CUMBERLAND MEDICAL CENTER INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CUMBERLAND MEDICAL CENTER INC (EIN 62-0790132)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201743199349300344
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-15T06:59:13-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 620790132 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cumberland Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CUMB | BusinessNameControlTxt |
| Phone | 8653746864 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1420 Centerpoint Blvd Bldg C | AddressLine1Txt |
| City | Knoxville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 379321960 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN T GEPPI | PersonNm |
| Person Title | EVP/CFO | PersonTitleTxt |
| Phone | 8653746872 | PhoneNum |
| Signature | 2017-11-01 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 168.85.177.4 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-15 | IPDt |
| IP Tm | 07:46:27 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 3B732C0E83A9A114577FAE24D8A6CA22539D5478 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 65DEE318612391729DFA5C29652ADA47B152A5A1 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | James D VanderSteeg | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Ft Sanders W Blvd | AddressLine1Txt |
| City | Knoxville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37922 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $86,813,225 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.cmchealthcare.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1967 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | Cumberland Medical Center is a 189-bed full service, acute care hospital located in Crossville, TN. It is a member of the Covenant Health system. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 915 | TotalEmployeeCnt |
| Total Volunteers | 126 | TotalVolunteersCnt |
| Total Gross UBI | $917,784 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$265,985 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $32,040 | PYContributionsGrantsAmt |
| CY Contributions Grants | $133,335 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $86,511,756 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $83,937,389 | CYProgramServiceRevenueAmt |
| PY Investment Income | $356,373 | PYInvestmentIncomeAmt |
| CY Investment Income | $424,650 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,211,765 | PYOtherRevenueAmt |
| CY Other Revenue | $1,372,510 | CYOtherRevenueAmt |
| PY Total Revenue | $88,111,934 | PYTotalRevenueAmt |
| CY Total Revenue | $85,867,884 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $24,640 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,215 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $33,985,019 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $34,028,294 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $51,482,728 | PYOtherExpensesAmt |
| CY Other Expenses | $51,023,124 | CYOtherExpensesAmt |
| PY Total Expenses | $85,492,387 | PYTotalExpensesAmt |
| CY Total Expenses | $85,053,633 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,619,547 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $814,251 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $88,784,480 | TotalAssetsBOYAmt |
| Total Assets EOY | $92,170,712 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $21,833,464 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $23,263,414 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $66,951,016 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $68,907,298 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | See Schedule O.Cumberland Medical Center provides quality healthcare, in alignment with Covenant Health's mission to serve the community by improving the quality of life through better health, regardless of the patient's ability to pay. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,351,052 | ExpenseAmt |
| Revenue | $5,378,784 | RevenueAmt |
| Desc | Inpatient Services: See Schedule O.Inpatient Services: Expenses - $7,351,052; Revenue - $5,378,784Cumberland Medical Center (CMC) is licensed for 189 beds. Fully accredited by the Joint Commission, CMC is an acute care hospital offering all private patient rooms as well as specialized services not usually found in the rural medical system. For seriously ill patients, advanced medical and surgical care is provided at CMC including telemetry monitored beds and an intensive care unit. Additionally, CMC offers an outpatient imaging center, same day surgery unit, cardiac and pulmonary rehab programs, a sleep disorder center, regional breast center (offering digital mammography), regional cancer center, and a hyperbaric medicine and wound center.In 2016, 4,595 patients were admitted for inpatient care resulting in 17,211 patient days or an average length of stay of 3.75 days. The physicians, staff, and volunteers of Cumberland Medical Center are dedicated to providing excellent quality care to every patient, every time. To complete the health team, there are 210 highly skilled physicians working with over 739 employees and 111 caring volunteers to deliver quality care to the residents of the Cumberland Plateau. Physicians on staff include the specialties of anesthesiology, cardiology, neurology, obstetrics, opthalmology, oncology, orthopedics, pediatrics, radiology, radiation oncology, and urology services. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,819,786 | ExpenseAmt |
| Revenue | $4,042,401 | RevenueAmt |
| Desc | Surgical Services: See Schedule O.Surgical Services: Expenses - $3,819,786; Revenue - $4,042,401In 2016, surgeons at Cumberland Medical Center performed 7,186 surgical procedures across a range of specialty areas, including: general, orthopedic, OB/GYN, ENT, opthalmology, pain management, Extracorporeal Shockwave Lithotripsy, and urology. Cumberland Medical Center's Surgery department consists of six major operating rooms, one cystoscopy room utilized primarily for urologic procedures, and a minor operating room utilized for outpatient procedures requiring a local anesthetic only. Four major operating rooms are equipped with High Definition Endoscopic Video equipment, LED surgical lighting, and information routing. Surgical interventions are performed on an inpatient and outpatient basis with the majority of patients admitted through the Same Day Surgery Unit. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,477,401 | ExpenseAmt |
| Revenue | $6,497,144 | RevenueAmt |
| Desc | Emergency Services: See Schedule O. Emergency Services: Expenses - $2,477,401; Revenue - $6,497,144In 2016, Cumberland Medical Center's (CMC) Emergency Department treated 30,664 patients. Emergency physicians are on duty 24 hours a day, 7 days a week. General and specialty surgeons provide round-the-clock coverage and treatment.Cumberland Medical Center's Emergency Department meets criteria to ensure trauma care capability and institutional performance. CMC provides hospital resources necessary for emergency care, along with the entire spectrum of care to address the needs of all injured patients. Cumberland County's Emergency Medical Service provides both emergency and inter-facility transportation for area patients. In 2016, Cumberland Medical Center opened the region's newest Emergency Department featuring more than 17,000 square feet and designated rooms for cardiac and trauma care, along with 24 private rooms customized with bedside registration and an advanced nurse call system. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $68,606,301 | ExpenseAmt |
| Grant | $2,215 | GrantAmt |
| Revenue | $68,006,835 | RevenueAmt |
| Desc | As a full-service acute care hospital, Cumberland Medical Center treats patients across a broad spectrum of medical specialties. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $68,606,301 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $2,215 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $68,006,835 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $82,254,540 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 69 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 915 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Nancy Beck | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8653746864 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1420 Centerpoint Blvd Bldg C | AddressLine1Txt |
| City | Knoxville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 379321960 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| James D VanderSteeg | |||||||||
| President & CEO | 0.00 | 50.00 | Yes (X) | Yes (X) | $0 | $1,250,463 | $134,588 | ||
| Anthony L Spezia | |||||||||
| CEO - Emeritus | 0.00 | 40.00 | Yes (X) | Yes (X) | $0 | $3,938,085 | $60,444 | ||
| Ed Anderson | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,442 | $0 | |||
| Gerald Boyd | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,449 | $0 | |||
| Dr Willard Campbell | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Dr Michael Casey | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $2,003 | $0 | |||
| Dr Mitchell Dickson | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $2,060 | $0 | |||
| Pamela P Fansler | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Homer Fisher | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| James Fitzsimmons | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,603 | $0 | |||
| Jim Johnson Jr | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Amber Krupacs | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Eddie Mannis | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Timothy Matthews | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $2,357 | $0 | |||
| Larry Mauldin | |||||||||
| Chairman | 0.00 | 1.00 | Yes (X) | $0 | $1,254 | $0 | |||
| Dr Joseph Metcalf | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $14,546 | $0 | |||
| Alvin Nance | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,464 | $0 | |||
| Roger Osborne | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,268 | $0 | |||
