ROANE COUNTY MEDICAL CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- ROANE COUNTY MEDICAL CENTER (EIN 68-0673354)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-11
- IRS object ID
- 201123159349301902
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-11T09:02:24-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 680673354 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Roane County Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ROAN | NameControl |
| Phone | 8653746864 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1410 Centerpoint Blvd No 401 | AddressLine1 |
| City | Knoxville | City |
| State | TN | State |
| ZIP Code | 379321985 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN T GEPPI | Name |
| Title | EVP/CFO | Title |
| Phone | 8653746872 | Phone |
| Date Signed | 2011-11-09 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Self Prepared | Name |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Roane Medical Center | BusinessNameLine1 |
| 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 | 33849869 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.roanemedical.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2008 | YearFormation |
| State Legal Domicile | TN | StateLegalDomicile |
| Activity Or Mission Description | Roane Medical Center is a 105-bed full service, acute care hospital located in Harriman, Tennessee. It is a member of the Covenant Health System. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 21 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 426 | TotalNbrEmployees |
| Total Nbr Volunteers | 90 | TotalNbrVolunteers |
| Total Gross UBI | 17955 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 16955 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 80968 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 37318 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 33528836 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 32922600 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1655 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1277 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 395843 | OtherRevenuePriorYear |
| Other Revenue Current Year | 449960 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 34007302 | TotalRevenuePriorYear |
| Total Revenue Current Year | 33411155 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 15908269 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 15224649 | 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 | 21133280 | OtherExpensePriorYear |
| Other Expenses Current Year | 24563238 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 37041549 | TotalExpensesPriorYear |
| Total Expenses Current Year | 39787887 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -3034247 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -6376732 | RevenuesLessExpensesCY |
| Total Assets BOY | 11582960 | TotalAssetsBOY |
| Total Assets EOY | 6339310 | TotalAssetsEOY |
| Total Liabilities BOY | 16377487 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 8327480 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -4794527 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -1988170 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | See Schedule O.Roane 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 a patient's ability to pay. The Covenant Health System Report to the Community can be found at the conclusion of Schedule O. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 13073633 | Expense |
| Revenue | 15593454 | Revenue |
| Description | Inpatient service is the largest program service at Roane Medical Center. There were 2,337 admissions in 2010, accounting for 8,312 patient days. The majority of admissions are for Respiratory and Circulatory diagnoses and are treated in either Intensive Care or Medical Surgical units. The goal is to provide the highest quality diagnostic and treatment services to the patients served. Patients admitted to Roane Medical Center live in Roane and surrounding counties. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 13702690 | Expense |
| Revenue | 11227258 | Revenue |
| Description | Outpatient service is the second of the three largest programs with 28,625 visits in 2010. Outpatient services provided are Diagnostic X-ray, Magnetic Resonance Imaging (MRI), Computed Tomography (CT), Nuclear Medicine, Ultrasound/ Vascular Procedures, Mammography, Bone Densitometry, Sleep Studies, Laboratory and Stress Tests. Other outpatient services provided are Cardiac Rehab; Physical, Occupational and Speech Therapies; and Dietary Consultation. Roane County Medical Center offers support to many community education efforts such as smoking cessation. The goal for outpatient services is to provide quality diagnostics and treatment to patients according to the physicians' orders. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8830086 | Expense |
| Revenue | 5746607 | Revenue |
| Description | Emergency diagnosis and treatment is the third program service provided to all patients without consideration of their ability to pay. Ten percent of the patients seen in the Emergency department are admitted for further observation or treatment at Roane Medical Center. The Emergency department treated 23,908 patients during 2010. The goal for outpatient service is to diagnose, treat or refer patients to the appropriate facility for care efficiently and in a timely manner. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2311687 | Expense |
| Revenue | 422952 | Revenue |
| Description | Additional services provided at Roane County Medical Center include geriatric psychiatric in-patient and out-patient services, occupational health and cardiac rehabilitation. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 2311687 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 422952 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 37918096 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | 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 | 0 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | 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 |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 36 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 426 | 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 | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | 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
