PARKWEST MEDICAL CENTER: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- PARKWEST MEDICAL CENTER (EIN 58-1897274)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-10
- IRS object ID
- 201613159349300826
- Schema version
- 2015v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-10T08:51:07-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581897274 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Parkwest Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PARK | 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 | 2016-11-09 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | 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 | $348,319,392 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.treatedwell.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | Parkwest Medical Center operates a full-service acute care hospital located in west Knoxville, Tennessee, and a psychiatric hospital in neighboring Blount County, with a combined total of 462 beds. It is a member of the Covenant Health system. | ActivityOrMissionDesc |
| Voting Members Governing Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 2576 | TotalEmployeeCnt |
| Total Volunteers | 184 | TotalVolunteersCnt |
| Total Gross UBI | $998,198 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $58,540 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $486,435 | PYContributionsGrantsAmt |
| CY Contributions Grants | $487,467 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $339,803,627 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $342,072,289 | CYProgramServiceRevenueAmt |
| PY Investment Income | $77,494 | PYInvestmentIncomeAmt |
| CY Investment Income | $38,997 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,051,952 | PYOtherRevenueAmt |
| CY Other Revenue | $3,568,041 | CYOtherRevenueAmt |
| PY Total Revenue | $346,419,508 | PYTotalRevenueAmt |
| CY Total Revenue | $346,166,794 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $198,639 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $212,794 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $99,821,669 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $97,694,933 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $212,587,085 | PYOtherExpensesAmt |
| CY Other Expenses | $208,380,354 | CYOtherExpensesAmt |
| PY Total Expenses | $312,607,393 | PYTotalExpensesAmt |
| CY Total Expenses | $306,288,081 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $33,812,115 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $39,878,713 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $202,371,044 | TotalAssetsBOYAmt |
| Total Assets EOY | $223,322,260 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $49,568,563 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $30,641,066 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $152,802,481 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $192,681,194 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Parkwest 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 | $55,639,861 | ExpenseAmt |
| Revenue | $60,029,838 | RevenueAmt |
| Desc | Cardiology: During 2015, Parkwest Medical Center performed 425 open heart surgeries. In addition, the cardiac cath lab performed 3,221 inpatient and 4,234 outpatient procedures for a total of 7,455 procedures.The Heart Hospital at Parkwest is a Joint Commission top performer in heart, pneumonia and surgical care and consistently receives excellent safety and customer satisfaction ratings from multiple survey sources. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $40,035,205 | ExpenseAmt |
| Revenue | $44,241,283 | RevenueAmt |
| Desc | Orthopedics: During 2015, Parkwest Medical Center performed 3,971 orthopedic surgeries - 2,721 inpatient and 1,250 outpatient. Among these surgeries, 591 total hip replacements were done, as well as 1,271 total knee replacements. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $30,177,576 | ExpenseAmt |
| Revenue | $23,318,303 | RevenueAmt |
| Desc | Psychiatry: Peninsula, a division of Parkwest, is the region's largest provider of behavioral health services. Peninsula provides outpatient services in four counties and inpatient services at a 155 bed facility. The Parkwest Senior Behavioral Center provides an advanced level of care for older psychiatric patients.At the Peninsula campus, admissions totaled 4,935, with 30,676 inpatient days. Outpatient visits totaled 137,602. Parkwest's Senior Behavioral Center saw 505 admissions in 2015 resulting in 5,403 patient days. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $173,640,092 | ExpenseAmt |
| Grant | $212,794 | GrantAmt |
| Revenue | $205,514,947 | RevenueAmt |
| Desc | As a full-service acute care hospital, Parkwest Medical Centertreats patients across a broad spectrum of medical specialties. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $173,640,092 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $212,794 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $205,514,947 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $299,492,734 | 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 | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | 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 | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | 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 | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 363 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2576 | 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 | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Nancy Beck | PersonNm |
| 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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Ed Anderson | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,435 | $0 | ||||
| Gerald Boyd | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,316 | $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 | $2,275 | $0 | ||||
| Dr Mitchell Dickson | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,919 | $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 | $1,813 | $0 | ||||
| Jim Johnson Jr | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,272 | $0 | ||||
| Amber Krupacs | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,741 | $0 | ||||
| Eddie Mannis | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Timothy Matthews | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,637 | $0 | ||||
| Larry Mauldin | ||||||||||
| Chairman | 0.00 | 1.00 | Yes (X) | $0 | $1,422 | $0 | ||||
| Dr Joseph Metcalf | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| George Miller | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,270 | $0 | ||||
| Alvin Nance | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,314 | $0 | ||||
| Linda Ogle | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Roger Osborne | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Carl Storms | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,206 | $0 | ||||
| Joseph E Sutter | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,490 | $0 | ||||
| Richard Swanson | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,444 | $0 | ||||
| David C Verble | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,428 | $0 | ||||
| Anthony L Spezia | ||||||||||
| President & CEO | 0.00 | 50.00 | Yes (X) | $0 | $1,660,333 | $230,699 | Yes (X) | |||
| John T Geppi | ||||||||||
| EVP/CFO | 0.00 | 50.00 | $0 | $795,717 | $27,890 | Yes (X) | ||||
| Larry Lassiter | ||||||||||
| President & CAO | 50.00 | 0.00 | $0 | $421,655 | $27,965 | Yes (X) | ||||
| Michael S Hamilton | ||||||||||
| VP-Financial Services | 40.00 | 10.00 | $177,777 | $0 | $30,525 | Yes (X) | ||||
| Emlyn Cobble | ||||||||||
| VP-Chief Support Officer | 50.00 | 0.00 | $161,388 | $0 | $14,402 | Yes (X) | ||||
| John Kupfner | ||||||||||
| Physician - Behavioral | 40.00 | 0.00 | $301,997 | $0 | $37,085 | Yes (X) | ||||
| Donna McKenzie | ||||||||||
| Physician - Behavioral | 40.00 | 0.00 | $287,187 | $0 | $15,302 | Yes (X) | ||||
| Shyam Vuyyuru | ||||||||||
| Physician - Behavioral | 40.00 | 0.00 | $268,628 | $0 | $35,877 | Yes (X) | ||||
| Melanie Fuertes-Hunt | ||||||||||
| Physician - Behavioral | 40.00 | 0.00 | $257,432 | $0 | $42,063 | Yes (X) | ||||
| Rajendra Raman | ||||||||||
| Physician - Behavioral | 40.00 | 0.00 | $237,543 | $0 | $40,533 | Yes (X) | ||||
| Janice McKinley | ||||||||||
| Former Key Employee | 0.00 | 50.00 | $0 | $324,867 | $19,875 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,691,952 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,225,554 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $522,216 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 51 | 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 |
|---|---|---|---|---|---|
| GE Healthcare | |||||
| PO Box 96483 | Chicago | IL | 60693 | Equipment Maintenance/Service | $2,866,555 |
| Medic Regional Blood Center | |||||
| 1601 Ailor Ave | Knoxville | TN | 379216702 | Blood Processing | $1,405,117 |
| Mobile Hyperbaric Centers | |||||
| 600 Superior Ave East | Cleveland | OH | 44114 | HBOT Treatment Services | $1,267,700 |
| Angelica Textile Services Inc | |||||
| POBox 535122 | Atlanta | GA | 303535122 | Linen Services | $1,090,736 |
| Bio Medical Applications of TN | |||||
| PO Box 101518 | Atlanta | GA | 303921518 | Dialysis Services | $1,004,015 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 31 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $42,447 | RelatedOrganizationsAmt |
| Government Grants | $332,325 | GovernmentGrantsAmt |
| All Other Contributions | $112,695 | AllOtherContributionsAmt |
| Noncash Contributions | $613 | NoncashContributionsAmt |
| Total Contributions | $487,467 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Medical Services | 622110 | $332,442,757 | $332,442,757 | ||
| Pharmacy | 621990 | $8,878,536 | $231,864 | $202,347 | $8,444,325 |
| Laboratory | 621500 | $749,368 | $749,368 | ||
| Rent - Exempt Affiliate | 531120 | $1,628 | $1,628 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $342,072,289 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,097 | TotalRevenueColumnAmt |
| Exclusion | $38,097 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,847,315 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,128,038 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $719,277 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $719,277 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $46,483 | UnrelatedBusinessRevenueAmt |
| Exclusion | $672,794 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $25,460 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $24,560 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $900 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $900 | TotalRevenueColumnAmt |
| Exclusion | $900 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria | 722212 | $1,899,004 | $1,899,004 | |
| Gift Shop | 453220 | $472,835 | $472,835 | |
| Support Services | 900099 | $428,122 | $428,122 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,803 | TotalRevenueColumnAmt |
| Exclusion | $48,803 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,848,764 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $346,166,794 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $333,104,371 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $998,198 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,576,758 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,650 | TotalAmt |
| Program Services | $17,650 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,144 | TotalAmt |
| Program Services | $195,144 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $384,092 | TotalAmt |
| Management And General | $384,092 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,650,259 | TotalAmt |
| Program Services | $78,085,892 | ProgramServicesAmt |
| Management And General | $1,564,367 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,426,053 | TotalAmt |
| Program Services | $2,386,497 | ProgramServicesAmt |
| Management And General | $39,556 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,164,297 | TotalAmt |
| Program Services | $8,671,358 | ProgramServicesAmt |
| Management And General | $492,939 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,070,232 | TotalAmt |
| Program Services | $5,909,110 | ProgramServicesAmt |
| Management And General | $161,122 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,789,354 | TotalAmt |
| Program Services | $22,173,881 | ProgramServicesAmt |
| Management And General | $615,473 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,557 | TotalAmt |
| Management And General | $222,557 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,000,196 | TotalAmt |
| Program Services | $20,989,970 | ProgramServicesAmt |
| Management And General | $1,010,226 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $591,689 | TotalAmt |
| Program Services | $579,736 | ProgramServicesAmt |
| Management And General | $11,953 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,804,677 | TotalAmt |
| Program Services | $2,363,697 | ProgramServicesAmt |
| Management And General | $440,980 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,224,982 | TotalAmt |
| Program Services | $5,285,808 | ProgramServicesAmt |
| Management And General | $939,174 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,837 | TotalAmt |
| Program Services | $208,318 | ProgramServicesAmt |
| Management And General | $13,519 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,780 | TotalAmt |
| Program Services | $235,096 | ProgramServicesAmt |
| Management And General | $64,684 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,310 | TotalAmt |
| Program Services | $16,310 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,243,791 | TotalAmt |
| Program Services | $14,243,791 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $581,410 | TotalAmt |
| Program Services | $558,252 | ProgramServicesAmt |
| Management And General | $23,158 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| Unrelated Business Inco | $32,500 | $32,500 | |
| Medical Supplies & Equi | $87,631,526 | $87,631,526 | |
| Charity Care | $25,470,400 | $25,470,400 | |
| Bad Debts | $11,843,182 | $11,843,182 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,406,163 | TotalAmt |
| Program Services | $12,627,116 | ProgramServicesAmt |
| Management And General | $779,047 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,288,081 | TotalAmt |
| Program Services | $299,492,734 | ProgramServicesAmt |
| Management And General | $6,795,347 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,344 | BOYAmt |
| EOY | $7,843 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,337,414 | BOYAmt |
| EOY | -$2,453,950 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,893,206 | BOYAmt |
| EOY | $33,948,981 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,936,599 | BOYAmt |
| EOY | $5,698,029 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,044,751 | BOYAmt |
| EOY | $899,448 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $412,021,511 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $258,456,190 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,462,055 | BOYAmt |
| EOY | $153,565,321 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,364,503 | BOYAmt |
| EOY | $31,656,588 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $202,371,044 | BOYAmt |
| EOY | $223,322,260 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,776,692 | BOYAmt |
| EOY | $27,042,132 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $407,271 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,436,818 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $328,883 | BOYAmt |
| EOY | $174,515 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,618,899 | BOYAmt |
| EOY | $3,424,419 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,568,563 | BOYAmt |
| EOY | $30,641,066 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,802,481 | BOYAmt |
| EOY | $192,681,194 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,802,481 | BOYAmt |
| EOY | $192,681,194 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $202,371,044 | BOYAmt |
| EOY | $223,322,260 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $39,878,713 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $64,918 | BeginningYearBalanceAmt |
| Contributions | $594 | ContributionsAmt |
| End Year Balance | $65,512 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $62,293 | BeginningYearBalanceAmt |
| Contributions | $2,625 | ContributionsAmt |
| End Year Balance | $64,918 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $61,422 | BeginningYearBalanceAmt |
| Contributions | $871 | ContributionsAmt |
| End Year Balance | $62,293 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $59,011 | BeginningYearBalanceAmt |
| Contributions | $2,411 | ContributionsAmt |
| End Year Balance | $61,422 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $56,919 | BeginningYearBalanceAmt |
| Contributions | $2,092 | ContributionsAmt |
| End Year Balance | $59,011 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,740,902 | OtherCostOrOtherBasisAmt |
| Book Value | $19,740,902 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $25,600,294 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $160,286,872 | OtherCostOrOtherBasisAmt |
| Depreciation | $80,663,659 | DepreciationAmt |
| Book Value | $105,223,507 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,572,305 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,274,949 | DepreciationAmt |
| Book Value | $297,356 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $195,178,227 | OtherCostOrOtherBasisAmt |
| Depreciation | $168,341,804 | DepreciationAmt |
| Book Value | $26,836,423 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,642,911 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,175,778 | DepreciationAmt |
| Book Value | $1,467,133 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $153,565,321 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Deferred Compensation | $424,556 |
| Other Receivables | $284,791 |
| Due from Affiliates, Net | $30,947,241 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $31,656,588 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Long-term Deferred Compensation | $424,555 |
| Long-term Reserve for Workers Comp | $2,200,094 |
| Due to Third Party Payors | $799,770 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,424,419 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Fort Sanders Foundation maintains a permanent endowment fund on behalf of Parkwest Medical Center. The Wayne Heatherly Excellence in Patient Care Endowment Fund was established to promote and encourage excellence in clinical quality and patient care by providing educational assistance to employees, recognizing and awarding nominated employees for their commitment to patient care excellence, and to help meet patient care needs. The principal of the permanent endowment will be kept intact in perpetuity, and only the income generated will be distributed to provide support for Parkwest Medical Center. |
| Part X, Line 2: | Note B to the consolidated audited financial statements of Covenant Health, parent company to Parkwest 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, 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." |
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 | $14,427,288 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,393,887 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,033,401 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03070 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,845,586 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,710,784 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,134,802 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01740 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $270,611 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $99,123 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $171,488 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,543,485 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $38,203,794 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,339,691 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04870 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $205,004 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $205,004 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,792,120 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,422,074 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,370,046 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02160 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $89,323 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $89,323 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,086,447 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,422,074 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,664,373 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02260 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $62,629,932 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,625,868 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,004,064 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07130 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,417 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,417 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,890 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $36,890 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,474 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,474 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,777 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,777 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $64,558 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $64,558 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $11,843,182 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $4,287,232 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $69,297,296 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $77,978,489 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$8,681,193 | 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 | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Parkwest Medical Center | |||||||||||
| 1 | 9352 Park West Blvd | Knoxville | TN | 37923 | www.treatedwell.com | 00000042 | Yes (X) | Yes (X) | Yes (X) | Behavioral Health | A |
| Peninsula Hospital | |||||||||||
| 2 | 2347 Jones Bend Road | Louisville | TN | 37777 | www.peninsulabehavioralhealth.org | 00000042 | Yes (X) | Behavioral Hospital | A | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Facility Reporting Group - A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | 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.treatedwell.com | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.treatedwell.com | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| 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 Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section B | Facility Reporting Group A |
| Facility Reporting Group A consists of: | - Facility 1: Parkwest Medical Center, - Facility 2: Peninsula Hospital |
| Group A-Facility 1 -- Parkwest Medical Center Part V, Section B, line 5: | "Together! Healthy Knox" (T!HK) was launched by the Knox County Health Department in May 2010 and was designed to create a community approach to better health. The T!HK initiative is based on the Mobilizing for Action through Planning and Partnerships (MAPP) model for community health planning, which consists of specific steps meant to be repeated every three to five years. What began with a twenty partner leadership team grew to involve over seventy community and organizational partners. The assessment process, led by the Health Department, had broad participation from the public health community, including all Knox County hospitals. All four MAPP assessments were completed in 2011, and the T!HK Leadership Team determined the most critical issues to be addressed in Knox County. After nearly three years of data collection, analysis and meetings, the priority areas were announced to the broader community in a press conference on November 1, 2012. Three action teams formulated goals and strategies to address the three priority areas identified. |
| Group A-Facility 1 -- Parkwest Medical Center Part V, Section B, line 6a: | Knox County hospitals who participated in the "Together! Healthy Knox" initiative included Parkwest Medical Center, Fort Sanders Regional Medical Center, East Tennessee Children's Hospital, and The University of Tennessee Medical Center. |
| Group A-Facility 1 -- Parkwest Medical Center Part V, Section B, line 6b: | This process could not have been done without the leadership of the Knox County Health Department and the Together! Healthy Knox Leadership Team. Their expertise, use of the MAPP process, meeting facilitation and guidance ultimately resulted in the most comprehensive health assessment process ever undertaken in Knox County. Other community organizations who participated in the CHNA process were Child and Family Tennessee, City of Knoxville, Knoxville Academy of Medicine, Knoxville Area Coalition on Childhood Obesity, Knoxville Chamber, Knoxville Police Department, Knoxville Community Development Corporation, Helen Ross McNabb Center, Interfaith Health Clinic, Knox County Government, Metropolitan Drug Commission, and community members from many other organizations. |
| Group A-Facility 1 -- Parkwest Medical Center Part V, Section B, line 11: | Of the significant findings from the assessment, Parkwest Medical Center is focusing its resources on the following: *Achieving Equitable Health Outcomes - Increasing physical activity among the population by organizing weekend walks and offering a"Parkwest Patch" once participants complete 42 miles of Knoxville greenway trails *Strengthening Community Partnerships - partnering with employers to assist with their worksite employee health program utilizing the HealthQuest program and providing assistance with the following: Wellness program consultation Health risk data analysis Biometric screenings Employee outreach Weight management Primary care referral |
| Group A-Facility 1 -- Parkwest Medical Center Part V, Section B, line 16i: | Please see the explanation to Part VI, Line 3. |
| Group A-Facility 1 -- Parkwest Medical Center Part V, Section B, line 22d: | Please see the explanation to Part III, Line 9b. |
| Group A-Facility 2 -- Peninsula Hospital Part V, Section B, line 5: | "Together! Healthy Knox" (T!HK) was launched by the Knox County Health Department in May 2010 and was designed to create a community approach to better health. The T!HK initiative is based on the Mobilizing for Action through Planning and Partnerships (MAPP) model for community health planning, which consists of specific steps meant to be repeated every three to five years. What began with a twenty partner leadership team grew to involve over seventy community and organizational partners. The assessment process, led by the Health Department, had broad participation from the public health community, including all Knox County hospitals. All four MAPP assessments were completed in 2011, and the T!HK Leadership Team determined the most critical issues to be addressed in Knox County. After nearly three years of data collection, analysis and meetings, the priority areas were announced to the broader community in a press conference on November 1, 2012. Three action teams formulated goals and strategies to address the three priority areas identified. |
| Group A-Facility 2 -- Peninsula Hospital Part V, Section B, line 6a: | Knox County hospitals who participated in the "Together! Healthy Knox" initiative included Parkwest Medical Center, Fort Sanders Regional Medical Center, East Tennessee Children's Hospital, and The University of Tennessee Medical Center. |
| Group A-Facility 2 -- Peninsula Hospital Part V, Section B, line 6b: | This process could not have been done without the leadership of the Knox County Health Department and the Together! Healthy Knox Leadership Team. Their expertise, use of the MAPP process, meeting facilitation and guidance ultimately resulted in the most comprehensive health assessment process ever undertaken in Knox County. Other community organizations who participated in the CHNA process were Child and Family Tennessee, City of Knoxville, Knoxville Academy of Medicine, Knoxville Area Coalition on Childhood Obesity, Knoxville Chamber, Knoxville Police Department, Knoxville Community Development Corporation, Helen Ross McNabb Center, Interfaith Health Clinic, Knox County Government, Metropolitan Drug Commission, and community members from many other organizations. |
| Group A-Facility 2 -- Peninsula Hospital Part V, Section B, line 11: | Of the significant findings from the assessment, Peninsula Hospital is focusing its resources on the following: *Achieving Equitable Health Outcomes - Peninsula assured access to high quality/affordable mental health services by offering mental health programs for all ages in the community although its reimbursements left a negative margin |
| Group A-Facility 2 -- Peninsula Hospital Part V, Section B, line 16i: | Please see the explanation to Part VI, Line 3. |
| Group A-Facility 2 -- Peninsula Hospital Part V, Section B, line 22d: | Please see the explanation to Part III, Line 9b. |
| 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 - Peninsula Outpatient Center - Knox | ||||
| 1451 Dowell Springs Blvd | Knoxville | TN | 37919 | Outpatient mental health facility |
| 2 - Parkwest Comprehensive Breast Center | ||||
| 9349 Park West Blvd 200 | Knoxville | TN | 37923 | Breast imaging center |
| 3 - PWMC Boulevard Surgery Center | ||||
| 9300 Park West Blvd | Knoxville | TN | 37923 | Ambulatory surgery center |
| 4 - Peninsula Outpatient Center - Blount | ||||
| 210 Simmons Street | Maryville | TN | 37801 | Outpatient mental health facility |
| 5 - Peninsula Knox Outpatient Pharmacy | ||||
| 1451 Dowell Springs Blvd | Knoxville | TN | 37919 | Pharmacy |
| 6 - Therapy Center West | ||||
| 280 Fort Sanders West Blvd 201 | Knoxville | TN | 37922 | Physical, Occupational & Speech Therapy |
| 7 - Peninsula Outpatient Center - Sevier | ||||
| 1104 Foxwood Drive | Sevierville | TN | 37862 | Outpatient mental health facility |
| 8 - Peninsula Outpatient Center - Loudon | ||||
| 423 Medical Park Drive Suite 400 | Lenoir City | TN | 37772 | Outpatient mental health facility |
| 9 - CROPPROP | ||||
| 280 Fort Sanders West Blvd 205 | Knoxville | TN | 37922 | Cardiac & Pulmonary Rehabilitation |
| 10 - Peninsula Lighthouse | ||||
| 1451 Dowell Springs Blvd | Knoxville | TN | 37919 | Outpatient Alcohol & Drug Rehabilitation |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | Covenant Health, the parent company of Parkwest 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 in 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 $6,180,787 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 $ 11,843,182. |
| Part II, Community Building Activities: | Parkwest 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. 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 Parkwest 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: | Medicare Shortfall: Parkwest Medical Center believes that all of the $8.6 million 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 (33,821 out of 106,603 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: Parkwest 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: | Self-pay patients of Parkwest Medical Center automatically receive a minimum 50% discount on charges. Self-pay patients of Peninsula Hospital receive a 30% discount. 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. Parkwest Medical Center obtains additional community information through the service of its employees with the United Way of Greater Knoxville, local chambers of commerce and Rotary clubs, the Metropolitan Drug Commission, a local alternative high school, the Legacy Parks Foundation, and the Knoxville Area Coalition on Childhood Obesity. |
| Part VI, Line 3: | Parkwest 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.The following sign is posted in all lobby areas: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 Parkwest 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, Parkwest 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 865-373-1244, Monday through Friday between the hours of 8 a.m. and 4:30 p.m.Parkwest Medical Center employs a financial counselor who meets with uninsured patients. In addition, Parkwest Medical Center directs inpatients and observation patients on how to apply for Tenncare and instructions for joining the Healthcare exchange. 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: | Parkwest Medical Center is located in the west area of Knoxville, Tennessee. Although located in metropolitan Knox County, Parkwest Medical Center receives many specialty referrals from outlying hospitals and physicians and serves patients from 16 diverse counties, a mix of urban, suburban and rural. According to internal hospital data for 2015, 46% of the inpatient and outpatient cases came from Knox County residents.Parkwest Medical Center also provides mental health services to the region through its behavioral health division, Peninsula. Peninsula is East Tennessee's leading provider of behavioral healthcare services. Peninsula offers a complete range of mental health and alcohol/drug treatment programs. In addition to outpatient centers in Blount, Knox, Loudon and Sevier counties, care is also offered at Peninsula Hospital, a 155-bed inpatient facility which serves more than 5,000 patients annually.According to 2015 data from the County Health Ranking data from the Robert Wood Johnson Foundation the population of Knox County is 448,644. The percent of the population that is 65 years or older constitute 14.5% of the residents. The unemployment rate in 2015 was 4.8%. According to the 2015 County Health Rankings Report by the Robert Wood Johnson Foundation/ University of Wisconsin Population Health Institute, Knox County residents ranked 15 out of 95 Tennessee Counties in overall health. Knox County residents have the following health indicators that are at or above the national benchmarks: Knox - TN - National Adult Smoking: 22% - 24% - 14% Adult Obesity: 29% - 32% - 25% Excessive Drinking: 12% - 12% - 12% Teen Birthrate: 31 - 45 - 19 of every 1,000 teenage girls |
| Part VI, Line 5: | Parkwest Medical Center ("Parkwest"), 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 Parkwest's board. It is comprised of independent community leaders with diverse educational and professional backgrounds. The board sets policies and provides oversight of Parkwest.Parkwest 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: | Parkwest Medical Center, 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.Parkwest operates a 462-bed acute care hospital in Knoxville, Tennessee, and provides a full range of inpatient and outpatient hospital services. It has been named as one of the nation's top 100 cardiovascular hospitals seven times of the award's eight-year history and offers a full cardiovascular service line that includes coronary bypass surgery, diagnostic and interventional cardiac procedures. Patients may also receive treatment in one of Parkwest's specialty centers, which include: --The Senior Behavioral Center, a 16-bed unit for older psychiatric patients; --A Bariatric Surgery Center of Excellence; --A Joint Replacement Center; and --A surgical center utilizing the BrainSUITE system for brain, spine, ear, nose and throat surgery.Parkwest also operates Peninsula Hospital, a 155-bed psychiatric hospital located in Louisville, Tennessee. Peninsula has outpatient centers in Knox, Blount, Sevier and Loudon Counties. Peninsula is a valuable resource providing support for emergency rooms at the system's seven acute care hospitals. The affiliation makes for an accessible and efficient pathway for patients who require mental health services post-discharge.Parkwest and Peninsula patients benefit from the availability of and ease of access to Covenant Health affiliated entities for services not provided by the hospitals themselves. Transfer or referral to such services is expedited and coordinated to help create a seamless continuum of care. Specialized services such as inpatient rehabilitation, 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 diabetes, wound care, and ambulatory infusion centers.Fort Sanders Foundation seeks out community financial support for Parkwest Medical Center and Peninsula Hospital. Funds are used for indigent patient care, medical equipment, outreach programs, services and staff.Through this combination of resources and the collective development, implementation and monitoring of clinical protocols and other improvement initiatives, the affiliated entities of Covenant Health are able to deliver higher quality care in a more efficient manner than could be achieved working independently. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Knoxville Medical Mission Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1932 Historic Ferry Way | AddressLine1Txt |
| City | Knoxville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37922 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 300197352 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $10,000 | CashGrantAmt |
| Purpose Of Grant | Donation to tax exempt organization whose purpose is to perform medical procedures on the impoverished population in Guatemala. | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Patient assistance with transportation, food, medicine, utilities and rent | GrantTypeTxt |
| Recipient | 2166 | RecipientCnt |
| Cash Grant | $195,144 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Donations are given at the discretion of the Administration and Marketing departments for the purpose of enhancing and promoting healthcare within the communities of East Tennessee and medical missions to populations in need. The organization maintains records of check requests authorizing gifts and donations. Recipients are trusted to use the funds for the purposes for which they were given. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| 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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Anthony L Spezia | ||||||||||||||
| President & CEO | $0 | $1,003,236 | $0 | $503,500 | $0 | $153,597 | $0 | $214,400 | $0 | $16,299 | $0 | $1,891,032 | $0 | $0 |
| John T Geppi | ||||||||||||||
| EVP/CFO | $0 | $496,663 | $0 | $215,000 | $0 | $84,054 | $0 | $10,400 | $0 | $17,490 | $0 | $823,607 | $0 | $0 |
| Larry Lassiter | ||||||||||||||
| President & CAO | $0 | $300,116 | $0 | $75,000 | $0 | $46,539 | $0 | $10,400 | $0 | $17,565 | $0 | $449,620 | $0 | $0 |
| Michael S Hamilton | ||||||||||||||
| VP-Financial Services | $152,799 | $0 | $15,000 | $0 | $9,978 | $0 | $6,710 | $0 | $23,815 | $0 | $208,302 | $0 | $0 | $0 |
| Emlyn Cobble | ||||||||||||||
| VP-Chief Support Officer | $140,308 | $0 | $10,000 | $0 | $11,080 | $0 | $5,919 | $0 | $8,483 | $0 | $175,790 | $0 | $0 | $0 |
| John Kupfner | ||||||||||||||
| Physician - Behavioral | $295,457 | $0 | $6,000 | $0 | $540 | $0 | $15,359 | $0 | $21,726 | $0 | $339,082 | $0 | $0 | $0 |
| Donna McKenzie | ||||||||||||||
| Physician - Behavioral | $277,815 | $0 | $7,500 | $0 | $1,872 | $0 | $6,818 | $0 | $8,484 | $0 | $302,489 | $0 | $0 | $0 |
| Shyam Vuyyuru | ||||||||||||||
| Physician - Behavioral | $260,106 | $0 | $8,000 | $0 | $522 | $0 | $13,545 | $0 | $22,332 | $0 | $304,505 | $0 | $0 | $0 |
| Melanie Fuertes-Hunt | ||||||||||||||
| Physician - Behavioral | $248,910 | $0 | $8,000 | $0 | $522 | $0 | $14,444 | $0 | $27,619 | $0 | $299,495 | $0 | $0 | $0 |
| Rajendra Raman | ||||||||||||||
| Physician - Behavioral | $228,315 | $0 | $8,000 | $0 | $1,228 | $0 | $15,385 | $0 | $25,148 | $0 | $278,076 | $0 | $0 | $0 |
| Janice McKinley | ||||||||||||||
| Former Key Employee | $0 | $214,496 | $0 | $75,000 | $0 | $35,371 | $0 | $10,400 | $0 | $9,475 | $0 | $344,742 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 Parkwest Medical Center, 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 1 | 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" survey. 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. Parkwest Medical Center is one of these 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 with in the corporate bylaws and board members are required to complete and sign a conflict of interest questionnaire on an annual basis. The Integrity Compliance Office maintains records that contain conflict of interest information obtained from board members, officers and employees. These records are available to be queried prior to engaging in business transactions. The 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 Parkwest 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 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 Larry Lassiter, 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 Michael S. Hamilton, Vice President of Financial Services, and Emlyn Cobble, Vice President and Chief Support 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 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 | Parkwest 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: Anthony L. Spezia Covenant Health 100 Ft Sanders West Blvd. Knoxville, TN 37922 John T. Geppi, Larry Mauldin, Janice McKinley and all Directors Covenant Health 1420 Centerpoint Blvd., Bldg. C Knoxville, TN 37932 All other persons listed in Part VII, Section A may be contacted at the organization's address, which is: Parkwest Medical Center 9352 Parkwest Blvd. Knoxville, TN 37923 |
| 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 Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 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 11b, II | 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 | |
| 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 | |
| Methodist Medical Center | |||||||||||
| 990 Oak Ridge Turnpike | Oak Ridge | TN | 37830 | 620636239 | Acute care hospital | 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 | |
| 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 | |
| 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 | |
| Covenant Homecare | |||||||||||
| 3001 Lake Brook Blvd Ste 101 | Knoxville | TN | 37909 | 621623114 | Home health services | TN | 501(c)(3) | Line 9 | 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 | |
| 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 | 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 | |
| Thompson Cancer Survival Center Foundation | |||||||||||
| 1915 White Ave | Knoxville | TN | 37916 | 582130450 | Fundraising and patient outreach | TN | 501(c)(3) | Line 11b, II | 0 | Covenant Health | |
| Cumberland Medical Center | |||||||||||
| 421 S Main St | Crossville | TN | 385555048 | 620790132 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Claiborne Medical Center | |||||||||||
| 1850 Old Knoxville Rd | Tazewell | TN | 378793625 | 464420358 | Acute care hospital | TN | 501(c)(3) | Line 3 | 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 |
|---|---|---|---|---|---|---|---|
| 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 |
| Endoscopy Center of Oak Ridge LLC | |||||||
| 988 Oak Ridge Turnpike Ste 200 | Oak Ridge | TN | 37830 | 621667358 | Outpatient medical facility | TN | N/A |
| 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 |
| KOC 260 Bldg LLC | |||||||
| 260 Fort Sanders West Blvd | Knoxville | TN | 37922 | Land and building ownership | 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 | Yes (1) |
| 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 | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | 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 (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Covenant Medical Group Inc | ||
| A | $294,418 | FMV |
| East TN Cardiovascular Surgery Group Inc | ||
| A | $1,664 | FMV |