Ballad Health

Last updated

Ballad Health
FormerlyWellmont Health Systems/Mountain States Health Alliance
IndustryHealth care
Founded2018
Headquarters408 N State of Franklin Rd., Johnson City, Tennessee,
Area served
Tennessee, Virginia, North Carolina, Kentucky
Number of employees
13,800 [1]
Website www.balladhealth.org

Ballad Health is a chain of hospitals headquartered in Johnson City, Tennessee. [2] It includes 20 hospitals - including Niswonger Children's Hospital and Woodridge Psychiatric Hospital - and numerous outpatient facilities in Tennessee and Virginia including urgent care centers and primary care locations. [3] They operate a blood bank, named Marsh Regional Blood Center. [4] The healthcare system's website states that its service area includes 29 counties, some of which are in Kentucky and North Carolina. [5]

Contents

In 2018 Ballad was issued a Certificate of Public Advantage (COPA) by the State of Tennessee (and a Cooperative Agreement in Virginia) which allowed it to operate an inpatient monopoly in its service area. As a condition of granting the COPA, the Tennessee Department of Health (TDH or the Department) required the new health system to reinvest expected savings from the merger in ways that would substantially benefit residents living in the system’s geographic service area.  In addition, the new health system was required to maintain health facilities in the communities they operated in prior to the merger, raise their eligibility limits for 100 percent free charity care to 225% of the FPL, and not increase prices beyond an agreed upon cap tied to the Medicare Market Basket. They are also required to refrain from a variety of other anti-competitive behavior outlines in the Terms and Conditions now in its fifth revision. The TDH reports annually on Ballad Health's compliance with the terms and conditions of the COPA.

The current Chairman, President and Chief Executive Officer of Ballad Health is Alan Levine. [6] Levine's total compensation for 2024 was $2,247,795. [7] Levine was secretary for the Agency of Health Care Administration under governor Jeb Bush in Florida [8] and secretary of the Department of Health and Hospitals for governor Bobby Jindal in Louisiana. [9] He also previously co-chaired the healthcare transition for Forida governor (and now senator) Rick Scott, whose led Columbia/HCA as CEO when the company was fined a record $1.7 Billion for Medicare and Medicaid fraud. [10]

Under Levine's leadership, Ballad's strategy has included consolidating duplicative healthcare facilities in rural areas with the approval of the departments of health in Tennessee and Virginia under the terms of the COPA, in most cases repurposing these facilities for other health needs and redirecting savings towards new health programs - such as behavioral health. [11] This has not been without controversy in the region. [12] The health system has also improved its financial sustainability during his tenure, with A level bond ratings for the first time. [13]

History

Ballad Health was created in 2018 when Mountain States Health Alliance and Wellmont Health Systems agreed to merge together through the issuance of a certificate of public advantage (COPA) in Tennessee and a similar document known as a cooperative agreement in Virginia.

Lee County Community Hospital, which had closed in 2013, was reopened by Ballad Health in July 2021. [14]

Dennis Barry, who consulted for the Southwest Virginia Health Authority as a monitor, stated that the Ballad merger meant that healthcare access in portions of Virginia did not collapse during the COVID-19 pandemic. [15]

In 2022, they started a virtual urgent care option. [16]

In August, 2023, they posted their first net operating loss for the fiscal year 2023 with a loss of 40 million dollars. [17]

References

  1. Miller, Nic (February 18, 2022). "Ballad Health announces many initiatives to keep employees after vaccine mandate". www.elizabethton.com.
  2. Floyd, David (April 25, 2021). "Ballad Health keeps eyes on mission during pandemic". Johnson City Press . Retrieved December 20, 2021. 303 Med Tech Parkway - The address is in Johnson City.
  3. Porter-Nichols, Stephanie (February 6, 2023). "Urgent care clinic at Marion hospital reopens". SWVA Today. Retrieved July 31, 2023.
  4. Smith, Josh (August 17, 2018). "Ballad chooses Marsh Regional Blood Center as exclusive blood supplier". WJHL. Retrieved July 31, 2023.
  5. "About Us". Ballad Health. Retrieved December 20, 2021.
  6. Ballad Health (December 8, 2024). "Leadership". Ballad Health. Retrieved December 8, 2024.
  7. ProPublica. "Ballad Health Executive Compensation". ProPublica Non Profit Explorer. Retrieved December 10, 2025.
  8. "2005-up-and-comers-alan-levine - Modern Healthcare". www.modernhealthcare.com. Retrieved December 10, 2025.
  9. Hospital News and Healthcare Report (May 10, 2013). "Profile in Leadership: Broward Health President/CEO Tapped by Louisiana Governor-Elect to Lead Health Care Team". www.southfloridahospitalnews.com. Retrieved December 10, 2025.
  10. Florida Democratic Party (February 25, 2014). "Rick Scott 'oversaw the largest Medicare fraud' in U.S. history, Florida Democratic Party says". PolitiFact. Retrieved December 8, 2024.
  11. Writer, Eugenia Estes Staff (March 20, 2021). "New Strong Futures Program To Be Housed On Greeneville West Campus". Greeneville Publishing Company. Retrieved December 10, 2025.
  12. Kelman, Brett (December 6, 2024). "Six years into an Appalachia hospital monopoly, patients are fearful and furious". Tennessee Lookout. Retrieved December 8, 2024.
  13. jmazur@sixriversmedia.com, JOY MAZUR (December 9, 2025). "S&P rates Ballad Health credit outlook positively". Johnson City Press. Retrieved December 10, 2025.
  14. Keeling, Jeff (March 12, 2021). "Consultant to Va. oversight board: Without merger savings, Lee Co. Community Hospital may not have reopened". WJHL . Retrieved December 20, 2021.
  15. Rife, Luanne (March 11, 2021). "Without Ballad merger, monitor says Virginians could have lost health care when they needed it most". The Roanoke Times . Retrieved December 20, 2021.
  16. Keeling, Jeff (November 16, 2022). "Get 'seen' from home: Ballad rolls out virtual urgent care option". WJHL. Retrieved July 31, 2023.
  17. "Ballad operating loss $40 million for fiscal year '23". WJHL. August 16, 2023. Retrieved August 29, 2023.