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Plinth

· Public charity

Mountain States Health Alliance

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.

$1.2M
Granted FY2025still arriving
14
Grants FY2025still arriving
2
States reached
$470k
Largest
01What you fundRead
02The needRead
03Your edgeRead
04Your fieldRead
01What you fund
01

What you funded, over time

By grantee IRS cause code (NTEE).

A cause breakdown isn’t shown here: 45% of Mountain States Health Alliance’s grantee dollars fall outside its nine largest cause areas, whether because the recipient carries no IRS cause code or because its cause sits in the long tail. A chart would be mostly one residual band and misrepresent the portfolio.

02FY2025 · 14 grants

Where the money goes

Your grants by size, and where they go.

The 14 grants below total $1,116,489 — the rows itemised in this filing. The $1,172,377 headline is the total grant expense reported on the return, so the remaining $55,888 is giving the schedule does not break out: grants under the $5,000 itemisation floor, grants to individuals, and grants reported on other schedules. Every figure below describes the itemised rows only.

By grant size · FY2025

  • Under $10k1 grant · $9k
  • $10k–50k8 grants · $124k
  • $50k–250k4 grants · $513k
  • $250k+1 grant · $470k
$20,000
Median grant
2
States reached
$788M
Total assets
Largest grants
RecipientAmount
East Tennessee State University$470,000
Zoll Medical Corporation$192,416
East Tennessee State University$174,753
East Tennessee State University Foundation$96,320
Bristol Motor Speedway$50,000
Salvation Army$30,000
Make-A-Wish East Tennessee$20,000
Johnson County Board of Education$18,000
Up & At 'EM Inc$15,000
East Tennessee State University$11,000
Appalachian Service Project$10,000
Kingsport Chamber Foundation$10,000
Dawn of Hope Inc$10,000
Washington County Board of Education$9,000
02The need
03

Do your dollars go where the need is?

Each grant placed by the hardship in its grantee’s ZIP, then read against the area’s typical level.

show:

Your human-services grants (FY17–25, $72k) land where the poverty rate runs at 14%, against an area that typically sits at 10%. 100% of those dollars go to grantees based in above-average-need neighborhoods. Most of your grants land in higher-need ZIPs.

area typical 10%American Red Cross: $10k → 14%Bristol Family YMCA: $10k → 15%AMERICAN RED CROSS OF NE TN: $7k → 14%Dawn of Hope Inc: $10k → 14%Children Exceeding Expectations Inc: $35k → 14%0%20%40%50%more need →
grant to an above-average-need area below average· circle size = grant amount

Matched: human-services grants are those whose grantee’s IRS cause code is Human Services. Placed by people below the poverty linein the grantee’s ZIP, averaged from the tracts in that ZIP; grantee ZIP can differ from where services are delivered.

Which US states your grants reach

NY
MA
IN
VA
MD
TN
DC
GA

US grants placed by each grantee’s ZIP, which can differ from where services are actually delivered. Need from public data — U.S. Census/ACS, CDC PLACES, Eviction Lab, USDA — shown as context about the area, never attributed to your giving.

03Your edge
repeat funding

Who you back again

Which organizations you funded more than once, and which you funded a single time. Each grantee is matched to its own filings.

85%of every dollar goes to organizations you’ve funded before.
$21M · 29 repeat orgs$3.6M to everyone else

And the relationships you keep tend to grow: grantees you re-up on have seen median revenue of +33% since the first grant, against +23% for the ones you funded once.

29 repeat relationships — 5 still active in FY2025, 24 since wound down; 7 grantees were first funded in FY2025 (too recent to call).

How the two cohorts compare

Re-uppedFunded once

Organizations

29
42

Total granted

$21M
$3.3M

Median revenue growth · since first grant

+33%
+23%

Still filing today

69%
86%

New vs renewed · share of each year

In FY2025, 72% of grant dollars renewed an existing relationship; $309k went to new ones.

50%100%’17’18’19’20’21’22’23’24’25
RenewedFirst-time

Where new relationships form · theme of each grantee’s first grant

’17’18’19’20’21’22’23’24’25
HealthEducationHuman ServicesPhilanthropyYouth DevelopmentArts & CultureOther

First-time = a grantee’s first year in your filing window; renewed = funded in an earlier year too. As a portfolio matures the renewed share naturally climbs — once funded, an org stays “renewable” — so the signal is the years that buck it (a new-grantee intake wave). The earliest year is left-censored: relationships that predate the data read as “new.” Theme is the grantee’s IRS cause.

Backed again, and grew

  • ET
    EAST TENNESSEE STATE UNIVERSITY FOUNDATION
    4× · 2021–2025 · $7.3M · revenue +12% · 42% of their budget
  • AS
    APPALACHIAN SCHOOL OF LAW
    4× · 2021–2024 · $925k · revenue +33%
  • US
    UNITED STATES OF CARE CAMPAIGN
    2× · 2019–2020 · $400k · revenue +10%

Funded once

  • EH
    EMORY & HENRY UNIVERSITY
    one grant, 2022 · $2.3M · revenue +6%
  • CC
    Carter County Emergency Rescue Squad
    one grant, 2024 · $328k · revenue -1%
  • SC
    SPEEDWAY CHILDREN'S CHARITIES
    one grant, 2019 · $50k · revenue +24%

Repeat = funded in two or more distinct years; growth and survival are read from each grantee’s own subsequent IRS filings.

04Your field

The map has a center of gravity: the average direction from the rest of the sector toward the organizations the foundation funds — the shape of its giving. Scoring every nonprofit along that direction surfaces the ones that look most like the portfolio. These are the closest matchesthat aren’t grantees — a resemblance in what they say they do, not a recommendation.

1
Roane County Medical Center

Roane County Medical Center provides quality healthcare, in alignment with Covenant Health's mission to serve the community by improving the quality of life through better health, regardless of a patient's ability to pay.

Health
2
Cumberland Medical Center

Cumberland Medical Center provides quality healthcare, in alignment with Covenant Health's mission to serve the community by improving the quality of life through better health, regardless of the patient's ability to pay.

Health
3
Tennessee Health Care Association

To maintain high standards for nursing homes in the state of tennessee and to seek the solutions to problems common to members of the association.

—
4
HealthFirst Bluegrass Inc

Healthfirst provides outpatient primary healthcare, behavioral health and dental services to the underserved and uninsured residents of fayette county and surrounding counties in kentucky.

Health
5
Tennesseans for Quality Early Education

To advance state policies and practices that ensure all tennessee children from birth through 3rd grade get the high quality early education they need to power our state's future.

Education
6
Methodist Medical Center

Methodist Medical Center provides quality healthcare, in alignment with Covenant Health's mission to serve the community by improving the quality of life through better health regardless of a patient's ability to pay.

Health
7
Claiborne Medical Center

Claiborne Medical Center provides quality healthcare, in alignment with Covenant Health's mission to serve the community by improving the quality of life through better health, regardless of a patient's ability to pay.

Health
8
Impacthealth-Tn

To foster a sustainable network of community health workers and to train frontline public health professionals who possess a deep understanding of and strong ties to the local community.

Human Services
9
Leadership Tennessee Inc

Leadership tennessee fosters collaborative, non-partisan dialogue on issues of state importance, by connecting and deploying a network of diverse leaders and engaged citizens.

Public Benefit
10
Thompson Cancer Survival Center

Thompson Cancer Survival Center provides support services for cancer patients, in alignment with Covenant Health's mission to serve the community by improving the quality of life through better health, regardless of a patient's ability to…

—
11
United Way of South Central Tennessee

The united way of south central tennessee's mission is to improve lives by advancing opportunities for education, health, and financial stability for all. its vision is to be the primary community solutions leader for human services.

—
12
Journey Health Foundation

Convene passionate, collaborative partners to help build bold, data-driven systems and solutions that promote healthy communities for all

Human Services

For reference, the grantee most central to the portfolio’s shape is Make-a-Wish Foundation of East Tennessee Inc and the most unlike its peers is Summit Foundation. Resemblance is measured on each organization’s own IRS 990 mission text; it reflects how work is described, not its quality or impact.

Your grantees are a median of 38 years old; the field is 18. You back the established end — and your money leans older still.

THE FIELDby orgYOUR GRANTEESby number21%2%<5yr14%6%5–10yr17%17%10–20yr13%25%20–35yr11%19%35–55yr24%31%55yr+
THE FIELDby orgYOUR MONEYby value21%0%<5yr14%3%5–10yr17%7%10–20yr13%11%20–35yr11%3%35–55yr24%76%55yr+

The field is 21% startups (under 5 years old) — 2% of your grantees by number, and just 0% of your money.

Closures · last 5 years

The orgs you fund almost never close — 0.0% lost their exemption, against 13% of the field you don’t fund.

orgs you fund
0.0%0/82
the rest of the field
13%
4,628/36,318

Age = years since IRS exemption (a founding proxy). “Closed” = auto-revocation for 3 years of non-filing — a floor on closure, not proof, and bigger established orgs lapse least. Association, not causation.

04the grantee network

65 grantees tracked through their own filings, 2017–2025.

Each one resolved to its own IRS returns and tracked year by year — your grant beside their revenue from every source. Association, dated; never a causal claim.

Counted here: distinct organizations you funded across 2017–2025, not grant rows in a single year — so this will not match the grant count on the cover. 65 of the 80 grantees resolved in that span have returns of their own we could reconcile; the rest are funded organizations whose filings we could not track year by year.

3
Load-bearing (≥25% of a budget)
17
Early backer (in before they grew)
63/65
Grantees still filing
40/65
Grew since you first funded

Where your money sits — by cause, then by grantee

EAST TENNESSEE STATE UNIVERSITY — $9,268,485 · OtherEAST TENNESSEE STATE UNIVERSITY+38 more — $1,829,045 · Other+38 moreEAST TENNESSEE STATE UNIVERSITY FOUNDATION — $7,293,774 · EducationEAST TENNESSEE STATE UNIVERSITY FOUNDATIONEMORY & HENRY UNIVERSITY — $2,298,792 · EducationEMORY & HENRY UNIVERSITYAPPALACHIAN SCHOOL OF LAW — $925,000 · EducationAPPALACHIAN SCHOOL OF LAW+8 more — $278,240 · EducationAPPALACHIAN MOUNTAIN PROJECT ACCESS INC — $709,089 · HealthUNITED STATES OF CARE CAMPAIGN — $400,000 · HealthCarter County Emergency Rescue Squad — $327,926 · HealthFriends in Need Health Center Inc — $57,400 · Health+10 more — $175,940 · HealthEO COMPANIES — $114,110 · PhilanthropyFRONTIER HEALTH FOUNDATION — $55,200 · PhilanthropySPEEDWAY CHILDREN'S CHARITIES — $50,000 · PhilanthropyEAST TENNESSEE FOUNDATION — $25,000 · PhilanthropyThe Dr Robert F Thomas Foundation Inc — $10,000 · PhilanthropyKingsport Chamber Foundation Inc — $212,005 · Community ImprovementSummit Foundation — $25,000 · Community ImprovementJUNIOR LEAGUE OF KINGSPORT INC — $10,000 · Community ImprovementSECOND HARVEST FOOD BANK OF NORTHEAST TN — $104,500 · Food & NutritionFEEDING SOUTHWEST VIRGINIA — $46,000 · Food & NutritionCHILDREN EXCEEDING EXPECTATIONS INC — $35,000 · Human ServicesISAIAH 117 HOUSE — $25,000 · Human ServicesAmerican National Red Cross & Its Constituent Chapters and Branches — $17,180 · Human ServicesDawn of Hope Inc — $10,000 · Human ServicesYoung Mens Christian Association — $10,000 · Human ServicesBoys and Girls Club of Greeneville & Greene County — $7,500 · Human Services
Other$11,097,530Education$10,795,806Health$1,670,355Philanthropy$254,310Community Improvement$247,005Food & Nutrition$150,500Human Services$104,680

Each org by its size and your share of it — top-left is where you’re load-bearing

25%50%75%100%$100k$1.0M$10M$100Mgrantee revenue →↑ your share of their budgetEAST TENNESSEE STATE UNIVERSITY FOUNDATION — $7,293,774 over 4y, 42% of budgetEMORY & HENRY UNIVERSITY — $2,298,792 over 1y, 3.0% of budgetAPPALACHIAN SCHOOL OF LAW — $925,000 over 4y, 7.5% of budgetAPPALACHIAN MOUNTAIN PROJECT ACCESS INC — $709,089 over 3y, 5.0% of budgetUNITED STATES OF CARE CAMPAIGN — $400,000 over 2y, 5.5% of budgetCarter County Emergency Rescue Squad — $327,926 over 1y, 5.8% of budgetKingsport Chamber Foundation Inc — $212,005 over 5y, 3.8% of budgetMILLIGAN UNIVERSITY — $183,860 over 4y, 0.3% of budgetEO COMPANIES — $114,110 over 4y, 2.0% of budgetSECOND HARVEST FOOD BANK OF NORTHEAST TN — $104,500 over 3y, 0.3% of budgetFriends in Need Health Center Inc — $57,400 over 3y, 3.6% of budgetFRONTIER HEALTH FOUNDATION — $55,200 over 2y, 5.4% of budgetAmerican Heart Association Inc — $54,775 over 4y, 0.0% of budgetSPEEDWAY CHILDREN'S CHARITIES — $50,000 over 1y, 1.1% of budgetTHE GOVERNOR'S FOUNDATION FOR HEALTH AND WELLNESS F/K/A TN HEALTH & WELLNESS FND — $50,000 over 2y, 40% of budgetBARTER FOUNDATION INC STATE THEATRE OF VIRGINIA — $47,380 over 4y, 0.2% of budgetFEEDING SOUTHWEST VIRGINIA — $46,000 over 1y, 0.1% of budgetMusic For All Inc — $45,000 over 3y, 0.6% of budgetCRUMLEY HOUSE BRAIN INJURY REHABILITATION CENTER — $39,500 over 3y, 1.0% of budgetCHILDREN EXCEEDING EXPECTATIONS INC — $35,000 over 1y, 24% of budgetCASA of Northeast Tennessee — $33,500 over 3y, 4.6% of budgetSummit Leadership Foundation — $32,500 over 1y, 1.4% of budgetTENNESSEE STATE COLLABORATIVE ON REFORMING EDUCATION — $30,000 over 1y, 0.5% of budgetSummit Foundation — $25,000 over 1y, 16% of budgetEAST TENNESSEE FOUNDATION — $25,000 over 1y, 0.0% of budgetBOYS & GIRLS CLUB OF JOHNSON CITY WASHINGTON COUNTY — $25,000 over 1y, 4.8% of budgetISAIAH 117 HOUSE — $25,000 over 1y, 0.8% of budgetSULLIVAN COUNTY ANTI-DRUG COALITION — $24,500 over 1y, 20% of budgetHEALING HANDS HEALTH CENTER INC — $23,740 over 2y, 0.4% of budgetMOUNTAIN STATES FOUNDATION — $21,323 over 1y, 1.0% of budgetUP & AT' EM INC — $21,000 over 2y, 81% of budgetSOUTHERN APPALACHIAN RONALD MCDONALD HOUSE CHARITIES INC — $19,600 over 3y, 1.2% of budgetAmerican National Red Cross & Its Constituent Chapters and Branches — $17,180 over 2y, 0.0% of budgetCHILDREN'S ADVOCACY CENTER OF THE FIRST JUDICIAL DISTRICT INC — $17,150 over 2y, 3.9% of budgetPresident and Fellows of Harvard College — $15,000 over 1y, 0.0% of budgetNISWONGER FOUNDATION INC — $15,000 over 1y, 0.2% of budgetLIPSCOMB UNIVERSITY — $10,000 over 1y, 0.0% of budgetNORTHEAST TENNESSEE REGIONAL ECONOMIC PARTNERSHIP INC — $10,000 over 1y, 1.3% of budgetJUNIOR LEAGUE OF KINGSPORT INC — $10,000 over 1y, 17% of budgetDawn of Hope Inc — $10,000 over 1y, 0.1% of budgetJUNIOR ACHIEVEMENT USA — $10,000 over 1y, 0.0% of budgetYoung Mens Christian Association — $10,000 over 1y, 0.5% of budgetBOONES CREEK HISTORICAL TRUST — $10,000 over 1y, 16% of budgetThe Dr Robert F Thomas Foundation Inc — $10,000 over 1y, 1.7% of budgetTENNESSEANS FOR QUALITY EARLY EDUCATION POLICY AND RESEARCH — $10,000 over 1y, 1.0% of budgetCOMMUNITIES IN SCHOOLS OF APPALACHIAN HIGHLANDS — $10,000 over 1y, 3.2% of budgetINTERNATIONAL STORYTELLING CENTER — $8,000 over 1y, 0.8% of budgetAMERICAN CANCER SOCIETY INC — $7,525 over 1y, 0.0% of budget
Go grantee by grantee — a decade per org, and how each moved after you funded them

A decade per grantee — revenue shaded, your grants as bars, all rows on one timeline.

The grantmakers whose grantees overlap with yours far more than size alone predicts. Each orbits closer the stronger the alignment; the arcs between them show where they also fund each other. Here it reads as a tightly interlocked camp — most of these funders back each other's grantees too.

Wellmont Health SystemEastman Credit UnionFood City Charitable …East Tennessee Founda…Speedway Children's C…Ballad HealthUnited Way of East Te…Tennessee Health Foun…The James W and Franc…The Joe W and Frankie…The United Company Fo…The Community Foundat…
Wellmont Health SystemTN51.5× affinity22 shared granteesties to 11 of 11Hover any node to trace its alignments.Compare side by side →

Open a dossier: Wellmont Health System · Eastman Credit Union · Food City Charitable Foundation · East Tennessee Foundation · Speedway Children's Charities · Ballad Health · United Way of East Tennessee Highlands Inc · Tennessee Health Foundation Inc · The James W and Frances Gibson McGlothlin Foundation · The Joe W and Frankie Mae Street Foundat · The United Company Foundation · The Community Foundation of Middle Tennessee Inc

Affinity is a Gamma-Poisson posterior co-funding rate, re-centered on the typical rate, so thin evidence shrinks toward no signal. A research starting point: overlap is association, not proof of shared intent.

Government reliance of your grantees

Every dot is one organization Mountain States Health Alliance funds. Left–right is the share of its income from government; up–down is the share from you. Bigger dots raise more. Filter to federal or a single department — and drag the year to watch it move.

2024
’20’21’22’23’24’25
no gov · 00%6%23%51%90%your share of their income ↑0%25%50%75%100%share of the org’s income from government →median 7%
  • President and Fellows of Harvard College — 7% of income from government
no gov moneyreceives it· size = income
0get no government money at all
17report government grants on their 990 we could not trace to a source (not plotted)
0rely on government for over half their income
typical government reliance, FY20–25

Government income is each org’s traced federal awards (USASpending — grants and contracts) plus state payments (open checkbooks) as a share of its total revenue (IRS Form 990); the self-reported government-grant line (990 line 1e) is carried for cross-check: a grantee that reports government grants we could not trace to a source is left off the chart rather than shown as receiving none. An association, not a claim that your grant caused the public funding. Coverage is precision-first — a floor, not a census; state records exist for 9 states, so a grantee outside them shows no state figure (dimmed) rather than a false zero. Federal award amounts are obligations, which can span years, so a single-year share is indicative. 990 filings lag 12–24 months.

On method. Every financial figure here is read directly from IRS e-file XML — your own 990/990-PF and the multi-year returns of the 80 grantees we resolved across every year we hold, several hundred filings in all (a different count from the grant rows on the cover, which are one fiscal year)— each linked to its source. Grantee achievements and outcomes are each organization’s own program-service reporting (Form 990, Part III); we read these as association with sustained funding — the foundation is one of several forces — suppress low-confidence name matches rather than guess, and say so where a figure rests on a single grant or filing. Not everything on this page is a filed figure, and the difference matters. Filed is what you reported on your return. Official is another government record about an organization, such as a federal award or a charity register, joined by name where no shared identifier exists. Resolved is an identity we worked out where the filing named a recipient without an EIN, kept only above a measured confidence threshold. Computed is arithmetic over those, like themes, portfolio clusters and co-funder strength. Context is a statistic about a place rather than about an organization, which is what the need overlay is: it describes the area a grantee’s address sits in, not where its work lands. Inferred is drawn by a model from text, like the partnerships read out of public news and organization websites. Each is labeled where it appears. How we build these →

Generated from your IRS Form 990 e-file return for fiscal year 2025, released 2025. Filings run roughly 12–24 months behind; figures are dated accordingly.

Source object · view filing

More from the funding graph

The unnamed billions
grants reported with no recipient in the public record
The regranting layer
51% of grant dollars land in the regranting layer
The DAF merry-go-round
$9.7B circulates between donor-advised funds
The camps
funders cluster by geography, not ideology
By state
where grant money is based, and what stays home
State money flows
the interactive map of money crossing state lines