Mountain States Health Alliance

Mountain States Health Alliance, doing business as Ballad Health Medical Associates, is a non-profit healthcare system based in Johnson City, Tennessee that operates as a child entity within the Ballad Health parent organization. The vendor serves the federal government primarily as a grant recipient (67% of recent awards are prime grants or contracts) and holds a single-award Blanket Purchase Agreement with the Department of Veterans Affairs for rapid turnaround laboratory testing services. Mountain States Health Alliance competes full-and-open without set-aside designations, leveraging its integrated healthcare delivery capabilities across inpatient care, emergency services, laboratory testing, and specialty behavioral health and pediatric transition programs.

The vendor's federal footprint concentrates heavily in the Department of Veterans Affairs, which accounts for 53 awards across the source data with a dominant single customer—Veterans Integrated Service Network 9—holding 13 awards valued at $23.8 million in combined potential value. The Department of Justice (primarily the Bureau of Prisons at United States Penitentiary Lee County and the Office of Justice Programs Victims of Crime program) represents the second tier of activity with 41 awards combined. A smaller volume of work flows through the Federal Emergency Management Agency, the Consumer Product Safety Commission, and the Department of Health and Human Services Substance Abuse and Mental Health Services Administration. These five customer clusters account for 60% of all awards; by dollar value, the VA VISN 9 relationship dominates, representing the bulk of the $30.7 million in combined potential value across the entire portfolio.

On the contract side, Mountain States Health Alliance holds two primary indefinite delivery vehicles: VA contract V249P0942 (8 task orders, $3.2 million combined potential value) and VA contract VA249P0637A (6 task orders, $9.4 million combined potential value), both supporting clinical laboratory and medical services delivery. A single-award BPA with VA VISN 9 (ceiling $170,000 through June 2026) has generated three named BPA call orders for rapid turnaround laboratory results, valued at $58.8 thousand (August 2025), $42.3 thousand (August 2024), and $53.2 thousand (July 2023) respectively. One Purchase Order for emergency laboratory testing issued in June 2022 was cancelled and never performed.

Federal grant awards reflect the vendor's expanding footprint in substance use disorder treatment and rural health services. A $505.9 thousand award from the Substance Abuse and Mental Health Services Administration (CFDA 93.490) effective September 2026 funds the Strong Futures Virginia program—a 35-bed residential treatment facility for pregnant, postpartum, and parenting women with substance use disorders serving five counties across the Lenowisco and Cumberland Plateau Health Districts over five years. A $863.6 thousand Rural Utilities Service Distance Learning and Telemedicine grant (CFDA 10.855) awarded September 2025 supports substance use disorder telemedicine services through September 2027. An earlier $1.699 million Community Facilities Loan and Grant from RUS (CFDA 10.766) funded construction and renovation at Johnson City Medical Center from May 2022 through May 2024. A $250 thousand Maternal and Child Health Bureau grant awarded March 2023 established a transition coordinator program for children with special health care needs moving from pediatric to adult care, running through February 2028.

Mountain States Health Alliance also functions as a sub-recipient on multiple federal grants flowing through Tennessee state agencies. The vendor receives pass-through funding from Tennessee Emergency Management Agency for pandemic emergency protective measures including emergency medical care, medical sheltering, vaccine administration, and community engagement across multiple tranches (awards in 2025, 2026). Additional sub-recipient work flows through the Tennessee Department of Health (HCC EP programs), the Tennessee Department of Finance and Administration (Victims of Crime and High-Risk Perinatal programs), and the State of Tennessee (Part C IDEA early intervention services for children birth through five years). The vendor is also a sub-recipient on Emory University's National Ebola Training and Education Center grant (award dated September 2026).

Activity shows year-over-year volatility—22 awards in 2022, declining to 4 in 2023, then rising to 12 in 2025—with only 2 awards completing in the next twenty-four months, indicating limited near-term recompete exposure. Combined dollars obligated ($89.7 million) exceed combined potential value ($30.7 million) by 292 percent, reflecting invoiced claims and past spending against multi-year grant and contract vehicles. The vendor's award concentration sits across 16 distinct federal agencies, with the VA and DOJ representing approximately 60% of all awards by count, but the VA VISN 9 relationship dominates by dollar value.