak	PersonNm
Phone	4233023374	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	303 Med Tech Parkway Suite 300	AddressLine1Txt
City	Johnson City	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37604	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
Alan Levine BH PresidentCEO
President	0.50	64.50	Yes (X)	Yes (X)	$0	$2,837,324	$224,600
Marvin Eichorn BH EVP CAO
Vice-President	0.50	64.50	Yes (X)	Yes (X)	$0	$1,313,705	$44,243
Eric Deaton BH EVP COO
Director	0.50	64.50	Yes (X)		$0	$1,039,919	$94,315
Tim Belisle BH EVP Gen Cnsl
Secretary	0.50	64.50	Yes (X)	Yes (X)	$0	$779,407	$86,025
James Price MD
Physician	40.00	0.00			$639,935	$0	$43,623
Lindy White BH VP
President NW Mkt.	5.00	40.00			$0	$591,267	$56,460
Vishal Raj MD
Phyician	40.00	0.00			$483,939	$0	$39,433
Ellie Tony Nader MD
Physician	40.00	0.00			$450,313	$0	$42,115
Mark Leonard VP
CEO Wise Co.	18.00	27.00		Yes (X)	$0	$399,907	$44,176
Mathew Cussano MD
Physician	40.00	0.00			$374,648	$0	$39,282
Michael Green MD
Physician	40.00	0.00			$358,767	$0	$17,336
Dale Clark VP
CEO Wise Co.	20.00	25.00		Yes (X)	$0	$272,637	$21,037
Stephen Sawyer AVP
CFO NW Region	18.00	27.00		Yes (X)	$0	$251,064	$37,939
Robert Mitch Kennedy AVP
COO Wise Co. Mkt	20.00	25.00			$229,614	$0	$32,809
Bonnie Jensen AVP
CNO NW Mkt.	20.00	25.00			$187,332	$0	$20,792

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,724,548	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,485,230	TotReportableCompRltdOrgAmt
Total Other Compensation	$844,185	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	33	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
WVA Regl Emer Phy LLC
PO BOX 82368	Lafayette	LA	705982368	ED Physician Svcs	$670,312
Virginia Highlands Anesthesia
PO Box 1476	Abingdon	VA	24212	Anesthesia Svcs	$342,933
Assoc Regl & Univ Path
PO Box 27964	Salt Lake City	UT	84127	Laboratory Svcs	$303,254
Medical Solutions LLC
1010 N 102nd St Suite 300	Omaha	NE	68114	Nursing Svcs	$219,491
AYA Hlthcare Inc
Dept 3519 PO Box 123519	Dallas	TX	753972633	Nursing Svcs	$198,797

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	9	CntrctRcvdGreaterThan100KCnt
Related Organizations	$11,536	RelatedOrganizationsAmt
Government Grants	$130,756	GovernmentGrantsAmt
All Other Contributions	$17,086	AllOtherContributionsAmt
Total Contributions	$159,378	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Hospital Patient Revenue	622110	$42,180,147	$42,180,147
Lab Revenue	621500	$19,807		$19,807
Wellness Programs	622110	$727,661	$727,661

Field	Value	IRS element (for citing)
Total Program Service Revenue	$42,927,615	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$243,842	TotalRevenueColumnAmt
Exclusion	$243,842	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$67,417	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$15,874	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$51,543	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$51,543	TotalRevenueColumnAmt
Unrelated Business Revenue	$19,308	UnrelatedBusinessRevenueAmt
Exclusion	$32,235	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$249,612	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$249,612	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$249,612	TotalRevenueColumnAmt
Exclusion	$249,612	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafe' Sales	722514	$73,453	$73,453
Norton Schools-Speech Therapy	900099	$11,804		$11,804
Support Services	900099	$325,259		$325,259

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,956	TotalRevenueColumnAmt
Exclusion	$16,956	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$427,472	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$44,059,462	TotalRevenueColumnAmt
Related Or Exempt Func Income	$43,244,871	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$39,115	UnrelatedBusinessRevenueAmt
Exclusion	$616,098	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$21,732	TotalAmt
Program Services	$21,732	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$502,782	TotalAmt
Management And General	$502,782	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$18,717,842	TotalAmt
Program Services	$16,320,752	ProgramServicesAmt
Management And General	$2,397,090	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,059,531	TotalAmt
Program Services	$915,710	ProgramServicesAmt
Management And General	$143,821	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,623,127	TotalAmt
Program Services	$1,959,737	ProgramServicesAmt
Management And General	$663,390	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,125,647	TotalAmt
Program Services	$1,102,737	ProgramServicesAmt
Management And General	$22,910	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$142,358	TotalAmt
Program Services	$20,009	ProgramServicesAmt
Management And General	$122,349	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$33,341	TotalAmt
Program Services	$21,823	ProgramServicesAmt
Management And General	$11,518	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$12,184,034	TotalAmt
Program Services	$8,023,329	ProgramServicesAmt
Management And General	$4,160,705	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$15,663	TotalAmt
Program Services	$150	ProgramServicesAmt
Management And General	$15,513	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$380,467	TotalAmt
Program Services	$348,248	ProgramServicesAmt
Management And General	$32,219	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,054,786	TotalAmt
Program Services	$1,033,690	ProgramServicesAmt
Management And General	$21,096	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$731,243	TotalAmt
Program Services	$628,242	ProgramServicesAmt
Management And General	$103,001	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$142,940	TotalAmt
Program Services	$137,036	ProgramServicesAmt
Management And General	$5,904	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$58,063	TotalAmt
Program Services	$53,948	ProgramServicesAmt
Management And General	$4,115	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,638,521	TotalAmt
Program Services	$2,293,291	ProgramServicesAmt
Management And General	$345,230	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$169,819	TotalAmt
Program Services	$163,432	ProgramServicesAmt
Management And General	$6,387	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies and Drugs	$4,222,330	$4,205,988	$16,342
Support Services	$1,420,075	$1,225,410	$194,665
Maintenance	$1,166,098	$1,128,796	$37,302
Taxes - UBIT	$6,300		$6,300

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$524,170	TotalAmt
Program Services	$445,460	ProgramServicesAmt
Management And General	$78,710	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$48,940,869	TotalAmt
Program Services	$40,049,520	ProgramServicesAmt
Management And General	$8,891,349	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$14,677,401	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,875,943	BOYAmt
EOY	$0	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$49,407	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,350,254	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$572,576	BOYAmt
EOY	$0	EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$37,206,380	BOYAmt
EOY	$0	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$29,545,719	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$95,277,680	BOYAmt
EOY	$0	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$11,985,817	BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$20,524,914	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,982,570	BOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$52,493,301	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$42,764,274	BOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,105	BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$42,784,379	BOYAmt
EOY	$0	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$95,277,680	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$4,881,407	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,130,487	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$36,772,485	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$165	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$165	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1i - Other Activities Description	FormAndLineReferenceDesc
Explanation	NCH had lobbying expenses of $165 which represents the portion of dues paid to Virginia Hospital and Healthcare Association attributable to direct lobbying.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part X : FIN48 Footnote	FormAndLineReferenceDesc
Explanation	Norton Community Hospital 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, 2021. Tax returns for 2018 through 2020 are subject to examination by the Internal Revenue Service."	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	225.000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	450.000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$546,175	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$546,175	NetCommunityBenefitExpnsAmt