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Janice Bardill | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8658824377 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 412 Devonia Street | AddressLine1 |
| City | Harriman | City |
| State | TN | State |
| ZIP Code | 37748 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Anthony L Spezia | |||||||
| President and CEO | 0.00 | X | X | 0 | 1406336 | 246381 | |
| Dr Richard Brinner | |||||||
| Director | 0.00 | X | 0 | 922 | 0 | ||
| Harry M Call | |||||||
| Director | 0.00 | X | 0 | 1532 | 0 | ||
| Dr Mitchell Dickson | |||||||
| Director | 0.00 | X | 0 | 1771 | 0 | ||
| Pamela P Fansler | |||||||
| Director | 0.00 | X | 0 | 767 | 0 | ||
| Homer Fisher | |||||||
| Director | 0.00 | X | 0 | 436 | 0 | ||
| Dr William Hall | |||||||
| Director | 0.00 | X | 0 | 1274 | 0 | ||
| Wayne Heatherly | |||||||
| Director | 0.00 | X | 0 | 1697 | 0 | ||
| Jim Johnson Jr | |||||||
| Director | 0.00 | X | 0 | 1114 | 0 | ||
| Karla Lane | |||||||
| Director | 0.00 | X | 0 | 950 | 0 | ||
| Dr Randolph Lowry | |||||||
| Director | 0.00 | X | 0 | 1665 | 0 | ||
| Larry Mauldin | |||||||
| Director | 0.00 | X | 0 | 1226 | 0 | ||
| James Fitzsimmons | |||||||
| Director | 0.00 | X | 0 | 1876 | 0 | ||
| George Miller | |||||||
| Director | 0.00 | X | 0 | 647 | 0 | ||
| Alvin Nance | |||||||
| Director | 0.00 | X | 0 | 673 | 0 | ||
| Linda N Ogle | |||||||
| Director | 0.00 | X | 0 | 0 | 0 | ||
| Francis Olmstead Jr | |||||||
| Chairman | 0.00 | X | 0 | 2212 | 0 | ||
| Mitchell Steenrod | |||||||
| Director | 0.00 | X | 0 | 1081 | 0 | ||
| David C Verble | |||||||
| Director | 0.00 | X | 0 | 1434 | 0 | ||
| Joseph E Sutter | |||||||
| Director | 0.00 | X | 0 | 1829 | 0 | ||
| Joe Ben Turner | |||||||
| Director | 0.00 | X | 0 | 819 | 0 | ||
| John T Geppi | |||||||
| EVP/CFO | 0.00 | X | 0 | 675119 | 41480 | ||
| James Gann | |||||||
| President and CAO | 50.00 | X | 0 | 161645 | 19699 | ||
| Janice Bardill | |||||||
| VP - Financial Services | 55.00 | X | 84606 | 0 | 16060 | ||
| Dr Jules Mugemuzi | |||||||
| Physician | 40.00 | 219177 | 0 | 1285 | X | ||
| Dr Irina Schiopescu | |||||||
| Physician | 40.00 | 179529 | 0 | 17191 | X | ||
| Dr Suresh Nekuri | |||||||
| Physician | 40.00 | 207539 | 0 | 32934 | X | ||
| Dr Brian Hofung | |||||||
| Physician | 40.00 | 187831 | 0 | 5934 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 878682 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2267025 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 380964 | TotalOtherCompensation |
| Number Individuals GT100 K | 4 | 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 |
|---|---|---|---|---|---|
| Complete Rx | |||||
| 3100 South Gessner Ste 640 | Houston | TX | 77063 | Pharmacy Management | 2124076 |
| Staffing Solutions | |||||
| PO Box 934367 | Atlanta | GA | 31193 | Clerical Contract Labor | 150365 |
| Quest Diagnostics | |||||
| 12436 Collections Ctr Dr | Chicago | IL | 60693 | Reference Lab | 141960 |
| Vijay Jethandani | |||||
| 206 Rothesay Lane | Knoxville | TN | 37909 | Medical Director/ Contract Physician | 140370 |
| Airtech | |||||
| 7140 Small Creek Way | Powell | TN | 37849 | HVAC Service/Maintenance | 139121 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Government Grants | 26240 | GovernmentGrants |
| All Other Contributions | 11078 | AllOtherContributions |
| Total Contributions | 37318 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Medical Services | Description |
| Business Code | 622110 | BusinessCode |
| Total Revenue Column | 32922600 | TotalRevenueColumn |
| Related Or Exempt Function Income | 32922600 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 32922600 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1277 | TotalRevenueColumn |
| Exclusion | $1,277 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 113688 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 140848 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -27160 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -27160 | TotalRevenueColumn |
| Exclusion | -$27,160 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 519240 | GrossSalesOfInventory |
| Cost Of Goods Sold | 297866 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 221374 | TotalRevenueColumn |
| Unrelated Business Revenue | 17955 | UnrelatedBusinessRevenue |
| Exclusion | $203,419 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| Cafeteria | 722212 | 181884 | $181,884 | |
| Cardiac Rehab Fitness | 622110 | 36735 | 36735 | |
| Physician Billing | 541200 | 17272 | 17272 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19855 | TotalRevenueColumn |
| Related Or Exempt Function Income | 13664 | RelatedOrExemptFunctionIncome |
| Exclusion | $6,191 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 255746 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 33411155 | TotalRevenueColumn |
| Related Or Exempt Function Income | 32990271 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 17955 | UnrelatedBusinessRevenue |
| Exclusion | $365,611 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100665 | Total |
| Management And General | 100665 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12445123 | Total |
| Program Services | 11817378 | ProgramServices |
| Management And General | 627745 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 363865 | Total |
| Program Services | 349093 | ProgramServices |
| Management And General | 14772 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1336426 | Total |
| Program Services | 1274006 | ProgramServices |
| Management And General | 62420 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 978570 | Total |
| Program Services | 925339 | ProgramServices |
| Management And General | 53231 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2591720 | Total |
| Program Services | 2291720 | ProgramServices |
| Management And General | 300000 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10285 | Total |
| Management And General | 10285 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4992 | Total |
| Management And General | 4992 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3216656 | Total |
