STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

BALLAD HEALTH: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
BALLAD HEALTH (EIN 61-1771290)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-14
IRS object ID
202101349349301245
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-05-14T06:11:31-07:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN611771290EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLynn KrutakPersonNm
Person TitleBH EVP & CFOPersonTitleTxt
Signature2021-05-14SignatureDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAlan Levine PresidentCEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1303 Med Tech Parkway Ste 300AddressLine1Txt
CityJohnson CityCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37604ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$63,010,501GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addressballadhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2015FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionOur mission: Honor those we serve by delivering the best possible care.Our vision: To build a legacy of superior health by listening to and caring for those we serve.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee2578TotalEmployeeCnt
Total Volunteers21TotalVolunteersCnt
Total Gross UBI$299,238TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$45,724NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$911,075PYContributionsGrantsAmt
CY Contributions Grants$2,025,330CYContributionsGrantsAmt
PY Program Service Revenue$8,072,731PYProgramServiceRevenueAmt
CY Program Service Revenue$9,932,992CYProgramServiceRevenueAmt
PY Investment Income$33,308,699PYInvestmentIncomeAmt
CY Investment Income$45,008,980CYInvestmentIncomeAmt
PY Other Revenue$3,263,964PYOtherRevenueAmt
CY Other Revenue-$570,910CYOtherRevenueAmt
PY Total Revenue$45,556,469PYTotalRevenueAmt
CY Total Revenue$56,396,392CYTotalRevenueAmt
PY Grants And Similar Paid$1,000,887PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$29,610CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,302,330PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$21,962,628CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$194,506CYTotalFundraisingExpenseAmt
PY Other Expenses$59,985,743PYOtherExpensesAmt
CY Other Expenses$126,628,329CYOtherExpensesAmt
PY Total Expenses$73,288,960PYTotalExpensesAmt
CY Total Expenses$148,620,567CYTotalExpensesAmt
PY Revenues Less Expenses-$27,732,491PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$92,224,175CYRevenuesLessExpensesAmt
Total Assets BOY$1,975,165,200TotalAssetsBOYAmt
Total Assets EOY$2,037,115,071TotalAssetsEOYAmt
Total Liabilities BOY$1,312,231,001TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,420,522,936TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$662,934,199NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$616,592,135NetAssetsOrFundBalancesEOYAmt
MissionHonor those we serve by delivering the best possible care.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$108,665,538ExpenseAmt
Grant$29,610GrantAmt
Revenue$15,319,266RevenueAmt
DescSee Schedule ODesc
Total Program Service Expenses$108,665,538TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document369IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2578EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLynn KrutakPersonNm
Phone4233023374PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Alan Levine PresidentCEO
Executive Chair54.006.00Yes (X)Yes (X)$2,155,621$0$214,799
Marvin Eichorn
EVP/CAO52.807.20Yes (X)$1,097,890$0$42,535
Lynn Krutak
EVP/CFO58.401.60Yes (X)$929,458$0$96,545
Barton Hove
Former Officer - Retired0.000.00$980,153$0$0
Eric Deaton
EVP/COO53.606.40Yes (X)$780,843$0$86,618
Tim Belisle EVP
General Counsel54.006.00$691,954$0$87,755
Anthony Keck
EVP/CPHO59.400.60$671,574$0$79,459
Steve Kilgore
BHMA SVP49.300.70$662,143$0$87,743
Monty McLaurin
CEO NW Mkt.16.0024.00$571,962$0$61,493
Clay Runnels MD
EVP/Chief Phy Exec60.000.00$559,623$0$57,328
Shane Hilton
SVP, CFO Market Operations48.002.00$527,469$0$77,908
Lisa Smithgall
SVP/Chief Nursing Executive50.000.00$521,130$0$70,738
Morris Seligman MD
Former EVP & CMO0.000.00$567,374$0$2,291
Melissa Carr
SVP Financial Management49.500.50$443,558$0$63,711
Shana Tate
SVP50.000.00$404,500$0$45,219
Pam Austin
SVP & CIO50.000.00$402,075$0$31,211
Todd Dougan
Former Officer - Retired0.000.00$348,086$0$2,291
Barbara Allen
Director3.000.00Yes (X)$0$0$0
Julie Bennett
Director3.000.00Yes (X)$0$0$0
Doug Springer MD
Secretary3.000.00Yes (X)Yes (X)$0$0$0
David Lester
Vice Chair3.000.00Yes (X)$0$0$0
David May MD
Director3.000.00Yes (X)$0$0$0
Scott Niswonger
Director3.000.00Yes (X)$0$0$0
Brian Noland
Director3.000.00Yes (X)$0$0$0
Gary Peacock
Treasurer3.001.20Yes (X)Yes (X)$0$0$0
David Golden
Director3.000.00Yes (X)$0$0$0
Keith Wilson
Director3.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$12,315,413TotalReportableCompFromOrgAmt
Total Other Compensation$1,107,644TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K138IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Data Blue LLC
5300 Virginia WayBrentwoodTN37027IT Implementation Svcs.$8,091,076
Impact Advisors LLC
PO BOX 379NapervilleIL605560379IT Professional Adv Svcs.$3,869,476
MISYS HlthCare Syst LLC
305 Church at N Hill StRaleighNC27615Elec Med Recrds/Main$2,477,876
Blood Connection Inc
1099 Bracken RoadPiedmontSC29673Blood Services$2,265,369
Change Healthcare LLC
5995 Windward ParkwayAlpharettaGA30005Healthcare Tech Mgmt$2,070,638
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K43CntrctRcvdGreaterThan100KCnt
Related Organizations$36,175RelatedOrganizationsAmt
Government Grants$1,694,250GovernmentGrantsAmt
All Other Contributions$294,905AllOtherContributionsAmt
Total Contributions$2,025,330TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Estinguishment of Debt900099-$2,508,013-$2,508,013
Rent Related Exempt Orgs900099$778,516$778,516
Wellness900099$11,662,489$11,662,489
FieldValueIRS element (for citing)
Total Program Service Revenue$9,932,992TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,600,424TotalRevenueColumnAmt
Exclusion$18,600,424ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,126,929TotalRevenueColumnAmt
Exclusion$1,126,929ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$519,479RealAmt
Personal$6,373PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$522,109RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$2,630RealAmt
Personal$6,373PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,743TotalRevenueColumnAmt
Unrelated Business Revenue$6,373UnrelatedBusinessRevenueAmt
Exclusion-$2,630ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$22,577,733SecuritiesAmt
Other$8,795,894OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$6,092,000OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$22,577,733SecuritiesAmt
Other$2,703,894OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,281,627TotalRevenueColumnAmt
Related Or Exempt Func Income$2,703,894RelatedOrExemptFuncIncomeAmt
Exclusion$22,577,733ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
IPO Settlement900099$2,682,380$2,682,380
Laundry Services900099$1,941,986$1,941,986
Med-Flights900099$849,407$849,407

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,048,426TotalRevenueColumnAmt
Unrelated Business Revenue$292,865UnrelatedBusinessRevenueAmt
Exclusion-$6,341,291ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total-$574,653OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$56,396,392TotalRevenueColumnAmt
Related Or Exempt Func Income$15,319,266RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$299,238UnrelatedBusinessRevenueAmt
Exclusion$38,752,558ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$29,610TotalAmt
Program Services$29,610ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,996,598TotalAmt
Management And General$4,996,598ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,873,884TotalAmt
Program Services$4,908,382ProgramServicesAmt
Management And General$9,796,578ManagementAndGeneralAmt
Fundraising$168,924FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$40,373TotalAmt
Program Services$13,323ProgramServicesAmt
Management And General$26,606ManagementAndGeneralAmt
Fundraising$444FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,495,638TotalAmt
Program Services$476,922ProgramServicesAmt
Management And General$1,002,078ManagementAndGeneralAmt
Fundraising$16,638FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$556,135TotalAmt
Program Services$183,524ProgramServicesAmt
Management And General$366,494ManagementAndGeneralAmt
Fundraising$6,117FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,545,582TotalAmt
Program Services$29,008ProgramServicesAmt
Management And General$2,516,574ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$676,379TotalAmt
Management And General$676,379ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$653,132TotalAmt
Management And General$653,132ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,997,510TotalAmt
Program Services$855,875ProgramServicesAmt
Management And General$1,141,635ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,472,536TotalAmt
Program Services$7,840,202ProgramServicesAmt
Management And General$5,632,334ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,417,036TotalAmt
Program Services$1,066,082ProgramServicesAmt
Management And General$3,350,954ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,084,708TotalAmt
Program Services$2,697,931ProgramServicesAmt
Management And General$2,386,647ManagementAndGeneralAmt
Fundraising$130FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,093,325TotalAmt
Program Services$1,517,903ProgramServicesAmt
Management And General$1,575,422ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,345,934TotalAmt
Program Services$2,324,054ProgramServicesAmt
Management And General$3,021,880ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,505,817TotalAmt
Program Services$593,037ProgramServicesAmt
Management And General$912,780ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,991,691TotalAmt
Program Services$7,636,250ProgramServicesAmt
Management And General$1,355,441ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$38,858,694TotalAmt
Program Services$23,733,161ProgramServicesAmt
Management And General$15,125,533ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,206,385TotalAmt
Program Services$518,611ProgramServicesAmt
Management And General$687,774ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Maintenance$39,130,365$18,998,248$20,132,117
Dues & Subscriptions$7,234,168$1,851,168$5,383,000
Taxes - UBIT$138,500$138,500
Medical Supplies$138,499$138,499

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$7,861,932TotalAmt
Program Services$33,253,748ProgramServicesAmt
Management And General-$41,117,933ManagementAndGeneralAmt
Fundraising$2,253FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$148,620,567TotalAmt
Program Services$108,665,538ProgramServicesAmt
Management And General$39,760,523ManagementAndGeneralAmt
Fundraising$194,506FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$78,779,665BOYAmt
EOY$8,059EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$37,404,447BOYAmt
EOY$314,541,361EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$475,776EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$228,403BOYAmt
EOY$14,093,336EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$11,977,590BOYAmt
EOY$4,565,659EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$8,515,916BOYAmt
EOY$23,247,208EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$714,005BOYAmt
EOY$2,262,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,041,518BOYAmt
EOY$19,585,480EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$575,829,211LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$329,894,736LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$222,885,867BOYAmt
EOY$245,934,475EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$673,963,918BOYAmt
EOY$775,123,176EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$90,687,616BOYAmt
EOY$18,938,691EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$435,513,957BOYAmt
EOY$448,424,068EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$274,125,706BOYAmt
EOY$36,589,190EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,975,165,200BOYAmt
EOY$2,037,115,071EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$68,986,492BOYAmt
EOY$91,008,482EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,856,305BOYAmt
EOY$359,026EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,040,412,920BOYAmt
EOY$1,176,741,601EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$165,740,185BOYAmt
EOY$24,542,975EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,235,099BOYAmt
EOY$127,870,852EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,312,231,001BOYAmt
EOY$1,420,522,936EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$662,917,532BOYAmt
EOY$616,210,175EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,667BOYAmt
EOY$381,960EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$662,934,199BOYAmt
EOY$616,592,135EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,975,165,200BOYAmt
EOY$2,037,115,071EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$92,224,175ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$10,634,659NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$56,516,770OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Supported Org Information SupportedOrgInformationGrp (2 entries)

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

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (true)MajorityDirTrstSupportedOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$57,576GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$664,222DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$721,798TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationBallad Health had lobbying expenses of $57,576 which represents the portion of dues paid to Tennessee Public & Teaching Hospital Association, Tennessee Business Roundtable, Tennessee Chamber & Commerce Industry and Virginia Hospital and Healthcare Association.The remaining expenditures were incurred for lobbyist registrations,sponsorship of legislative events and consulting.Representatives of Ballad Healths Community & Government Relations department attended the following legislative conferences:Premier Federal Affairs Network meetingAmerica's Essential Hospitals Policy meetingTennessee Hospital Association Legislative Advocacy Day Tennessee Public & Teaching Hospitals Association annual meetingParticipated in CHA Public Policy Sub CommitteeRepresentatives of Ballad Healths Community & Government Relations department also contacted congressional offices concerning the following issues:Opposed any cuts in Medicare/MedicaidSupported area wage index permanent fix (introduced Save Rural Hospital Act)Supported the continuance of Medicare Dependent Hospital and Low-Volume designationsOpposed cuts to 340b Program and changes in eligibility resulting from the pandemicSupported a reasonable remedy for surprise billingMonitored progress of the TN Medicaid Block GrantSupported Provider Financial Relief Efforts for COVID related expenses and revenue lossesRepresentatives of Ballad Healths Community & Government Relations department responded via letter, phone, or in person to the following Tennessee and Virginia legislative issues:Certificate of Need reform(TN)/Certificate of Public Need (VA) reformContinuation of monitoring of Hospital Assessment Fee in Tennessee and VirginiaMental health funding for inpatient psychiatric care-Tennessee and overall behavioral health funding in VirginiaAdequate TennCare funding in Tennessee Limited hospital reporting requirements for surprise billingAdvocated for TANF (Temporary Assistance for Needy Families) Funding in Tennessee to support residential treatment center for mothers with substance use disorders and their young childrenExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,139,435OtherCostOrOtherBasisAmt
Book Value$30,139,435BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$72,400,741OtherCostOrOtherBasisAmt
Depreciation$20,874,768DepreciationAmt
Book Value$51,525,973BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,457,988OtherCostOrOtherBasisAmt
Depreciation$2,416,525DepreciationAmt
Book Value$2,041,463BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$364,091,206OtherCostOrOtherBasisAmt
Depreciation$305,606,071DepreciationAmt
Book Value$58,485,135BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$104,739,841OtherCostOrOtherBasisAmt
Depreciation$997,372DepreciationAmt
Book Value$103,742,469BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$245,934,475TotalBookValueLandBuildingsAmt
Total Book Value Program Rltd$448,424,068TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (15 entries)

DescDescAmtAmt
Capital Lease CP$1,138,458
Capital Lease LT$5,938,528
Contributions Payable$850,000
COVID-19 FICA Loan$1,589,837
Due to 3rd Parties - MCare PHE Acc$3,485
Due to 3rd Party Payors-$19,155
Due to Affiliates$4,122,575
Long-term Compensation Payable$2,966,109
LT-DT 3rd Parties -Mcare PHE Accel/Adv$15,669
Operatig Lease-LT Portion$2,647,807
Operating Lease-Current Portion$1,493,539
Reserve - Other$97,727,676
Retiree Health Care Benefit$1,504,305
Retirement Obligations$6,824,791
SWAPS$1,067,228
FieldValueIRS element (for citing)
Total Liability$127,870,852TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
Explanation"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 J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Alan Levine PresidentCEO
Executive Chair$1,217,727$805,887$132,007$192,278$22,521$2,370,420$101,488
Anthony Keck
EVP/CPHO$436,718$228,079$6,777$59,684$19,775$751,033
Barton Hove
Former Officer - Retired$12,563$967,590$980,153
Clay Runnels MD
EVP/Chief Phy Exec$432,441$122,757$4,425$33,425$23,903$616,951
Eric Deaton
EVP/COO$517,462$235,353$28,028$68,002$18,616$867,461
Lisa Smithgall
SVP/Chief Nursing Executive$362,677$150,386$8,067$53,895$16,843$591,868
Lynn Krutak
EVP/CFO$618,283$304,398$6,777$77,960$18,585$1,026,003
Marvin Eichorn
EVP/CAO$715,309$346,798$35,783$16,759$25,776$1,140,425
Melissa Carr
SVP Financial Management$306,254$134,028$3,276$49,157$14,554$507,269
Monty McLaurin
CEO NW Mkt.$389,780$137,469$44,713$37,303$24,190$633,455
Morris Seligman MD
Former EVP & CMO$567,374$2,291$569,665
Pam Austin
SVP & CIO$288,185$100,525$13,365$20,988$10,223$433,286
Shana Tate
SVP$277,803$123,339$3,358$44,277$942$449,719
Shane Hilton
SVP, CFO Market Operations$366,177$157,650$3,642$53,986$23,922$605,377
Steve Kilgore
BHMA SVP$447,286$186,725$28,132$62,149$25,594$749,886
Tim Belisle EVP
General Counsel$426,412$250,526$15,016$63,565$24,190$779,709
Todd Dougan
Former Officer - Retired$14,379$333,707$2,291$350,377

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1a: Relevant information in regards to selections on 1a.Unless expressly approved by the Ballad Health Executive Chair/President, first-class transportation is generally not permitted. The Executive Chair/President may utilize first class travel for flights of a long duration. The Vice Chair/Lead Independent Director of the Board of Directors reviews and determines approval for expense reimbursement requests made by the Executive Chair/President. Charter flights must be approved in advance by the Executive Chair/President and are limited to business trips that can be justified based on financial savings, essential time savings and meeting logistics. On an annual basis, the Internal Audit Department of Ballad Health validates all charter travel was for valid business purposes and in compliance with the Ballad Health senior executive travel and business reimbursement policy.
Part I, Line 4: Participated or recieved pay from an equity based compensation arrangementThe following executives listed in Schedule J, Part II participated in a 457(f) retirement plan provided by Ballad Health (BH). The 457(f) plan is a nonqualified tax-deferred compensation plan available to a select group of key executives for the intent of supporting retention and to offer a competitive total retirement program. Account balances have a substantial risk of forfeiture. In addition to creditor risk, substantial risk of forfeiture is created through default risk if the participants employment with BH is terminated prior to age 65. However, the 457(f) plan contains a non-compete provision that provides the account balance to be paid in a lump sum after the executive satisfies the two-year non-compete period. This provision applies to employer contributions if the executive has provided eligible service for six or more years. The executive will receive the entire account balance if he/she becomes disabled, dies or if the executive terminates for good reason or is involuntarily terminated without good cause within a 24-month period after a change-of-control occurs. Distributions from this plan are subject to federal, state, and local taxes on the entire account balance upon distribution.Alan Levine $175,519Lynn Krutak $61,200Eric Deaton $51,002Tim Belisle $42,840Tony Keck $42,840Steve Kilgore $45,390Melissa Carr $30,000Monty McLaurin $20,000Clay Runnels, MD $16,490Shane Hilton $37,230Lisa Smithgall $34,500Shana Tate $27,600Pam Austin $2,635The following executives received change-of-control payments. Payments were reported as taxable income with appropriate tax withheld and remitted to the IRS. Morris Seligman, MD $56,583Todd Dougan $322,094Wellmont Health System established a Rabbi Trust to benefit Barton Hove, former President & CEO of Wellmont Health system. Mr. Hove terminated his employment with Wellmont Health System effective January 31, 2018 which triggered the initiation of payments under the Rabbi Trust Agreement totaling $967,590. In accordance with Section 2. (e) of the Agreement, Mr. Hove is to be paid a monthly amount of $80,633, per the Agreement Payment Schedule.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Hth & Edu Facil Bd 2018BusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN830682499BondIssuerEIN
CUSIP396649EX9CUSIPNum
Bond Issued2018-06-06BondIssuedDt
Issue Price$820,526,657IssuePriceAmt
PurposeAssets & Capital ImprovementsPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$13,775,000RetiredAmt
Total Proceeds$820,542,471TotalProceedsAmt
Issuance Costs From Proceeds$9,240IssuanceCostsFromProceedsAmt
Capital Expenditures$820,535,798CapitalExpendituresAmt
Substantial Completion2019SubstantialCompletionYr
Refunding Tax Exempt BondsfalseRefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (true)EngageBondCounselContractsInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebateYes (true)ExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart VIFormAndLineReferenceDesc