Total Expense	0.01120	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,541,352	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,539,580	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,001,772	NetCommunityBenefitExpnsAmt
Total Expense	0.02050	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,087,527	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,539,580	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,547,947	NetCommunityBenefitExpnsAmt
Total Expense	0.03170	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$103,878	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,003	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$101,875	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,576,029	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,015,997	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$560,032	NetCommunityBenefitExpnsAmt
Total Expense	0.01140	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,245,605	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,025,259	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,220,346	NetCommunityBenefitExpnsAmt
Total Expense	0.02490	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,290	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,876	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,414	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,068	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,068	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,965,870	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,045,135	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,920,735	NetCommunityBenefitExpnsAmt
Total Expense	0.03920	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,053,397	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,584,715	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,468,682	NetCommunityBenefitExpnsAmt
Total Expense	0.07090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,936,495	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,826,503	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$5,410,777	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$4,759,389	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$651,388	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Norton Community Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 15th Street NW	AddressLine1Txt
City	Norton	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24273	ZIPCd

Field	Value	IRS element (for citing)
Website Address	balladhealth.org/locations	WebsiteAddressTxt
State License	H 1879	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.0000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	450.0000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Facility: - Part V, Section B, Line 3j	To understand each community's individual needs, Ballad Health conducted a Community Health Needs Assessment (CHNA) for each Ballad hospital to profile the health of the residents within its service area. Throughout the CHNA process, high priority was given to determining the health disparities and available resources within each community. Community members from each county met with Ballad representatives to discuss current health priorities and identify potential solutions. During FY21, NCH was operating under the three-year Community Health Needs Assessment (CHNA) plans approved by its board of directors at the end of FY18. Priorities established for their CHNA were determined by the most significant health needs of the community. Ballad Health hospitals, including NCH, conducted their fifth CHNA this tax period with board approval and publication occurring at the end of FY21. For FY21 CHNAs, Ballad Health utilized a mixed-methods approach for primary and secondary data collection to gather regional information to inform the 2021 community health needs assessments. The secondary data collection entailed the compilation of secondary data pertaining to agreed upon metrics and indicators from an array of verified sources. The primary data collection component involved both a key stakeholder survey and key stakeholder focus groups. Findings from both research methods were used to prioritize the needs of the community served by each Ballad Health facility and determine priority focus areas for future improvement efforts. Analysis of secondary data for Wise County, findings from the key stakeholder survey, and the perspectives of diverse key stakeholders led to the prioritization of community issues for Norton Community Hospital. For Norton Community Hospital, the three priority areas for future improvement efforts that were selected by key stakeholders in Wise County are: -Substance Abuse-Chronic Disease-Access to Care
Facility: - Part V, Section B, Line 5	The community health needs assessment process was guided by the Mobilizing for Action Through Planning and Partnerships (MAPP) model, with an understanding that aspects of the model may have to be adapted due to the purpose of the assessment for Ballad Health and constraints related to the COVID-19 pandemic. In coordination with the MAPP model, concepts from both Community-Based Participatory Research (CBPR) and the Arkansas Center for Health Improvement (ACHI) Community Health Assessment Community Health Assessment Toolkit were also utilized for the assessments. Following guidance from the MAPP model, a Key Stakeholder Survey was designed with the primary aim of identifying the most-pressing community issues. In aligning with principles of CBPR, the key stakeholder survey was designed to allow key stakeholders to frame community issues in their own words through the use of open-ended questions. In addition to the identification of community issues, the key stakeholder survey was also designed to discern why survey respondents believed the community issues they selected had the greatest effect on the overall health and wellbeing of their community. Questions related to ideas and suggestions for improvement efforts, gauging the success of efforts after the previous community health needs assessments, and community struggles related to the COVID-19 pandemic were also included in the survey. Independent focus groups were conducted for each Ballad Health facility in order to provide specific and unique information for each community being served. The MAPP model and questions from the key stakeholder survey were used to guide the development and construction of the focus groups. Because the key stakeholder survey primarily dealt with the identification of community issues, the focus groups were primarily designed to prioritize community issues identified through the key stakeholder survey and discuss actionable items around how to best address these community issues. Questions related to root causes of community issues, the current state of resources to address community issues, needed resources to initiate improvement efforts and be successful, and community struggles related to the COVID-19 pandemic were also included in the focus group facilitation guide. The key stakeholder focus groups were conducted virtually via WebEx and were one hour and thirty minutes in length. For Norton Community Hospital, there were fifteen (n=15) focus group participants. Similar to the key stakeholder survey representation, focus group participants represented an array of different sectors in Wise County, which included: the school system, businesses, government, the health care system, health departments, faith based organizations, and a diverse group of community based organizations. For stakeholders who were not able to attend the focus group in real-time, blank facilitation guide templates with questions concerning the three priority areas identified by the focus group participants were sent to them immediately after the conclusion of the focus group. This allowed key stakeholders who were not able to attend the focus group in real-time to still provide input and the hospital to ensure the involvement of diverse stakeholders. Activities associated with the June 2021 assessment took place from summer of 2020 through the spring of 2021. The assessment activity including focus groups & surveys were used to develop the hospital implementation plan that was completed fall 2021.
Facility: - Part V, Section B, Line 6a	Each hospital within Ballad Health completed a CHNA. NCH'S CHNA was conducted with all Ballad Health hospitals to include: Bristol Regional Medical Center, Hancock County Hospital, Hawkins County Memorial Hospital, Greeneville Community Hospital, Holston Valley Medical Center, Johnson City Medical Center (includes Niswonger Children's Hospital and Woodridge Hospital), Franklin Woods Community Hospital, Indian Path Community Hospital, Lonesome Pine Hospital (including Mountain View campus), Johnson County Community Hospital, Johnston Memorial Hospital, Norton Community Hospital, Dickenson Community Hospital, Russell County Hospital, Smyth County Community Hospital, Sycamore Shoals Hospital, and Unicoi County Hospital.