| Program Services | 2960936 | ProgramServices |
| Management And General | 255720 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38037 | Total |
| Program Services | 3237 | ProgramServices |
| Management And General | 34800 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1493119 | Total |
| Program Services | 1229861 | ProgramServices |
| Management And General | 263258 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 740310 | Total |
| Program Services | 717878 | ProgramServices |
| Management And General | 22432 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2528 | Total |
| Program Services | 2175 | ProgramServices |
| Management And General | 353 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17864 | Total |
| Program Services | 15066 | ProgramServices |
| Management And General | 2798 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 117636 | Total |
| Program Services | 117636 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1005833 | Total |
| Program Services | 1003796 | ProgramServices |
| Management And General | 2037 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74160 | Total |
| Program Services | 74160 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| UBI Tax | 3727 | 3727 | |
| Bad Debts | 4432994 | 4432994 | |
| Hospital Supplies | 3295352 | 3242 | 3292110 |
| Change in Accounting Pr | 3088508 | 3088508 | |
| Charity Care Expense | 2125054 | 2125054 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2304463 | Total |
| Program Services | 2197149 | ProgramServices |
| Management And General | 107314 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39787887 | Total |
| Program Services | 37918096 | ProgramServices |
| Management And General | 1869791 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1486 | BOY |
| EOY | 1485 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 543617 | BOY |
| EOY | 679872 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1637477 | BOY |
| EOY | 1622007 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 271617 | BOY |
| EOY | 309153 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 118982 | BOY |
| EOY | 120569 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 27642875 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 24052353 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3794482 | BOY |
| EOY | 3590522 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4088508 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1126791 | BOY |
| EOY | 15702 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11582960 | BOY |
| EOY | 6339310 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5368206 | BOY |
| EOY | 5762482 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 365000 | BOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1879698 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 30854 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10644281 | BOY |
| EOY | 654446 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16377487 | BOY |
| EOY | 8327480 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -4794527 | BOY |
| EOY | -1988170 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -4794527 | BOY |
| EOY | -1988170 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11582960 | BOY |
| EOY | 6339310 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -6376732 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 9183089 | 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 |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
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
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 255246 | OtherCostOrOtherBasis |
| Book Value | 255246 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2344575 | OtherCostOrOtherBasis |
| Depreciation | 1464031 | Depreciation |
| Book Value | 880544 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 339547 | OtherCostOrOtherBasis |
| Depreciation | 78242 | Depreciation |
| Book Value | 261305 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 24703507 | OtherCostOrOtherBasis |
| Depreciation | 22510080 | Depreciation |
| Book Value | 2193427 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3590522 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to Third Party Payors | $553,765 |
| Due to Affiliates, Net | $65,239 |
| Current Portion of Long Term Debt | $35,442 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 654446 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| 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 | 830016 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 341156 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 488860 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01380 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4963818 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2916004 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2047814 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05790 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5793834 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3257160 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2536674 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07170 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2337 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2337 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 629847 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5618 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 624229 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01770 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9094 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 9094 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 641278 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5618 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 635660 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01810 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6435112 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3262778 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3172334 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08980 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 380 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 380 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1450 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1450 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1592 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1592 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 15 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 15 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 75 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 75 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 477 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 477 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3989 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3989 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $1,692,074 | BadDebtExpenseAmount |
