2021-05-17T12:52:20-05:00 2020-06-30 621517792 PYA P C 2220 SUTHERLAND AVE KNOXVILLE TN 37919 990 2019-07-01 581594191 BALLAD HEALTH FOUNDATION BALL 4233023131 1019 W OAKLAND AVE SUITE 2 JOHNSON CITY TN 376042357 JACK SIMPSON PRESIDENT 4232308550 2021-05-17 1 DEBORAH O ERNSBERGER P00364912 8656730844 2019 2022-09-23 18:48:47Z TODD NORRIS 1019 W OAKLAND AVE SUITE 2 JOHNSON CITY TN 376042357 6186882 0 X BALLADHEALTH.ORG X 1984 TN BALLAD HEALTH FOUNDATION'S PRIMARY PURPOSE IS TO BUILD RELATIONSHIPS WITH OTHERS TO FULFILL THE MISSION AND VISION OF BALLAD HEALTH THROUGH PHILANTHROPY. WORKING TOGETHER AROUND A COMMON SET OF OBJECTIVES, WE CAN TRANSFORM OUR COMMUNITY'S HEALTH AND WELL-BEING. 14 10 16 353 0 0 3793058 4900227 0 0 1372089 1125922 -411 -405007 5164736 5621142 5226311 3180239 0 0 910610 822204 0 0 347989 1421872 967521 7558793 4969964 -2394057 651178 51428843 51336210 5995237 5574142 45433606 45762068 X BALLAD HEALTH FOUNDATION'S PRIMARY PURPOSE IS TO BUILD RELATIONSHIPS WITH OTHERS TO FULFILL THE MISSION AND VISION OF BALLAD HEALTH THROUGH PHILANTHROPY. WORKING TOGETHER AROUND A COMMON SET OF OBJECTIVES, WE CAN TRANSFORM OUR COMMUNITY'S HEALTH AND WELL-BEING. 0 0 3180239 3180239 BALLAD HEALTH FOUNDATION EXISTS TO SUPPORT BALLAD HEALTH'S MISSION OF SERVICE TO THE PEOPLE OF THE APPALACHIAN HIGHLANDS REGION. DURING THE 12 MONTH FISCAL YEAR ENDED JUNE 30, 2020, THE FOUNDATION FUNDED $1,838,993 IN CAPITAL PROJECTS AT BALLAD HEALTH FACILITIES THROUGHOUT THE APPALACHIAN HIGHLANDS REGION. OF THESE PROJECTS, $1,391,863 WERE RELATED TO PEDIATRIC CARE OR HEALTH INITIATIVES. AMONG THE MORE NOTABLE PEDIATRIC PROJECTS FUNDED WAS THE COMPLETION OF THE J.D. NICEWONDER PEDIATRIC EMERGENCY DEPARTMENT AT BRISTOL REGIONAL MEDICAL CENTER, AN ADAPTIVE PLAYGROUND FOR USE BY PATIENTS AND FAMILIES WHO ARE AT NISWONGER CHILDREN'S HOSPITAL, AND A VENTILATOR FOR PEDIATRIC PATIENTS WHO ARE BEING TRANSPORTED BY HELICOPTER. THE FOUNDATION ALSO PROVIDED FUNDING FOR RENOVATIONS ON THE THIRD FLOOR OF SYCAMORE SHOALS HOSPITAL, THE COMPLETION OF A HEALING GARDEN AT JOHNSON CITY MEDICAL CENTER, DIAGNOSTIC EQUIPMENT FOR WOMEN IN SMYTH COUNTY, FURNISHINGS AND DECOR FOR THE GREENEVILLE COMMUNITY HOSPITAL CAFETERIA, AND A NUMBER OF PIECES OF PATIENT TRANSPORT EQUIPMENT IN DICKENSON COUNTY. DURING THE SAME TIME PERIOD OVER $196,000 WAS PROVIDED TO SUPPORT EDUCATIONAL PROGRAMMING FOR PATIENTS AT NISWONGER CHILDREN'S HOSPITAL, $116,899 WAS PROVIDED TO SUPPORT THE HEALTH SYSTEM'S POPULATION HEALTH OBJECTIVES, AND THE FOUNDATION SUPPORTED THE HEALTH SYSTEM'S PARISH NURSING PROGRAM WITH $22,602. FINALLY, THROUGHOUT THE YEAR THE FOUNDATION PROVIDED $503,835 TO SUPPORT TEAM MEMBERS AND PATIENTS WITH BASIC NEEDS AND WOMEN WHO COULD NOT OTHERWISE AFFORD BREAST CANCER SCREENINGS PROGRAMS. 3180239 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 74 0 1 16 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 14 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 TN X SAMANTHA BRUCE 4233023131 1019 W OAKLAND AVE SUITE 2 JOHNSON CITY TN 376042357 BOB CANTLER CHAIRPERSON 1.00 X X 0 0 0 TED FIELDS VICE CHAIRPERSON 1.00 X X 0 0 0 LYNN KRUTAK TRUSTEE/ BH EVP & CFO 0.50 59.50 X X 0 929458 96545 NORRIS SNEED SECRETARY/TREASURER 1.00 X X 0 0 0 JACK SIMPSON PRESIDENT 40.00 X X 113622 0 12019 ANGELA ARP TRUSTEE 0.50 X 0 0 0 KAY BUNN TRUSTEE 0.50 X 0 0 0 GREG COX TRUSTEE 0.50 X 0 0 0 HEIDI DULEBOHN TRUSTEE 0.50 X 0 0 0 SHAWN HOLLINGER TRUSTEE 0.50 X 0 0 0 ANTHONY KECK TRUSTEE 0.50 59.50 X 0 671574 79459 MICHELE KING TRUSTEE 0.50 X 0 0 0 JULIE LICH TRUSTEE 0.50 X 0 0 0 TODD NORRIS TRUSTEE 40.00 10.00 X 0 470542 74055 TODD DOUGAN FORMER OFFICER 0.00 X 0 348086 0 BARTON HOVE FORMER OFFICER 0.00 X 0 980153 0 113622 3399813 262078 3 1 1 0 0 964950 39500 3895777 52044 4900227 830542 830542 312880 0 17500 312880 -17500 295380 295380 143233 964950 548240 -405007 -405007 5621142 0 0 720915 2986192 2986192 194047 194047 822204 822204 37201 37201 205764 88991 116773 74302 74302 81692 81692 10701 10701 BAD DEBT EXPENSE 341651 341651 DONOR RECOGNITION 94371 94371 SPECIAL EVENTS 51291 51291 SUPPLIES 18900 18900 51648 40396 11252 4969964 3180239 1441736 347989 14520067 14399695 2056011 1695284 396720 220770 76689 77146 144327 114998 9966 29329 31872848 32596676 2496542 2317310 51428843 51336210 121385 53489 367550 122300 5506302 5398353 5995237 5574142 X 12851596 10194348 32582010 35567720 45433606 45762068 51428843 51336210 X 651178 -494382 171666 X 0 1 X 1 0 X 5614415 5775347 2920331 3793058 4900227 23003378 5614415 5775347 2920331 3793058 4900227 23003378 23003378 746523 569330 750532 1080704 830542 3977631 4350 2700 5950 13000 797 94336 95133 27089142 0.84920 0.83180 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1840295 -513678 1326617 1308437 531858 1840295 1320023 -11586 1308437 1320884 -861 1320023 1322831 -1947 1320884 1.00000 0 0 4780 4780 1145 1069 76 138402 113929 24473 29329 DUE TO AFFILIATES 5193353 ANNUITY PAYABLE 205000 5398353 X 6731805 -134543 215894 1066513 1147864 5583941 37201 37201 5621142 6056736 215894 908079 1123973 4932763 37201 37201 4969964 PART X, LINE 2: THE FOUNDATION IS CLASSIFIED AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. IN ADDITION, THE FOUNDATION HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A "PRIVATE FOUNDATION" WITHIN THE MEANING OF SECTION 509(A) OF THE IRC. THE FOUNDATION HAS NO UNCERTAIN TAX POSITIONS AT JUNE 30, 2020 THAT WOULD REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. AT JUNE 30, 2020, INFORMATIONAL TAX RETURNS FOR MOUNTAIN STATES FOUNDATION, WELLMONT FOUNDATION, AND LAUGHLIN HEALTHCARE FOUNDATION FOR FISCAL YEARS 2017 THROUGH 2018 ARE ELIGIBLE FOR EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE INFORMATIONAL TAX RETURN FOR THE FOUNDATION FOR FISCAL YEAR 2019 IS ALSO ELIGIBLE FOR EXAMINATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED WITH REVENUES 548,240. NET ASSETS TRANSFERRED FROM AFFILIATE 518,273. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED WITH REVENUES 548,240. UNREALIZED LOSS RECORDED AS AN EXPENSE FOR AUDIT 359,839. GOLF TOURNAMENTS 683854 612288 71566 60922 35169 59326 131925 50760 NIGHT OF HOPE AND MIRACLES 212070 169350 42720 19151 36693 3500 13908 8 212259 183312 28947 13472 4691 11377 15925 91421 1108183 964950 143233 74394 59011 107396 151350 156089 548240 -405007 1 UNITED WAY BRISTOL TNVA 315 8TH ST BRISTOL TN 37620 620476656 501(C)(3) 22502 LITERACY INITIATIVES UNITED WAY GREENE CO 115 ACADEMY ST GREENEVILLE TN 37743 626015767 501(C)(3) 12922 LITERACY INITIATIVES UNITED WAY ELIZABETHTONCARTER CO 527 E ELK AVE ELIZABETHTON TN 37643 621104204 501(C)(3) 18213 LITERACY INITIATIVES UNITED WAY GREATER KINGSPORT 301 LOUIS STREET SUITE 201 KINGSPORT TN 37660 620481461 501(C)(3) 40781 LITERACY INITIATIVES UNITED WAY SOUTHWEST VA PO BOX 644 ABINGDON VA 24212 540718860 501(C)(3) 37225 LITERACY INITIATIVES UNITED WAY OF EAST TN HIGHLANDS PO BOX 4039 JOHNSON CITY TN 37602 626001105 501(C)(3) 30908 LITERACY INITIATIVES PROJECT FIT AMERICA PO BOX 308 BOYES HOT SPRINGS CA 95416 363730823 501(C)(3) 15390 FITNESS PROGRAM MISSION DENTAL VIRGINIA INC 15325 LEE HWY BRISTOL VA 242027401 833820038 501(C)(3) 41000 NET PROCEEDS JMH EVENTS THE NISWONGER FOUNDATION PO BOX 1508 GREENEVILLE TN 37744 621871605 501(C)(3) 6500 BCTG SCHOLARSHIPS LIFETIME WELLNESS CENTER 200 MEDTECH PARKWAY SUITE 200 JOHNSON CITY TN 37604 320185801 13111 STEPPING OUT HEALTHY CAMP 2019, AFTER-SCHOOL HEARTS AND MIND PROGRAM MOUNTAIN EMPIRE COMMUNITY COLLEGE 3441 MOUNTAIN EMPIRE ROAD BIG STONE GAP VA 24219 541268294 115 6500 MECC NURSING PROGRAM AND MECC LPN CLASS BALLAD HEALTH 1019 W OAKLAND AVE STE 1 JOHNSON CITY TN 37604 611771290 501(C)(3) 2712078 $1,832,284 FOR CAPITAL NEEDS AND $879.794 FOR MISCELLANEOUS OTHER PROJECTS 11 1 SCHOLARSHIPS 21 47000 EMPLOYEE ASSSISTANCE 113 147047 PART I, LINE 2: THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. VARIOUS PROCEDURES ARE IN PLACE DEPENDING ON GRANT TYPE, INCLUDING REQUIREMENTS TO SUBMIT APPLICATIONS FOR REVIEW AND APPROVAL. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL. X 0 0 0 0 0 0 0 0 0 0 0 LYNN KRUTAK TRUSTEE/ BH EVP & CFO 0 618283 0 304398 0 6777 0 77960 0 18585 0 1026003 0 0 ANTHONY KECK TRUSTEE 0 436718 0 228079 0 6777 0 59684 0 19775 0 751033 0 0 TODD NORRIS TRUSTEE 0 324839 0 143113 0 2590 0 54320 0 19735 0 544597 0 0 TODD DOUGAN FORMER OFFICER 0 14379 0 0 0 333707 0 0 0 0 0 348086 0 0 BARTON HOVE FORMER OFFICER 0 0 0 12563 0 967590 0 0 0 0 0 980153 0 0 PART I, LINE 1A DURING FISCAL YEAR ENDED JUNE 30, 2020, BALLAD HEALTH PROVIDED A COUNTRY CLUB MEMBERSHIP TO BARTON HOVE, A FORMER OFFICER OF THE BALLAD HEALTH FOUNDATION. THESE AMOUNTS ARE INCLUDED IN TAXABLE COMPENSATION. X 1 6031 COST X MISCELLANEOUS ITEMS 1 34596 ESTIMATED VALUE X CHARITY AUCTION ITEMS 54 11417 ESTIMATED VALUE 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE BUSINESS AND AFFAIRS OF BALLAD HEALTH FOUNDATION ARE GOVERNED EXCLUSIVELY BY THE BOARD OF TRUSTEES. THE FOUNDATION'S BOARD OF TRUSTEES IS DESIGNATED BY BALLAD HEALTH, THE SOLE MEMBER OF THIS CORPORATION. IN ADDITION TO SUCH RIGHTS OF APPROVAL AND CONSENT AS MAY BE RESERVED TO THE SOLE MEMBER OF THE FOUNDATION PURSUANT TO APPLICABLE LAW, TRANSACTIONS OF THE FOLLOWING MATTERS BY THE FOUNDATION SHALL REQUIRE THE PRIOR APPROVAL OF BALLAD HEALTH: (A) IMPLEMENTATION OF FOUNDATION'S ANNUAL BUDGET, (B) INCURRING ANY LOAN OR OTHER INDEBTEDNESS FOR BORROWED MONEY, (C) ACQUISITION OF ANY EQUIPMENT OR PERSONAL PROPERTY FOR A PURCHASE PRICE IN EXCESS OF $50,000 OR THE ACQUISITION OF ANY REAL ESTATE, REGARDLESS OF PURCHASE PRICE, (D) THE UNDERTAKING OF CERTAIN CONTRACTUAL COMMITMENTS, (E) ENTERING INTO ANY PLAN OR MERGER OR CONSOLIDATION, (F) ACQUISITION OF SUBSTANTIALLY ALL OF THE ASSETS OF ANY OTHER LEGAL ENTITY, AND (G) INSTITUTION OF ANY LITIGATION BY OR ON BEHALF OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A BALLAD HEALTH IS BALLAD HEALTH FOUNDATION'S SOLE MEMBER. THE BOARD OF DIRECTORS OF BALLAD HEALTH IS RESPONSIBLE FOR APPOINTING THE DIRECTORS OF THE FOUNDATION'S BOARD. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS SUBJECT TO APPROVAL OF MEMBERS SEE FORM 990, PART VI, SECTION A, LINE 6 FOR EXPLANATION. FORM 990, PART VI, SECTION B, LINE 11B THE BALLAD HEALTH FOUNDATION PRESIDENT REVIEWED THE BALLAD HEALTH FOUNDATION FORM 990 WITH ITS BOARD OF TRUSTEES PRIOR TO FILING. THE RETURN WAS MADE AVAILABLE TO EACH BOARD MEMBER IN AN ELECTRONIC FORMAT PRIOR TO THE REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION IS PART OF BALLAD HEALTH WHICH 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 CIRCUMSTANCE SHALL A MEMBER VOTE ON A MATTER THAT GIVES RISE TO A POTENTIAL CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A ON AN ANNUAL BASIS, BALLAD HEALTH'S HUMAN RESOURCES (H/R) DEPARTMENT EVALUATES COMPENSATION FOR ALL EXECUTIVES AT A POSITION LEVEL OF ASSISTANT VICE PRESIDENT AND ABOVE. H/R'S EVALUATION IS BASED ON MARKET DATA OBTAINED FROM INDEPENDENT THIRD-PARTY CONSULTANTS FOR POSITIONS WITH SIMILAR RESPONSIBILITIES AT SIMILARLY SITUATED ORGANIZATIONS. BASED ON THIS COMPARABLE DATA, BALLAD HEALTH'S PRESIDENT & CEO EVALUATES THE DATA AND SUBMITS HIS RECOMMENDATIONS TO 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 SET IN ADVANCE OF THE PAY YEAR. ESTABLISHED METRICS INCLUDE: QUALITY AND ACCESS MEASURES, EVIDENCE-BASED CARE SCORES, AND VALUE BASED PURCHASING, ETC. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND THE 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. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATE 518,273. LONESOME PINE HOSPITAL FUND -346,607. MOUNTAIN STATES HEALTH ALLIANCE 303 MED TECH PARKWAY SUITE 220 JOHNSON CITY TN 37604 620476282 HOSPITAL SYSTEM TN 501(C)(3) LINE 3 BALLAD HEALTH 0 MSHA AUXILIARY 400 N STATE OF FRANKLIN ROAD JOHNSON CITY TN 37604 581418345 SUPPORTING ORGANIZATION TN 501(C)(3) LINE 12A, I MOUNTAIN STATES HEALTH ALLIANCE 0 SMYTH COUNTY COMMUNITY HOSPITAL 245 MEDICAL PARK DRIVE MARION VA 24354 540794913 HOSPITAL VA 501(C)(3) LINE 3 MOUNTAIN STATES HEALTH ALLIANCE 0 NORTON COMMUNITY HOSPITAL 100 15TH STREET NW NORTON VA 24273 540566029 HOSPITAL VA 501(C)(3) LINE 3 MOUNTAIN STATES HEALTH ALLIANCE 0 DICKENSON COMMUNITY HOSPITAL 312 HOSPITAL DRIVE CLINTWOOD VA 24228 770599553 HOSPITAL VA 501(C)(3) LINE 3 NORTON COMMUNITY HOSPITAL 0 JOHNSTON MEMORIAL HOSPITAL 16000 JOHNSTON MEMORIAL DRIVE ABINGDON VA 24211 540544705 HOSPITAL VA 501(C)(3) LINE 3 N/A 0 ABINGDON PHYSICIAN PARTNERS 16000 JOHNSTON MEMORIAL DRIVE ABINGDON VA 24211 205485346 MEDICAL SERVICES VA 501(C)(3) LINE 12A, I JOHNSTON MEMORIAL HOSPITAL INC 0 BALLAD HEALTH 303 MED TECH PARKWAY SUITE 220 JOHNSON CITY TN 37604 611771290 SUPPORTING ORGANIZATION TN 501(C)(3) LINE 12B, II N/A 0 EAST TN HEALTHCARE HOLDINGS INC 203 GRAY COMMONS CIRCLE GRAY TN 37615 815475903 OPIOID TREATMENT TN 501(C)(3) LINE 3 MOUNTAIN STATES HEALTH ALLIANCE 0 WELLMONT HEALTH SYSTEM 1905 AMERICAN WAY KINGSPORT TN 37660 621636465 HOSPITAL SYSTEM TN 501(C)(3) LINE 3 BALLAD HEALTH 0 WELLMONT HAWKINS CO MEMORIAL HOSP 851 LOCUST STREET ROGERSVILLE TN 37857 621816368 HOSPITAL TN 501(C)(3) LINE 3 WELLMONT HEALTH SYSTEM 0 TAKOMA REGIONAL HOSPITAL INC DBA GREENEVILLE COMMUNITY HOSPITAL 1420 TUSCULUM BOULEVARD GREENEVILLE TN 37745 510603966 HOSPITAL TN 501(C)(3) LINE 3 WELLMONT HEALTH SYSTEM 0 WELLMONT CARDIOLOGY SERVICES 1905 AMERICAN WAY KINGSPORT TN 37660 263557623 MEDICAL SERVICES TN 501(C)(3) LINE 10 WELLMONT HEALTH SYSTEM 0 WELLMONT MEDICAL ASSOCIATES 1905 AMERICAN WAY KINGSPORT TN 37660 270898372 MEDICAL SERVICES TN 501(C)(3) LINE 7 WELLMONT HEALTH SYSTEM 0 WELLMONT MADISON HOUSE 2000 GREENWAY STREET KINGSPORT TN 37660 621308216 ASSISTED LIVING TN 501(C)(3) LINE 10 WELLMONT HEALTH SYSTEM 0 WELLMONT WEXFORD HOUSE 2421 N JOHN B DENNIS HWY KINGSPORT TN 37660 581859039 NURSING HOME TN 501(C)(3) LINE 10 WELLMONT HEALTH SYSTEM 0 WELLMONT IMAGING SERVICES INC 1905 AMERICAN WAY KINGSPORT TN 37660 861103148 HEALTHCARE TN 501(C)(3) LINE 12A, I WELLMONT HEALTH SYSTEM 0 WELLMONT SLEEP SERVICES 1905 AMERICAN WAY KINGSPORT TN 37660 273777167 MEDICAL SERVICES TN 501(C)(3) LINE 3 WELLMONT HEALTH SYSTEM 0 SAPLING GROVE AMBULATORY SURGERY CENTER 220 MEDICAL PARK BOULEVARD BRISTOL TN 37620 204450153 MEDICAL SERVICES TN N/A HOLSTON VALLEY AMBULATORY SURGERY CENTER 103 WEST STONE DRIVE KINGSPORT TN 37660 621816864 MEDICAL SERVICES TN N/A GREENEVILLE PHYSICIAN SERVICES LLC 1905 AMERICAN WAY KINGSPORT TN 37660 455070419 MEDICAL SERVICES TN N/A EMMAUS COMMUNITY HEALTHCARE PLLC 6070 HWY 11E PINEY FLATS TN 37686 200577483 MEDICAL SERVICES TN N/A MEDICAL SPECIALISTS OF JC LLC 2528 WESLEY STREET SUITE 2 JOHNSON CITY TN 37601 272199037 MEDICAL SERVICES TN N/A EAST TN AMBULATORY SURGERY CENTER 701 MED TECH PARKWAY SUITE 100 JOHNSON CITY TN 37604 621787537 MEDICAL SERVICES TN N/A BLUE RIDGE MEDICAL MANAGEMENT CORP 1905 AMERICAN WAY KINGSPORT TN 37660 621490616 MEDICAL SERVICES TN N/A C 0 MEDISERVE MEDICAL EQUIPMENT 1905 AMERICAN WAY KINGSPORT TN 37660 621212286 DURABLE MEDICAL EQUIPMENT CO. TN N/A C 0 MOUNTAIN STATES PROPERTIES 1905 AMERICAN WAY KINGSPORT TN 37660 621845895 PROPERTY MANAGEMENT TN N/A C 0 MOUNTAIN STATES PHYSICIAN GROUP 1905 AMERICAN WAY KINGSPORT TN 37660 621700412 MEDICAL SERVICES TN N/A C 0 COMMUNITY HOME CARE INC 1490 PARK AVENUE NW SUITE B NORTON VA 24273 541453810 DURABLE MEDICAL EQUIPMENT CO. VA N/A C 0 WILSON PHARMACY INC PO BOX 5289 JOHNSON CITY TN 37604 620329587 PHARMACY TN N/A C 0 CRESTPOINT HEALTH INSURANCE COMPANY 509 MED TECH PARKWAY SUITE 100 JOHNSON CITY TN 37604 620381170 INSURANCE TN N/A C 0 WELLMONT INC 1905 AMERICAN WAY KINGSPORT TN 37660 621320035 MEDICAL SERVICES TN N/A C 0 WELLMONT COLLECTIONS INC 2004 AMERICAN WAY SUITE 101 KINGSPORT TN 37660 621325938 BUSINESS SERVICES TN N/A C 0 MEDICAL MALL PHARMACY INC 1905 AMERICAN WAY KINGSPORT TN 37660 621565006 MEDICAL SERVICES TN N/A C 0 WELLMONT PHYSICIAN SERVICES 1905 AMERICAN WAY KINGSPORT TN 37660 621567353 MEDICAL SERVICES TN N/A C 0 WPS PROVIDERS INC 1905 AMERICAN WAY KINGSPORT TN 37660 205564642 MEDICAL SERVICES TN N/A C 0 WELLMONT HEALTH SERVICES INC 1905 AMERICAN WAY KINGSPORT TN 37660 621254373 MEDICAL SERVICES TN N/A C 0 NOLICHUCKEY MANAGEMENT SVCS INC 1420 TUSCULUM BOULEVARD GREENEVILLE TN 37745 621776681 MEDICAL SERVICES TN N/A C 0 BALLAD VENTURES LLC 400 N STATE OF FRANKLIN RD JOHNSON CITY TN 37604 844214681 INVESTMENTS TN N/A C 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0