Facility: - Part V, Section B, Line 11	During the year, NCH began to focus on its CHNA priorities as identified in its FY21 CHNA report. NCHs primary areas of focus includes: chronic disease, access to care and substance abuse. Many additional community needs exist in our region. It is fiscally impossible for a hospital to address every health need in a community, which is why the CHNA process is used to identify and prioritize areas of focus. A thoughtful CHNA evaluates overall community health needs to determine which ones the hospital can best influence in a positive way. Consideration is given to other organizations in the hospitals geographic area that already offer services addressing specific health needs. In some cases, it is best to simply support an identified health need through a financial donation to another nonprofit organization skilled in certain areas: teen pregnancy, dental health, fighting homelessness, etc. Hospitals also lend support to other nonprofit organizations by serving on their boards, committees, and assisting with fundraising efforts. Ballad Health made financial contributions to other nonprofit organizations providing community services that support the hospitals CHNA. For example, Ballad Health contributed to Mountain Empire Older Citizens, United Way of Southwest VA., Feeding America Southwest VA,Communities in Schools Southwest VA and others. The hospital continued low-dose lung screenings this year to enable earlier detection of lung cancer. We provide the low-dose CT scans free of charge to community members.The hospital continued its practice of providing medications and supplies to area rescue squads this year.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)	Financial assistance approval can apply to an assortment of patients such as those who have exhausted their Medicaid/TennCare benefits, those who qualified for Medicaid/TennCare after the date of service, deceased patients with no estate or assets, uninsured patients, and underinsured patients. While Ballad Healths qualifications for financial assistance is based on federal poverty guidelines, asset values may also be used to determine financial assistance eligibility. Unique circumstances may be assessed on case-by-case basis. Charity approval covers all dates of service for the patient when they are approved and there is no limitation or cap on the amount of charity that they can receive. Ballad Health hospitals do not stop approving financial assistance for patient accounts if a hospitals charity write-offs exceed the hospitals charity budget.All Ballad Health hospitals provide an uninsured discount; the current uninsured discount is 85%. In addition to the uninsured discount, many patients will further qualify for additional financial assistance. All patients seeking financial assistance must submit an application for financial assistance and submit documents in support of the information on the application, unless specifically excluded according to our policy guidelines. Medicaid eligible patients will qualify for 100% financial assistance and not be required to complete the required documentation when: a) Medicaid eligibility requirements are met after the service is provided, b) non- covered charges occur on a Medicaid eligible encounter, or c) benefits have been exhausted. Deceased patients with no estate also qualify for 100% financial assistance.Financial assistance determinations may be retroactive for all outstanding balances. In addition, we have a number of programs with special discounts such as lactation consultation services; oncology treatment regimens; enrollment in various community programs, and prescription drugs filled post-discharge.
Part I, Line 7 - Explanation of Costing Methodology	The cost to charge ratio (worksheet 2 "ratio of patient care cost to charges") was used to calculate line 7a financial assistance (charity care) cost. Our cost accounting system was used to determine losses from Medicaid/TennCare reported on line 7b, with the exception of home health and our physician clinic. We used cost to charge ratios for home health and our physician clinic because their data is not available in our cost accounting software. Line 7e community health improvement includes costs that are taken directly from departmental operating reports or expenses specific to a community health event, with no additional overhead included in the cost. Line 7f health professions education is comprised of internships (primarily medical residents, nursing, pharmacy, EMT, respiratory therapy, public health, physical/occupational therapy, and students from other allied health programs) with local schools and universities, allowing their health profession students to receive hands-on training in a hospital setting. NCHs filed Medicare cost report is the source for cost and reimbursement reported on line 7f for our Medicare-approved family medical and internal medicine resident program. For line 7g subsidized health care services, we used our cost accounting system because we established, standard costing reports for these services. There is one exception where we do not use our cost accounting system. We have a physician clinic in a rural, low income area that is subsidized by the hospital. NCH owns and operates the clinic and subsidizes the clinics losses ($519,782). We are careful to ensure no double counting of cost although we have many service lines within our hospital that lose money, we do not report services that hospitals are required by state licensure to provide, routine services or ancillary services. Line 7h research represents NCHs expense allocation from Ballad Health for research. Line 7i cash and in-kind contributions include cash disbursements and in-kind donations of medications to local nonprofit rescue squads and fire departments. In-kind donations of medications are based on our actual cost for these items.
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	Self-pay balances include accounts after payments and contractual adjustments (discounts) have been applied from all third-party payers such as Medicare, Medicaid, commercial insurers, and others - generally leaving the patient responsible for any remaining deductible and/or co-payment. Other self-pay accounts are from patients with no insurance or other third-party coverage. Under Ballad Healths system-wide self-pay policy, any patient who has no insurance and is ineligible for any government assistance program received an 85% discount. Many self-pay patients will further qualify for financial assistance (sometimes referred to as charity care) if they provide the financial information, we need to deem them eligible.After the normal collection process has indicated an account is uncollectible, NCH writes the account off to bad debt. The hospital's overall self-pay accounts receivable balance is evaluated on an ongoing basis to evaluate the age of accounts receivable, historical write-offs and recoveries and any unusual instances (such as local, regional or national economic conditions) which affect the collectability of receivables.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit	Our primary external collection agency historically estimated that approximately 37% of NCHs bad debt would have qualified for financial assistance if patients had provided a financial assistance application and required documentation. Pursuant to the merger, NCH has begun to score accounts using a presumptive eligibility tool. This tool utilizes various data points for a proprietary algorithm operated by an outside vendor to provide an individuals score.We have many instances of patients with large account balances and no health insurance coverage that we believe would qualify for financial assistance. Although patients are encouraged to apply for assistance, many will not do so. NCH would prefer for patients to submit completed financial assistance applications given that historical data clearly indicates that most uninsured patients and many underinsured will qualify for financial assistance under our program. Without a completed application, these are recorded as bad debt instead of charity care.
Part III, Line 4 - Bad Debt Expense	Ballad Healths audited financial statements included a footnote on page 17 that describes bad debt. NCH is included in the June 30, 2021 audited financial statements of Ballad Health (attached).
