Civic Intelligence

Ballad Health Foundation

990 • Fiscal year 2020 • EIN 58-1594191

Jul 01, 2019 to Jun 30, 2020 • Filed on May 17, 2021

Organization ProfileBALLADHEALTH.ORG
1019 W Oakland Ave Suite 2Johnson City, TN 37604-2357

(423) 302-3131

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

31st percentile

0.11x

Higher debt load relative to assets than 31% of similar nonprofits.

2020 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2020

Liabilities / Revenue

72nd percentile

0.99x

Higher debt load relative to revenue than 72% of similar nonprofits.

2020 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2020

Net Margin

68th percentile

12%

Higher net margin than 68% of similar nonprofits.

2020 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2020

Top Officer Pay

88th percentile

$1,026,003

Higher top officer pay than 88% of similar nonprofits.

Top officer pay equals 18.3% of source-year revenue.

2020 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2020

Asset Growth

25th percentile

-0.2%

Faster asset growth than 25% of similar nonprofits.

2020 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2019 to 2020

Revenue Growth

66th percentile

8.8%

Faster revenue growth than 66% of similar nonprofits.

2020 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2019 to 2020

Balance Sheet
Liabilities / Assets31st percentile

Assets

Down

$51,336,210

Down $92,633 (-0.2%) from 2019

Net Assets

Up

$45,762,068

Up $328,462 (+0.7%) from 2019

Liabilities

Down

$5,574,142

Down $421,095 (-7.0%) from 2019

Revenue And Expenses
Liabilities / Revenue72nd percentileNet Margin68th percentile

Revenue

Up

$5,621,142

Up $456,406 (+8.8%) from 2019

Expenses

Down

$4,969,964

Down $2,588,829 (-34%) from 2019

Net Income

Up

$651,178

Up $3,045,235 (+127%) from 2019

Historical Trend

Balance Sheet Trend

Asset Growth25th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$80M$60M$40M$20M$0Assets 2010: $25,572,298Liabilities 2010: $5,662,277Net Assets 2010: $19,910,0212010Assets 2011: $28,785,276Liabilities 2011: $6,911,805Net Assets 2011: $21,873,4712011Assets 2012: $32,520,821Liabilities 2012: $9,254,761Net Assets 2012: $23,266,0602012Assets 2013: $32,088,610Liabilities 2013: $6,764,472Net Assets 2013: $25,324,1382013Assets 2014: $33,920,458Liabilities 2014: $4,498,918Net Assets 2014: $29,421,5402014Assets 2015: $29,482,623Liabilities 2015: $2,693,342Net Assets 2015: $26,789,2812015Assets 2016: $27,720,257Liabilities 2016: $2,421,921Net Assets 2016: $25,298,3362016Assets 2017: $31,410,145Liabilities 2017: $2,144,058Net Assets 2017: $29,266,0872017Assets 2018: $31,333,903Liabilities 2018: $2,768,476Net Assets 2018: $28,565,4272018Assets 2019: $51,428,843Liabilities 2019: $5,995,237Net Assets 2019: $45,433,6062019Assets 2020: $51,336,210Liabilities 2020: $5,574,142Net Assets 2020: $45,762,0682020Assets 2021: $60,338,294Liabilities 2021: $5,253,051Net Assets 2021: $55,085,2432021Assets 2022: $62,092,613Liabilities 2022: $8,673,935Net Assets 2022: $53,418,6782022Assets 2023: $67,442,232Liabilities 2023: $22,739,416Net Assets 2023: $44,702,8162023Assets 2024: $71,461,063Liabilities 2024: $20,541,768Net Assets 2024: $50,919,2952024Assets 2025: $64,955,620Liabilities 2025: $7,004,606Net Assets 2025: $57,951,0142025

Highlighted filing

2020

Assets$51,336,210
Liabilities$5,574,142
Net Assets$45,762,068
Open 2020 Filing

Operations Trend

Revenue Growth66th percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$20M$10M$0-$10M-$20MExpenses 2010: $3,137,9842010Revenue 2011: $3,414,871Expenses 2011: $4,546,475Net Income 2011: -$1,131,6042011Expenses 2012: $5,523,9112012Expenses 2013: $2,845,4222013Revenue 2014: $5,668,639Expenses 2014: $2,417,784Net Income 2014: $3,250,8552014Revenue 2015: $3,967,817Expenses 2015: $4,614,124Net Income 2015: -$646,3072015Revenue 2016: $5,666,656Expenses 2016: $6,440,950Net Income 2016: -$774,2942016Revenue 2017: $8,107,701Expenses 2017: $4,208,042Net Income 2017: $3,899,6592017Revenue 2018: $3,808,742Expenses 2018: $4,988,733Net Income 2018: -$1,179,9912018Revenue 2019: $5,164,736Expenses 2019: $7,558,793Net Income 2019: -$2,394,0572019Revenue 2020: $5,621,142Expenses 2020: $4,969,964Net Income 2020: $651,1782020Revenue 2021: $4,593,678Expenses 2021: $2,795,070Net Income 2021: $1,798,6082021Revenue 2022: $13,795,215Expenses 2022: $6,462,250Net Income 2022: $7,332,9652022Revenue 2023: $7,726,360Expenses 2023: $18,711,967Net Income 2023: -$10,985,6072023Revenue 2024: $7,890,797Expenses 2024: $4,059,826Net Income 2024: $3,830,9712024Revenue 2025: $11,053,890Expenses 2025: $7,314,051Net Income 2025: $3,739,8392025

Highlighted filing

2020

Revenue$5,621,142
Expenses$4,969,964
Net Income$651,178
Open 2020 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2019 to Jun 30, 2020
Signed
May 17, 2021
Return Version
2019v5.2
Gross Receipts
$6,186,882
Mission and Program Overview

Mission

Ballad health foundation's primary purpose is to build relationships with others to fulfill the mission and vision of ballad health through philanthropy. Working together around a common set of objectives, we can transform our community's health and well-being.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$31,872,848$32,596,676▲ $723,828
Cash and Non-Interest-Bearing Accounts$14,520,067$14,399,695▼ $120,372
Pledges and Grants Receivable$2,056,011$1,695,284▼ $360,727
Accounts Receivable$396,720$220,770▼ $175,950
Prepaid Expenses and Deferred Charges$76,689$77,146▲ $457
Land, Buildings, and Equipment, Net$9,966$29,329▲ $19,363
Total Assets$51,428,843$51,336,210▼ $92,633
Other Assets Total$2,496,542$2,317,310▼ $179,232
Liabilities
Other Liabilities$5,506,302$5,398,353▼ $107,949
Deferred Revenue$367,550$122,300▼ $245,250
Accounts Payable and Accrued Expenses$121,385$53,489▼ $67,896
Total Liabilities$5,995,237$5,574,142▼ $421,095
Net Assets / Fund Balance
Net Assets With Donor Restrictions$32,582,010$35,567,720▲ $2,985,710
Net Assets Without Donor Restrictions$12,851,596$10,194,348▼ $2,657,248
Total Net Assets Fund Balance$45,433,606$45,762,068▲ $328,462
Total Liabilities and Net Assets / Fund Balance$51,428,843$51,336,210▼ $92,633

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$24,473$113,929$138,402
Land$4,780-$4,780
Buildings$76$1,069$1,145

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2019$1,840,295-▼ $513,678-$1,326,617
2018$1,308,437-▲ $531,858-$1,840,295
2017$1,320,023-▼ $11,586-$1,308,437
2016$1,320,884-▼ $861-$1,320,023
2015$1,322,831-▼ $1,947-$1,320,884
Compensation and Service Providers
Top Officer Pay88th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jack SimpsonPresidentFT$113,622$12,019$125,641

Board Members and Trustees

NameTitle
Bob CantlerChairperson
Ted FieldsVice Chairperson
Angela ArpTrustee
Anthony KeckTrustee
Greg CoxTrustee
Heidi DulebohnTrustee
Julie LichTrustee
Kay BunnTrustee
Michele KingTrustee
Shawn HollingerTrustee
Todd NorrisTrustee
Lynn KrutakTrustee/ Bh Evp & CFO
Barton HoveFormer Officer
Todd DouganFormer Officer
Norris SneedSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$4,900,227
Program Service Revenue
$0
Investment Income
$1,125,922
Other Revenue
$-405,007
All Other Contributions
$3,895,777
Change in Net Assets
$651,178

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table1$34,596Estimated Value
Other Non Cash Contri Table54$11,417Estimated Value
Works of Art1$6,031Cost
Total Noncash Contributions56$52,044-

Audited Revenue Reconciliation

Revenue per Audited Statements
$5,583,941
Revenue Not Reported on Financial Statements
$37,201
Revenue Not Reported on Form 990
$1,147,864
Total Revenue per Audited Statements
$6,731,805
Total Revenue per Form 990
$5,621,142
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$3,180,239
Other Expenses$967,521
Salaries, Compensation, and Employee Benefits$822,204
Total Fundraising Expense$347,989
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$2,986,192--$2,986,192
Other Salaries and Wages-$822,204-$822,204
Fees for Services Other-$88,991$116,773$205,764
Grants to Domestic Individuals$194,047--$194,047
Occupancy-$81,692-$81,692
Advertising--$74,302$74,302
All Other Expenses-$40,396$11,252$51,648
Fees for Service Investment Mgmnt Fees-$37,201-$37,201
Other Expenses-$18,900$51,291$18,900
Travel-$10,701-$10,701
Total Functional Expenses$3,180,239$1,441,736$347,989$4,969,964

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$6,056,736
Total Expenses per Form 990$4,969,964
Expenses per Audited Statements$4,932,763
Expenses Not Reported on Form 990$1,123,973
Expenses Not Reported on Financial Statements$37,201
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Ballad HealthJohnson City, TN-$1,832,284 FOR CAPITAL NEEDS AND $879.794 FOR MISCELLANEOUS OTHER PROJECTS$2,712,078
Mission Dental Virginia IncBristol, VA501(c)(3)Net Proceeds Jmh Events$41,000
United Way Greater KingsportKingsport, TN501(c)(3)Literacy Initiatives$40,781
United Way Southwest VaAbingdon, VA501(c)(3)Literacy Initiatives$37,225
United Way of East Tn HighlandsJohnson City, TN501(c)(3)Literacy Initiatives$30,908
United Way Bristol TnvaBristol, TN501(c)(3)Literacy Initiatives$22,502
United Way Elizabethtoncarter CoElizabethton, TN501(c)(3)Literacy Initiatives$18,213
Project Fit AmericaBoyes Hot Springs, CA501(c)(3)Fitness Program$15,390
Lifetime Wellness CenterJohnson City, TN115Stepping Out Healthy Camp 2019, After-school Hearts and Mind Program$13,111
United Way Greene CoGreeneville, TN501(c)(3)Literacy Initiatives$12,922
Mountain Empire Community CollegeBig Stone Gap, VA501(c)(3)Mecc Nursing Program and Mecc Lpn Class$6,500
The Niswonger FoundationGreeneville, TN501(c)(3)Bctg Scholarships$6,500
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$548,240
Fundraising Gross Income$143,233
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Tournaments$683,854$71,566$50,760$20,806
Night of Hope and Miracles$212,070$42,720$13,908$28,812
Total Events$1,108,183$143,233$548,240$-405,007
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$5,193,353
Annuity Payable$205,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

“The business and affairs of ballad health foundation are governed exclusively by the board of trustees. The foundation's board of trustees is designated by ballad health, the sole member of this corporation. In addition to such rights of approval and consent as may be reserved to the sole member of the foundation pursuant to applicable law, transactions of the following matters by the foundation shall require the prior approval of ballad health: (a) implementation of foundation's annual budget, (b) incurring any loan or other indebtedness for borrowed money, (c) acquisition of any equipment or personal property for a purchase price in excess of $50,000 or the acquisition of any real estate, regardless of purchase price, (d) the undertaking of certain contractual commitments, (e) entering into any plan or merger or consolidation, (f) acquisition of substantially all of the assets of any other legal entity, and (g) institution of any litigation by or on behalf of the foundation.”

Form 990, Part VI, Section A, Line 7A

“Ballad health is ballad health foundation's sole member. The board of directors of ballad health is responsible for appointing the directors of the foundation's board.”

Form 990, Part VI, Section A, Line 7B

“Decisions subject to approval of members see form 990, part vi, section a, line 6 for explanation.”

Form 990, Part VI, Section B, Line 11B

“The ballad health foundation president reviewed the ballad health foundation form 990 with its board of trustees prior to filing. The return was made available to each board member in an electronic format prior to the review.”

Form 990, Part VI, Section B, Line 12C

“The foundation is part of ballad health which has a conflict of interest policy for all members of the board of directors, the executive chair/president, executive vice presidents, senior vice presidents, and vice presidents, and applies to all ballad health organizations. All persons covered by this policy are required to complete a conflict of interest disclosure form on an annual basis. Should a conflict arise, it is the responsibility of the conflicted individual to update his or her disclosure immediately. All meetings of the board or board committees have a standing agenda item first on the agenda titled "conflicts of interest." if a member of the board or board committee has a conflict of interest involving any issue on the board agenda, he or she must declare the conflict of interest during the period allotted for disclosure. If any issue arises during a meeting in which the board member has a conflict of interest, he or she must immediately declare the conflict. While each member of the board or board committee is responsible for disclosing conflicts of interest, it is also the responsibility of any board member aware of a conflict which has not been disclosed to ensure the board is made aware. The presiding officer of a board or board committee meeting may ask a conflicted member to excuse themselves from the meeting during the discussion related to the issue with which the conflict of interest applies. Under no circumstance shall a member vote on a matter that gives rise to a potential conflict.”

Form 990, Part VI, Section B, Line 15A

“On an annual basis, ballad health's human resources (h/r) department evaluates compensation for all executives at a position level of assistant vice president and above. H/r's evaluation is based on market data obtained from independent third-party consultants for positions with similar responsibilities at similarly situated organizations. Based on this comparable data, ballad health's president & ceo evaluates the data and submits his recommendations to ballad health's board of directors for their final review and approval. In addition, ballad health offers an incentive plan to executives based on targeted achievement metrics set in advance of the pay year. Established metrics include: quality and access measures, evidence-based care scores, and value based purchasing, etc.”

Form 990, Part VI, Section C, Line 19

“Governing documents and the conflict of interest policy are made available upon request to the appropriate parties requesting them. Financial statements are made available upon request to appropriate parties requesting them.”

Filing and Contact Details

Filer

Filer Name
Ballad Health Foundation
EIN
58-1594191
Phone
4233023131
Address
1019 W OAKLAND AVE SUITE 2, JOHNSON CITY, TN 37604-2357

Signing Officer

Name
Jack Simpson
Title
President
Phone
4232308550
Signed
2021-05-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Todd Norris
Formed
1984
Legal Domicile
Tn
Voting Board Members
14
Independent Board Members
10
Employees
16
Volunteers
353

Preparer

Firm
Pya P C
Address
2220 SUTHERLAND AVE, KNOXVILLE, TN 37919
Preparer
Deborah O Ernsberger
Phone
8656730844
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Transfer from affiliate 518,273. Lonesome pine hospital fund -346,607.”

Financial Statement Notes

PART X, LINE 2:

“The foundation is classified as an organization exempt from federal income taxes under internal revenue code (irc) section 501(c)(3). Accordingly, no provision for income taxes has been included in the accompanying financial statements. In addition, the foundation has been determined by the internal revenue service not to be a "private foundation" within the meaning of section 509(a) of the irc. The foundation has no uncertain tax positions at june 30, 2020 that would require recognition or disclosure in the financial statements. At june 30, 2020, informational tax returns for mountain states foundation, wellmont foundation, and laughlin healthcare foundation for fiscal years 2017 through 2018 are eligible for examination by the internal revenue service. The informational tax return for the foundation for fiscal year 2019 is also eligible for examination.”

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Fundraising expenses netted with revenues 548,240. Net assets transferred from affiliate 518,273.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Fundraising expenses netted with revenues 548,240. Unrealized loss recorded as an expense for audit 359,839.”

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0BALLAD HEALTH FOUNDATION'S PRIMARY PURPOSE IS TO BUILD RELATIONSHIPS WITH OTHERS TO FULFILL THE MISSION AND VISION OF BALLAD HEALTH THROUGH PHILANTHROPY. WORKING TOGETHER AROUND A COMMON SET OF OBJECTIVES, WE CAN TRANSFORM OUR COMMUNITY'S HEALTH AND WELL-BEING.
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IRS990/Desc0BALLAD HEALTH FOUNDATION EXISTS TO SUPPORT BALLAD HEALTH'S MISSION OF SERVICE TO THE PEOPLE OF THE APPALACHIAN HIGHLANDS REGION. DURING THE 12 MONTH FISCAL YEAR ENDED JUNE 30, 2020, THE FOUNDATION FUNDED $1,838,993 IN CAPITAL PROJECTS AT BALLAD HEALTH FACILITIES THROUGHOUT THE APPALACHIAN HIGHLANDS REGION. OF THESE PROJECTS, $1,391,863 WERE RELATED TO PEDIATRIC CARE OR HEALTH INITIATIVES. AMONG THE MORE NOTABLE PEDIATRIC PROJECTS FUNDED WAS THE COMPLETION OF THE J.D. NICEWONDER PEDIATRIC EMERGENCY DEPARTMENT AT BRISTOL REGIONAL MEDICAL CENTER, AN ADAPTIVE PLAYGROUND FOR USE BY PATIENTS AND FAMILIES WHO ARE AT NISWONGER CHILDREN'S HOSPITAL, AND A VENTILATOR FOR PEDIATRIC PATIENTS WHO ARE BEING TRANSPORTED BY HELICOPTER. THE FOUNDATION ALSO PROVIDED FUNDING FOR RENOVATIONS ON THE THIRD FLOOR OF SYCAMORE SHOALS HOSPITAL, THE COMPLETION OF A HEALING GARDEN AT JOHNSON CITY MEDICAL CENTER, DIAGNOSTIC EQUIPMENT FOR WOMEN IN SMYTH COUNTY, FURNISHINGS AND DECOR FOR THE GREENEVILLE COMMUNITY HOSPITAL CAFETERIA, AND A NUMBER OF PIECES OF PATIENT TRANSPORT EQUIPMENT IN DICKENSON COUNTY. DURING THE SAME TIME PERIOD OVER $196,000 WAS PROVIDED TO SUPPORT EDUCATIONAL PROGRAMMING FOR PATIENTS AT NISWONGER CHILDREN'S HOSPITAL, $116,899 WAS PROVIDED TO SUPPORT THE HEALTH SYSTEM'S POPULATION HEALTH OBJECTIVES, AND THE FOUNDATION SUPPORTED THE HEALTH SYSTEM'S PARISH NURSING PROGRAM WITH $22,602. FINALLY, THROUGHOUT THE YEAR THE FOUNDATION PROVIDED $503,835 TO SUPPORT TEAM MEMBERS AND PATIENTS WITH BASIC NEEDS AND WOMEN WHO COULD NOT OTHERWISE AFFORD BREAST CANCER SCREENINGS PROGRAMS.
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IRS990ScheduleD/ExpensesNotRptFinclStmtAmt037201
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IRS990ScheduleD/FootnoteTextInd0X

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Filings

Displayed year

2020 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$51,336,210
Liabilities
$5,574,142
Net assets
$45,762,068
Revenue
$5,621,142
Expenses
$4,969,964
Net income
$651,178
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$65.0$7.00$58.0$11.1$7.31$3.74
2024Detailed filing. Detailed filing data is available for this year.$71.5$20.5$50.9$7.89$4.06$3.83
2023Detailed filing. Detailed filing data is available for this year.$67.4$22.7$44.7$7.73$18.7$11.0
2022Detailed filing. Detailed filing data is available for this year.$62.1$8.67$53.4$13.8$6.46$7.33
2021Detailed filing. Detailed filing data is available for this year.$60.3$5.25$55.1$4.59$2.80$1.80
2020Detailed filing. Detailed filing data is available for this year.$51.3$5.57$45.8$5.62$4.97$0.65
2019Summary only. Only limited summary data is available for this year.$51.4$6.00$45.4$5.16$7.56$2.39
2018Detailed filing. Detailed filing data is available for this year.$31.3$2.77$28.6$3.81$4.99$1.18
2017Detailed filing. Detailed filing data is available for this year.$31.4$2.14$29.3$8.11$4.21$3.90
2016Detailed filing. Detailed filing data is available for this year.$27.7$2.42$25.3$5.67$6.44$0.77
2015Detailed filing. Detailed filing data is available for this year.$29.5$2.69$26.8$3.97$4.61$0.65
2014Detailed filing. Detailed filing data is available for this year.$33.9$4.50$29.4$5.67$2.42$3.25
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$32.1$6.76$25.3$2.85
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$32.5$9.25$23.3$5.52
2011Summary only. Only limited summary data is available for this year.$28.8$6.91$21.9$3.41$4.55$1.13
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$25.6$5.66$19.9$3.14
Peer Organizations

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