East Tennessee Healthcare Holdings Inc
Public records show a registered, tax-exempt organization in good standing.
What it says it does
See Schedule O
- Income
- $5.9 million
- Spending
- $4.7 million
- Spent on programs
- 91%
- Reserves
- 4.7 months of spending
- Largest source of income
- fees for its services, 85%
- Employees
- 0
- Volunteers
- 0
- Highest pay
- $733,578, director, vice chair
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Good: 75 out of 100. Higher than 60% of charities in its peer group (mental health, $1m to $10m).
Reserves
20 of 35Spendable reserves would cover 4.7 months of spending.
Debt
10 of 20It owes 43% of what it owns.
Living within its means
15 of 15Income exceeded spending by 19% of income.
Income trend
15 of 15Income rose 7% on the year before.
Spending floor
15 of 1591% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Good: 75 out of 100. Higher than 27% of charities in its peer group (mental health, $1m to $10m).
Independent board
5 of 250 of 8 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
0 of 5Reports no independent review process for its chief executive's pay.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $4.3 million spent. East Tennessee Healthcare Holdings, Inc. d/b/a Overmountain Recovery (OMR) is a not-for-profit outpatient opioid treatment, drug rehabilitation program in Johnson City, Tennessee. In 2016, Mountain States Health Alliance (MSHA) and East Tennessee State University Research Foundation (ETSU) formed OMR to treat people in its service area with heroin, morphine and prescription opioid addictions, including high-acuity individuals with co-occurring mental and physical health conditions, as well as vulnerable populations such as women with substance-exposed pregnancies. The service area consists of 39 cities and 11 counties, including Carter, Greene, Hancock, Hawkins, Johnson, Sullivan, Unicoi and Washington in Tennessee and Lee, Scott and Washington in Virginia, including the City of Bristol, Virginia. According to the Tennessee Department of Health's report "2023 Tennessee Drug Overdose Deaths and "2023 Drug Overdose Hospital Discharges in Tennessee", in 2023, there were 3,616 overdose deaths. While representing only 36 percent of the population in Tennessee based on the most recent 2020 census, East Tennessee represented 44 percent of all overdose deaths in Tennessee in 2023. Over the five-year period from 2019-2023, the percentage of decedents who filled a prescription in the Controlled Substance Monitoring Database in the 60 days before death decreased continually with the exception of a plateau between 2022 and 2023. These trends reflect the decrease in deaths involving prescription opioids and increase in deaths involving illicit opioids, such as fentanyl, the current driving force of the epidemic of overdose deaths. Neonatal Abstinence Syndrome (NAS) or Neonatal Opioid Withdrawal Syndrome (NOWS) may occur when a woman uses opioids during pregnancy. As stated in the Tennessee Department of Health's report "Neonatal Abstinence Syndrome in Tennessee 2022", the rate of cases of NAS per 1,000 live births reported to the Tennessee Department of Health increased from 9.3 in 2021 to 9.8 in 2022. Since 2019, there have been fluctuations in the number of cases reported but there has not been a meaningful trend during those years. OMR's Opioid Treatment Program represents a unique comprehensive, innovative, holistic model of care for this patient population by bringing together the local academic and research resources of ETSU; coupled with the medical care expertise and capital resources of MSHA. These two entities have also contracted with Frontier Health to provide therapeutic and recovery-based services. OMR is only one component of a larger focus to incorporate education, outreach, research, and evaluation, all aimed at making a significant difference in the management of the chronic disease of addiction. OMR is an entity that emphasizes evidence-based, long-term treatment that addresses substance use disorder (SUD) as a chronic, relapsing disease. Overmountain is focused not just on providing a service, but on making the community a healthier and safer place to live, work, learn and do business by reducing the burden of addiction plaguing its service area. Both ETSU and MSHA have long-time roots in the community. ETSU, founded in 1911, is a state-supported, coeducational institution. ETSU serves approximately 14,000 undergraduate, graduate, medical and pharmacy students each year. Although most students are from Tennessee and the surrounding southeastern region, nearly every state and 80 countries are also represented. The main campus is in Johnson City, Tennessee with off campus sites in Kingsport and Sevierville in Tennessee, Abingdon in Virginia, and Asheville in North Carolina. ETSU has a strong health care focus with colleges of pharmacy, clinical and rehabilitative health sciences, nursing, public health, and medicine. Mountain States Health Alliance, founded in 1998, is part of a large, integrated, not-for-profit health care system based in Johnson City, Tennessee. On February 1, 2018, Mountain States Health Alliance (MSHA) and Wellmont Health System (WHS) merged to form Ballad Health (Ballad), a tax-exempt entity and parent company of MSHA and WHS. Ballad is an integrated healthcare delivery system consisting of 20 hospitals in Northeast Tennessee and Southwest Virginia, including a Level 1 Trauma Center, dedicated children's hospital, several community hospitals, four critical access hospitals, a behavioral health hospital, an addiction treatment facility, long-term care facilities, home care and hospice services, retail pharmacies, outpatient services and a comprehensive medical management corporation. Ballad works closely with an active independent medical community and community stakeholders to improve the health and well-being of over one million people in 29 counties of the Appalachian Highlands in Northeast Tennessee, Southwest Virginia, Northwest North Carolina, and Southeast Kentucky. OMR is committed to its patients' recovery. OMR provides care that is customized to their patients' personal needs and takes into consideration housing, education, employment, legal issues, security, transportation and other areas in order to gain a complete picture of the individual. Another key facet of patient-centric approach to care is to have a reliable way of getting input from patients. OMR convenes focus groups of patients who meet quarterly with the director. The average monthly census increased from 685 patients in FY24 to 800 in FY25, which is an increase of 17%. OMR provided warm coats to over 50 individuals for Thanksgiving in 2024 and plans are underway to coordinate with Second Harvest Food bank to provide food for families in need for Thanksgiving 2025. The team at OMR donated all the items provided to patients. PROMOTE COMMUNITY HEALTH: OMR's Community Advisory Committee meets quarterly to keep the community abreast of what is happening at OMR. This committee is comprised of members who reside in the community, as well as churches, businesses, and Ballad leadership. ETSU has
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending June 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since September 2018.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.