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]

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]
Websitewww.balladhealth.org

In 2018 Ballad was formed through a Certificate of Public Advantage (COPA) by the State of Tennessee (and a Cooperative Agreement in Virginia) which allowed for the merger of Mountain States Health Alliance and Wellmont Health System.[6] The Federal Trade Commission opposed the merger.[7]

The current chairman, president, and CEO of Ballad Health is Alan Levine.[8] Levine's total compensation for 2024 was $2,247,795.[9] Prior to acting as CEO, Levine was secretary for Florida's Agency for Health Care Administration under governor Jeb Bush [10] and secretary of Louisiana's Department of Health and Hospitals for governor Bobby Jindal.[11] He also co-chaired the healthcare transition team for former Florida governor (and now senator) Rick Scott.[12]

Under the COPA, Ballad has closed or converted several rural facilities with approval from the Tennessee and Virginia departments of health.[13] Some community members and local officials have expressed concerns about the consolidation of facilities.[14] In December 2025, S&P Global revised Ballad Health's credit outlook to positive.[15]

History

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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 cooperative agreement in Virginia.[16]

Lee County Community Hospital, which had closed in 2013, was reopened by Ballad Health in July 2021.[17]

Dennis Barry, a monitor for the Southwest Virginia Health Authority, stated that the Ballad merger may have prevented many Virginians from losing health care during the COVID-19 pandemic.[18]

In 2022, Ballad Health launched a virtual urgent care option.[19]

Ballad Health reported a $40 million net operating loss for discal year 2023, its first annual operating loss since the merger.[20]

References

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  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. "COPA & Cooperative Agreement | Ballad Health". www.balladhealth.org. Retrieved April 20, 2026.
  7. "Tennessee Department of Health Certificate of Public Advantage". www.tn.gov. Retrieved April 20, 2026.
  8. Ballad Health (December 8, 2024). "Leadership". Ballad Health. Retrieved December 8, 2024.
  9. ProPublica. "Ballad Health Executive Compensation". ProPublica Non Profit Explorer. Retrieved December 10, 2025.
  10. "2005-up-and-comers-alan-levine - Modern Healthcare". www.modernhealthcare.com. Retrieved December 10, 2025.
  11. 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.
  12. 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.
  13. 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.
  14. Kelman, Brett (December 6, 2024). "Six years into an Appalachia hospital monopoly, patients are fearful and furious". Tennessee Lookout. Retrieved December 8, 2024.
  15. jmazur@sixriversmedia.com, JOY MAZUR (December 9, 2025). "S&P rates Ballad Health credit outlook positively". Johnson City Press. Retrieved December 10, 2025.
  16. "COPA & Cooperative Agreement | Ballad Health". www.balladhealth.org. Retrieved April 9, 2026.
  17. 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.
  18. 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.
  19. Keeling, Jeff (November 16, 2022). "Get 'seen' from home: Ballad rolls out virtual urgent care option". WJHL. Retrieved July 31, 2023.
  20. "Ballad operating loss $40 million for fiscal year '23". WJHL. August 16, 2023. Retrieved August 29, 2023.
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