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	Excluding Medicare losses reported in Part I subsidized health, the Part III Medicare allowable costs are reported using NCH's filed Medicare cost report (C/R). The C/R uses a cost to charge ratio based on a step-down allocation methodology. We believe Medicare losses should be allowed as a reportable community benefit, similar to governmental programs such as Medicaid. As a participating provider in the Medicare program, hospitals are required to provide the full regimen of care for the Medicare population. There are a number of care regimens that are compensated by the Medicare program at levels below cost. Therefore, it is only logical to allow hospitals to report these uncompensated services as a community benefit. By making this change, nonprofit providers will be encouraged to continue important care delivery models for our aging population in spite of the fact it may be economically injurious.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	Requests for financial assistance are evaluated using established guidelines, while allowing for unique financial circumstances - for example, medically indigent patients with catastrophic medical costs that would threaten the patients household financial viability. When a patient requests financial assistance or when an application has been received, the patient's account is placed in a hold status to prevent further collection activities until financial assistance eligibility is determined. All Ballad Health hospitals comply with IRS 501(r) regulatory guidelines.Our collection policy clearly states that all patients are treated equally - with dignity and respect. We ensure that outside collection agencies used by our hospitals adhere to our billing and collection guidelines. Our hospitals' collection program includes communicating expected financial responsibility prior to service. Our hospitals provide assistance to help underinsured and uninsured patients determine sources of payment for medical bills and to help patients determine eligibility for programs such as Medicaid or TennCare.After insurance benefit verification, the hospital bills insurance carriers. If the insurance carrier denies payment of the service/procedure as non-covered or the patient has exceeded their maximum benefits, the service/procedure will qualify for the uninsured discount.Financial counselors are available to discuss financial assistance with patients and their families. Our hospital provides a number of payment options:-a pre-service discount may be offered-a discount in excess of established discounting rates may be granted for catastrophic high dollar accounts-our hospital accepts all non-contracted and out-of-network payers and will make attempts to work with these payers regarding appropriate reimbursement and billing to their members-payment arrangements are available so long as the account is not with a collection agencyReasonable efforts are made to determine if a patient is eligible for financial assistance - see Schedule H, Part VI, line 3 for information on how patients are informed about our financial assistance policy.
Part VI, Line 2 - Needs Assessment	Focusing on population health improvement and associated priority metrics allows Ballad Health to further engage the efforts of its hospitals in partnership with communities in our service areas. It has helped Ballad to better identify health disparities that appear across the individual communities and has helped Ballad to prioritize issues that are most important in each hospitals community. Engaging local community organizations expands partnerships so that organizations work together more to address community health needs. Ballad Health uses a comprehensive process to gather input for and continues to evolve its population health plan. Because our hospitals are located in a region with many chronic disease challenges and high levels of health-related social risks, Ballad Healths goal is to target population health issues to make lasting improvements. Ballad conducts ongoing interviews, focus groups and meetings with external groups, including the regional health departments, United Way agencies, chambers of commerce, schools and community organizations, the regional accountable care community leadership council, as well as internal groups such as our population health and community benefit committee of the Ballad Health board of directors, the Ballad Health population health clinical committee, social needs council, grant advisory committees and our hospital community boards in the creation and on-going implementation of its population health plan.
Part VI, Line 3 - Patient Education of Eligibility for Assistance	Consistent with the Ballad Health financial assistance policy, NCH communicates with and provides education to our patients through various avenues regarding governmental assistance programs and hospital financial assistance. Various educational and application documents related to obtaining financial assistance are widely available at NCH and all documents are available on the Ballad Health Website. Printed financial assistance educational materials are part of each registration packet and posters are displayed in highly visible areas of the hospital. Our financial assistance policy and documents are available in our Emergency Department and admitting areas. We are also happy to mail all documents to patients. We offer a plain language summary and all of our documents are available in English and Spanish. Financial assistance information is available during pre-registration, registration and/or during financial counseling. We offer governmental program eligibility representatives to assist patients in securing eligibility for Medicaid or TennCare, federal disability and other governmental assistance programs. Additionally, if a patient or community resident expresses an interest in the ACA-healthcare exchange, our representatives have the qualifications and experience to assist them through the entire process. Our financial counselors offer financial assistance applications to patients who do not qualify for governmental assistance programs and are unable to pay for some or all of their healthcare.All patient billing statements have verbiage discussing financial assistance along with contact information. Our last letter to the patient displays the plain language summary. In all oral correspondences with the patient, if it is identified they cannot meet payment requirements on their account, financial assistance is discussed as an option.Applicants are notified of financial assistance determination in writing.
Part VI, Line 4 - Community Information	NCH is located in Norton, Wise County, which is in rural Southwest Virginia. Southwest Virginia (SWVA) is located within the Appalachian Mountains, specifically the Blue Ridge Mountain Region. SWVA is considered rural and much different than the rest of the state. SWVA has been and remains a major coal mining region and has a high rate of uninsured adults. Based on research from our Community Health Assessment, Wise County's population is 44,158. The population projection projections for Wise County over the next five years show that the county will likely experience little to no population growth overall. However, the age 65+ population moves to 21.9% in 2026. The aging population of the county presents opportunities for earlier identification and better management of health conditions that oftentimes affect elderly populations in rural areas. The County Health Rankings estimates Wise County's median household income at $38,000 compared to the State of Virginias median income of $72,600. 28.7% of Wise County's children live in poverty compared to 13.3% statewide. Wise County is a rural community. This is a significant contributing factor in influencing health outcomes in a population. Many rural residents must travel a greater distance to access different points of the health care delivery system;however, due to geographic distance, sometimes extreme weather conditions, lack of public transportation and challenging roads, rural residents may be limited, and in some instances, even prohibited from accessing health care services. There is also an additional risk of injury-related deaths in rural communities. Wise County's premature (age adjusted) mortality is 81% higher than the state rate. Recruiting physicians to rural areas is often challenging due to a myriad of factors, such as geography, economics, culture and education. Geographically, rural communities are often far removed from suburban and urban centers that provide access to education, cultural and economic opportunities. These limitations influence the relocation decision of the physician candidate and his/her spouse/children to locate to a rural area. A number of factors contribute to a unique and challenging environment that influence overall health standing in our county. According to the County Health Rankings, 35% of the adults in NCHs home county are obese. Obesity increases the risk for many health conditions such as coronary heart disease, type 2 diabetes, hypertension, stroke, cancer, sleep apnea and respiratory problems, and osteoarthritis. Evidence indicates physical activity, independent of its effect on weight, has substantial benefits for health. Our county's inactivity rate is 34% compared to the statewide rate of 23%. Wise County's adult smoking rate is 19% higher than that of Virginias average. Other demographic factors influencing health status in the county also include education levels. A large portion of Wise County residents do not have an education past high school compared to the State of Virginia. Additionally, a large portion of Wise County residents (14%) do not have health insurance. According to the 2021 County Health Rankings, Wise County is ranked 125th in Virginia for health outcomes and 127th for health factors our of 133 counties/cities. Wise County also ranked 123rd in health behaviors. When compared to other Virginia counties, Wise County has higher rates of adult obesity and physical inactivity,adult smoking, and alcohol-impaired driving deaths. As for social and economic factors, Wise County ranks 125th due high rates of children in poverty and higher unemployment rates.
