2016-11-10T09:19:17-06:00 2015-12-31 990 2015-01-01 620545814 Morristown-Hamblen Hospital Association MORR 8653746864 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 JOHN T GEPPI EVP/CFO 8653746864 2016-11-09 2015 2017-02-10 21:41:12Z Morristown-Hamblen Healthcare System James D Vandersteeg 100 Ft Sanders W Blvd Knoxville TN 37922 97781140 0 X www.morristownhamblen.com X 1955 TN See Schedule O.Morristown-Hamblen Hospital Association operates a 167-bed hospital in Morristown & provides quality healthcare services to the region. 23 18 753 79 524856 -35059 376550 69153 97293591 97159468 -1155 12848 1951525 481356 99620511 97722825 8013 8885 0 0 29957378 28558823 0 0 0 68647149 67426778 98612540 95994486 1007971 1728339 59504469 60318819 9847972 8933983 49656497 51384836 X See Schedule O.Morristown-Hamblen Hospital Association provides quality healthcare, in alignment with Covenant Health's mission to serve the community by improving the quality of life through better health, regardless of the patient's ability to pay. 0 0 8068123 7143338 Orthopedic Services: See Schedule O.Orthopedic Services: Expenses - $8,068,123; Revenue - $7,143,338Morristown-Hamblen Hospital Association's board-certified orthopedic surgeons are skilled in diagnosing and treating bone, muscle, and joint disorders. Specialty areas include hip and knee replacement, fractures, complex rotator cuff/shoulder repairs, and hand surgery. The hospital treated 1,101 orthopedic surgery patients in 2015. Using a series of best practice guidelines and standard orders, the staff treats patients efficiently and provides the best opportunity for optimal outcomes. The physical therapy staff at Morristown-Hamblen Hospital Association specializes in treating a variety of orthopedic, neurologic, and medical problems, with an emphasis on helping individuals overcome disability caused by injury, developmental abnormality, or amputation. The staff provides medical rehabilitation for individuals with neck, lower back, arm and leg injuries; sports and overuse injuries, arthritis, stroke, brain injury, and post-amputation needs. Specialty programs include sports medicine and wound/burn care. 7820418 8468594 Pulmonary Services: See Schedule O.Pulmonary Services: Expenses - $7,820,418; Revenue - $8,468,594Morristown-Hamblen Hospital Association offers a complete service line of pulmonary/respiratory care for inpatients, as well as outpatients, for the residents of an eight-county service area. Services include diagnostic procedures such as pulmonary function testing and arterial blood gases. Interventions and supportive care include nebulizer and aerosol treatments, management of mechanically ventilated patients, and initiation and assessment of supplemental oxygen administration. A total of 98,135 treatments and/or interventions were provided in 2015. Patient education is also provided through inpatient rounds by staff. Additional education and pulmonary rehabilitative services were offered through structured classes and pulmonary exercise regimes to a total of 874 patients. 7679964 8277146 Cardiology: See Schedule O.Cardiology: Expenses - $7,679,964; Revenue - $8,277,146Morristown-Hamblen Hospital Association offers a complete continuum of cardiovascular care including prevention and public education, diagnostic and interventional procedures, and rehabilitative services. During 2015, the program participated in two community health fairs providing basic screenings and education to the residents of an eight-county service area. Cardiology provided 18,749 diagnostic exams to both in-patient and out-patient populations. Tests included EKG's, echocardiograms, exercise stress, nuclear stress and Holter monitoring. Approximately 825 diagnostic and interventional cardiac exams were performed utilizing the latest technology in angioplasty, drug eluting stents and closure devices. Approximately 18 peripheral vascular procedures were performed in the hospital's two state-of-the-art angioplasty suites. The Cardiopulmonary Rehab department provided services to 1,578 patients through Phase II sessions and Phase III sessions. 70593732 8885 72880889 As a full-service acute care hospital, Morristown-Hamblen Hospital Association features 24-hour emergency care, diagnostic imaging services, a dedicated women's center and four hospital-owned OB/GYN practices, as well as a host of other specialty medical services. 70593732 8885 72880889 94162237 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 224 0 1 753 1 1 1 0 0 0 0 0 0 0 0 0 X 23 18 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 0 X X Nancy Beck 8653746864 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 Anthony L Spezia President & CEO 0.00 50.00 X X 0 1660333 230699 Ed Anderson Director 0.00 1.00 X 0 1435 0 Gerald Boyd Director 0.00 1.00 X 0 1316 0 Dr Willard Campbell Director 0.00 1.00 X 0 0 0 Dr Michael Casey Director 0.00 1.00 X 0 2275 0 Dr Mitchell Dickson Director 0.00 1.00 X 0 1919 0 Pamela P Fansler Director 0.00 1.00 X 0 0 0 Homer Fisher Director 0.00 1.00 X 0 0 0 James Fitzsimmons Director 0.00 1.00 X 0 1813 0 Jim Johnson Jr Director 0.00 1.00 X 0 1272 0 Amber Krupacs Director 0.00 1.00 X 0 1741 0 Eddie Mannis Director 0.00 1.00 X 0 0 0 Timothy Matthews Director 0.00 1.00 X 0 1637 0 Larry Mauldin Chairman 0.00 1.00 X 0 1422 0 Dr Joseph Metcalf Director 0.00 1.00 X 0 0 0 George Miller Director 0.00 1.00 X 0 1270 0 Alvin Nance Director 0.00 1.00 X 0 1314 0 Linda Ogle Director 0.00 1.00 X 0 0 0 Roger Osborne Director 0.00 1.00 X 0 0 0 Carl Storms Director 0.00 1.00 X 0 1206 0 Joseph E Sutter Director 0.00 1.00 X 0 1490 0 Richard Swanson Director 0.00 1.00 X 0 1444 0 David C Verble Director 0.00 1.00 X 0 1428 0 John T Geppi EVP/CFO 0.00 50.00 X 0 795717 27890 Gordon E Lintz President & CAO 50.00 0.00 X 0 312220 19037 Amy Herndon VP - Financial Services 50.00 0.00 X 117704 0 19185 Debra Whitaker VP - Chief Nursing Officer 50.00 0.00 X 202555 0 20624 Robert Drinnon Medical Physicist 50.00 0.00 X 171613 0 26205 Pamela Western Pharmacist 50.00 0.00 X 126149 0 16570 Victoria Adams Pharmacist 50.00 0.00 X 115672 0 24197 Debra Clifton Director, Surgical Services 50.00 0.00 X 108500 0 24652 Carol S Mickey Director, Radiation Oncology 50.00 0.00 X 107151 0 23543 Jeremy Biggs Former Interim President/CAO 0.00 50.00 X 0 311645 31592 Peter Clark Former Highest Paid Employee 0.00 40.00 X 0 718692 22771 Frank Ellis Former Highest Paid Employee 0.00 40.00 X 0 351901 31845 Billy Black Former Highest Paid Employee 0.00 40.00 X 0 321539 23594 949344 4495029 542404 10 1 1 0 Aramark Healthcare 12483 Collections Center Dr Chicago IL 60693 Clinical Engineering & Technology 1572545 Sodexo Inc and Affiliates PO Box 536922 Atlanta GA 303536922 Cafeteria Management 746710 Medic Regional Blood Center 1601 Ailor Avenue Knoxville TN 37921 Blood Processing 441474 Angelica Textile Services Inc PO Box 535122 Atlanta GA 303535122 Linen Service 385957 Fresenius Medical Care 16343 Collections Center Dr Chicago IL 60693 Dialysis Service 185966 9 69153 415 69153 Medical Services 622110 96692117 96692117 Laboratory 621500 418055 418055 Rental Inc - Affiliate 531120 49296 49296 97159468 11708 11708 217035 58315 158720 158720 106801 51919 1140 0 1140 1140 1140 Cafeteria 722212 183823 183823 Gift Shop 453220 74021 74021 Vending 454210 26887 26887 37905 28554 9351 322636 97722825 96769967 524856 358849 8885 8885 360068 360068 23545382 22966617 578765 304842 299302 5540 2523873 2465170 58703 1824658 1771435 53223 7541088 7385664 155424 107377 107377 5046365 4970932 75433 202236 196337 5899 820657 730849 89808 2107645 1892309 215336 38245 32842 5403 178593 158383 20210 48267 48267 7137605 7137605 156212 153198 3014 Unrelated Business Inco 733 733 Supplies & Equipment 19255555 19255555 Charity Care 11762558 11762558 Bad Debt 8435406 8435406 4588236 4490923 97313 95994486 94162237 1832249 0 1401 1501 -526886 -317180 6846369 8192735 1801472 1694145 300512 447291 116346810 77158945 38969810 39187865 8819138 8819138 3292653 2293324 59504469 60318819 6203981 5533274 1468 1468 3504087 3332373 138436 66868 9847972 8933983 X 49656497 51384836 49656497 51384836 59504469 60318819 1728339 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2230137 2230137 45368853 25284553 20084300 67916040 51761772 16154268 831780 112620 719160 39187865 Long-term Deferred Compensation 66868 66868 X Part X, Line 2: Note B to the consolidated audited financial statements of Covenant Health, parent company to Morristown-Hamblen Hospital Association, 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, 2015 and 2014. 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, 2015, tax returns for 2012 through 2015 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, 2015 or 2014." 1 1 X 1 X 1 X 1 1 0 1 1 6543887 2159289 4384598 0.05010 20449236 17168763 3280473 0.03750 26993123 19328052 7665071 0.08760 18822 1305 17517 0.00020 4841482 1758611 3082871 0.03520 23866 23866 0.00030 4884170 1759916 3124254 0.03570 31877293 21087968 10789325 0.12330 75 75 0.00000 12267 12267 0.00010 13741 13741 0.00020 1256 1256 0.00000 27339 27339 0.00030 1 8435406 1535244 18203226 18788407 -585181 X 1 1 1 None 1 1 Morristown-Hamblen Healthcare System 908 W Fourth North St Morristown TN 37814 www.morristownhamblen.com 00000073 X X X Morristown-Hamblen Healthcare System 1 0 0 1 X X X X X X X X 13 1 0 1 1 X www.morristownhamblen.com X 1 14 1 www.morristownhamblen.com 0 0 1 X 200.000000000000 300.000000000000 X X 1 1 X X X 1 X X X X 1 X 0 X X X X 1 X 0 0 Morristown-Hamblen Healthcare System Part V, Section B, Line 5: Morristown-Hamblen Healthcare System was aided in the data collection 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 Hamblen County. The assessment partners included the Hamblen County Health Department's Director and Health Educator, the Chair of the Hamblen County Health Council, a representative of the Hamblen County Schools Coordinated School Health Program, a leadership team from Morristown-Hamblen Healthcare System, LPN students from East Tennessee Technology Center, the Mayor of Hamblen County, the Director of the Hamblen County Senior Citizens Center, a representative of the Morristown-Hamblen Public Library, and the President of the Morristown Area Chamber of Commerce. These partners helped determine a list of key stakeholders to participate in interviews and focus groups. Special attention was given to recruiting those who serve the uninsured, chronically ill and minority populations. Additionally, these leaders analyzed and distilled volumes of data into a short list of the most significant health issues affecting Hamblen County. Morristown-Hamblen Healthcare System Part V, Section B, Line 6b: Morristown-Hamblen Healthcare System's CHNA was conducted with the following organizations and individuals: Hamblen County Health Department Hamblen County Health Council Hamblen County Schools - Coordinated School Health Knox County Health Department, Department of Assessment and Planning East Tennessee Technology Center - LPN Program County Mayor - Bill Brittian Hamblen County Senior Center Morristown Hamblen Public Library Morristown Chamber of Commerce Morristown-Hamblen Healthcare System Part V, Section B, Line 11: Of the significant findings identified in the CHNA, Morristown-Hamblen Hospital Association is focusing its resources on the following: *Prescription drug abuse - Implement Cuddle Crew to aid drug addicted babies, participate in the Moms on Meds program. *Heart Disease - Provide free blood pressure screenings and health information at kiosk in community mall. Partner with 3 area employers to provide wellness program implementation and consultation. Implement employee outreach programs including weight management, primary care referral and wellness incentives. *Obesity - Increase regular physical activity for the population by supporting area walking and hiking activities. Support local wellness program at the Boys and Girls Club. Morristown-Hamblen Healthcare System Part V, Section B, Line 16i: Please see the explanation to Part VI, Line 3. Morristown-Hamblen Healthcare System Part V, Section B, Line 22d: Please see the explanation to Part III, Line 9b. 2 1 - Morristown Regional Diagnostic Center 901 W Fourth North Street Morristown TN 37814 Outpatient diagnostic center 2 - Sleep Center 924 W Fourth North Street Morristown TN 37814 Sleep diagnostic center Part I, Line 6a: Covenant Health, the parent company of Morristown-Hamblen Hospital Association, dba Morristown-Hamblen Healthcare System, 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 organization has included $2,543,459 in physician sponsorship fees in total subsidized health services. 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 $ 8,435,406. Part II, Community Building Activities: Morristown-Hamblen Healthcare System 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. In 2015 contributions were made to organizations meeting the community's needs by providing: *Literacy programs - Dollywood Foundation *The basic needs of life including temporary shelter, food and clothing - United Way and others *Youth mentoring, development and after-school programs - Emerald Youth Foundation, Boys and Girls Club and Great Smoky Mountain Council *Business recruitment and marketing initiatives that boost economic development - Innovation Valley and East Tennessee Economic Development Agency *Leadership development programs and workshops - Leadership Knoxville *Assistance and special programs for at risk, physically challenged, abused and neglected children - Variety of Eastern Tennessee (local chapter of Variety-The Children's Charity) and East TN Tech Access Center, Inc. *Improve access to health services - Interfaith Health Clinic and Knoxville Academy of Medicine *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 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: In 2015, the hospital reviewed all self-pay accounts receivable to identify patients who might have qualified for financial assistance. As of year end, the hospital could not make a final determination as to some patients' qualification for financial assistance because not all requested financial information had been received but felt strongly that they were in need of some form of assistance. Notes in the patient records were examined to see if a charity care application had been sent to the patients or guarantors or if the accounts were being analyzed by a business office employee for approval for charity care. The percentage of patient accounts being analyzed as a percent of total self-pay accounts receivable has been applied to the current year total bad debt expense on Line 2 to arrive at the amount reported on Line 3. 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 patients' 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 2015 Audited Consolidated Financial Statements of the Covenant Health system, of which Morristown-Hamblen Hospital Association 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: Medicare Shortfall: MHHA believes that all of the $547 thousand shortfall reported in Line 7 should be considered as community benefit. The IRS Community Benefit Standard includes the provision of care to the elderly and Medicare patients. Medicare shortfalls must be absorbed by the hospital in order to continue treating the elderly in our community. This year, Medicare patients accounted for 31.7% of total patients' days (7,346 out of 23,156 total). The hospital provided care regardless of this shortfall and thereby relieves the federal government of the burden of paying the full cost for Medicare beneficiaries. Costing Methodology: MHHA 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: Self-pay patients automatically receive a minimum 51% discount on charges. 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 70% 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.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. The patient/guarantor will be billed for all collection costs as may be applicable. Credit reports will be filed no earlier than 30 days following the assignment on all nonpaid balances. 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. Morristown Hamblen Healthcare System obtains additional community information through the service of its employees with the Hamblen County Health Council, the Chamber of Commerce, and Rotary Clubs, and through its community health outreach in the local shopping mall. Part VI, Line 3: Morristown-Hamblen Healthcare System 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.The following sign is posted in the main registration area: 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 Morristown-Hamblen Healthcare System are available to assist you with your financial needs. If you are an uninsured person with no public or private source of payment for medical services, Morristown-Hamblen Healthcare System 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 423-492-5067, Monday through Friday between the hours of 8 a.m. and 4:30 p.m.Morristown-Hamblen Healthcare System employs full time financial counselors who meet with each uninsured patient. In addition, Morristown-Hamblen Healthcare System assists them 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: Hamblen County, Tennessee, is the primary market area for Morristown-Hamblen Healthcare System. Hamblen County is a rural community with close proximity to the metropolitan Knoxville area. Morristown-Hamblen Hospital shares its market with Lakeway Hospital. According to internal hospital data for 2015, over 50% of the inpatient and outpatient consumers were Hamblen County residents.According to 2015 data from the County Health Rankings, Robert Wood Johnson Foundation the population of Hamblen County numbers approximately 63,036. The population is evenly split between men and women. Persons 65 and older account for 7.6% of the population. Hamblen County has one of the largest Hispanic populations in East Tennessee at 11%. The median income of Hamblen County is $39,604 per household with 17.7% of the population living below the poverty level. Unemployment is at 5.7%.According to the 2015 County Health Rankings Report by the Robert Wood Johnson Foundation/ University of Wisconsin Population Health Institute, Hamblen County residents have the following health indicators that are above the national benchmarks: Hamblen - TN - National Adult Smoking: 23% - 24% - 14% Adult Obesity: 30% - 32% - 25% Teen Birthrate: 62 - 45 - 19 of every 1,000 teenage girls Poor or Fair Health: 24% - 23% - 12% Physical Inactivity: 32% - 32% - 20% Part VI, Line 5: Morristown-Hamblen Healthcare System ("MHHS"), in conjunction with its parent company, Covenant Health, is committed to providing quality health care services in a caring environment that fulfills the needs of patients, physicians, employers, employees, and the community.Covenant Health's Board of Directors, which is comprised of independent community leaders with diverse and professional backgrounds, serves as MHHS's Board. The board sets policies and provides oversight of MHHS.MHHS maintains an open medical staff, with privileges available to all qualified physicians and healthcare professionals. Additionally, the hospital operates an active and accessible emergency department open to all persons, regardless of the ability to pay.The hospital uses any available surplus of receipts over disbursements to expand and modernize its facilities and to advance its medical training and education programs, both of which serve to improve patient care and serve the unmet needs of the community.MHHS provides numerous education and outreach efforts to the community, ranging from health screenings and fairs to presentations to area groups. The various programs and services are provided complimentary or at a minimum charge. These are offered throughout the year based upon activities and services which the hospital believes will serve a bona fide community need. In addition to health education programs and activities, the hospital participates in other community outreach and support programs, including various community activities to benefit civic organizations, local schools, and members of the community. The hospital values the relationships maintained with the community organizations and provides conference rooms for a variety of meetings, seminars, and educational programming at no charge to outside groups. Additionally, the hospital provides other in-kind services and staff support to many area support groups. In these and other respects, the hospital is organized and operated in a manner that promotes the health of the community and therefore fulfills charitable purposes within the meaning of Internal Revenue Code Section 501(c)(3). Part VI, Line 6: Morristown-Hamblen Healthcare System (MHHS), as a member of the Covenant Health system, benefits from the collaboration among all affiliated organizations to promote quality improvement, patient safety and efficient delivery of care for the communities served. As a system, Covenant assures that business processes are in place in each facility to measure and report quality, to increase the role of compliance, and to integrate risk management, utilization review, peer review, mandatory reporting and quality improvement into one cohesive function. In this way, the system is able to use analytic tools to help identify any systemic inability to satisfy the various requirements on the part of the facilities. MHHS's patients benefit from the availability of and ease of access to Covenant Health affiliated entities for services not provided by the hospital itself. Transfer or referral to such services is expedited and coordinated to help create a seamless continuum of care. A full range of community mental health and psychiatric hospital services are available within the system that help support the hospital's emergency room as well as provide an accessible and efficient pathway for those patients who require such services post discharge. Other specialized services such as inpatient rehabilitation, home health and hospice services are provided by affiliated entities. The Covenant Health system also enhances the patient's access to care through the provision of outpatient services in a variety of settings located throughout the service area. These include a diabetes center, wound care center, bariatric surgery center, pulmonary rehabilitation programs and ambulatory infusion centers.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. X 1 1 0 1 0 0 0 0 0 0 0 Anthony L Spezia President & CEO 0 1003236 0 503500 0 153597 0 214400 0 16299 0 1891032 0 0 John T Geppi EVP/CFO 0 496663 0 215000 0 84054 0 10400 0 17490 0 823607 0 0 Gordon E Lintz President & CAO 0 211251 0 57000 0 43969 0 10400 0 8637 0 331257 0 0 Debra Whitaker VP - Chief Nursing Officer 172571 0 15000 0 14984 0 5884 0 14740 0 223179 0 0 0 Robert Drinnon Medical Physicist 171531 0 0 0 82 0 5341 0 20864 0 197818 0 0 0 Jeremy Biggs Former Interim President/CAO 0 198277 0 60000 0 53368 0 9605 0 21987 0 343237 0 0 Peter Clark Former Highest Paid Employee 0 331518 0 381630 0 5544 0 7800 0 14971 0 741463 0 0 Frank Ellis Former Highest Paid Employee 0 306580 0 41762 0 3559 0 7800 0 24045 0 383746 0 0 Billy Black Former Highest Paid Employee 0 292009 0 28936 0 594 0 0 0 23594 0 345133 0 0 Part I, Line 1a Tax gross-up payments related to deferred compensation are provided to certain executives and managers. These are treated as taxable compensation to the recipients. Part I, Line 3 Covenant Health, the parent company of Morristown-Hamblen Hospital Association, used one or more of the methods listed in establishing the compensation of 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 will be 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 does allow the accrual of interest on undistributed amounts which will be subject to risk of forfeiture until such time as indicated in the Amendment. Interest earned by Plan A in 2015 amounted to $90,424 and is not required to be reported in Part II, as Mr. Spezia is not substantially vested in earnings accumulated after July 31, 2011. Plan B was established in 2011. Employer contributions to Plan B during 2015 totalled $204,000, which is reported in Col. C of Schedule J, Part II. Interest earned by Plan B during 2015 of $57,620 is not required to be reported in compensation in Part II, as Mr. Spezia is not substantially vested in Plan B. Form 990, Part III, Line 1 2015 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. Covenant Health's mission is to serve its communities by improving health. It has invested well over a billion dollars in the local communities since 2000 - a commitment that no other healthcare organization in the region has approached. In the current challenging environment Covenant Health is nationally recognized as a top performer in many areas: patient care, quality, cost, information technology, finances, ethics and innovation. It reaffirms its long-standing commitment to the communities and its core strategies: * Provide the best care and outstanding customer service to every patient, every time. * Serve its communities as a not-for-profit health system. * Provide excellence in governance and leadership, effective strategic planning and wise use of resources. * Engage a work force with the appropriate skill sets. * Be the practice environment of choice for its physicians. * Optimize the value of being a unified health system. In 2015, Covenant Health ranked in the top 20 percent of a national study of health systems that measures quality and efficiency in areas such as adherence to clinical standards of care, patient safety and satisfaction, length of stay and other criteria. It received awards for clinical excellence from VHA, Inc., a national healthcare performance improvement alliance. Two of its hospitals - Fort Loudoun Medical Center and LeConte Medical Center - were among just six hospitals in the country to receive a VHA 2015 Excellence Award for Clinical Effectiveness for achieving exceptionally high levels of performance compared to national benchmarks. Fort Sanders Center for Bariatric Surgery Obesity has become a significant national health issue. Morbid obesity, defined as having a Body Mass Index (BMI) over 35 and being at risk for obesity-related health issues, is closely correlated with serious medical conditions including heart disease, high blood pressure and diabetes. Bariatric surgery often eliminates these conditions, along with the side effects that can result from the medications used to treat them. It is becoming a more viable option for people who need to lose at least 100 pounds and have found other weight-loss strategies to be unsuccessful. Bariatric surgeons, after helping more than 2000 patients over the past dozen years, created the Fort Sanders Center for Bariatric Surgery which has been designated as a Center of Excellence by the American Society of Metabolic and Bariatric Surgery. The atmosphere at the Center for Bariatric Surgery is one of support and encouragement. The relationship between physicians, staff and the patient is very open. It is important that the patient is completely informed when making a choice about surgery. A support group is available before and after surgery, and patients are strongly encouraged to take part. The Center for Bariatric Surgery offers two cutting edge solutions. Laparoscopic gastric bypass, usually done as a robotic procedure, creates a smaller stomach pouch and reroutes a portion of the small intestine. Sleeve gastrectomy removes a portion of the stomach and creates a narrower digestive tube. The safety of bariatric surgery has improved greatly over the past several years, and in most instances the patient goes home within 24 hours after surgery. Partners in Quality Care Covenant Health collaborates with physicians to carry out its mission of improving the quality of life through better health. Physicians partner with the health system in many ways including employment, as members of hospital medical staffs and Covenant's board of directors, and in committee leadership roles. Covenant Medical Group, Inc. (CMG) employs nearly 200 primary care and specialty physicians in about 100 practice locations. Covenant Health builds and maintains partnerships with physicians through joint ventures such as surgery centers and the development of service line strategies that focus on improving quality and cost of patient care. Nearly 1,500 physicians are affiliated with Covenant Health hospitals and member organizations as active or consulting members of the health system's medical staffs. These physicians may serve in leadership positions at their respective hospitals, and several also represent their organizations and communities through membership in Covenant Health's Board of Directors. Good Health is Good Business In addition to partnerships with physicians, Covenant Health works with businesses and insurance brokers to help control and lower healthcare costs. Working side by side with companies, Covenant Health helps to develop programs and services such as on-site clinics to engage employees in healthy behaviors and manage chronic diseases. With more than 30 years of experience providing biometric screenings and wellness programs in local communities, Covenant Health's professionals deliver on-site solutions for business clients. The program's goals are to improve employee health and positively affect an organization's healthcare investment. Form 990, Part III, Line 1 Covenant Health Named Among Nation's "Most Wired" The American Hospital Association's Health Forum and the College of Healthcare Information Management Executives (CHIME) named Covenant Health among the nation's "Most Wired" healthcare organizations in the 2015 "Most Wired" study. The survey and benchmarking study is a leading industry barometer measuring information technology use among hospitals nationwide. The survey of more than 2,213 hospitals examined how healthcare organizations leverage IT to improve performance for value-based healthcare in areas such as infrastructure, business and administrative management, quality and safety, and clinical integration. The survey showed that hospitals are taking more aggressive privacy and security measures to protect and safeguard patient data. Most Wired hospitals are using IT to better facilitate information exchange across health care and other settings, and greater alignment between hospitals and physicians. Most Wired organizations are also implementing patient portals to get patients actively involved in their health and health care. Covenant Health is one of only four Tennessee healthcare organizations to be named to the Most Wired list. It is the 12th time that Covenant Health has been ranked among Most Wired. Best Practices for Babies' Healthy Start The Covenant hospitals are part of a statewide Healthy Tennessee Babies Are Worth the Wait initiative to increase awareness of the benefits of full-term delivery. Babies born too early are at risk for respiratory distress, jaundice, hypoglycemia and other conditions that need more medical care and put them at greater risk for death before their first birthdays. Waiting until 39 weeks to deliver allows for better growth and development of vital organs and is also better for the health and safety of the mother. In addition to patient and staff education programs, Covenant Health obstetrics departments adopted a policy prohibiting early elective deliveries before 39 weeks unless there is a clear medical risk to the mother or the baby. In 2011 about 12 percent of the hospitals' deliveries that occurred prior to 39 weeks gestation were considered elective. By second quarter of 2015, the number had dropped to zero. Covenant hospitals are also involved with the Tennessee Initiative for Perinatal Quality Care's breastfeeding project, which focuses on promoting and supporting breastfeeding in the delivery setting and after mothers return home. Caring for Women throughout Their Lives Covenant Health provides a full spectrum of health services for women of all ages. The health system's ten breast centers offer patients access to the latest technological advances in the prevention, early detection, diagnosis and treatment of breast cancer. A full range of diagnostic screenings, gynecological care, cancer care, and specialized treatment are offered to women in all ages and stages of life. The health system provides comprehensive heart and stroke care for women, and has developed educational and outreach programs to teach women about cardiovascular disease, risk factors, prevention, treatment and rehabilitation. Advanced Technology Keeps More Hearts Beating Covenant Health is committed to excellence in all areas of heart care - from heart disease prevention and diagnosis of heart conditions to advanced technology and treatments, emergency interventions, and cardiac rehabilitation programs for follow-up care. More than 50 affiliated cardiologists provide diagnostic testing and perform a variety of interventional procedures such as heart catheterization and techniques to clear blocked arteries and place stents to restore blood flow. Cardiologists also treat heart arrhythmias and often repair heart valves and holes in the chambers of the heart. Covenant Health is at the forefront of cardiac innovations that restore health and the ability to live life to the fullest. Covenant was the first health system in the region to offer Transcatheter Aortic Valve Replacement (TAVR), in which a minimally invasive procedure places a new valve into the heart. The procedure gives new hope to patients suffering from life-threatening aortic stenosis who are not candidates for open-heart surgery. In addition to TAVR, a full spectrum of advanced cardiac procedures are available at Covenant Health's "heart hospitals" - Fort Sanders Regional Medical Center, Methodist Medical Center of Oak Ridge and Parkwest Medical Center. For patients experiencing severe coronary disease like blocked arteries and aortic enlargement, care close to home may seem like a distant hope. Covenant's cardiac services offer complex surgeries and treatment that are often only available in larger cities. When Minutes Matter If a heart attack occurs, time is critical. The heart hospitals of Covenant Health have adopted the American College of Cardiology and American Heart Association recommended care standards for heart attack patients, specifically those identified as the "ST-Segment Elevation MI" (STEMI) population. These patients have the highest mortality (risk of death) and morbidity (risk of associated complications). They can be rapidly identified by having an electrocardiogram (EKG). The standards emphasize organizing regional systems of care and patient transfer procedures to provide faster access to advanced therapies that help facilitate rapid restoration of blood flow during a heart attack. The care team - from first responders and emergency departments to cardiologists and cath lab staff - collaborate to provide efficient and effective care. They evaluate the entire process and collaborate with anyone who has contact with this patient population to develop a standardized approach to efficiently get them to a cath lab. Every 30 minutes results in nearly an eight percent increase in risk of death, so patient outcomes are improved by having a systems approach to identification, notification, and rapid transfer. Several new processes have been developed, including: * Training EMS providers to identify STEMI patients quickly, and building relationships with emergency transporters to ensure efficient arrival at a center equipped to deal with STEMI patients. * Clinical members of Covenant Rapid Access, Covenant Health's patient transfer center, are available 24/7 to accept STEMI patients from outlying hospitals and immediately notify the cath lab team and interventional cardiologist. Rapid Access is the coordinating center for Covenant facilities. * Emergency transporters simultaneously notify both ED and cath lab teams of potential STEMI patients and transmit an EKG when available. This allows earlier activation of the cath lab team, with personnel available immediately when the patient arrives. * A regular review process provides feedback on outcomes and helps continually improve systems and processes. As a result of these efforts, Fort Sanders Regional Medical Center has exceeded state and national hospitals' performance in meeting standards for "First Medical Contact-to-Device" times. Mortality and readmission rates also declined. The STEMI team collaborates with hospitals and emergency responders in Claiborne, Sevier, and Jefferson counties, and as far away as Kentucky. Form 990, Part III, Line 1 Cardiac Rehabilitation Helps Pave the Road to Recovery The weeks immediately following a heart attack, angioplasty, or open heart surgery are critical for long-range rehabilitation. Several Covenant hospitals offer medically supervised Cardio-Pulmonary Rehabilitation programs that safely restore physical fitness and function for people who have recently had serious cardiac events. Through monitored exercise, education, counseling and healthy lifestyle changes, patients regain confidence in exercising their hearts, and they learn to make lifestyle changes to reduce the risk of further complications from heart disease. Cardiac rehabilitation offers effective treatment for heart attack, angina, post-infarction, angioplasty, post-coronary bypass, and patients considered to be high risk for coronary artery disease. The Region's Only Stroke Hospital Network When a stroke happens, timely treatment is critical. The Covenant Health network is well above the national average in delivering advanced diagnostics and treatment to halt the devastating effects of stroke. At the hub of the network are Fort Sanders Regional Medical Center, certified as a comprehensive stroke center by The Joint Commission, and the award-winning Patricia Neal Rehabilitation Center, accredited by the Commission on the Accreditation of Rehabilitation Facilities. Reaching Across Time and Distance Thanks to Fort Sanders Regional Medical Center's "tele-stroke" robot, East Tennessee stroke patients benefit from early consultation with the hospital's stroke experts, even if they are at a different hospital location. The InTouch R7 robot is a mobile communications platform that enables stroke patients to receive consults from Fort Sanders neurologists via its video screen "face." The robot allows neurologists to be available to patients in outlying areas 24 hours a day. Covenant Health has stationed robots in the emergency departments at Parkwest Medical Center in Knoxville, LeConte Medical Center in Sevierville and Morristown-Hamblen Hospital in Morristown. The telestroke network allows physicians in surrounding hospitals to use live Web video streaming to consult with neurologists as soon as a patient arrives at the community hospital. The neurologist can remotely review patient information and examine and talk with the patient, family members and local clinicians to help determine the best course of treatment, all at the patient's bedside. The interaction between neurologist and the patient via the robot helps the physician see facial expressions and get the patient to respond to the physician. Accurate, timely diagnosis is essential when stroke occurs. The clock starts with the onset of symptoms. As time ticks by, treatment options become more limited and patients can lose more and more functionality. With this tele-medicine tool, neurologists and specialists can advise surrounding emergency departments how to best treat their stroke patients or to have them transported to Fort Sanders Regional for advanced care. Rehabilitation After Stroke While prompt medical care can stop or minimize the effects of stroke, rehabilitation after a "brain attack" can help a patient recover abilities and reconnect with loved ones. At the Patricia Neal Rehabilitation Center, stroke patients are treated with a holistic team approach including the patient and family members. Physical Medicine and Rehabilitation physicians, physical therapists, occupational therapists, speech-language pathologists, rehab psychologists (behavioral medicine), nursing staff, case managers and recreation therapists make up the treatment team. Treatment is an active process with both patient and family involved in goal setting, therapy and education. Therapies include psychological and leisure/recreation evaluations, and training in range of motion, strengthening and conditioning exercises, self-care and daily living skills, and speech, language and swallowing. Other aspects include identification and management of risk factors to help prevent future strokes. The Patricia Neal Rehabilitation Center has received multiple awards including five top-honor Crystal Awards from Professional Research Consultants for overall patient satisfaction along with accolades for innovation, quality of care and successful outcomes. Leading the Fight Against Cancer Even though cancer affects many thousands of people, a cancer diagnosis can be a lonely experience. Covenant Health is committed to helping cancer patients fight the disease with excellent medical care and a multidisciplinary team of support. At the core of Covenant Health's cancer care is an elite team of physicians, armed with the most advanced cancer fighting tools available. Technology includes advanced imaging such as positron emission technology (PET) in Knoxville and mobile PET services in Sevierville, high-dose-rate brachytherapy and 3D radiation therapy. Fort Sanders Regional Medical Center offers Gamma Knife, a non-invasive radiosurgical device that targets tumors in a single visit. A variety of clinical trials, stem cell transplantation and genetic counseling are also available. Patients receiving cancer care at Covenant Health facilities receive individualized treatment plans, and have a multidisciplinary team of specialists and "navigators" to help with the treatment process. Support is also provided by social workers, nutrition counselors and other members of the cancer care team. The health system invested $7.6 million for equipment upgrades, expanded connectivity and growth of a highly regarded radiation therapy research program at six locations: Thompson Cancer Survival Centers in downtown and west Knoxville, Oak Ridge and Sevierville, at Morristown Regional Cancer Center, and at Cumberland Medical Center's radiation oncology program in Crossville. Thompson Oncology Group has 8 physician offices in 7 different counties. The group has been recognized by the Quality Oncology Practice Initiative Certification Program, an affiliate of the American Society of Clinical Oncology. The certification process includes each of the 8 Thompson Oncology Group locations and entails evaluation of treatment planning, staff training, patient education and safe chemotherapy administration. Form 990, Part III, Line 1 Connecting with Our Communities In addition to taking care of patients and families who receive direct services, Covenant Health is committed to making a positive impact in the health of the surrounding community. In all the communities Covenant Health serves, local initiatives and partnerships create opportunities to interact with people of all ages and encourage healthier lifestyles. * In March 2015 Covenant Health sponsored the Knoxville Marathon for the 11th year in a row. The race attracted over 7,750 people who competed in full and half marathons, a 5K, relays, hand cycling and push-rim wheelchair races. * Some of the funds raised through the Covenant Health Knoxville Marathon were contributed to Patricia Neal Rehabilitation Center's Innovative Recreation Cooperative (IRC). More than $5,000 was given to the IRC by a collaboration of groups and individuals who help disabled persons enjoy leisure/recreation activities such as skiing and cycling. * The Covenant Health Biggest Winner Weight Loss Challenge continued as a friendly competition that encourages East Tennesseans to get moving for a fit and healthy lifestyle. Team members trained together for five months, with the goal of crossing the finish line in Covenant Health Knoxville Marathon events, and challenging other East Tennesseans to change their lives for the better. * The Covenant Kids Run attracted nearly 1,000 children who participated in a "marathon of activities" over a period of several weeks, culminating in a run to Neyland Stadium the day before the Covenant Health Knoxville Marathon. * Covenant HomeCare Hospice helps children grieving the loss of a loved one through Katerpillar Kids Camp, a free event offered with the support of Variety - The Children's Charity. The camp helps children in grades 1-12 express their feelings of loss in a supportive environment. * Methodist Medical Center co-sponsored the third annual Baby's Best Fest, a day of family games and an ice cream social celebrating World Breastfeeding Month and supporting breastfeeding as the healthiest start for babies. * LeConte Medical Center partnered with Dollywood's Splash Country for the second year to host Water Safety Day. The day was held in conjunction with the "World's Largest Swimming Lesson," a national event promoting the importance of learning to swim. LeConte employees educated children about water safety; representatives from Thompson Cancer Survival Center talked about the need for sunscreen; and staff from the Patricia Neal Rehabilitation Center presented the Think First head and spinal cord injury prevention program and adaptive water sports. More than 600 children participated. * Cumberland Medical Center in Crossville co-sponsored numerous health fairs and community events throughout the year, and hosted free Mammogram Days for women who met specific screening criteria and did not have insurance coverage. * Parkwest Medical Center, LeConte Medical Center and Thompson Cancer Survival Center co-sponsored hiking programs led by Missy Kane, an Olympic Medalist from Tennessee and fitness expert. Missy led hikes in communities where Covenant Health hospitals are located and established walking clubs in Roane and Anderson counties in conjunction with Roane Medical Center and Methodist Medical Center. Form 990, Part VI, Section B, line 11 Covenant Health is a large, integrated health system which files fourteen Forms 990. Morristown-Hamblen Hospital Association 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 an 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 Overall compensation policies for Morristown-Hamblen Hospital Association, 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 Anthony Spezia and John Geppi are reported on the 2015 Form 990 of Covenant Health, EIN 62-1646734. Form 990, Part VI, Section B, Line 15b: Base salary and annual bonus opportunities for Gordon Lintz, President and Chief Administrative Officer, are set by the Covenant Health CEO in consultation with 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 the 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 salaries and annual bonus opportunities for Amy Herndon, Vice President of Financial Services, and Dedra Whitaker, Vice President and Chief Nursing Officer, are based on targets established by an independent, nationally-recognized executive compensation consultant to ensure that total compensation for each executive is reasonable and within a fair market value range. Salary ranges are based upon comparison with similar jobs in similar size health systems across the nation. Base salaries and bonuses are approved by Executive Leadership predicated upon performance, and are reasonable and consistent with fair market value. Base salaries are initially targeted at midpoint and may vary according 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 Morristown-Hamblen Hospital Association files a Joint Annual Report containing financial information with the Tennessee Department of Health. Per its tax-exempt bond provisions, Covenant Health, the parent company of the organization, is required to file quarterly and annual consolidated and obligated group financial statements and other documentation with various bond insurers and other agencies, including the Electronic Municipal Market Access (EMMA) service of the Municipal Securities Rulemaking Board (MSRB). Any member of such a repository has access to these financial statements. The organization's governing documents and conflict of interest policy are not made publicly available. Form 990, Part VI, Section A, Line 9 Contact Addresses for Directors and Officers: Anthony L. Spezia Covenant Health 100 Fort Sanders West Blvd. Knoxville, TN 37922 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 Billy Black, Peter Clark and Frank Ellis Covenant Medical Group, Inc 1400 Centerpoint Blvd., Suite 100, Bldg. A Knoxville, TN 37932 All other persons listed in Part VII, Section A may be contacted at the hospital's address, which is: Morristown-Hamblen Hospital Association 908 W. Fourth North St. Morristown, TN 37814 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. Covenant Health 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621646734 Supporting organization TN 501(c)(3) Line 11b, II N/A 0 Fort Sanders Regional Medical Center 1901 W Clinch Ave Knoxville TN 37916 620528340 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Parkwest Medical Center 9352 Park West Blvd Knoxville TN 37923 581897274 Acute care hospital and behavioral health services TN 501(c)(3) Line 3 Covenant Health 0 Methodist Medical Center 990 Oak Ridge Turnpike Oak Ridge TN 37830 620636239 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 LeConte Medical Center 742 Middle Creek Road Sevierville TN 37862 621114867 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Roane County Medical Center 8045 Roane Medical Center Dr Harriman TN 37748 680673354 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Fort Loudoun Medical Center 550 Fort Loudoun Medical Center Dr Lenoir City TN 37772 621373691 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Thompson Cancer Survival Center 1915 White Ave Knoxville TN 37916 621250943 Cancer support center TN 501(c)(3) Line 3 Covenant Health 0 Thompson Oncology Group 1915 White Ave Knoxville TN 37916 621619239 Oncology services TN 501(c)(3) Line 3 Thompson Cancer Survival Center 0 Covenant Homecare 3001 Lake Brook Blvd Ste 101 Knoxville TN 37909 621623114 Home health services TN 501(c)(3) Line 9 Covenant Health 0 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 Fort Sanders Regional Medical Center 0 Fort Sanders Foundation 280 Fort Sanders West Blvd Ste 202 Knoxville TN 37922 621748601 Fundraising and patient outreach TN 501(c)(3) Line 11b, II Covenant Health 0 Thompson Cancer Survival Center Foundation 1915 White Ave Knoxville TN 37916 582130450 Fundraising and patient outreach TN 501(c)(3) Line 11b, II Covenant Health 0 Morristown-Hamblen Hospital Foundation 908 W 4th N St Morristown TN 37814 621697090 Fundraising and patient outreach TN 501(c)(3) Line 11a, I Morristown-Hamblen Hospital Association 0 Cumberland Medical Center 421 S Main St Crossville TN 385555048 620790132 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Claiborne Medical Center 1850 Old Knoxville Rd Tazewell TN 378793625 464420358 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 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 Endoscopy Center of Oak Ridge LLC 988 Oak Ridge Turnpike Ste 200 Oak Ridge TN 37830 621667358 Outpatient medical facility TN N/A 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 1 Knoxville Heart Group 1819 Clinch Ave Suite 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 1 1 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 Covenant Medical Group Inc A 158660 FMV