Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1e · Government grants (contributions)

  $24,975

• 2a · Program service revenue: Patient Revenue

  total $9,121,958 · related or exempt $9,121,958

• 3 · Investment income

  total $45 · excluded $45

• 11a · Other revenue: Cafeteria/Vending

  total $1,228 · excluded $1,228

• 11b · Other revenue: Support Services

  total $1,011 · related or exempt $1,011

• 11c · Other revenue: Medical Records

  total $855 · excluded $855

• 11d · All other revenue

  total $312 · excluded $312

• 11e · Other revenue, total

  $3,406

Functional expenses

Part IX, the statement of functional expenses.

• 5 · Compensation of officers, directors and key employees

  total $191,968 · management and general $191,968

• 7 · Other salaries and wages

  total $5,616,051 · program services $4,814,816 · management and general $801,235

• 8 · Pension plan contributions

  total $79,012 · program services $72,697 · management and general $6,315

• 9 · Other employee benefits

  total $794,972 · program services $601,557 · management and general $193,415

• 10 · Payroll taxes

  total $381,658 · program services $355,859 · management and general $25,799

• 11g · Fees: other

  total $2,467,552 · program services $2,215,607 · management and general $251,945

• 12 · Advertising and promotion

  total $8,467 · management and general $8,467

• 13 · Office expenses

  total $165,560 · program services $92,658 · management and general $72,902

• 14 · Information technology

  total $274,420 · program services $209,411 · management and general $65,009

• 16 · Occupancy

  total $317,879 · program services $317,879

• 17 · Travel

  total $1,614 · program services $105 · management and general $1,509

• 20 · Interest

  total $541,082 · program services $465,532 · management and general $75,550

• 22 · Depreciation, depletion and amortization

  total $508,298 · program services $449,341 · management and general $58,957

• 23 · Insurance

  total $66,237 · program services $62,834 · management and general $3,403

• 24a · Other expenses: Nsg Home Assessment Tax

  total $775,234 · program services $775,234

• 24b · Other expenses: Medical Supplies

  total $347,259 · program services $347,259

• 24c · Other expenses: Support Services

  total $299,324 · management and general $299,324

• 24d · Other expenses: Maintenance

  total $138,457 · program services $138,312 · management and general $145

• 24e · All other expenses

  total $167,845 · program services $145,834 · management and general $22,011

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $701 · end of year $2,876

• 3 · Pledges and grants receivable

  end of year $5,413

• 4 · Accounts receivable

  beginning of year $744,466 · end of year $867,358

• 8 · Inventories for sale or use

  beginning of year $58,215 · end of year $58,215

• 9 · Prepaid expenses and deferred charges

  beginning of year $10,062 · end of year $41,767

• 10a · Land, buildings and equipment: cost or other basis

  $7,411,945

• 10b · Land, buildings and equipment: accumulated depreciation

  $4,576,607

• 10c · Land, buildings and equipment, net

  beginning of year $3,135,074 · end of year $2,835,338

• 14 · Intangible assets

  beginning of year $7,622,979 · end of year $7,622,979

• 15 · Other assets

  beginning of year $198,089 · end of year $583,597

• 17 · Accounts payable and accrued expenses

  beginning of year $2,028,494 · end of year $1,241,298

• 21 · Escrow or custodial account liability

  beginning of year $44,219 · end of year $34,629

• 25 · Other liabilities

  beginning of year $824 · end of year $265,461

• 27 · Net assets without donor restrictions

  beginning of year $9,696,049 · end of year $10,476,155

The filer's explanations (Part III)

Part I, Lines 4a-b

The 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 $201,459 Eric Deaton $66,613 Lynn Krutak $64,932 Tim Belisle $22,233 Andrew Wampler $18,111 Linda White $10,176 The following executives received a change-of-control payment. The payment was reported as taxable income with appropriate tax withheld and remitted to the IRS. Tim Belisle $179,601

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• Emmaus Community Healthcare PLLC

  Medical Services · TN

• Medical Specialists of JC LLC

  Medical Services · TN

• East Tennessee Ambulatory Surgery Center

  Medical Services · TN

• Quality Improvement Ptrs LLC

  Healthcare · TN

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• Wellmont Inc

  C · Medical Services · TN

• Wellmont Physician Services Inc

  C · Medical Services · TN

• WPS Providers Inc

  C · Medical Services · TN

• Wellmont Health Services Inc

  C · Medical Services · TN

• Blue Ridge Medical Management Corp

  C · Medical Services · TN

• Mediserve Medical Equipment

  C · Durable Medical Equipment · TN

• Mountain States Properties

  C · Property Management · TN

• Mountain States Physician Grp

  C · Medical Services · TN

• Community Home Care Inc

  C · Durable Medical Equipment · VA

• Wilson Pharmacy Inc

  C · Pharmacy · TN

• Nolichuckey Management Svcs Inc

  C · Medical Services · TN

• Wellmont Insurance Co SPC LTD

  C · Insurance · CJ

• Ballad Ventures LLC

  C · Investments · TN

• Ballad Health Development Corporation

  C · Investments · TN