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COPA Official Correspondence

06/16/25 – A letter from Commissioner Alvarado approving the FY26-28 Spending Plans under the TOC, with the incorporated Plans.

05/13/25 – A letter from Commissioner Alvarado regarding Ballad Health’s proposal to modify the Behavioral Health Plan to include capital funding and operational costs for opening a Strong Futures Substance Abuse Treatment.

03/11/25 – A letter from the Tennessee Department of Health regarding Ballad Health’s request for a waiver of the notice period for a proposed Long Term Care and Assisted Living Facilities transaction.

12/09/24 - Ballad Health‘s letter notifying the states that all operations at Ballad Health have returned to normal except for the operations at Unicoi County Hospital in Tennessee.Reach out if you have any questions.

11/04/24 - A letter from Commissioner Alvarado approving Ballad Health's request to delay reporting after a Materially Adverse Event.

10/07/24 - The TN Department of Health's response to Ballad Health’s 10/02/24 notice of a Force Majeure Event and resulting Materially Adverse Event.

10/02/24 - Ballad Health‘s letter notifying the states of a Force Majeure Event and resulting Materially Adverse Event due to the impact of Hurricane Helene.

09/05/24 – A letter from the Tennessee Department of Health regarding Ballad Health’s Fiscal Year 2023 Monetary Commitment.

07/21/24 – A letter from the Tennessee Department of Health approving Ballad Health’s FY25 budget for FY23-FY25 spending plans.

07/22/24 – A letter from the Tennessee Department of Health regarding Ballad Health’s waiver request related to General Surgery and Bariatric & Colorectal Surgery in Sullivan County.

05/13/24 – A letter from Commissioner Alvarado regarding Ballad Health’s proposal to modify the HIE Plan to include funding for EPIC system Community Connect for ETSU clinics.

05/02/24 – A letter from Commissioner Alvarado regarding Ballad Health’s proposal to modify the HR/GME Plan to include funding for the Southwest Virginia Higher Education Center Simulation Laboratory.

02/08/24 – A letter from Commissioner Alvarado regarding Ballad Health’s proposal to modify the HR/GME Plan to include support for ETSU GME.

02/01/24 – A letter from the Tennessee Department of Health regarding Ballad Health’s Fiscal Year 2022 Monetary Commitment.

01/11/24 – A letter from the Tennessee Department of Health regarding Ballad Health’s waiver request related to employment of 8 general surgeons in Sullivan County, TN. (RE Ballad Health’s 11/07/23 general surgery employed physicians waiver letter.)

01/05/24 – A letter from the Tennessee Department of Health consenting to Ballad Health’s request to close surgical services at Hawkins County Memorial Hospital. (RE Ballad Health’s 11/02/23 request to close surgical services at Hawkins County Memorial Hospital. )

11/07/23 – A letter from the Tennessee Department of Health regarding Ballad Health’s request modify its Rural Health Plan to include certain funding for an additional ambulance in Carter County, Tennessee.

09/12/23 – A letter from the Tennessee Department of Health regarding Ballad Health’s request modify its HR/GME Plan to include funding for the Milligan University Simulation Laboratory.

09/12/23 – A letter from the Tennessee Department of Health regarding Ballad Health’s request modify its HR/GME Plan to include certain funding for the Appalachian Highlands Healthcare Academy.

07/05/23 – The Tennessee Department of Health accepted Ballad Health's proposed FY24 Population Health Process Measures that will be used in calculating the FY24 score.

06/28/23 – A letter from the Tennessee Department of Health approving Ballad Health’s FY24 budget for FY23-FY25 spending plans. (RE Ballad Health’s FY24 Plan Budget. )

06/15/23 – A letter from the Tennessee Department of Health regarding Ballad Health’s waiver request related to Urologists in Washington and Sullivan County. (RE Ballad Health’s 05/12/23 urology employed physician waiver letter.)

05/05/23 – A letter from the Tennessee Department of Health consenting to Ballad Health’s proposed consolidation of Intensive Care Unit (ICU) and Progressive Care Unit (PCU) Services/Units at Sycamore Shoals Hospital with Johnson City Medical Center. (RE Ballad Health’s 12/08/22 Sycamore Shoals ICU/PCU notice Letter.)

05/04/23 – A letter from the Tennessee Department of Health regarding Ballad Health’s request modify its Rural Health Plan to incorporate expenses related to the reopening of Lee County Hospital.

04/10/23 – A letter from the Tennessee Department of Health approving Ballad Health’s request for a ninety-day extension on the replacement capital plan submission requirement. (RE Ballad Health’s 03/22/23 Capital Plan Extension Letter. )

01/27/23 – A letter from the Tennessee Department of Health regarding Ballad Health’s Fiscal Year 2021 Monetary Commitment.