SMYTH COUNTY COMMUNITY HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: SMYTH COUNTY COMMUNITY HOSPITAL (EIN 54-0794913)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-12
IRS object ID: 202101329349304250
Schema version: 2019v5.0
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-12T13:26:42-07:00	ReturnTs
Tax Period End	2020-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	540794913	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	SMYT	BusinessNameControlTxt
Phone	2763781202	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	James Tyler	PersonNm
Person Title	VP, CEO SCCH	PersonTitleTxt
Signature	2021-05-12	SignatureDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 880	AddressLine1Txt
City	Marion	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24354	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$55,099,821	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	balladhealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1961	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	Our mission: Honor those we serve by delivering the best possible careOur vision: To build a legacy of superior health by listening to and caring for those we serve	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	3	TotalEmployeeCnt
Total Volunteers	68	TotalVolunteersCnt
Total Gross UBI	$33,824	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$9,470	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$113,910	PYContributionsGrantsAmt
CY Contributions Grants	$282,354	CYContributionsGrantsAmt
PY Program Service Revenue	$50,774,968	PYProgramServiceRevenueAmt
CY Program Service Revenue	$51,672,772	CYProgramServiceRevenueAmt
PY Investment Income	$1,714,493	PYInvestmentIncomeAmt
CY Investment Income	$2,191,305	CYInvestmentIncomeAmt
PY Other Revenue	$462,609	PYOtherRevenueAmt
CY Other Revenue	$704,648	CYOtherRevenueAmt
PY Total Revenue	$53,065,980	PYTotalRevenueAmt
CY Total Revenue	$54,851,079	CYTotalRevenueAmt
PY Grants And Similar Paid	$8,588	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$21,134	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$21,517,659	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$20,832,047	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$26,315,570	PYOtherExpensesAmt
CY Other Expenses	$25,645,636	CYOtherExpensesAmt
PY Total Expenses	$47,841,817	PYTotalExpensesAmt
CY Total Expenses	$46,498,817	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,224,163	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,352,262	CYRevenuesLessExpensesAmt
Total Assets BOY	$109,371,717	TotalAssetsBOYAmt
Total Assets EOY	$126,236,373	TotalAssetsEOYAmt
Total Liabilities BOY	$19,278,978	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$28,622,209	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$90,092,739	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$97,614,164	NetAssetsOrFundBalancesEOYAmt
Mission	Our mission: Honor those we serve by delivering the best possible care	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$31,024,869	ExpenseAmt
Grant	$21,134	GrantAmt
Revenue	$42,963,356	RevenueAmt
Desc	See Schedule O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$8,128,361	ExpenseAmt
Revenue	$9,520,867	RevenueAmt
Desc	See Schedule O	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$39,153,230	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	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	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	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	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	66	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3	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	13	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	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 (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd
Eric Deaton
BH EVP & COO	0.10	59.90	Yes (X)	$0	$780,843	$86,618
Greg Neal PresCEO NE Mkt
Director	0.20	44.80	Yes (X)	$0	$548,461	$40,036
Brian Miller DO
Director	40.00	0.00	Yes (X)	$0	$423,777	$39,870
John Jeter VP CEO JMH
Treasurer	0.20	44.80	Yes (X)	$0	$394,332	$38,003	Yes (X)
Bob Bender
CFO, NE Market	9.00	36.00		$0	$302,910	$38,909	Yes (X)
James Tyler
VP, CEO SCCH	45.00	0.00		$284,897	$0	$26,019	Yes (X)
Beldon Fleming
Pharmacy Mgr	40.00	0.00		$151,202	$0	$31,946
Joseph Boothe
Emerg Dept. RN	40.00	0.00		$136,939	$0	$25,268
Lori Martin
Administrator -FMM	40.00	0.00		$126,201	$0	$24,474
Gregory Rinehardt
Rehab Ther. Mgr	40.00	0.00		$121,023	$0	$23,868
Patricia Debusk
Physical Therapist	40.00	0.00		$103,304	$0	$29,897
Chelsea Hamman MD
Vice Chair	0.20	0.00	Yes (X)	$0	$0	$0	Yes (X)
Paul Holcombe
Chair	0.30	0.00	Yes (X)	$0	$0	$0	Yes (X)
Gary Peacock
Secretary	0.20	2.20	Yes (X)	$0	$0	$0	Yes (X)
Amanda Currin
Director	0.30	0.00	Yes (X)	$0	$0	$0
David Kiser MD
Director	0.20	0.00	Yes (X)	$0	$0	$0
Bryan Haynes
Director	0.20	0.00	Yes (X)	$0	$0	$0
Dr Scott Richards
Director	0.20	0.00	Yes (X)	$0	$0	$0
Dr Mike Robinson
Director	0.20	0.00	Yes (X)	$0	$0	$0
Brian Thompson DMD
Director	0.20	0.00	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$923,566	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,450,323	TotReportableCompRltdOrgAmt
Total Other Compensation	$404,908	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	9	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
Reliant Pro Rehab
5800 Granite Prkwy Ste 1000	Plano	TX	75024	Rehabilitation Svcs	$1,132,070
Western Va Regl Emer Phys
200 Corporate Blvd	Lafayette	LA	70508	ED physician Svcs	$677,659
Virginia Highlands Anesthesia
613 Campus Dr	Abingdon	VA	24210	Anesthesiology Svcs	$499,894
Dawn M Holman MD
1008 Johnston Road	Marion	VA	24353	Surgical Svcs	$194,487
Aleksandr Sokolovsky
1008 Johnston Road	Marion	VA	24354	Surgical Svcs	$146,936

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt
Related Organizations	$54,041	RelatedOrganizationsAmt
Government Grants	$222,005	GovernmentGrantsAmt
All Other Contributions	$6,308	AllOtherContributionsAmt
Total Contributions	$282,354	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CARES Act Revenue	900099	$3,725,927	$3,725,927
Hospital Patient Revenue	900099	$47,696,674	$47,696,674
Hospital Wellness Program	900099	$66,848	$66,848
Lab Outreach Program	621500	$24,124		$24,124
P/S Income	900099	$147,755	$138,055	$9,700

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,444	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,444	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$51,672,772	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,655,327	TotalRevenueColumnAmt
Related Or Exempt Func Income	$552,761	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,102,566	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	$235,444	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$188,323	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$47,121	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$47,121	TotalRevenueColumnAmt
Exclusion	$47,121	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$471,397	SecuritiesAmt
Other	$125,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$60,419	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$471,397	SecuritiesAmt
Other	$64,581	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$535,978	TotalRevenueColumnAmt
Related Or Exempt Func Income	$64,581	RelatedOrExemptFuncIncomeAmt
Exclusion	$471,397	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
Cafeteria/Vending	722514	$161,102	$161,102
IPO Settlement	900099	$268,754	$268,754
Revenue From Parent	900099	$194,109		$194,109

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$33,562	TotalRevenueColumnAmt
Exclusion	$33,562	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$657,527	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$54,851,079	TotalRevenueColumnAmt
Related Or Exempt Func Income	$52,450,399	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$33,824	UnrelatedBusinessRevenueAmt
Exclusion	$2,084,502	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	$21,134	TotalAmt
Program Services	$21,134	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	$532,111	TotalAmt
Management And General	$532,111	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	$16,606,098	TotalAmt
Program Services	$13,404,118	ProgramServicesAmt
Management And General	$3,201,980	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$478,950	TotalAmt
Program Services	$395,279	ProgramServicesAmt
Management And General	$83,671	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,189,447	TotalAmt
Program Services	$1,305,342	ProgramServicesAmt
Management And General	$884,105	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,025,441	TotalAmt
Program Services	$960,105	ProgramServicesAmt
Management And General	$65,336	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	$28,389	TotalAmt
Management And General	$28,389	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	$89,499	TotalAmt
Program Services	$66,544	ProgramServicesAmt
Management And General	$22,955	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,004,827	TotalAmt
Program Services	$9,353,933	ProgramServicesAmt
Management And General	$650,894	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$45,463	TotalAmt
Program Services	$3,436	ProgramServicesAmt
Management And General	$42,027	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$359,126	TotalAmt
Program Services	$305,975	ProgramServicesAmt
Management And General	$53,151	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$927,913	TotalAmt
Program Services	$860,245	ProgramServicesAmt
Management And General	$67,668	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,026,555	TotalAmt
Program Services	$926,989	ProgramServicesAmt
Management And General	$99,566	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$113,132	TotalAmt
Program Services	$97,996	ProgramServicesAmt
Management And General	$15,136	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	$179,074	TotalAmt
Program Services	$173,899	ProgramServicesAmt
Management And General	$5,175	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,574,279	TotalAmt
Program Services	$3,287,314	ProgramServicesAmt
Management And General	$286,965	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$64,375	TotalAmt
Program Services	$55,001	ProgramServicesAmt
Management And General	$9,374	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$6,088,912	$6,088,912
Maintenance	$1,554,109	$1,475,423	$78,686
Support Fees	$1,107,938		$1,107,938
Taxes - UBIT	$4,000		$4,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$478,045	TotalAmt
Program Services	$371,585	ProgramServicesAmt
Management And General	$106,460	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$46,498,817	TotalAmt
Program Services	$39,153,230	ProgramServicesAmt
Management And General	$7,345,587	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,627,886	BOYAmt
EOY	$17,630,457	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	$6,692,662	BOYAmt
EOY	$6,212,721	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	$688,899	BOYAmt
EOY	$623,727	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$886,816	BOYAmt
EOY	$851,763	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$123,900	BOYAmt
EOY	$382,618	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$120,293,328	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$68,299,856	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$54,601,785	BOYAmt
EOY	$51,993,472	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$42,763,372	BOYAmt
EOY	$46,046,106	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$711,011	BOYAmt
EOY	$668,615	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,275,386	BOYAmt
EOY	$1,826,894	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$109,371,717	BOYAmt
EOY	$126,236,373	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,719,731	BOYAmt
EOY	$2,893,652	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$260,236	BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,271,960	BOYAmt
EOY	$15,271,960	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,027,051	BOYAmt
EOY	$10,456,597	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,278,978	BOYAmt
EOY	$28,622,209	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	$90,092,739	BOYAmt
EOY	$97,601,805	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
EOY	$12,359	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$90,092,739	BOYAmt
EOY	$97,614,164	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$109,371,717	BOYAmt
EOY	$126,236,373	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,352,262	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$707,931	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$122,906	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	$205	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$205	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	SCCH had lobbying expenses of $205 which represents the portion of dues paid to Virginia Hospital and Healthcare Association and National Rural Health Association attributable to direct lobbying.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,107,683	OtherCostOrOtherBasisAmt
Book Value	$2,107,683	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$57,497,442	OtherCostOrOtherBasisAmt
Depreciation	$15,133,304	DepreciationAmt
Book Value	$42,364,138	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$72,169	OtherCostOrOtherBasisAmt
Depreciation	$70,599	DepreciationAmt
Book Value	$1,570	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$59,872,334	OtherCostOrOtherBasisAmt
Depreciation	$52,469,746	DepreciationAmt
Book Value	$7,402,588	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$743,700	OtherCostOrOtherBasisAmt
Depreciation	$626,207	DepreciationAmt
Book Value	$117,493	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$51,993,472	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
COVID-19 FICA Loan	$202,525
Due to 3rd Parties-Medicare Adv Pmts L/T	$5,200,103
Due to 3rd Parties-Medicare Adv Pmts S/T	$745,498
Due to 3rd Parties-Stimulus Reserve	$1,774,429
Due to 3rd Party Payors	$1,289,874
Operating Lease Obligation L/T	$167,832
Operating Lease Obligation S/T	$185,059
Pharmacy, Medical, Worker's Comp	$487,885
Professional Liability-Reserve	$403,392

Field	Value	IRS element (for citing)
Total Liability	$10,456,597	TotalLiabilityAmt
