2022-05-09T09:00:28-07:00 2021-06-30 990 2020-07-01 263557623 Wellmont Cardiology Services WELL 4233023374 311 Princeton Road Suite 1 Johnson City TN 37601 Chase Wilson VP/COO-BHMA 2022-05-09 Chase Wilson 999009999 2 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z X Chase Wilson 1905 American Way Kingsport TN 37660 55510242 false X balladhealth.org X 2010 TN Mission: Honor those we serve by delivering the best possible care. Vision: To build a legacy of superior health by listening to and caring for those we serve. 12 0 341 0 5425 47014027 55474697 4835 6704 2044956 21814 49063818 55508640 3395 0 0 38196037 44883217 0 0 10411910 10271962 48611342 55155179 452476 353461 7928390 7268976 12538253 10657550 -4609863 -3388574 Honor those we serve by delivering the best possible care.Ballad Health is dedicated to improving the health of the 29-county Appalachian Highlands region. false false 51490082 55479697 Cardiovascular Associates was established in 1978 to provide comprehensive cardiovascular services to the Northeast Tennessee/Southwest Virginia region. In May 2010, Wellmont Cardiology Services (WCS) acquired substantially all of the assets of Cardiovascular Associates to become the region's largest provider of comprehensive cardiovascular services.This physician group provides top-quality cardiovascular services to Northeast Tennessee, Southwest Virginia, Southeast Kentucky and Northwest North Carolina, as well as areas of West Virginia.WCS strives to improve the cardiovascular health of the region and deliver high-quality, cost-effective heart and vascular care with compassion.WCS consists of 46 certified cardiologists and cardiovascular and thoracic surgeons who work in seven community offices and the seven member hospitals of Wellmont Health System. WCS diagnoses, treats and manages all aspects of adult cardiovascular disease. Services provided include general cardiology, preventive cardiology, electrophysiology, interventional cardiology, vascular medicine, structural heart disease, heart failure management, cardiovascular and thoracic surgery and advanced cardiovascular imaging. WCS also serves as a leader in clinical research and teaching institution through the Cardiovascular University.For fiscal year 2021, WCS had 123,785 outpatient encounters and performed 3,069 inpatient surgical procedures.WCS is dedicated to improving the community's access to quality, affordable healthcare, educating the region's caregivers, improving the health status of its communities, and contributing to the quality of life in the areas it serves.CHARITY AND OTHER UNREIMBURSED COSTS:CHARITY CARE: While reimbursement for healthcare services rendered is critical to the operation and sustainability of the organization, Wellmont Cardiology Services recognizes its obligation to provide care to individuals who cannot afford essential medical services, including emergency care. WCS accepts all patients regardless of their ability to pay. A patient is classified as a charity patient when they meet the established policies of WCS and guidelines outlined by the federal government. However, financial assistance decisions are not solely based on income. Unique financial circumstances are weighed with verified patient assets which can determine financial assistance eligibility. It is not until after verification of income and assets that a decision regarding the amount of financial assistance can be made. In fiscal year 2021, WCS incurred a loss of $542,524 attributable to the provision of charity care.TENNCARE/MEDICAID/MEDICARE/CHAMPUS: WCS provides care to persons covered by governmental programs, such as TennCare (Tennessee residents), Medicaid, Medicare and Champus. WCS incurred a loss of $8,047,168 providing care to this population of patients during the year.It is WCSs obligation to support causes that improve the quality of life in the region. WCS sponsored or participated in educational, community-based programs on healthy lifestyles, risk factor identification, diagnostic and treatment options, including continuing education programs for physicians, nurses and allied health professionals. Such initiatives included:-Annual Cardiovascular Summit-Diabetes Expo-Diabetes Symposium-Presentations to medical societies-Regional Healthcare SymposiumWCS received the highest 2019 Performance Achievement Award from the American College of Cardiology, the nations largest and most authoritative quality improvement registry with 1.5 million patient records. WCS's platinum level award recognizes its quality performance score of 100% for NSTEMI (a type of heart attack) and STEMI (a very serious type of heart attack in which one of the heart's major arteries is blocked). 51490082 true false false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 31 0 true 341 true false false false false false false false 0 false false false false false false false X 12 0 false false false false true true true true true false false true true true true true true false false false X Lynn Krutak 4233023374 303 Med Tech Parkway Suite 300 Johnson City TN 37604 Marvin Eichorn BH EVP/CAO 0.10 64.90 X 0 1313705 44243 Eric Deaton BH EVP/COO 0.10 64.90 X 0 1039919 94315 David Metzger MD Physician 40.00 0.00 970728 0 36165 Steve Kilgore end 112020 BHMS SVP 0.10 54.90 X 0 810551 90587 Clay Runnels MD BH EVP Sta Director 0.10 64.90 X 0 778006 94084 Anthony Keck BH EVP/CPHO 0.10 64.90 X 0 774362 82066 Herbert Ladley MD Physician 40.00 0.00 687490 0 41867 Mark Chang MD President 39.90 0.10 X X 680367 0 43703 Jonathan Burress MD Physician 40.00 0.00 682585 0 40141 Joseph Foley MD Director 40.00 0.00 X 678736 0 42328 Daniel Simpson MD Physician 40.00 0.00 669536 0 43078 Eduardo Fernandez MD Director 40.00 0.00 X 667677 0 42862 Stanley Gall Jr MD Vice President 40.00 0.00 X X 667243 0 41881 Marc Counts MD Director 40.00 0.00 X 665795 0 43262 Keith Kyker MD Director 40.00 0.00 X 668506 0 40500 Matthew Luff MD Secretary 40.00 0.00 X X 667941 0 39924 Keith Kramer MD Director 40.00 0.00 X 665178 0 42489 Jack Whitaker MD Physician 40.00 0.00 657189 0 33790 Lori Jackson AVP/Service Line Leader 24.00 21.00 0 255988 22361 Leanne Cox end 102020 VP/CFO 4.50 40.50 X 0 238020 37109 Chase Wilson COO/CFO 4.50 40.50 X 0 167843 31136 9028971 5378394 1027891 76 false true false Holston Medical Group PO Box 9 Kingsport TN 37662 Professional Services 914828 Precision Nuclear LLC 830 Suncrest Dr Gray TN 37615 Imaging Services 159585 2 5425 5425 CARES Act Revenue 900099 1075513 1075513 Clinical Services 621990 3522725 3522725 Hospital Support 900099 24895508 24895508 Net Patient Revenue 621990 25061663 25061663 Research Revenue 541700 893809 893809 25479 25479 55474697 1704 1704 0 0 6255 1602 4653 4653 4653 5000 5000 5000 5000 0 0 0 Medical Records 900099 8701 8701 Parking Tax Refund 900099 2325 2325 Vending Commission 900099 2683 2683 3452 3452 17161 55508640 54585888 917327 0 0 0 0 6426985 6426985 0 33683898 33009074 674824 1002747 984287 18460 2078801 2078258 543 1690786 1628875 61911 0 0 0 0 0 0 2907920 2875389 32531 0 322841 133875 188966 0 0 2379203 2374184 5019 330668 327181 3487 0 0 22446 22446 0 628060 543855 84205 106125 2263 103862 Support Services 2452103 2452103 Medical Supplies 442293 442293 Maintenance 398971 388732 10239 Dues & Subscriptions 110885 95912 14973 170447 156473 13974 55155179 51490082 3665097 0 -1268 1176 0 0 1959352 1057468 0 0 105000 5533 28772 29222 176155 291922 8707871 5845093 3478929 2862778 0 0 0 423677 423677 1757773 2597200 7928390 7268976 10782714 8747449 1755539 1910101 12538253 10657550 X -4609863 -3388574 -4609863 -3388574 7928390 7268976 X 353461 867828 X false true X true true true X 2472 4771 32508 5425 45176 25772189 49356563 51523140 48275613 54585889 229513394 1297284 25352 32615 20405 17161 1392817 0 0 27071945 49386686 51588263 48296018 54608475 230951387 0 0 230951387 103019 1821 3796 6536 6357 121529 0 103019 1821 3796 6536 6357 121529 1495514 1495514 1087793 629714 761264 893809 3372580 28670478 50476300 52221773 49063818 55508641 235941010 0.97890 0.98020 0.00050 0.00080 X 43795 12856 30939 2734715 1491035 1243680 5929361 4341202 1588159 2862778 Due from Affiliates 2349455 Other Current Receivables 247745 2597200 COVID-19 FICA Loan 321604 Due to 3rd Parties-Medicare Adv Pmts S/T 1334565 Operating Lease Obligation L/T 186969 Operating Lease Obligation S/T 66963 1910101 X Part X : FIN48 Footnote Wellmont Cardiology Services is included in the audited consolidated financial statements of Ballad Health. The footnote explanation relative to income taxes reads: "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, 2021 and 2020. Tax returns for 2018 through 2020 are subject to examination by the Internal Revenue Service." false true false false false false false false false Anthony Keck BH EVP/CPHO 421607 345978 6777 60598 21468 856428 Chase Wilson COO/CFO 135247 32356 240 8999 22137 198979 Clay Runnels MD BH EVP Sta Director 474281 289754 13971 68948 25136 872090 Daniel Simpson MD Physician 482888 185859 789 17290 25788 712614 David Metzger MD Physician 484580 185359 300789 16800 19365 1006893 Eduardo Fernandez MD Director 480615 185859 1203 17800 25062 710539 Eric Deaton BH EVP/COO 577023 447591 15305 73799 20516 1134234 Herbert Ladley MD Physician 491000 183971 12519 16800 25067 729357 Jack Whitaker MD Physician 521204 122924 13061 15870 17920 690979 Jonathan Burress MD Physician 486697 185859 10029 16800 23341 722726 Joseph Foley MD Director 492682 185859 195 17333 24995 721064 Keith Kramer MD Director 479988 184401 789 16800 25689 707667 Keith Kyker MD Director 482218 185859 429 17041 23459 709006 Leanne Cox end 102020 VP/CFO 183988 40575 13457 12137 24972 275129 Lori Jackson AVP/Service Line Leader 201488 46469 8031 13224 9137 278349 Marc Counts MD Director 480215 184377 1203 17800 25462 709057 Mark Chang MD President 494545 184033 1789 18322 25381 724070 Marvin Eichorn BH EVP/CAO 701564 576630 35511 17300 26943 1357948 Matthew Luff MD Secretary 481609 185387 945 16118 23806 707865 Stanley Gall Jr MD Vice President 480595 185859 789 16800 25081 709124 Steve Kilgore end 112020 BHMS SVP 441644 340511 28396 63262 27325 901138 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The business and affairs of Wellmont Cardiology Services (WCS) are governedexclusively by the Board of Directors. WCS's Board of Directors isdesignated by Wellmont Health System, the sole member of WCS.In addition to such rights of approval and consent as may be reserved tothe sole member of WCS pursuant to applicable law, transactions of thefollowing matters by WCS require the prior approval of Wellmont HealthSystem:(A) Implementation of Corporation'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 of 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 WCS. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Wellmont Health System (WHS) is WCS's sole member. The board of directorsof Ballad Health, WHS's parent organization, serves as WHS's board ofdirectors and is responsible for appointing the directors of WCS's board. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders Certain decisions of the board are, pursuant to charter, subject to approval of the members. No ordinary, day-to-day decisions are subjectmember approval. Form 990, Part VI, Line 11b: Form 990 Review Process The 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 VP/COO 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, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Ballad Health has a conflict of interest policy for all members of the Board of Directors, the Executive Chair/President, Executive Vice Presidents, Senior Vice Presidents, and Vice Presidents, and applies to all Ballad Health organizations. All persons covered by this policy are required to complete a conflict of interest disclosure form on an annual basis. Should a conflict arise, it is the responsibility of the conflicted individual to update his or her disclosure immediately. All meetings of the board or board committees have a standing agenda item first on the agenda titled "Conflicts of Interest". If a member of the board or board committee has a conflict of interest involving any issue on the boardagenda, he or she must declare the conflict of interest during the periodallotted for disclosure. If any issue arises during a meeting in which theboard member has a conflict of interest, he or she must immediately declarethe conflict. While each member of the board or board committee isresponsible for disclosing conflicts of interest, it is also theresponsibility of any board member aware of a conflict which has not beendisclosed to ensure the board is made aware. The presiding officer of aboard or board committee meeting may ask a conflicted member to excusethemselves from the meeting during the discussion related to the issue withwhich the conflict of interest applies. Under no circumstances shall amember vote on a matter that gives rise to a potential conflict. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Governing documents and conflict of interest policy are made available upon request to the appropriate parties requesting them. Financial statements are made available upon request to appropriate parties requesting them, and they are made available to those parties who own indebtedness of the company on a quarterly basis. Other Changes In Net Assets Or Fund Balances - Other Increases Intercompany transfers = $867828 Form 990, Part VI, Line 15a - Compensation Process for Top Official WCSs Board Chair, Dr. Chang, received no compensation for his board services to WCS. His compensation is derived from medical services provided to WCS. His compensation, consistent with all WCS physicians, is evaluated annually by the board utilizing an independent third-party physician compensation database. Form 990, Part VI, Line 15b - Compensation Process for Officers Physician directors/officers do not receive compensation for services provided to WCS as a board member. Their compensation relates to medical services they provide to WCS. Their compensation and benefits, consistent with all WCS physicians, are evaluated annually by the board. Compensation is reviewed and benchmarked utilizing an independent third-party physician compensation database. Non-physician officer and key employee compensation is determined according to Ballad Healths salary policy: Ballad Healths Human Resources (H/R) Department evaluates compensation for all executives at a position level of Assistant Vice President and above. H/Rs 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 Healths CEO evaluates the data and, if appropriate, makes necessary adjustments. Any adjustments to Senior Vice Presidents or above are reviewed by the Board of Directors Executive Compensation Committee. In addition, Ballad Health offers an incentive plan to executives based on targeted achievement metrics categorized by; Quality, Service and Safety; Access to Care; Financial Stewardship, and any other metrics approved from time to time by the Board of Directors. Positions below Assistant Vice President are evaluated periodically by HR using data from various external sources for similar positions in similarly situated organizations. 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