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Mountain States Health Alliance

Johnson City, TN · EIN 62-0476282 · 501(c)(3) · Hospital or medical research organization
Latest filing: Form 990 for the fiscal year ending June 30, 2025 (tax year 2024) · View the filing · Correct or respond

Mountain States Health Alliance reported $1.31 billion in revenue and $1.22 billion in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $84.68 went to program services, $15.32 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 96.1% of the total. The highest compensation it reported for one person was $4,135,022 (Director, Chair). 632 people received more than $100,000 in reportable compensation. Revenue rose 62% between FY2020 and FY2025. Source: Form 990, FY2025.

Where $100 of spending went

The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $1.22B

For context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).

Where $100 of revenue came from

The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $1.31B

The 990 scorecard · same measures for every charity, no grades

FY2025 filing. Median across 5,634 covered charities in this category, from their latest filings.
MeasureFY2025Median
Program services
Part IX 25(B) ÷ 25(A)
84.7%85.6%
Management & general
Part IX 25(C) ÷ 25(A)
15.3%13.7%
Fundraising
Part IX 25(D) ÷ 25(A)
0.0%0.0%
Fundraising cost per $1 of contributions
Part IX 25(D) ÷ Part VIII 1h
$0.00$0.00
Contributions & grants share of revenue
Part VIII 1h ÷ 12
1.7%1.3%
Government grants share of revenue
Part VIII 1e ÷ 12
1.3%0.1%
Program service revenue share
Part VIII 2g ÷ 12
96.1%93.7%
Highest reported compensation
Part VII-A, columns D–F
$4,135,022$975,831
Highest compensation as share of expenses
Part VII-A ÷ Part IX 25(A)
0.34%1.34%
People paid over $100,000
Part VII, line 2
63227
Net assets, in months of expenses
Part X 33(B) ÷ monthly expenses
5.76.6
Independent voting board members
Part VI 1a–1b
0 of 488.9%

A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.

What the money paid for, in its own words

FY2025 · Form 990, Part III · the three largest programs by expense
$1.03B expenses · 100.0% of program spending · grants $1.2M · revenue $1.24B

No description in Part III; see the filing.

Highest reported compensation

FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here
RoleFrom this orgFrom related orgsOtherTotal
Director, Chair
Director/trustee, officer, 1.00 hrs/week
$0$3,848,876$286,146$4,135,022
Director
Director/trustee, officer, 1.00 hrs/week
$0$1,747,698$137,400$1,885,098
Chief Phys Exec - Former Officer
Former, 0.00 hrs/week
$0$1,375,526$131,128$1,506,654
Director
Director/trustee, officer, 1.00 hrs/week
$0$1,445,711$53,543$1,499,254
Former Officer
Former, 1.00 hrs/week
$0$1,101,262$76,184$1,177,446
BH EVP/CFO
Officer, 1.00 hrs/week
$0$988,163$113,059$1,101,222
Director, Secretary
Director/trustee, officer, 1.00 hrs/week
$0$976,689$102,286$1,078,975
Regional President
Key employee, 45.00 hrs/week
$885,760$0$100,719$986,479

632 people received more than $100,000 in reportable compensation from Mountain States Health Alliance (Part VII, line 2). Compensation of current officers, directors and key employees totaled $3.4M (Part IX, line 5).

6 years of filings

Form 990, Parts I, VII, IX and X · each row is that year's own filing, linked
RevenueExpenses
$0$500M$1.00B$1.50B$2.00BFY2020FY2021FY2022FY2023FY2024FY2025$1.31B$1.22B
FilingRevenueExpensesProgramsNet assetsTop pay
FY2025 ⓘ$1.31B$1.22B84.7%$577M$4,135,022
FY2024 ⓘ$1.07B$1.03B82.6%$470M$2,247,795
FY2023 ⓘ$975M$958M83.2%$428M$3,804,451
FY2022 ⓘ$919M$876M83.4%$421M$4,323,372
FY2021 ⓘ$790M$817M83.9%$370M$3,061,924
FY2020 ⓘ$805M$763M81.2%$386M$2,370,420

Governance answers, as filed

FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means
  • Voting board members, and how many are independent Part VI, lines 1a–1b4 · 0 independent
  • Audited financial statements Part XII 2bYes
  • Conflict-of-interest policy Part VI 12aYes
  • Whistleblower policy Part VI 13Yes
  • Document retention policy Part VI 14Yes
  • Independent process for top executive pay Part VI 15aNo
  • Board given the 990 before filing Part VI 11aYes
  • Family or business ties among insiders Part VI 2No
  • Aware of a significant diversion of assets Part VI 5No
  • Excess benefit transaction with an insider Part IV 25aNo
  • Loans to or from insiders outstanding Part IV 26No
  • Lobbying, or a 501(h) election in effect Part IV 4Yes
  • Over $15,000 of professional fundraising services Part IV 18No
  • Over $10,000 of activity outside the U.S. Part IV 14bNo
  • Employees Part I, line 57,188
  • Volunteers Part I, line 6298

Correct a figure or respond

Every number above is copied from Mountain States Health Alliance's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Mountain States Health Alliance, you can publish a response that is linked from this page.

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Questions people ask

How much of Mountain States Health Alliance's spending goes to programs?

In the fiscal year ending June 30, 2025, Mountain States Health Alliance reported that 84.7% of its $1.22 billion in expenses went to program services, 15.3% to management and general and 0.0% to fundraising (Form 990, Part IX).

How much does Mountain States Health Alliance pay its top executive?

The largest total compensation Mountain States Health Alliance reported for one person in the fiscal year ending June 30, 2025 was $4,135,022, for the role of Director, Chair (Form 990, Part VII, including compensation from related organizations and other compensation).

Where does Mountain States Health Alliance get its money?

Of $1.31 billion in revenue in the fiscal year ending June 30, 2025, 1.7% came from contributions and grants (including 1.3% from government grants) and 96.1% from program service revenue (Form 990, Part VIII).

Is Mountain States Health Alliance a registered charity?

The IRS lists EIN 62-0476282 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.

Sources

  • FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202611339349302256 · read the filing · XML
  • FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202501279349302015 · read the filing
  • FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202411359349309566 · read the filing
  • FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202311319349305146 · read the filing
  • FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202231299349302853 · read the filing
  • FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202141349349302124 · read the filing

All filings for EIN 62-0476282: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.