| Amount Attributable To | 470291 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 10195623 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 10057589 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 138034 | 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 |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 None | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Roane Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 412 Devonia Street | AddressLine1 |
| City | Harriman | City |
| State | TN | State |
| ZIP Code | 37748 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Not Required | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 8 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (8 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| RMC Patricia Neal Outpatient Center | ||||
| 2497 S Roane Street Suite 100 | Harriman | TN | 37748 | Rehabilitation Therapy Center |
| RMC Equipment and Supply | ||||
| 314 Devonia Street | Harriman | TN | 37748 | Durable Medical Equipment Store |
| RMC Patricia Neal Outpatient Center | ||||
| 900 Waterford Street Suite 102 | Kingston | TN | 37763 | Rehabilitation Therapy Center |
| RMC Sleep Lab | ||||
| 307 Devonia Street | Harriman | TN | 37748 | Sleep Diagnostic Center |
| RMC Women's Center | ||||
| 307 Devonia Street | Harriman | TN | 37748 | Women's Imaging & Diagnostic Services |
| RMC Industrial Medicine | ||||
| 814 North Kentucky Street | Kingston | TN | 37763 | Industrial Medicine/ Occupational Therapy |
| Emory River Senior Behavioral Health | ||||
| 319 Devonia Street | Harriman | TN | 37748 | Outpatient Gero-psych. |
| RMC Cardiopulmonary Rehab | ||||
| 415 Devonia Street | Harriman | TN | 37748 | Cardiopulmonary Rehab. Center |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation |
|---|
| Part I, Line 6a: Covenant Health, the parent company of Roane 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: Community benefit expense amounts on Lines 7a-7b were determined using Worksheets 1 and 3 contained in the IRS instructions to Schedule H. Other community benefit expenses are at cost from the general ledger. |
| Part I, Line 7g: The organization has included $612,545 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 $ 4432994. |
| Part II: Roane Medical Center supports the community building activities of its parent company, Covenant Health. 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.Community Building activities included cash and in-kind donations for the development of community health programs and partnerships. These activities include physical improvements and housing, economic development and support system enhancements like disaster readiness, mentoring programs, and youth asset development initiatives. Such programs address the root causes of health problems, such as poverty and homelessness due to lack of education and jobs.In 2010 the System provided Community Building support to many organizations, the most significant of which included: Catholic Charities of East Tennessee East TN Economic Development Agency Emerald Youth Foundation Great Schools Partnership Charitable Trust (for Knox Co. schools) Innovation Valley Technology Council Second Harvest Food Bank of East TN Variety Children's Charity of East TN |
| Part III, Line 4: Note B to the 2010 Audited Consolidated Financial Statements of the Covenant Health system, of which Roane Medical Center is a member, reads: "Patient accounts receivable are reported net of both an estimated allowance for uncollectible accounts and an estimated allowance for contractual adjustments. The contractual adjustment represents the difference between established billing rates and estimated reimbursement from Medicare, TennCare and other third-party payment programs. Current operations for 2010 and 2009 include an estimated provision for bad debts, included in Supplies and Other in the Consolidated Statements of Operations and Changes in Net Assets. 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."To calculate bad debt expense on Part III, Line 2 at cost, bad debt expense per the general ledger was multiplied by the cost to charge ratio developed in Schedule H Instructions, Worksheet 2. This cost to charge ratio closely approximates the Medicare cost report cost to charge ratio.On Part III, line 3 the percentage of persons in Roane County living below the poverty level has been applied to bad debt expense to estimate the amount attributable to persons eligible for financial assistance but for whom a determination could not be made. |
| Part III, Line 8: Costing Methodology: Roane 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 automatically receive a minimum 30% discount on charges. Federal poverty guidelines are utilized in the determination of charity care eligibility. Patients who are unable to pay and have exhausted all sources of payment assistance may qualify for charity care. A sliding scale is used for extending charity care utilizing the income levels reported under the federal poverty guidelines. Patients/guarantors with income that falls below 200% of the federal poverty guidelines receive 100% charity care. Patients/guarantors with income of 201-300% of the federal poverty guidelines, receive 70% charity care. For catastrophic illness, exceptions to income and asset limitations may be made on a case-by-case basis. The amount considered for charity will be based upon the evaluation of the patient's/guarantor's ability to pay. |