| Carl Storms | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,599 | $0 | |||
| Joseph E Sutter | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,415 | $0 | |||
| Richard Swanson | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| David C Verble | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,369 | $0 | |||
| John T Geppi | |||||||||
| EVP/CFO | 0.00 | 50.00 | Yes (X) | $0 | $831,637 | $27,957 | |||
| Jeremy Biggs | |||||||||
| President & CAO | 50.00 | 0.00 | Yes (X) | $0 | $358,301 | $11,942 | |||
| David Bunch | |||||||||
| President & CAO | 50.00 | 0.00 | Yes (X) | $0 | $190,654 | $10,915 | |||
| April VonAchen | |||||||||
| VP - Financial Services | 50.00 | 0.00 | Yes (X) | $61,475 | $39,762 | $28,494 | |||
| Thomas A Allingham MD | |||||||||
| Physician | 50.00 | 0.00 | $432,204 | $0 | $7,950 | Yes (X) | |||
| Stephen L Mahan | |||||||||
| Senior Medical Physicist | 40.00 | 0.00 | $183,186 | $0 | $29,400 | Yes (X) | |||
| Amanda Grubb Halford MD | |||||||||
| Former Chief Medical Officer | 0.00 | 40.00 | $0 | $296,591 | $37,936 | Yes (X) | |||
| John W Grinder | |||||||||
| Pharmacist | 40.00 | 0.00 | $134,587 | $0 | $13,019 | Yes (X) | |||
| Sharon M Bell | |||||||||
| Pharmacist | 40.00 | 0.00 | $121,615 | $0 | $3,614 | Yes (X) | |||
| Rebecca D Foster | |||||||||
| Chief Nursing Officer | 50.00 | 0.00 | $120,166 | $0 | $24,841 | Yes (X) | |||
| Elis Abou-Zeid | |||||||||
| Former HCE | 0.00 | 40.00 | $0 | $549,949 | $17,297 | Yes (X) | |||
| Elmer R Gibbs | |||||||||
| Former HCE | 0.00 | 40.00 | $0 | $307,981 | $22,329 | Yes (X) | |||
| Sivalingam Kanagasegar | |||||||||
| Former HCE | 0.00 | 40.00 | $0 | $618,041 | $29,544 | Yes (X) | |||
| Muhammad Mir | |||||||||
| Former HCE | 0.00 | 40.00 | $0 | $229,544 | $17,909 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,053,233 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,644,837 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $478,179 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Rentenbach Constructors Inc | |||||
| 2400 Sutherland Ave | Knoxville | TN | 37939 | Construction Services | $3,760,991 |
| Cardinal Health | |||||
| 21377 Network Place | Chicago | IL | 60673 | Pharmacy Management | $606,194 |
| Medstream Anesthesia PLLC | |||||
| 82 Patton Avenue Suite 510 | Asheville | NC | 28801 | Anesthesia services | $485,234 |
| Cloudwave Healthcare Solutions | |||||
| Dept CH 19800 | Palantine | IL | 600559800 | IT Maintenance Services | $383,977 |
| Dr James Barnawell | |||||
| 421 South Main Street | Crossville | TN | 38555 | Pathologist Services | $357,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $71,588 | RelatedOrganizationsAmt |
| All Other Contributions | $61,747 | AllOtherContributionsAmt |
| Total Contributions | $133,335 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Medical Services | 622110 | $82,868,049 | $82,868,049 | |
| Meaningful Use | 900099 | $1,035,308 | $1,035,308 | |
| Laboratory | 621500 | $34,032 | $34,032 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $83,937,389 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,382 | TotalRevenueColumnAmt |
| Exclusion | $67,382 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $680,230 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $867,947 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$187,717 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$187,717 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$117,978 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$69,739 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $434,662 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $77,394 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $357,268 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $357,268 | TotalRevenueColumnAmt |
| Exclusion | $357,268 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Wellness Center | 713940 | $1,001,730 | $1,001,730 | |
| Cafeteria | 722212 | $495,416 | $495,416 | |
| Medical Records | 622110 | $40,346 | $40,346 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,735 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,807 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $928 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,560,227 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $85,867,884 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $83,925,164 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $917,784 | UnrelatedBusinessRevenueAmt |
| Exclusion | $891,601 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,215 | TotalAmt |
| Program Services | $2,215 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,157 | TotalAmt |
| Management And General | $73,157 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,655,428 | TotalAmt |
| Program Services | $26,424,036 | ProgramServicesAmt |
| Management And General | $1,231,392 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,250 | TotalAmt |
| Program Services | $326,802 | ProgramServicesAmt |
| Management And General | $12,448 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,996,618 | TotalAmt |
| Program Services | $3,861,597 | ProgramServicesAmt |
| Management And General | $135,021 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,963,841 | TotalAmt |
| Program Services | $1,877,834 | ProgramServicesAmt |
| Management And General | $86,007 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,766,028 | TotalAmt |
| Program Services | $2,694,305 | ProgramServicesAmt |
| Management And General | $71,723 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,978 | TotalAmt |
| Management And General | $66,978 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,500 | TotalAmt |
| Management And General | $9,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,813,936 | TotalAmt |
| Program Services | $5,732,416 | ProgramServicesAmt |
| Management And General | $81,520 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,044 | TotalAmt |
| Program Services | $60,776 | ProgramServicesAmt |
| Management And General | $186,268 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $948,159 | TotalAmt |
| Program Services | $755,996 | ProgramServicesAmt |
| Management And General | $192,163 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,254,621 | TotalAmt |
| Program Services | $1,223,157 | ProgramServicesAmt |
| Management And General | $31,464 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,278,527 | TotalAmt |
| Program Services | $2,098,064 | ProgramServicesAmt |
| Management And General | $180,463 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,986 | TotalAmt |
| Program Services | $45,992 | ProgramServicesAmt |
| Management And General | $7,994 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,674 | TotalAmt |
| Program Services | $21,246 | ProgramServicesAmt |
| Management And General | $3,428 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $889,145 | TotalAmt |
| Program Services | $889,145 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,274,647 | TotalAmt |
| Program Services | $6,274,647 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $361,676 | TotalAmt |
| Program Services | $361,676 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| Unrelated Business Inco | $31,529 | $31,529 | |
| Supplies & Equipment | $12,160,787 | $231,447 | $11,929,340 |
| Charity Care | $7,071,827 | $7,071,827 | |
| Bad Debts | $5,617,341 | $5,617,341 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,152,719 | TotalAmt |
| Program Services | $4,986,128 | ProgramServicesAmt |
| Management And General | $166,591 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,053,633 | TotalAmt |
| Program Services | $82,254,540 | ProgramServicesAmt |
| Management And General | $2,799,093 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,659,735 | BOYAmt |
| EOY | $5,275,477 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,687,685 | BOYAmt |
| EOY | $6,743,654 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,217,809 | BOYAmt |
| EOY | $1,221,616 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,222,067 | BOYAmt |
| EOY | $1,026,592 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $149,085,919 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $81,605,884 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,031,172 | BOYAmt |
| EOY | $67,480,035 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,120 | BOYAmt |
| EOY | $372,619 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,452,680 | BOYAmt |
| EOY | $9,452,680 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $359,212 | BOYAmt |
| EOY | $598,039 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,784,480 | BOYAmt |
| EOY | $92,170,712 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,858,803 | BOYAmt |
| EOY | $6,988,711 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,974,661 | BOYAmt |
| EOY | $16,274,703 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,833,464 | BOYAmt |
| EOY | $23,263,414 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,951,016 | BOYAmt |
| EOY | $68,907,298 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,951,016 | BOYAmt |
| EOY | $68,907,298 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,784,480 | BOYAmt |
| EOY | $92,170,712 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $814,251 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,078,206 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $63,825 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,609,345 | OtherCostOrOtherBasisAmt |
| Book Value | $2,609,345 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $88,629,611 | OtherCostOrOtherBasisAmt |
| Depreciation | $37,841,733 | DepreciationAmt |
| Book Value | $50,787,878 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,538,067 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,215,785 | DepreciationAmt |
| Book Value | $1,322,282 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $53,817,137 | OtherCostOrOtherBasisAmt |
| Depreciation | $41,443,411 | DepreciationAmt |
