Ballad Health Foundation

What it reported doing in 2024

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.

Financial Efficiency

• Mission deployment rate: 64%; rating input score 64
• Program expense ratio: 80.6%; rating input score 81
• Fundraising efficiency: $37.34 raised per $1 spent on fundraising; rating input score 71; 71st percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 1 of 6 controls in place; rating input score 17
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 99.6%; rating input score 100; 35th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 66.7%; rating input score 67; 11th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 33.8%; rating input score 90; 90th percentile among comparable filings
• Total-asset coverage ratio: 8.88; rating input score 90; 90th percentile among comparable filings
• Liabilities to assets ratio: 0.11; rating input score 72; 72nd percentile among comparable filings
• Officer compensation ratio: 11.3%; rating input score 16; 16th percentile among comparable filings

Growth

• Program expense growth: 9% per year; rating input score 100; 66th percentile among comparable filings
• Revenue growth: 5.2% per year; rating input score 100; 45th percentile among comparable filings
• Asset growth: 7.4% per year; rating input score 100; 51st percentile among comparable filings