| Part VI, Line 2: The hospital actively addresses a variety of identified needs in the community through its relationships with community based groups including the local health council, public health department, school systems, health coalitions, inter-agency council, and health-related not-for-profit organizations. Additionally, the East Tennessee 2-1-1 Information and Referral system is able to provide a profile of the health and social services most requested by the citizens of each county. This information serves as an ongoing assessment of basic health and human service needs and of what resources are lacking in each community. |
| Part VI, Line 3: Roane Medical Center posts a sign that states: Financial Assistance: is Roane 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 through our Patient Accounts office. To apply for financial aid, please ask our registration staff or contact the Counselor's office at 882-4376. Patient Account Representatives are available Monday - Friday, 8 a.m. to 4:30 p.m.Roane Medical Center employs full time financial counselors in the Patient Accounts Department who meet with uninsured patients. In addition, Roane Medical Center's registration staff and social worker assist patients with TennCare enrollment.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 Patient Accounts Representatives 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: Roane County is the primary market area for Roane Medical Center, a nonprofit hospital which is affiliated with Covenant Health. It is the only hospital in the county, which is in close proximity to the metropolitan Knoxville area. According to internal hospital data for 2010, slightly more than 79% of the inpatient discharges were Roane County residents.The following statistics are taken from 2008 data of the U.S. Census Bureau. The 54,000 person population of Roane County is predominantly female (52%) and Caucasian (94%). The median age and income are 40 years old and $41,000 per household, respectively. The percentage of county residents over the age of 65 is 12%, and roughly 25% of the population is under the age of 18. The largest population segment is the 25-34 year age group, which makes up 30% of the county population. Nearly 16% of the population has incomes below the poverty level, and the unemployment rate is 9.1%. The dominant labor force is from the manufacturing sector (20.3%).According to a recently released study by the Robert Wood Johnson Foundation/ University of Wisconsin Population Health Institute, Roane County residents have the following health indicators that are above the national benchmarks: Roane - TN - National Adult Smoking: 18% - 24% - 15% Adult Obesity: 32% - 31% - 25% Excessive Drinking: 5% - 9% - 8% Teen Birthrate: 49 - 55 - 22 of every 1,000 teenage girls Poor or Fair Health: 27% - 19% - 10% |
| Part VI, Line 6: Roane Medical Center (RMC), 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 RMC's board. It is comprised of independent community leaders with diverse educational and professional backgrounds. The board sets policies and provides oversight of RMC.RMC 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 7: Roane Medical Center is an integrated member of Covenant Health. Roane Medical Center patients are referred to the other Covenant Health facilities for specialty services not provided at Roane. The referral is expedited through the Rapid Response Center to which all Covenant facilities have access.Roane department managers attend systemwide compliance meetings where representatives of all Covenant Health hospitals are present. The compliance discussions center around charging and documentation standards as well as best practice in services provided. Tennessee Technical School and Roane State Community College students complete the clinical portion of their training at Roane Medical Center. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Discretionary Spending Account | X | DiscretionarySpendingAccount |
| 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 (8 entries)
| 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 | |||||||||||||
| 0 | 690560 | 0 | 652524 | 0 | 63252 | 0 | 216512 | 0 | 29869 | 0 | 1652717 | 0 | 156680 |
| John T Geppi | |||||||||||||
| 0 | 367693 | 0 | 268268 | 0 | 39158 | 0 | 9800 | 0 | 31680 | 0 | 716599 | 0 | 0 |
| James Gann | |||||||||||||
| 0 | 127229 | 0 | 8778 | 0 | 25638 | 0 | 6764 | 0 | 12935 | 0 | 181344 | 0 | 0 |
| Janice Bardill | |||||||||||||
| 73274 | 0 | 0 | 0 | 11332 | 0 | 5311 | 0 | 10749 | 0 | 100666 | 0 | 0 | 0 |
| Dr Jules Mugemuzi | |||||||||||||
| 191441 | 0 | 0 | 0 | 27736 | 0 | 0 | 0 | 1285 | 0 | 220462 | 0 | 0 | 0 |
| Dr Irina Schiopescu | |||||||||||||
| 166155 | 0 | 0 | 0 | 13374 | 0 | 10869 | 0 | 6322 | 0 | 196720 | 0 | 0 | 0 |
| Dr Suresh Nekuri | |||||||||||||
| 178172 | 0 | 0 | 0 | 29367 | 0 | 13149 | 0 | 19785 | 0 | 240473 | 0 | 0 | 0 |
| Dr Brian Hofung | |||||||||||||
| 187745 | 0 | 0 | 0 | 86 | 0 | 0 | 0 | 5934 | 0 | 193765 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 1a | Tax indemnification and gross-up payments are provided to certain executives and managers. These are treated as taxable compensation to the recipient. Cell phone reimbursement, not treated as taxable compensation in 2010, was paid to physicians. | |
| Part I, Line 4b | Anthony L. Spezia (compensated by Covenant Health, parent organization) $206,712 - current year contribution to 457(f) plan $213,161 - current year distribution from 457(f) plan, of which $156,680 was earned and reported in 2006. | |
| Part III | Part I, Line 3: Covenant Health, the parent company of Roane Medical Center, used one or more of the methods listed in line 3 in establishing the compensation of Anthony L. Spezia. Please see the statement to Core Part VI, Section B, Line 15a on Schedule O. | Supplemental Information |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | A summary of Roane Medical Center's 2010 Form 990 was prepared and presented to the Covenant Health Finance Committee and Board of Directors at their 2011 September and October meetings, respectively. This entity is one member of a large, integrated healthcare system which files a total of twelve (12) Form 990s. Prior to filing, the Board of Directors and Finance Committee had access to the 990s of all Covenant Health facilities. | |
| 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 employee handbook to all employees. The handbook 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 12c | |
| Form 990, Part VI, Section B, Line 15a: Overall compensation policies for Roane 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 2010 Form 990 of Covenant Health, EIN 62-1646734, parent company of Roane Medical Center. Form 990, Part VI, Section B, Line 15b: Base salaries and annual bonus opportunities for James Gann, President/CAO, and Janice Bardill, VP-Financial Services, ("Key Executives") are set by the Covenant Health CEO or Executive Vice President-Human Resources and/or Executive Vice President-Operations, 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 insure 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 each Key Executive 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% for the CAOs and 0-20% for the VP-Financial Services of base salary based upon system performance and accomplishment of certain targets established by the CEO. | Form 990, Part VI, Section B, line 15 | |
| 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 Nationally Recognized Municipal Securities Information Repositories. Any member of such a repository has access to these financial statements. In addition, Roane Medical Center files a Joint Annual Report containing financial information with the Tennessee Department of Health. | Form 990, Part VI, Section C, line 19 | |
| Contact Addresses for Officers, Directors, Etc.: | Anthony L. Spezia Covenant Health 100 Fort Sanders West Blvd. Knoxville, TN 37922 John T. Geppi, Francis Olmstead, and all Directors Covenant Health 1410 Centerpoint Blvd., Suite 401 Knoxville, TN 37932-1985 All other persons listed in Part VII, Section A may be contacted at the organization's address. | Form 990, Part VI, Line 9 & Part VII, Section A |
| The President/CEO, EVP/CFO, and Board of Directors serve Covenant Health, EIN 62-1646734, parent company of an integrated health care delivery system, of which Roane Medical Center is a member, as a whole. The hours these individuals devoted to the system in 2010 are reported on Covenant Health's Form 990, Part VII. | Part VII, Section A, Column B: | |
| Changes in Net Assets or Fund Balances: | Fund Balance Transfers 9,178,390. Transfer of funds from external sources 4,699. Total to Form 990, Part XI, Line 5: 9,183,089. | Form 990, Part XI, line 5: |
| The Finance Committee of the Board of Directors assumes responsiblity for oversight of the audit of the consolidated financial statements and selection of an independent accountant. | Form 990, Part XII, Line 2c: | |
| Service to the people and communities of East Tennessee is the cornerstone of the mission of Covenant Health, hereinafter referred to as "the System," a community-owned health system which includes acute care hospitals, outpatient facilities and clinics, and numerous specialty services. The System's mission, "we serve the community by improving the quality of life through better health," has been the foundation of the services and programs offered by the System and its member organizations since it was formed through the consolidation of Fort Sanders Health System in Knoxville and MMC Healthcare System in Oak Ridge in 1996. The System is a community-owned healthcare system and provides comprehensive health services throughout East Tennessee. Headquartered in Knoxville, Tennessee, the System includes seven acute care hospitals with a total of more than 1,700 licensed beds, as well as numerous outpatient services and clinics. The System also includes specialty providers of behavioral, oncology, and rehabilitation services, along with home care, physician clinics, community wellness programs and managed care products and services. The System has more than 1,000 affiliated physicians and 9,000 employees. Covenant Health, a tax-exempt entity pursuant to section 501(c)(3) of the Internal Revenue Code, is the parent company and sole member of several controlled entities: Fort Loudoun Medical Center, Fort Sanders Regional Medical Center, LeConte Medical Center, Methodist Medical Center of Oak Ridge, Morristown-Hamblen Hospital Association, Parkwest Medical Center, Peninsula, a Division of Parkwest Medical Center, Roane Medical Center, Thompson Cancer Survival Center, Covenant HomeCare and Fort Sanders Perinatal Center. These entities were established to provide healthcare services primarily to East Tennesseans in the surrounding 16-county area. Operating as an integrated network of health services, Covenant Health and its affiliates seek to provide affordable, superior healthcare to patients through continued operation of both acute care and non-hospital programs. The history of the System demonstrates a clear and consistent charitable purpose: the provision of healthcare services to all residents of the community without regard to age, race, gender, creed, national origin, ability to pay, or physical or mental handicap. Beyond the services documented in this report are countless acts of generosity by employees that will never be completely captured and reported, nor will they be forgotten by those who benefited from them. One of the most tangible expressions of the System's charitable purpose is the provision of care to people unable to pay. The System embraces its purpose and strives to grow the types of services not provided by other area health care providers; examples of such services include but are not limited to services provided by Peninsula, a Division of Parkwest, which provides inpatient and outpatient behavioral health services, and the Hope Center, which provides comprehensive support services for patients with HIV/AIDS and other serious illnesses, and their families and caregivers. The System provides medically necessary services to all people, regardless of their ability to pay. Patients who fall below 300 percent of the federal poverty income guidelines for a 12-month period, who are unable to pay, and who have exhausted all sources of payment assistance may be eligible for charity care. According to policy, patients whose annual income falls between 0-200% of federal poverty guidelines receive 