BALLAD HEALTH FOUNDATION

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1984

Legal Domicile

Principal Officer

JACK SIMPSON

Phone

4233023131

Tax Period

2024-07-01 to 2025-06-30

BALLAD HEALTH FOUNDATION, founded in 1984, is a mid-sized nonprofit in the Health Care sector that reported $11.1M in total revenue in fiscal year 2024. Revenue surged 40% from the prior year, signaling strong growth momentum. The organization ran a surplus of $3.7M, a strong 34% operating margin.

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.

Program Service Accomplishments

Program 1

Expenses: $5,898,693

BALLAD HEALTH FOUNDATION BUILDS RELATIONSHIPS THAT FULFILL THE MISSION AND VISION OF BALLAD HEALTH THROUGH PHILANTHROPY. DURING THE FISCAL YEAR ENDING JUNE 30, 2025, OVER 4,535 COMMUNITY MINDED...

BALLAD HEALTH FOUNDATION BUILDS RELATIONSHIPS THAT FULFILL THE MISSION AND VISION OF BALLAD HEALTH THROUGH PHILANTHROPY. DURING THE FISCAL YEAR ENDING JUNE 30, 2025, OVER 4,535 COMMUNITY MINDED BUSINESSES AND INDIVIDUALS MADE GIFTS THAT ENABLED THE FOUNDATION TO LEVERAGE THE POWER OF PHILANTHROPY TO IMPROVE THE OVERALL HEALTH OF THE APPALACHIAN HIGHLANDS. THESE GIFTS ENABLED THE FOUNDATION TO PROVIDE $5,532,407 IN GRANTS FOR EQUIPMENT, PROGRAMS, AND SERVICES THROUGHOUT THE REGION.OVER $3.3 MILLION WAS DESIGNATED FOR NISWONGER CHILDREN'S HOSPITAL AND PEDIATRIC SERVICES TO INCLUDE FUNDING FOR A TWO FLOOR ADDITION TO THE HOSPITAL, EXPANSION OF THE PEDIATRIC INFUSION CENTER AND PEDIATRIC OUTPATIENT REHAB CENTER, AND FOR ITEMS SUCH AS PEDIATRIC EYE SURGERY STRETCHERS, AIR TRANSPORT ISOLETTE, NICU BEDS, WHEELCHAIRS, STRETCHERS, PEDIATRIC ULTRASOUND AND FETAL MONITOR, MUSIC THERAPY FOR PEDIATRIC ONCOLOGY PATIENTS AND PROGRAM SUPPORT FOR OUR CHILDREN'S RESOURCE CENTER.THE FOUNDATION ALSO PROVIDED $2.2 MILLION IN GRANTS FOR EQUIPMENT, PROGRAM NEEDS, AND EDUCATION THROUGHOUT OTHER BALLAD FACILITIES. THIS INCLUDED $384,336 FOR CARDIOLOGY EQUIPMENT, $148,105 FOR ONCOLOGY NEEDS, $201,202 FOR RENOVATION OF A HOSPITALITY HOUSE FOR CANCER PATIENTS, AND $31,028 FOR HOSPICE/HOME HEALTH CARE. WE SAW SIGNIFICANT INCREASES IN OUR PATIENT ASSISTANCE PROGRAM AND TEAM MEMBER EMERGENCY SUPPORT DUE TO HURRICANE HELENE. THE FOUNDATION PROVIDED OVER $400,000 IN PATIENT ASSISTANCE FUNDS AND OVER $545,000 FOR TEAM MEMBER EMERGENCY SUPPORT.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $8,575,578

Program Service Revenue $0

Investment Income $2,410,734

Other Revenue $67,578

TOTAL REVENUE $11,053,890

Expense Breakdown

Grants Paid $5,898,693

Salaries & Benefits $807,892

Fundraising Expenses $229,677

Program Expenses $5,898,693

Other Expenses $607,466

TOTAL EXPENSES $7,314,051

Year-over-Year Comparison

	2024	2023	Change
Revenue	$11,053,890	$7,890,797	+0.4%
Expenses	$7,314,051	$4,059,826	+0.8%
Net Income	$3,739,839	$3,830,971	0.0%

Key Indicators

✓ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

Volunteers

182

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$320,668

Total Directors

$2,801,128

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
CARLA KARST	CHAIR	1.00	Officer Director	$0	$0	$0
JACK SIMPSON	PRESIDENT/EX-OFFICO	45.00	Officer Director	$275,952	$44,716	$320,668
TERRY BEGLEY	TRUSTEE	0.50	Director	$0	$0	$0
MARK COX	TRUSTEE	0.50	Director	$0	$0	$0
ELIZABETH GARTNER	SECRETARY/TREASURER	1.00	Officer Director	$0	$0	$0
JOANNE HAIRSTON	TRUSTEE	0.50	Director	$0	$0	$0
ANTHONY KECK	TRUSTEE	0.50	Director	$0	$110,024	$1,106,839
TODD NORRIS	TRUSTEE	0.50	Director	$0	$88,631	$756,023
DON RAINES	VICE CHAIR	1.00	Officer Director	$0	$0	$0
DAWN TUELL	TRUSTEE	0.50	Director	$0	$0	$0
JOSHUA MCFALL	TRUSTEE/EX-OFFICIO	0.50	Director	$0	$93,242	$617,598
KELLY PRICE	TRUSTEE	0.50	Director	$0	$0	$0
KAREN CLARK	DIRECTOR OF DONOR RELATIONS	40.00	Highest	$104,031	$31,254	$135,285
LYNN KRUTAK	FORMER TRUSTEE / BH EVP & CFO	0.00		$0	$76,184	$1,177,446

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$11,053,890	$7,314,051	$64,955,620	$3,739,839
2024	$7,890,797	$4,059,826	$71,461,063	$3,830,971
2023	$7,726,360	$18,711,967	$67,442,232	$-10,985,607
2022	$13,795,215	$6,462,250	$62,092,613	$7,332,965
2021	$4,593,678	$2,795,070	$60,338,294	$1,798,608
2020	$5,621,142	$4,969,964	$51,336,210	$651,178
2018	$3,808,742	$4,988,733	$31,333,903	$-1,179,991