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	Smyth County 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, 2020. Tax returns for 2017 through 2019 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	false	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd
Report Publically Available	false	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$110,673	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$110,673	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,121,872	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,055,370	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,066,502	NetCommunityBenefitExpnsAmt
Total Expense	0.02290	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,232,545	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,055,370	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,177,175	NetCommunityBenefitExpnsAmt
Total Expense	0.02530	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$368,202	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,320	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$365,882	NetCommunityBenefitExpnsAmt
Total Expense	0.00790	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$576,731	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,141	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$569,590	NetCommunityBenefitExpnsAmt
Total Expense	0.01220	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,960,332	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,030,926	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$929,406	NetCommunityBenefitExpnsAmt
Total Expense	0.02000	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,585	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,054	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,531	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,634	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,634	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,940,484	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,042,441	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,898,043	NetCommunityBenefitExpnsAmt
Total Expense	0.04090	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,173,029	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,097,811	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,075,218	NetCommunityBenefitExpnsAmt
Total Expense	0.06620	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,204,075	BadDebtExpenseAmt
Bad Debt Expense Attributable	$445,508	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$15,119,192	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$13,307,530	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,811,662	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	Smyth County Community Hosp	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	45 Medical Park Drive	AddressLine1Txt
City	Marion	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24354	ZIPCd

Field	Value	IRS element (for citing)
Website Address	balladhealth.org	WebsiteAddressTxt
State License	H 1902	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Smyth County Community Hosp	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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	18	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
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	balladhealth.org/locations#hospitals	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	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	250.0000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	450.0000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	balladhealth.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	balladhealth.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	balladhealth.org	FAPSummaryOnWebsiteURLTxt
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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Facility: Smyth County Community Hosp. - Part V, Section B, Line 3j	During FY20, SCCH was operating under the three-year Community Health Needs Assessment (CHNA) approved by its board of directors at the end of FY18. Priorities established for our CHNA were determined by the most significant health needs of the community. MSHA hospitals, including SCCH, conducted their fourth CHNA this tax reporting period with board approval and publication occurring at the end of FY18.For the FY18 CHNA, Ballad Health and its hospitals and entities agreed to focus on an index of 25 active population health index measures (plus an additional 31 measures for monitoring). The population health index itself is based on the focus areas outlined in the previous FY15 CHNA and align with national health improvement efforts, such as Healthy People 2020.To understand each communitys 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.The Smyth County CHNA community members evaluated measures that make up SCCH's population health index and a few additional measures related to access to health screenings. The Smyth County groups members completed a survey relative to what health priorities should be a focus for their specific community over the next three years. After all the details and data collection was complete and interviews with various focus groups were complete, the Smyth County representatives identified four top focus areas:-Child abuse-Obesity -Mental health-Substance abuse
Facility: Smyth County Community Hosp. - Part V, Section B, Line 5	As part of the FY18 CHNA process, Ballad Health hospitals conducted localized community focus groups with organization representatives such as those from local health departments, school systems, health clinics, emergency services, businesses, and philanthropic boards. The individuals in SCCHs community were selected for participation by the hospitals CEO. The SCCH focus group members were represented by Mount Rogers Community Services Board, Mount Rogers Health District, Emory & Henry School of Health Sciences, Smyth County Sheriffs Department, Marion Police Department, Smyth County School Board, Smyth County Circuit Court, Smyth County Department of Social Services, members of the SCCH Health Trust Board and members of the SCCH Community Hospital Board. Low income, minority and medically underserved populations were represented by Mount Rogers Health Department, Virginia Department of Health, United Way of SWVA, Faith in Action and Childrens Advocacy Center of Smyth County Schools and Smyth County Department of Social Services. Also, between our foundation board and the community board, there are a number of individuals that sit on these boards that represent low income, minority populations, and medically underserved.Activities associated with the June 2018 assessment took place from fall of 2017 through the spring of 2018. Community members from Smyth County met with Ballad Health and SCCH representatives to discuss health priorities and identify potential solutions. Community members were made aware of the 25 measures that make up Ballad Healths population health index plus 3 additional measures related to access to health screening. Participants then completed a survey to indicate their opinion on what health priorities should be a focus for their community. The assessment activity including focus groups and surveys were used to develop the hospital implementation plan that was followed in FY19 and FY20.
Facility: Smyth County Community Hosp. - Part V, Section B, Line 6a	Each hospital within Mountain States Health Alliance completed a CHNA. SCCHs CHNA was conducted with all MSHA hospitals to include: Johnson City Medical Center (includes Niswonger Children's Hospital and Woodridge Hospital), Franklin Woods Community Hospital, Indian Path Community Hospital, 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: Smyth County Community Hosp. - Part V, Section B, Line 11	During the year, SCCH continued to focus on its CHNA priorities as identified in its FY18 CHNA report. SCCHs primary areas of focus included: child abuse, obesity, mental health 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. SCCH also lends support to other nonprofit organizations by serving on their boards, committees, and assisting with fundraising efforts.SCCH made financial contributions to other nonprofit organizations providing community services that support the hospitals CHNA. SCCH contributed to Mount Rogers Community Services, an organization focused on fighting substance abuse, as well as other donations to the community. Free medications were provided to some low-income patients at the time of their discharge and the hospital continued its practice of providing medications and supplies to area rescue squads this year. The hospital continues to conduct activities consistent with our respective implementation plan. SCCH obtained a Health Resources and Services Administration Rural Health Opioid Program (RHOP) grant in conjunction with participating in a Community Based Consortium composed of health care providers. The purpose of RHOP is to promote rural health care services outreach by expanding the delivery of opioid related health care services to rural communities. The goal is to reduce morbidity and mortality related to opioid overdoses in rural communities through the development of broad community consortiums to prepare individuals with opioid-use disorder (OUD) to start treatment, implement care coordination practices to organize patient care activities, and support individuals in recovery through the enhancement of behavioral counseling and peer support activities.
Facility: Smyth County Community Hosp. - Part V, Section B, Line 13h	Ballad Health's financial assistance policy allows for some exceptions to strictly adhering to federal poverty guidelines when awarding financial assistance. Unique circumstances may be weighed and assessed for financial assistance consideration on a case-by-case basis. Also, there are some services where financial assistance may be provided outside of federal poverty guidelines. These are noted in Ballad Health's financial assistance policy.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Francis Marion Manor Health & Rehabilitation	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 Francis Marion Lane	AddressLine1Txt
City	Marion	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24354	ZIPCd

Field	Value	IRS element (for citing)
Facility	Nursing Home	FacilityTxt

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 eligibility. Unique circumstances may be assessed on a case-by-case basis. Charity approval covers current or active patient balances when they are approved and there is no limitation or cap on the amount of charity that a patient may 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 and TennCare reported on line 7b, with the exception of Home Health and Smyth County Physicians, both divisions of SCCH. We used the cost to charge ratio for their data because these are smaller divisions 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 nursing, pharmacy, and therapy students) with schools and universities, allowing their health profession students to get hands-on training in a hospital setting. Another source of health professions education reported on line 7f is our Medicare-approved CNA, Certified Nursing Assistant, program. The CNA program cost and reimbursement information comes from our filed Medicare cost report, adhering to IRS 990 instructions. For line 7g subsidized health care services, we use our cost accounting system because we have established, standard costing reports for these services. We are careful to ensure no double counting of cost. Although we have other 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. We included the subsidy of two hospital owned and operated physician clinics, Glade Springs and Rural Retreat. The clinics are located in rural, medically underserved areas. Line 7h research represents SCCH's 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, SCCH 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 SCCHs bad debt would have qualified for financial assistance if patients had provided our hospital with a financial assistance application and required documentation. Pursuant to the merger, SCCH 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 instances of patients with 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. SCCH 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, we have no choice other than to record an unpaid account as bad debt instead of charity care.
Part III, Line 4 - Bad Debt Expense	Ballad Healths audited financial statements include a footnote on page 13 that describes bad debt. SCCH is included in the June 30, 2020 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 SCCH'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 hospital adhere to our billing and collection guidelines. Our hospitals collection program includes communicating expected financial responsibility prior to service. Our hospital provides 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, our 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 25 active population health index measures 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 hospital's community. Engaging local community organizations will expand partnerships so that organizations work together more to address community health needs.Ballad Health uses a comprehensive process to gather input for and we continued to evolve our population health plan last year. The executive steering team, aided by national experts with experience in large-scale population health improvement, help guide the evolution. Because our hospitals are located in a region with many chronic disease challenges, Ballad Health's goal is to target population health issues to make lasting improvements. Ballad conducted approximately 150 interviews and held 40 meetings with external groups, including the regional health departments, United Way agencies, chambers of commerce, schools and community organizations, the regional accountable care community steering committee, as well as internal groups such as our population health and social responsibility committee of the Ballad Health board of directors, the Ballad Health population health clinical committee, 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, SCCH 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 SCCH 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 a patient, if it is identified the patient 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	SCCH is located in the town of Marion, Virginia, which is in 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. According to U.S. Census Bureau estimates, the Town of Marion has a population of 5,706, while Smyth County's population is 30,104. The latest census bureau data estimates the median age of residents of Smyth County is 45.0 which is older than the median age of 38.5 in Virginia. 21.3% of Smyth Countys residents are 65 or older compared to 15.9% for the state. The population projections for Smyth County over the next five years show that the county will likely experience little to no population growth overall. However, the age 65+ population for Smyth County is projected to experience the most population change over the next five years, as it moves to 24.3% of the population in 2023. 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 bureau estimates Smyth Countys median household income at $40,932 compared to the State of Virginias median income of $76,465. The Town of Marions median income is $31,544. Over 26% of Smyth County's children live in poverty compared to 13.4% statewide. Smyth County is 75.3% rural compared with the statewide rural rate of 24.5%. This factor 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 an additional risk of injury-related deaths in rural communities. Within our own county, injury deaths are 40% higher than the statewide 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 their family 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 University of Wisconsin Population Health Institute County Health Rankings, 30% of the adults in SCCHs 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 countys inactivity rate is 37% compared to the statewide rate of 22%. Other demographic factors influencing health status in the county also include education levels. A large portion of Smyth County residents do not have an education past high school (47%), compared to 29% in the State of Virginia. Additionally, a large portion of Smyth County residents (approx. 10%) do not have health insurance.According to the 2020 County Health Rankings, Smyth County is ranked 107th out of 133 in Virginia for health outcomes and 94th in health behaviors. When compared to other Virginia counties, Smyth County has high rates of adult obesity and physical inactivity, as well as high rates of alcohol-impaired driving deaths. As for social and economic factors, Smyth County ranks 94th due to high rates of children in poverty and higher unemployment rates.
Part VI, Line 4 - Community Building Activities	SCCH 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 SCCH 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.SCCH, 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	SCCH is dedicated to operating efficiently so that waste is minimized. SCCHs 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.SCCH serves as a training site for many types of health professions: nursing, pharmacy, psychology, lab, respiratory therapy, EMT, public health, etc. Students from several colleges receive training and hands-on experience in our hospital. We devote resources to health conferences for local health professionals and offer other programs focused on improving the health of our residents. While we operate in a predominantly low-income, rural area, we continue to offer services that operate at a loss because Smyth County residents would otherwise need to leave their home town or county to receive needed care.The majority of SCCH's governing body is comprised of persons who reside in the organization's primary service areas. Physicians that request privileges who are qualified and credentialed are extended privileges by SCCH.
Part VI, Line 6 - Affilated Health Care System	SCCH is a 44-bed, acute-care facility operated under the direction of a 13-member board of directors primarily comprised of local community residents. It is 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 SCCH'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 Health's 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 Tennessee and Virginia. The reporting includes all of Ballad's 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	Mount Rogers Comm Services	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	770 West Ridge Road	AddressLine1Txt
City	Wytheville	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24382	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	541395005	RecipientEIN
IRC Section	501C3	IRCSectionDesc
Cash Grant	$6,000	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	Substance Abuse Symposiums	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 Tennessee and Virginia. 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 (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount
Beldon Fleming
Pharmacy Mgr	$147,385	$3,817	$9,399	$22,547	$183,148
Bob Bender
CFO, NE Market						$230,452	$71,263	$1,195	$15,535	$23,374	$341,819
Brian Miller DO
Director						$378,444	$28,500	$16,833	$15,942	$23,928	$463,647
Eric Deaton
BH EVP & COO						$517,462	$235,353	$28,028	$68,002	$18,616	$867,461
Greg Neal PresCEO NE Mkt
Director						$373,361	$113,709	$61,391	$16,806	$23,230	$588,497
James Tyler
VP, CEO SCCH	$198,256	$16,427	$14,607	$11,412	$310,916							$70,214
John Jeter VP CEO JMH
Treasurer						$302,787	$88,544	$3,001	$18,094	$19,909	$432,335
Joseph Boothe
Emerg Dept. RN	$133,393	$1,533	$5,737	$19,531	$162,207							$2,013
Lori Martin
Administrator -FMM	$124,797	$1,404	$5,211	$19,263	$150,675

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	Mountain States Health Alliance is the 80% member of Smyth County Community Hospital. Smyth County Community Foundation is the 20% member of Smyth County Community Hospital.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	There are two members and each member is entitled to elect a specified number of directors to the SCCH Board (it's "class" of directors). The Mountain States Health Alliance (MSHA) class of directors, which has 80% of the voting power, is elected by Ballad Health's Board of Directors, MSHA's sole member, which serves as MSHA's Board of Directors. The Smyth County Community Hospital Foundation elects its class of SCCH directors, which has 20% of the voting power. Neither member can veto an appointment by the other member.
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 statute, 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 CFO reviewed the Form 990 with the board of directors prior to filing with the IRS and the return was made available to each board member in an electronic format prior to the review.
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 Smyth County 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 committees 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 conflicted member vote on the matter that gives rise to the 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 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.
Other Changes In Net Assets Or Fund Balances - Other Increases	P/S Expenses - Not on Books = $17585
Other Changes In Net Assets Or Fund Balances - Other Decreases	P/S Interest Inc - Not on Books = -$5096
Other Changes In Net Assets Or Fund Balances - Other Decreases	P/S Ordinary Inc - Not on Books = -$147755
Other Changes In Net Assets Or Fund Balances - Other Increases	Temporarily Restricted Net Asset Change = $12360
Accreditations and Awards	American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR)The Joint Commission accreditationSmyth Regional Home Care: The Joint Commission accreditationSmyth Regional Home Care: Centers for Medicare and Medicaid Services Office of Licensure and CertificationFrancis Marion Manor Health & Rehabilitation: Virginia Department of Health LicenseHealthgrades 2019 Special Clinical Quality award for Pulmonary Care Excellence for superior clinical outcomes in treating chronic obstructive pulmonary disease (COPD) and pneumonia2018 Womens Choice Award for Americas 100 Best Hospitals for best emergency care in VirginiaPremier 2014 Premier Quest Award for High-Value HealthcareSmyth Regional Home Care: 2014 HHCAHPS HONORS Elite recipient, Deyta, LLCQuest 2013 Top Performing Hospital
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 patients, including real-time scheduling, digital access 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 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.Ballad Health has provided new EKG equipment for regional emergency medical services to assist in accelerating diagnosis and management of people with cardiac events who might need to be transported for emergency medical care.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 SCCH, 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 Ballad Health and funded by the various hospitals and other divisions within our health system. The funding levels by SCCH 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. SCCH funded $2,121 for this program in FY20. Ballad Healths Enterprise Call Center 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. SCCH funded $11,671 toward this popular service during FY20.Ballad Health contracts with Med-Trans, locally known as Wings Air Rescue, to operate full-time bases in Elizabethton, TN, Greeneville, TN, Jenkins, KY and Marion, VA plus a base at Bristol Motor Speedway, which is active during race events. Med-Trans provides air ambulance transport of critically ill and injured patients to one of the closest tertiary hospitals in the region. Ballad Health also provide staffing, physicians, and medical supplies to the Commonwealth of Virginia for the Virginia State Polices Med Flight air ambulance service. VSP Med Flight maintains its base in Abingdon, VA. SCCHs contribution this year for the air ambulance services that are especially critical in rural areas was $15,029.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. SCCH invested $26,120 in FY20 toward this initiative that supplements the many other forms of community benefit provided by our health systems hospitals.