100% discount while those whose income is between 201-300% of the federal poverty guidelines receive a 70% discount. For those who do not fall below the guidelines but are facing difficult economic circumstances, ability to pay is determined on a case-by-case basis. In particular, cases involving serious illness and/or unusually high-cost care are individually evaluated, and expectation of payment by the System is adjusted to recognize the reasonable ability of the individual patient to pay for services received. For the year ending December 31, 2010, the System provided services under the previously stated policy which resulted in significant losses to the System. Both inpatients and outpatients were provided care under the aforementioned policy. No patient was refused necessary medical care on the basis of his or her ability to pay. In addition to the level of services identified above, the System is an active participant in the State of Tennessee TennCare program. The System is the area's largest TennCare provider of services to residents of East Tennessee. The TennCare program seeks to provide payment for healthcare services to individuals who meet certain financial and categorical requirements. Financial requirements include evaluation of both assets and income. TennCare program reimbursement rates are substantially below Medicare reimbursement rates. In addition to the provision of care without expectation of payment or the provision of care to TennCare-eligible people at rates substantially below charges, the System provided services to people covered under the federal Medicare program. Medicare recipients were the largest single payor classification of patients served by the System. The payment rate for inpatient services was on a per case rate, calculated based on the diagnostic-related group into which the patient was categorized, coupled with other factors related to area wage rates, capital costs and other variables. Outpatient services were reimbursed on a pre-determined case rate. Moreover, the System works diligently throughout the year to achieve its mission by supporting community health education and outreach programs. The System underwrites the cost of community screenings, health fairs, outreach programs for seniors, outdoor fitness programs, community exercise classes, support groups for new parents and other specific populations, smoking cessation classes, and local wellness education programs. Notable examples of these programs include: Covenant Health Check, a multi-county annual screening event, now in its 27th year, which has served more than 150,000 people; Body Works, a multi-location exercise program for adults; Passport, an organization promoting health and active lifestyles for adults 50 and older; Monthly Lunch'n Learns and Health Nights in Knox and surrounding counties; Covenant Health at the Mall, freestanding health information kiosks at two local malls; Community fitness events such as the Covenant Health Knoxville Marathon and a bike ride and foot race held in conjunction with Knoxville's Dogwood Arts Festival; Wellness programs, support groups, and outreach services sponsored by Covenant Health's member hospitals. The system also funds two "hospitality house" outreach programs, one at Fort Sanders Regional Medical Center in Knoxville, and one at Methodist Medical Center in Oak Ridge. These facilities provide temporary "homes away from home" for non-local patients and caregivers who are receiving ongoing medical treatment care at Covenant Health member organizations. The System is committed to education in order to prepare qualified nurses and other healthcare workers for the future, and to provide continuing education for current healthcare professionals. This support is shown in multiple ways, including support of Tennessee Wesleyan College - Fort Sanders Nursing, a baccalaureate level nursing education program offered under the auspices of Tennessee Wesleyan College in Athens, Tennessee, with classroom and clinical training opportunities offered in Knoxville and at various Covenant Health facilities. The System also provides clinical training rotations at its hospitals and member facilities for students in area nursing and ancillary health education programs. Additional program support and scholarships are given to students and to schools providing healthcare education throughout the area. Special programs are offered to high school and middle school students who are interested in careers in healthcare. Continuing education opportunities are provided for physicians, nurses, and other healthcare professionals on a variety of topics. During 2010, the System subsidized services related to sports medicine, services for women and children, and behavioral health assessments. Subsidized services are those services which are typically provided to meet an identified community need. If no longer offered, the services would either be unavailable in the area or fall to the responsibility of the government or another not-for-profit system to provide. | Form 990, Part III, Line 1 - Report to the Community: | |
| The system also designated specific amounts as Physician subsidies to support the recruitment by the System and its affiliates of physicians and other health professionals for areas underserved or specialties not adequately served in the community. High populations of Tenncare patients and uninsured patients typically reside in these areas. The System supported the important work of many unaffiliated organizations and charities during 2010. While the principal community donation by the System was in the area of indigent care, donations within the context of the organization's established charitable contribution policy were also made to other causes. More than 50 organizations received charitable contributions from Covenant Health and/or its member organizations in 2010, including: American Cancer Society American Heart Association Catholic Charities East Tennessee Children's Hospital Great Schools Partnership Holston Home for Children Innovation Valley Knoxville Track Club (for sponsorship of Covenant Health Knoxville Marathon) Senior Services Contributions and Sponsorships Susan G. Komen Foundation University of Tennessee Variety Children's Charity of East Tennessee Wellness Community Donations also included support of medical mission trips to Guatemala and Haiti. Community Building activities included cash, in-kind donations, and budgeted expenditures for the development of community health programs and partnerships. These activities include physical improvements and housing, economic development and support system enhancements like disaster readiness, mentoring programs, and youth asset development initiatives. In 2010 the System provided Community Building support to many organizations, including but not limited to: Boys & Girls Club Emerald Youth Foundation Family Promise of Knoxville Interfaith Health Clinic Knoxville Academy of Medicine Project Access Roane Alliance Second Harvest Food Bank United Way Wee Course Classic In a separate but related donation category, in 2010 employees of the System also contributed financially to the System's United Way drive and Covenant Health's We Care campaign, which raises funds for charitable services provided by the System such as patient assistance with medication costs, chaplain's fund for employees in need, hospitality houses for patients from outside the area, and nursing scholarship programs. The volunteer programs at the System's acute care organizations are active and vital parts of the System's success. Volunteers donate time and service to Fort Loudoun Medical Center, Fort Sanders Regional Medical Center, LeConte Medical Center, Methodist Medical Center, Morristown-Hamblen Hospital Association, Parkwest Medical Center, Thompson Cancer Survival Center, and Covenant HomeCare. At the acute care facilities, volunteers include adults, college students and teenagers working in a variety of settings such as inpatient and outpatient facility departments, patient reception areas, gift shops, fellowship centers, etc. Funds raised by volunteers are donated for hospital equipment, supplies and special projects, as well as to meet charitable community needs. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Fort Sanders Regional Medical Center | |||||||||||
| 1901 W Clinch Ave | Knoxville | TN | 37916 | 620528340 | Acute care hospital | TN | 501(c)(3) | Line 3 | Covenant Health | 0 | |
| Parkwest Medical Center | |||||||||||
| 9352 Parkwest Blvd | Knoxville | TN | 37923 | 581897274 | Acute care hospital & behavioral health services | TN | 501(c)(3) | Line 3 | Covenant Health | 0 | |
| Methodist Medical Center | |||||||||||
| 990 Oak Ridge Turnpike | Oak Ridge | TN | 37830 | 620636239 | Acute care hospital | TN | 501(c)(3) | Line 3 | Covenant Health | 0 | |
| LeConte Medical Center | |||||||||||
| 742 Middle Creek Rd | Sevierville | TN | 37862 | 621114867 | Acute care hospital | TN | 501(c)(3) | Line 3 | Covenant Health | 0 | |
| Thompson Cancer Survival Center | |||||||||||
| 1915 White Avenue | Knoxville | TN | 37916 | 621373691 | Cancer treatment facility | TN | 501(c)(3) | Line 3 | Covenant Health | 0 | |
| Thompson Oncology Group | |||||||||||
| 1915 White Avenue | Knoxville | TN | 37916 | 621619239 | Oncology Services | TN | 501(c)(3) | Line 3 | Thompson Cancer Survival Center | 0 | |
| Covenant Homecare | |||||||||||
| 3001 Lake Brook Blvd Ste 101 | Knoxville | TN | 37909 | 621623114 | Home Health Services | TN | 501(c)(3) | Line 9 | Covenant Health | 0 | |
| Fort Sanders Perinatal Center | |||||||||||
| 501 19th St Ste 304 | Knoxville | TN | 37916 | 043760551 | High-risk obstetrical services | TN | 501(c)(3) | Line 3 | Fort Sanders Regional Medical Center | 1 | |
| Covenant Health | |||||||||||
| 1410 Centerpoint Blvd Suite 401 | Knoxville | TN | 37932 | 621646734 | Supporting Organization | TN | 501(c)(3) | Line 11b, II | 0 | N/A | |
| Fort Loudoun Medical Center | |||||||||||
| 550 Fort Loudoun Medical Ctr Dr | Lenoir City | TN | 37772 | 621373691 | Acute care hospital | TN | 501(c)(3) | Line 3 | Covenant Health | 0 | |
| Fort Sanders Foundation | |||||||||||
| 280 Ft Sanders West Blvd Ste 100 | Knoxville | TN | 37922 | 621748601 | Fundraising and development | TN | 501(c)(3) | Line 11a, I | Covenant Health | 0 | |
| 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 | Covenant Health | 0 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| Endoscopy Center of Oak Ridge LLC | |||||||
| 988 Oak Ridge Turnpike Ste 220 | Oak Ridge | TN | 37830 | 621667358 | Outpatient Medical Facility | TN | N/A |
| Fort Sanders Endoscopy Center LLC | |||||||
| 100 Fort Sanders West Blvd | Knoxville | TN | 37922 | Inactive - dissolved October 2010 | TN | N/A | |
| Fort Sanders Outpatient Cardiac Catherization Center LLC | |||||||
| 100 Fort Sanders West Blvd | Knoxville | TN | 37922 | Inactive - dissolved October 2010 | TN | N/A | |
| Fort Sanders West Associates | |||||||
| 280 Fort Sanders West Blvd Ste 214 | Knoxville | TN | 37922 | 621384171 | Building Ownership | TN | N/A |
| Fort Sanders West Outpatient Surgery Center LP | |||||||
| 210 Fort Sanders West Blvd Ste 106 | Knoxville | TN | 37922 | 621366907 | Outpatient Surgery Center | TN | N/A |
| Parkwest Endoscopy Center LLC | |||||||
| 100 Fort Sanders West Blvd | Knoxville | TN | 37922 | Inactive - dissolved October 2010 | TN | N/A | |
| Associates of the Meridian Health Outpatient 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 |
|---|---|---|---|---|---|---|---|---|
| Fortress Corporation | ||||||||
| 280 Fort Sanders West Blvd Ste 214 | Knoxville | TN | 37922 | 621308885 | Management Company | TN | N/A | C |
| Covenant Medical Management | ||||||||
| 280 Fort Sanders West Blvd Ste 205 | Knoxville | TN | 37922 | 621282917 | Physician Practice Management | TN | N/A | C |
| KASC Acquisition Company Inc | ||||||||
| 1410 Centerpoint Blvd Suite 401 | Knoxville | TN | 37932 | 263400984 | Real Estate Holdings | TN | N/A | C |
| Knoxville Heart Group | ||||||||
| 1819 Clinch Avenue Suite 108 | Knoxville | TN | 37916 | 271528941 | Cardiology medical practice | TN | N/A | C |
| Morristown-Hamblen Health Services Inc | ||||||||
| 908 W 4th North St | Morristown | TN | 37814 | 621588521 | Inactive - dissolved 2/5/2011 | TN | N/A | C |
| 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 | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| 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 | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |