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BALLAD HEALTH: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
BALLAD HEALTH (EIN 61-1771290)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-08
IRS object ID
202041909349302064
Schema version
2018v3.1
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)
Return2020-07-08T13:13:31-07:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

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 TitleEVP & CFOPersonTitleTxt
Signature2020-07-08SignatureDt
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
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$48,125,485GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addressballadhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2015FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionBallad Health is organized to develop, own and operate hospitals, clinics, physician practices, other healthcare services, and other businesses and activities for the overall purpose of promoting health and providing quality healthcare to a broad cross section of the community.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$67,852TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$33,949NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$911,075CYContributionsGrantsAmt
PY Program Service Revenue-$13,098,518PYProgramServiceRevenueAmt
CY Program Service Revenue$8,072,731CYProgramServiceRevenueAmt
CY Investment Income$33,308,699CYInvestmentIncomeAmt
CY Other Revenue$3,263,964CYOtherRevenueAmt
PY Total Revenue-$13,098,518PYTotalRevenueAmt
CY Total Revenue$45,556,469CYTotalRevenueAmt
CY Grants And Similar Paid$1,000,887CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$12,302,330CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$368,813CYTotalFundraisingExpenseAmt
PY Other Expenses$563,134PYOtherExpensesAmt
CY Other Expenses$59,985,743CYOtherExpensesAmt
PY Total Expenses$563,134PYTotalExpensesAmt
CY Total Expenses$73,288,960CYTotalExpensesAmt
PY Revenues Less Expenses-$13,661,652PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$27,732,491CYRevenuesLessExpensesAmt
Total Assets BOY$856,766,017TotalAssetsBOYAmt
Total Assets EOY$1,975,165,200TotalAssetsEOYAmt
Total Liabilities BOY$870,427,669TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,312,231,001TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$13,661,652NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$662,934,199NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHonor those we serve by delivering the best possible care.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$42,456,896ExpenseAmt
Grant$1,000,887GrantAmt
Revenue$11,825,309RevenueAmt
DescSee Schedule ODesc
Total Program Service Expenses$42,456,896TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
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 OrganizationsYes (true)GrantsToOrganizationsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiledInd
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
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
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 VenturefalseInvestmentInJointVentureInd
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 (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Alan Levine PresidentCEO
Executive Chair55.005.00Yes (X)Yes (X)$0$2,032,246$193,444
Barbara Allen
Director3.000.00Yes (X)$0$0$0
Julie Bennett
Director3.000.00Yes (X)$0$0$0
David Golden
Director3.000.00Yes (X)$0$0$0
David Lester
Vice Chair3.000.00Yes (X)Yes (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
Doug Springer MD
Secretary3.000.00Yes (X)Yes (X)$0$0$0
Keith Wilson
Director3.000.00Yes (X)$0$0$0
Marvin Eichorn
EVP & CAO52.807.20Yes (X)$0$1,011,865$36,694
Lynn Krutak
EVP & CFO57.902.10Yes (X)$0$854,023$90,292
Eric Deaton
EVP & COO54.006.00$0$570,270$42,955Yes (X)
Pam Austin
SVP & CIO50.000.00$0$345,430$25,186Yes (X)
Shana Tate
SVP50.000.00$0$272,578$29,504Yes (X)
Morris Seligman MDterm 218
EVP & CMO59.500.50$0$800,387$24,560Yes (X)
Steve Kilgore
BHMA SVP54.300.70$0$652,029$85,068Yes (X)
Anthony Keck
EVP & CPHO58.401.60$0$612,910$70,933Yes (X)
Tim Belisle EVP
General Counsel55.005.00$0$577,064$79,532Yes (X)
James Parsons term 418
VP Human Resources44.500.50$0$624,169$23,651Yes (X)
Barton Hove
Former Officer - Retired0.000.00$0$1,296,774$23,651Yes (X)
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$9,649,745TotReportableCompRltdOrgAmt
Total Other Compensation$725,470TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$56,591RelatedOrganizationsAmt
Government Grants$854,484GovernmentGrantsAmt
Total Contributions$911,075TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Marsh Blood Center900099$7,379,177$7,379,177
Rent Related Exempt Orgs900099$693,554$693,554
FieldValueIRS element (for citing)
Total Program Service Revenue$8,072,731TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,702,516TotalRevenueColumnAmt
Exclusion$22,702,516ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,180,027TotalRevenueColumnAmt
Exclusion$1,180,027ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$479,223RealAmt
Personal$18,000PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$324,400RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$154,823RealAmt
Personal$18,000PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$172,823TotalRevenueColumnAmt
Unrelated Business Revenue$18,000UnrelatedBusinessRevenueAmt
Exclusion$154,823ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$9,030,319SecuritiesAmt
Other$2,640,453OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$2,244,616OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$9,030,319SecuritiesAmt
Other$395,837OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,426,156TotalRevenueColumnAmt
Related Or Exempt Func Income$395,837RelatedOrExemptFuncIncomeAmt
Exclusion$9,030,319ExclusionAmt

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 ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Billing Services900099$742,743$742,743
IPO Settlement900099$2,979,668$2,979,668
Laundry Services900099$2,212,575$2,212,575

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,843,845TotalRevenueColumnAmt
Related Or Exempt Func Income$377,073RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$49,852UnrelatedBusinessRevenueAmt
Exclusion-$3,270,770ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,091,141OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,556,469TotalRevenueColumnAmt
Related Or Exempt Func Income$11,825,309RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$67,852UnrelatedBusinessRevenueAmt
Exclusion$32,752,233ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,000,887TotalAmt
Program Services$1,000,887ProgramServicesAmt

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$4,972,589TotalAmt
Management And General$4,972,589ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,625,707TotalAmt
Program Services$4,660,422ProgramServicesAmt
Management And General$689,468ManagementAndGeneralAmt
Fundraising$275,817FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$381,069TotalAmt
Program Services$262,662ProgramServicesAmt
Management And General$107,197ManagementAndGeneralAmt
Fundraising$11,210FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$892,598TotalAmt
Program Services$301,454ProgramServicesAmt
Management And General$563,715ManagementAndGeneralAmt
Fundraising$27,429FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$430,367TotalAmt
Program Services$356,523ProgramServicesAmt
Management And General$52,744ManagementAndGeneralAmt
Fundraising$21,100FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$32,395TotalAmt
Program Services$32,395ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,788,547TotalAmt
Program Services$727,134ProgramServicesAmt
Management And General$1,061,413ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$115,652TotalAmt
Management And General$115,652ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,835,708TotalAmt
Program Services$840,284ProgramServicesAmt
Management And General$994,006ManagementAndGeneralAmt
Fundraising$1,418FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,663,146TotalAmt
Program Services$1,646,378ProgramServicesAmt
Management And General$1,016,768ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$645,281TotalAmt
Program Services$645,281ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$44,280TotalAmt
Management And General$44,280ManagementAndGeneralAmt

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$12,316,239TotalAmt
Program Services$8,051,637ProgramServicesAmt
Management And General$4,264,602ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$39,234,173TotalAmt
Program Services$23,090,041ProgramServicesAmt
Management And General$16,124,953ManagementAndGeneralAmt
Fundraising$19,179FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,341TotalAmt
Management And General$2,341ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies and Drugs$720,000$720,000
Repairs & Maintenance$241,580$58,851$182,729
Taxes - UBIT$135,000$135,000
Licenses and Permits$83,181$83,181

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$128,220TotalAmt
Program Services$62,947ProgramServicesAmt
Management And General$52,613ManagementAndGeneralAmt
Fundraising$12,660FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$73,288,960TotalAmt
Program Services$42,456,896ProgramServicesAmt
Management And General$30,463,251ManagementAndGeneralAmt
Fundraising$368,813FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$78,779,665EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$37,404,447EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$228,403EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$11,977,590EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$8,515,916EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$714,005EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$7,041,518EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$514,814,682LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$291,928,815LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
EOY$222,885,867EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$673,963,918EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$90,687,616EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$435,513,957EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$856,766,017BOYAmt
EOY$274,125,706EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$856,766,017BOYAmt
EOY$1,975,165,200EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$665,323BOYAmt
EOY$68,986,492EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$2,856,305EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$752,992,407BOYAmt
EOY$1,040,412,920EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$116,769,939BOYAmt
EOY$165,740,185EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$34,235,099EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$870,427,669BOYAmt
EOY$1,312,231,001EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$13,661,652BOYAmt
EOY$662,917,532EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$16,667EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$13,661,652BOYAmt
EOY$662,934,199EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$856,766,017BOYAmt
EOY$1,975,165,200EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$27,732,491ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$6,058,897NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$698,269,445OtherChangesInNetAssetsAmt
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 RequiredfalseFederalGrantAuditRequiredInd

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$19,043GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$472,477DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$491,520TotalLobbyingExpendituresAmt
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 $19,043 which represents the portion of dues paid to Tennessee Public & Teaching Hospital Association, Tennessee Business Roundtable, and Tennessee Chamber & Commerce Industry.Representatives of Ballad Healths Community & Government Relations department attended the following legislative conferences:Premier Federal Affairs Network meetingAmerican Hospital Association annual meetingTennessee Hospital Association Legislative Advocacy DayTennessee Public & Teaching Hospitals Association annual meetingRepresentatives of Ballad Healths Community & Government Relations department also contacted congressional offices concerning the following issues:Opposed additional cuts in Medicare/MedicaidSupported area wage index reformSupported Medicare Dependent Hospital and Low-Volume designationsOpposed cuts to 340B ProgramSupported a reasonable remedy for surprise billingRepresentatives of Ballad Healths Community & Government Relations department responded via letter, phone, or in person to the following Tennessee and Virginia legislative issues:Supported the following issues:Certificate of Need (TN)/Certificate of Public Need (VA) reformContinuation of Hospital Assessment Fee in TennesseeFunding for perinatal centers in TennesseeMental health funding for inpatient psychiatric care-TennesseeAdequate TennCare funding in Tennessee and Medicaid expansion in VirginiaLimited hospital reporting requirements for surprise billingSupported initiatives to support rural healthcareSupported Tennessee's approval of the Katie Beckett waiverSupported raising legal age to purchase tobacco productsExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,354,813OtherCostOrOtherBasisAmt
Book Value$29,354,813BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,591,686OtherCostOrOtherBasisAmt
Depreciation$18,175,050DepreciationAmt
Book Value$51,416,636BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,455,996OtherCostOrOtherBasisAmt
Depreciation$2,135,534DepreciationAmt
Book Value$2,320,462BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$345,234,012OtherCostOrOtherBasisAmt
Depreciation$271,157,454DepreciationAmt
Book Value$74,076,558BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$66,178,175OtherCostOrOtherBasisAmt
Depreciation$460,777DepreciationAmt
Book Value$65,717,398BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$222,885,867TotalBookValueLandBuildingsAmt
Total Book Value Program Rltd$435,513,957TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
AWUL - Current$4,725,024
AWUL - Under Bond Indenture Agreements$35,987,229
Deferred Charges and Other$9,503,159
Due from Affiliates$215,662,888
Estimated FV of interest rate swaps$3,092,467
Long term Compensation Investment$5,154,939
FieldValueIRS element (for citing)
Total Book Value Other Assets$274,125,706TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Contributions Payable$1,250,000
Long-term Compensation Payable$2,242,458
Reserve - Other$22,522,771
Retiree Health Care Benefit$1,501,865
Retirement Obligations$6,718,005
FieldValueIRS element (for citing)
Total Liability$34,235,099TotalLiabilityAmt
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, 2019. Tax returns for 2016 through 2018 are subject to examination by the Internal Revenue Service."ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Mountain States FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11019 W Oakland Ave Ste 2AddressLine1Txt
CityJohnson CityCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37604ZIPCd
FieldValueIRS element (for citing)
Recipient EIN581418862RecipientEIN
IRC Section501C3IRCSectionDesc
Cash Grant$990,209CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantProgram SupportPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

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
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Alan Levine PresidentCEO
Executive Chair$1,101,957$750,000$180,289$172,174$21,270$2,225,690$150,202
Anthony Keck
EVP & CPHO$413,343$192,790$6,777$57,114$13,819$683,843
Barton Hove
Former Officer - Retired$246,667$161,333$888,774$7,748$15,903$1,320,425
Eric Deaton
EVP & COO$497,063$40,165$33,042$26,522$16,433$613,225
James Parsons term 418
VP Human Resources$84,172$71,250$468,747$7,748$15,903$647,820$29,259
Lynn Krutak
EVP & CFO$585,707$250,000$18,316$72,647$17,645$944,315
Marvin Eichorn
EVP & CAO$678,984$300,000$32,881$12,241$24,453$1,048,559
Morris Seligman MDterm 218
EVP & CMO$53,686$250,000$496,701$9,266$15,294$824,947
Pam Austin
SVP & CIO$227,572$109,650$8,208$16,378$8,808$370,616
Shana Tate
SVP$251,012$15,100$6,466$28,936$568$302,082
Steve Kilgore
BHMA SVP$433,783$197,031$21,215$61,373$23,695$737,097
Tim Belisle EVP
General Counsel$400,672$161,656$14,736$56,640$22,892$656,596

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. (Eligible service is officer service that permitted the executive to participate in the plan.) 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 $159,933Lynn Krutak $58,806Eric Deaton $4,250Tim Belisle $40,800Tony Keck $41,785Steve Kilgore $43,962Morris Seligman, MD $8,757James Parsons $2,496 Shana Tate $13,800The 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 $468,832James Parsons $207,337Wellmont 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 $886,958. 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
Total Proceeds$820,542,471TotalProceedsAmt
Issuance Costs From Proceeds$9,240IssuanceCostsFromProceedsAmt
Capital Expenditures$819,554,798CapitalExpendituresAmt
Unspent$978,433UnspentAmt
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 I, Line A. In 2012, when the bonds referenced in Schedule K were issued, Mountain States Health Alliance owned and/or operated hospitals in a number of different locations both in Tennessee and in Virginia. As a result, Mountain States Health Alliance utilized conduit governmental bond issuers in multiple jurisdictions in order to finance improvements to its hospital facilities. In 2012, Mountain States Health Alliance was the conduit borrower of tax-exempt bonds issued by multiple issuers in Tennessee and Virginia. For federal tax purposes, even though different government issuers were involved, these multiple issues in each year were required to be treated, and were treated, as a single "issue" because they met the single "issue" test under the applicable federal tax regulations. Therefore, multiple issuers are listed under Line A because the bonds that were issued were part of a single "issue" for federal tax purposes. 2.Schedule K, Part II, Line 3. Line 3 for the listed bond issues does not match the applicable issue price for such bond issue because of interest earnings earned on the proceeds of such bonds.ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
D Vonderfecht
Ret. CEOsplit$lifeYes (X)$7,205,125$8,295,295falseYes (true)false
M Eichorn
officersplit$lifeYes (X)$2,808,925$3,682,295falseYes (true)false
E Deaton
key employeeducationYes (X)$15,818falseYes (true)false
FieldValueIRS element (for citing)
Total Balance Due$11,977,590TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessBallad Health's EVP/CFO reviewed the Form 990 with the board of directors prior to the return being filed with the IRS. The return was made available to each board member in an electronic format prior to the review.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of 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 FY19 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 IncreasesCapital Infusion - from controlled entity - MSHA = $XXX-XX-XXXX
Other Changes In Net Assets Or Fund Balances - Other IncreasesCapital Infusion - from controlled entity - WHS = $XXX-XX-XXXX
Other Changes In Net Assets Or Fund Balances - Other IncreasesChange in Fair Value of interest rate swaps = $8389804
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 IncreasesInvestment in ISHN = $2488629
Other Changes In Net Assets Or Fund Balances - Other DecreasesMinority Interest - Norton Community Hospital = -$45000000
Other Changes In Net Assets Or Fund Balances - Other IncreasesTemporarily Restricted Grants = $146491
IMPROVING ACCESS TO HEALTHCARE SERVICESOPENED RURAL HOSPITAL IN UNICOI COUNTY - Ballad Health officially opened the new Unicoi County Hospital in October 2018. The 40,000-square-foot facility includes a 24-hour emergency department with a telemedicine connection to Niswonger Childrens Hospital; 10 inpatient beds; pulmonary, cardiac and acute care services; a chest pain center; standard and advanced diagnostics, including nuclear medicine; and outpatient services. SUPPORTED MILLIGAN COLLEGES ADDICTION COUNSELING CONCENTRATION - With support from Ballad Health, Milligan College announced the expansion of its Master of Science in Counseling program to include a concentration in addictions counseling, beginning in the fall of 2019. Milligans counseling program is a two-year, 60 credit hour program offering concentrations in clinical mental health and school counseling. The addition of addictions counseling is projected to double the number of students in the program.With limited graduate-level options available in the region, the demand for licensed addictions counselors has increased exponentially. Graduates of the new concentration will be qualified for licensure as addictions counselors. Also, current licensed clinical mental health counselors will have an option to add on the addictions subspecialty in as few as two semesters. 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 un-reimbursed costs of the fellowship program which, over a 10-year period, could cost more than $2.5M. Once it seeks accreditation to the Accreditation Council for Graduate Medical Education, ETSU has a goal of accepting its first fellows by July 2020.RECRUITMENT OF NEW PHYSICIANS TO RURAL SOUTHWEST VIRGINIA - Ballad Health provided the necessary resources to recruit more than 140 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. DONATED EMS SUBSTATION PROPERTY TO GREENE COUNTY - Ballad Health donated the Greene County-Greeneville Emergency Medical Service Substation building to Greene County. The donation involves a two-story brick substation and a nearby building. The substation serves residents within the town limits, but also acts as a backup for the four county-based substations in Mosheim, Tusculum, Baileyton and in the South Greene community. The substation, which functions as EMS headquarters, features three ambulance bays, a kitchen, a lounge, bathrooms, storage areas, and sleeping quarters for up to eight people. The adjacent building will be repurposed in the near future for offices, meeting space and training classrooms. DONATED EMS SUBSTATION PROPERTY TO GREENE COUNTY - Ballad Health donated the Greene County-Greeneville Emergency Medical Service Substation building to Greene County. The donation involves a two-story brick substation and a nearby building. The substation serves residents within the town limits, but also acts as a backup for the four county-based substations in Mosheim, Tusculum, Baileyton and in the South Greene community. The substation, which functions as EMS headquarters, features three ambulance bays, a kitchen, a lounge, bathrooms, storage areas, and sleeping quarters for up to eight people. The adjacent building will be repurposed in the near future for offices, meeting space and training classrooms. IMPROVING HEALTHCARE QUALITY QUALITY 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 benefited patients. Specific examples include: zero infections for abdominal hysterectomy cases across the system; 47% reduction in pressure injury rate; 42% reduction in clostridium difficile infections; 39% reduction in iatrogenic pneumothorax rate; and 13% reduction in central line bloodstream infections.During FY19, there has been a 10 percent reduction in the hospital readmission rate over the prior year, and a 25 percent reduction among legacy hospitals since 2015 as evidence that physician and administrative partnership is resulting in lower cost and lower risk to patients. Ballad Health achieved the lowest readmission rate in either legacy health systems histories. NATIONAL RECOGNITION FOR QUALITY IMPROVEMENTS - U.S. News & World Report named all four of Ballad Healths flagship hospitalsJohnson City Medical Center, Holston Valley Medical Center, Bristol Medical Center in Tennessee and Johnston Memorial Hospital in Virginiaas top-performing hospitals in Tennessee and Virginia in several specialties, with each hospital providing top performing services and programs in heart failure and COPD in both states. In each state, less than 30% of all hospitals had any top-performing programs. Additionally, in the U.S. News rankings, Bristol Regional and Holston Valley moved up in overall rankings from No. 10 in Tennessee last year to No. 7 this year. And recently, Forbes Magazine named Johnson City Medical Center as one of the best employers in Tennessee among all employers.ONGOING QUALITY IMPROVEMENT PROGRAMS RECEIVE PRAISE FROM NATIONAL EXPERTS -Ballad Health has instituted a comprehensive quality improvement program system wide based on the FOCUS PDCA modela model designed to empower team members to identify opportunities for improvement and measurably implement those opportunities. These efforts are organic and driven by staff at all levels. The Ballad Health approach to quality improvement was recently praised by national experts who facilitate and assess organizational commitment to quality. For instance, in the past year, a total of 130 quality improvement projects across the system qualified at various levels of improvement for recognition, with 42 national judges evaluating the projects and awarding recognition for the results. Examples of improvement projects include: A 91.6% reduction in restraint use and 18 months of zero restraints for adolescents at the Willow Unit at Woodridge Hospital; a 95% reduction in the amount of oral contrast used for outpatients and inpatients prior to receiving a CT scan at Indian Path Community Hospital, which produced $139,000 in annual cost savings; and a 50% reduction in hospital-acquired Clostridium difficile (C.diff) across all 21 hospitals within three months, which represented $2.3 million in cost savings. 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. Ballad Health was selected for the collaborative following successful implementation of several initiatives, including a successful effort to reduce certain hospital-acquired conditions by as much as 41 percent.
IMPROVING THE COMMUNITY'S HEALTH STATUSACCOUNTABLE CARE COMMUNITY ACHIEVEMENTS - A leadership committee representing 24 regional organizations, along with more than 250 community stakeholder groups, has created the regions first accountable care community a collaborative group whose goal is to transform the health of a region spanning 21 counties in Northeast Tennessee and Southwest Virginia. A formalized partnership of Ballad Health, Healthy Kingsport and the United Way of Southwest Virginia serves as the backbone of the accountable care community, which uses the collective impact model to align the efforts of all sectors of a community or region to accomplish shared objectives.The accountable care community will focus on supportive systems, programs and environments that nurture strong children and families to help them develop the key characteristics that will lead to success in life. The 250 community stakeholder groups identified the concept of personal resiliency as being a primary differentiator between those who succeed in life and overcome adverse experiences and those who do not, which is especially critical to our regions children.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. This new division will oversee all inpatient and outpatient services, including Overmountain Recovery and 186 behavioral service beds throughout the health system, including the 84 beds at Woodridge Hospital, the only dedicated inpatient behavioral health hospital in the region. Already, the new division is taking lead on establishing a residential facility for women who are pregnant and homeless, or drug addicted a meaningful step toward reducing the abuse, neglect and challenges that plague our region due to the addiction epidemic. PROGRAMS TO IMPROVE CHILD LITERACY - Since 2014, Niswonger Childrens Hospital has reached outside the hospital walls and into the community to improve child literacy through the B.E.A.R. Buddies reading program, which pairs volunteer mentors with elementary school students who need a boost in their reading skills. When five new schools recently requested to join the program, Ballad Health Chairman and CEO Alan Levine issued a call to Ballad Health team members to help fill the gap. To date, 100 volunteers for the 2020 school year have signed up. Ballad Health also partnered with seven United Way organizations in a pilot initiative to increase grade-level reading and improve reading proficiency for the regions children. The program is supported by a $300,000 investment, which includes $100,000 from Ballad Health Foundation and $100,000 from contributions made by Ballad Health team members during the health systems 2018 team member campaign. The program is piloting the following initiatives: Tutoring and educational programming designed to raise childrens reading level scores in school systems; training on trauma-informed care for teachers and caregivers; United WE READ, which engages, empowers and equips all children and families using tools and strategies to build a literacy-rich culture; reading volunteers brought digitally into the classroom through a computer program called Vello; and a region-wide chronic absence initiative offering mini-grants and a regionally-focused online attendance toolkit across 17 school districts in Southwest Virginia.In April 2019, Ballad Health donated 3,000 books to schools in Smyth County, Virginia, allowing each student in the school system to take home a free book.STRONG KIDS INTIATIVE - Ballad Health is participating in a new initiative called STRONG Kids, which stands for Striving Toward Resiliency and Opportunities for the Next Generation, that brings together and assists regional organizations that support children. The program will enable Ballad Health, Niswonger Childrens Hospital and the Bristol chapter of Speedway Childrens Charities to share ideas and best practices that will help children in the region reach their potential through expanded opportunities in health, education and economic vitality. The partnership is designed to bring a new level of support to these organizations that are on the front lines serving children.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. Interfacing with Ballad Health research programs and developing partnerships with vendors that add value, The Innovation Center will create opportunities to capitalize on new programs that have potential in the marketplace.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.
INVESTMENTSCOMMON ELECTRONIC HEALTH RECORD - Ballad Health made progress in FY19 toward establishing a common clinical platform and electronic health record (EHR). An implementation plan was developed to include infrastructure enhancements to support the expansion. A common EHR across the new health system will allow patient information to be shared immediately at the point of service regardless of where a patient enters the Ballad system, providing clinical staff with information to better manage patients in the emergency room, clinics, acute and post-acute settings. MOVE TO IMPLEMENT COMPREHENSIVE REGIONAL TRAUMA AND EMERGENCY SYSTEM - To reduce the number of duplicative services and better align the health systems resources, Ballad Health made progress towards implementing a comprehensive regional trauma and emergency system to better meet the needs of the Appalachian Highlands region. As part of creating a fully-integrated and highly-coordinated trauma and emergency system, Ballad Health successfully moved to realign the status of Holston Valley Medical Centers trauma center from a Level I to a Level III, and expects to realign Bristol Regional Medical Centers trauma center from a Level II to a Level III within the coming year. This move closely follows evidence-based best practices, which indicates the highest-acuity services are best provided in a higher-volume setting where staff and physician coverage is consistent, and quality is improved.Ballad Health serves as the Official Healthcare Trauma and Emergency Services Provider for Bristol Motor Speedway (BMS). The partnership pledges Ballad Healths trauma and emergency teams will be ready and equipped to handle any medical emergency situations during BMS events with service provided to both guests and participants. Medical services delivered to guests and participants at the speedway is provided at no cost to the patient or community. ENHANCED PEDIATRIC TRAUMA AND PEDIATRIC EMERGENCY ROOMS - Ballad Health is seeking to improve pediatric care by investing in additional pediatric specialties which will support the pediatric trauma program at Niswonger Childrens Hospital, and plans have been announced to add new pediatric emergency rooms in Kingsport and Bristol. Already, the Board has acted to fund both pediatric emergency departments. These plans have been so exciting, that Ballad Health received a $1.2 million pledge from a family which has long supported childrens services in the region. The pediatric emergency room at Bristol Regional Medical Center will be named the J.D. Niswonger Family Pediatric Emergency Department, which will be affiliated with the Niswonger Childrens Hospital. This comprehensive proposal involves realigning the Level III neonatal intensive care unit (NICU) at Holston Valley Medical Center and focusing those services at Niswonger Childrens Hospital, the regions state-designated perinatal center. These pediatric enhancements also involve investing in new pediatric subspecialties and connecting all of Ballad Healths hospitals to Niswonger through telemedicine.SUPPORTED COMMUNITY INITIATIVES AND ORGANIZATIONS- During the year, Ballad Health supported more than 300 organizations in the Appalachian Highlands of Northeast Tennessee and Southwest Virginia. That support totaled more than $5 million in the form of sponsorships, non-cash contributions, community education and direct community benefit. Ballad Health donated 30 advanced cardiac monitors to Sullivan County Emergency Medical Services to enhance Ballad Healths regional trauma network by enabling EMS to transmit patients vital signs to hospital emergency departments and cardiac catheterization labs while still en route. The new monitors also allow emergency providers to monitor oxygen and pulmonary issues in addition to the EKG, which can improve treatment for patients with emphysema, chronic obstructive pulmonary disease (COPD) and asthma. The donation saved Sullivan County approximately $1.2 million, as the departments current 12-lead EKG monitors are 11 years old. CHARITY CARE CONTRIBUTIONS - For 2019, Ballad Health provided more than $37 million in charity care and more than $12 million in subsidized health services for patients. 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 GENERATES SAVINGS FOR SIXTH CONSECTIVE YEAR - Ballad Healths accountable care organization, AnewCare Collaborative, is one of only 18 in the country to generate savings for federal taxpayers for the entire six years of the program.As the regions first accountable care organization, it has generated more than $54M in total savings since its creation in 2012. For the 2018 performance year, AnewCare generated $7.2M in savings. The ACOs savings rate was 7.1% better than Medicares benchmark. Since the merger, AnewCare has achieved a 94.4% quality score, a substantial increase from the previous year and among the highest in the history of the collaborative.MEDICAL EDUCATION - Ballad Health continues to offer free Certified Nursing Assistant (CNA) classes, which are open to the public. The CNA course is approved and regulated by the Tennessee State Board of Nursing. The training opportunity can lead to job opportunities for those who complete the program. 62 percent of the students trained by Ballad are hired upon graduation. Ballad 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. There is no requirement for participants to work for Ballad Health upon completion of the program. During FY19, Ballad Healths CNA training program graduated 25 students, each of whom completed 60 hours of classroom participation and 40 hours of clinical participation.This year, the Nurse Intern II program, overseen by Ballad Healths Clinical Education team, completed its summer 2018 session with the largest group ever 134 nurse interns successfully completed the program. The program pairs each nurse intern with an RN preceptor on a designated hospital unit. The interns work with their preceptor to gain valuable clinical skills to assist them with their transition from nursing student to licensed nurse. There is no obligation for the interns to work for Ballad Health although many of them choose to continue employment. Interns who complete the program become a Nurse Intern III. Once the interns graduate from nursing school, they become a Nurse Intern IV, and then once they pass the NCLEX (National Council Licensure Examination) they become an RN. 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 facilities,ensuring regulatory compliance and fiscal responsibility, andcreating a research culture across Ballad facilities
OTHER NOTABLE EVENTS AND AWARDSBallad Health, along with American Cancer Society, was one of the sponsors for the Making Strides Against Breast Cancer event.Ballad Health hosted a Food Drive to support Second Harvest Food Bank of Northeast Tennessee and Feeding America of Southwest Virginia. The food drive coincided with National Food Bank Day. People struggle with having enough to eat throughout the year, so this drive was to help eliminate hunger in our community. The donations go to local food pantries and a Senior Grocery Program.Ballad Healths Project Employment Hope has been honored by Disability Rights Tennessee with a Freedom Award for corporate employment leadership. Project Employment Hope is an employment assistance program offered by Ballad Healths human resources (HR) department. The program helps people in need those who are chronically unemployed, underemployed, disabled, living below the poverty line and/or homeless by providing, at no cost to the individual, access to employment counseling, guidance, training and job opportunities with Ballad Health. Members of the Ballad Health HR team work closely with a state program, Vocational Rehabilitation (part of Tennessee Department of Human Services), to assist with job placement of people with disabilities throughout the hospital system. Project Employment Hope includes providing referral candidates assistance with overcoming barriers to finding a job. Ballad Health was recognized for the successful integration of retirement plans after merger of Mountain States and Wellmont Health System:1.Pensions & Investments: 2019 Eddy Award 1st place, Plan Transitions2.Plan Sponsor Council of America (PSCA) a.2019 Signature Award Winner for excellence in employee communications b.2nd place Ballad Health with Lincoln Financial Group, Plan ChangesBallad Healths security, safety & emergency management force has been recognized by Security magazine as part of the 2018 Security 500 rankings. Security magazine remarked: We are recognizing your organization for your safety and security policies and efforts to keep patients, staff and visitors safe. Our team has been monitoring your work in this area, and we wanted to recognize you.Lynn Krutak, chief financial officer for Ballad Health, has been recognized on the prestigious list of 10 Women Leaders to Watch in Healthcare in 2019 by Modern Healthcare. The publication is a leading source of healthcare business and policy news, research and information across the nation. Each year Modern Healthcare selects Top 25 Women Leaders, accompanied by 10 to Watch accomplished, rising women executives who are advancing healthcare. MedAxiom (the nations leading cardiovascular community) selected Dr. Jerry Blackwell to serve as its president. The nations leading community of cardiovascular providers, thought leaders and innovators, MedAxiom is a subsidiary of the American College of Cardiology. Blackwell, who has practiced cardiology in Kingsport since 1995, and previously served as chief executive officer of the Wellmont CVA Heart Institute, served as chief clinical officer of Ballad Health during FY2019. Trish Tanner, assistant vice president and chief pharmacy officer, was honored by the Tennessee Hospital Association (THA) with a 2018 Award of Excellence for Patient Safety Leadership. This award recognizes an individual who has taken extraordinary and innovative steps to make patient safety and quality a top priority in their organization. Tanner serves as chairperson for Ballad Healths Opioid Taskforce and has been a leading voice in the fight against opioid addiction.
PART lll, Program Service AccomplishmentsBallad Health (Ballad) 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 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 operates 3,162 licensed beds in 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. Laughlin Memorial Hospital, wholly-owned by MSHA, also files a separate return. Form 990 for WHS includes five wholly-owned hospitals; two others, also wholly-owned, each file a separate return.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 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 SystemTN501C33BALLADYes (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 NWNortonVA24273540566029HospitalVA501C33NAfalse
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 SystemTN501C33BALLADYes (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 CityTN37604581594191FundraiserTN501C37BALLADfalse
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
Laughlin Memorial Hospital Inc
1420 Tusculum BoulevardGreenevilleTN37745620701119HospitalTN501C33MSHAfalse
Laughlin Healthcare Foundation
1420 Tusculum BoulevardGreenevilleTN37745582105493FundraiserTN501C312AMSHAfalse

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/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
Emmaus Comm Hth PLLC
6070 HWY 11EPiney FlatsTN37686200577483Medical ServicesTNN/Afalsefalse
Medl Spec of JC LLC
2528 Wesley Street Suite 2Johnson CityTN37601272199037Medical ServicesTNfalsefalseNAexcluded
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 (15 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$150,465,309$228,009,5901.00000false
Mediserve Medical Equipment
1905 American WayKingsportTN37660621212286Durable Medical EquipmentTNBRMMCC$379,349$4,924,8921.00000false
Mountain States Properties
1905 American WayKingsportTN37660621845895Property ManagementTNBRMMCC$17,456,548$147,692,3201.00000false
Mountain States Physician Grp
1905 American WayKingsportTN37660621700412Medical ServicesTNBRMMCC$74,592,246$7,348,8091.00000false
Community Home Care Inc
1490 Park Avenue NW Suite BNortonVA24273541453810Durable Medical EquipmentVANCHC$178,353$461,6240.50100false
Wilson Pharmacy Inc
PO Box 5289Johnson CityTN37604620329587PharmacyTNBRMMCC$6,269,865$6,591,0771.00000false
Crestpoint Health Insurance Company
509 Med Tech Parkway Suite 100Johnson CityTN37604620381170InsuranceTNISHNC$126,062$12,986,2791.00000false
Wellmont Inc
1905 American WayKingsportTN37660621320035Medical ServicesTNWHSC-$90,140,4901.00000false
Wellmont Collections Inc
2004 American Way Suite 101KingsportTN37660621325938Business ServicesTNWHSC$3,148,783$2,824,2131.00000false
Medical Mall Pharmacy Inc
1905 American WayKingsportTN37660621565006Medical ServicesTNWHSC1.00000false
Wellmont Physician Services
1905 American WayKingsportTN37660621567353Medical ServicesTNWHSC1.00000false
WPS Providers Inc
1905 American WayKingsportTN37660205564642Medical ServicesTNWHSC1.00000false
Wellmont Health Services Inc
1905 American WayKingsportTN37660621254373Medical ServicesTNWHSC$1,331,046$4,726,8311.00000false
Nolichuckey Management Svcs Inc
1420 Tusculum BoulevardGreenevilleTN37745621776681Medical ServicesTNLMHC$6,287,212$3,533,2021.00000false
Wellmont Insurance Co SPC LTD
981195624InsuranceWHSC1.00000Yes (true)PO Box 30600Grand CaymonKY1-1203CJCJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
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 OrgfalseAssetSaleToOtherOrgInd
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
b$1,289,167Cost
Mountain States Health Alliance
c$201,068,730Cost
Mountain States Health Alliance
p$309,398Cost
Mountain States Health Alliance
q$81,701,965Cost
MSHA Auxiliary
q$1,159,316Cost
Smyth County Community Hospital
d$15,271,960Cash
Smyth County Community Hospital
l$2,227,190Cost
Smyth County Community Hospital
q$12,016,684Cost
Smyth County Community Hospital
r$99,557Cash
Norton Community Hospital
d$20,524,914Cash
Norton Community Hospital
l$2,810,721Cost
Norton Community Hospital
o$1,043,229Cost
Norton Community Hospital
p$76,066Cost
Norton Community Hospital
q$31,364,195Cost
Norton Community Hospital
r$524,197Cash
Dickenson Community Hospital
l$481,303Cost
Dickenson Community Hospital
q$537,582Cost
Johnston Memorial Hospital
l$5,728,402Cost
Johnston Memorial Hospital
q$36,093,007Cost
Johnston Memorial Hospital
r$257,741Cash
Abingdon Physician Partners
l$1,022,670Cost
Wellmont Health System
c$194,779,111Cost
Wellmont Health System
q$304,594,841Cost
Wellmont Hawkins Co Memorial Hosp
p$627,305Cost
Takoma Regional Hospital Inc DBA GCH
p$5,162,876Cost
Ballad Health Foundation
b$2,430,810Cash
Ballad Health Foundation
c$2,255,009Cash
Blue Ridge Medical Management Corp
l$3,754,246FMV
Blue Ridge Medical Management Corp
m$1,894,578FMV
Blue Ridge Medical Management Corp
o$898,039Cost
Blue Ridge Medical Management Corp
p$50,612Cost
Blue Ridge Medical Management Corp
q$17,957,671Cost
Blue Ridge Medical Management Corp
s$231,940Cash
Mediserve Medical Equipment
q$2,067,470Cost
Mountain States Properties
k$517,752FMV
Mountain States Properties
m$192,322FMV
Mountain States Properties
q$4,084,686Cost
Wilson Pharmacy Inc
a$54,696FMV
Wilson Pharmacy Inc
m$550,535FMV
Wilson Pharmacy Inc
q$9,728,617Cost