Charity and Other Unreimbursed Costs	Charity Care: While reimbursement for healthcare services rendered is critical to the operation and sustainability of the organization, SCCH recognizes its obligation to provide care to individuals who cannot afford essential medical services, including emergency care. SCCH 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 FY20, SCCH incurred a loss of $110,673 attributable to the provision of charity care. This amount does not include the costs associated with bad debt accounts.Medicaid/TennCare: SCCH provides care to persons covered by governmental programs, such as Medicaid and TennCare (Tennessee residents). SCCH incurred a loss of $1,066,502 providing care to this population of patients during the year. Uninsured Discount: Uninsured patients receive 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 SCCH. The approximate cost of this discount in FY20, using a cost to charge ratio, was $826,951 for SCCH. SCCH partnered with the company Bolder Outreach Solutions to work with self-paying patients who have limited financial resources. Representatives were available at SCCH to determine possible governmental medical assistance (Medicaid or TennCare) eligibility, and to help with the application process and follow-up. 421 patients were approved during FY20 for coverage. Once a person is approved for Medicaid or TennCare through this program offered through SCCH, they retain coverage for future medical care. SCCH incurred expense of $31,973 during FY20 to provide this service.
Community Donations	For many years, SCCH has provided assistance to local non-profit lifesaving organizations such as ambulance services, fire departments and rescue squads. SCCH donates free medications and pharmaceutical supplies to these organizations. The cost of donated medications to rescue organizations during FY20 was $9,434. SCCH contributed $6,000 to Mount Rogers Community Services in support of their substance abuse program, as well as other local donations to support the community. Consistent with prior years, we wrote off lab charges of just over $23,000 related to lab tests performed for a local free clinic that serves low-income uninsured residents.
Form 990, Part III, Line 4a - Program Service Accomplishments	Smyth County Community Hospital (SCCH) has a 55-plus year history of providing healthcare services within the community of Marion, Virginia. SCCH is a 44-bed community-based hospital that offers both acute care and inpatient rehabilitation care. The hospital provides comprehensive outpatient services and a variety of outreach programs such as homecare. Additionally, SCCH has a 109-bed nursing care facility, Francis Marion Manor Health and Rehabilitation (FMM). FMM provides both skilled-level and nursing facility-level health care services. Our membership consists of Mountain States Health Alliance (majority owner) and Smyth County Community Foundation. In February 2018, Mountain States Health Alliance (MSHA) and Wellmont Health System (WHS) merged to form Ballad Health, a not-for-profit integrated healthcare delivery system and parent company of MSHA and WHS. Ballad operates 21 hospitals in Northeast Tennessee and Southwest Virginia, including a dedicated childrens hospital, several 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.Services provided during FY20:1,265 hospital inpatients65,883 outpatient visits15,503 emergency visits289 nursing home admissions 6,484 home health visits
Form 990, Part V - Additional Information	Part V, Line 2aBallad Health (BH), SCCH's parent organization, processes payroll for SCCH. SCCH reimburses BH for all salary and benefits related to our teams members and the expense is recorded on SCCH's books. SCCH operates a rural health clinic. Under current Centers for Medicare and Medicaid Services (CMS) regulations governing staffing at a rural health clinic, at least one mid-level provider (nurse practitioner, physician assistant, etc.) must be a W-2 employee of the clinic. Therefore, SCCH pays three mid-level providers directly (rather than BH paying these team members' salary with SCCH reimbursing Ballad Health). The number of SCCH team members that received reportable compensation in excess of $100,000 was 6.
Form 990, Part VII - Related Organizations	Director Compensation: SCCH's board members Eric Deaton, John Jeter, Brian Miller, D.O. and Greg Neal receive compensation for services provided to related organizations and do not receive compensation for services as a SCCH board member.
Form 990, Part X - Additional Information	Part IV, Line 24A and Part X, Line 20 - Tax Exempt Bond LiabilityThe tax exempt bond liability reflects the portion of bonds issued by Mountain States Health Alliance, SCCH's majority owner, on behalf of SCCH for capital needs. SCCH pays all costs related to this portion of the bond issue.
Health Professions Education	SCCH 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. Included in the number of participants receiving clinical experience at SCCH were 148 nursing students from various colleges, universities and programs. This nursing clinical experience required extensive SCCH nursing staff involvement. The clinical setting and hands-on instruction cost SCCH $216,535.SCCH provided a clinical setting for another 126 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 $308,342.SCCHs nursing care facility, Francis Marion Manor, continues to offer a successful program to train Certified Nurse Assistants. Our Certified Nurse Assistant (CNA) program is approved by Medicare as an allied health education program. In order to qualify as a Medicare-approved program, a provider must incur the costs associated with both the clinical and the classroom instruction portions of the program, must control the program curriculum and administrative duties, must employ the faculty, and must control the classroom instruction and clinical training. In addition, the program must be recognized by a national approving body or state licensing organization. We offer the CNA program free of charge and participants are under no obligation to work for SCCH or another Ballad Health facility upon completion of the program.
Improving the Community's Health Status	SCCH subsidizes the Glade Springs Family Medicine Rural Health Clinic and the Family Medicine Practice in Rural Retreat, Virginia. These practices are located in rural, medically underserved areas. These clinics allow residents to receive quality care without having to travel outside of their home area. This is especially important for elderly residents and others that require family or friends to provide transportation to physician appointments. Our cost during the year to subsidize the two clinics was $109,424.The Association of American Medical Colleges (AAMC) issued a press release dated April 11, 2018 stating that the United States could see a shortage of up to 120,000 physicians by 2030. The U.S. population is estimated to grow by nearly 11%, with those over age 65 increasing 50% by 2030. Much of the increased demand comes from a growing, aging population. The aging population will also affect physician supply since one-third of all currently active doctors will be older than 65 in the next decade and likely to retire. The AAMC points out that data conducted in 2017 indicated that an additional 31,600 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. SCCH spent $257,586 during FY20 to recruit and retain physicians. SCCH recruitment efforts are based on documented community need. SCCH is located in 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.SCCH hosted their fourth annual Law Enforcement Health Fair providing valuable medical services to local law enforcement officers and their spouses. The hospital provided free lab work and multiple screenings including blood pressure, height and weight, body mass index, grip test, bone density, vision, hearing and vascular, as well as a one-on-one review of lab work results with a nurse practitioner. Vaccinations were also provided, including flu, shingles and tetanus. Free pulmonary function testing and chest x-rays were offered to all meth lab officers at the Smyth County Sheriffs Office. In addition, the hospital recognized a special need due to the increase in responses to drug-related calls for law enforcement. After learning that this was not something they regularly had access to, the hospital is now providing sharps containers for every police officers vehicle throughout the county.In January 2020, SCCH CEO James Tyler testified before the Virginia Senate Health Subcommittee in support of Senate Bill 864 to continue the state health departments harm reduction and syringe services program. In addition to halting the spread of disease, this program is intended to reduce the incidence of substance-related health and social harms, as well as diminish the stigma that is far too often associated with people who are drug dependent, Tyler said.Community stakeholders in Smyth County are taking a leadership role in addressing the national opioid crisis at the local level, thanks to a $737,000 federal grant last year from the Rural Health Opioid Program, which is part of the U.S. Department of Health & Human Services. The three-year grant will be used to form a multi-disciplinary opioid consortium, with Smyth County Community Hospital serving as the lead organization. Other organizations participating in the consortium include Mount Rogers Health District-Virginia Department of Health, Mount Rogers Community Services Board, Southwest Virginia Community Health Systems (Saltville Medical Clinic), Smyth County School District, Smyth County Sheriffs Department, Marion Police Department, local ministerial associations, the Smyth County Board of Supervisors and the newly formed Smyth County Drug Recovery Court.Smyth County Community Hospital is a member of Ballad Health, a regional health system serving Northeast Tennessee and Southwest Virginia, formed by the merger of Mountain States Health Alliance and Wellmont Health System. As part of this merger, Ballad Health made specific commitments to the State of Tennessee and the Commonwealth of Virginia to improve measures related to the provision of addiction treatment services, the number of adults who abuse prescription drugs, the number of drug deaths and the number of babies exposed to addictive substances before birth.According to the Substance Abuse and Mental Health Services Administration, in 2015, 2 million Americans had a substance use disorder involving prescription painkillers. In Virginia, the total number of fatal drug overdoses statewide has increased each year. According to the states department of health, the number of fatal overdoses in 2016 increased by 39 percent from the previous year. The vast majority of overdose deaths are attributed to opioids. Opioids are a class of drugs that include the illegal drug heroin, synthetic opioids-such as fentanyl-and pain relievers available legally by prescription, like oxycodone, hydrocodone, codeine, morphine and many others. Opioids can be highly addictive, and for some, lead to drug dependency, severe withdrawal symptoms and even death.The new community-based program, which is focused on reducing morbidity and mortality related to opioid use disorder, will work to:Educate the community on overcoming the stigma of opioid addictionEducate people battling addiction on available services in the community and help guide them into treatmentProvide enhanced counseling for hands-on opioid addiction treatmentProvide expanded peer support opportunitiesAnd provide care coordination to support people battling opioid addiction to help them get treatment, make appointments, and remove barriers to treatment such as transportation issues, etc.In the initial stage of the plan, the group will hire a program supervisor, a substance abuse counselor and two care coordinators. The employees will work out of the hospitals emergency department. When a patient is brought in with a suspected drug problem, care coordinators will perform an assessment and identify the best resources to help them. For example, if a patient is brought in by law enforcement and is facing charges, the navigators will work as a go-between for the patient and the local drug court.SCCH offers education to the local ministers concerning opioid addiction, substance abuse, and PTSD. In addition, the hospital also works with the local school system in the development of a Trauma Informed Community. Ballad Health and SCCH have sponsored training on Trauma Informed Care.Smyth County stakeholders and Smyth County Community Hospital have been on the forefront of opioid addiction solutions for several years. The hospital has partnered with East Tennessee State Universitys Bill Gatton College of Pharmacy to provide updated continuing education for its doctors and pharmacists on recent advances in treatment strategies for using pain medication. In 2017, the hospitals Health Trust, a nonprofit fundraising organization, purchased three drug take-back boxes for residents to safely dispose of unused prescription medications. These permanent boxes are located inside the Saltville town Hall, Chilhowie Town Hall and Smyth County Sheriffs Department.SCCH offers a variety of health education classes throughout the year. For example, SCCH offers CPR classes for local businesses and agencies and a joint class is offered for people with hip and knee pain. SCCH plays an active role in the community by providing several direct community events. Trunk or Treat for Halloween celebration at the hospital saw approximately 650 families participate. December to Remember was another community event where members of the community could bring their children to the hospital to visit with Santa and partake in a Carol Sing. The Smyth County Community Hospital Auxiliary, in an effort to promote reading in 1st through 3rd graders, donated books for each one of the children in those grades at all six elementary schools in Smyth County. The hospital also participates in the Bear Buddy program. Hospital Team Members commit to read once a week with a student in 3rd grade to help improve their reading skills and proficiency.
Part VI, Line 15a Compensation Process for Top Officials	On an annual basis, Ballad Health's Human Resources (H/R) Department evaluatescompensation for all executives at a position level of Assistant Vice President andabove. The review includes SCCH's CEO. H/R's evaluation is based on market dataobtained from independent third-party consultants for positions with similarresponsibilities at similarly situated organizations. Based on this comparable data,Ballad Health's President & CEO evaluates the data and submits his recommendationsto Ballad Health's Board of Directors for their final review and approval.In addition, Ballad Health offers an incentive plan to executives based on targeted achievement metrics approved by the Ballad Health Board of Directors which include Quality of Care, Access to Care, Cost Management, etc.
Part VI, Line 15b Compensation Process for Officers	Similar to SCCH's CEO, SCCH's CFO receives compensation that complies with BalladHealth's salary policy. His pay is set at a market percentile specific to hisposition as CFO.

Schedule R IRS990ScheduleR

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	Hosp. Sys.	TN	501C3	3	BALLAD HEALTH	false
MSHA Auxiliary
400 N State of Franklin Road	Johnson City	TN	37604	581418345	Supp. Org.	TN	501C3	12a	MSHA	false
Norton Community Hospital
100 15th Street NW	Norton	VA	24273	540566029	Hospital	VA	501C3	3	MSHA	false
Dickenson Community Hospital
312 Hospital Drive	Clintwood	VA	24228	770599553	Hospital	VA	501C3	3	NCH	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	Med. Serv.	VA	501C3	12a	JMH	false
Ballad Health
303 Med Tech Parkway Suite 220	Johnson City	TN	37604	611771290	Supp. Org.	TN	501C3	12b	NA	false
East TN Healthcare Holdings Inc
203 Gray Commons Circle	Gray	TN	37615	815475903	Opioid Trt	TN	501C3	3	MSHA	false
Wellmont Health System
1905 American Way	Kingsport	TN	37660	621636465	Hosp. Sys.	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 Regl Hosp Inc dba Grnvlle Comm
1420 Tusculum Boulevard	Greeneville	TN	37745	510603966	Hospital	TN	501C3	3	WHS	false
Smyth County Community Foundation
1 Health Way	Marion	VA	24354	311650055	Supp. Org.	VA	501C3	12a	NA	false
Wellmont Cardiology Services
1905 American Way	Kingsport	TN	37660	263557623	Med. Serv.	TN	501C3	10	WHS	false
Wellmont Medical Associates
1905 American Way	Kingsport	TN	37660	270898372	Med. Serv.	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	Asst. Liv.	TN	501C3	10	WHS	false
Wellmont Wexford House
2421 N John B Dennis Hwy	Kingsport	TN	37660	581859039	Nsg. 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	Med. Serv.	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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
Emmaus Comm Hlthcr PLLC
6070 HWY 11E	Piney Flats	TN	37686	200577483	Med. Serv.	TN	NA	false	false
Medl Specialists of JC LLC
2528 Wesley St Ste 2	Johnson City	TN	37601	272199037	Med. Serv.	TN	NA	false	false
East TN Ambulatory Surgery Cntr
701 Med Tech Prkwy Suite 100	Johnson City	TN	37604	621787537	Med. Serv.	TN	NA	false	false
Greeneville Phys Services LLC
1905 American Way	Kingsport	TN	37660	455070419	Med. Serv.	TN	NA	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	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	621490616	Med. Serv.	TN	MSHA	C	false
Mediserve Medical Equipment
1905 American Way	Kingsport	TN	37660	621212286	DME	TN	BRMMC	C	false
Mountain States Properties
1905 American Way	Kingsport	TN	37660	621845895	Prop. Mgmt.	TN	BRMMC	C	false
Mountain States Physician Grp
1905 American Way	Kingsport	TN	37660	621700412	Med. Serv.	TN	BRMMC	C	false
Community Home Care Inc
1490 Park Avenue NW Suite B	Norton	VA	24273	541453810	DME	VA	NCH	C	false
Wilson Pharmacy Inc
PO Box 5289	Johnson City	TN	37604	620329587	Pharmacy	TN	BRMMC	C	false
Crestpoint Health Insurance Company
509 Med Tech Parkway Suite 10	Johnson City	TN	37604	620381170	Insurance	TN	ISHN	C	false
Wellmont Inc
1905 American Way	Kingsport	TN	37660	621320035	Med. Serv.	TN	WHS	C	false
Wellmont Collections Inc
2004 American Way Suite 101	Kingsport	TN	37660	621325938	Bus. Serv.	TN	NA	C	false
Medical Mall Pharmacy Inc
1905 American Way	Kingsport	TN	37660	621565006	Med. Serv.	TN	NA	C	false
Wellmont Physician Services
1905 American Way	Kingsport	TN	37660	621567353	Med. Serv.	TN	NA	C	false
WPS Providers Inc
1905 American Way	Kingsport	TN	37660	205564642	Med. Serv.	TN	NA	C	false
Wellmont Health Services Inc
1905 American Way	Kingsport	TN	37660	621254373	Med. Serv.	TN	NA	C	false
Nolichuckey Management Svcs Inc
1420 Tusculum Boulevard	Greeneville	TN	37745	621776681	Med. Serv.	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		WHS	C	false	PO Box 30600	Grand Cayman	CJ	KY1-1203	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	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	Yes (true)	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	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd