PARKWEST MEDICAL CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- PARKWEST MEDICAL CENTER (EIN 58-1897274)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-12
- IRS object ID
- 201343169349302764
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-11-12T12:50:34-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581897274 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Parkwest Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PARK | NameControl |
| Phone | 8653746864 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1420 Centerpoint Blvd Bldg C | AddressLine1 |
| City | Knoxville | City |
| State | TN | State |
| ZIP Code | 379321960 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John T Geppi | Name |
| Title | EVP/CFO | Title |
| Phone | 8653746872 | Phone |
| Date Signed | 2013-11-07 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Self Prepared | Name |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Anthony L Spezia | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Ft Sanders W Blvd | AddressLine1 |
| City | Knoxville | City |
| State | TN | State |
| ZIP Code | 37922 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 336327911 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.treatedwell.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1990 | YearFormation |
| State Legal Domicile | TN | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 22 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2559 | TotalNbrEmployees |
| Total Nbr Volunteers | 161 | TotalNbrVolunteers |
| Total Gross UBI | 97878 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 13310 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1146281 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 673752 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 322987208 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 330544134 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 25409 | InvestmentIncomePriorYear |
| Investment Income Current Year | 31747 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2704958 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2750171 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 326863856 | TotalRevenuePriorYear |
| Total Revenue Current Year | 333999804 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 168301 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 158490 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 104308296 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 101964882 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 197370145 | OtherExpensePriorYear |
| Other Expenses Current Year | 206408867 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 301846742 | TotalExpensesPriorYear |
| Total Expenses Current Year | 308532239 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 25017114 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 25467565 | RevenuesLessExpensesCY |
| Total Assets BOY | 220502069 | TotalAssetsBOY |
| Total Assets EOY | 220740225 | TotalAssetsEOY |
| Total Liabilities BOY | 156455842 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 131346896 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 64046227 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 89393329 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 55238804 | Expense |
| Revenue | 66972600 | Revenue |
| Description | Cardiology. During 2012, Parkwest Medical Center performed 468 open heart surgeries. In addition, the cardiac cath lab performed 4,106 inpatient and 6,041 outpatient procedures for a total of 10,147 procedures.The Heart Hospital at Parkwest has been recognized by Thomson Reuters as one of the nation's top heart hospitals for almost a decade. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 44856327 | Expense |
| Revenue | 46339873 | Revenue |
| Description | Orthopaedics. During 2012, Parkwest Medical Center performed 3,207 orthopedic surgeries - 2,380 inpatient and 827 outpatient. Among these surgeries, 475 total hip replacements were done, as well as 1,086 total knee replacements. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 29098508 | Expense |
| Revenue | 25469983 | Revenue |
| Description | Psychiatry. Parkwest's Senior Behavioral Center saw 452 admissions in 2012 resulting in 2,819 patient days. At the Peninsula campus, a division of Parkwest, the hospital had 5,095 admissions with 29,556 patient days. Outpatient visits totaled 147,914.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. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 172897204 | Expense |
| Grants | 158490 | Grants |
| Revenue | 191730669 | Revenue |
| Description | As a full-service acute care hospital, Parkwest Medical CenterCenter treats patients across a broad spectrum of medical specialties. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 172897204 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 158490 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 191730669 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 302090843 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 336 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2559 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 22 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 1 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Nancy Beck | NamePerson |
| Telephone Number | 8653746864 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1420 Centerpoint Blvd Bldg C | AddressLine1 |
| City | Knoxville | City |
| State | TN | State |
| ZIP Code | 379321960 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (33 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| Anthony L Spezia | |||||||||
| President and CEO | 0.00 | 50.00 | X | X | 0 | 1526847 | 230374 | ||
| Gerald Boyd | |||||||||
| Director | 0.00 | 1.00 | X | 0 | 679 | 0 | |||
| Dr Richard Brinner | |||||||||
| Director | 0.00 | 1.00 | X | 0 | 1291 | 0 | |||
| Dr Mitchell Dickson | |||||||||
| Director | 0.00 | 1.00 | X | 0 | 1914 | 0 | |||
| Pamela P Fansler | |||||||||
| Director | 0.00 | 1.00 | X | 0 | 0 | 0 | |||
| James Fitzsimmons | |||||||||
| Director | 0.00 | 1.00 | X | 0 | 1742 | 0 | |||
| Kimberly Greene | |||||||||
| Director | 0.00 | 1.00 | X | 0 | 937 | 0 | |||
| Wayne Heatherly | |||||||||
| Director | 0.00 | 1.00 | X | 0 | 752 | 0 | |||
| Jim Johnson Jr | |||||||||
| Director | 0.00 | 1.00 | X | 0 | 1642 | 0 | |||
| Karla Lane | |||||||||
| Director | 0.00 | 1.00 | X | 0 | 924 | 0 | |||
| Eddie Mannis | |||||||||
| Director | 0.00 | 1.00 | X | 0 | 0 | 0 | |||
| Larry Mauldin | |||||||||
| Chairman | 0.00 | 1.00 | X | 0 | 834 | 0 | |||
| Dr Joseph Metcalf | |||||||||
| Director | 0.00 | 3.00 | X | 0 | 15603 | 0 | |||
| George Miller | |||||||||
| Director | 0.00 | 1.00 | X | 0 | 978 | 0 | |||
| Alvin Nance | |||||||||
| Director | 0.00 | 1.00 | X | 0 | 966 | 0 | |||
| Linda Ogle | |||||||||
| Director | 0.00 | 1.00 | X | 0 | 0 | 0 | |||
| Mitchell Steenrod | |||||||||
| Director | 0.00 | 1.00 | X | 0 | 805 | 0 | |||
| Carl Storms | |||||||||
| Director | 0.00 | 1.00 | X | 0 | 1641 | 0 | |||
| Joseph E Sutter | |||||||||
| Director | 0.00 | 1.00 | X | 0 | 1313 | 0 | |||
| Richard Swanson | |||||||||
| Director | 0.00 | 1.00 | X | 0 | 0 | 0 | |||
| Joe Ben Turner | |||||||||
| Director | 0.00 | 1.00 | X | 0 | 783 | 0 | |||
| David C Verble | |||||||||
| Director | 0.00 | 1.00 | X | 0 | 958 | 0 | |||
| John T Geppi | |||||||||
| EVP/CFO | 0.00 | 50.00 | X | 0 | 673095 | 27138 | |||
| Larry R Lassiter | |||||||||
| President & CAO PWMC | 50.00 | 0.00 | X | 0 | 424641 | 30962 | |||
| Michael S Hamilton | |||||||||
| VP-Financial Services | 50.00 | 0.00 | X | 162008 | 0 | 26360 | |||
| Diane H Oliver | |||||||||
| VP - Chief Nursing Officer | 50.00 | 0.00 | 171477 | 0 | 21422 | X | |||
| Emlyn J Cobble | |||||||||
| VP - Chief Support Officer | 50.00 | 0.00 | 150349 | 0 | 13851 | X | |||
| Janice McKinley | |||||||||
| VP - Chief Nursing Officer | 0.00 | 50.00 | 0 | 262307 | 17333 | X | |||
| John G Kupfner MD | |||||||||
| Physician - Behavioral | 40.00 | 0.00 | 255393 | 0 | 31215 | X | |||
| Rajendra T Raman MD | |||||||||
| Physician - Behavioral | 40.00 | 0.00 | 241370 | 0 | 37576 | X | |||
| Donna G McKenzie MD | |||||||||
| Physician - Behavioral | 40.00 | 0.00 | 220914 | 0 | 11822 | X | |||
| Shaym P Vuyyuru MD | |||||||||
| Physician - Behavioral | 40.00 | 0.00 | 229124 | 0 | 32777 | X | |||
| Navneet Taneja MD | |||||||||
| Physician - Behavioral | 40.00 | 0.00 | 231290 | 0 | 28397 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1661925 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2920652 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 509227 | TotalOtherCompensation |
| Number Individuals GT100 K | 39 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| GE Healthcare | |||||
| 40 IDX Drive | South Burlington | VT | 05403 | Consolidated Service Contract | 3160037 |
| Covenant Medical Management | |||||
| 1400 Centerpoint Blvd Suite 100 Bl | Knoxville | TN | 379321960 | Physician Services | 2921353 |
| Medic Regional Blood Center | |||||
| 1601 Ailor Ave | Knoxville | TN | 37921 | Blood Processing Fees | 1689845 |
| Dialysis Assoc West (dba Fresenius Med C | |||||
| 1512 Coleman Road Suite 308 | Knoxville | TN | 37919 | Dialysis Services | 1314486 |
| Summit Medical Group PLLC | |||||
| 1225 E Weisgarber Rd Suite 200 | Knoxville | TN | 37909 | Hospitalist Fees | 1255422 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 26 | NumberOfContractorsGT100K |
| Related Organizations | 81143 | RelatedOrganizations |
| Government Grants | 457587 | GovernmentGrants |
| All Other Contributions | 135022 | AllOtherContributions |
| Total Contributions | 673752 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Medical Services | 622110 | 330446256 | 330446256 | |
| Laboratory | 621500 | 97878 | 97878 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 330544134 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28509 | TotalRevenueColumn |
| Exclusion | $28,509 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3238 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3238 | RelatedOrExemptFunctionIncome |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2681878 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2328107 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 353771 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 353771 | TotalRevenueColumn |
| Exclusion | $353,771 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| Cafeteria | 722212 | 1932555 | $1,932,555 | |
| Gift Shop | 453220 | 377267 | $377,267 | |
| Miscellaneous | 900099 | 32692 | 32692 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 53886 | TotalRevenueColumn |
| Related Or Exempt Function Income | 30939 | RelatedOrExemptFunctionIncome |
| Exclusion | $22,947 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2396400 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 333999804 | TotalRevenueColumn |
| Related Or Exempt Function Income | 330513125 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 97878 | UnrelatedBusinessRevenue |
| Exclusion | $2,715,049 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62569 | Total |
| Program Services | 62569 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95921 | Total |
| Program Services | 95921 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 715849 | Total |
| Management And General | 715849 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82347006 | Total |
| Program Services | 81236890 | ProgramServices |
| Management And General | 1110116 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2598344 | Total |
| Program Services | 2581816 | ProgramServices |
| Management And General | 16528 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10330147 | Total |
| Program Services | 10047476 | ProgramServices |
| Management And General | 282671 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5973536 | Total |
| Program Services | 5872237 | ProgramServices |
| Management And General | 101299 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20630681 | Total |
| Program Services | 20211878 | ProgramServices |
| Management And General | 418803 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 336328 | Total |
| Management And General | 336328 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35000 | Total |
| Management And General | 35000 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21538374 | Total |
| Program Services | 20522877 | ProgramServices |
| Management And General | 1015497 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 699966 | Total |
| Program Services | 688525 | ProgramServices |
| Management And General | 11441 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3249813 | Total |
| Program Services | 2547399 | ProgramServices |
| Management And General | 702414 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5434472 | Total |
| Program Services | 4595383 | ProgramServices |
| Management And General | 839089 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 252895 | Total |
| Program Services | 245328 | ProgramServices |
| Management And General | 7567 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171565 | Total |
| Program Services | 132584 | ProgramServices |
| Management And General | 38981 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2890590 | Total |
| Program Services | 2890590 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15556077 | Total |
| Program Services | 15556077 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 667864 | Total |
| Program Services | 105097 | ProgramServices |
| Management And General | 562767 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| Unrelated Business Inco | 5430 | 5430 | |
| Hospital Supplies | 76489121 | 76489121 | |
| Charity Care | 23186802 | 23186802 | |
| Bad Debts | 20287708 | 20287708 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14976181 | Total |
| Program Services | 14734565 | ProgramServices |
| Management And General | 241616 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 308532239 | Total |
| Program Services | 302090843 | ProgramServices |
| Management And General | 6441396 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7750 | BOY |
| EOY | 7845 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1843872 | BOY |
| EOY | -888378 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28140221 | BOY |
| EOY | 26211073 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5071133 | BOY |
| EOY | 5860053 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 662778 | BOY |
| EOY | 924982 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 374686571 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 204122476 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 170562292 | BOY |
| EOY | 170564095 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 320661 | BOY |
| EOY | 199466 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17581106 | BOY |
| EOY | 17861089 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 220502069 | BOY |
| EOY | 220740225 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25010775 | BOY |
| EOY | 24277171 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 301595 | BOY |
| EOY | 419816 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66067563 | BOY |
| EOY | 50841541 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145592 | BOY |
| EOY | 1187604 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64930317 | BOY |
| EOY | 54620764 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 156455842 | BOY |
| EOY | 131346896 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64046227 | BOY |
| EOY | 89393329 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64046227 | BOY |
| EOY | 89393329 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 220502069 | BOY |
| EOY | 220740225 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 25467565 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -120463 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 59011 | BeginningOfYearBalance |
| Contributions | 2411 | Contributions |
| End Of Year Balance | 61422 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 56919 | BeginningOfYearBalance |
| Contributions | 2092 | Contributions |
| End Of Year Balance | 59011 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 54689 | BeginningOfYearBalance |
| Contributions | 2230 | Contributions |
| End Of Year Balance | 56919 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 51081 | BeginningOfYearBalance |
| Contributions | 3608 | Contributions |
| Investment Earnings Or Losses | 946 | InvestmentEarningsOrLosses |
| Other Expenditures | 946 | OtherExpenditures |
| End Of Year Balance | 54689 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 47482 | BeginningOfYearBalance |
| Contributions | 3599 | Contributions |
| Investment Earnings Or Losses | 1913 | InvestmentEarningsOrLosses |
| Other Expenditures | 1913 | OtherExpenditures |
| End Of Year Balance | 51081 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 19740902 | OtherCostOrOtherBasis |
| Book Value | 19740902 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 23756636 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 157452023 | OtherCostOrOtherBasis |
| Depreciation | 63314739 | Depreciation |
| Book Value | 117893920 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3538203 | OtherCostOrOtherBasis |
| Depreciation | 3018091 | Depreciation |
| Book Value | 520112 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 162779701 | OtherCostOrOtherBasis |
| Depreciation | 133055673 | Depreciation |
| Book Value | 29724028 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7419106 | OtherCostOrOtherBasis |
| Depreciation | 4733973 | Depreciation |
| Book Value | 2685133 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 170564095 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Assets Limited as to Use | 16863898 |
| Bond Issuance Costs, Net | 147265 |
| Deferred Compensation | 267908 |
| Other Receivables | 582018 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 17861089 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to Affiliates, Net | $47,035,692 |
| Long-term Deferred Compensation | $267,908 |
| Long-term Reserve for Workers Comp | $2,200,094 |
| Due to Third Party Payors | $5,117,070 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 54620764 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | 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. |
| Description of Uncertain Tax Positions Under FIN 48: | 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 which are accounted for in accordance with Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) 740, Income Taxes (See Note G)." Note G to the consolidated audited financial statements of Covenant Health, parent company to Parkwest Medical Center, reads in part: "Covenant had no unrecognized tax benefits at December 31, 2012 and 2011. As such, no interest or penalties were recognized in the Consolidated Statements of Operations related to unrecognized tax benefits. At December 31, 2012, tax returns for 2009 through 2012 are subject to examination by the Internal Revenue Service. Covenant has no uncertain tax positions that would require financial statement recognition or disclosure under generally accepted accounting principles at December 31, 2012 or 2011." |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14802450 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5446423 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9356027 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03250 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 45632298 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 34426425 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11205873 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03890 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 518560 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 142003 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 376557 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 60953308 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 40014851 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 20938457 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07270 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 82484 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2260 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 80224 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 31470 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 31470 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3860048 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3860048 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01340 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 130909 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 130909 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4104911 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2260 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4102651 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01430 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 65058219 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 40017111 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 25041108 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08700 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 70362 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 70362 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 39244 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 39244 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 15295 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 15295 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1509 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 1509 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1040 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 1040 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 127450 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 127450 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $20,287,708 | BadDebtExpenseAmount |
| Amount Attributable To | 5254516 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 87051035 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 88696152 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1645117 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Website AddressWebsiteAddress | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther | Facility Reporting GroupFacilityReportingGroup |
|---|---|---|---|---|---|---|---|---|---|---|
| Parkwest Medical Center | ||||||||||
| 1 | 9352 Park West Blvd | Knoxville | TN | 37923 | www.treatedwell.com | X | X | X | Behavioral Health | A |
| Peninsula Hospital | ||||||||||
| 2 | 2347 Jones Bend Road | Louisville | TN | 37777 | www.peninsulabehavioralhealth.org | X | Behavioral Hospital | A | ||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Facility Reporting Group - A | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 10 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (10 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Peninsula Outpatient Center - Knox | ||||
| 1451 Dowell Springs Blvd | Knoxville | TN | 37919 | Outpatient mental health facility |
| Peninsula Outpatient Center - Blount | ||||
| 210 Simmons Street | Maryville | TN | 37801 | Outpatient mental health facility |
| Parkwest Comprehensive Breast Center | ||||
| 9349 Park West Blvd 200 | Knoxville | TN | 37923 | Breast imaging center |
| PWMC Boulevard Surgery Center | ||||
| 9300 Park West Blvd | Knoxville | TN | 37923 | Ambulatory surgery center |
| Peninsula Outpatient Center - Sevier | ||||
| 1104 Foxwood Drive | Sevierville | TN | 37862 | Outpatient mental health facility |
| Therapy Center West | ||||
| 280 Fort Sanders West Blvd 201 | Knoxville | TN | 37922 | Physical, occupational & speech therapy |
| Peninsula Outpatient Center - Loudon | ||||
| 423 Medical Park Drive Suite 400 | Lenoir City | TN | 37772 | Outpatient mental health facility |
| CROPPROP | ||||
| 280 Fort Sanders West Blvd 205 | Knoxville | TN | 37922 | Cardiac & pulmonary rehabilitation |
| Peninsula Lighthouse | ||||
| 1451 Dowell Springs Blvd | Knoxville | TN | 37919 | Outpatient alcohol & drug rehabilitation |
| Weight Management Center | ||||
| 280 Fort Sanders West Blvd 200 | Knoxville | TN | 37922 | Weight management center |
Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| 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 $3,860,048 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 $ 20287708. | ||
| Part II: 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 finding solutions to alleviate the symptoms.In 2012 Parkwest donated money, supplies & volunteer staff hours to build a Habitat for Humanity home. As part of the build, Parkwest made a $40,000 cash donation to the project, as well as utilized 75 volunteers who contributed 467 volunteer hours (all done off shift). In addition to the cash donation and staff hours, Parkwest paid to provide all of the catering for the build as well as part of a spring "Blitz Build" (6 houses in 6 days), totaling $2,257.In addition Parkwest Medical Center supports the community building activities of its parent company. 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 2012 contributions were made to organizations meeting the community's needs by providing: *Affordable, permanent housing and case management services to foster self-sufficiency - Knoxville's Community Development Corporation (KCDC) *Residential and foster care for children, special education services, and support services to reunite families and keep them together - Holston Home for Children *The basic needs of life including temporary shelter, food and clothing - Catholic Charities, Family Promise, Ladies of Charity, and others *Youth mentoring and development and after-school programs - Emerald Youth Foundation and Boy Scouts of America *Business recruitment and marketing initiatives that boost economic development - East Tennessee Economic Development Agency (ETEDA) and Innovation Valley *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) | ||
| Part III, Line 4: 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 2011, 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 their qualification for financial assistance due to all information not yet being received but felt strongly that the patient was in need of some form of assistance. Notes in the patient record were examined to see if a charity care application had been sent to the patient or guarantor or if the account was 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 patient's ability to pay for the service provided. As a not-for-profit, patient care is provided to all, regardless of ability to pay for that care. Making quality patient care available to all in our community, regardless of economic means, qualifies bad debts as a community benefit.Part III, Line 4: Note B to the 2012 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 $1.6 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 35.8% of total patient days (36,316 out of 101,555 total). The hospital provides 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 51% 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 through routine collection channels internally, it may be assigned to an attorney/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: Covenant Health, on behalf of its affiliated hospitals, is engaged in conducting community health needs assessments. Covenant has chosen to complete the assessment process in partnership with the local health department, free health clinics, community based health councils, United Way and chambers of commerce.The assessment is utilizing a variety of data collection methods to ensure that at risk populations have a voice in the process. Qualitative research is being conducted using focus groups of community leaders, key informant interviews, and household surveys of 500-600 per county. In working with area health departments, a variety of health statistics have been gathered including demographics, social-cultural indicators, morbidity and mortality data, health rankings, KIDS COUNT data, health professional needs per population, and behavioral risk factor data.Upon completion of data collection, a community based data synthesis team will begin to meet, discuss, and prioritize the significant findings. Each hospital will proceed with the assessment's significant findings and translate that into an action plan to address the identified needs. | ||
| 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 the main registration area and at the Emergency Department registration entrance: Financial Assistance: Covenant Health is committed to providing quality health services in a caring environment. It is the expressed philosophy of Covenant Health, and its member hospitals, that no one should be denied necessary medical care because of the inability to pay. In conjunction with this philosophy, staffs of 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 865.446.8687, Monday through Friday between the hours of 8 a.m. and 4:30 p.m.Signs are also posted at each registration desk and at Customer Service stating: Financial Assistance: It is Parkwest Medical Center's philosophy that no one shall be denied medically necessary services based on an inability to pay. Financial assistance applications for medically necessary services are available during the registration process or through our Financial Counselor's office. To apply for financial aid, please ask our registration staff or contact the Counselor's office at 446.8687. The Financial Counselor is available Monday - Friday, 8 a.m. - 4:30 p.m.Parkwest Medical Center employs full time financial counselors that meet with each admitted and scheduled uninsured patient. In addition, Parkwest Medical Center assists them with completion of a TennCare application and ensures the application is directed to the appropriate Department of Human Services.The Charity Care Policy states that patients who are unable to pay and have exhausted all sources of payment assistance may be screened for potential charity care eligibility. According to the policy, the financial counselors initiate screening of the patient and/or guarantor by obtaining income and other financial information to determine eligibility for charity care or discounted services. | ||
| Part VI, Line 4: 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 2012, just over 46% of the inpatient discharges were Knox County residents. Loudon County provides Parkwest Medical Center with the second highest number of admissions compared to other counties in the region, slightly more than 13%. 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 2010 data from the U.S. Census Bureau, the collective population of the 16 counties is 1,176,033, of which 51.2% are female and 48.8% are male. The racial makeup of the population is 94% Caucasian, 4.6% black, and 1.4% other races. There are 22 hospitals in the 16-county area which, with one exception, are not-for-profit. The average income and percentage of the population with incomes below the federal poverty guideline within the 16 counties ranges from a low of $12,925 and 21% in Morgan County to a high of $21,875 and 14% in Knox County.According to the 2013 County Health Rankings Report recently released study by the Robert Wood Johnson Foundation/University of Wisconsin Population Health Institute, Knox County residents have the following health indicators that are above the national benchmarks: Knox - TN - National Adult Smoking: 19% - 23% - 13% Adult Obesity: 31% - 32% - 25% Excessive Drinking: 10% - 10% - 7% Teen Birthrate: 37 - 50 - 21 of every 1,000 teenage girls Poor or Fair Health: 16% - 19% - 10% Physical Inactivity: 28% - 30% - 21% | ||
| 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. | ||
| See below | Part V, Line 8 Facility Reporting Group A | |
| Please see the explanation to Part VI, Line 3. | Facility 1 -- Parkwest Medical Center | Part V, Section B, line 14g: |
| Please see the explanation to Part III, Line 9b. | Facility 1 -- Parkwest Medical Center | Part V, Section B, line 20d: |
| Please see the explanation to Part VI, Line 3. | Facility 2 -- Peninsula Hospital | Part V, Section B, line 14g: |
| Please see the explanation to Part III, Line 9b. | Facility 2 -- Peninsula Hospital | Part V, Section B, line 20d: |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Knoxville Habitat for Humanity | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 27478 | AddressLine1 |
| City | Knoxville | City |
| State | TN | State |
| ZIP Code | 37927 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 911914868 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 40000 | AmountOfCashGrant |
| Purpose Of Grant | To help build affordable housing for low-income families. | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | Patient Assistance | TypeOfGrant |
| Number Of Recipients | 458 | NumberOfRecipients |
| Amount Of Cash Grant | 95921 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 0 | AmountOfNonCashAssistance |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: Donations are given at the discretion of Administration and Marketing departments for the purpose of enhancing and promoting healthcare within the community of East Tennessee. 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Anthony L Spezia | ||||||||||||||
| President and CEO | 0 | 941953 | 0 | 379600 | 0 | 205294 | 0 | 213800 | 0 | 16574 | 0 | 1757221 | 0 | 0 |
| John T Geppi | ||||||||||||||
| EVP/CFO | 0 | 421940 | 0 | 171991 | 0 | 79164 | 0 | 9800 | 0 | 17338 | 0 | 700233 | 0 | 0 |
| Larry R Lassiter | ||||||||||||||
| President & CAO PWMC | 0 | 290786 | 0 | 89677 | 0 | 44178 | 0 | 9800 | 0 | 21162 | 0 | 455603 | 0 | 0 |
| Michael S Hamilton | ||||||||||||||
| VP-Financial Services | 143004 | 0 | 10000 | 0 | 9004 | 0 | 6407 | 0 | 19953 | 0 | 188368 | 0 | 0 | 0 |
| Diane H Oliver | ||||||||||||||
| VP - Chief Nursing Officer | 114962 | 0 | 15000 | 0 | 41515 | 0 | 9750 | 0 | 11672 | 0 | 192899 | 0 | 0 | 0 |
| Emlyn J Cobble | ||||||||||||||
| VP - Chief Support Officer | 130763 | 0 | 10000 | 0 | 9586 | 0 | 5650 | 0 | 8201 | 0 | 164200 | 0 | 0 | 0 |
| Janice McKinley | ||||||||||||||
| VP - Chief Nursing Officer | 0 | 192578 | 0 | 48994 | 0 | 20735 | 0 | 8721 | 0 | 8612 | 0 | 279640 | 0 | 0 |
| John G Kupfner MD | ||||||||||||||
| Physician - Behavioral | 232600 | 0 | 6000 | 0 | 16793 | 0 | 11978 | 0 | 19237 | 0 | 286608 | 0 | 0 | 0 |
| Rajendra T Raman MD | ||||||||||||||
| Physician - Behavioral | 232604 | 0 | 8000 | 0 | 766 | 0 | 13707 | 0 | 23869 | 0 | 278946 | 0 | 0 | 0 |
| Donna G McKenzie MD | ||||||||||||||
| Physician - Behavioral | 220083 | 0 | 0 | 0 | 831 | 0 | 0 | 0 | 11822 | 0 | 232736 | 0 | 0 | 0 |
| Shaym P Vuyyuru MD | ||||||||||||||
| Physician - Behavioral | 220854 | 0 | 8000 | 0 | 270 | 0 | 13086 | 0 | 19691 | 0 | 261901 | 0 | 0 | 0 |
| Navneet Taneja MD | ||||||||||||||
| Physician - Behavioral | 221919 | 0 | 8500 | 0 | 871 | 0 | 9386 | 0 | 19011 | 0 | 259687 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | Part I, Line 1a: Tax gross-up payments are provided to certain executives and managers. These are treated as taxable compensation to the recipient. |
| Part I, Line 3 | 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 | Part I, Line 4b: Part II, Anthony L. Spezia (compensated by Covenant Health, parent organization) - Column (B)(iii): Other reportable compensation. Anthony 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 2012 amounted to $71,781.22 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 2012 totalled $204,000, which is reported in Col. C of Schedule J, Part II. Interest earned by Plan B during 2012 of $17,909.59 is not required to be reported in compensation in Part II, as Mr. Spezia is not substantially vested in Plan B. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Organization Mission Statement | Form 990, Part III, Line 1 | In 1996, Fort Sanders Health System and MMC Healthcare System of Oak Ridge consolidated to form Covenant Health, with a mission of serving its communities by improving the quality of life through better health. Covenant Health is a nationally recognized top health system in many areas: patient care, quality performance, cost, integration, information technology, finances, ethics and innovation. To meet the challenges and implications of healthcare reform, Covenant Health has committed to these imperatives: * Serving the community as a not-for-profit health system. * Leading in quality and service. * Outstanding governance and leadership. * An engaged work force with the right skill sets. * Being the practice environment of choice for physicians. * Reinvesting in communities, providing programs, services, technologies and facilities that improve local healthcare services and patient care. Covenant Health has invested more than a billion dollars in its communities since 2000 - a commitment no other healthcare organization has approached. Covenant Health has opened new hospitals, expanded services, and brought cutting-edge medical technology to the region. * Meeting the challenges of the healthcare environment through effective strategic planning and wise use of resources. * Providing excellent care to every patient, every time. This commitment to excellence will help the system accomplish its mission of improving the quality of life through better health. In order to deliver on the promise of excellence in today's healthcare environment, preparation is critical. Covenant Health's Board of Directors ("the Board") is committed to advancing its understanding of health care. The Board is continually learning about hospitals' operational challenges and how the current environment affects physicians and their practices. The healthcare universe is constantly shifting. The Board members are volunteers, but have a passion for Covenant Health's mission, and a desire to expand its knowledge in preparation for leading the organization. Dedication to a shared goal is essential. Very few community endeavors are as important as making high-quality health care available to its citizens. Our patients and their families are at vulnerable points in their lives, and the Board believes it is a privilege to meet their healthcare needs. Experience is a valuable asset. Covenant Health has a legacy of delivering high-quality care, which will help to weather the storms of change, including transitioning to value-based reimbursement. COVENANT HEALTH MEMBER ORGANIZATIONS AND SERVICES Covenant Health Board members and administrative leaders serve their communities through strategic planning and successful operation of these member organizations: Hospitals and Other Healthcare Providers: Covenant Homecare and Hospice Fort Loudoun Medical Center Fort Sanders Perinatal Center Fort Sanders Regional Medical Center LeConte Medical Center Methodist Medical Center of Oak Ridge Morristown-Hamblen Healthcare System Parkwest Medical Center Peninsula Hospital, a Division of Parkwest Medical Center Roane County Medical Center Thompson Cancer Survival Center Thompson Oncology Group Knoxville Heart Group Outpatient and Specialty Care Departments, and Joint Ventures: Fort Sanders West Diagnostic Center Fort Sanders West Outpatient Surgery Center Patricia Neal Rehabilitation Center Peninsula Outpatient Centers Fort Sanders Sevier Nursing Home Foundations: Fort Sanders Foundation Methodist Medical Center Foundation Morristown-Hamblen Hospital Foundation Thompson Cancer Survival Center Foundation BRINGING QUALITY CARE TO LOCAL COMMUNITIES Covenant Health delivers quality care, with services designed to meet the specific needs of people in the communities it serves. Seven acute care hospitals located in Knoxville and surrounding areas comprise the foundation of the health system. The hospitals offer comprehensive care, including emergency care, specialty services, and a full range of diagnostics and treatment, provided by board-certified medical staffs. Three Covenant Health hospitals - Fort Sanders Regional, Methodist, and Parkwest Medical Centers, were named among the top 10 hospitals in Tennessee in 2013 by U.S. News and World Report, recognizing excellence in both overall and specialty care. Several hospitals have been recognized for clinical accomplishments by VHA, Inc., a cooperative of non-profit healthcare organizations. In 2013, the community celebrated the opening of the new 50-bed Roane County Medical Center in Harriman. The new hospital brings expanded medical services and sophisticated technology to the people of Roane County. In addition to comprehensive hospital services, Covenant Health provides: * Innovative cancer care and technologies to deliver radiation therapy and other cancer treatment in Knox, Sevier, Anderson and Hamblen counties. * Nationally recognized care for patients suffering from physical disabilities, stroke and traumatic brain injury at Fort Sanders Regional Medical Center's Patricia Neal Rehabilitation Center. * Affiliated physician clinics throughout the region which offers convenient access to primary and specialty care. * Rehabilitation services including physical therapy, speech therapy, sports medicine, and specialized therapy such as hand therapy and vestibular (balance) rehabilitation. RACING AGAINST TIME AND DISTANCE IN STROKE CARE With Fort Sanders Regional Medical Center's "tele-stroke" robot, East Tennessee stroke patients can benefit from early consultation with the hospital's stroke experts - regardless of where patients are located across the region. Fort Sanders Regional Medical Center ("Fort Sanders") introduced robots to the region in 2012. 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 neurologist's availability to patients in outlying areas 24 hours a day. Covenant Health stationed its first two robots in the emergency departments at Parkwest Medical Center in Knoxville and LeConte Medical Center in Sevierville. The telestroke network allows physicians in surrounding hospitals to use live Web video streaming to consult with Fort Sanders Stroke Center 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. A STROKE CENTER OF EXCELLENCE Fort Sanders is a Stroke Center of Excellence, and the only facility in the region to hold both a Comprehensive Stroke Center certification from the Joint Commission and three separate stroke accreditations from the Commission on the Accreditation of Rehabilitation Facilities. Fort Sanders has a team of experts available to treat patients 24 hours a day, seven days a week. The stroke team includes emergency room physicians, neurologists, neurosurgeons, neurointerventional radiologists, nurses and therapists who quickly diagnose patients and use the most technically advanced methods available to remove clots, repair broken arteries that cause strokes, and restore blood flow to the brain. |
| TAVR - CHARTING NEW DIRECTIONS IN HEART CARE In 2012, Parkwest Medical Center ("Parkwest") performed its first transcatheter aortic valve replacement (TAVR) procedure. Parkwest is the first hospital in the area to offer TAVR as a minimally invasive procedure to help men and women with the progressive, life-threatening condition known as aortic stenosis. Within the first year, the TAVR team of physicians from Parkwest and Fort Sanders Regional Medical Centers performed surgery for nearly 60 people who were deemed inoperable for traditional open-heart surgery. The patients received new heart valves via a catheter tube inserted either into the femoral artery or through the rib cage. Recovery is markedly shorter than traditional open-heart surgery. In most cases the patients were discharged from the hospital within three to six days. An important aspect of TAVR is its multi-disciplinary approach. The TAVR team includes physicians specializing in cardiovascular and cardiothoracic surgery, interventional cardiology, and cardiac anesthesiology, as well as nurses and technicians with specialized training. The operating room used for TAVR procedures at Parkwest is also multi-disciplinary in design. The $2.6 million hybrid operating room combines the resources of a cardiac catheterization lab and an operating room, including the imaging equipment needed for minimally invasive procedures. ACHIEVING QUALITY THROUGH PARTNERSHIPS WITH PHYSICIANS Overall, Covenant Health's desire for alignment is driven by the need to fully evolve as a healthcare system. In pursuing its goal of outstanding quality and seamless continuum of care, Covenant Medical Management, Inc. (CMM), a for-profit entity in the Covenant Health system, has developed models with physicians that include both employment and joint ventures. CMM provides practice management services and support to over 120 primary care and specialty physicians in more than 60 practices in East Tennessee. CMM recently added Southern Medical Group and Family Care Specialists to its employed physician groups that include: * Cardiology Associates of East Tennessee * Crossville Medical Group * Fort Sanders Women's Specialists * Tennessee Brain and Spine CMM also acquired a new, separate corporation, East Tennessee Cardiovascular Surgery Group, in 2012. Prior to joining the Covenant Health system, the surgeons in this practice served as the primary cardiac surgeons for Fort Sanders Regional, Methodist, and Parkwest Medical Centers and worked in the system's Valve Centers and TAVR program. BEHAVIORAL HEALTH - A COMMITMENT TO ESSENTIAL SERVICES In 2012, Peninsula, a division of Parkwest Medical Center, faced an unprecedented challenge: Lakeshore, a state-funded mental health institute, would be closing its doors for good, and the majority of patients would funnel into Peninsula Hospital. The closing was a strategic move by the state Department of Mental Health to follow the national trend of moving behavioral health toward community-based care and away from state-funded care. With a multi-professional team made up of experienced people from across the continuum of mental health care, Peninsula laid out a plan to accommodate the influx of hospital admissions, reduce costs, and improve the quality of care for mental health patients. The team was challenged by not only having more patients, but patients with serious and complex mental disorders. Changes in staffing and processes helped create a smooth admission process and improvement of service. On average, Peninsula serves about a dozen more inpatients per day since Lakeshore closed. Even with the additional volume, Peninsula has been able to increase its customer satisfaction score and maintain or improve its performance in safety quality measures. Many of the changes which resulted in taking the patients from Lakeshore translated to better service. For example, a process was developed to assess and enroll the patients in CoverRX, the state-funded program for prescription coverage. Patients have benefited by increased collaborative efforts within the community such as regular meetings with a community providers group including representatives from local law enforcement, hospital emergency departments, mobile crisis, and a state mental health facility. The group works on the continuum of services for behavioral health patients in the area. Peninsula participates in the Crisis Intervention Training (CIT) for officers from the surrounding areas' police and sheriff's offices. The training facilitates understanding about mental illness, and when that happens, patients benefit. A partnership with the State of Tennessee brought improvements to the community based care of mental health patients, such as transportation and medications. As a result, more outpatients are keeping their first appointments, and there are a lower number of readmissions. In addition to the 155-bed inpatient psychiatric hospital in Blount County, Peninsula also has outpatient facilities in Knox, Blount, Loudon and Sevier counties. SETTING THE STANDARD FOR TECHNOLOGY The recently enacted American Recovery and Reinvestment Act includes incentives and penalties designed to accelerate our nation's adoption and "meaningful use" of electronic health records, ("EHRs"). The implementation of meaningful use initiatives is changing the way healthcare is delivered not only at Covenant Health, but also across Tennessee, and throughout the U.S. With widespread adoption, EHRs can: * make a patient's current health information available in a single, secure, shared record, * provide real-time decision support designed to hardwire best practices and reduce care variability, * reduce paperwork, duplicate testing and other inefficiencies Meaningful Use provides the technology infrastructure and electronic applications to connect care settings, reduce costs, improve efficiency and standardize quality. From 2015 forward, for every year that meaningful use requirements are not met, providers will receive penalties in the form of reduced reimbursement. At Covenant Health, interdisciplinary and multidisciplinary operational teams have been involved in developing and implementing applications and processes related to the main components of Meaningful Use: * E-prescription writing, and computerized patient order entry, * Interoperability, or exchanging key clinical information among providers and patients, * Automated quality reporting. Through Meaningful Use initiatives Covenant Health will transform the way it delivers care by improving patient outcomes, clinical quality, patient safety and organizational effectiveness. Covenant Health has installed a record number of applications related to Meaningful Use. Seven initiatives ranging from admission databases and medication reconciliation (important for patient safety) to computerized patient order entry and physician practice management software took place in 2012 and continued in 2013. The successful installation of multiple applications in a one-year period is unprecedented in the IT world. Quality assurance processes are in place to ensure delivery of the best applications and processes for patient care, clinical quality, and patient safety. | ||
| "MOST WIRED" Hospitals & Health Networks magazine, the journal of the American Hospital Association, has named Covenant Health among the nation's Most Wired healthcare organizations in the 15th annual Most Wired Survey and Benchmarking Study. It is the 10th time that Covenant Health has been named to the Most Wired list. Although Covenant has been named among the nation's Most Wired many times, the health systems that made the list in recent years have had to meet the demands of a more stringent analytic structure. The Most Wired survey includes questions about IT initiatives that support Meaningful Use requirements. It measures IT achievements in four focus sections: infrastructure, business and administrative management, clinical quality and safety (hospital inpatient/outpatient) and clinical integration (ambulatory/physician/community). Participating organizations must meet specific criteria for each section in order to be named "Most Wired." Most Wired surveys were completed by 659 healthcare organizations representing 1,713 hospitals, or roughly 30 percent of all U.S. hospitals. PHILANTHROPY TURNS CHALLENGE INTO OPPORTUNITY The Covenant Health Office of Philanthropy coordinates the philanthropic contributions of individuals and businesses throughout East Tennessee and beyond in support of health care in the region. Fund raising efforts are led by volunteer boards and staff at four foundations: Fort Sanders Foundation, Methodist Medical Center Foundation, Morristown-Hamblen Hospital Foundation, and Thompson Cancer Survival Center Foundation. When Fort Sanders Health Systems created its first fund raising office, Fort Sanders Foundation, in the mid-1970s to raise funds to support Fort Sanders Regional Medical Center, it was a progressive move for a health care provider. Fund raising was not a need, but more in the category of "nice to have." This status has changed in today's era of healthcare reform. Financial resources have tightened and hospitals look to the community for charitable contributions that are now very much in the "need to have" category if they are to continue to meet the healthcare needs of the people of East Tennessee. During the past year these foundations received contributions of approximately $3.7 million to help provide new equipment and facilities at the hospitals, staff training and patient care programs. While the Office of Philanthropy staff coordinates community events and fund raisers, local community leadership and involvement is critical to fund raising success. In an effort to expand the cadre of informed volunteer leaders in the community, the Office of Philanthropy launched a new education program this year, Covenant Answers: A Healthcare Leadership Academy. Inaugural Academy participants included representatives from the boards of Covenant Health, and Fort Sanders and TCSC foundations. Future Leadership Academy classes will include business and community representatives from throughout Covenant Health's service area. Over a five-month period, class members attended half-day sessions at five Covenant hospitals, which included behind-the-scenes tours and hands-on access to the latest technologies and treatments. Participants discussed the challenges of the current health care environment with Covenant physicians and clinicians, heard firsthand from patients whose recovery hinged on the excellent care provided at our hospitals, and even tried their hands at using adaptive rehab equipment and maneuvering a surgical robot. IMPROVING HEALTH BEYOND HOSPITAL WALLS One of the greatest challenges facing a healthcare organization is not only caring for the patients and families who receive direct services, but making a positive impact in the health of the surrounding community. That is the mission of Covenant Health: reaching beyond hospital walls to improve the quality of life through better health. 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 Knoxville more than 7,000 people participated in the annual Covenant Health Knoxville Marathon, which attracted local runners and hand cyclists, as well as competitors from throughout the U.S. and other countries. * The Covenant Health Biggest Winner Weight Loss Challenge is a friendly competition that encourages East Tennesseans to get off the couch and get moving for a fit and healthy lifestyle. Team members train together for five months, with the goal of crossing the finish line in Covenant Health Knoxville Marathon events. Participants challenge other East Tennesseans to start a health journey that will change their lives for the better. * Some of the funds raised through the Covenant Health Knoxville Marathon were contributed to The Patricia Neal Rehabilitation Center's Innovative Recreation Cooperative, a collaboration of groups and individuals who help disabled persons enjoy leisure and recreation activities such as water skiing and cycling. * The Covenant Kids Run attracted over 1,000 children who participated in a "marathon" of activities over a period of several weeks, culminating in a run to Neyland Stadium on the day before the Covenant Health Knoxville Marathon. * Covenant Health was the fitness sponsor of the Dogwood Arts Festival, held annually in April. Fitness activities included several outdoor walks, "Bikes and Blooms" bike rides on local Dogwood trails, and a Dogwood Mile run and Kids Race held in downtown Knoxville. * Covenant HomeCare Hospice helps children grieving the loss of a loved one through Katerpillar Kids Camp, offered with the support of Variety-The Children's Charity. The camp is staffed by health system volunteers and helps children in grades 1-12 express their feelings in a supportive environment while enjoying camp activities. * Morristown-Hamblen's Wellness of Women is dedicated to improving the lives of area women and their families. The program sponsors events such as an annual Girls Night Out, which offers free health screenings and encourages women to have fun while learning to stay healthy. UNCOMPENSATED CARE One of the most tangible expressions of the charitable purpose of Covenant Health is providing care to people in need. As a not-for-profit system, Covenant Health provides medically necessary services to people with limited resources. Covenant Health actively participates in the state's TennCare program, and collaborates with other area providers to identify and support efforts to make community healthcare resources available for those in need. The Community Benefit totals for uncompensated care are included on the Forms 990 for the individual Covenant Health hospitals. | ||
| Form 990, Part VI, Section B, line 11 | Covenant Health is a large integrated health system which files twelve Forms 990. Parkwest Medical Center is one of these twelve entities. Annually, at the September Finance Committee meeting, one of the twelve 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 eleven 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 twelve 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, 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 2012 Form 990 of Covenant Health, EIN 62-1646734, parent company of Parkwest Medical Center. Form 990, Part VI, Section B, Line 15b: Base salary and annual bonus opportunities for Larry R. Lassiter, President/CAO, are set by the Covenant Health CEO or Executive 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 for each executive is reasonable and within a fair market value range. Salary ranges for each executive position 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 President/CAO is reasonable and consistent with fair market value. Base salaries are initially targeted at midpoint and vary according to the individual's experience, market conditions and competition. Annual bonuses are designed to award 0-35% of base salary based upon system performance and accomplishment of certain targets established by the CEO. Base salary and annual bonus opportunities for Michael S. Hamilton, VP-Financial Services, are based on established targets to ensure that total compensation 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 vary according to the individual's experience, market conditions and competition. 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 | Form 990, Part VI, Section C, Line 19: Per its tax exempt bond provisions, the parent company, Covenant Health, is required to file quarterly and annual consolidated and obligated group financial statements in addition to other documentation, with various bond insurers and other agencies, including the Electronic Municipal Market Access, EMMA, web site. Any member of such a repository has access to these financial statements. In addition, Parkwest Medical Center files a Joint Annual Report containing financial information with the Tennessee Department of Health. | |
| Contact Addresses for Officers, Directors, Etc: | Form 990, Part VI, Line 9 | Anthony L. Spezia Covenant Health 100 Ft Sanders West Blvd. Knoxville, TN 37922 John T. Geppi, Larry Mauldin, and all Directors Covenant Health 1420 Centerpoint Blvd., Bldg. C Knoxville, TN 37932 Diane Oliver 294 Babb Rd. Lenoir City, TN 37771 All other persons listed in Part VII, Section A may be contacted at the organization's address. |
| Changes in Net Assets or Fund Balances: | Form 990, Part XI, line 9: | Fund balance transfer -120,463. |
| Form 990, Part XII, Line 2c: | The Finance Committee of the Board of Directors assumes responsibility for oversight of the audit of the consolidated financial statements and selection of an independent accountant. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Covenant Health | |||||||||||
| 1420 Centerpoint Blvd | Knoxville | TN | 37932 | 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 Avenue | 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 dba Roane Medical Center | |||||||||||
| 8045 Roane Medical Center Drive | Harriman | TN | 37748 | 680673354 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Fort Loudoun Medical Center | |||||||||||
| 550 Fort Loudoun Medical Ctr Dr | Lenoir City | TN | 37772 | 621373691 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Thompson Cancer Survival Center | |||||||||||
| 1915 White Avenue | Knoxville | TN | 37916 | 621250943 | Cancer treatment facility | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Thompson Oncology Group | |||||||||||
| 1915 White Avenue | Knoxville | TN | 37916 | 621619239 | Oncology services | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| 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 | |||||||||||
| 501 19th St Trustees Tower Ste 304 | Knoxville | TN | 37916 | 043760551 | High risk obstetrical services | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Fort Sanders Foundation | |||||||||||
| 280 Fort Sanders West Blvd Ste 202 | Knoxville | TN | 37922 | 621748601 | Fundraising and Patient Outreach | TN | 501(c)(3) | Line 11b, II | 0 | Covenant Health | |
| Morristown-Hamblen Hospital Assoc dba M-H Healthcare System | |||||||||||
| 908 W 4th North St | Morristown | TN | 37814 | 620545814 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Thompson Cancer Survival Center Foundation | |||||||||||
| 1915 White Avenue | Knoxville | TN | 37916 | 582130450 | Fundraising and Patient Outreach | TN | 501(c)(3) | Line 11a, I | 0 | Thompson Cancer Survival Center | |
| Morristown Regional Cancer Center LLC | |||||||||||
| 908 W 4th North St | Morristown | TN | 37814 | 200916364 | Cancer treatment facility | TN | 501(c)(3) | Line 3 | 0 | Morristown-Hamblen Hospital Association | |
Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| KOSC Properties LLC | |||||||
| 260 Fort Sanders West Blvd Ste 200 | Knoxville | TN | 37922 | 262444076 | Building ownership | TN | N/A |
| Knoxville Orthopaedic Surgery Center LLC | |||||||
| 260 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 Ctr LLC | |||||||
| 210 Fort Sanders West Blvd Ste 106 | 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 |
| Associates of Meridian OP Surgery Ctr LLC | |||||||
| 908 W 4th North St | Morristown | TN | 37814 | 861167487 | Outpatient surgery center | TN | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| Fortress Corporation | |||||||||
| 280 Fort Sanders West Blvd Suite 21 | Knoxville | TN | 37922 | 621308885 | Management Company | TN | N/A | C | 0 |
| Covenant Medical Management | |||||||||
| 1400 Centerpoint Blvd Suite 100 Bld | Knoxville | TN | 37932 | 621282917 | Physician practice management | TN | N/A | C | 0 |
| KASC Acquistion Company Inc | |||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 37932 | 263400984 | Real estate holdings | TN | N/A | C | 0 |
| Knoxville Heart Group | |||||||||
| 1819 Clinch Avenue Suite 108 | Knoxville | TN | 37916 | 271528941 | Cardiology medical practice | TN | N/A | C | 0 |
| East TN Cardiovascular Surgery Group Inc | |||||||||
| 9125 Cross Park Dr Ste 200 | Knoxville | TN | 37923 | 621018541 | Cardiovascular surgical practice | TN | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |