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BALLAD HEALTH: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
BALLAD HEALTH (EIN 61-1771290)
Tax period
2024-07-01 to 2025-06-30
Filed
2026-05-13
IRS object ID
202601339349302255
Schema version
2024v5.5
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)
Return2026-05-13T08:29:17-05:00ReturnTs
Tax Period End2025-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2024-07-01TaxPeriodBeginDt

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
Phone4233023467PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1311 Princeton Road Suite 1AddressLine1Txt
CityJohnson CityCityNm
State AbbreviationTNStateAbbreviationCd
ZIP376012080ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonShane HiltonPersonNm
Person TitleBH EVP & CFOPersonTitleTxt
Phone4233023467PhoneNum
Signature2026-05-13SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAlan Levine PresCEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1303 Med Tech PkwyAddressLine1Txt
CityJohnson CityCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37604ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$130,596,553GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addressballadhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2015FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionHonor those we serve by delivering the best possible care.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee2394TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$24,592TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$21,233NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,699,232PYContributionsGrantsAmt
CY Contributions Grants$11,043,877CYContributionsGrantsAmt
PY Program Service Revenue$10,078,195PYProgramServiceRevenueAmt
CY Program Service Revenue$14,327,992CYProgramServiceRevenueAmt
PY Investment Income$62,098,153PYInvestmentIncomeAmt
CY Investment Income$100,341,703CYInvestmentIncomeAmt
PY Other Revenue$3,122,650PYOtherRevenueAmt
CY Other Revenue$4,526,698CYOtherRevenueAmt
PY Total Revenue$80,998,230PYTotalRevenueAmt
CY Total Revenue$130,240,270CYTotalRevenueAmt
PY Grants And Similar Paid$4,710,714PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,007,011CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,820,937PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,439,048CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$342,109CYTotalFundraisingExpenseAmt
PY Other Expenses$75,192,741PYOtherExpensesAmt
CY Other Expenses$83,830,954CYOtherExpensesAmt
PY Total Expenses$85,724,392PYTotalExpensesAmt
CY Total Expenses$95,277,013CYTotalExpensesAmt
PY Revenues Less Expenses-$4,726,162PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$34,963,257CYRevenuesLessExpensesAmt
Total Assets BOY$1,954,168,188TotalAssetsBOYAmt
Total Assets EOY$1,973,498,062TotalAssetsEOYAmt
Total Liabilities BOY$1,310,333,210TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,322,629,513TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$643,834,978NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$650,868,549NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHonor those we serve by delivering the best possible care.Ballad Health is dedicated to improving the health of the 29-county Appalachian Highlands region.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$239,566,694ExpenseAmt
Grant$2,007,011GrantAmt
Revenue$16,960,500RevenueAmt
DescSee Schedule ODesc
Total Program Service Expenses$239,566,694TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1203IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2394EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Shane HiltonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4233023467PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Alan Levine PresidentCEO
Executive Chair57.008.00Yes (X)Yes (X)$3,848,876$0$286,146
Marta Wayt MD BHMA
Director5.0035.00Yes (X)$0$445,434$30,487
Aldo Noseda
Director5.000.00Yes (X)$0$0$0
Keith Wilson
Director5.000.00Yes (X)$0$0$0
David Golden
Director5.000.00Yes (X)$0$0$0
Dr Brian Noland
Director, Vice Chair5.000.00Yes (X)Yes (X)$0$0$0
Scott Niswonger
Director5.000.00Yes (X)$0$0$0
David May MD
Director5.000.00Yes (X)$0$0$0
David Lester
Director, Treasurer5.000.00Yes (X)Yes (X)$0$0$0
Martin Kent
Director5.000.00Yes (X)$0$0$0
Michael J Quillen
Director5.000.00Yes (X)$0$0$0
Shane Hilton EVP
Chief Financial Officer57.008.00Yes (X)$988,163$0$113,059
Eric Deaton EVP
Chief Operating Officer57.008.00Yes (X)$1,747,698$0$137,400
Marvin Eichorn EVP
Chief Administrative Officer57.008.00Yes (X)$1,445,711$0$53,543
Julie Bennett CLOGovnc Offcr
Director, Secretary57.008.00Yes (X)$976,689$0$102,286
Anthony Keck EVP
Chief Transformation Officer64.001.00$996,815$0$110,024Yes (X)
Pam Austin SVP
Chief Information Officer55.000.00$764,221$0$79,619Yes (X)
Lisa Smithgall SVP
Chief Nursing Executive55.000.00$628,794$0$92,266Yes (X)
Amit Vashist MD
Chief Clinical Officer55.000.00$847,756$0$81,164Yes (X)
Clay Runnels MD EVP
Chief Physician Executive64.001.00$1,375,526$0$131,128Yes (X)
Steve Kilgore SVP
Retail & Physician Svcs.55.000.00$1,651,089$0$104,672Yes (X)
Deborah Dover SVP
Chief Human Resources Officer55.000.00$779,824$0$82,108Yes (X)
Bradley Price SVP
Regional Ops & Svc. Line Dev.55.000.00$736,224$0$90,464Yes (X)
Lynn Krutak
Former Officer57.008.00$1,101,262$0$76,184Yes (X)
Shana Tate VP Financial Mgmt
Former Key Employee40.000.00$365,817$0$49,886Yes (X)
Melissa Carr Sr Dir Treasury
Former Key Employee40.000.00$132,197$0$18,724Yes (X)
Tim Belisle
Former Officer0.000.00$448,129$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$18,834,791TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$445,434TotReportableCompRltdOrgAmt
Total Other Compensation$1,639,160TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K305IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Ensemble Health Partners
11511 Reed Hartman HwyCincinnatiOH45241Rev Cycle Mgmt$101,364,124
East Tennessee State University
P O Box 70732Johnson CityTN37614Resident & Acad Svcs$29,085,353
Medical Education Assistance Corp
PO Box 699Mountain HomeTN376840699Medical Education Svcs$24,886,626
Paragon Anesthesia PC
10415 Wallace Alley StKingsportTN37663Anesthesia Svcs$20,313,345
American Anesthesiology of TN PC
1305 Walt Whitman RdMelvilleNY11747Anesthesia Svcs$19,675,724
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K169CntrctRcvdGreaterThan100KCnt
Related Organizations$107,056RelatedOrganizationsAmt
Government Grants$4,468,386GovernmentGrantsAmt
All Other Contributions$6,468,435AllOtherContributionsAmt
Total Contributions$11,043,877TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Wellness Programs900099$11,130,963$11,130,963
Rent Related Exempt Orgs531120$3,197,029$3,197,029
FieldValueIRS element (for citing)
Total Program Service Revenue$14,327,992TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,949,473TotalRevenueColumnAmt
Exclusion$31,949,473ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$438,529TotalRevenueColumnAmt
Exclusion$438,529ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$272,173RealAmt
Personal$24,592PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$272,173RealAmt
Personal$24,592PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$296,765TotalRevenueColumnAmt
Unrelated Business Revenue$24,592UnrelatedBusinessRevenueAmt
Exclusion$272,173ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$67,854,196SecuritiesAmt
Other$455,788OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$356,283OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$67,854,196SecuritiesAmt
Other$99,505OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$67,953,701TotalRevenueColumnAmt
Related Or Exempt Func Income$99,505RelatedOrExemptFuncIncomeAmt
Exclusion$67,854,196ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Prior Year Refund/Recoveries900099$1,535,591$1,535,591
Health Information Technology900099$997,412$997,412
Daycare900099$608,823$608,823

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,088,107TotalRevenueColumnAmt
Exclusion$1,088,107ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,229,933OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$130,240,270TotalRevenueColumnAmt
Related Or Exempt Func Income$16,960,500RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$24,592UnrelatedBusinessRevenueAmt
Exclusion$102,211,301ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,007,011TotalAmt
Program Services$2,007,011ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$13,461,005TotalAmt
Management And General$13,461,005ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total-$4,995,354TotalAmt
Program Services$88,190,804ProgramServicesAmt
Management And General-$93,503,563ManagementAndGeneralAmt
Fundraising$317,405FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$232,806TotalAmt
Program Services$3,783,046ProgramServicesAmt
Management And General-$3,549,240ManagementAndGeneralAmt
Fundraising-$1,000FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$503,179TotalAmt
Program Services$15,298,109ProgramServicesAmt
Management And General-$14,819,251ManagementAndGeneralAmt
Fundraising$24,321FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$237,412TotalAmt
Program Services$6,295,226ProgramServicesAmt
Management And General-$6,057,814ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,185,863TotalAmt
Program Services$65,001ProgramServicesAmt
Management And General$3,120,862ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$557,299TotalAmt
Management And General$557,299ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$1,080,614TotalAmt
Management And General$1,080,614ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,280,715TotalAmt
Program Services$1,296,894ProgramServicesAmt
Management And General$983,821ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,077,427TotalAmt
Program Services$7,656,355ProgramServicesAmt
Management And General$7,421,072ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,182,969TotalAmt
Program Services$820,501ProgramServicesAmt
Management And General$3,362,468ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,031,373TotalAmt
Program Services$6,161,459ProgramServicesAmt
Management And General$1,869,914ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,936,245TotalAmt
Program Services$5,371,310ProgramServicesAmt
Management And General$6,564,935ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,783,048TotalAmt
Program Services$1,926,868ProgramServicesAmt
Management And General$1,856,180ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,616,526TotalAmt
Program Services$1,384,072ProgramServicesAmt
Management And General$2,232,454ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,861,042TotalAmt
Program Services$10,529,976ProgramServicesAmt
Management And General$331,066ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$53,536,292TotalAmt
Program Services$43,139,345ProgramServicesAmt
Management And General$10,396,947ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,000,074TotalAmt
Program Services$1,137,595ProgramServicesAmt
Management And General$862,479ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Taxes - UBIT$64,421$36,632$27,789
Maintenance$36,333,440$27,016,448$9,316,992
Dues & Subscriptions$11,757,671$5,916,381$5,841,290
Population Health$2,926,205$2,926,205

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$87,380,270TotalAmt
Program Services$8,607,456ProgramServicesAmt
Management And General-$95,989,109ManagementAndGeneralAmt
Fundraising$1,383FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$95,277,013TotalAmt
Program Services$239,566,694ProgramServicesAmt
Management And General-$144,631,790ManagementAndGeneralAmt
Fundraising$342,109FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,294,967BOYAmt
EOY$1,244,568EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$39,248,611BOYAmt
EOY$45,577,486EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,313,081BOYAmt
EOY$2,827,083EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY-$1,891,792BOYAmt
EOY-$15,327EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$5,007,341BOYAmt
EOY$5,007,341EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$31,253,867BOYAmt
EOY$39,283,534EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$976,790BOYAmt
EOY$5,816,674EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$22,497,809BOYAmt
EOY$22,321,338EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$714,185,932LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$523,880,339LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$210,586,908BOYAmt
EOY$190,305,593EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,246,748,258BOYAmt
EOY$1,270,809,807EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$16,869,690BOYAmt
EOY$17,229,526EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$225,352,954BOYAmt
EOY$225,352,954EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$21,583,112BOYAmt
EOY$14,410,893EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,954,168,188BOYAmt
EOY$1,973,498,062EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$99,403,534BOYAmt
EOY$90,851,683EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$179,238BOYAmt
EOY$148,664EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,076,768,030BOYAmt
EOY$1,052,022,818EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,458,725BOYAmt
EOY$1,212,255EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$127,523,683BOYAmt
EOY$178,394,093EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,310,333,210BOYAmt
EOY$1,322,629,513EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$638,270,212BOYAmt
EOY$647,271,090EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,564,766BOYAmt
EOY$3,597,459EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$643,834,978BOYAmt
EOY$650,868,549EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,954,168,188BOYAmt
EOY$1,973,498,062EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$34,963,257ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$18,738,807NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$46,668,493OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations3SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (3 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
Mountain States Health Alliance
6204762823Yes (1)$0$0
Wellmont Health System
6216364653Yes (1)$0$0
Early Learning Center
92389182710Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total3SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (1)MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 12g, Column (vi)FormAndLineReferenceDesc
ExplanationBallad Health is the parent organization that provides management services to its supported organizations.ExplanationTxt

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)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$8,484GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$1,296,901DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$1,305,385TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationBallad Health had lobbying expenses of $8,494 which represents the portion of dues paid to various organizations attributable to lobbying, including Tennessee Business Leadership Council and Tennessee Chamber of Commerce and Industry. Representatives of Ballad Health participated in the following legislative Events: -Tennessee Hospital Association Legislative Advocacy Day -Tennessee Public & Teaching Hospitals Association annual meeting -Participated in THA Government Affairs Sub-Committee Representatives of Ballad Health's Community & Government Relations department also contacted congressional offices concerning the following issues: -Opposed any cuts in Medicare/Medicaid -Supported area wage index permanent fix (introduced Save Rural Hospital Act) -Supported the continuance of Medicare Dependent Hospital and low-volume designations -Opposed cuts to 340B program -Supported a reasonable remedy for "surprise" billing -Supported legislation to protect hospital eligibility in the 340B Program -Supported the extension of Medicare Sequester Relief -Oppose effort to extend site neutrality payment policies -Supported Telehealth Flexibility Extension Representative of Ballad Health's 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 reform (TN)/Certificate Of Public Need (VA) reform -Continuation and monitoring of hospital assessment fee in Tennessee and Virginia -Mental health funding for inpatient psychiatric care-Tennessee and overall behavioral health funding in Virginia -Adequate TennCare funding in Tennessee -Limited hospital reporting requirements for surprise billing -Oppose repeal of COPA -Corporate practice of medicine -Health care worker protection policiesExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,612,668OtherCostOrOtherBasisAmt
Book Value$38,612,668BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$116,310,384OtherCostOrOtherBasisAmt
Depreciation$53,116,545DepreciationAmt
Book Value$63,193,839BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,346,020OtherCostOrOtherBasisAmt
Depreciation$3,453,785DepreciationAmt
Book Value$892,235BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$548,933,558OtherCostOrOtherBasisAmt
Depreciation$462,999,920DepreciationAmt
Book Value$85,933,638BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,983,302OtherCostOrOtherBasisAmt
Depreciation$4,310,089DepreciationAmt
Book Value$1,673,213BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$190,305,593TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Investment - BRMMC$100,310,432C
Investment - MSHA$125,042,522C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$225,352,954TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDescAmtAmt
Asset Retirement Obligations$4,120,070
Contributions Payable$5,529,194
Due to Affiliates$146,301,133
Due to Payor Stimulus Reserve$3,918,278
Due to 3rd Parties-$19,156
Long-term Compensation Payable$7,325,621
Operating Lease Obligation LT$4,351,874
Operating Lease Obligation ST$1,185,260
Professional Liabilities Reserve-$27,878
Retiree Health Care Benefit$796,926
SWAPS$4,912,771
FieldValueIRS element (for citing)
Total Liability$178,394,093TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
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, 2025 and 2024. Tax returns for 2022 through 2024 are subject to examination by the Internal Revenue Service."ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxtValuation Method UsedValuationMethodUsedDesc
Appalachian Highlands Economic Development Partnership
10431 Wallace Alley StreetKingsportTN37663920465383501C3$100,000$02025 Collaborative Partner for economic development
Bristol Trainstation Foundation
4523 Bristol HighwayJohnson CityTN37601522185216501C3$7,500$0Kids' Christmas Event Sponsorship
Cardinal Productions Inc
P O Box 4455RoanokeVA24017871532828501C3$25,000$0Build & sustain news organizations that report untold stories of SWVA & Southside VA
Dobyns-Bennett Band Boosters Club
P O Box 7265KingsportTN37660237170169501C3$35,000$0Provide quality musical education through academic, community and competitive activities
East Tennessee Foundation
520 W Summit Hill Drive Ste 1101KnoxvilleTN37902620807696501C3$10,000$0Kingsport's Best Presenting Sponsor 2025
ETSU Foundation
P O Box 70721Johnson CityTN37604237092731501C3$125,000$0Donation designated to Athletics
First TN Development District
3211 North Roan StreetJohnson CityTN37601620759446501C3$50,000$0Region. A.H.E.A.D. - small business recovery relief
Governor's Early Literacy Fdn
710 James Robertson ParkwayNashvilleTN37243201115704501C3$20,000$0Support of Governor's Early Learning Program - 20th Anniversary
Greater Kingsport Family YMCA
1840 Meadowview ParkwayKingsportTN37660581564232501C3$0$1,287,401Donation of 3 Acres of Vacant LantBook
International Storytelling Center
100 West Main StreetJonesboroughTN37659621014756501C3$8,500$02024 Festival
Jeremiah School
P O Box 6024Johnson CityTN37602473649152501C3$25,000$0Tuition-econ. challenged students, emergency fund, emotional/nutritional support
Junior Achievement of Tri-Cities TNVA
330 Broad Street Suite 1KingsportTN37660620757847501C3$25,000$0Junior Achievement Hall of Fame
Kingsport Chamber Foundation
400 Clinchfield Street Ste 100KingsportTN37660581453565501C3$85,000$0Healthy Kingsport and Sponsorship of Fun Fest and Juneteenth
Leadership Tennessee
718 Thompson Ln Ste 108-141NashvilleTN37604872004805501C3$25,000$02024 Campaign: foster non-partisan dialogue on issues of state importance
Milligan University
P O Box 750Milligan CollegeTN37682620535755501C3$63,500$0Athletics Program Sponsorship including scoreboard & Inauguration of President Waers
Morrison School
400 Edgewater LaneBristolVA24201541053329501C3$25,000$0Education Sponsorship for students with learning disabilities.
Music for All
39 W Jackson Place Suite 150IndianapolisIN46225363413042501C3$20,000$02024 Bands of America East Tennessee Regional Championship Sponsor
Streamworks Inc
122 Pickens RdKingsportTN376633284832552649501C3$7,257$02025 Sponsorship of STEM education throughout Appalachian Highlands
Tennessee State Collaborative on Reforming Education (SCORE)
1207 18th Ave Suite 326NashvilleTN37212263670335501C3$25,000$0Catalyze transformative change in TN Education so that all students can achieve success
Visit Johnson City Foundation Inc
302 Buffalo StreetJohnson CityTN37604352795354501C3$10,000$0Meet the Mountains Festival
FieldValueIRS element (for citing)
Total501c3 Org20Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe Ballad Health Community Benefit and Population Health Committee is a collective group of members from both Tennessee and Virginia. These members bring a variety of insights into community health improvement, striving to cultivate an understanding of population health, community benefit obligations, and the integral role that Ballad Health plays in enhancing health access. Senior leadership of Ballad Health, including the President and CEO and the COO, are present at these meetings. One of the committee's key duties is to ensure that charitable donations are in line with the policies set by the Ballad Health Board. All applications for assistance are completed with the necessary information to assess eligibility, and reviewed and approved by an administrative committee which includes members from the Community Benefit and Population Health Committee. In addition, community health improvement applications and recommendations are reviewed by the Community Benefit and Population Health Committee annually. Following a thorough review of all applications, approval must be obtained from various levels, including the Ballad Health CEO or the Ballad Health Board, depending on the level of commitment required. For those seeking funding for a specific event or program, the application should include the following details: -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 (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmYes (1)EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Alan Levine PresidentCEO
Executive Chair$1,520,581$0$2,128,611$0$199,684$0$253,530$0$32,616$0$4,135,022$0$0$0
Eric Deaton EVP
Chief Operating Officer$894,611$0$604,644$0$248,443$0$110,198$0$27,202$0$1,885,098$0$0$0
Steve Kilgore SVP
Retail & Physician Svcs.$508,344$0$323,696$0$819,049$0$72,018$0$32,654$0$1,755,761$0$782,346$0
Clay Runnels MD EVP
Chief Physician Executive$797,671$0$541,155$0$36,700$0$100,731$0$30,397$0$1,506,654$0$0$0
Marvin Eichorn EVP
Chief Administrative Officer$805,288$0$598,349$0$42,074$0$20,040$0$33,503$0$1,499,254$0$0$0
Lynn Krutak
Former Officer$414,747$0$526,405$0$160,110$0$53,781$0$22,403$0$1,177,446$0$0$0
Anthony Keck EVP
Chief Transformation Officer$563,999$0$385,795$0$47,021$0$77,565$0$32,459$0$1,106,839$0$0$0
Shane Hilton EVP
Chief Financial Officer$615,030$0$366,316$0$6,817$0$80,643$0$32,416$0$1,101,222$0$0$0
Julie Bennett CLOGovnc Offcr
Director, Secretary$564,044$0$403,122$0$9,523$0$78,804$0$23,482$0$1,078,975$0$0$0
Amit Vashist MD
Chief Clinical Officer$521,762$0$300,503$0$25,491$0$68,307$0$12,857$0$928,920$0$0$0
Deborah Dover SVP
Chief Human Resources Officer$449,422$0$276,686$0$53,716$0$66,918$0$15,190$0$861,932$0$0$0
Pam Austin SVP
Chief Information Officer$458,150$0$288,335$0$17,736$0$66,148$0$13,471$0$843,840$0$0$0
Bradley Price SVP
Regional Ops & Svc. Line Dev.$440,981$0$271,255$0$23,988$0$64,283$0$26,181$0$826,688$0$0$0
Lisa Smithgall SVP
Chief Nursing Executive$472,618$0$136,871$0$19,305$0$68,259$0$24,007$0$721,060$0$0$0
Marta Wayt MD BHMA
Director$0$420,344$0$21,195$0$3,895$0$19,992$0$10,495$0$475,921$0$0
Tim Belisle
Former Officer$0$0$0$0$448,129$0$0$0$0$0$448,129$0$0$0
Shana Tate VP Financial Mgmt
Former Key Employee$293,254$0$70,798$0$1,765$0$18,034$0$31,852$0$415,703$0$0$0
Melissa Carr Sr Dir Treasury
Former Key Employee$130,919$0$0$0$1,278$0$8,052$0$10,672$0$150,921$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aUnless 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, Lines 4b-cThe 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 participant's employment with BH is terminated prior to age 65. However, the 457(f) plan contains a non-compete provision that provides the account balance to be paid in a lump sum after the executive satisfies the two-year non-compete period. This provision applies to employer contributions if the executive has provided eligible service for six or more years. The executive will receive the entire account balance if he/she becomes disabled, dies or if the executive terminates for "good reason or is involuntarily terminated without "good cause" within a 24-month period after a change-of-control occurs. Distributions from this plan are subject to federal, state, and local taxes on the entire account balance upon distribution. Alan Levine $233,490 Eric Deaton $90,158 Lynn Krutak $38,666 Tony Keck $57,525 Julie Bennett $56,613 Steve Kilgore $51,978 Clay Runnels, MD $80,691 Shane Hilton $60,603 Lisa Smithgall $47,625 Pam Austin $46,300 Amit Vashist, MD $48,254 Debbie Dover $45,370 Bradley Price $44,483 Upon meeting the Substantial Risk of Forfeiture provisions of the Ballad Health 457(f) Plan mentioned above, the following former executive received his deferred compensation plan balance during the year. Timothy Belisle $448,129

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Health & Educational Facil Bd 2018
A830682499396649EX92018-06-06$820,526,657Assets & Capital Improvements000
Health & Educational Facil Bd 2022
B621464028478271KE82022-06-16$128,145,000Capital&Debt Refd000
Health & Educational Facil Bd 2022B
C621464028478271KDO2022-07-07$121,855,000Refund the 2018C Bonds000
Health & Educational Facil Bd 2023A & 2022B
D621464028478271KR92023-05-18$208,262,134Refund the 2018A Bonds000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmt
A$357,350,000$820,545,037$9,240$820,535,7982022000Yes (1)
B$3,695,000$128,254,941$520,000$71,250,0002022Yes (1)00Yes (1)$56,450,485$34,456
C$121,855,000$1,190,000Yes (1)00Yes (1)$120,665,000$74,892
D$13,565,000$208,262,134$1,803,579$45,000,0002023Yes (1)00Yes (1)$161,458,555$76,654

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)00.009900.009900Yes (1)0.01790Yes (1)Yes (1)
B00Yes (1)Yes (1)00.009900.0099000Yes (1)
C00Yes (1)Yes (1)00.009900.009900Yes (1)0.01790Yes (1)Yes (1)
D00Yes (1)Yes (1)00.009900.009900Yes (1)0.01790Yes (1)Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)Yes (1)000Yes (1)
B0Yes (1)Yes (1)0Yes (1)000Yes (1)
C0Yes (1)00Yes (1)000Yes (1)
D0Yes (1)Yes (1)00000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Date Rebate Computation PerformedIssuer Name: Health & Educational Facil Bd. 2018 Date the Rebate Computation was Performed: 08/23/2023
Schedule K, Part II, Proceeds, Line 3:Line 3 for the 2018A, B and C Bonds and 2022A and C Bonds and 2023A and B Bonds does not match the applicable issue price for such bond issues because of interest earnings earned on the proceeds of such bonds.
Schedule K, Part II, Proceeds, Line 10:Pursuant to Section 1.150 1(a)(2)(ii) of the Treasury Regulations, the proceeds of the Bonds were used to acquire the assets of Mountain States Health Alliance and Wellmont Health System, and such expenditures are treated as capital expenditures, and not the refunding of prior debt.
Schedule K, Part III, Private Business Use, Line 8(c):Pursuant to the remedial action regulations, the proceeds from the sale of certain nursing home assets that were bond financed are being reallocated to qualified expenditures. Such reallocation will be completed within the 2-year time frame proscribed by the applicable Treasury Regulations.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1M EichornBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship With OrgOfficerRelationshipWithOrgTxt
Loan PurposeSPLITLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$2,808,925OriginalPrincipalAmt
Balance Due$5,007,341BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written Agreement0WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$5,007,341TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Stephen G StanleyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionFamily MemberRelationshipDescriptionTxt
Transaction$138,240TransactionAmt
TransactionSee Part VTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart IV, Supplemental InformationFormAndLineReferenceDesc
Explanation(1) Pam Austin, SVP and CIO of Ballad Health, is a family member of Stephen G. Stanley, an employee of Ballad Health.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part III, Program Service AccomplishmentsBallad Health (Ballad) is an integrated healthcare delivery system consisting of 20 hospitals in Northeast Tennessee and Southwest Virginia, including a Level 1 Trauma Center, dedicated children's hospital, several community hospitals, four 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. Ballad works closely with an active independent medical community and community stakeholders to improve the health and well-being of over one million people in 29 counties of the Appalachian Highlands in Northeast Tennessee, Southwest Virginia, Northwest North Carolina, and Southeast Kentucky. Ballad is a Tennessee non-profit corporation and is the main provider of healthcare services in Northeast Tennessee and Southwest Virginia. Ballad Health is a tax-exempt entity and the parent corporation of both Mountain States Health Alliance (MSHA) and Wellmont Health System (WHS). On February 1, 2018, Ballad was formed through a merger of two legacy systems, Mountain States Health Alliance and Wellmont Health System. Ballad was formed under state-action immunity in compliance with federal antitrust law, to create a healthier region and keep healthcare local. The action approving the merger was officially taken through the agreements made between Ballad and the State of Tennessee in the Certificate of Public Advantage (the "COPA") and the Letter Authorizing the Cooperative Agreement (the "CA") in Virginia. Pursuant to the COPA and CA, Ballad must fulfill certain obligations, commitments, and covenants. Tennessee and Virginia, through their respective health departments, supervise specific aspects of Ballad's operations under certain conditions of the COPA and the CA. The COPA and amendments are publicly available on the website of the Tennessee Department of Health, at https://www.tn.gov/health/copa.html. The Cooperative Agreement is available on the website of the Virginia Department of Health, at https://www.vdh.virginia.gov/licensure- and-certification/cooperative-agreement/. Form 990 for Wellmont Health System (WHS) includes five wholly owned hospitals, including two tertiary hospitals, while three wholly owned hospitals file separate returns. In addition to the acute care hospitals, WHS wholly owns or has ownership interest in a nursing home, an assisted living facility, physician practice organizations, ambulatory surgery centers and other health care businesses. Form 990 for Mountain States Health Alliance (MSHA) includes eight wholly owned hospitals including a tertiary hospital, a children's hospital and a behavioral health hospital; two others, wholly owned by MSHA, each file a separate return. MSHA is sole shareholder of Blue Ridge Medical Management Corporation (BRMMC), a for-profit entity that owns and manages physician practices and real estate and provides other health care services to patients in Tennessee and Virginia. MSHA is the sole member of Integrated Solutions Health Network, LLC (ISHN). ISHN, also included in this Form 990, is a regional health solutions company headquartered in Johnson City, Tennessee. ISHN is an expansive network of providers serving residents of Northeast Tennessee and Southwest Virginia and consists of provider groups, primary care physicians, specialists, and allied health providers. Ballad Health is in its seventh full year of operation under active supervision by the State of Tennessee and the Commonwealth of Virginia. Fiscal Year 2025 was marked by resilience, innovation, and a deepened commitment to improving health outcomes across Northeast Tennessee and Southwest Virginia. Throughout the period, Ballad Health continued to maintain and expand access to essential care and services, delivering high quality care, and reducing the cost of care for the people we are entrusted to serve. Over the past seven years, Ballad Health has made significant strides in regional healthcare. The organization successfully reopened a previously closed hospital in Southwest Virginia, invested capital in critical infrastructure, expanded services where needed, and consolidated others where appropriate. We met the challenges of a global pandemic that claimed thousands of lives in our region and severely disrupted hospital operations. We coordinated care in the wake of Hurricane Helene and its devastating aftermath and worked closely with both the Tennessee Department of Health and Virginia Department of Health to respond to the evolving needs of the region. Notable examples include investments in mental health services, the opening of high-quality childcare centers, the creation of the Quillen Center for Urological Services, and the launch of a new dental clinic that has served thousands of uninsured Virginians. Ballad Health has achieved these milestones while navigating national challenges, often responding faster and more effectively than other well-regarded hospitals and health systems. Similarly, our emergency department performance outpaces other peer hospitals on publicly reported metrics. Furthermore, a recent independent evaluation of physician access revealed that, while the rest of the nation has experienced a decline in physician supply, Ballad Health's rural region has either maintained or improved access in many specialties. In FY25, Ballad Health continued to demonstrate its commitment to improving the health of the Appalachian Highlands region through investments in its people, COPA Plan spending commitments, and capital. These investments included: - Partnering with the Tennessee Center for Nursing Advancement, the ETSU Research Corporation, East Tennessee State University (ETSU) College of Nursing, and StoryCollab on the Nursing Narrative Initiative. This project highlights the voices and experiences of nurses across the region, aiming to inspire future professionals and support current staff through storytelling and reflection. Additionally, investing in Ballad Health team members by launching B Excellent to strengthen our culture through continuous learning, skill-building, and team member engagement. - More than $65 million in new investments for rural health, behavioral health, children's health, population health, health research and graduate medical education, and health information exchange. - Capital spend of over $128 million, the highest level in our history. This included investments in new diagnostic and treatment technology, equipment upgrades, facility improvements, information technology, and the continued expansion of Niswonger Children's Hospital.
Hurricane HeleneHurricane Helene tragically struck on September 27, 2024, causing catastrophic flooding throughout the Appalachian Highlands. Floodwater from Hurricane Helene permanently destroyed Unicoi County Hospital and caused significant disruption to several other facilities. At Greeneville Community Hospital, Sycamore Shoals Hospital, Johnson County Hospital and Laughlin Healthcare services had to be suspended and patients relocated due to flood-related damage and safety concerns. Thanks to Ballad Health's integrated system, coordinated emergency response, and the dedication of our team members, all patients were safely evacuated to other facilities. In response, Ballad Health quickly established a 24/7 advanced urgent care clinic in Erwin, Tennessee, to ensure continued access to critical healthcare services for the community.
Strengthening Rural Access Through Strategic Workforce PlanningBallad Health is taking a proactive approach to protecting care in rural Appalachia. To guide this effort, Ballad Health engaged a nationally recognized healthcare consulting firm to conduct a detailed provider needs assessment. This process closely examines the supply and demand for physicians and advanced practice providers in the region and helps guide recruitment where shortages are most severe, and ensures we meet federal requirements. Nationally, the projected shortage of primary care physicians by 2030 ranges from 27,300 to 40,300, according to the Association of American Medical Colleges (AAMC) and other workforce studies. This makes Ballad Health's forward-looking strategy especially critical for rural regions. Since 2018, Ballad Health has recruited more than 800 providers to help close important gaps across the region. Between 2022 and 2025, general primary care adequacy improved from 62% to 72%, and 8 of 12 specialties also showed measurable progress. Ballad Health's access and quality metrics now outperform many national peers. Only 1% of emergency room patients leave before being seen, compared to 6 to 8% at other emergency rooms. Discharge times are up to 100 minutes faster than leading academic medical centers and sepsis care compliance ranks among the best in the country.
Quality of Care - Recognition from Independent Organizations:Ballad Health hospitals achieved national recognition for quality and safety from several respected national organizations, including U.S. News & World Report, the American Medical Association, and the American Heart Association. The Blue Cross and Blue Shield Association designated multiple Ballad Health hospitals as "Blue Distinction Centers" in service areas such as cardiology, hip and knee replacement, and maternity care. In addition, they highlight only five hospitals in Tennessee as "Blue Distinction Centers in Quality and Value" for cardiology services, with two of the five hospitals being Ballad Health facilities.
Leading Innovation in Physician Well-BeingBallad Health Medical Associates has earned bronze-level national recognition from the American Medical Association as a Joy in Medicine Health System organization for taking meaningful steps to address physician burnout and promote well-being across the Appalachian Highlands. Ballad Health Medical Associates is the only organization in Tennessee to receive Joy in Medicine recognition for the 2025-2026 cycle, with only four organizations in Virginia achieving this distinction.
Cardiovascular Excellence Continues to Set National StandardsHolston Valley Medical Center continues to lead the nation in cardiovascular care, cementing Ballad Health's reputation as a destination for exceptional cardiac treatment. For 2025, Healthgrades named Holston Valley one of America's 50 Best Hospitals for Vascular Surgery for the sixth consecutive year and ranked it No. 1 in Tennessee for vascular surgery. Holston Valley also earned the Vascular Surgery Excellence Award and received five-star ratings for several critical procedures, including abdominal aorta repair, carotid surgery (achieving this distinction for the 16th year in a row), and peripheral vascular bypass. Holston Valley and Bristol Regional Medical Center earned the Platinum Performance Achievement Award from the American College of Cardiology (ACC) for excellence in heart attack care through the chest pain - MI Registry. Johnston Memorial Hospital received the Silver Performance Achievement Award, recognizing its commitment to evidence-based care and improved outcomes for patients experiencing acute myocardial infarction. These honors reflect the dedication of Ballad Health's clinical teams to consistently deliver high-quality, guideline-driven care that improves survival rates and long-term outcomes for heart patients across the Appalachian Highlands. This recognition reflects Ballad Health's commitment to creating a supportive and efficient work environment for physicians and advanced practice providers, an essential strategy for improving care quality and access in rural communities. These results show Ballad Health's commitment to listening to our communities, recruiting where it matters most, and building the strong healthcare workforce the Appalachian Highlands relies on.
Recognition Spanning Our Entire Health SystemU.S. News & World Report 2025-2026 National and Regional Distinctions: - Holston Valley Medical Center was named a "Best Regional Hospital and ranked No. 9 in Tennessee, earning "high performing distinctions in 10 different clinical areas. - Bristol Regional Medical Center, Indian Path Community Hospital, and Johnson City Medical Center were recognized for excellence in cardiac, pulmonary, and surgical care. - Specific clinical honors include high-performance ratings in hip fracture and hip replacement care, gynecological cancer treatment, aortic valve surgery, abdominal aortic aneurysm repair, pacemaker implantation, pneumonia care, spinal fusion, colon cancer surgery, transcatheter aortic valve replacement, and diabetes care.
Charity Care UpdateBallad Health maintained increased patient eligibility for charity care at 225% of the federal poverty guidelines (up from 200% before the merger in 2018). In FY25, Ballad Health provided over $65 million for charity care, the highest since its formation. Notably, the weighted average median household income in the region is approximately $51,000 with some communities falling below that level. Ballad Health's threshold for free charity care for a family of 2.5 people is approximately $54,000 based on 225% of the Federal Poverty Level. This positions Ballad Health as having one of the most generous charity care policies in the nation. Ballad Health continued its efforts to reduce the number of preventable hospitalizations and emergency department visits. Ballad Health also remained committed to advancing value-based initiatives, such as the Appalachian Highlands Care Network (AHCN). The AHCN connects uninsured patients and their families with free or low-cost clinics, dental services, financial counseling, and preventative care services. The AHCN is recognized as a national model for partnership programs between a health system and local organizations, outpatient clinics and providers working together to deliver a more supportive system of care for the uninsured population. These efforts to provide cost efficient care benefit the taxpayers, patients, and hospitals. By the end of the period, the AHCN had enrolled over 11,100 uninsured individuals, demonstrating its growing impact across the Appalachian Highlands. Progress in Target Areas Ballad Health achieved improvements in the target areas of expanding access to care, improving quality of care, and lowering the cost of care. I. Access to Care & Population Health Access to Care Metrics: Ballad Health achieved improvements in 20 of 25 access measures over the pre-merger baseline. Notable areas of improvement since FY24 include appropriate emergency department wait times, asthma emergency department visits, diabetes screening, and rate of SBIRT administration during emergency department visits. The virtual urgent care platform is available 24/7 and accessible via smartphone or internet, and Ballad Health is the only regional provider offering this service. II. Improving Quality of Care, Patient Experience & Staff Experience a. Quality of Care Metrics: Ballad Health publishes its quality data on its website. The currently reported baselines are pre-COVID. Notable highlights include the following: i. Ballad Health improved in 10 of the 17 target measures for FY25 using the pre-COVID baselines. ii. Emergency Department throughput metrics have shown improvement. Notably, OP22 Left Without Being Seen decreased by 33.8% compared to FY24. The median time from ED arrival to transport for admitted patients and the ED2b ED Decision to Transport (ED1) also improved. iii. Ballad Health implemented a standardized mortality case review process, supported by predictive analytic tools to help caregivers identify and act on early signs of deterioration. These efforts contributed to measurable reductions in mortality from FY23 to FY25, across various conditions, including Heart Failure (25%), Pneumonia (18%), and Sepsis (14%). iv. Among the hospital infection indicators, Ballad Health is performing as expected or meeting the measure in all but one measure when using the Centers for Disease Control and Prevention's recommended adjustment methodology accounting for differences in patient population. b. Clinical Council: The Clinical Council (the Council) is aligned with the Ballad Health Board of Directors and the Board's Quality, Service and Safety Committee (QSSC). During FY25, the Council was comprised of 27 physicians from many backgrounds and specialties. Of those physicians, nearly half were independent. The Council continued to assist in establishing key quality and patient safety priorities with consideration to risk, volume, propensity for problems (including incidence, prevalence, and severity), impact on health outcomes, patient safety and quality across all areas of care. Key accomplishments in FY25 included: i. enhancements in electronic health record workflows, ii. standardization of a variety of high-value care initiatives, iii. implementation of projects for provider wellbeing and workforce support, iv. updates to medication use processes, and v. improvements to children's and women's care standards. c. Patient Experience: In the aggregate, 90% of patients surveyed by Press-Ganey, the nation's most credible firm for tracking patient and employee experience, would recommend Ballad Health's hospitals. In some Ballad Health hospitals, that number reaches as high as 97%. While emergency department wait times remain a concern, it should be noted that the metrics for Ballad Health outperform national averages, and some of America's, Tennessee's, and Virginia's most well-respected health systems in areas such as patients who leave without being seen, time from presentation to discharge, and sepsis care. III. Lowering Cost of Care Ballad Health and community physicians continue to reduce the cost of care to patients, employers, and government payors through value-based care. a. Price Transparency: Ballad Health continued to meet the Centers for Medicare & Medicaid Services hospital price transparency requirements under section 2718(e) of the Public Health Service Act. As such, Ballad Health's gross charges, discounted cash prices, payer-specific negotiated rates, and de-identified minimum and maximum negotiated rates for all hospital items and services as well as a consumer-friendly estimator tool and other pricing information are publicly available on its website. b. Cost-Efficiency Measures: According to countyhealthrankings.org, Ballad Health and community physicians have reduced preventable hospitalizations in our region by 50% since 2017. This has resulted in over $200 million of annual recurring savings to taxpayers, employers, and patients. Our region's preventable hospitalization rate is as low, or lower than, communities like Nashville - a stunning result given the magnitude of resources available in those communities. In FY25, Ballad Health saw more than $45 million (for projects greater than $200,000) in savings due to cost-efficiency measures taken across the areas of contract labor, supplies, and pharmacy efficiency. Through the work of the AHCN, Ballad Health has helped reduce preventable hospitalizations for the uninsured population, reducing the cost to taxpayers of charity care, and improving patient safety by avoidance of hospitalization.
Form 990, Part V, line 1aBallad Health (BH) filed Form 1096 on a consolidated basis for all subsidiaries that were required to file Forms 1099-MISC/NEC. Each subsidiary reimburses BH for all expenses related to vendor payments and the expenses are recorded on each individual entity's books.
Form 990, Part VI, Section B, line 11bThe Ballad Health Tax Department prepares and reviews the Form 990. During preparation other functional areas within the organization provide information and support to complete an accurate return. The return is reviewed by the organization's EVP/CFO and is provided in electronic form to all members of the Board of Directors prior to being filed with the IRS.
Form 990, Part VI, Section B, line 12cBallad Health policy requires Board of Directors and Board Committee members, the Executive Chair/President, and Executive Vice Presidents to complete a conflict of interest disclosure statement on an annual basis. Ballad Health policy also requires team members to complete an annual acknowledgement that they have read and understand the conflict of interest policy and they will complete a conflict of interest disclosure statement if they have a conflict of interest. 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. This applies to all Ballad Health organizations.
Form 990, Part VI, Section B, line 15Line 15a Compensation Process for Top Officials The executive compensation committee serves as the compensation oversight committee of Ballad Health's Board of Directors. The executive compensation committee is comprised of members who are determined to be independent and whom are not reliant upon any business relationship with Ballad Health for income or compensation. The compensation plan for Alan Levine, Ballad Health's Chairman, President and CEO, was reviewed and approved by the executive compensation committee and then by the Ballad Health Board of Directors in accordance with the Board's compensation policy and practice. The Board of Directors relies upon the advice of an independent and experienced compensation consultant with knowledge about pay practices for comparable positions within the industry, and who has access to broad data, studies and surveys in order to ensure the compensation falls within competitive and appropriate ranges for the position. Part VI, Line 15b Compensation Process for Officers 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 approved by the Ballad Health Board of Directors which include Quality of Care, Access to Care, Cost Management, etc.
Form 990, Part VI, Section C, line 19Governing 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.
Form 990, Part IX, line 11gConsulting Fees: Program service expenses 4,320,434. Management and general expenses 5,833,616. Fundraising expenses 0. Total expenses 10,154,050. Contract Labor: Program service expenses 0. Management and general expenses 565,278. Fundraising expenses 0. Total expenses 565,278. Marsh Julia Davis Collection Center: Program service expenses 1,830,377. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,830,377. Environmental Services: Program service expenses 97,614. Management and general expenses 29,026. Fundraising expenses 0. Total expenses 126,640. Physician Fees: Program service expenses 125,082. Management and general expenses 0. Fundraising expenses 0. Total expenses 125,082. Other: Program service expenses 1,282,848. Management and general expenses 993,152. Fundraising expenses 0. Total expenses 2,276,000.
Form 990, Part XI, line 9:Change in Fair Value of interest Rate Swap -769,938. Transfers related to Self-Insurance Plan (Captive) -695,849. Temp. Restricted Grants -1,967,307. Closeout Balance Sheet Bristol Surgery Center -2,132,770. Intercompany Transfers -41,102,629.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Abingdon Physician Partners
16000 Johnston Memorial DriveAbingdonVA24211205485346Medical ServicesVA501C312aJMH0
Ballad Health Auxiliary
400 N State of Franklin RoadJohnson CityTN37604581418345Supporting OrganizationTN501C312aBallad HealthYes (1)
Ballad Health Center for Early Learning
400 N State of Franklin RoadJohnson CityTN37604923891827Child Day Care ServicesTN501C3Line_10_OrganizationBALLAD HEALTHYes (1)
Ballad Health Foundation
1019 West Oakland Ave Suite 2Johnson CityTN37604581594191FundraiserTN501C3Line_7_Organization_BALLAD HEALTHYes (1)
Dickenson Community Hospital Inc
312 Hospital DriveClintwoodVA24228770599553HospitalVA501C3Line_3_Hospital_CoopWHS0
East TN Healthcare Holdings Inc
203 Gray Commons CircleGrayTN37615815475903Opioid TreatmentTN501C3Line_10_Organization0N/A
Johnston Memorial Hospital Inc
16000 Johnston Memorial DriveAbingdonVA24211540544705HospitalVA501C3Line_3_Hospital_CoopMSHA0
Mountain States Health Alliance
303 Med Tech Parkway Suite 300Johnson CityTN37604620476282Hospital SystemTN501C3Line_3_Hospital_CoopBALLAD HEALTHYes (1)
Smyth County Community Hospital
245 Medical Park DriveMarionVA24354540794913HospitalVA501C3Line_3_Hospital_CoopMSHA0
Takoma Regional Hospital Inc DBA GCH
1420 Tusculum BoulevardGreenevilleTN37745510603966HospitalTN501C3Line_3_Hospital_CoopWHS0
Wellmont Cardiology Services
303 Med Tech Parkway Suite 220BJohnson CityTN37604263557623Medical ServicesTN501C3Line_10_OrganizationWHS0
Wellmont Hawkins Co Memorial Hosp Inc
851 Locust StreetRogersvilleTN37857621816368HospitalTN501C3Line_3_Hospital_CoopWHS0
Wellmont Health System
303 Med Tech Parkway Suite 300Johnson CityTN37604621636465Hospital SystemTN501C3Line_3_Hospital_CoopBALLAD HEALTHYes (1)
Wellmont Madison House
2000 Greenway StreetKingsportTN37660621308216Assisted LivingTN501C3Line_10_OrganizationWHS0
Wellmont Medical Associates Inc
303 Med Tech Parkway Suite 220BJohnson CityTN37604270898372Medical ServicesTN501C3Line_10_OrganizationWHS0
Wellmont Wexford House
2421 N John B Dennis HwyKingsportTN37660581859039Nursing HomeTN501C3Line_10_OrganizationWHS0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
East Tennessee Ambulatory Surgical Ctr
701 Med Tech Parkway Ste 100Johnson CityTN37604621787537Medical ServicesTNN/A00
Emmaus Community Healthcare PLLC
6419 Bristol HwyPiney FlatsTN37686200577483Medical ServicesTNN/A00
Medical Specialists of J C LLC
2528 Wesley St Ste 2Johnson CityTN37601272199037Medical ServicesTNN/A00
Quality Improvement Ptrs LLC
2528 Wesley Street Suite 2Johnson CityTN37601861932106HealthcareTNN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Ballad Health Development Corporation
400 N State of Franklin RdJohnson CityTN37604883118592InvestmentsTNBRMMCC$202,2671.000000
Ballad Ventures LLC
400 N State of Franklin RdJohnson CityTN37604844214681InvestmentsTNBRMMCC$15,882,5221.000000$150,041
Blue Ridge Medical Management Corp
303 Med Tech Parkway Ste 220BJohnson CityTN37604621490616Medical ServicesTNMSHAC$262,519,5901.000000$141,551,420
Community Home Care Inc
1490 Park Avenue NW Suite BNortonVA24273541453810Durable Medical EquipmentVAWHSC1.000000
Mediserve Medical Equipment of Kingsport Inc
303 Med Tech Parkway Ste 220BJohnson CityTN37604621212286Durable Medical EquipmentTNBRMMCC1.000000$4,251,697
Mountain States Physician Grp Inc
303 Med Tech Parkway Ste 220BJohnson CityTN37604621700412Medical ServicesTNBRMMCC$12,9901.000000$18,698,907
Mountain States Properties Inc
303 Med Tech Parkway Ste 220BJohnson CityTN37604621845895Property ManagementTNBRMMCC$136,150,1361.000000$15,414,366
Nolichuckey Management Svcs Inc
1420 Tusculum BoulevardGreenevilleTN37745621776681Medical ServicesTNTRHC1.000000-$229,519
Wellmont Health Services Inc
303 Med Tech Parkway Ste 220BJohnson CityTN37604621254373Medical ServicesTNWellmont IncC$9,476,1921.000000$1,268,627
Wellmont Insurance Co SPC LTD
981195624InsuranceWHSC$39,984,9691.000000$2,532,874P O Box 30600Grand CaymonKY1-1203CJCJ
Wellmont Physician Services Inc
303 Med Tech Parkway Ste 220BJohnson CityTN37604621567353Medical ServicesTNWellmont IncC1.000000
Wellmont Inc
303 Med Tech Parkway Ste 220BJohnson CityTN37604621320035Medical ServicesTNWHSC-$77,083,5931.000000$35,697,936
Wilson Pharmacy Inc
303 Med Tech Parkway Ste 220BJohnson CityTN37604620329587PharmacyTNBRMMCC$11,360,8061.000000$9,254,703
WPS Providers Inc
303 Med Tech Parkway Ste 220BJohnson CityTN37604205564642Medical ServicesTNWellmont IncC$2,749,3361.000000$34,429,309
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (38 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Ballad Health Foundation
A$80,734Cost
Ballad Health Foundation
C$107,056Cost
Blue Ridge Medical Management
L$88,144Cost
Blue Ridge Medical Management
M$305,799Cost
Blue Ridge Medical Management
O$25,888,296Cost
Blue Ridge Medical Management
S$52,515Cost
Dickenson Community Hospital
O$904,426Cost
Early Learning Center
O$426,442Cost
Early Learning Center
M$105,235Cost
Early Learning Center
R$133,922Cost
East TN Healthcare Holdings Inc
A$236,701Cost
Johnston Memorial Hospital
L$403,598Cost
Johnston Memorial Hospital
O$11,004,781Cost
Madison House
S$1,277,480Cost
Mediserve Medical Equipment
O$267,144Cost
Mountain States Health Alliance
A$941,908Cost
Mountain States Health Alliance
L$4,417,197Cost
Mountain States Health Alliance
M$686,304Cost
Mountain States Health Alliance
O$77,921,986Cost
Mountain States Properties
K$990,782Cost
Mountain States Properties
O$307,723Cost
Mountain States Properties
P$184,250Cost
Smyth County Community Hospital
L$103,493Cost
Smyth County Community Hospital
O$2,866,175Cost
Smyth County Community Hospital
S$5,248,371Cost
Takoma Regional Hospital Inc DBA Greeneville Comm Hosp
L$550,727Cost
Takoma Regional Hospital Inc DBA Greeneville Comm Hosp
O$7,453,013Cost
Takoma Regional Hospital Inc DBA Greeneville Comm Hosp
S$4,344,322Cost
Wellmont Hawkins Co Memorial Hospital
A$346,528Cost
Wellmont Hawkins Co Memorial Hospital
O$1,106,048Cost
Wellmont Health Services Inc
K$63,235Cost
Wellmont Health System
L$3,329,831Cost
Wellmont Health System
O$57,901,305Cost
Wellmont Health System
R$95,799Cost
Wellmont Medical Associates
J$1,074,805Cost
Wexford House
S$8,147,559Cost
Wilson Pharmacy
O$351,771Cost
WPS Providers
A$495,745Cost