Explanation1.Part II, Line 10. Pursuant to Section 1.150 - 1(a)(2)(ii) of the Treasury Regulations, the proceeds of the Bonds were used to acquire the assets of Mountain States Health Alliance and Wellmont Health System, and such expenditures would be treated as capital expenditures, and not the refunding of prior debt.ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonM EichornPersonNm
Relationship With OrgOfficerRelationshipWithOrgTxt
Loan Purposesplit$lifeLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$2,808,925OriginalPrincipalAmt
Balance Due$4,565,659BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
Written AgreementfalseWrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$4,565,659TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (25 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe Ballad Health Tax Department prepares and reviews the Form 990. During preparation other functional areas within the organization provide information and support to complete an accurate return. The return is reviewed by the organization's EVP/CFO and is provided in electronic form to all members of the Board of Directors prior to being filed with the IRS.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBallad Health has a conflict of interest policy for all members of the Board of Directors, the Executive Chair/President, Executive Vice Presidents, Senior Vice Presidents, and Vice Presidents, and applies to all Ballad Health organizations. All persons covered by this policy are required to complete a conflict of interest disclosure form on an annual basis. Should a conflict arise, it is the responsibility of the conflicted individual to update his or her disclosure immediately. All meetings of the board or board committees have a standing agenda item first on the agenda titled Conflicts of Interest. If a member of the board or board committee has a conflict of interest involving any issue on the board agenda, he or she must declare the conflict of interest during the period allotted for disclosure. If any issue arises during a meeting in which the board member has a conflict of interest, he or she must immediately declare the conflict. While each member of the board or board committee is responsible for disclosing conflicts of interest, it is also the responsibility of any board member aware of a conflict which has not been disclosed to ensure the board is made aware. The presiding officer of a board or board committee meeting may ask a conflicted member to excuse themselves from the meeting during the discussion related to the issue with which the conflict of interest applies. Under no circumstances shall a member vote on a matter that gives rise to a potential conflict.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementThe executive committee serves as the compensation committee of Ballad Health's Board of Directors. The compensation plan for Alan Levine, Ballad Health's President and CEO, was reviewed and approved by the executive committee. An outside and independent compensation consultant was used to determine his compensation and benefits. Studies and surveys were used to ensure his pay is comparable to like positions at similarly situated organizations.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe executive committee reviewed and approved compensation for all Ballad Health executives at the vice-president level and above during FY20 using the same methodology used to determine the CEO's compensation.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGoverning documents and conflict of interest policy are made available upon request to the appropriate parties requesting them. Financial statements are made available upon request to appropriate parties requesting them, and they are made available to those parties who own indebtedness of the company on a quarterly basis.
Other Changes In Net Assets Or Fund Balances - Other DecreasesBallad Health Ventures = -$1075000
Other Changes In Net Assets Or Fund Balances - Other DecreasesCaptive = -$3523097
Other Changes In Net Assets Or Fund Balances - Other DecreasesChange in Fair Value of Interest Rate Swap = -$12010666
Other Changes In Net Assets Or Fund Balances - Other IncreasesElimination of Intercompany Receivables/Payables = $XXX-XX-XXXX
Other Changes In Net Assets Or Fund Balances - Other IncreasesFoundation PTO = $471935
Other Changes In Net Assets Or Fund Balances - Other IncreasesHVASC = $471578
Other Changes In Net Assets Or Fund Balances - Other DecreasesNCH Note = -$41342975
Other Changes In Net Assets Or Fund Balances - Other IncreasesSGASC = $8874
Other Changes In Net Assets Or Fund Balances - Other IncreasesSGASC Dist = $390000
Other Changes In Net Assets Or Fund Balances - Other DecreasesSGASC Eq Dist = -$6454
Other Changes In Net Assets Or Fund Balances - Other DecreasesSGASC tax pmt to City of Bristol = -$5427
Other Changes In Net Assets Or Fund Balances - Other IncreasesT/F LMSHA Corp BS = $29957633
Other Changes In Net Assets Or Fund Balances - Other DecreasesT/F LWHS Corp BS = -$31813271
Other Changes In Net Assets Or Fund Balances - Other IncreasesTemporarily Restricted Grants = $365293
IMPROVING ACCESS TO HEALTHCARE SERVICESRE-IMAGINE RURAL HEALTHCARE - Since 2010, more than 130 rural hospitals have closed in the United States, according to the North Carolina Rural Health Research Program. Compared to other states, Tennessee ranks second worst in the nation, with 14 rural hospital closures between 2010 and 2020. A key benefit of Ballad Health, however, has been the retention of hospitals in rural communities of the Appalachian Highlands bucking the national trend. In fact, every community in the region with a hospital prior to the merger creating Ballad Health continues to be served by a hospital, even in the face of millions of dollars of annual operating losses in many of those hospitals. Before 2018, four hospitals in Northeast Tennessee and three hospitals in Southwest Virginia were reporting ongoing annual operating losses, with several at risk of closure, in addition to one hospital that closed in Lee County, Virginia, in 2013. REOPENING HOSPITAL IN LEE COUNTY, VA - Ballad Health has submitted an application to the Centers for Medicare and Medicaid to designate Lee County Community Hospital as a Critical Access Hospital. Significant progress was made during 2020 to repurpose the closed facility into a modern Critical Access Hospital to serve patients in a rural area despite impacts of the COVID-19 pandemic. While the new hospital is renovated, Ballad Health has opened a new urgent care center adjacent to the future hospital to provide residents in the area with immediate access to care.GREENE COUNTY, TN CONSOLIDATION AND NEW SERVICES- During the 2018 fiscal year, the two hospitals in Greene County, Laughlin Memorial and Takoma Regional, saw combined operating losses of $11 million, with cumulative two-year losses totaling nearly $25 million. As competing hospitals in the community, both hospitals were failing financially. With Ballad Healths creation, both hospitals were consolidated into one, with the Laughlin Memorial campus being renamed Greeneville Community Hospital. The former Takoma Regional Hospital campus is now being converted into a new service for the region Strong Futures, a residential facility for women who are pregnant and suffer from substance abuse disorders. Under this new model, Greeneville Community Hospital, the newly consolidated acute care hospital, has reversed its losses and is becoming financially sustainable. CREATED SINGLE COORDINATED REGIONAL TRAUMA SYSTEM - One of the most significant ways Ballad Health has been able to comply with the provisions of the Certificate of Public Advantage and Cooperative Agreement, which required avoidance of duplication of services where appropriate, was the consolidation of the two Level I trauma centers operating in the region and the subsequent creation of a coordinated regional trauma system. In approving this move in advance, the State of Tennessee relied upon the evidence published in multiple respected studies which found higher volume trauma centers lead to improved outcomes. The move toward a single coordinated trauma system followed the guidance of the American College of Surgeons (ACS), which verifies trauma centers, and Ballad Health is seeking verification of its Level I trauma center. When verified, it will be the first time the Appalachian Highlands will have had its Level I trauma center verified by the ACS.CONSOLIDATED REGIONAL PERINATAL CENTER - Tennessee law requires a regionalized system of care for high-risk newborns. The result of this law is a policy in Tennessee that recognizes five regional perinatal centers. Niswonger Childrens Hospital at Johnson City Medical Center is the designated center for regional perinatal care for the Appalachian Highlands. Prior to the merger, perinatal care in the Appalachian Highlands did not meet the goals of the state, with two NICUs that were not coordinated and shared volumes. Ballad Health immediately took steps to correct this after the merger, leading to a more sustainable and coordinated system of care for neonates, while also reducing the costs associated with maintaining two lower-volume units. After this consolidation, Ballad Health partnered with ETSUs Quillen College of Medicine, which provides ongoing expert neonatology coverage for the hospital, ensuring Ballad Health has neonatology provider coverage 24 hours per day. With more than 25 pediatric specialists to provide support for the Perinatal Center, this is the first time every newborn in the region has access to such highly specialized care.EXPANDED ACCESS TO PEDIATRIC SPECIALTIES - With financial support from Ballad Health and the State of Tennessee, the ETSU Quillen College of Medicine was able to successfully recruit pediatric surgeons to support the Niswonger Childrens Hospital. Our partners at ETSUs Quillen College of Medicine also provide 24/7 neonatology coverage for the NICU, and more than 25 pediatric specialists provide support as well. Ballad Health now proudly meets the highest standards for regional perinatal care, something that was not thought possible prior to the merger creating Ballad Health.PARTNERSHIP WITH ETSU TO CREATE FELLOWSHIP PROGRAM IN ADDICTION MEDICINE - Ballad Health and East Tennessee State University formed a partnership to create a new fellowship program in addiction medicine. As part of its commitment to expand education and training in the region, Ballad Health will fund any unreimbursed costs of the fellowship program which, over a 10-year period, could cost more than $2.5 million. With accreditation to the Accreditation Council for Graduate Medical Education, ETSU has a goal of accepting its first fellows by July 2020.ESTABLISHMENT OF CENTER FOR RURAL HEALTH RESEARCH Tennessee Governor Bill Lee announced the creation of a new Center for Rural Health Research that will be housed at the College of Public Health at East Tennessee State University. In addition to state funding, Ballad Health has committed to contributing more than $15 million during the next 10 years to the Center. The goal of the Center will be to work with Ballad Health, local healthcare delivery partners, national experts and the leadership of ETSU Health to identify new mechanisms to improve health in rural and nonurban communities. Specific emphasis will be placed on strategies that disrupt inter-generational cycles of behaviors that contribute to poor health outcomes, which ultimately can affect college and career-readiness.RECRUITMENT OF NEW PHYSICIANS TO RURAL SOUTHWEST VIRGINIA - Ballad Health provided the necessary resources to recruit new specialists to serve our region, many of whom were recruited to private practices not owned by Ballad Health. The addition of specialists is helping to improve access to care in rural communities. For instance, Wise County in Virginia now benefits from an orthopedist, a cardiologist and several other physicians and providers. Wythe County, in Virginia, a community not served by a Ballad Health hospital, benefits from a cardiologist recruited by Ballad Health. Throughout the region, new physicians and advanced practitioners, recruited and funded by Ballad Health, are serving the region from trauma care to pediatrics, from Wythe County, Virginia to Hancock County, Tennessee.
IMPROVING HEALTHCARE QUALITYQUALITY METRICS - Ballad Healths Board of Directors has adopted a zero-harm culture for the organization, and processes have commenced to institutionalize this objective. This focused effort on quality improvement significantly benefitted patients. While quality measures can vary from month to month, and Ballad Health cautions about deriving conclusions based on data at one point in time, some positive trends have emerged, including: Clostridioides difficile (C. diff) decreased by 44% compared to the baseline, Catheter-associated urinary tract infections (CAUTI) decreased by 41% compared to last fiscal year and decreased by 4% compared to baseline, Iatrogenic Pneumothorax rate decreased by 66% compared to the baseline, In-hospital fall with hip fracture rate decreased by 50% compared to the baseline, Postoperative acute kidney injury (AKI) decreased by 50% compared to the baseline, Postoperative wound dehiscence rate decreased by 28% compared to the baseline, Postoperative respiratory failure rate decreased by 60% compared to the baseline, Sepsis bundle compliance remains an all-time high of more than 64%, putting Ballad Health as one of the top performers in the nation in this domain. Prior to the impacts of COVID-19, Ballad Health improved performance in 13 of the 17 Quality Targeted Measures that Tennessee and Virginia use to measure quality of care delivered to patients for the 2020 fiscal year. Ballad Health ranked above the 90th percentile of health systems in Hospital Compare during that time in five of the 17 Quality Targeted Measures. PARTICIPATION IN THE MEDICAID TRANSFORMATION PROJECT - Ballad Health and a group of the nations leading health systems joined forces to identify ways to better care for some of the nations most vulnerable populations through the Medicaid Transformation Project. The project is a national effort to transform healthcare and address social determinants of health for the nearly 75 million Americans who rely on Medicaid. The work focused on four keys areas of opportunity: Behavioral health, child and maternal health, substance use disorder and avoidable emergency department visits. PARTICIPATION IN THE HIGH-VALUE CARE COLLABORATIVE - Ballad Health was chosen for a national initiative called The High-Value Care Collaborative, a partnership of the American Hospital Association, the American Board of Internal Medicine Foundations Choosing Wisely campaign, and the Costs of Care organization, that brings together participants to improve efficiency in healthcare, decrease cost and improve quality. During the past year, Ballad Health and other participants in the program adopted strategies to reduce unnecessary cost and deliver evidence-based care that has been demonstrated to reduce the burden on patients.
IMPROVING THE COMMUNITY'S HEALTHCARE STATUSACCOUNTABLE CARE COMMUNITY ACHIEVEMENTS - To help address the broader needs of the community at large, Ballad Health has convened the nations largest accountable care community (ACC), spanning two states with more than 300 participating organizations in 21 counties throughout the Appalachian Highlands.Through five months of regional focus groups and stakeholder meetings, the ACC selected four priority areas to influence through its work: substance abuse, tobacco use, overweight and obesity, childhood trauma and resiliency.The ACC leadership council has agreed that the most impactful way to address the four priority areas is by focusing on interventions that benefit children and families. To reflect this commitment toward youth, the group chose the name STRONG ACC (Striving Toward Resilience and Opportunity for the Next Generation) and is organizing activities into four categories: STRONG Starts (conception through kindergarten), STRONG Youth (kindergarten through 12 years old), STRONG Teens (13 to 18 years old) and STRONG Families (adults and caregivers).CREATION OF NEW BALLAD HEALTH BEHAVIORAL SERVICES DIVISION - To achieve success in a value-based healthcare environment and to achieve the goals for improved access to behavioral services for the region, Ballad Health created the Behavioral Health Services Division. CREATION OF THE BALLAD HEALTH INNOVATION CENTER - Ballad Health created The Innovation Center to serve as a hub for development of partnerships and collaborations that can bring to market life-saving initiatives and other technologies and services that can improve the human condition. COMMUNITY RESOURCES - Ballad Health parish nurses work with individual congregations to help people in religious communities improve their health, prevent illness and injury and ease suffering associated with any health crisis. The parish nurse acts as counselor, educator and healthcare provider by identifying needs of the congregation, coordinating health screenings, providing educational programs, supplying health literature and referring congregants to supportive health services where appropriate. Also, the parish nurse maintains an active visitation program to parishioners who are homebound, hospitalized or in nursing homes. Currently, there are dozens of churches in Northeast Tennessee and Southwest Virginia that are serviced by the Ballad Health parish nurse program. Ballad Healths Nurse Connect is a toll-free line that connects community members with experienced nurses around the clock. The nurses provide expert medical advice anytime, day or night, make referrals to a primary care provider with a location and hours convenient to the community member and referrals to a physician specialist when they need advanced local medical care. They also provide health information and resources, including health screenings and immunizations, and make referrals to urgent care clinics to see a doctor near the community member the same day. Ballad Healths Marsh Regional Blood Center supplies the blood needs of 28 hospitals and 5 rescue aircraft across Northeast Tennessee and Southwest Virginia. This is accomplished through our collection facilities in Kingsport, Johnson City, Bristol, and 650 mobile blood drives at local high schools, businesses, and colleges each year. Marsh conducts blood drives with 49 high schools and 21 colleges & vocational schools throughout Northeast Tennessee and Southwest Virginia.CHARITABLE CONTRIBUTIONS- From its inception in February of 2018, Ballad Health made significant contributions to the community it serves totaling nearly $9 million to date. A few examples from fiscal year 2020 include: contribution towards the Center for Rural Health and Research and establishment of the Ballad Health Institute focusing on Trauma Informed Care, annual support for medical and dental care to working uninsured or underinsured, Isaiah 117 House support to provide physical and emotional support for children awaiting foster care placement, full body scanner for Sullivan County Main Jail Facility to improve safety and security for the Sullivan County Sheriffs Office.
INVESTMENTSCOMMON ELECTRONIC HEALTH RECORD - Ballad Health made additional progress in FY20 toward establishing a common clinical platform and electronic health record (EHR). An implementation plan was developed to include infrastructure enhancements to support the expansion. This investment of over $200 million will allow patient information to be shared immediately at the point of service regardless of where a patient enters the Ballad Health system, providing clinical staff with information to better manage patients in the emergency room, clinics, acute and post-acute settings. In the midst of, and despite the global health pandemic, on June 1, Ballad Health successfully completed the first major milestone in a journey to create a common and interoperable health technology platform. Ballad Health launched the ambulatory portion of the electronic health records system, Epic, in physician clinics, previously part of the Mountain States Health Alliance system. This effort was completed with Ballad Health achieving 100 percent compliance with the Key Operating Indicators indicative of a successful conversion. The new platform will provide patients and their doctors with new options for access, care and security of patient records unprecedented in Ballad Healths service area. Ballad Health implemented the acute care phase of the transition on October 1, 2020 concluding a multi-year effort to transition to a single patient record platform. With this accomplishment, Ballad Health expects to optimize its connectivity to consumers, improving the patient experience dramatically. CHARITY CARE CONTRIBUTIONS - For 2020, Ballad Health provided more than $60 million in free care, cost that is not reimbursed by any payer nor recovered from the patient who qualifies for charity assistance. Following the merger, Ballad Health increased the threshold for patients to qualify for charity care from 200% of the federal poverty level to 225% of the federal poverty level, and provides significant discounts for people up to 450% of the federal poverty level. ACCOUNTABLE CARE ORGANIZATION SAVINGS - Ballad Health was among the first health systems to implement and successfully demonstrate that value-based care led to reduced costs through its Accountable Care Organization (ACO), AnewCare Collaborative. Value-based care means payments for healthcare are based on the quality of care provided and in the reduction of the total cost of care. Since the United States Centers for Medicare and Medicaid Services established the shared savings program six years ago, AnewCare has been one of only 18 ACOs in the nation to generate savings for taxpayers each year saving taxpayers more than $25million since inception.MEDICAL EDUCATION - Ballad Health continues to offer free Certified Nursing Assistant (CNA) classes, which are open to the public. The CNA courses are approved and regulated by either the Tennessee State Board of Nursing or the Virginia Board of Nursing (Smyth County Community Hospital). The training opportunity can lead to job opportunities for those who complete the program. 62 percent of the students trained by Ballad Health are hired upon graduation. Ballad Health offers the course free of charge and participants who successfully complete the course meet criteria to sit for the state certification examination. The program includes classroom sessions followed by clinical experience. Clinical hours are conducted at various Ballad Health facilities. RESEARCH the Ballad Health research department serves as the central office for multi-specialty research oversight to our healthcare system. In addition to providing full spectrum support for studies generated and managed by the research department, the department provides oversight for studies generated by external groups. The research department has participated in several large-scale, multi-center trials with a high subject retention rate and sponsor/monitoring rating. Oversight services include administrative, legal, regulatory support, internal service arrangement and financial management. In addition, since teaching and continuing education play a large role within the organization, research staff participate in conferences/webinars and conduct a monthly research orientation session. The department maintains reportable metrics and financial reports on a quarterly basis. The focus for principal investigators is mostly in therapeutic areas such as oncology, neuro/trauma/ortho, pharmacology, endocrinology, pediatrics, and cardiology. A variety of studies include different designs that may include, but are not limited to, pharmaceutical/investigational trials, retrospective medical chart reviews and registry studies. The research department is dedicated to: providing consistent oversight and management of clinical research performed at all Ballad Health facilities,ensuring regulatory compliance and fiscal responsibility, andcreating a research culture across Ballad Health facilities
OTHER NOTABLE EVENTS AND AWARDSBallad Health, ETSU partner to launch Strong BRAIN Institute to study adverse childhood experiences. The Strong BRAIN (Building Resilience through ACEs-Informed Networking) Institute will facilitate the development and dissemination of evidence-based practices that prevent, reduce or mitigate the negative effects of Adverse Childhood Events (ACEs) on health and health disparities. The institute will also work to inform the citizenry and workforce in the Appalachian Highlands on the importance of being trauma informed. Established through a five-year gift from Ballad Health to ETSU, the Strong BRAIN Institute will be guided by an advisory board comprised of ETSU experts, Ballad Health experts and community members.Ballad Health announced that Dr. Michael Chernew, the Leonard D. Schaeffer Professor of Health Care Policy and the Director of the Healthcare Markets and Regulation Lab at Harvard Medical School, will lead an independent study to evaluate hospital competition in small rural markets, and how service offerings and expenses are affected by rural hospital closures and mergers. This latest announcement follows on a partnership between Tennessee Gov. Bill Lee, the Tennessee Legislature and Ballad Health last July to create the Center for Rural Health Research at ETSU a multidisciplinary institute for research impacting rural health. Over a 10-year period, Ballad Healths $15 million contribution commitment was matched with nearly $10 million by the governor and Tennessee legislature.Harvard University and UnitedHealthcare recognized Ballad Health as one of four healthcare organizations leading the way towards a 3D model for value-based care.In response to the COVID-19 Pandemic, Ballad Health partnered with the Mayo Clinic to conduct research into convalescent plasma as an experimental treatment. Ballad Health was recognized by Forbes magazine as being a top employer for diversity and inclusion. In its annual Best Employers for Diversity list, Ballad Health ranked 29th in the entire nation and were fifth among employers in the Healthcare and Social industry.Holston Valley Medical Center was selected as one of only two medical facilities in the United States as a demonstration site for the Leipzig Interventional Course (LINC) 2020 conference. LINC is an interdisciplinary live course designed to provide a global platform that facilitates discussion of vascular patients by integrating colleagues of different specialties who are performing endovascular intervention.Holston Valley Medical Center was recognized as one of the nations 50 Top Cardiovascular Hospitals by IBM Watson Health.Two Ballad Health hospitals, Franklin Woods Community Hospital and Bristol Regional Medical Center, earned the Tennessee Department of Healths BEST for Babies award for their efforts to improve infant care and reduce infant mortality.Norton Community Hospitals inpatient rehabilitation department was recognized for the 13th straight year as among the top 10 percent in the nation for functional patient outcomes.Dr. Amit Vashist, Chief Clinical Officer for Ballad Health, was named to the physician leaders to know by Beckers Hospital Review for the second year in a row. Eric Deaton, Chief Operating Officer for Ballad Health, was named to the Leadership Tennessee 2019-2020 class. Leadership Tennessee is a program that brings leaders from across the state together to engage in collaborative, non-partisan dialogue on issues of statewide importance.
PART lll, Program Service AccomplishmentsBallad Health is a tax-exempt entity and the parent corporation of both Mountain States Health Alliance (MSHA) and Wellmont Health System (WHS). The two healthcare systems came together on February 1, 2018 as a result of a merger approved by both Tennessee and Virginia Departments of Health. Ballad Health operates under a Certificate of Public Advantage (COPA) in Tennessee and a Cooperative Agreement (CA) in Virginia. Pursuant to the COPA and CA, MSHA and WHS are required to fulfill the obligations, commitments and covenants set forth in the COPA. Such obligations include that Ballad Health shall meet, over the ten-year period beginning July 1, 2018, established minimum spending criteria on initiatives for expanded access to healthcare services, health research and graduate medical education, population health improvement, and a region-wide health information exchange. The full text of the COPA can be found on the Tennessee Department of Health's website, while the CA can be found on the Virginia Department of Health's website.Ballad Health is a healthcare delivery system serving 1.2 million residents from 29 counties in Northeast Tennessee, Southwest Virginia, Northwest North Carolina, and Southeastern Kentucky. Ballad Health operates 3,030 licensed beds and 21 hospitals, including 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. Form 990 for MSHA includes seven wholly-owned hospitals including a childrens hospital and a behavioral health hospital; four others, majority owned by MSHA, each file a separate return. Form 990 for WHS includes five wholly-owned hospitals; two others, also wholly-owned, each file a separate return. 2019 Novel Coronavirus (COVID-19) Public Health EmergencyThe United States Secretary of Health and Human Services declared a Public Health Emergency on January 31, 2020 due to confirmed cases of the 2019 Novel Coronavirus (COVID-19). On March 10, 2020 Ballad Health executed its disaster plan in response to the COVID-19 pandemic. This included the activation of its Corporate Emergency Operations Command (CEOC) to coordinate efforts across the system and around the region to rapidly plan for, and execute, ongoing response to the issues resulting from the COVID-19 pandemic. The policy establishing the CEOC is established and authorized by the Board of Directors, and follows guidelines established by the Federal Emergency Management Agency (FEMA) and the CDC. CEOC is led by an incident commander appointed by the Chief Executive Officer in this instance the Chief Operating Officer. The CEOC is composed of key leaders overseeing essential functions of the health system, including logistics, supply chain, communications, operations, finance, government relations and clinical services. The CEOC acts as the clearinghouse for all organizational planning and decision-making related to the event, and continues its responsibilities under the oversight of, and until discontinued by, the Chief Executive Officer. The Chief Executive Officer, who also serves as Chair of the Board of Directors, keeps the Board of Directors apprised of issues on an ongoing basis and ensures compliance with the Boards delegations of authority pursuant to Ballad Healths policies.Effective March 23, 2020, Ballad Health complied with federal and state guidance to cease all non-emergent, elective procedures. Beyond the deferral of these procedures and diagnostic testing, Ballad Health experienced a decline in other types of medical treatment similar to that experienced by most health systems and physician organizations physician practice, urgent care and other routine medical service visits declined precipitously.Comparing the fourth quarter of 2020 to the prior year, Ballad Health saw a 22.6% decline in acute discharges, a 29.3% decline in surgeries performed in hospital settings; a 26.9% decrease in inpatient surgeries; a 30.6% decrease in outpatient surgeries; and a 34.7% decrease in emergency department visits. Due to these unique circumstances and the material adverse effect COVID-19 imposed on the health system, the Tennessee Department of Health and the Virginia Department of Health temporarily suspended certain provisions of the COPA and the CA, respectively, providing flexibility for Ballad Health to plan for, and respond to, the various issues related to the pandemic.During the 2020 fiscal year, Ballad Healths total expenses decreased by 1.4%, or $29 million, when compared to the prior year. Cost reduction efforts also resulted in almost $50 million in savings for the fourth quarter of 2020.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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Mountain States Health Alliance
303 Med Tech Parkway Suite 220Johnson CityTN37604620476282Hospital SystemTN501C33BALLAD HEALTHYes (true)
MSHA Auxiliary
400 N State of Franklin RoadJohnson CityTN37604581418345Supporting OrganizationTN501C312aMSHAfalse
Smyth County Community Hospital
245 Medical Park DriveMarionVA24354540794913HospitalVA501C33MSHAfalse
Norton Community Hospital
100 15th Street NWNortonVA24273540566029HospitalVA501C33MSHAfalse
Dickenson Community Hospital
312 Hospital DriveClintwoodVA24228770599553HospitalVA501C33NCHfalse
Johnston Memorial Hospital
16000 Johnston Memorial DriveAbingdonVA24211540544705HospitalVA501C33NAfalse
Abingdon Physician Partners
16000 Johnston Memorial DriveAbingdonVA24211205485346Medical ServicesVA501C312aJMHfalse
East TN Healthcare Holdings Inc
203 Gray Commons CircleGrayTN37615815475903Opioid TreatmentTN501C33MSHAfalse
Wellmont Health System
1905 American WayKingsportTN37660621636465Hospital SystemTN501C33BALLAD HEALTHYes (true)
Wellmont Hawkins Co Memorial Hosp
851 Locust StreetRogersvilleTN37857621816368HospitalTN501C33WHSfalse
Takoma Regional Hospital Inc DBA GCH
1420 Tusculum BoulevardGreenevilleTN37745510603966HospitalTN501C33WHSfalse
Wellmont Cardiology Services
1905 American WayKingsportTN37660263557623Medical ServicesTN501C310WHSfalse
Wellmont Medical Associates
1905 American WayKingsportTN37660270898372Medical ServicesTN501C37WHSfalse
Ballad Health Foundation
1019 West Oakland Ave Suite 2Johnson CityTN37604581594191FundraiserTN501C37BALLAD HEALTHfalse
Wellmont Madison House
2000 Greenway StreetKingsportTN37660621308216Assisted LivingTN501C310WHSfalse
Wellmont Wexford House
2421 N John B Dennis HwyKingsportTN37660581859039Nursing HomeTN501C310WHSfalse
Wellmont Imaging Services Inc
1905 American WayKingsportTN37660861103148HealthcareTN501C312aWHSfalse
Wellmont Sleep Services
1905 American WayKingsportTN37660273777167Medical ServicesTN501C33WHSfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Emmaus Comm Hth PLLC
6070 HWY 11EPiney FlatsTN37686200577483Medical ServicesTNN/Afalsefalse
Medl Spec of JC LLC
2528 Wesley Street Suite 2Johnson CityTN37601272199037Medical ServicesTNfalsefalseNA
ETn AmblSrg Cntr
701 Med Tech Parkway Suite 100Johnson CityTN37604621787537Medical ServicesTNfalsefalseNA
Sapling Grove Ambulatory Surgery Center
220 Medical Park BoulevardBristolTN37620204450153Medical ServicesTNfalsefalseNA
Holston Valley Ambulatory Surgery Center
103 West Stone DriveKingsportTN37660621816864Medical ServicesTNfalsefalseNA
GreenevillePhySvcs LLC
1905 American WayKingsportTN37660455070419Medical ServicesTNfalsefalseNA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Blue Ridge Medical Management Corp
1905 American WayKingsportTN37660621490616Medical ServicesTNMSHAC$144,165,973$237,980,6011.00000false
Mediserve Medical Equipment
1905 American WayKingsportTN37660621212286Durable Medical EquipmentTNBRMMCC$2,630,115$7,396,2131.00000false
Mountain States Properties
1905 American WayKingsportTN37660621845895Property ManagementTNBRMMCC$14,974,984$148,935,6181.00000false
Mountain States Physician Grp
1905 American WayKingsportTN37660621700412Medical ServicesTNBRMMCC$67,368,116$11,616,7301.00000false
Community Home Care Inc
1490 Park Avenue NW Suite BNortonVA24273541453810Durable Medical EquipmentVANCHC$971,626$678,9650.50100false
Wilson Pharmacy Inc
P O Box 5289Johnson CityTN37604620329587PharmacyTNBRMMCC$5,748,787$6,108,5431.00000false
Crestpoint Health Insurance Company
509 Med Tech Parkway Suite 10Johnson CityTN37604620381170InsuranceTNISHNC1.00000false
Wellmont Inc
1905 American WayKingsportTN37660621320035Medical ServicesTNWHSC-$89,848,1091.00000false
Wellmont Collections Inc
2004 American Way Suite 101KingsportTN37660621325938Business ServicesTNWHSC$1,082,200$688,9731.00000false
Medical Mall Pharmacy Inc
1905 American WayKingsportTN37660621565006Medical ServicesTNWHSC$2,6931.00000false
Wellmont Physician Services
1905 American WayKingsportTN37660621567353Medical ServicesTNWHSC1.00000false
WPS Providers Inc
1905 American WayKingsportTN37660205564642Medical ServicesTNWHSC1.00000false
Wellmont Health Services Inc
1905 American WayKingsportTN37660621254373Medical ServicesTNWHSC$986,775$3,192,6651.00000false
Nolichuckey Management Svcs Inc
1420 Tusculum BoulevardGreenevilleTN37745621776681Medical ServicesTNTRHC$5,350,984$1,398,2981.00000false
Ballad Ventures LLC
400 N State of Franklin RdJohnson CityTN37604844214681InvestmentsTNBalladC1.00000Yes (true)
Wellmont Insurance Co SPC LTD
981195624InsuranceWHSC$69,634$24,161,2291.00000Yes (true)P O Box 30600Grand CaymonKY1-1203CJCJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgYes (true)AssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (40 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Mountain States Health Alliance
l$2,364,133Cost
Mountain States Health Alliance
o$833,357Cost
Mountain States Health Alliance
q$8,754,748Cost
Mountain States Health Alliance
r$293,524Cost
Mountain States Health Alliance
s$175,803Cost
Smyth County Community Hospital
d$15,271,960Cost
Smyth County Community Hospital
l$2,078,101Cost
Smyth County Community Hospital
o$2,726,265Cost
Smyth County Community Hospital
q$8,004,251Cost
Smyth County Community Hospital
r$194,109Cost
Norton Community Hospital
d$20,524,914Cost
Norton Community Hospital
l$3,311,233Cost
Norton Community Hospital
o$772,674Cost
Norton Community Hospital
q$15,138,378Cost
Norton Community Hospital
r$591,673Cost
Norton Community Hospital
s$24,849,058Cost
Dickenson Community Hospital
l$506,893Cost
Dickenson Community Hospital
o$616,215Cost
Dickenson Community Hospital
p$767,429Cost
Johnston Memorial Hospital
g$96,529Cost
Johnston Memorial Hospital
o$7,872,830Cost
Johnston Memorial Hospital
q$28,750,326Cost
Johnston Memorial Hospital
r$560,469Cost
Abingdon Physician Partners
l$523,737Cost
East TN Healthcare Holdings Inc
a$109,259Cost
Wellmont Health System
k$92,750Cost
Wellmont Health System
l$1,866,081Cost
Wellmont Health System
m$20,356Cost
Wellmont Hawkins Co Memorial Hosp
l$800,151Cost
Wellmont Hawkins Co Memorial Hosp
o$870,775Cost
Wellmont Hawkins Co Memorial Hosp
q$5,123,810Cost
Wellmont Hawkins Co Memorial Hosp
r$85,653Cost
Takoma Regional Hospital Inc DBA GCH
o$1,162,626Cost
Takoma Regional Hospital Inc DBA GCH
q$9,234,163Cost
Takoma Regional Hospital Inc DBA GCH
r$464,799Cost
Takoma Regional Hospital Inc DBA GCH
s$15,154Cost
Ballad Health Foundation
c$1,080,832Cash
Blue Ridge Medical Management Corp
l$2,302,269Cost
Blue Ridge Medical Management Corp
m$73,572Cost
Blue Ridge Medical Management Corp
q$15,501,682Cost