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MORRISTOWN HAMBLEN HOSP: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
MORRISTOWN HAMBLEN HOSP (EIN 62-0545814)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-13
IRS object ID
202333179349311043
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-13T18:52:27-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN620545814EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Morristown-Hamblen Hospital AssociationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMORRBusinessNameControlTxt
Phone8653743140PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11420 Centerpoint Blvd Bldg CAddressLine1Txt
CityKnoxvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP379321960ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJoseph C DolanPersonNm
Person TitleEVP/CFOPersonTitleTxt
Phone8653743140PhoneNum
Signature2023-11-08SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJosephPersonFirstNm
Person LastDolanPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Morristown-Hamblen Healthcare SystemBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJames D VanderSteegPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1244 Ft Sanders W BlvdAddressLine1Txt
CityKnoxvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37922ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$137,131,291GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.covenanthealth.com/morristown-hamblenWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1952FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionMorristown-Hamblen Hospital Association operates a 167-bed acute care hospital located in Hamblen County, Tennessee. It is a member of the Covenant Health System.ActivityOrMissionDesc
Voting Members Governing Body23VotingMembersGoverningBodyCnt
Voting Members Independent22VotingMembersIndependentCnt
Total Employee913TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$86,003TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$76,503NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,869,119PYContributionsGrantsAmt
CY Contributions Grants$3,723,099CYContributionsGrantsAmt
PY Program Service Revenue$123,787,352PYProgramServiceRevenueAmt
CY Program Service Revenue$132,693,846CYProgramServiceRevenueAmt
PY Investment Income$27,890PYInvestmentIncomeAmt
CY Investment Income$24,321CYInvestmentIncomeAmt
PY Other Revenue$430,011PYOtherRevenueAmt
CY Other Revenue$534,003CYOtherRevenueAmt
PY Total Revenue$127,114,372PYTotalRevenueAmt
CY Total Revenue$136,975,269CYTotalRevenueAmt
PY Grants And Similar Paid$31,331PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$30,902CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$40,145,290PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$43,348,056CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$70,532,148PYOtherExpensesAmt
CY Other Expenses$75,354,403CYOtherExpensesAmt
PY Total Expenses$110,708,769PYTotalExpensesAmt
CY Total Expenses$118,733,361CYTotalExpensesAmt
PY Revenues Less Expenses$16,405,603PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$18,241,908CYRevenuesLessExpensesAmt
Total Assets BOY$71,835,132TotalAssetsBOYAmt
Total Assets EOY$90,654,910TotalAssetsEOYAmt
Total Liabilities BOY$15,582,295TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,005,500TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$56,252,837NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$79,649,410NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMorristown-Hamblen Hospital Association 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$116,435,228ExpenseAmt
Grant$30,902GrantAmt
Revenue$132,711,466RevenueAmt
DescFounded in 1895, Morristown-Hamblen Healthcare System ("Morristown-Hamblen") is a 167-bed facility that has provided more than 100 years of care to its community. The hospital serves an eight-county region in the Lakeway Area of East Tennessee.SERVICEMorristown-Hamblen includes six centers of excellence: the Heart, Lung, and Vascular Center; Women's Center; Breast Center; Morristown Regional Cancer Center; Outpatient Surgery Center, Emergency Department and Critical Care Unit. Morristown-Hamblen received an "A" Hospital Safety Score from The Leapfrog Group in Fall 2022.The hospital served 116,246 patients in 2022. Of these, 109,202 were outpatients and 7,044 were inpatients with an average length-of-stay of 4.64 days.PUTTING PATIENTS FIRSTThe hospital's Morristown Regional Cancer Center offers comprehensive cancer care that includes medical oncology, chemotherapy, and radiation oncology, among other services. The radiation oncology department includes a highly specialized team of radiation therapists, a radiation oncologist, medical physicists and registered nurses. The program is the only provider of radiation therapy within a 45-mile radius of Morristown.The Cancer Center has a dedicated high-speed CT scanner for treatment simulation and planning, and other state-of-the-art technology. The program offers treatments such as external beam radiation therapy, intensity-modulated radiation therapy, high-dose-rate brachytherapy and low-dose CT scans for early detection of lung cancer.Morristown-Hamblen's Heart, Lung, and Vascular Center offers a complete continuum of care including prevention, diagnostic, interventional and rehabilitative services for both inpatients and outpatients. Tests available include EKGs, Holter monitors, echocardiograms and stress testing. Diagnostic and interventional catheterizations are performed using advanced technologies in angioplasty, drug-eluting stents, intra-aortic balloon pumps and closure devices.Since opening Morristown-Hamblen Women's Healthcare of Morristown in 2018, women in all stages of life have received a wide range of care. This includes specialties such as gynecology, pregnancy care, hormonal and menopause management, and gynecological surgery. The Center partners with the Hamblen County Foundation for Educational Excellence to provide toolkits that include community resources and parenting guides to each new mother at the hospital.Morristown-Hamblen is certified under The Joint Commission's Gold Seal of Approval and the American Heart Association/American Stroke Association's Heart-Check mark for Advanced Certification for Primary Stroke Centers. The Gold Seal of Approval and the Heart-Check mark represent symbols of quality from their respective organizations for excellence in stroke care. The hospital is also a member of Covenant Health's stroke hospital network, which links Covenant Health's member hospitals in providing our region with access to rapid diagnosis and treatment of stroke.Since opening a Wound Care and Hyperbaric Medicine Center in 2019, Morristown-Hamblen has been able to serve a larger number of patients who need these specialized services.INTRODUCING MORRISTOWN-HAMBLEN WESTTo meet the healthcare needs of Morristown and the surrounding area, in 2020 Morristown-Hamblen Healthcare System announced plans to build a $37 million outpatient facility. The proposed 50,000-square-foot facility will include a free-standing emergency department and diagnostic center as well as physician offices.The new facility will expand services in a new, consumer-focused facility designed for more convenient access and efficient service. In addition to offering additional spacious emergency and diagnostic services, the new location also will expand the available physician office space, which will assist in physician recruitment to the community. The new emergency and diagnostic facility will also help alleviate overcrowding at the main hospital. The facility is scheduled to open in summer 2023.COVENANT HEALTHMorristown-Hamblen Hospital is a member of Covenant Health. Covenant Health is a comprehensive, community-owned health system dedicated to improving the health of the people it serves. Established in 1996 by the consolidation of Fort Sanders Health System, Knoxville, Tennessee, and MMC HealthCare System in Oak Ridge, Covenant Health is governed by a voluntary board of directors comprised of community leaders and medical professionals. With more than 11,000 employees, affiliated physicians and volunteers, Covenant Health is the Knoxville area's largest employer and has been named a Best Employer by Forbes.Covenant Health includes nine acute care hospitals in East Tennessee: Methodist Medical Center of Oak Ridge, Fort Sanders Regional Medical Center and Parkwest Medical Center in Knoxville, Fort Loudoun Medical Center in Lenoir City, LeConte Medical Center in Sevierville, Morristown-Hamblen Healthcare System in Morristown, Roane Medical Center in Harriman, Claiborne Medical Center in Tazewell and Cumberland Medical Center in Crossville. It also includes Peninsula, a division of Parkwest Medical Center, a behavioral health hospital in Blount County, Tennessee. The health system also includes Covenant Medical Group, which includes more than 200 physicians and advanced practice clinicians in office locations throughout East Tennessee.Affiliated organizations include Thompson Cancer Survival Center, Thompson Oncology Group, Fortress Corporation and Subsidiaries, Covenant HomeCare, and Fort Sanders Perinatal Center. Philanthropic organizations include Fort Sanders Foundation and the Thompson Cancer Survival Center Foundation in Knoxville, Methodist Medical Center Foundation in Oak Ridge, Dr. Robert F. Thomas Foundation in Sevierville, and Morristown-Hamblen Hospital Foundation in Morristown. Funds raised by the foundations provide services, equipment and other resources for excellence in patient care.Morristown-Hamblen Hospital, as a member of the Covenant Health system, benefits from the collaboration among all affiliated organizations to promote quality improvement, patient safety and efficient delivery of care for the communities served.Desc
Total Program Service Expenses$116,435,228TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document89IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee913EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members23GoverningBodyVotingMembersCnt
Independent Voting Member22IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Amy DeLongBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8653743140PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11420 Centerpoint Blvd Bldg CAddressLine1Txt
CityKnoxvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP379321960ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Gerald Boyd
Director0.001.00Yes (X)$0$0$0
Willard Campbell MD
Director0.001.00Yes (X)$0$0$0
Michael Casey MD
Director0.001.00Yes (X)$0$0$0
Ronni Chandler
Director0.001.00Yes (X)$0$0$0
Mitchell Dickson MD
Director0.001.00Yes (X)$0$268$0
Stephanie Flood
Director0.001.00Yes (X)$0$849$0
James Gibson
Director0.001.00Yes (X)$0$74$0
Edgar Gray
Director0.001.00Yes (X)$0$1,432$0
Leslye Hartsell
Director0.001.00Yes (X)$0$889$0
Donald Hickman
Director0.001.00Yes (X)$0$1,538$0
Timothy Matthews
Director0.001.00Yes (X)$0$906$0
Janice McKinley
Director0.001.00Yes (X)$0$1,097$0
Dave Miller
Director0.001.00Yes (X)$0$1,208$0
Bill Myers
Director0.001.00Yes (X)$0$0$0
Alvin Nance
Director0.001.00Yes (X)$0$0$0
Linda Ogle
Director0.001.00Yes (X)$0$0$0
King Purnell
Director/Chair0.001.00Yes (X)$0$1,050$0Yes (X)
Jorge Sanabria
Director0.001.00Yes (X)$0$1,485$0
William Seale
Director0.001.00Yes (X)$0$1,251$0
Cosby Stone
Director0.001.00Yes (X)$0$1,408$0
Joe Sutter
Director0.001.00Yes (X)$0$979$0
James Tramontana MD
Director0.001.00Yes (X)$0$1,208$0
James D VanderSteeg
President & CEO0.0050.00Yes (X)$0$2,346,646$316,057Yes (X)
John T Geppi
EVP/CFO0.0050.00$0$1,099,851$33,916Yes (X)
Gordon E Lintz
President & CAO50.000.00$0$481,299$23,477Yes (X)
Amy E Herndon
VP - Financial Services50.000.00$186,096$0$26,172Yes (X)
Lisa M Kelley
VP - Chief Nursing Officer50.000.00$153,733$0$33,646Yes (X)
Robert J Drinnon
Medical Physicist50.000.00$191,573$0$34,546Yes (X)
Donna J Antrican
Clinical Nurse50.000.00$129,483$0$18,299Yes (X)
Pamela S Western
Pharmacist50.000.00$142,767$0$22,162Yes (X)
Jacqueline S Lewis
Clinical Nurse50.000.00$131,785$0$30,129Yes (X)
Renata Hannah
Clinical Nurse50.000.00$128,083$0$12,842Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,063,520TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,943,438TotReportableCompRltdOrgAmt
Total Other Compensation$551,246TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K26IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
The Christman Company
2400 Sutherland AveKnoxvilleTN37920Contractor Services$21,696,803
H S Whitson Construction Co
PO Box 7343KnoxvilleTN37921Construction Services$1,132,367
Linen King
1521 W 36th PlaceTulsaOK74107Linen Services$996,574
Sodexo Inc and Affiliates
9801 Washingtonian BlvdGaithersburgMD20878Cafeteria Management$900,581
Earl Swensson Associates Inc
1033 Demonbreun St Ste 800NashvilleTN37203Architectural/Engineering Services$640,210
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K23CntrctRcvdGreaterThan100KCnt
Government Grants$3,722,067GovernmentGrantsAmt
All Other Contributions$1,032AllOtherContributionsAmt
Total Contributions$3,723,099TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue622110$132,564,120$132,564,120
Rental Income - Exempt Affiliate531120$129,726$129,726
FieldValueIRS element (for citing)
Total Program Service Revenue$132,693,846TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,509TotalRevenueColumnAmt
Exclusion$28,509ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$237,837RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$151,834RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$86,003RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$86,003TotalRevenueColumnAmt
Unrelated Business Revenue$86,003UnrelatedBusinessRevenueAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$4,188OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$4,188OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,188TotalRevenueColumnAmt
Exclusion-$4,188ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Cafeteria722514$273,295$273,295
Gift Shop459420$81,578$81,578
Vending722515$37,789$37,789

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$55,338TotalRevenueColumnAmt
Related Or Exempt Func Income$17,620RelatedOrExemptFuncIncomeAmt
Exclusion$37,718ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$448,000OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$136,975,269TotalRevenueColumnAmt
Related Or Exempt Func Income$132,711,466RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$86,003UnrelatedBusinessRevenueAmt
Exclusion$454,701ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,482TotalAmt
Program Services$4,482ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$26,420TotalAmt
Program Services$26,420ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$399,647TotalAmt
Management And General$399,647ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$35,887,811TotalAmt
Program Services$35,326,330ProgramServicesAmt
Management And General$561,481ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$552,136TotalAmt
Program Services$548,584ProgramServicesAmt
Management And General$3,552ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,905,351TotalAmt
Program Services$3,850,149ProgramServicesAmt
Management And General$55,202ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,603,111TotalAmt
Program Services$2,538,819ProgramServicesAmt
Management And General$64,292ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$12,125,379TotalAmt
Program Services$11,897,058ProgramServicesAmt
Management And General$228,321ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$124,654TotalAmt
Management And General$124,654ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,711,774TotalAmt
Program Services$13,611,760ProgramServicesAmt
Management And General$100,014ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$151,309TotalAmt
Program Services$147,550ProgramServicesAmt
Management And General$3,759ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$662,847TotalAmt
Program Services$563,403ProgramServicesAmt
Management And General$99,444ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,928,921TotalAmt
Program Services$2,698,083ProgramServicesAmt
Management And General$230,838ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$36,526TotalAmt
Program Services$35,998ProgramServicesAmt
Management And General$528ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,451TotalAmt
Program Services$14,409ProgramServicesAmt
Management And General$1,042ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,743,114TotalAmt
Program Services$5,656,694ProgramServicesAmt
Management And General$86,420ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$117,037TotalAmt
Program Services$6,711ProgramServicesAmt
Management And General$110,326ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$27,986,707$27,986,707
Bad Debt$7,943,991$7,943,991
Minor Equipment$2,784,777$2,762,179$22,598
Food and Dietary$497,957$497,860$97

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$523,959TotalAmt
Program Services$318,041ProgramServicesAmt
Management And General$205,918ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$118,733,361TotalAmt
Program Services$116,435,228ProgramServicesAmt
Management And General$2,298,133ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,380BOYAmt
EOY$1,380EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY-$607,883BOYAmt
EOY-$2,606,547EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,089,242BOYAmt
EOY$15,633,557EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,201,662BOYAmt
EOY$1,145,303EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$438,200BOYAmt
EOY$496,234EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$166,673,550LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$101,180,508LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$46,225,652BOYAmt
EOY$65,493,042EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$8,819,138BOYAmt
EOY$8,819,138EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,667,741BOYAmt
EOY$1,672,803EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$71,835,132BOYAmt
EOY$90,654,910EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,068,754BOYAmt
EOY$9,567,480EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,513,541BOYAmt
EOY$1,438,020EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,582,295BOYAmt
EOY$11,005,500EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$56,252,837BOYAmt
EOY$79,649,410EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$56,252,837BOYAmt
EOY$79,649,410EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$71,835,132BOYAmt
EOY$90,654,910EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$18,241,908ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$5,154,665OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,915,353OtherCostOrOtherBasisAmt
Book Value$2,915,353BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$61,240,267OtherCostOrOtherBasisAmt
Depreciation$38,726,270DepreciationAmt
Book Value$22,513,997BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$77,433,247OtherCostOrOtherBasisAmt
Depreciation$62,454,238DepreciationAmt
Book Value$14,979,009BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,084,683OtherCostOrOtherBasisAmt
Book Value$25,084,683BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$65,493,042TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Deferred Revenue$34,997
Due to Third Party Payors$655,035
Long-Term Deferred Compensation$312,479
Operating and Finance Leases$435,509
FieldValueIRS element (for citing)
Total Liability$1,438,020TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationExcerpt from the consolidated audited financial statements of Covenant Health (Covenant), parent company to Morristown-Hamblen Hospital Association: Covenant and certain of its subsidiaries or controlled entities are exempt from income taxes pursuant to Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes on qualifying activities has been made for these entities in the accompanying consolidated financial statements. However, certain entities and operations are subject to income taxes. Covenant had no unrecognized tax benefits at December 31, 2022 and 2021. As such, no interest or penalties were recognized in the consolidated financial statements related to unrecognized tax benefits. At December 31, 2022 and 2021, tax returns for 2019 through 2022 are subject to examination by the Internal Revenue Service. Covenant has no uncertain tax positions that would require financial statement recognition or disclosure under GAAP at December 31, 2022 and 2021.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,553,100TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,553,100NetCommunityBenefitExpnsAmt
Total Expense0.04110TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,376,095TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,788,584DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,587,511NetCommunityBenefitExpnsAmt
Total Expense0.03240TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,811TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,293DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,951,006TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,818,877DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,140,611NetCommunityBenefitExpnsAmt
Total Expense0.07350TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$109,854TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$109,854NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$629TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$629NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,598,698TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,240,041DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,358,657NetCommunityBenefitExpnsAmt
Total Expense0.03930TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,229TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$30,229NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,739,410TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,240,041DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,499,369NetCommunityBenefitExpnsAmt
Total Expense0.04060TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,690,416TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,058,918DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,639,980NetCommunityBenefitExpnsAmt
Total Expense0.11410TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,029TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,029NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,971TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,971NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$92TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$92NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,092TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,092NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$7,943,991BadDebtExpenseAmt
Bad Debt Expense Attributable$1,022,258BadDebtExpenseAttributableAmt
Reimbursed By Medicare$19,185,686ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$16,246,590CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$2,939,096MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Morristown-Hamblen Healthcare SystemBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1908 W Fourth North StAddressLine1Txt
CityMorristownCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37814ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.covenanthealth.com/morristown-hambWebsiteAddressTxt
State License00000073StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Morristown-Hamblen Hospital AssociationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Page 8OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Page 8StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.covenanthealth.com/patients-visitors/financial-assistanceFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.covenanthealth.com/patients-visitors/financial-assistanceFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.covenanthealth.com/patients-visitors/financial-assistanceFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Morristown-Hamblen Hospital AssociationPart V, Section B, Line 5: Morristown-Hamblen Hospital Association dba Morristown-Hamblen Healthcare System ("Morristown-Hamblen") conducted its fourth Community Health Needs Assessment ("CHNA") in 2022. A Steering Committee was formed to guide the assessment process and included the Hamblen County Health Department, Morristown Hamblen Healthcare System, Hamblen County Health Council, and the Tennessee Department of Public Health. Each of these community organizations serve the broader community and, in particular, the low-income, uninsured and chronically ill. The Steering Committee worked with the University of Tennessee-Knoxville Social Work Office of Research and Public Service ("UT-SWORPS") to devise a Hamblen County household survey and to host four focus groups of community leaders, each of which represented a part of the overall Hamblen County public health system. The household survey collected information from 407 Hamblen County residents. Participation in the survey was diverse and reflected the demographic profile of the county for the attributes of educational level, income, ethnicity and age. The primary research was analyzed and combined with county demographics, mortality, and secondary data from more than 60 health indicators. A Data Team was formed to analyze the data and determine the most significant findings from the assessment. The Data Team included members of the Steering Committee as well as representatives from the Morristown Task Force on Diversity, Hamblen County Senior Center, Hispanic community advocates, Citizen Tribune, Morristown Parks and Recreation, Healthy Hamblen, Hamblen County Board of Health, and Coordinated School Health.
Morristown-Hamblen Hospital AssociationPart V, Section B, Line 6b: Though Morristown-Hamblen's CHNA was issued as a stand-alone report, many non-hospital organizations assisted throughout the process. Research partners provided expertise on survey design, focus group facilitation, data collection, data sources, and analysis. UT-SWORPS was an integral contributor, as well as the Hamblen County Health Department and the Tennessee Department of Public Health (Nashville, TN).Additionally, focus groups were beneficial in discussing and identifying community needs in Hamblen County. Organizations and individuals participating in the focus groups included:- Morristown Task Force on Diversity - Hamblen Co. Health Dept.- Chamber of Commerce - NAACP- Cherokee Health System - Pregnancy Crisis Center- McNabb Center - Reunion of Ages- Morristown Utility Company - Walter State Community College- Hamblen Co. Senior Citizen Center - Helping Hands Clinic- Men of Vision - Tennessee Voices- Smoky Mountain Home Health and Hospice - Morristown Police Dept.- United Way of Hamblen County - Hamblen Co. School Health Coordinator - Morristown Parks and Recreation Dept.- Morristown Hamblen Healthcare System
Morristown-Hamblen Hospital AssociationPart V, Section B, Line 11: At the conclusion of the 2022 assessment process, the Data Team identified a top ten list of health priorities and further refined this list into the top 5 most significant health issues. Due to the impact of COVID-19 during this assessment cycle, the Data Team's recommendation was to continue with the same top five identified community needs from 2019: obesity, tobacco use and vaping, substance abuse disorder, access to mental health services, and cancer.Morristown-Hamblen updated its 2022 Implementation Plan based on identified needs and plans to address all of the identified issues in the following ways:1. Substance Abuse DisordersLow-Dose CT Screening - Morristown-Hamblen will continue to advertise and encourage community members who meet the criteria to participate in Low-Dose CT screening. This initiative will help diagnosis and treat cancer during earlier stages instead of finding the cancer at an advanced stage. Opioid Light Protocol - Morristown-Hamblen has adopted the Covenant protocol to reduce the amount of narcotics prescribed in our Emergency Department. Narcotics are reserved for acute pain, and other non-narcotic methods of pain control are offered to patients with more chronic pain. 2. Access to Mental Health Services - Morristown-Hamblen has chosen to focus resources on tangible, effective local efforts and will continue to collaborate with local mental health providers as needed and as resources are available. For example, Morristown-Hamblen collaborated with Helen Ross McNabb to place an Alcohol & Drug counselor based in our emergency department to help identify patients and appropriate resources to expedite getting patients help in a timelier manner. - Our Case Management Department has been educated on local group home resources that are available to those struggling with addiction. - Senior Behavioral Health Services are collaborating with local resources such as ALPS or local dementia adult care centers.3. CancerLow-Dose CT Screening - Morristown-Hamblen offers Low-dose CT scans as a diagnostic screening for those at higher risk for lung cancer. The procedure is painless and takes about ten seconds; it is non-invasive and requires no medication. Low-dose CT must be ordered by a physician. Community outreach efforts are being made to educate primary care physicians on the benefits of this screening procedure. Data from scans are logged into the American College of Radiology Database for further analysis and study."Think Pink" Event - Morristown-Hamblen now offers an annual "Think Pink" event inviting the community to come and be educated and involved in encouraging ladies in our community to have annual mammograms.Jingle Run - Morristown Regional Cancer Center has developed the Jingle Run, a 5k walk or run, to raise awareness about cancer screening and prevention and to raise money for our cancer patient support fund used to help patients with the cost of take home medications, gas cards to assist with transportation to and from treatments, utility bill assistance, etc. while patients are unexpectantly out of work and undergoing cancer treatment.4. ObesityMorristown Landing - Morristown-Hamblen will be the official health care provider of the new community center, Morristown Landing. This will include health tips throughout the facility to educate the community on healthy lifestyles. In addition, Morristown-Hamblen will provide athletic trainers to ensure that athletes participating in events have access to quality care. Population Health / Occupational Medicine Initiative - The Population Health Manager and CAO of Morristown-Hamblen are meeting with companies to share how Covenant Health can assist in helping companies understand health risk factors of their employees, and then implement education and initiatives to meet the goal of reducing risk factors most prevalent within the company's employee population. One example is the "Biggest Winner" program implemented with our local utility company to help employees increase exercise and lose weight.5. Tobacco Use and VapingCommunity Education -Morristown-Hamblen has annual health education and screening fairs across the community. Events include education in the school systems about the dangers of smoking and vaping. - Hamblen County School System's "Be Smart, Don't Start" initiative is a joint effort by Morristown-Hamblen, the Hamblen County Department of Health and the Hamblen County Board of Education. The program encourages students to abstain from smoking and vaping. The program was suspended during COVID but all parties hope they will be able to resume it again in the future.Cancer Screening - As part of its Low-Dose CT screening, smoking education material will be distributed to individuals at risk for lung cancer.Expanded Health Care OptionsTo meet the healthcare needs of Morristown and the surrounding area, Morristown-Hamblen is currently building a $37 million outpatient facility. The proposed 50,000-square-foot facility will include a free-standing emergency department, diagnostic center and physician offices. The facility is scheduled to open in 2023 and will expand health care services throughout the Morristown-Hamblen community.
Morristown-Hamblen Hospital AssociationPart V, Section B, Line 16j: All other ways in which the hospital widely publicizes the FAP are discussed in detail in Part VI, Line 3.
Part V, Line 7a, CHNA Websitehttps://www.covenanthealth.com/morristown-hamblen/chna/
Part V, Line 10a, Implementation Strategy Websitehttps://www.covenanthealth.com/morristown-hamblen/chna/
Part V, Line 20d, Presumptive Eligibility DeterminationsThe hospital follows the eligibility procedures as detailed within the FAP and does not make presumptive eligibility determinations.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Ambulatory Surgery Center
908 W Fourth North StreetMorristownTN37814Outpatient Surgery Center
2 - Morristown Regional Diagnostic Center
901 W Fourth North StreetMorristownTN37814Outpatient Diagnostic Center

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:In addition to the Federal Poverty Guidelines ("FPG"), Morristown-Hamblen utilizes an asset test as a factor in determining eligibility for free or discounted care. Ten percent (10%) of the patient/guarantor's net assets will be added to income for determination of total annual income. The guidelines for determining assets include, but are not limited to, primary dwelling (and attached land), automobiles, liquid assets, investments, farm land, business property, rental property, farm and/or business equipment including livestock and crops. All real property will be considered at fair market value. The values of both real and personal property will be reduced by any existing liabilities incurred by the applicant in obtaining the assets (net assets) with the exception of primary dwelling. The primary dwelling net asset will be the amount of equity above $100,000. Actual or potential third party liability to the patient, hospital, or the guarantor by common law, contract, statute or otherwise, shall be considered an asset and must be listed on the Hospital Financial Assistance application.
Part I, Line 6a:Covenant Health, the parent company of Morristown-Hamblen and other affiliated acute care hospitals, prepares an annual Report to the Community on behalf of the entire system.
Part I, Line 7:Amounts on Lines 7a-7c and certain program costs included on Line 7g are from the hospital's cost accounting system, which addresses all patient segments. Other community benefit expenses are at cost from the general ledger.
Part I, Line 7g:Subsidized health services includes the difference between the cost of services and the payments received for those services. The cost of providing in-patient behavioral health exceeded the payments received by $1,326,767, and the cost of providing OB and neonatal care exceeded payments by $63,919. The total also includes $2,967,971 in physician sponsorship fees. All subsidized health services included on line 7g are for services that would otherwise be unavailable in the community or be below the community's needs.
Part I, Ln 7 Col(f):The Bad Debt expense included on Form 990, Part IX, Line 24a, but subtracted for purposes of calculating the percentage in this column is $7,943,991.
Part II, Community Building Activities:Morristown-Hamblen cares for the whole person and recognizes that improved social and economic conditions may lead to the improved health and well-being of the community. The hospital's community building activities and those of its parent organization, Covenant Health, address many of the root causes of health problems, such as poverty and homelessness, and help find solutions to alleviate the symptoms.An allocation of the Parent's community building expenditures has been made to each member hospital in proportion to the financial contribution of each to the health system. Covenant Health is not a hospital and does not file Schedule H with its Form 990. Contributions in 2022 were made to organizations meeting the community's needs by providing: - The basic needs of life including temporary shelter, food and clothing (Ladies of Charity, City Shepherds, Safe Families for Children East TN and Second Harvest Food Bank) - Youth mentoring, development and after-school programs (Emerald Youth Foundation, Boys and Girls Club, Knox Education Foundation, First Tee of Greater Knoxville and Great Smoky Mountain Council) - Business recruitment and marketing initiatives that boost economic development (Knoxville Technology Council, Knoxville Zoological Garden and Pellissippi State Foundation) - Leadership development programs and workshops (Knoxville Area Urban League and Leadership Knoxville) - Assistance and special programs for at risk older adults, people with physical and mental challenges, and abused and neglected children (Senior Citizens Home Assist and Sertoma Center) - Improve access to health services (East TN Children's Hospital, Helen Ross McNabb Center, Interfaith Health Clinic, Knoxville Academy of Medicine, and Region II Emergency Medical Services) - Programs supporting patients and their families (Air Force Association, Alzheimer's Tennessee, American Cancer Society, American Heart Association, Angel Wings Memory Gowns, East TN Kidney Foundation, East TN Veteran Memorial Association, Juvenile Diabetes Research Foundation and Leukemia & Lymphoma Society, Wreaths Across America)
Part III, Line 2:Bad debt expense on Part III, Line 2 is the amount recorded in the organization's financial statements. Discounts and payments on patient accounts are netted against bad debt. The allowance for bad debt is determined based on management's assessment of factors including the age of the accounts, historical collections data, and industry standards.
Part III, Line 3:At regular intervals, the Vice President of Revenue Cycle analyzes all self-pay accounts receivables to identify patients who may have been eligible for charity care during a particular period or year. Because this analysis does not yield a final determination of eligibility due to various factors including but not limited to charity applications still in process, failure of eligible patients to submit their charity application, and applications still under consideration, further analysis of the accounts comprising the self-pay accounts receivable is conducted. The accounts for which a patient was contacted to apply for charity care include an identifier; these charity-identified accounts are then categorized according to status. A ratio of the dollar amounts of those accounts whose charity application is in process or has been approved divided by the total self-pay accounts receivable is computed. This ratio is applied to the bad debt expense total to determine the estimated amount of the bad debt expense attributable to patients eligible for charity care according to the hospital's policy.
Part III, Line 4:Note B to the 2022 Audited Consolidated Financial Statements of the Covenant Health system, of which Morristown-Hamblen is a member, states: Patient accounts receivable are reported net of an estimated allowance for contractual adjustments and an allowance for implicit price concessions. Covenant's policy does not require collateral or other security for patient accounts receivable and Covenant routinely accepts assignment of, or is otherwise entitled to receive, patient benefits payable under health insurance programs, plans or policies.
Part III, Line 8:Costing Methodology: Morristown-Hamblen used a combination of sources in calculating Medicare allowable costs on Part III, Line 6 including its cost accounting system, general ledger accounting system, and facility-specific analyses and calculations.
Part III, Line 9b:Morristown-Hamblen utilizes a look-back method to determine amounts generally billed ("AGB") to establish the maximum amount that will be charged to individuals eligible under the financial assistance policy ("FAP") for emergency or other medically necessary care. Self-pay patients automatically receive a 70% discount on charges based on the facility's calculated AGB. Federal poverty guidelines are utilized in the determination of charity care eligibility. Patients who are unable to pay and have exhausted all sources of payment assistance may qualify for charity care. A sliding scale is used for extending charity care utilizing the income levels reported under the federal poverty guidelines. Patients/guarantors with income that falls below 200% of the federal poverty guidelines receive 100% charity care. Patients/guarantors with income of 201-300% of the federal poverty guidelines receive 90% charity care. For catastrophic illness, exceptions to income and asset limitations may be made on a case-by-case basis. The amount considered for charity will be based upon the evaluation of the patient's/guarantor's ability to pay.Morristown-Hamblen makes reasonable efforts to determine a patient's eligibility under the facility FAP. All collection activity will be halted if a charity application is received and will remain on hold until a determination is made by Morristown-Hamblen and communicated in writing to the responsible party. If the charity application is approved, all collection activities taken will be reversed and any amounts paid above the amount required will be refunded. Patients/guarantors who qualify for partial financial assistance are responsible for paying any balance remaining after the charity adjustment and third party payments. Morristown-Hamblen will not engage in extraordinary collection actions ("ECA") before it makes reasonable efforts to determine whether an individual who has an unpaid bill is eligible for financial assistance. Reasonable efforts to determine whether the individual who has an unpaid bill is eligible for financial assistance include notification to the individual of the financial assistance policy, contacting individuals who have submitted incomplete financial assistance applications regarding how to complete the application, and allowing a reasonable time period to do so, and reviewing completed applications for financial assistance eligibility. Morristown-Hamblen does not sell any accounts receivable accounts to outside firms. All accounts remain property of and under the policies set by Morristown-Hamblen. Morristown-Hamblen will not defer or deny medically necessary care because of nonpayment for previously provided care whether it was covered or not covered under the charity program.
Part VI, Line 2:While the CHNA is a formal means by which the health system assesses the needs of the community, there are many informal networks that give the Covenant Health hospitals a sense of community issues and needs. Morristown-Hamblen obtains additional community information through the service of its employees with the Hamblen County Health Council, the Chamber of Commerce, and Rotary Clubs, and United Way. Covenant Health, the parent organization, maintains community benefit professionals working year-round to ensure that all hospitals are assessing and addressing the needs of the communities served.
Part VI, Line 3:The FAP states that patients who are unable to pay or have exhausted all sources of payment assistance may be considered for charity care. Signage about the policy is posted in highly visible areas of the hospital, such as lobbies and registration areas. Information about the FAP is posted in patient booklets provided to inpatients during the registration process and communicated via patient billing statements. In addition, the FAP and application are available on the facility website. Morristown-Hamblen employs full-time financial counselors to assist patients in applying for TennCare and screening for financial assistance. Office hours and the phone number for the counselors are included on the signage. Wall signs informing patients about available financial assistance state the following: Covenant Health is committed to providing quality health services in a caring environment. It is the expressed philosophy of Covenant Health and its member hospitals that no one should be denied necessary medical care because of the inability to pay. In conjunction with this philosophy, counselors at Morristown Hamblen are available to assist you with your financial needs. If you are an uninsured person with no public or private source of payment for medical services Morristown Hamblen will provide at a reduced rate, medically indicated services. A financial counselor is available to assist you with these matters by calling 423-492-5053, Monday through Friday between the hours of 8:00 a.m.-4:00 p.m. Additional information regarding financial assistance is also available on our website at www.morristownhamblen.com. Signage at the registration areas state the following:It is Morristown Hamblen's philosophy that no one shall be denied medically necessary services based on an inability to pay. Financial assistance applications for medically necessary services are available during the registration process, through a financial counselor, or on our website at www.morristownhamblen.com. A financial counselor is available to assist you with these matters by calling 423-492-5053, Monday through Friday between the hours of 8:00 a.m. - 4:00 p.m.
Part VI, Line 4:Hamblen County, Tennessee, is the primary market area for Morristown-Hamblen. Hamblen County is a rural community with close proximity to the metropolitan Knoxville area. Morristown-Hamblen is the only hospital in Hamblen County. According to internal hospital data for 2022, 45% of the inpatient encounters and 38% of the outpatients were residents of Hamblen County.According to 2022 data from the County Health Rankings, Robert Wood Johnson Foundation, the population of Hamblen County is 65,110. The population has slightly more women (51.1%). Persons 65 and older account for 18.7% of the population. Hamblen County has one of the largest Hispanic populations in East Tennessee at 12.1%. The median income of Hamblen County is $48,000 per household with 21% of the children living in poverty. Unemployment is at 7.1%.In support of the significant findings from the 2022 CHNA, the following data points support the conclusions of the 2022 assessment:Obesity - Forty-seven percent of school-aged youth in Hamblen County were classified as overweight or obese. - Thirty-eight percent of adults in Hamblen County are obese. Tobacco / Vaping - Twenty-four percent of adults in Hamblen County smoke. - School officials are seeing a dramatic rise in high school students who are vaping. - More than 50% of adults see youth smoking/vaping as a major problem in Hamblen County.Substance Abuse Disorder - Seventy-one percent of survey respondents identified drug abuse as the most significant health issue in Hamblen County. - In a county with a population of 65,110, the number of patients receiving opioids for pain is 12,543. - In Hamblen County, there are 830 opioid prescriptions written for every 1,000 residents. This is down from 1,430 for every 1,000 residents in 2019.Access to Mental Health Services - Mental health issues were identified as the second highest health concern by community leaders participating in the focus groups. - Although the ratio of mental health provider per resident is average, many residents do not have the financial means to access services.Health Literacy and Education - The leading causes of death in Hamblen County over the past decade include cancer, heart disease, respiratory disease, Alzheimer's disease, accidents, stroke, diabetes, flu, and pneumonia. Most all of these are to a large degree preventable. - Access to community health education programming is fragmented in Hamblen County.Cancer - Cancer is the leading cause of death in Hamblen County. - Many cancer cases are diagnosed late in the disease progression when prognosis is not as good.
Part VI, Line 5:Morristown-Hamblen, in conjunction with its parent company, Covenant Health, uses any available surplus of receipts over disbursements to expand and modernize the facility and to support the education of healthcare professionals, both of which serve to improve patient care and serve the unmet needs of the community.Covenant Health's Board of Directors serves as Morristown-Hamblen's board. The board is comprised of independent community leaders with diverse educational and professional backgrounds. The board provides governance and oversight of Morristown-Hamblen.Morristown-Hamblen maintains an open medical staff, with privileges available to all qualified physicians and healthcare professionals. Additionally, the hospital operates an active and accessible emergency department open to all persons, regardless of the ability to pay.
Part VI, Line 6:Morristown-Hamblen, as a member of the Covenant Health system, benefits from the collaboration among all affiliated organizations to promote quality improvement, patient safety and efficient delivery of care for the communities served. As a system, Covenant assures that business processes are in place in each facility to measure and report quality; to increase the role of compliance; and to integrate risk management, utilization review, peer review, mandatory reporting and quality improvement into one cohesive function. In this way, the system is able to use analytic tools to help identify any systemic inability to satisfy the various requirements on the part of the facilities. Morristown-Hamblen's patients benefit from the availability of and ease of access to Covenant Health affiliated entities for services not provided by the hospital itself. Transfer or referral to such services is expedited and coordinated to help create a seamless continuum of care. A full range of community mental health and psychiatric hospital services are available within the system that help support the hospital's emergency room as well as provide an accessible and efficient pathway for those patients who require such services post discharge. Other specialized services such as inpatient rehabilitation, home health and hospice services are provided by affiliated entities. The Covenant Health system also enhances the patient's access to care through the provision of outpatient services in a variety of settings located throughout the service area. These include a diabetes center, wound care center, bariatric surgery center, pulmonary rehabilitation programs and ambulatory infusion centers.Foundation Support:Morristown-Hamblen Hospital Foundation was established in 1997 to acquire and accept charitable gifts for Morristown-Hamblen to help all those in need receive the highest quality of care regardless of the ability to pay. The Foundation is a separate, non-profit corporation which is governed by a volunteer Board of Directors, each of whom is a recognized leader in the communities Morristown-Hamblen serves. Annual fundraising events make it possible for the hospital to provide many important services to the community including: - Aid for cancer and palliative care, including specialized skin creams to aid in healing for radiation patients.- Assistance to patients and employees who find themselves in times of crisis.- Support to parents of stillborn or premature babies. Through this combination of resources and the collective development, implementation and monitoring of clinical protocols and other improvement initiatives, the affiliated entities of Covenant Health are able to deliver higher quality care in a more efficient manner than could be achieved working independently.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Friends of HospiceBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1307AddressLine1Txt
CityMorristownCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37816ZIPCd
FieldValueIRS element (for citing)
Recipient EIN581761448RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$5,282CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantSerenity House donation and fundraiser sponsorshipPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
Walters State Scholarships2$1,500
Patient Assistance236$24,920

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationGrant funds are provided to charitable organizations for the purpose of enhancing and promoting health care and improving quality of life in the community. The organization has guidelines in place to review the eligibility of grantees, and all grants require written documentation and appropriate levels of approval. The organization also provides other post-hospital care assistance to eligible individuals. Funds are generally not tracked after being granted as the original entity and selection criteria have been met. Scholarship assistance is both merit-based and needs-based, and funds are contingent upon ongoing satisfactory academic progress.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
James D VanderSteeg
President & CEO$0$1,425,507$0$742,500$0$178,639$0$284,975$0$31,082$0$2,662,703$0$0
John T Geppi
EVP/CFO$0$679,719$0$309,084$0$111,048$0$11,600$0$22,316$0$1,133,767$0$0
Gordon E Lintz
President & CAO$0$314,946$0$105,813$0$60,540$0$11,600$0$11,877$0$504,776$0$0
Robert J Drinnon
Medical Physicist$190,086$0$1,220$0$267$0$5,974$0$28,572$0$226,119$0$0$0
Amy E Herndon
VP - Financial Services$121,570$0$29,075$0$35,451$0$5,738$0$20,434$0$212,268$0$0$0
Lisa M Kelley
VP - Chief Nursing Officer$127,887$0$10,000$0$15,846$0$4,602$0$29,044$0$187,379$0$0$0
Pamela S Western
Pharmacist$141,119$0$1,220$0$428$0$4,411$0$17,751$0$164,929$0$0$0
Jacqueline S Lewis
Clinical Nurse$129,519$0$2,220$0$46$0$2,449$0$27,680$0$161,914$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aTax gross-up payments related to deferred compensation and reimbursement of fees for personal services for legal and financial planning are provided to certain executives and managers. Amounts are included in taxable compensation.
Part I, Line 3Covenant Health, the parent company of Morristown-Hamblen Hospital Association, used the following methods in establishing the compensation of President/CEO, James D. VanderSteeg: compensation committee, independent compensation consultant, written employment contract, compensation survey or study, and approval by the board or compensation committee. Additional detail is provided in response to Form 990, Part VI, Section B, Lines 15a and 15b within Schedule O.
Part I, Line 4bCovenant Health maintains a nonqualified deferred compensation ("NQDC") plan intended to support retention of President and CEO, James D. VanderSteeg. Employer contributions of $273,375 are reported as deferred compensation on Schedule J, Part II, Column C. Contributions along with 2022 earnings of $70,560 are subject to a substantial risk of forfeiture. Amounts are combined with other compensation and considered for reasonableness. Compensation procedures are discussed in detail in Schedule O (Form 990, Part VI, Section B, Line 15a).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4aIMPACT OF COVID-19 In March 2020, the outbreak of the coronavirus disease 2019 ("COVID-19") was declared a public health emergency by the Department of Health and Human Services and declared a national pandemic by the World Health Organization. The COVID-19 pandemic had a major impact on the operations of all hospitals and affiliates included within the Covenant Health System. Three years later, although the overall number of hospital admissions due to the virus is significantly lower than the prior two years, COVID-19 continues to be a long-term problem. The stresses on the System which began in 2020 continue to have long-term and far-reaching implications, creating new challenges for every hospital in the System. The rapid rise in costs for supplies and equipment, unprecedented staffing shortages, and lower patient volumes continue to result in financial stress. Elective surgeries and diagnostic procedures have not yet returned to pre-COVID levels. Government subsidies in 2020 and 2021 helped offset the financial losses caused by significant declines in volumes due to cancelled and postponed procedures. In 2021 and 2022, Federal and state grants continued to be used to subsidize the rising costs of retaining staff and providing quality care. These federal and state grants were helpful but the financial pressures of rising costs across the System are ongoing. Early results from our focus groups for the Community Health Needs Assessments indicate that community problems such as substance abuse, mental illness, asthma and other respiratory diseases, and access to health care have gotten worse since COVID-19, thus stressing the health care System even more than usual. Covenant Health has put in place a number of changes to address these challenges. We are aggressively pursuing cost reductions in supplies across our hospitals and with our vendors. Covenant has increased nurse pay and implemented retention bonuses and other incentives to help reduce staff fatigue and turnover. A number of innovations, including a growing use of Tele-health capabilities, have assured that we continue to reach and serve patients in the community. Patient care continues to be our top priority despite the economic pressures.
Form 990, Part VI, Section A, line 6Covenant Health is the sole member of Morristown-Hamblen Hospital Association.
Form 990, Part VI, Section A, line 7aCovenant Health's board of directors also serves as the board of directors for Morristown-Hamblen Hospital Association.
Form 990, Part VI, Section A, line 7bGovernance decisions of Morristown-Hamblen Hospital Association are subject to approval of the sole member, Covenant Health.
Form 990, Part VI, Section B, line 11bThe Covenant Health board of directors has delegated to its Finance Committee the full power and authority of the board to receive, review, approve, authorize the filing of, address and resolve audit or review issues, and otherwise take all action required or appropriate relative to IRS Forms 990 and other applicable tax filings. Prior to filing Form 990, management reviews with the committee the returns, discusses any material variations in the Form 990 as compared to those to be filed by the organization's affiliates, and answers any questions. At the conclusion of review and discussion, the Finance Committee approves the Form 990.
Form 990, Part VI, Section B, line 12cBoard members, officers, and employees are required to adhere to rules and policies regarding conflicts of interest. Covenant Health distributes a board-approved Code of Conduct to all employees. The Code covers among other subjects, conflicts of interest, and requires disclosure and resolution of employee conflicts of interest. Additionally, officers, employed physicians, and highly compensated employees are required to complete and sign an annual conflict of interest disclosure statement. Board members' conflicts of interests are addressed in the corporate bylaws, and board members are required to complete and sign a conflict of interest questionnaire on an annual basis. The Integrity-Compliance Office maintains records that contain conflict of interest information obtained from board members, officers, and employees. These records are available to be queried prior to engaging in business transactions. The Chief Compliance Officer reviews conflict of interest data. Based on this information, the officer determines what conflicts of interest exist at that point in time. Between times when surveys are collected, board members are expected to disclose any new conflicts that have arisen that affect pending board decisions. Officers and other employees are expected to report conflicts to the Chief Compliance Officer as they arise. Depending on the nature of the conflict and the circumstances surrounding the conflict and transaction, the Chief Compliance Officer, senior leadership, or the board of directors may review the conflict of interest. When appropriate, these parties may also consult legal counsel. Restrictions imposed on persons with a conflict of interest are determined on a case by case basis. For Covenant Health employees, the Chief Compliance Officer in conjunction with Covenant Health Executive Leadership determines how to appropriately manage the conflict. In any conflict involving a board member, such member is expected to recuse himself or herself from voting on matters related to the conflict.
Form 990, Part VI, Section B, line 15Form 990, Part VI, Section B, Line 15a: Overall compensation policies for Morristown-Hamblen Hospital Association, Covenant Health (Parent Company), and affiliates are set by the Covenant Health Chief Executive Officer (CEO) in consultation with appropriate Executive Vice Presidents and the Senior Vice President-Human Resources, after review by and discussion with the executive compensation consultant ("the Consultant") to ensure that total compensation for each executive is reasonable and within a fair market value range. The Covenant Health CEO is compensated by Covenant Health, and a detailed description of the compensation process is included on Covenant Health's Form 990. The process for Morristown-Hamblen Hospital Association's CEO is included in response to Part VI, Section B, line 15b. Form 990, Part VI, Section B, Line 15b: Base salary and annual bonus opportunities for Gordon Lintz, President and Chief Administrative Officer, are set by the Covenant Health CEO in consultation with appropriate Executive Vice Presidents and the Senior Vice President-Human Resources, after review by and discussion with the executive compensation consultant ("the Consultant") to ensure that total compensation is reasonable and within a fair market value range. Salary ranges are based upon the recommendations of the Consultant made after comparison with similar jobs in similar size health systems across the nation. Bonuses are recommended by the CEO and reviewed with the Committee conditioned upon receipt of a written opinion from the Consultant that total compensation for the executive is reasonable and consistent with fair market value. Base salary is initially targeted at the 25th percentile and may vary according to market conditions, performance, tenure, experience, special skills or qualifications, recruitment and retention challenges, and other relevant factors. Annual bonuses are designed to award 0-35% of base salary based upon system performance and accomplishment of certain targets established by the CEO. Base salaries and annual bonus opportunities for other officers and key employees are based on targets established by historical compensation consultant data and the Covenant Health Compensation department. Salary ranges are based upon comparison with similar jobs in similar size health systems across the nation. Base salaries and bonuses are approved by Executive Leadership predicated upon performance, and are reasonable and consistent with fair market value. Base salaries are initially targeted at midpoint and may vary according to market conditions, performance, tenure, experience, special skills or qualifications, recruitment and retention challenges, and other relevant factors. Annual bonuses are designed to award 0-20% of base salary based upon system performance and accomplishment of certain targets established by Executive Leadership.
Form 990, Part VI, Section C, line 19Morristown-Hamblen Hospital Association files a Joint Annual Report containing financial information with the Tennessee Department of Health. Per its tax-exempt bond provisions, Covenant Health, the parent company of the organization, is required to file quarterly and annual consolidated and obligated group financial statements and other documentation with various bond insurers and other agencies, including the Electronic Municipal Market Access (EMMA) service of the Municipal Securities Rulemaking Board (MSRB). Any member of such a repository has access to these financial statements. The organization's governing documents and conflict of interest policy are not made publicly available.
Form 990, Part IX, line 11gIntercompany Purchased Services: Program service expenses 1,119,461. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,119,461. Other Purchased Services: Program service expenses 9,524,328. Management and general expenses 20,014. Fundraising expenses 0. Total expenses 9,544,342. Sponsorship Fees: Program service expenses 2,967,971. Management and general expenses 80,000. Fundraising expenses 0. Total expenses 3,047,971.
Form 990, Part XI, line 9:Transfers of Capital 5,154,665.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Covenant Health
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621646734Supporting organizationTN501(c)(3)Line 12b, IIN/A0
Claiborne Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960464420358Acute care hospitalTN501(c)(3)Line 30Covenant Health
Covenant HomeCare
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621623114Home health servicesTN501(c)(3)Line 100Covenant Health
Cumberland Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960620790132Acute care hospitalTN501(c)(3)Line 30Covenant Health
Fort Loudoun Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621373691Acute care hospitalTN501(c)(3)Line 30Covenant Health
Fort Sanders Regional Medical Ctr
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960620528340Acute care hospitalTN501(c)(3)Line 30Covenant Health
Fort Sanders Foundation
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621748601Fundraising and patient outreachTN501(c)(3)Line 12b, II0Covenant Health
Fort Sanders Perinatal Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960043760551High risk obstetrical servicesTN501(c)(3)Line 30Fort Sanders Regional Medical Center
LeConte Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621114867Acute care hospitalTN501(c)(3)Line 30Covenant Health
Methodist Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960620636239Acute care hospitalTN501(c)(3)Line 30Covenant Health
Parkwest Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960581897274Acute care hospital and behavioral health servicesTN501(c)(3)Line 30Covenant Health
Roane County Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960680673354Acute care hospitalTN501(c)(3)Line 30Covenant Health
Thompson Cancer Survival Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621250943Cancer support centerTN501(c)(3)Line 30Covenant Health
Thompson Oncology Group
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621619239Oncology servicesTN501(c)(3)Line 30Thompson Cancer Survival Center
Morristown-Hamblen Hospital Foundation
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621697090Fundraising and patient outreachTN501(c)(3)Line 12a, IYes (1)Morristown - Hamblen Hospital Association
Thompson Cancer Survival Center Foundation
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960582130450Fundraising and patient outreachTN501(c)(3)Line 12b, II0Covenant Health
The Dr Robert F Thomas Foundation Inc
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960581537582Fundraising and patient outreachTN501(c)(3)Line 12a, I0Covenant Health

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Covenant-AmSurg ASC Ventures LLC
1A Burton Hills BlvdNashvilleTN37215884134388Management CompanyTNN/A00
Covenant-KEC ASC Ventures LLC
1A Burton Hills BlvdNashvilleTN37215920539400Management CompanyTNN/A00
TEC North LLC
1A Burton Hills BlvdNashvilleTN37215201871076Physician ServicesTNN/A00
The Endoscopy Center of Knoxville LLC
1A Burton Hills BlvdNashvilleTN37215621512837Physician ServicesTNN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Fortress Corporation
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621308885Management companyTNN/AC0
Covenant Medical Group Inc
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621282917Physician practice managementTNN/ACYes (1)
Knoxville Heart Group
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960271528941Cardiology medical practiceTNN/ACYes (1)
East TN Cardiovascular Surgery Group Inc
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621018541Cardiovascular surgical practiceTNN/AC0
VortexT Analytics Inc
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960475296949Computer programming servicesTNN/AC0
TenHats LLC
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960814563094Data storageTNN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Covenant Medical Group Inc
A$172,343FMV
Knoxville Heart Group
A$65,494FMV