2025-05-08T11:28:12-05:00 2024-06-30 990 2023-07-01 270898372 Wellmont Medical Associates Inc WELL 4233023467 311 Princeton Road Suite 1 Johnson City TN 376012080 Joshua McFall CFO,Corp,Retail & NonAcute Svc 4233023467 2025-05-08 1 Non-Paid Preparer P03077501 2023 2025-03-06 01:10:19Z Joshua McFall 303 Med Tech Prkwy Johnson City TN 37604 144632933 0 X balladhealth.org X 2008 TN Honor those we serve by delivering the best possible care. 4 0 1063 0 0 0 58429 11894 135621663 143855312 -78076 -390249 248004 677648 135850020 144154605 0 0 0 0 91480257 99816169 0 0 0 48939730 53221708 140419987 153037877 -4569967 -8883272 25522846 24033117 21585369 27418172 3937477 -3385055 X 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. 0 0 151303666 143422033 Wellmont Medical Associates, Inc. (WMA) is physician-led and professionally managed. From the WMA board of directors and leadership team members to the providers who care for patients every day, WMA's commitment to physician leadership is clear.WMA, a non-profit healthcare provider, delivers exceptional care to patients in the Tri-Cities region of Northeast Tennessee and Southwest Virginia. Based in Johnson City, Tennessee, as well as locations expanding from Sneedville, Tennessee, to Marion, Virginia, WMA offers the latest in technological advances to ensure patients receive superior care. Medical services provided by Wellmont Medical Associates include:- Primary care- OB/GYN- Surgery- Oncology- Outpatient and urgent care centers- Neurology- Pulmonology- Spine and rehabilitation- Behavioral health- Sleep center- Occupational medicine- Physical therapy- Pain management- Palliative medicine- HospitalistsWMA is dedicated to improving the community's access to quality, affordable healthcare, educating the region's caregivers, improving the health status of the communities and contributing to the overall quality of life in the areas served.In fiscal year 2024, WMA had 641,169 patient encounters.Recognizing some patients cannot afford essential medical services, WMA incurred a loss of $2,010,296 attributable to the provision of charity care in fiscal year 2024.Additionally, WMA provided care to people covered by Medicare, Medicaid, TennCare and Champus at a loss. Due to mandated reductions in Medicare funding and declining reimbursement from TennCare, the shortfall between reimbursement and the cost of providing care to these patients totaled $39,809,405.It is WMA's obligation to support the causes that improve the quality of life in the region. WMA sponsored educational, community-based programs on healthy lifestyles, risk factor identification and options for diagnosis and treatment. Programs included:- Lectures about asthma to area elementary schools- Providing a free clinic in Church Hill, Tennessee- Providing free medical care through the Remote Area Medical clinic- Supporting The Health Wagon in Wise, Virginia- Teaching at Lincoln Memorial University-DeBusk College of Osteopathic Medicine- Teaching at the University of Virginia's College at Wise- Working with Appalachian Mountain Project Access- Working with Friends In Need, a local nonprofit that provides primary care and dental care to the uninsured and underinsured as well as full-time college studentsWMA also participated in several health fairs and community screenings. Employees gave their time to area nonprofit organizations, which included United Way and the East Tennessee affiliate of Susan G. Komen for the Cure. 151303666 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 X 0 0 1 1063 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X Shane Hilton 4233023467 303 Med Tech Parkway Suite 300 Johnson City TN 37604 Alan Levine BH President & CEO/Chair 0.10 64.90 X X 0 1983279 264516 Eric Deaton BH EVP/COO 0.10 64.90 X X 0 1121767 123773 Marvin Eichorn BH EVP/CAO 0.10 64.90 X X 0 1073543 50738 Julie Bennett Chief Legal & Governance Officer 1.00 64.00 X X 0 567016 57811 Mark Patterson MD BH SVP BHMA Pres/CEO 54.50 0.50 X 634528 0 98762 Matthew Lazari BHMA CFO 40.00 0.00 X 218945 0 34835 Shane Hilton BH EVP & CFO 0.10 64.90 X 0 630028 100190 Stephen Combs MD VP/CMO Medical Services 45.00 0.00 X 580989 0 40418 Adel El Abbassi MD Physician 40.00 0.00 X 792310 0 18560 Girendra Hoskere MD Physician 40.00 0.00 X 788542 0 16170 Joseph Frye II MD Physician 40.00 0.00 X 1014281 0 47024 Paul Jett MD Physician 40.00 0.00 X 958561 0 11376 Samuel Deel MD Physician 40.00 0.00 X 763493 0 41291 Andrew Wampler BH General Cnsl Former Officer 0.00 40.00 X 0 398602 62837 Chase Wilson end April 2023 Former Officer/BHMA COO/CFO 0.00 45.00 X 0 278455 41749 David Thompson MD Former Officer/Vice Chair 40.00 0.00 X 254635 0 29489 Howard Herrell MD Former Officer Sec/Treas 0.00 40.00 X 572800 0 48755 Leanne Cox end October 2020 Former Officer VP/BHMA CFO 0.00 40.00 X 0 110888 34061 Lynn Krutak Former Officer BH EVP & CFO 0.10 64.90 X 0 994596 120642 Marta Wayt MD Former Officer/Chairman 40.00 0.00 X 429968 0 29175 Paul Kramer MD Physician 40.00 0.00 X 416581 0 47423 Tim Belisle end July 2022 Former Officer/BH EVP & Gen Counsel 0.00 0.00 X 0 162508 2542 Karen Williams Former Key Employee 0.00 40.00 X 193084 0 35856 Landon Combs MD Former Officer 40.00 0.00 X 257542 0 36652 7876259 7320682 1394645 220 1 1 0 0 11894 11894 Net Patient Revenue 621990 88287958 88287958 Hospital Support 621990 55189765 55189765 Medical Education Training 900099 289390 289390 Clinical Services 621990 88199 88199 143855312 43030 43030 88806 45049 43757 43757 43757 433279 -433279 -433279 -433279 BH EAP Revenue Alloc 621990 205887 205887 Medical Records 900099 178176 178176 Medical Director Fees 621990 103725 103725 146103 146103 633891 144154605 143422033 0 720678 X 383813 383813 84766433 84613233 153200 2854886 2780117 74769 6709888 6616958 92930 5101149 5057903 43246 21559056 21547300 11756 5656 5656 727250 699323 27927 6927180 6703259 223921 630515 621588 8927 -40992 -40992 1584073 1451379 132694 613021 401509 211512 Medical Supplies 9415605 9414040 1565 Support Services 9212390 9212390 Maintenance 1285682 1275111 10571 1302272 944892 357380 153037877 151303666 1734211 0 59113 62650 2500138 4647242 30000 0 292532 242052 5794324 6198978 29424744 17595037 6497278 11829707 -22568 -338492 1289456 1289456 9082573 101524 25522846 24033117 14385094 18145817 7200275 9272355 21585369 27418172 X 3937477 -3385055 3937477 -3385055 25522846 24033117 -8883272 1560740 0 X 0 1 X 1 1 1 X 1173649 70448 58429 11894 1314420 123132961 118596010 124901536 135524145 143465791 645620443 160834 90791 4425697 248004 633891 5559217 123293795 119860450 129397681 135830578 144111576 652494080 0 0 0 652494080 61638 32778 54026 19442 43030 210914 61638 32778 54026 19442 43030 210914 123355433 119893228 129451707 135850020 144154606 652704994 0.99970 0.99960 0.00030 0.00040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5568426 1240165 4328261 10204226 7009033 3195193 13510119 9298948 4211171 141973 46891 95082 11829707 Operating Lease Obligation ST 2070271 Operating Lease Obligation LT 3795863 Due to 3rd Party Payors 646250 Due to Payor Stimulus Funds 266477 Due to Affiliates 2493494 9272355 X Part X, Line 2: Wellmont Medical Associates 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, 2024 and 2023. Tax returns for 2021 through 2023 are subject to examination by the Internal Revenue Service." X 0 0 1 1 0 0 0 0 0 0 0 Alan Levine BH President & CEO/Chair 0 1451380 0 495018 0 36881 0 233996 0 30520 0 2247795 0 0 Eric Deaton BH EVP/COO 0 851884 0 253329 0 16554 0 98731 0 25042 0 1245540 0 0 Marvin Eichorn BH EVP/CAO 0 782057 0 240415 0 51071 0 19805 0 30933 0 1124281 0 0 Lynn Krutak Former Officer BH EVP & CFO 0 751346 0 230794 0 12456 0 90747 0 29895 0 1115238 0 0 Joseph Frye II MD Physician 429625 0 558951 0 25705 0 17608 0 29416 0 1061305 0 0 0 Paul Jett MD Physician 291200 0 657838 0 9523 0 11170 0 206 0 969937 0 0 0 Adel El Abbassi MD Physician 593958 0 190157 0 8195 0 18336 0 224 0 810870 0 0 0 Samuel Deel MD Physician 532836 0 207577 0 23080 0 18300 0 22991 0 804784 0 0 0 Girendra Hoskere MD Physician 551796 0 228157 0 8589 0 15919 0 251 0 804712 0 0 0 Mark Patterson MD BH SVP BHMA Pres/CEO 479821 0 140696 0 14011 0 68528 0 30234 0 733290 0 0 0 Shane Hilton BH EVP & CFO 0 492543 0 130683 0 6802 0 69984 0 30206 0 730218 0 0 Julie Bennett Chief Legal & Governance Officer 0 463475 0 100000 0 3541 0 41515 0 16296 0 624827 0 0 Howard Herrell MD Former Officer Sec/Treas 359646 0 202352 0 10802 0 20314 0 28441 0 621555 0 0 0 Stephen Combs MD VP/CMO Medical Services 468919 0 101107 0 10963 0 18415 0 22003 0 621407 0 0 0 Paul Kramer MD Physician 397563 0 17805 0 1213 0 18276 0 29147 0 464004 0 0 0 Andrew Wampler BH General Cnsl Former Officer 0 311946 0 79268 0 7388 0 45089 0 17748 0 461439 0 0 Marta Wayt MD Former Officer/Chairman 411277 0 12521 0 6170 0 18977 0 10198 0 459143 0 0 0 Chase Wilson end April 2023 Former Officer/BHMA COO/CFO 0 216567 0 61672 0 216 0 13590 0 28159 0 320204 0 0 Landon Combs MD Former Officer 250295 0 0 0 7247 0 15628 0 21024 0 294194 0 0 0 David Thompson MD Former Officer/Vice Chair 253422 0 0 0 1213 0 0 0 29489 0 284124 0 0 0 Matthew Lazari BHMA CFO 175437 0 42457 0 1051 0 10904 0 23931 0 253780 0 0 0 Karen Williams Former Key Employee 182773 0 7641 0 2670 0 11479 0 24377 0 228940 0 0 0 Tim Belisle end July 2022 Former Officer/BH EVP & Gen Counsel 0 0 0 0 0 162508 0 0 0 2542 0 165050 0 0 Leanne Cox end October 2020 Former Officer VP/BHMA CFO 0 109874 0 0 0 1014 0 7131 0 26930 0 144949 0 0 Part I, Line 1a Discretionary Spending WMA provided a monthly vehicle allowance to Stephen Combs, M.D., for travel expenses during the fiscal year ended June 30, 2024. The amount is included in taxable compensation. Part I, Line 1b As part of Dr. Stephen Combs' employment agreement for assuming the WMA CMO position, he receives $400 per month to provide for his personal auto usage. As CMO, Dr. Combs is required to attend numerous medical staff meetings, executive business meetings, serve on various committees and is responsible for various other clinical duties. He travels to multiple locations in East Tennessee and Southwest Virginia in performance of these responsibilities. The agreement was approved by the Wellmont Health System CEO. Part I, Lines 4a-b The following executives listed in Schedule J, Part II participated in a 457(f) retirement plan provided by Ballad Health (BH). The 457(f) plan is a nonqualified tax-deferred compensation plan available to a select group of key executives for the intent of supporting retention and to offer a competitive total retirement program. Account balances have a "substantial risk of forfeiture". In addition to creditor risk, substantial risk of forfeiture is created through default risk if the participant's employment with BH is terminated prior to age 65. However, the 457(f) plan contains a non-compete provision that provides the account balance to be paid in a lump sum after the executive satisfies the two-year non-compete period. This provision applies to employer contributions if the executive has provided eligible service for six or more years. The executive will receive the entire account balance if he/she becomes disabled, dies or if the executive terminates for "good reason or is involuntarily terminated without "good cause" within a 24-month period after a change-of-control occurs. Distributions from this plan are subject to federal, state, and local taxes on the entire account balance upon distribution. Alan Levine $214,191 Eric Deaton $78,933 Lynn Krutak $70,942 Shane Hilton $50,175 Mark Patterson $48,905 Julie Bennett $41,515 Andrew Wampler $25,902 The following executive received a change-of-control payment. The payment was reported as taxable income with appropriate tax withheld and remitted to the IRS. Tim Belisle $161,640 Landon Combs MD Family Member See Part V 0 Part IV Business Transactions Involving Interested Persons: Landon Combs, M.D., an employee and former officer of WMA, is a family member of Stephen Combs, M.D, key employee of WMA. Form 990, Part V, Line 1a Ballad Health (BH), WMA's parent organization, filed Form 1096 on a consolidated basis for all subsidiaries that were required to file Forms 1099-MISC/NEC. WMA reimburses BH for all expenses related to vendor payments and the expenses are recorded on WMA's books. Form 990, Part VI, Section A, line 6 The business and affairs of Wellmont Medical Associates, Inc. (WMA) are governed by Wellmont Health System's Board of Directors. WMA's board of directors is designated by Wellmont Health System, the sole member of WMA. In addition to such rights of approval and consent as may be reserved to the sole member of WMA pursuant to applicable law, transactions of the following matters by WMA require the prior approval of Wellmont Health System: (A) Implementation of WMA'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 WMA. Form 990, Part VI, Section A, line 7a Wellmont Health System (WHS) is WMA's sole member. The board of directors of Ballad Health, WHS's parent organization, serves as WHS's board of directors and is responsible for appointing the directors of WMA's board. Form 990, Part VI, Section A, line 7b Certain decisions of the board are, pursuant to charter, subject to approval of the members. No ordinary, day-to-day decisions are subject to member approval. Form 990, Part VI, Section B, line 11b 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, Section B, line 12c Ballad Health policy requires Board of Directors and Board Committee members, the Executive Chair/President, and Executive Vice Presidents to complete a conflict of interest disclosure statement on an annual basis. Ballad Health policy also requires team members to complete an annual acknowledgement that they have read and understand the conflict of interest policy and they will complete a conflict of interest disclosure statement if they have a conflict of interest. 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 board agenda, he or she must declare the conflict of interest during the period allotted for disclosure. If any issue arises during a meeting in which the board member has a conflict of interest, he or she must immediately declare the conflict. While each member of the board or board committee is responsible for disclosing conflicts of interest, it is also the responsibility of any board member aware of a conflict which has not been disclosed to ensure the board is made aware. The presiding officer of a board or board committee meeting may ask a conflicted member to excuse themselves from the meeting during the discussion related to the issue with which the conflict of interest applies. Under no circumstances shall a member vote on a matter that gives rise to a potential conflict. This applies to all Ballad Health organizations. Form 990, Part VI, Section B, line 15 Line 15a - Compensation Process for Top Official The executive compensation committee serves as the compensation oversight committee of Ballad Health's Board of Directors. The executive compensation committee is comprised of members who are determined to be independent and whom are not reliant upon any business relationship with Ballad Health for income or compensation. The compensation plan for Alan Levine, Ballad Health's Chairman, President and CEO, was reviewed and approved by the executive compensation committee and then by the Ballad Health Board of Directors in accordance with the Board's compensation policy and practice. The Board of Directors relies upon the advice of an independent and experienced compensation consultant with knowledge about pay practices for comparable positions within the industry, and who has access to broad data, studies and surveys in order to ensure the compensation falls within competitive and appropriate ranges for the position. Line 15b - Compensation Process for Officers On an annual basis, Ballad Health's Human Resources (H/R) Department evaluates compensation for all executives at a position level of Assistant Vice President and above. H/R's 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 Health's 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. Form 990, Part VI, Section C, line 19 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. Form 990, Part IX, line 11g Consulting Fees: Program service expenses 188,765. Management and general expenses 0. Fundraising expenses 0. Total expenses 188,765. Contract Labor: Program service expenses 15,387,344. Management and general expenses 0. Fundraising expenses 0. Total expenses 15,387,344. Environmental Services: Program service expenses 541,514. Management and general expenses 7,593. Fundraising expenses 0. Total expenses 549,107. Laundry: Program service expenses 20,853. Management and general expenses 0. Fundraising expenses 0. Total expenses 20,853. Maintenance: Program service expenses 31,854. Management and general expenses 4,163. Fundraising expenses 0. Total expenses 36,017. Other: Program service expenses 5,204,698. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,204,698. Physician Fees: Program service expenses 172,272. Management and general expenses 0. Fundraising expenses 0. Total expenses 172,272. Abingdon Physician Partners 16000 Johnston Memorial Drive Abingdon VA 24211 205485346 Medical Services VA 501c3 12a JMH 0 Ballad Health 303 Med Tech Parkway Suite 300 Johnson City TN 37604 611771290 Supporting Organization TN 501c3 12b N/A 0 Ballad Health Auxiliary 400 N State of Franklin Road Johnson City TN 37604 581418345 Supporting Organization TN 501c3 12a MSHA 0 Ballad Health Center for Early Learning 400 N State of Franklin Road Johnson City TN 37604 923891827 Child Day Care Services TN 501c3 Line_10_Organization Ballad Health 0 Ballad Health Foundation 1019 West Oakland Ave Suite 2 Johnson City TN 37604 581594191 Fundraiser TN 501c3 Line_7_Organization_ Ballad Health 0 Dickenson Community Hospital 312 Hospital Drive Clintwood VA 24228 770599553 Hospital VA 501c3 Line_3_Hospital_Coop WHS 0 East TN Healthcare Holdings Inc 203 Gray Commons Circle Gray TN 37615 815475903 Opioid Treatment TN 501c3 Line_10_Organization MSHA 0 Johnston Memorial Hospital 16000 Johnston Memorial Drive Abingdon VA 24211 540544705 Hospital VA 501c3 Line_3_Hospital_Coop MSHA 0 Mountain States Health Alliance 303 Med Tech Parkway Suite 300 Johnson City TN 37604 620476282 Hospital System TN 501c3 Line_3_Hospital_Coop Ballad Health 0 Smyth County Community Hospital 245 Medical Park Drive Marion VA 24354 540794913 Hospital VA 501c3 Line_3_Hospital_Coop MSHA 0 Takoma Regional Hospital Inc dba GCH 1420 Tusculum Boulevard Greeneville TN 37745 510603966 Hospital TN 501c3 Line_3_Hospital_Coop WHS 0 Wellmont Cardiology Services 303 Med Tech Parkway Ste 220B Johnson City TN 37604 263557623 Medical Services TN 501c3 Line_10_Organization WHS 0 Wellmont Hawkins Co Memorial Hosp Inc 851 Locust Street Rogersville TN 37857 621816368 Hospital TN 501c3 Line_3_Hospital_Coop WHS 0 Wellmont Health System 303 Med Tech Parkway Suite 300 Johnson City TN 37604 621636465 Hospital System TN 501c3 Line_3_Hospital_Coop Ballad Health 0 Wellmont Imaging Services Inc 400 N State of Franklin Road Johnson City TN 37604 861103148 Healthcare TN 501c3 12a WHS 0 Wellmont Madison House 2000 Greenway Street Kingsport TN 37660 621308216 Assisted Living TN 501c3 Line_10_Organization WHS 0 Wellmont Wexford House 2421 North John B Dennis Highway Kingsport TN 37660 581859039 Nursing Home TN 501c3 Line_10_Organization WHS 0 East Tennessee Ambulatory Surgery Center 701 Med Tech Parkway Suite 100 Johnson City TN 37604 621787537 Medical Services TN N/A 0 0 Emmaus Community Healthcare PLLC 6419 Bristol Hwy Piney Flats TN 37686 200577483 Medical Services TN N/A 0 0 Medical Specialists of JC LLC 2528 Wesley Street Suite 2 Johnson City TN 37601 272199037 Medical Services TN N/A 0 0 Quality Improvement Partners LLC 2528 Wesley Street Suite 2 Johnson City TN 37604 861932106 Healthcare TN N/A 0 0 Ballad Health Development Corporation 400 N State of Franklin Road Johnson City TN 37604 883118592 Investments TN N/A C 0 Ballad Ventures LLC 400 N State of Franklin Road Johnson City TN 37604 844214681 Investments TN N/A C 0 Blue Ridge Medical Management Corp 303 Med Tech Parkway Ste 220B Johnson City TN 37604 621490616 Medical Services TN N/A C 0 Community Home Care Inc 1490 Park Avenue NW Suite B Norton VA 24273 541453810 Durable Medical Equipment VA N/A C 0 Mediserve Medical Equipment 303 Med Tech Parkway Ste 220B Johnson City TN 37604 621212286 Durable Medical Equipment TN N/A C 0 Mountain States Physician Group 303 Med Tech Parkway Ste 220B Johnson City TN 37604 621700412 Medical Services TN N/A C 0 Mountain States Properties 303 Med Tech Parkway Ste 220B Johnson City TN 37604 621845895 Property Management TN N/A C 0 Nolichuckey Management Svcs Inc 1420 Tusculum Boulevard Greeneville TN 37745 621776681 Medical Services TN N/A C 0 Wellmont Health Services Inc 303 Med Tech Parkway Ste 220B Johnson City TN 37604 621254373 Medical Services TN N/A C 0 Wellmont Insurance Co SPC LTD PO Box 30600 Grand Cayman CJ KY1-1203 981195624 Insurance CJ N/A C 0 Wellmont Physician Services Inc 303 Med Tech Parkway Ste 220B Johnson City TN 37604 621567353 Medical Services TN N/A C 0 Wellmont Inc 303 Med Tech Parkway Ste 220B Johnson City TN 37604 621320035 Medical Services TN N/A C 0 Wilson Pharmacy Inc 303 Med Tech Parkway Ste 220B Johnson City TN 37604 620329587 Pharmacy TN N/A C 0 WPS Providers Inc 303 Med Tech Parkway Ste 220B Johnson City TN 37604 205564642 Medical Services TN N/A C 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 1 1 0 1