Part VI, Line 4 - Community Building Activities	NCH leaders support and encourage all team members to volunteer time, money and skills to community service projects and charitable organizations. Senior leaders and board members set a positive example for NCH team members, serving voluntarily on committees and boards of local service and nonprofit organizations. Some also serve as members and consultants on professional committees and task forces that affect regional development in healthcare and education. We do not capture costs associated with team members that serve on other nonprofit boards or provide services to other nonprofits.NCH, in collaboration with area health agencies and providers, may offer assistance with coordination, advocacy, or contribute supplies to support groups for their program activities that serve to assist special populations within our area. Most of these organizations work to improve the lives of community members that have limited, or no, financial resources.
Part VI, Line 5 - Promotion of Community Health	NCH is dedicated to operating efficiently so that waste is minimized. NCH'S leadership remains mindful of managing limited resources so that adequate facilities and equipment are available for the care of our patients. Surplus funds are invested into improving treatment options for our patients through new technologies, recruiting physicians and trained staff in shortage areas, and improving our facilities. Various checks and balances are established to ensure that expenditures for operating expenses and capital costs are reasonable and necessary.NCH has a Medicare-approved internal medicine residency education program. In addition, our hospital serves as a training site for many other types of health professions such as nursing, pharmacy, respiratory therapy, and other allied health programs. We provide for media coverage to educate our community on health issues, provide free clinical care to low income individuals in collaboration with other nonprofit organizations, and provide free drugs and supplies to local nonprofit emergency response organizations. NCH owns Dickenson County Hospital, a critical access hospital located in the Appalachian Mountains. Dickenson is 100% rural according to the 2021 County Health Rankings report. Dickenson County's median household income is just over 48% of the median statewide income and the county's health outcomes rank 122 out of 133 in the state. DCH operates at a substantial financial loss and relies on NCH to subsidize its operations. Physicians that request privileges who are qualified and credentialed are extended privileges by NCH.
Part VI, Line 6 - Affilated Health Care System	NCH is a 129-bed, acute-care facility and one of the hospitals within the Ballad Health system. Ballad Health operates a family of 21 hospitals, including three tertiary care facilities, a dedicated children's hospital, community hospitals, three critical access hospitals, a behavioral health hospital, an addiction treatment facility, long-term care facilities, home care and hospice services, retail pharmacies, outpatient services and a comprehensive medical management corporation. Patients benefit from NCH's affiliation with a healthcare system where they can be efficiently moved along an integrated, comprehensive continuum of care as their health status dictates. If needed, patients can be moved to one of Ballad Healths tertiary care facilities, providing advanced treatment options.Hospitals in the Ballad Health system work closely with one another to share expertise and resources.
Part VI, Line 7 - States Filing of Community Benefit Report	VA TN
Part VI - Additional Information	Ballad Health is required to report community benefit estimates on a quarterly basis with the states of Virginia and Tennessee. The reporting includes all of Ballads hospital organizations and is reported using IRS Form 990, Schedule H instructions for reporting community benefit. Ballad operates under a Cooperative Agreement (CA) in Virginia and a Certificate of Public Advantage (COPA) in Tennessee as obligated by agreements between Ballad and the two states to allow Mountain States Health Alliance and Wellmont Health System to merge.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Univ VA College at Wise Fnd	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 College Ave	AddressLine1Txt
City	Wise	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24293	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	541638774	RecipientEIN
Cash Grant	$16,665	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	Athletic Programs	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Grantmaker's Description of How Grants are Used	FormAndLineReferenceDesc
Explanation	The Community Benefit and Population Health Committee for Ballad Health is comprised of members from Virginia and Tennessee. Committee members have various perspectives on community health improvement and work to develop an understanding of population health, philanthropy, community benefit obligations and the role Ballad Health plays in health access improvement. The senior leadership for Ballad Health, including the President and CEO and COO, attend the meetings. Among the responsibilities of the committee is ensuring charitable contributions comply with Ballad Health Board policies.All requests are submitted electronically with the required information to determine eligibility. After the committee has reviewed requests, various levels of approval are required, including the Ballad Health CEO or Ballad Health Board, based on the level of commitment. Applicants requesting funding for a specific event or program should include the following information:-Mission statement of organization-Year organization was founded-Tax status and federal taxpayer ID number -Website-Description of the event/program-Event/program budget-Other sources of income-Impact of the event/program on the health of residents in our region-Beneficiaries of contribution-Number of people served annually -Event/program accomplishments-Measure of accomplishments	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt
Alan Levine BH PresidentCEO
President	$1,105,435	$1,577,573	$154,316	$203,351	$21,249	$3,061,924	$122,199
Bonnie Jensen AVP
CNO NW Mkt.								$161,592	$25,176	$564	$20,792	$208,124
Dale Clark VP
CEO Wise Co.	$210,305	$50,734	$11,598	$11,812	$9,225	$293,674
Ellie Tony Nader MD
Physician								$429,274	$20,500	$539	$24,339	$492,428	$17,776
Eric Deaton BH EVP COO
Director	$577,023	$447,591	$15,305	$73,799	$20,516	$1,134,234
James Price MD
Physician								$596,668	$36,599	$6,668	$26,823	$683,558	$16,800
Lindy White BH VP
President NW Mkt.	$386,764	$202,398	$2,105	$33,388	$23,072	$647,727
Mark Leonard VP
CEO Wise Co.	$222,086	$89,273	$88,548	$21,786	$22,390	$444,083
Marvin Eichorn BH EVP CAO
Vice-President	$701,564	$576,630	$35,511	$17,300	$26,943	$1,357,948
Mathew Cussano MD
Physician								$342,241	$32,205	$202	$24,556	$413,930	$14,726
Michael Green MD
Physician								$355,308		$3,459	$1,209	$376,103	$16,127
Robert Mitch Kennedy AVP
COO Wise Co. Mkt								$183,035	$46,188	$391	$18,841	$262,423	$13,968
Stephen Sawyer AVP
CFO NW Region	$185,063	$47,692	$18,309	$12,490	$25,449	$289,003
Tim Belisle BH EVP Gen Cnsl
Secretary	$418,179	$345,978	$15,250	$60,679	$25,346	$865,432
Vishal Raj MD
Phyician								$462,610	$12,390	$8,939	$22,633	$523,372	$16,800

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail (6 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc	DistributionDistributionDt	Fair Market Value Of AssetFairMarketValueOfAssetAmt	Method Of FMV DeterminationMethodOfFMVDeterminationTxt	EINEIN	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	IRC SectionIRCSectionTxt
Cash	2021-02-27	$677,229	Book Value	621636465	1905 American Way	Kingsoport	TN	37660	501C3
Accounts Receivable	2021-02-27	$8,489,049	Book Value	621636465	1905 American Way	Kingsport	TN	37660	501C3
Inventories	2021-02-27	$873,301	Book Value	621636465	1905 American Way	Kingsport	TN	37660	501C3
Prepaid Expenses	2021-02-27	$612,717	Book Value	621636465	1905 American Way	Kingsport	TN	37660	501C3