| Book Value | $12,373,726 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,491,759 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,104,955 | DepreciationAmt |
| Book Value | $386,804 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $67,480,035 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates, Net | $14,641,392 |
| Due to Third Party Payors | $365,873 |
| Long-term Deferred Compensation | $9,022 |
| Long-term Reserve for Workers Comp | $743,896 |
| Other Reserves | $100,000 |
| Security Deposits | $12,912 |
| SWAP Agreement Liability | $401,608 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,274,703 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Note B to the consolidated audited financial statements of Covenant Health, parent company to Cumberland Medical Center, reads in part: "Income Taxes: 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 (See Note G). Note G reads in part: "Covenant had no unrecognized tax benefits at December 31, 2016 and 2015. As such, no interest or penalties were recognized in the Consolidated Statements of Operations and Changes in Net Assets related to unrecognized tax benefits. At December 31, 2016, tax returns for 2013 through 2016 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, 2016 or 2015." | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,912,120 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,912,120 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09960 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,787,986 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,855,909 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,932,077 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06210 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,700,106 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,855,909 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,844,197 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16170 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,939 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,063 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,876 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,092,392 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $490,818 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,601,574 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04530 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,611 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,611 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,115,942 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $502,881 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,613,061 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04540 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,816,048 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,358,790 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,457,258 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.20710 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $238 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $238 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,683 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,683 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,850 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $29,850 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $346 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $346 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,125 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $35,125 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,617,341 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $938,096 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $28,732,171 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $27,248,883 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,483,288 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 None | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cumberland Medical Center Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 421 South Main St | AddressLine1Txt |
| City | Crossville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 38555 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 00000020 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cumberland Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.cmchealthcare.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.cmchealthcare.org | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.cmchealthcare.org/financial-assistance/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.cmchealthcare.org/financial-assistance/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.cmchealthcare.org/financial-assistance/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Cumberland Medical Center | Part V, Section B, Line 5: Cumberland Medical Center was guided in the assessment process by representatives of several community organizations whose expertise and relationships helped the hospital access the general population as well as the most vulnerable residents of Cumberland County. Assessment partners were recruited from the broader public health system including staff from the local health department, United Way director, local school system, court system, public safety, senior programs, and social service organizations that serve the needs of the community's most vulnerable and at-risk population. The assessment process began with a half-day community health forum using an assessment tool "Forces of Change" by the Center for Disease Control. Thirty-three participants representing a diverse make up of stakeholders gave input into the significant issues facing Cumberland County. The Data Team members represented the health department, United Way, Crossville city government, Bradford Rehabilitation, and the Cumberland Health Council. These community leaders analyzed and distilled volumes of data into a short list of the most significant health issues affecting Cumberland County. |
| Cumberland Medical Center | Part V, Section B, Line 6b: Cumberland Medical Center's CHNA was conducted with the following organizations: * House of Hope * Fairfield Glade * Plateau Pregnancy Center * Mayor of Crossville * Habitat for Humanity * Mayor of Cumberland County * United Fund * Cumberland Mountain Mental Health * Cumberland County Schools * Fair Park Senior Center * Cumberland County Sheriff * Rural Health Clinic * Cumberland County Health Department * Crossville Police Department * Uplands Village * Upper Cumberland Human Resource Agency * Bradford Rehabilitation * Cumberland County Bank * Cumberland County Emergency Services * Cumberland County Health Council * City of Crossville * TN College of Applied Technology * Crossville Parks and Recreation |
| Cumberland Medical Center | Part V, Section B, Line 11: Upon review of the results of the 2015 CHNA and based upon input from the hospital's Leadership and Community Summit, the Board of Directors approved the implementation strategy in early 2016. The following actions were agreed upon and form the foundation of Cumberland County's health initiatives:Substance Abuse 1. Partner with Bradford Health Services to provide a medical conference to educate community physicians on: alternatives to narcotics, medication assisted treatments for opioid addiction, and early interventions in a primary care setting. 2. Partner with Cumberland County Rising (local drug coalition) 3. Continue to sponsor drug take back events at Fairfield Glade and Crossville Wellness complexes and hospital sponsored health fairs. Physical Inactivity 1. Participate in the Healthier Tennessee Initiative - a partnership with the local health department, City of Crossville, Cumberland County school system and the University of Tennessee. 2. Conduct quarterly Covenant Health hiking events with Missy Kane, Covenant Health's health promotions coordinator. Obesity 1. Sponsor healthy cooking demonstrations and seminars at Cumberland Medical Center Wellness Complexes. 2. Provide nutrition education for children through Cumberland Medical Center's diabetes services program.Access and Affordability of Healthcare 1. Sponsor health fairs to provide low-cost access to screenings (blood pressure, blood sugar, cholesterol, and other lab tests). 2. Continue partnership with the Bread of Life Mission to provide free access to medical care for indigent patients. 3. Provide access to free mammograms for patients meeting specific criteria in conjunction with Susan G. Komen. 4. Continue ongoing recruitment efforts for primary care and specialty physicians. |
| Cumberland Medical Center | Part V, Section B, Line 16j: Please see the explanation to Part VI, Line 3. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - CMC Outpatient Imaging Center | ||||
| 28 Hayes St | Crossville | TN | 38555 | Medical imaging and PET scan |
| 2 - CMC Cancer Center | ||||
| 421 South Main St | Crossville | TN | 38555 | Oncology radiation therapy |
| 3 - CMC Endoscopy Center | ||||
| 116 Brown Ave | Crossville | TN | 38555 | Outpatient endoscopy center |
| 4 - CMC Medical Equipment Services | ||||
| 591 South Main St | Crossville | TN | 38555 | Medical equipment and oxygen |
| 5 - CMC Hyperbaric Medicine & Wound Ctr | ||||
| 124 Hayes St | Crossville | TN | 38555 | Wound and hyperbaric treatment |
| 6 - CMC Outpatient Physical Therapy & Rehab | ||||
| 118 Brown Ave Suite 104 | Crossville | TN | 38555 | Physical therapy and occupational therapy |
| 7 - Cumberland Medical Center at FFG | ||||
| 130 Stonehenge Dr | Crossville | TN | 38555 | Wellness, physical therapy, x-ray and mammography |
| 9 - Cumberland Physicians Group | ||||
| 133 Hayes St | Crossville | TN | 38555 | General and specialty physicians |
| 10 - CMC Wellness Complex | ||||
| 130 Woodmere Mall | Crossville | TN | 38555 | Wellness management |
| 12 - Sleep Disorders Center | ||||
| 49 Cleveland St Suite 200 | Crossville | TN | 38555 | Sleep study center |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | In addition to the FPG (federal poverty guidelines), Cumberland Medical Center 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). |