Property, Plant & Equipment (Net)	2021-02-27	$34,548,681	Book Value	621636465	1905 Amerian Way	Kingsport	TN	37660	501C3
Other Assets	2021-02-27	$22,853,250	Book Value	621636465	1905 American Way	Kingsport	TN	37660	501C3

Field	Value	IRS element (for citing)
Director Of Successor	Yes (true)	DirectorOfSuccessorInd
Employee Of Successor	false	EmployeeOfSuccessorInd
Owner Of Successor	false	OwnerOfSuccessorInd
Receive Compensation	false	ReceiveCompensationInd
Assets Distributed	Yes (true)	AssetsDistributedInd
Required To Notify AG	Yes (true)	RequiredToNotifyAGInd
Attorney General Notified	Yes (true)	AttorneyGeneralNotifiedInd
Liabilities Paid	Yes (true)	LiabilitiesPaidInd
Bonds Outstanding	false	BondsOutstandingInd
Bond Liabilities Discharged	false	BondLiabilitiesDischargedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Sch N, Part III, Additional Information	FormAndLineReferenceDesc
Explanation	Part I, Line 2e:Alan Levine, Marvin Eichorn, Eric Deaton and Tim BelisleNorton Community Hospital's four board members are also board members of Wellmont Health System, Norton's successor organization.Part I, Line 4a - Norton Community Hospital provided all the required documentation to the Commonwealth of Virginia State Corporation Commission. Norton Community Hospital,Inc.(VA Entity ID #00674861) merged with Wellmont Health System,Inc. (TN Control #309324)on February 27, 2021. The Commonwealth of Virginia State Corporate Commission indicates Norton Community Hospital,Inc. is "Inactive-MergedX and Wellmont Health System,Inc. is "Active".Included with this return are the following documents.Articles of Merger:Norton Community Hospital,Inc. into Wellmont Health System,Inc.Commonwealth of Virginia State Corporate Commission filing information and activity*Status with the Commonwealth of Virginia State Corporation Commission	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d: Other Program Services Description	OTHER PROGRAM SERVICES 4: Health Professions Education:NCH serves as a clinical training facility for health professional education students. We have dedicated staff to work with regional colleges and universities to coordinate the placement of healthcare professional students as part of their educational curriculum. In addition to clinical training, the health care students entering our system are required to have orientation and computer training. Participants receiving clinical experience at NCH were 75 nursing students from various colleges, universities and programs. This nursing clinical experience required extensive NCH nursing staff involvement. The clinical setting and hands-on instruction cost NCH $115,252. In addition to nursing students, NCH provided a clinical setting for another 59 students training in health-related programs such as pharmacy, social work, OT/PT, laboratory, EMT/paramedic and other allied-health disciplines. The hospitals costs related to this training was $86,801.Charity and Other Unreimbursed Costs: Charity Care: While reimbursement for healthcare services rendered is critical to the operation and sustainability of the organization, NCH recognizes its obligation to provide care to individuals who cannot afford essential medical services, including emergency care. NCH accepts all patients regardless of their ability to pay. A patient is classified as a charity patient when they meet the established policies of Ballad Health 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 2021, NCH incurred a loss of $546,809 attributable to the provision of charity care. This amount does not include the costs associated with bad debt accounts.Medicaid/TennCare: NCH provides care to persons covered by governmental programs, such as Medicaid and TennCare (Tennessee residents). NCH incurred a loss of a little over $1,000,000 providing care to this population of patients during the year. Uninsured Discount: Uninsured patients received an 85% discount. Certain elective procedures are not eligible for the uninsured discount. This uninsured discount is calculated each year in accordance with Tennessee regulations and without regard to a patients income or assets. Although the uninsured discount is not required by the Commonwealth of Virginia, Ballad Health applies the same discount to our Virginia hospitals, including NCH. The approximate cost of this discount in FY21, using a cost to charge ratio, was $598,187 for NCH. Community Donations:For many years, NCH has provided assistance to local non-profit lifesaving organizations such as ambulance services, fire departments and rescue squads. NCH donates free medications and pharmaceutical supplies to these organizations. The cost of donated medications to rescue organizations during FY21 was $5,068. NCH also made cash donations of $16,661 to University of Virginia College at Wise Foundation for their athletic programs. OTHER PROGRAM SERVICES 5: Awards and Recognitions:Annually, U.S. News & World Report releases a list of hospital rankings to help guide patients to the right hospital when they need excellent care. Hospitals receive various scores. A hospitals score is based on multiple data categories, including patient survival, discharging patients to home, nurse staffing and more. Over 6,000 hospitals were evaluated, and eligible hospitals received one of three ratings (high performing, average, or below average). Hospitals that earned a high performing rating were significantly better than the national average. In their 2021-2022 report, NCH received High Performing 5/5 in 2 adult procedures: 1.Chronic Obstructive Pulmonary Disease (COPD) 2.Pneumonia CareHealthgrades recognized NCH for six years running with the Pulmonary Care Excellence Award, which recognizes hospitals for superior outcomes in treating chronic obstructive pulmonary disease (COPD) and pneumonia. Patients who receive COPD or pneumonia treatment at hospitals receiving this clinical quality award have a lower risk of dying. Healthgrades evaluates hospital quality for conditions and procedures based solely on clinical outcomes. Their analysis is based on more than 45 million Medicare medical claims records for the most recent three-year time period available from nearly 4,500 hospitals nationwide. Norton Community Hospitals inpatient Rehabilitation Unit was recognized for thirteen consecutive years of top-decile (top 10%) performance-out of more than 800 facilities for functional patient outcomes. The evaluation was based on the delivery of quality care that is effective, efficient, timely and patient-centered. To determine the rankings, Uniform Data System for Medical Rehabilitation (UDSMR) used a system that measures the efficiency and effectiveness of a hospitals rehabilitation programs by evaluating and tracking patient progress through the rehabilitation process. Patients functional levels refer to their ability to return to their daily lives and activities without impairment. The unit first opened in 1998, and since that time it has served over 4,000 patients recovering from a variety of injuries, illnesses and accidents.Norton Community Hospitals internal medicine residency program is accredited by the Accreditation Council for Graduate Medical Education (ACGME). ACGME sets standards for U.S. Medical Education (residency and fellowship) programs and the institutions that sponsor them. Accreditation decisions are based on evaluation and review of published accreditation quality standards. NCH takes great pride in training young physicians for our rural, predominantly low-income and medically underserved area. Internal medicine residents rotate through all areas of medicine at NCH, from health maintenance to critical care. The residents assist our physicians in providing quality hands-on patient care through observation, education and by participating in grand rounds. In addition to services within the hospital setting, medical residents are exposed to treating patients in a physician office setting at our community clinic (resident continuity clinic) located in Wise, Virginia. Our unreimbursed cost for this residency program this year was $357,979.
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents	In February of 2021, an Articles of Merger was completed between NCH and Wellmont Health System (WHS). On February 28, 2021 NCH merged into WHS (the surviving entity), which is owned by Ballad Health.
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	Norton Community Hospital is a Virginia non-stock, nonprofit corporation. After Mountain States Health Alliance (MSHA) purchase of Community Health Care Foundations 49% membership (FY20), it resulted in MSHA being the sole member. Additional hospitals located in Wise Co. are Mountain View Regional Hospital (MVRH) and Lonesome Pine Hospital (LPH) which are reported on Wellmont Health System (WHS)s 990. As of February 2021, NCH merged with these hospitals in order to optimize healthcare in Wise County. This will be the final separate return for NCH. Norton Community Physician Services will have a member substitution from NCH to WHS as its parent.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	After purchasing Community Health Care Foundations 49% membership during FY20,MSHA board of directors also became NCHs board of directors.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	Certain decisions of the board are, pursuant to charter and Virginia stature, subject to approval of the members. These decisions include: dissolution of the corporation; merger of the corporation; non-ordinary course of business sale of assets, etc. No ordinary day-to-day decisions are subject to member approval.
Form 990, Part VI, Line 11b: Form 990 Review Process	The Ballad Health Tax Department prepares and reviews the Form 990. During preparation other functional areas within the organization provide information and support to complete an accurate return. The return is reviewed by the organization's 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, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	Ballad Health has a conflict-of-interest policy for all members of the Board of Directors, the Executive Chair/President, Executive Vice Presidents, Senior Vice Presidents, and Vice Presidents, and applies to all Ballad Health organizations, including Norton Community Hospital. All persons covered by this policy are required to complete a conflict of interest disclosure form on an annual basis. Should a conflict arise, it is the responsibility of the conflicted individual to update his or her disclosure immediately. All meetings of the board or board committees have a standing agenda item first on the agenda titled Conflicts of Interest. If a member of the board or board committee has a conflict of interest involving any issue on the board agenda, he or she must declare the conflict of interest during the period allotted for disclosure. If any issue arises during a meeting in which the board member has a conflict of interest, he or she must immediately declare the conflict. While each member of the board or board committee is responsible for disclosing conflicts of interest, it is also the responsibility of any board member aware of a conflict which has not been disclosed to ensure the board is made aware. The presiding officer of a board or board committee meeting may ask a conflicted member to excuse themselves from the meeting during the discussion related to the issue with which the conflict of interest applies. Under no circumstances shall a member vote on a matter that gives rise to a potential conflict.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Governing documents and conflict of interest policy are made available upon request to the appropriate parties requesting them. Financial statements are made available upon request to appropriate parties requesting them, and they are made available to those parties who own indebtedness of the company on a quarterly basis.
Other Changes In Net Assets Or Fund Balances - Other Decreases	Change in Tempararily Restricted Assets = -$20105
Other Changes In Net Assets Or Fund Balances - Other Decreases	Elimination of intercompany Rec/Pay - NCPS = -$807137
Other Changes In Net Assets Or Fund Balances - Other Decreases	Elimination of intercompany Rec/Pay -NCH = -$18369381
Other Changes In Net Assets Or Fund Balances - Other Decreases	NCH "Other Acquisitions" = -$164688
Other Changes In Net Assets Or Fund Balances - Other Decreases	NCH Transfer to Wellmont Health System = -$17658324
Other Changes In Net Assets Or Fund Balances - Other Decreases	NCPS Income - 03/21-06/21 = -$4516
Other Changes In Net Assets Or Fund Balances - Other Increases	Pension Plan Adjustment = $251666
Part VI, Line 15b - Compensation Process for Officers	Similar to NCH/DCH's CEO, NCH's CFO receives compensation that complies with Ballad Healths salary policy. The pay is set at a market percentile specific to his position as CFO of NW Region which includes NCH.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.Key employees, Robert Kennedy, Wise Co. COO, and Bonnie Jensen, Wise Co. CNO, are not Vice-Presidents or in a senior leadership position, therefore their compensation and benefits are consistent with other NCH non-executive positions.
Part VII - Related Organizations	Director Compensation: NCH's Board of Directors, Alan Levine, Marvin Eichorn, Eric Deaton and Tim Belisle receive compensation for services provided to related organizations and do not receive compensation for services as a NCH board member.
Part Vl, Line 15a-Compensation Process for Top Official	The executive compensation committee serves as the compensation oversight committee of Ballad Healths Board of Directors. The compensation plan for Alan Levine, Ballad Healths President and CEO, was reviewed and approved by the executive compensation committee and then by the Ballad Health Board of Directors. An outside and independent compensation consultant was used to determine his compensation and benefits. Studies and surveys were used to ensure his pay is comparable to like positions at similarly situated organizations. Mark Leonard, VP served as Wise Co. CEO until mid-October 2020. Also, in October 2020, Dale Clark, VP began serving as Wise Co. CEO.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Norton Community Physician Svcs LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	96 15th Street NW	AddressLine1Txt
City	Norton	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24273	ZIPCd

Field	Value	IRS element (for citing)
EIN	260868690	EIN
Primary Activities	Medical Services	PrimaryActivitiesTxt
Legal Domicile State	VA	LegalDomicileStateCd
Total Income	$9,249,663	TotalIncomeAmt
End Of Year Assets	$3,367,669	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	WHS	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Mountain States Health Alliance
303 Med Tech Parkway Suite 220	Johnson City	TN	37604	620476282	Hospital System	TN	501C3	3	BALLAD HEALTH	false
MSHA Auxiliary
400 N State of Franklin Road	Johnson City	TN	37604	581418345	Supporting Organization	TN	501C3	12a	MSHA	false
Smyth County Community Hospital
245 Medical Park Drive	Marion	VA	24354	540794913	Hospital	VA	501C3	3	MSHA	false
Community Healthcare Foundation
100 15th Street NW	Norton	VA	24273	542002314	Supporting Organization	VA	501C3	12a	NA	false
Dickenson Community Hospital
312 Hospital Drive	Clintwood	VA	24228	770599553	Hospital	VA	501C3	3	WHS	false
Johnston Memorial Hospital
16000 Johnston Memorial Drive	Abingdon	VA	24211	540544705	Hospital	VA	501C3	3	NA	false
Abingdon Physician Partners
16000 Johnston Memorial Drive	Abingdon	VA	24211	205485346	Medical Services	VA	501C3	3	JMH	false
Ballad Health
303 Med Tech Parkway Suite 220	Johnson City	TN	37604	611771290	Supporting Organization	TN	501C3	12b	NA	false
East TN Healthcare Holdings Inc
203 Gray Commons Circle	Gray	TN	37615	815475903	Opioid Treatment	TN	501C3	3	MSHA	false
Wellmont Health System
1905 American Way	Kingsport	TN	37660	621636465	Hospital System	TN	501C3	3	BALLAD HEALTH	false
Wellmont Hawkins Co Memorial Hosp
851 Locust Street	Rogersville	TN	37857	621816368	Hospital	TN	501C3	3	WHS	false
Takoma Regional Hospital Inc DBA GCH
1420 Tusculum Boulevard	Greeneville	TN	37745	510603966	Hospital	TN	501C3	3	WHS	false
Wellmont Cardiology Services
1905 American Way	Kingsport	TN	37660	263557623	Medical Services	TN	501C3	10	WHS	false
Wellmont Medical Associates
1905 American Way	Kingsport	TN	37660	270898372	Medical Services	TN	501C3	7	WHS	false
Ballad Health Foundation
1019 West Oakland Ave Suite 2	Johnson City	TN	37604	581594191	Fundraiser	TN	501C3	7	BALLAD HEALTH	false
Wellmont Madison House
2000 Greenway Street	Kingsport	TN	37660	621308216	Assisted Living	TN	501C3	10	WHS	false
Wellmont Wexford House
2421 N John B Dennis Hwy	Kingsport	TN	37660	581859039	Nursing Home	TN	501C3	10	WHS	false
Wellmont Imaging Services Inc
1905 American Way	Kingsport	TN	37660	861103148	Healthcare	TN	501C3	12a	WHS	false
Wellmont Sleep Services
1905 American Way	Kingsport	TN	37660	273777167	Medical Services	TN	501C3	3	WHS	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
Emmaus Comm Hlth PLLC
6419 Bristol Hwy	Piney Flats	TN	37686	200577483	Medical Services	TN	N/A	false	false
Medl Spec of JC LLC
2528 Wesley St Suite 2	Johnson City	TN	37601	272199037	Medical Services	TN	N/A	false	false
ETn AmbSrg Cntr
701 Med Tech Parkway Suite 100	Johnson City	TN	37604	621787537	Medical Services	TN	N/A	false	false
GreenevillePhySvc LLC
1905 American Way	Kingsport	TN	37660	455070419	Medical Services	TN	N/A	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
Blue Ridge Medical Management Corp
1905 American Way	Kingsport	TN	37660	641490616	Medical Services	TN	na	C	false
Mediserve Medical Equipment
1905 American Way	Kingsport	TN	37660	621212286	Durable Medical Equipment	TN	na	C	false
Mountain States Properties
1905 American Way	Kingsport	TN	37660	621845895	Property Management	TN	na	C	false
Mountain States Physician Grp
1905 American Way	Kingsport	TN	37660	621700412	Medical Services	TN	na	C	false
Community Home Care Inc
1490 Park Avenue NW Suite B	Norton	VA	24273	541453810	Durable Medical Equipment	VA	WHS	C	false	1.00000
Wilson Pharmacy Inc
P O Box 5289	Johnson City	TN	37604	620329587	Pharmacy	TN	na	C	false
Crestpoint Health Ins Co
509 Med Tech Parkway Suite 10	Johnson City	TN	37604	620381170	Insurance	TN	na	C	false
Wellmont Inc
1905 American Way	Kingsport	TN	37660	621320035	Medical Services	TN	WHS	C	false
Wellmont Collections Inc
2004 American Way	Kingsport	TN	37660	621325938	Business Services	TN	NA	C	false
Medical Mall Pharmacy Inc
1905 American Way	Kingsport	TN	37660	621565006	Medical Services	TN	NA	C	false
Wellmont Physician Services
1905 American Way	Kingsport	TN	37660	621567353	Medical Services	TN	NA	C	false
WPS Providers Inc
1905 American Way	Kingsport	TN	37660	205564642	Medical Services	TN	NA	C	false
Wellmont Health Services Inc
1905 American Way	Kingsport	TN	37660	621254373	Medical Services	TN	NA	C	false
Nolichuckey Management Svcs Inc
1420 Tuculum Boulevard	Greeneville	TN	37745	621776681	Medical Services	TN	LMH	C	false
Ballad Ventures LLC
400 N State of Franklin Rd	Johnson City	TN	37604	844214681	Investments	TN	NA	C	false
Wellmont Insurance Co SPC LTD
				981195624	Insurance		NA	C	false		P O Box 30600	Grand Cayman	CJ	KY1-1203	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Dickenson Community Hospital
c	$563,329	Cost
Dickenson Community Hospital
l	$432,706	Cost
Dickenson Community Hospital
p	$2,195,046	Cost
Dickenson Community Hospital
r	$3,098,166	Cost
Community Home Care Inc
a	$25,141	Cost
Community Home Care Inc
q	$72,520	Cost