| Part I, Line 6a: | Covenant Health, the parent company of Cumberland Medical Center 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: | The subsidy of $3,601,574 is the difference between the cost of services provided in the hospital's physician offices and the Wound Care Center, and the payments received for those services. The physician offices include family, internal medicine, OB/GYN, surgeons, and other specialty physicians. Although patients with Medicare or commercial insurance coverage are provided services, these physician offices were established to provide services for patients without insurance coverage or with Tenncare/Medicaid. The cost of providing these services exceeded the payments received by $3,601,574 during the reporting period. |
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 5,617,341. |
| Part II, Community Building Activities: | Cumberland Medical Center 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 2016 were made to organizations meeting the community's needs by providing: *The basic needs of life including temporary shelter, food and clothing - Catholic Charities and Sacred Heart Church *Youth mentoring, development and after-school programs - Emerald Youth Foundation, Boys and Girls Club and Great Smoky Mountain Council - Boy Scouts of America *Business recruitment and marketing initiatives that boost economic development - Innovation Valley, Inc. *Leadership development programs and workshops - Leadership Knoxville *Assistance and special programs for at risk, physically challenged, abused and neglected children - Sertoma Center, Inc. and Variety of Eastern Tennessee (local chapter of Variety-The Children's Charity) *Improve access to health services - Interfaith Health Clinic, Knoxville Medical Mission Foundation and St. Mary's Legacy Clinic *Programs targeting cancer patients and their families - Cancer Support Community, Inc. and Komen Knoxville Race for Cure |
| 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. |
| Part III, Line 3: | The amount reported on Line 3 was estimated by multiplying self-pay bad debt by the percentage of the population living below the poverty level on a county-by-county basis. It is our belief that the amount of bad debt on Line 3 should be included as community benefit. As a tax-exempt hospital, we must provide necessary services regardless of the patient's ability to pay for the service provided. As a not-for-profit, patient care is provided to all, regardless of ability to pay for that care. Making quality patient care available to all in our community, regardless of economic means, qualifies bad debts as a community benefit. |
| Part III, Line 4: | Note B to the 2016 Audited Consolidated Financial Statements of the Covenant Health system, of which Cumberland Medical Center is a member, reads in part: "Patient accounts receivable are reported net of both an estimated allowance for uncollectible accounts and an estimated allowance for contractual adjustments. The contractual allowance represents the difference between established billing rates and estimated reimbursement from Medicare, TennCare and other third-party payment programs. The allowance for uncollectible accounts is estimated based upon the age of the patient accounts receivable, prior experience and any unusual circumstances (such as local, regional or national economic conditions) which affect the collectability of receivables, including management's assumptions about conditions it expects to exist and courses of action it expects to take. 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: Cumberland Medical Center 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: | Cumberland Medical Center utilizes a look-back method to determine the AGB (amounts generally billed) to establish the maximum amount that will be charged to FAP-eligible individuals for emergency or other medically necessary care. Self-pay patients automatically receive a 56% 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.Cumberland Medical Center 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 Cumberland Medical Center 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. Once an account has been processed internally through routine collection channels, it may be assigned to an attorney or agency for collection. Cumberland Medical Center does not sell any accounts receivable accounts to outside firms. All accounts remain property of and under the policies set by Cumberland Medical Center. Cumberland Medical Center 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 Community Health Needs Assessment is a formal means by which the health system assesses the needs of the community, there are many informal linkages that give the Covenant Health hospitals a sense of community issues and needs. Cumberland Medical Center obtains additional community information through the service of its employees with the Chamber of Commerce, the local Health Council, Rotary Clubs, and local not-for-profit boards. |
| Part VI, Line 3: | Cumberland Medical Center informs patients and other persons who may be billed for patient care about its financial assistance policies by posting signs in highly visible areas of the hospital and including information about the financial assistance policy in patient booklets placed in all inpatient rooms. In addition, the FAP and application are available via the facility website and notice of the availability of financial assistance is communicated via patient billing statements. The following sign is posted in the main registration area and Emergency Department registration entrance:Financial Assistance: 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, staffs of Cumberland Medical Center 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, Cumberland Medical Center, in compliance with Tennessee Code Annotated, Title 47, Chapter 18 and Title 68, will provide at a reduced rate, medically indicated services. A financial counselor is available to assist you with these matters by calling 931-484-9511 or 931-459-7025, Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m.Cumberland Medical Center contracts with full time financial counselors who meet with each uninsured patient. In addition, those counselors assist patients with completion of a TennCare application and ensures the application is directed to the appropriate Department of Human Services.The Charity Care Policy states that patients who are unable to pay and have exhausted all sources of payment assistance may be screened for potential charity care eligibility. According to the policy, the financial counselors initiate screening of the patient and/or guarantor by obtaining income and other financial information to determine eligibility for charity care or discounted services. |
| Part VI, Line 4: | Cumberland County, Tennessee, is the primary market for Cumberland Medical Center. Cumberland is a rural community located on the Cumberland Plateau, approximately 60 miles from the metropolitan Knoxville area. Cumberland Medical Center is the only hospital in the county. The following statistics are taken from the 2016 County Health Rankings report of the Robert Wood Johnson Foundation. The population of Cumberland County numbers roughly 57,985 people and is predominantly female 51%. Persons over the age of 65 account for 28.9% of the population. Over 17% of the population lives below the poverty level, and the unemployment rate is at 8.8%. Healthcare and social assistance make up 12.7% of the workforce and is the largest employer category in Cumberland County. The median household income is $37,188.According to the 2016 County Health Rankings Report of the Robert Wood Johnson Foundation/ University of Wisconsin Population Health Institute, Cumberland County residents have the following health indicators that are above the national benchmarks: Cumberland - TN - National Adult Smoking: 22% - 24% - 14% Adult Obesity: 30% - 32% - 25% Alcohol impaired driving deaths 44% - 28% - 14% Teen Birthrate: 62 - 45 - 19 of every 1,000 teenage girls Poor or Fair Health: 21% - 23% - 12% Physical Inactivity: 32% - 32% - 20% |
| Part VI, Line 5: | Cumberland Medical Center (CMC), 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 CMC's board. It is comprised of independent community leaders with diverse educational and professional backgrounds. The board sets policies and provides oversight of CMC.CMC maintains an open medical staff, with privileges available to all qualified physicians. Additionally, the hospital operates an active and accessible emergency department that accepts all patients regardless of ability to pay. |
| Part VI, Line 6: | Cumberland Medical Center (CMC), 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 at 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.CMC 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, cardiac care, cancer treatment, 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.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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| James D VanderSteeg | ||||||||||||||
| President & CEO | $0 | $782,820 | $0 | $358,750 | $0 | $108,893 | $0 | $111,850 | $0 | $22,738 | $0 | $1,385,051 | $0 | $0 |
| Anthony L Spezia | ||||||||||||||
| CEO - Emeritus | $0 | $440,698 | $0 | $1,513,578 | $0 | $1,983,809 | $0 | $44,600 | $0 | $15,844 | $0 | $3,998,529 | $0 | $0 |
| John T Geppi | ||||||||||||||
| EVP/CFO | $0 | $508,448 | $0 | $236,250 | $0 | $86,939 | $0 | $10,600 | $0 | $17,357 | $0 | $859,594 | $0 | $0 |
| Jeremy Biggs | ||||||||||||||
| President & CAO | $0 | $246,345 | $0 | $65,000 | $0 | $46,956 | $0 | $10,600 | $0 | $1,342 | $0 | $370,243 | $0 | $0 |
| David Bunch | ||||||||||||||
| President & CAO | $0 | $169,791 | $0 | $20,000 | $0 | $863 | $0 | $0 | $0 | $10,915 | $0 | $201,569 | $0 | $0 |
| Thomas A Allingham MD | ||||||||||||||
| Physician | $410,001 | $0 | $0 | $0 | $22,203 | $0 | $7,950 | $0 | $0 | $0 | $440,154 | $0 | $0 | $0 |
| Stephen L Mahan | ||||||||||||||
| Senior Medical Physicist | $182,584 | $0 | $0 | $0 | $602 | $0 | $5,680 | $0 | $23,720 | $0 | $212,586 | $0 | $0 | $0 |
| Amanda Grubb Halford MD | ||||||||||||||
| Former Chief Medical Officer | $0 | $251,290 | $0 | $30,000 | $0 | $15,301 | $0 | $15,473 | $0 | $22,463 | $0 | $334,527 | $0 | $0 |
| Elis Abou-Zeid | ||||||||||||||
| Former HCE | $0 | $296,638 | $0 | $252,599 | $0 | $712 | $0 | $7,950 | $0 | $9,347 | $0 | $567,246 | $0 | $0 |
| Elmer R Gibbs | ||||||||||||||
| Former HCE | $0 | $292,333 | $0 | $12,289 | $0 | $3,359 | $0 | $0 | $0 | $22,329 | $0 | $330,310 | $0 | $0 |
| Sivalingam Kanagasegar | ||||||||||||||
| Former HCE | $0 | $237,018 | $0 | $378,144 | $0 | $2,879 | $0 | $7,950 | $0 | $21,594 | $0 | $647,585 | $0 | $0 |
| Muhammad Mir | ||||||||||||||
| Former HCE | $0 | $197,551 | $0 | $31,500 | $0 | $493 | $0 | $0 | $0 | $17,909 | $0 | $247,453 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Covenant Health, the parent company of Cumberland Medical Center, used one or more of the methods listed in establishing the compensation of James D. VanderSteeg and Anthony L. Spezia. Please see the statement to Core Part VI, Section B, Line 15a on Schedule O. |
| Part I, Line 4b | Anthony L. Spezia was a participant in two nonqualified deferred compensation plans, which are referred to as Plan A and Plan B. In 2011 Mr. Spezia vested in Plan A, and the accumulated balance as of August 1, 2011 was included in his 2011 taxable income. An Amendment to Plan A was adopted effective August 1, 2011 which terminated further accruals (contributions) to the plan. However, the Amendment allowed the accrual of interest on undistributed amounts which were subject to risk of forfeiture until such time as indicated in the Amendment. Interest earned by Plan A during 2016 was $67,140 and is not required to be reported in compensation in Part II as Mr. Spezia is not vested in the 2016 earnings on Plan A. However, in 2016 Mr. Spezia vested in the Plan A previously untaxed earnings accumulated after July 31, 2011 through 2015. The total amount of $352,567 has been reported in Col. B(iii) of Schedule J, Part II as it became fully vested and taxable in 2016. Plan B was established in 2011. Employer contributions to Plan B during 2016 totalled $34,000, which is reported in Col. C of Schedule J, Part II. Interest earned by Plan B during 2016 was $67,349 and is not required to be reported in compensation in Part II as Mr. Spezia is not vested in the 2016 additions to Plan B. However, in 2016 he vested in the employer contributions and earnings that occurred from 2011 through 2015, for Plan B. The total amount of $1,190,535 has been reported in Col. B(iii) of Schedule J, Part II as it became fully vested and taxable in 2016. James VanderSteeg was a participant in a nonqualified deferred compensation plan, which will be referred to as Plan A. Plan A was established in 2016. Employer contributions to Plan A during 2016 totalled $101,250, which is reported in Col. C of Schedule J, Part II. Interest earned by Plan A during 2016 of $2,349 is not required to be reported in compensation in Part II, as Mr. VanderSteeg is not vested in Plan A. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 1 | 2016 Report to the Community Covenant Health is a comprehensive, community-owned, not-for-profit health system serving 23 counties in East Tennessee. Nine acute care hospitals located in Knoxville and surrounding areas comprise the foundation of the health system. Additional outpatient and specialty care departments are located throughout the region providing diagnostic and surgery services, mental health and cancer treatments, and therapy and home health services. Over 10,000 employees and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than one million patients and families served each year. Established in 1996, Covenant Health is celebrating 20 years of service and accomplishment. Recognized for excellence in many areas - quality of care, integrity of operations, financial strength, expertise and dedication of physicians, employees and volunteers, it continues a legacy of reinvestment in the counties where the facilities are located and dedication to improving the quality of life through better health for our patients and community. Covenant Health Board members and administrative leaders serve our communities through strategic planning and successful operation of these member organizations: Hospitals Claiborne Medical Center Cumberland Medical Center Fort Loudoun Medical Center Fort Sanders Regional Medical Center LeConte Medical Center Methodist Medical Center of Oak Ridge Morristown-Hamblen Healthcare System Parkwest Medical Center Peninsula Hospital, a division of Parkwest Medical Center Roane County Medical Center Outpatient and Specialty Care Covenant HomeCare and Hospice Covenant and Methodist Therapy Centers Fort Sanders West Diagnostic Center Fort Sanders West Outpatient Surgery Center Morristown Regional Diagnostic Center Patricia Neal Rehabilitation Center Peninsula Outpatient Centers Thompson Cancer Survival Centers Covenant Breast Centers Covenant Joint Centers Covenant Sleep Centers Claiborne Nursing Home Fort Sanders Sevier Nursing Home Physician Services Covenant Medical Group, Inc. Covenant Health is also a partner in joint ventures with physicians that provide surgical and other services. Other Programs and Services Fortress Corporation Fort Sanders Health and Fitness Center Nanny's Nursery Covenant Staffing Services Tennessee Wesleyan University - Fort Sanders Nursing Foundations Fort Sanders Foundation Methodist Medical Center Foundation Morristown-Hamblen Hospital Foundation Thompson Cancer Survival Center Foundation Introducing Covenant Health's Executive Leadership Team "Continuing the Legacy" is the theme of the 2016 annual report, recognizing both the 20th anniversary of Covenant Health and an executive leadership transition for the health system. In November 2015, Anthony L. (Tony) Spezia announced that he would transition from president and CEO of Covenant Health to CEO Emeritus. Jim VanderSteeg was named as his successor, effective April 1, 2016. Spezia served as president and CEO of Covenant Health for more than 15 years. During that time he oversaw the health system's geographic expansion; the addition of new member hospitals investment of more $1.2 billion in facilities, technology and services, and growth in the number of employees and affiliated physicians. Spezia now focuses his efforts on the healthcare industry, legislative issues and public policy initiatives. Jim VanderSteeg joined Covenant Health in 2007 after nearly 20 years in administrative and executive leadership roles at Baptist Memorial Healthcare Corp., a healthcare delivery system with 13 hospitals in Tennessee and Mississippi. He is "continuing the legacy," focusing on the health system's vision of putting the patient first, the highest standards of excellence, and assuring that Covenant Health is the first and best choice for healthcare services in our communities. With VanderSteeg as CEO, Covenant's new Executive Leadership Team includes: John Geppi, who continues to serve as the organization's executive vice president and chief financial officer. Geppi has been with Covenant Health since 2000. He has been named to a national list of "Hospital and Health System CFOs to Know and was named the area's CFO of the Year by FEI and the Greater Knoxville Business Journal in 2012. Mike Belbeck, executive vice president of operations, who previously served as president and chief administrative officer of Methodist Medical Center of Oak Ridge. He joined Covenant Health in 2007. Luke Johnson joined the health system in April 2016 as executive vice president, physician enterprise/ambulatory services. Johnson has leadership responsibilities for Thompson Cancer Survival Center, ambulatory retail and urgent care services, physician engagement and alignment strategies, and Covenant Medical Group, along with all other employed physician enterprises. Patient Care Highlights Patient Care Summary Population of 23-County Service Area 1,427,213 (2010 Census) 2013 2014 2015 Admissions 58,411 67,235 68,193 (Excludes nursing home) Inpatient surgeries 15,669 16,908 16,585 Outpatient Surgeries 27,042 29,644 29,265 ED Visits 275,259 317,575 328,360 Outpatient Visits 960,128 1,040,593 1,061,082 Physician Office Visit 489,056 499,881 548,210 Covenant Health Named Among "America's Best Employers" Covenant Health was one of only 44 hospitals and health systems named to the Forbes 2016 list of "America's Best Employers." This year's lists included a total of 750 large and mid-size U.S. businesses of all types. In the list of 250 mid-size companies, Covenant was listed seventh among hospitals and health organizations and 50th in the overall list. It was the only healthcare organization in East Tennessee to be included in the list. Forbes partnered with statistics firm Statista to compile data from a survey of more than 30,000 U.S. employees. Survey participants were asked if they would recommend their employer to a potential new hire, and they were asked their views about other companies in their industry. Employees were contacted anonymously online without the involvement of their employers, and respondents represented the U.S. workforce by gender, age, region, education, and ethnicity. Covenant Health has a broad-based approach to being an employer of choice. It is nationally recognized for organizational ethics and offers many opportunities for leadership development and professional advancement. In addition, the employee recognition programs celebrate individual performance, team collaboration and best practices. These attributes help create an outstanding work environment. |
| Form 990, Part III, Line 1 | New Nurse Residency Program Supports School-to-Work Transition for Recent Grads Program Receives $15,000 Grant in First Year of Operation Covenant Health implemented a nurse residency program to support newly graduated nurses as they transition into new responsibilities in a fast-paced hospital environment. Covenant adopted the Vizient/AACN Nurse Residency Program, used by more than 200 hospitals and health systems nationwide. The program emphasizes evidence-based practices and is designed to empower new nurses with increased competence, more confident decision making, stronger leadership and critical-thinking skills, and greater work satisfaction. Hospitals that have implemented the program have seen reductions in nursing turnover, and a positive impact on patient safety and quality of care. It is important for new nursing graduates to have a group of peers and mentors who assist them in enhancing their skills and becoming comfortable with the challenges of practice. The positive clinical outcomes helps not only the participating nurses, but also patients. The new initiative recently received a $15,000 grant from The Promise of Nursing for Tennessee Nursing School Grant Program administered by the Foundation of the National Student Nurses' Association. Funds for the grant program were contributed by several hospitals and health care agencies in the Tennessee area, by Johnson & Johnson, and by national companies with an interest in supporting nursing education, and were raised at a gala event sponsored by Johnson & Johnson. Covenant Health Partners with LMU in New Medical Student Program Covenant Health has launched a medical student program in partnership with DeBusk College of Osteopathic Medicine at Lincoln Memorial University in Harrogate, Tennessee. The medical student program provides clinical experiences for aspiring physicians and mid-level providers. Students are assigned to one of several participating Covenant Health hospitals for their clinical training. They may also participate in elective experiences at other Covenant facilities in specialty areas such as primary care, neurology, perinatology, radiology and orthopedics. Working under the direct supervision of physicians, students interview and examine patients, review clinical information, make hospital rounds, participate in interdisciplinary team meetings, practice appropriate documentation, and perform procedures. There is a shortage of medical professionals in the area, and the medical student program helps address the need. Convenient Care for Downtown Knoxville Knoxvillians who work or live downtown now have a convenient location to receive medical care when they need it. In early 2016 Covenant Health opened Convenient Care Downtown, a clinic designed to meet the immediate medical needs of downtown employees, residents and visitors. Located in the Phoenix Building at 418 South Gay Street, Convenient Care Downtown offers treatment for minor illnesses and injuries such as cold, allergies, and sprains. Sports and camp physicals are available, as well as flu shots and new-hire drug screenings. No appointment is needed and most insurance plans are accepted. With the new clinic Covenant Health is able to offer quality walk-in care for people who live, work, and visit downtown. Covenant Health Solutions Covenant Health works with local businesses and organizations to develop strategies and programs for improving their employees' health. 2016 Summary * 10 business clients, comprising approximately 750 employees * Worksite clinics at Jewelry Television and Sevier County Wellness Clinic * Services offered: biometric screenings, health risk assessments and personal health reports, aggregate health analysis, newsletters, educational and diabetes classes, weight loss programs, health coaching Clinical Accomplishments In addition to its nine acute care hospitals, Covenant Health provides services including Covenant HomeCare; inpatient and outpatient behavioral care through Peninsula, a division of Parkwest Medical Center; a comprehensive system-wide cancer network, and rehabilitation/therapy services. Fort Sanders Regional Medical Center is the hub of Covenant's stroke hospital network. The medical center is an accredited Stroke Center of Excellence and also is home to the Patricia Neal Rehabilitation Center. These programs and others assure that all aspects of a patient's healthcare needs can be met in Knoxville and surrounding communities, and patients do not have to leave the area to find specialized services. Major service lines include cardiology, inpatient medicine, neuro/stroke, oncology, and orthopedics/spine services. Each service line has active leadership and participation from the medical staff, and we cooperatively focus on patient-centered, quality care and the development of new programs and initiatives to serve our communities. Service Line Summary Cardiac - Covenant Health was the first area health system to pioneer TAVR (pronounced "Tav-R"), a minimally invasive treatment for a life-threatening heart condition called aortic stenosis. The program continues to improve patient outcomes and decrease length of hospital stay for TAVR patients. The cardiac service line also is implementing new technologies such as mitraclip (non-surgical heart valve repair) and subcutaneous implantable defibrillators (heart rhythm defibrillators that are implanted under the skin) at selected facilities. Inpatient Medicine - Covenant Health has aggressive initiatives underway throughout the system to exceed national standards for eliminating infections that can be acquired in healthcare settings. Covenant's goal is "zero harm and the highest standards of patient safety. Neuro/Stroke - Covenant Health has increased appropriate use of tPA ("clot-busting" medication) for stroke patients in emergency rooms at hospitals throughout the surrounding area (both Covenant and non-Covenant facilities). "Code Stroke" rapid response teams are in place throughout the health system to assure that patients receive the fastest evaluations and advanced treatment when a stroke occurs. Oncology - Many Covenant Health breast centers now offer 3D mammography (tomosynthesis), which allows the radiologist to better detect smaller cancers, even in women with dense breast tissue. Covenant Health also has implemented low-dose CT lung cancer screening at several facilities. The process uses lower levels of radiation while identifying lung cancer earlier among patients at high risk for the disease. Oncology services also has expanded its nurse navigation program, which assigns an oncology nursing professional to each cancer patient. The nurse navigator provides clinical information and coordination of medical and community resources to support cancer patients and their families. Orthopedic - Covenant Health facilities have reduced incidences of surgical site infections and post-surgery readmission rates for hip and knee procedures. This service line also has a special focus on excellence in spine surgery. Covenant Health continually seeks feedback from patients regarding their hospital experiences and focuses on patient satisfaction and perception of overall quality of care. More than 95 percent of patients rate their outpatient and outpatient surgery experiences as "very good or "excellent." The health system has recently established multiple Patient/Family Partnership Councils, bringing former patients and staff members together to determine ways to enhance patients' overall care experience. |
| Form 990, Part III, Line 1 | From Our Member Organizations In 2016 the S&P Global Ratings raised the long-term rating and underlying rating to "A" from "A-" on the health system's series 2006A-1, 2011C and 2012A bonds and assigned an "A" rating to the system's 2016A bonds. Ratings services assign bond ratings based on an organization's financial strength and performance outlook. The 'A' rating from S&P Global gives Covenant Health the highest bond rating among healthcare organizations in the East Tennessee area. A higher bond rating enables Covenant to fund facility expansions or major projects at continued lower interest rates and overall cost of capital, enhancing the health system's ability to provide excellent care. Covenant Health selected Cerner, a worldwide provider of health information technologies, to provide a comprehensive suite of integrated solutions to support Covenant's clinical, financial and population health management initiatives. The implementation will include initiatives such as an upgraded electronic health record, a revenue cycle platform, clinical support systems and an expanded patient portal. Cerner's IT solutions will support Covenant Health as it continues to improve patient outcomes and population health, and positively impact the quality of life in our communities. Covenant Homecare has earned four-star quality ratings based on outcome measures and patient satisfaction data collected by the Centers for Medicare and Medicaid Services (CMS). Covenant Hospice has received Level II designation in We Honor Veterans, a national awareness action campaign that encourages partnerships between community hospices, state hospice organizations and VA facilities for veterans' end-of-life care. Claiborne Medical Center has continued to upgrade facilities in 2016. A major project included the purchase of new nuclear medicine equipment to perform both general and cardiac nuclear medicine testing. The renovation also included the development of a "hot lab" (where radioactive diagnostic tracers are prepared) and reorganized other areas for improved patient flow. Other facility upgrades included purchase of new pulmonary function equipment for the respiratory department and installation of exterior signage using the hospital's new logo and Covenant Health branding. Cumberland Medical Center opened its new $6.3 million Emergency Department in early October. The hospital also welcomed its first full-time interventional cardiologist, enabling the hospital to offer expanded cardiology services. Fort Sanders Regional Medical Center's cardiology department received the 2016 American College of Cardiology Foundation's NCDR ACTION Registry - 2016 GWTG Gold Plus Performance Achievement Award with Honor Roll status for Elite Stroke Care. The award honors hospitals that have maintained a 90% or better performance of care guidelines for eight consecutive quarters. Fort Sanders has been recertified by The Joint Commission as a Comprehensive Stroke Center. The stroke program's capabilities and outreach efforts were expanded by the addition of neurohospitalists to the medical staff. Fort Sanders Regional was recognized in Becker's Hospital Review as one of "100 Hospitals and Health Systems with Great Oncology Programs." Hospital renovations included a new 5,000-square-foot cardiac and pulmonary rehab facility, a new hybrid operating room and in-hospital MRI. LeConte Medical Center was included on the 2016 list of "100 Great Community Hospitals" in the U.S. compiled by Becker's Hospital Review. The Becker's editorial team selected community hospitals around the country based on rankings and awards from a variety of healthcare organizations, including iVantage Health Analytics, Truven Health Analytics, Healthgrades, CareChex, the American Nurses Credentialing Center and the Leapfrog Group. Methodist Medical Center piloted the health system's new low-dose CT screening for those at high risk for lung cancer. Studies have shown that early detection through yearly low-dose CT lung screenings can lower the risk of death from lung cancer by 20 percent among people who are at high risk. Without LDCT screening, lung cancer is usually not found until a person develops symptoms. Parkwest Medical Center was ranked by the Tennessee Hospital Association as number one in our region and second in the state in 2016 for number of joint replacements performed. The medical center also became certified as a NICHE hospital, recognizing its capabilities in providing care for elderly patients. Peninsula, the behavioral health division of Parkwest Medical Center, received the Optum ACE Award for clinical excellence in 2016. The organization has designated a staff member as a liaison with Knox Area Rescue Ministries (KARM) to assist with patient transitions and follow-up. Community Outreach Covenant Health Knoxville Marathon Celebrates 12th Year Nearly 8,000 runners took to the streets of Knoxville on April 2 and 3, 2016, for the 12th annual Covenant Health Knoxville Marathon. The two-day event included the Covenant Kids Run and 5k race on Saturday evening and the half-marathon, four-person relay and full marathon on Sunday, April 3. The marathon helps promote fitness and good health, and has a positive impact on tourism and quality of life in East Tennessee. The 2016 event also included a Fittest Company Challenge and a Corporate Challenge Team of individuals representing 14 area businesses who trained together in pursuit of healthier lifestyles while preparing for marathon events. Dogwood Patch Program Encourages Community to Enjoy Local Outdoor Beauty As the flowering dogwood trees began showing the pink and white blossoms this past spring, Covenant Health announced a new initiative as part of its health and fitness sponsorship of the Dogwood Arts Festival. The health system offered a limited-edition patch for anyone who hiked 25 miles on featured Dogwood Trails. Miles had to be completed between April 1 and May 31. Led by Missy Kane, Covenant's health promotions coordinator, the patch program inspires people of all fitness levels to get moving and enjoy the benefits of a more active lifestyle, along with the natural beauty of East Tennessee. More than 300 people qualified to receive a patch during the program's initial year. Katerpillar Kids Supports Children Grieving Loss of a Loved One Covenant HomeCare Hospice continues to offer Katerpillar Kids Camp, a free event offered with the support of Variety-The Children's Charity. Held annually at Camp Wesley Woods in Townsend, the weekend day camp helps children in grades 1-12 express feelings of loss in a supportive environment, while enjoying new friendships, crafts and outdoor activities. Covenant Health Provides Ongoing Support for HonorAir Knoxville Covenant Health is a major sponsor of Knoxville's HonorAir program, which takes WWII, Korean and Vietnam veterans from East Tennessee (at no charge to them) to Washington, D.C., to visit the memorials built to honor their sacrifice. In spring 2016, for the first time the program included a flight that was solely for Vietnam veterans. In addition to financial support, Covenant Health has provided a staff physician for the majority of the flights, with Mitch Dickson, MD (also a Covenant board member), and Mike Ayres, MD, serving in that role. Covenant Health also has sent a volunteer escort on every HonorAir Knoxville flight. Under the leadership of Drs. Dickson and Ayres, the medical team that travels on each flight is well prepared to meet any needs the veterans may have. |
| Form 990, Part III, Line 1 | Philanthropy Builds a Legacy Throughout the years, fundraising efforts across Covenant Health have brought generous individuals and businesses together to make an impact on the health of our communities. In the last year, there have been many opportunities to celebrate and grow Covenant Health's legacy of excellence through fundraising: SUBWAY Race Against Cancer Thompson Cancer Survival Center was established with the help of many generous donors and has a long tradition of charitable support. The Smothers family and BUDDY's bar-b-q had great vision in establishing the Race Against Cancer to benefit the center 22 years ago. All funds raised by the race have stayed in East Tennessee to provide cancer screenings, education and outreach to our communities. In 2015 Covenant health announced the next step for this signature event with the lead corporate sponsorship of SUBWAY . The partnership with local franchises brings opportunities to expand the reach and success of the race. Hope Center The Hope Center's journey began in 1996 for people who are affected by HIV. Originally based at Fort Sanders Regional Medical Center, the program has adapted to the changing needs of the HIV community. Last year the program transitioned to be a part of Covenant HomeCare with a new medical director and program coordinator. The hope-focused care model created in 1996 continues to be the essence of care for the Center's services. The Hope Center provides, at no charge, caring support and assistance to individuals and families living with HIV. Inpatients, outpatients and newly diagnosed individuals have a safe, non-stigmatizing place to feel encouraged and valued. The Hope Center is completely funded through philanthropic donations and grants, and generous volunteers help provide many of its services. Hospitality Houses In 2016, 211 guests spent 1,787 nights at two Hospitality Houses for patients and families receiving care at Methodist Medical Center in Oak Ridge. Each house has private suites, a fully stocked kitchen, a shared family room and laundry facilities. The two houses are increasingly at 100% occupancy. An additional house is owned by Methodist but needs renovation in order to become the third Hospitality House, at an estimated cost of $400,000. Earlier this year, a fundraising campaign began under the leadership of MMC Foundation board member Steve Whitson to raise both financial and in-kind contributions of material and labor. Oak Ridge businesses UT-Battelle and Pro2Serve have committed the lead charitable gifts to the campaign. As a result of their generosity, the third house will be named the UT-Battelle/Pro2Serve House. Covenant Health's Office of Philanthropy also supports the Fellowship Center, which provides housing for patients and families receiving care at Covenant locations in downtown Knoxville. The Covenant Health Office of Philanthropy coordinates these fund raising efforts of the boards of directors and staff at four foundations: * Fort Sanders Foundation (serving Fort Sanders Regional, Fort Loudoun, Parkwest, Roane, and Cumberland Medical Centers; Peninsula; Covenant HomeCare/Hospice; Hope Center; and Patricia Neal Rehabilitation Center) * Methodist Medical Center * Morristown-Hamblen Hospital Foundation * Thompson Cancer Survival Center Foundation |
| Form 990, Part VI, Section A, line 4 | On December 5, 2016, Covenant Health, parent company of the organization, changed its corporate bylaws as follows: While the organization has in prior periods maintained a robust internal audit function, the organization amended its bylaws to create the position of "internal audit officer." The internal audit officer is appointed by the president and is to be invited to all meetings of the existing Audit Committee to provide information and answer questions posed by the Audit Committee. The internal audit officer shall also be responsible for preparing and reporting information necessary for the Audit Committee to carry out its functions and shall make an annual report to the Audit Committee on the status and effectiveness of the internal audit function. Direct access to the Audit Committee and the Board of Directors shall be afforded the internal audit officer when the officer deems necessary. Amendments were made to the bylaws to delegate to the Integrity Compliance Committee the authority to approve contracts or other arrangements involving or relating to transactions in which a director or officer has a conflict of interest, except where such authority is retained by the Board of Directors or delegated to another committee. The purpose of this amendment is to ensure that the committee of the board charged with leading the organization's compliance effort reviews all potential conflict of interest transactions consistent with the organization's previously adopted and expansive conflict of interest policies and procedures. |
| Form 990, Part VI, Section B, line 11b | Covenant Health is a large, integrated health system which files fourteen Forms 990. Cumberland Medical Center is one of those fourteen entities. Annually, at the September Finance Committee meeting, one of the fourteen 990s is selected (a different entity each year) for distribution to each member of the Committee. Management then reviews in detail each of the Form 990 schedules and describes variances between entities, if any. The remaining thirteen Forms are made available for review by any committee member. The same presentation is made to the Covenant Health Board of Directors at the October meeting. All fourteen Forms 990 are then made available to all board members for their review throughout the month of October. |
| Form 990, Part VI, Section B, line 12c | Board members, officers and employees are required to adhere to rules and policies regarding conflicts of interest. Covenant Health, the parent company of the organization, distributes a board-approved Code of Conduct to all employees. The Code covers among other subjects, conflicts of interest. Additionally managers are required to complete and sign a bi-annual management certification that addresses conflicts of interest. Board members' conflicts of interests are dealt within 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 Integrity Compliance Officer initially reviews all 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. As well, managers and other employees are expected to report conflicts to the Integrity Compliance Officer as they arise. Depending on the nature of the conflict and the circumstances surrounding the conflict and transaction, the Integrity Compliance Officer, Senior Leadership, or the Board of Directors may review the conflict of interest. Where appropriate these bodies 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 Integrity Compliance Officer, in conjunction with Executive Leadership determines how to appropriately handle the conflict. In any conflict involving a board member, such member is expected to excuse himself or herself from voting on matters that give rise to the conflict. |
| Form 990, Part VI, Section B, line 15 | Form 990, Part VI, Section B, Line 15a: Overall compensation policies for Cumberland Medical Center, Covenant Health (Parent Company), and affiliates are set by the Compensation Committee of the Board of Directors ("the Committee"), which is comprised of independent members of the board. The Committee is guided in its decision-making process by an independent, nationally-recognized executive compensation consultant experienced in advising nonprofit hospital boards. Compensation policies for James VanderSteeg, Anthony Spezia and John Geppi are reported on the 2016 Form 990 of Covenant Health, EIN 62-1646734. Form 990, Part VI, Section B, Line 15b: Base salary and annual bonus opportunities for David Bunch and Jeremy Biggs, President and Chief Administrative Officers, are set by the Covenant Health CEO in consultation with the Senior Vice President-Human Resources, subject to approval of the Compensation Committee of the Covenant Health Board of Directors ("the Committee"), 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 approved by the Committee conditioned upon receipt of a written opinion from the Consultant that total compensation for each executive is reasonable and consistent with fair market value. Base salary is 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 0-35% of base salary based upon system performance and accomplishment of certain targets established by the CEO. Base salary and annual bonus opportunities for April VonAchen, Vice President of Financial Services, are based on targets established by an independent, nationally-recognized executive compensation consultant to ensure that total compensation for the executive is reasonable and within a fair market value range. Salary range is based upon comparison with similar jobs in similar size health systems across the nation. Base salary and bonuses are approved by Executive Leadership predicated upon performance, and are reasonable and consistent with fair market value. Base salary is 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 19 | Cumberland Medical Center 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 VI, Section A, Line 9 | Contact Addresses for Officers and Directors: James D. VanderSteeg Covenant Health 100 Fort Sanders West Blvd. Knoxville, TN 37922 Anthony L. Spezia Covenant Health 1324 Centerpoint Blvd. Bldg. D. Knoxville, TN 37932 John T. Geppi, Larry Mauldin and all Directors: Covenant Health 1420 Centerpoint Blvd., Bldg. C. Knoxville, TN 37932 Jeremy Biggs Methodist Medical Center 990 Oak Ridge Turnpike Oak Ridge, TN 37830 Dr. Amanda Grubb Halford Covenant Health 1420 Centerpoint Blvd., Bldg. B. Knoxville, TN 37932 All other persons listed in Part VII, Section A, inluding the Directors listed above, may be contacted at the organization's address, which is: Cumberland Medical Center 421 S. Main Street Crossville, TN 38555-5048 |
| Form 990, Part XI, line 9: | Contributed capital - affiliates 63,825. |
| Form 990, Part XII, Line 2c: | The Audit Committee of the Board of Directors annually selects the external auditors for Covenant Health. There is a joint meeting of the Finance Committee and Audit Committee of the Board of Directors where the audit of the consolidated financial statements are presented. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Cumberland Physician Group LLC | |||||||||
| 421 S Main St | Crossville | TN | 385555048 | 371539508 | Physician services | TN | $45 | $247,777 | Cumberland Medical Center |
| CMC Hospitalist Group LLC | |||||||||
| 421 S Main St | Crossville | TN | 385555048 | Hospitalist staffing services | TN | $0 | $0 | Cumberland Medical Center | |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Covenant Health | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 621646734 | Supporting organization | TN | 501(c)(3) | Line 12b, II | N/A | 0 | |
| Claiborne Medical Center | |||||||||||
| 1850 Old Knoxville Rd | Tazewell | TN | 378793625 | 464420358 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Covenant Homecare | |||||||||||
| 3001 Lake Brook Blvd Ste 101 | Knoxville | TN | 37909 | 621623114 | Home health services and DME | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Fort Loudoun Medical Center | |||||||||||
| 550 Fort Loudoun Medical Center Dr | Lenoir City | TN | 37772 | 621373691 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Fort Sanders Regional Medical Center | |||||||||||
| 1901 W Clinch Ave | Knoxville | TN | 37916 | 620528340 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Fort Sanders Foundation | |||||||||||
| 280 Fort Sanders West Blvd Ste 202 | Knoxville | TN | 37922 | 621748601 | Fundraising and patient outreach | TN | 501(c)(3) | Line 12b, II | 0 | Covenant Health | |
| Fort Sanders Perinatal Center | |||||||||||
| Trustees Tower 501 19th St Ste 304 | Knoxville | TN | 37916 | 043760551 | High risk obstetrical services | TN | 501(c)(3) | Line 3 | 0 | Fort Sanders Regional Medical Center | |
| Cumberland Medical Center Auxiliary Inc | |||||||||||
| 421 S Main St | Crossville | TN | 385555048 | 620988311 | Support and promote services of hospital | TN | 501(c)(3) | Line 10 | N/A | 0 | |
| LeConte Medical Center | |||||||||||
| 742 Middle Creek Road | Sevierville | TN | 37862 | 621114867 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Methodist Medical Center | |||||||||||
| 990 Oak Ridge Turnpike | Oak Ridge | TN | 37830 | 620636239 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Morristown-Hamblen Hospital Association | |||||||||||
| 908 W 4th N St | Morristown | TN | 37814 | 620545814 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Parkwest Medical Center | |||||||||||
| 9352 Park West Blvd | Knoxville | TN | 37923 | 581897274 | Acute care hospital and behavioral health services | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Roane County Medical Center | |||||||||||
| 8045 Roane Medical Center Dr | Harriman | TN | 37748 | 680673354 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Thompson Cancer Survival Center | |||||||||||
| 1915 White Ave | Knoxville | TN | 37916 | 621250943 | Cancer support center | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Thompson Oncology Group | |||||||||||
| 1915 White Ave | Knoxville | TN | 37916 | 621619239 | Oncology services | TN | 501(c)(3) | Line 3 | 0 | Thompson Cancer Survival Center | |
| Thompson Cancer Survival Center Foundation | |||||||||||
| 1915 White Ave | Knoxville | TN | 37916 | 582130450 | Fundraising and patient outreach | TN | 501(c)(3) | Line 12b, II | 0 | Covenant Health | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| Fort Sanders West OP Surgery Center LLC | |||||||
| 210 Fort Sanders West Blvd Ste 200 | Knoxville | TN | 37922 | 621366907 | Outpatient surgery center | TN | N/A |
| Fort Sanders West Associates | |||||||
| 280 Fort Sanders West Blvd Ste 214 | Knoxville | TN | 37922 | 621384171 | Building ownership | TN | N/A |
| KOSC Properties LLC | |||||||
| 256 Fort Sanders West Blvd Ste 200 | Knoxville | TN | 37922 | 262444076 | Building ownership | TN | N/A |
| Knoxville Orthopaedic Surgery Center LLC | |||||||
| 256 Fort Sanders West Blvd Ste 200 | Knoxville | TN | 37922 | 262437385 | Orthopaedic surgery | TN | N/A |
| KOC 260 Bldg LLC | |||||||
| 260 Fort Sanders West Blvd | Knoxville | TN | 37922 | 465228440 | Land and building ownership | TN | N/A |
| CovenantUSP Surgery Centers LLC | |||||||
| 15305 Dallas Parkway Ste 1600 | Addison | TX | 75001 | 364828197 | Holding company | TN | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Fortress Corporation | |||||||||
| 280 Fort Sanders West Blvd Ste 214 | Knoxville | TN | 37922 | 621308885 | Management company | TN | N/A | C | 0 |
| Covenant Medical Group Inc | |||||||||
| 1400 Centerpoint Blvd Ste 100 Bldg | Knoxville | TN | 37932 | 621282917 | Physician practice management | TN | N/A | C | Yes (1) |
| Knoxville Heart Group | |||||||||
| 1819 Clinch Ave Ste 108 | Knoxville | TN | 37916 | 271528941 | Cardiology medical practice | TN | N/A | C | 0 |
| East TN Cardiovascular Surgery Group Inc | |||||||||
| 9125 Cross Park Drive Ste 200 | Knoxville | TN | 37923 | 621018541 | Cardiovascular surgical practice | TN | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Covenant Medical Group Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | A | TransactionTypeTxt |
| Involved | $394,048 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |