CUMBERLAND MEDICAL CENTER INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- CUMBERLAND MEDICAL CENTER INC (EIN 62-0790132)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-12
- IRS object ID
- 201513169349301971
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-12T10:29:30-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 620790132 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cumberland Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CUMB | BusinessNameControlTxt |
| Phone | 8653746864 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1420 Centerpoint Blvd Bldg C | AddressLine1Txt |
| City | Knoxville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 379321960 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN T GEPPI | PersonNm |
| Person Title | EVP/CFO | PersonTitleTxt |
| Phone | 8653746872 | PhoneNum |
| Signature | 2015-10-30 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | Anthony L Spezia | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Ft Sanders W Blvd | AddressLine1Txt |
| City | Knoxville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37922 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $101,424,338 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.cmchealthcare.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1967 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | Cumberland Medical Center is a 189-bed full service, acute care hospital located in Crossville, TN. It is a member of the Covenant Health system. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 1123 | TotalEmployeeCnt |
| Total Volunteers | 134 | TotalVolunteersCnt |
| Total Gross UBI | $1,180,521 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$100,403 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $47,911 | PYContributionsGrantsAmt |
| CY Contributions Grants | $86,878 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $48,341,667 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $98,200,620 | CYProgramServiceRevenueAmt |
| PY Investment Income | $377,160 | PYInvestmentIncomeAmt |
| CY Investment Income | $545,342 | CYInvestmentIncomeAmt |
| PY Other Revenue | $275,049 | PYOtherRevenueAmt |
| CY Other Revenue | $2,401,187 | CYOtherRevenueAmt |
| PY Total Revenue | $49,041,787 | PYTotalRevenueAmt |
| CY Total Revenue | $101,234,027 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $12,700 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $25,162,488 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $48,587,967 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $26,055,276 | PYOtherExpensesAmt |
| CY Other Expenses | $54,538,292 | CYOtherExpensesAmt |
| PY Total Expenses | $51,217,764 | PYTotalExpensesAmt |
| CY Total Expenses | $103,138,959 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,175,977 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,904,932 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $119,558,895 | TotalAssetsBOYAmt |
| Total Assets EOY | $93,367,857 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $49,539,627 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $29,850,015 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $70,019,268 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $63,517,842 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | See Schedule O.Cumberland Medical Center provides quality healthcare, in alignment with Covenant Health's mission to serve the community by improving the quality of life through better health, regardless of a patient's ability to pay. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,936,008 | ExpenseAmt |
| Revenue | $7,063,233 | RevenueAmt |
| Desc | Inpatient Services: See Schedule O.Inpatient Services: Expenses - $7,936,008; Revenue - $7,063,233Cumberland Medical Center (CMC) is licensed for 189 beds. Fully accredited by the Joint Commission, CMC is an acute care hospital offering all private patient rooms as well as specialized services not usually found in the rural medical system. For seriously ill patients, advanced medical and surgical care is provided at CMC including telemetry monitored beds and an intensive care unit. Additionally, CMC offers an outpatient imaging center, same day surgery unit, cardiac and pulmonary rehab programs, a sleep disorder center, regional breast center (offering digital mammography), regional cancer center, durable medical equipment services division, and a hyperbaric medicine and wound center.In 2014, 5,721 patients were admitted for inpatient care resulting in 25,102 patient days or an average length of stay of 4.4 days. The physicians, staff, and volunteers of Cumberland Medical Center are dedicated to providing excellent quality care to every patient, every time. To complete the health team, there are 95 highly skilled physicians working with over 843 employees and 157 caring volunteers to deliver quality care to the residents of the Cumberland Plateau. Physicians on staff include the specialties of anesthesiology, cardiology, neurology, obstetrics, opthalmology, oncology, oral surgery, orthopedics, pediatrics, radiology, radiation oncology, urology, and vascular surgery. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,211,242 | ExpenseAmt |
| Revenue | $5,210,972 | RevenueAmt |
| Desc | Surgical Services: See Schedule O.Surgical Services: Expenses - $5,211,242; Revenue - $5,210,972In 2014, surgeons at Cumberland Medical Center performed 8,821 surgical procedures across a range of specialty areas, including: general, gastroenterology, neurology and neurosurgery, urology and vascular surgery. Cumberland Medical Center's Surgery department consists of six major operating rooms, one cystoscopy room utilized primarily for urologic procedures, and a minor operating room utilized for outpatient procedures requiring a local anesthetic only. Four major operating rooms are equipped with state-of-the-art 1080p High Definition Endoscopic Video equipment, LED surgical lighting, and information routing. Surgical interventions are performed on an inpatient and outpatient basis with the majority of patients admitted through the Same Day Surgery Unit. Cumberland Medical Center's "Suite Operating Rooms" (i-Suite) are fully integrated, high-definition operating rooms. The i-Suite provides a new level of medical care while allowing the medical center to increase the productivity of its staff, reduce overall operative costs and most importantly, improve procedural efficiency which can boost patient outcomes. Cumberland Medical Center is the first healthcare facility in the state of Tennessee to implement the Stryker fully-integrated surgical suites with 1080p HD video. The i-Suite operating rooms will serve as the centerpiece for CMC's technological advancement for both its patients and its staff. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,455,588 | ExpenseAmt |
| Revenue | $7,261,977 | RevenueAmt |
| Desc | Emergency Services: See Schedule O. Emergency Services: Expenses - $2,455,588; Revenue - $7,261,977In 2014, Cumberland Medical Center's (CMC) Emergency Department treated 32,358 patients. Emergency physicians are on duty 24 hours a day, 7 days a week. General and specialty surgeons provide round-the-clock coverage and treatment.Cumberland Medical Center's Emergency Department meets criteria to ensure trauma care capability and institutional performance. CMC provides hospital resources necessary for emergency care, along with the entire spectrum of care to address the needs of all injured patients. Cumberland County's Emergency Medical Service provides both emergency and inter-facility transportation for area patients. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $84,569,045 | ExpenseAmt |
| Grant | $12,700 | GrantAmt |
| Revenue | $79,758,260 | RevenueAmt |
| Desc | As a full-service acute care hospital, Cumberland Medical Center treats patients across a broad spectrum of medical specialties. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $84,569,045 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $12,700 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $79,758,260 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $100,171,883 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 138 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1123 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Nancy Beck | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8653746864 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1420 Centerpoint Blvd Bldg C | AddressLine1Txt |
| City | Knoxville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 379321960 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Ed Anderson | |||||||||
| CEO (retired)/Director | 40.00 | 1.00 | Yes (X) | Yes (X) | $154,006 | $861 | $1,512 | ||
| Gerald Boyd | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,034 | $0 | |||
| Dr Richard Brinner | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,134 | $0 | |||
| Dr Mitchell Dickson | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $829 | $0 | |||
| Pamela P Fansler | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| James Fitzsimmons | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,024 | $0 | |||
| Jim Johnson Jr | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,036 | $0 | |||
| Karla Lane | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $863 | $0 | |||
| Eddie Mannis | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Tim Matthews | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $969 | $0 | |||
| Larry Mauldin | |||||||||
| Chairman | 0.00 | 1.00 | Yes (X) | $0 | $941 | $0 | |||
| Dr Joseph Metcalf | |||||||||
| Director | 0.00 | 3.00 | Yes (X) | $0 | $16,799 | $0 | |||
| George Miller | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $641 | $0 | |||
| Alvin Nance | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $939 | $0 | |||
| Linda Ogle | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Mitchell Steenrod | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $641 | $0 | |||
| Carl Storms | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,173 | $0 | |||
| Joseph E Sutter | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,127 | $0 | |||
| Richard Swanson | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Joe Ben Turner | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| David C Verble | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,063 | $0 | |||
| James Barnawell MD | |||||||||
| Chairman, CMC BOD/ Physician | 41.00 | 0.00 | Yes (X) | $330,000 | $0 | $0 | |||
| Robert Harrison | |||||||||
| Vice Chairman, CMC BOD | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Sally Oglesby | |||||||||
| Secretary, CMC BOD | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JW Brown | |||||||||
| Chairman Emeritus, CMC BOD | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Ed Camera | |||||||||
| Director, CMC BOD | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Roy Howard | |||||||||
| Director, CMC BOD | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Reynaldo Olaechea MD | |||||||||
| Director, CMC BOD/ Physician | 21.00 | 0.00 | Yes (X) | $127,155 | $0 | $14,235 | |||
| Elizabeth Petty MD | |||||||||
| Director, CMC BOD/ Physician | 1.00 | 40.00 | Yes (X) | $0 | $158,650 | $14,425 | |||
| Larry Reed MD | |||||||||
| Director, CMC BOD/ Physician | 1.00 | 0.00 | Yes (X) | $30,900 | $0 | $0 | |||
| Cosby A Stone | |||||||||
| Director, CMC BOD | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Anthony L Spezia | |||||||||
| President & CEO | 0.00 | 50.00 | Yes (X) | Yes (X) | $0 | $1,603,983 | $229,665 | ||
| John T Geppi | |||||||||
| EVP/CFO | 0.00 | 50.00 | Yes (X) | $0 | $752,660 | $26,356 | |||
| Jeremy Biggs | |||||||||
| President & CAO | 50.00 | 0.00 | Yes (X) | $0 | $240,836 | $28,827 | |||
| Larry Moore | |||||||||
| VP-Financial Svcs. | 40.00 | 0.00 | Yes (X) | $250,751 | $0 | $15,278 | |||
| Amanda Grubb Halford MD | |||||||||
| Chief Medical Officer | 40.00 | 0.00 | $291,045 | $0 | $3,046 | Yes (X) | |||
| Sivalingam Kanagasegar MD | |||||||||
| Physician | 40.00 | 0.00 | $443,889 | $0 | $17,625 | Yes (X) | |||
| Thomas A Allingham MD | |||||||||
| Physician | 40.00 | 0.00 | $424,701 | $0 | $2,600 | Yes (X) | |||
| Elmer R Gibbs MD | |||||||||
| Physician | 40.00 | 0.00 | $406,394 | $0 | $17,046 | Yes (X) | |||
| Elias Abou-Zeid MD | |||||||||
| Physician | 40.00 | 0.00 | $383,988 | $0 | $18,271 | Yes (X) | |||
| Giorgi Sirbiladze | |||||||||
| Physician | 40.00 | 0.00 | $323,161 | $0 | $25,156 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,165,990 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,787,203 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $414,042 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 29 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Medstream Anesthesia PLLC | |||||
| 82 Patton Avenue Suite 510 | Asheville | NC | 28801 | Anesthesia services | $1,140,000 |
| Philips Healthcare | |||||
| 3000 Minuteman Rd MS 04000 | Andover | MA | 018101099 | Medical imaging services | $439,981 |
| Laboratory Corp of America Holdings | |||||
| PO Box 12140 | Burlington | NC | 272162140 | Laboratory testing | $410,707 |
| Vista Staffing Solutions Inc | |||||
| Whitaker Medical LLC File 50834 | Los Angeles | CA | 900740834 | Physician staffing | $369,433 |
| Mobile Tech Service | |||||
| Rajasekhar M Reddy 201 N White S | Athens | TN | 37303 | Mobile PET/CT imaging | $368,400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $3,373 | RelatedOrganizationsAmt |
| Government Grants | $83,020 | GovernmentGrantsAmt |
| All Other Contributions | $485 | AllOtherContributionsAmt |
| Total Contributions | $86,878 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Medical Services | 622110 | $98,163,699 | $98,163,699 | |
| Laboratory | 621500 | $30,532 | $30,532 | |
| Rental Inc - Exempt Affiliate | 531120 | $6,389 | $6,389 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $98,200,620 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $415,682 | TotalRevenueColumnAmt |
| Exclusion | $415,682 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $321,681 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $190,311 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $131,370 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $131,370 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $9,248 | UnrelatedBusinessRevenueAmt |
| Exclusion | $122,122 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $129,660 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $129,660 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $129,660 | TotalRevenueColumnAmt |
| Exclusion | $129,660 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Wellness Center | 713940 | $1,140,741 | $1,140,741 | |
| Meaningful Use | 900099 | $977,220 | $977,220 | |
| Clinical Student Rotations | 900099 | $92,825 | $92,825 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,031 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $54,309 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $4,722 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,269,817 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $101,234,027 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $99,294,442 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,180,521 | UnrelatedBusinessRevenueAmt |
| Exclusion | $672,186 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,700 | TotalAmt |
| Program Services | $4,700 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,000 | TotalAmt |
| Program Services | $8,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,217,928 | TotalAmt |
| Management And General | $1,217,928 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,749,768 | TotalAmt |
| Program Services | $37,519,638 | ProgramServicesAmt |
| Management And General | $230,130 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,661 | TotalAmt |
| Program Services | $337,767 | ProgramServicesAmt |
| Management And General | $1,894 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,631,335 | TotalAmt |
| Program Services | $6,473,351 | ProgramServicesAmt |
| Management And General | $157,984 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,649,275 | TotalAmt |
| Program Services | $2,561,166 | ProgramServicesAmt |
| Management And General | $88,109 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $434,767 | TotalAmt |
| Program Services | $430,691 | ProgramServicesAmt |
| Management And General | $4,076 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,081 | TotalAmt |
| Management And General | $121,081 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,338 | TotalAmt |
| Management And General | $16,338 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,742,835 | TotalAmt |
| Program Services | $8,624,034 | ProgramServicesAmt |
| Management And General | $118,801 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,997 | TotalAmt |
| Program Services | $253,134 | ProgramServicesAmt |
| Management And General | $30,863 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $796,544 | TotalAmt |
| Program Services | $678,277 | ProgramServicesAmt |
| Management And General | $118,267 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,341,384 | TotalAmt |
| Program Services | $1,282,708 | ProgramServicesAmt |
| Management And General | $58,676 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,658,746 | TotalAmt |
| Program Services | $3,182,225 | ProgramServicesAmt |
| Management And General | $476,521 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,645 | TotalAmt |
| Program Services | $106,715 | ProgramServicesAmt |
| Management And General | $24,930 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,869 | TotalAmt |
| Program Services | $156,668 | ProgramServicesAmt |
| Management And General | $7,201 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,641,845 | TotalAmt |
| Program Services | $1,641,845 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,187,105 | TotalAmt |
| Program Services | $6,187,105 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $746,378 | TotalAmt |
| Program Services | $746,378 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Supplies & Equipment | $14,069,667 | $13,934,110 | $135,557 |
| Bad Debts | $11,944,094 | $11,944,094 | |
| Charity Care | $2,304,579 | $2,304,579 | |
| Sponsorship | $1,152,110 | $1,152,110 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $801,308 | TotalAmt |
| Program Services | $642,588 | ProgramServicesAmt |
| Management And General | $158,720 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,138,959 | TotalAmt |
| Program Services | $100,171,883 | ProgramServicesAmt |
| Management And General | $2,967,076 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,749,719 | BOYAmt |
| EOY | $4,395,170 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $739,665 | BOYAmt |
| EOY | $776,738 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,100,361 | BOYAmt |
| EOY | $9,772,939 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,709,967 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,892,696 | BOYAmt |
| EOY | $1,320,038 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,010,926 | BOYAmt |
| EOY | $925,878 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $148,583,919 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $82,419,668 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,476,266 | BOYAmt |
| EOY | $66,164,251 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $150,513 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,333 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $533,422 | BOYAmt |
| EOY | $9,452,680 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,219,540 | BOYAmt |
| EOY | $409,650 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,558,895 | BOYAmt |
| EOY | $93,367,857 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,631,426 | BOYAmt |
| EOY | $8,940,615 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,665,750 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,242,451 | BOYAmt |
| EOY | $20,909,400 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,539,627 | BOYAmt |
| EOY | $29,850,015 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,871,216 | BOYAmt |
| EOY | $63,368,893 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,052 | BOYAmt |
| EOY | $148,949 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,019,268 | BOYAmt |
| EOY | $63,517,842 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,558,895 | BOYAmt |
| EOY | $93,367,857 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,904,932 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $832,202 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$5,428,696 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,586,250 | OtherCostOrOtherBasisAmt |
| Book Value | $2,586,250 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $80,590,090 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,050,606 | DepreciationAmt |
| Book Value | $47,539,484 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,015,455 | OtherCostOrOtherBasisAmt |
| Depreciation | $46,694,837 | DepreciationAmt |
| Book Value | $14,320,618 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,392,124 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,674,225 | DepreciationAmt |
| Book Value | $1,717,899 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $66,164,251 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| Capital Lease Liability | $198,436 |
| Due to Affiliates, Net | $16,706,403 |
| Due to Third Party Payors | $126,000 |
| Long-term Reserve for Malpractice | $500,000 |
| Long-term Reserve for Workers Comp | $287,877 |
| Other Reserves | $22,508 |
| Security Deposits | $1,030,000 |
| SWAP Agreement Liability | $2,038,176 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $20,909,400 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Note B to the consolidated audited financial statements of Covenant Health, parent company to Cumberland Medical Center, reads in part: "Income Taxes: Covenant and certain of its subsidiaries or controlled entities are exempt from income taxes pursuant to Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes on qualifying activities has been made for these entities in the accompanying consolidated financial statements. However, certain entities and operations are subject to income taxes (See Note G)." Note G reads in part: "Covenant had no unrecognized tax benefits at December 31, 2014 and 2013. As such, no interest or penalties were recognized in the Consolidated Statements of Operations and Changes in Net Assets related to unrecognized tax benefits. At December 31, 2014, tax returns for 2011 through 2014 are subject to examination by the Internal Revenue Service. Covenant has no uncertain tax positions that would require financial statement recognition or disclosure under GAAP at December 31, 2014 or 2013." | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $742,242 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $742,242 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00810 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,620,161 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,852,331 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,767,830 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06320 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,362,403 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,852,331 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,510,072 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07130 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $174,444 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $400 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $174,044 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,837 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $27,837 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,112,085 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,457,254 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,654,831 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01810 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,342 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,342 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,319,708 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,457,654 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,862,054 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02040 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,682,111 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,309,985 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,372,126 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09170 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $804 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $804 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,789 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,789 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,410 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,410 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,003 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,003 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $11,944,094 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,173,825 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $32,497,404 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $35,323,257 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,825,853 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 None | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CUMBERLAND MEDICAL CENTER INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 421 SOUTH MAIN ST | AddressLine1Txt |
| City | CROSSVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 38555 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 00000020 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cumberland Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (1) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.cmchealthcare.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.cmchealthcare.org | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Cumberland Medical Center | Part V, Section B, Line 5: Cumberland Medical Center obtained community input using multiple methods. Over 600 residents were surveyed to gather information about their personal health and well-being. Physicians in the community were surveyed using an on-line survey. Additionally, five major employers representing more than 1,000 employees were interviewed about their current health and wellness programs. Finally, a Community Summit was conducted with more than 75 community leaders and citizens. The audience was a mix of healthcare workers and lay persons. |
| Cumberland Medical Center | Part V, Section B, Line 2: In 2014 Cumberland Medical Center was acquired by Covenant Health, a nonprofit hospital system. |
| Cumberland Medical Center | Part V, Section B, Line 11: Based on input from the Hospital's Leadership and Community Summit, the following actions were agreed upon and form the foundation of Cumberland County's health initiatives: Obesity/ Exercise/ Lifestyle / Health Education *Support the Walks-a-lot initiative with the Cumberland County Health Department, Walgreens, and Big K *Perform weekly educational seminars at the Senior Fair Park Center and the CMC Wellness Center by the Medical Staff and Medical Students on healthy living, new procedures, cancer, heart healthy, preventative measures that promote good health, such as smoking cessation, healthy eating, and exercise *Promote community health fairs to provide education and health screenings Healthcare Affordability *Provide health fairs with affordable wellness screenings *Provide free sports physicals for students *Offer a sliding scale for those that are not employed, on a fixed income and/or do not have insurance through the Cumberland Physician GroupPhysicians / Access *Establish a walk-in clinic *Provide affordable care *Recruit more physicians to the areaDrug Abuse *Work with the sheriff's department on the Drug Take Back Program *Sponsor the Tansi Police Academy *Provide medical staff in-service on new prescription drug act Heart Health *Provide education to make the community aware of the signs of heart disease - Go Red for Women *Offer education programs to promote healthy eating, smoking cessation and exercise *Support the Cardiac Rehab Program Diabetes *Support the Diabetes Program available at CMC Wellness - staffed by an RN and a dietitian *Promote Health Fair education, screening and management *Identify patients through screenings and provide referrals to appropriate community assistance resourcesCancer *Promote early detection and prevention through Nursing Navigator, affordable mammograms and educational seminars *Suppport the Cancer Center with its efforts to provide smoking cessation classes *Partner with ACS / Relay for Life and Suzan G. Komen All needs identified in the CHNA are being addressed. |
| Cumberland Medical Center | Part V, Section B, Line 16i: Please see the explanation to Part VI, Line 3. |
| Cumberland Medical Center | Part V, Section B, Line 22d: Please see the explanation to Part III, Line 9b. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| CMC Outpatient Imaging Center | ||||
| 28 Hayes St | Crossville | TN | 38555 | Medical Imaging and PET scan |
| CMC Cancer Center | ||||
| 421 South Main St | Crossville | TN | 38555 | Oncology radiation therapy |
| Cumberland Physicians Group | ||||
| 133 Hayes St | Crossville | TN | 38555 | General and Specialty Physicians |
| CMC Medical Equipment Services | ||||
| 591 South Main St | Crossville | TN | 38555 | Medical equipment and oxygen |
| CMC Wound Center | ||||
| 421 South Main St | Crossville | TN | 38555 | Wound and hyperbaric treatment |
| Cumberland Medical Center at FFG | ||||
| 130 Stonehenge Dr | Crossville | TN | 38555 | Wellness, physical therapy, x-ray and mammography |
| CMC Wellness Complex | ||||
| 130 Woodmere Mall | Crossville | TN | 38555 | Wellness management |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | Covenant Health, the parent company of Cumberland Medical Center and other affiliated acute care hospitals, prepares an annual Report to the Community on behalf of the entire system. |
| Part I, Line 7: | Amounts on Lines 7a-7c and certain program costs included on Line 7g are from the hospital's cost accounting system, which addresses all patient segments. Other community benefit expenses are at cost from the general ledger. |
| Part I, Line 7g: | The subsidy of $1,654,831 is the difference between the cost of services provided in the hospital's physician offices, Wound Care Center, and Senior Perspectives and the payments received for those services. The physician offices include family, internal medicine, OB/GYN, surgeons, and other specialty physicians. Although patients with Medicare or commercial insurance coverage are provided services, these physician offices were established to provide services for patients without insurance coverage or with Tenncare/Medicaid. The cost of providing these services exceeded the payments received by $1,617,756 during the reporting period.The wound care center provides hyperbaric and would treatment services. The cost of providing services exceeded revenue by $30,369.Senior perspectives provides behavioral health services to senior citizens. Revenue for these services exceeded the cost received by $276,793 during the reporting period. |
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 11,944,094. |
| Part II, Community Building Activities: | Cumberland Medical Center cares for the whole person and recognizes that improved social and economic conditions may lead to the improved health and well-being of the community. The hospital's community building activities and those of its parent organization, Covenant Health, address many of the root causes of health problems, such as poverty and homelessness, and help find solutions to alleviate the symptoms.An allocation of the Parent's community building expenditures has been made to each member hospital in proportion to the financial contribution of each to the health system. Covenant Health is not a hospital and does not file Schedule H with its Form 990. In 2014 contributions were made to organizations meeting the community's needs by providing: *Affordable, permanent housing and case management services to foster self-sufficiency - Habitat for Humanity *Literacy programs - Dollywood Foundation *The basic needs of life including temporary shelter, food and clothing - Catholic Charities, Ladies of Charity, United Way and others *Youth mentoring and development and after-school programs - Emerald Youth Foundation, Boys and Girls Club and Great Smoky Mountain Council, Boy Scouts of America *Business recruitment and marketing initiatives that boost economic development - Innovation Valley and East Tennessee Economic Development Agency *Leadership development programs and workshops - Leadership Knoxville *Assistance and special programs for at risk, physically challenged, abused and neglected children -Variety of Eastern Tennessee (local chapter of Variety-The Children's Charity) and East TN Tech Access Center, Inc. *Improve access to health services - Interfaith Health Clinic and Knoxville Academy of Medicine |
| 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: | The amount reported on Line 3 was estimated by multiplying self-pay bad debt by the percentage of the population living below the poverty level on a county-by-county basis. It is our belief that the amount of bad debt on Line 3 should be included as community benefit. As a tax-exempt hospital, we must provide necessary services regardless of the patient's ability to pay for the service provided. As a not-for-profit, patient care is provided to all, regardless of ability to pay for that care. Making quality patient care available to all in our community, regardless of economic means, qualifies bad debts as a community benefit. |
| Part III, Line 4: | Note B to the 2014 Audited Consolidated Financial Statements of the Covenant Health system, of which Cumberland Medical Center is a member, reads in part: "Patient accounts receivable are reported net of both an estimated allowance for uncollectible accounts and an estimated allowance for contractual adjustments. The contractual allowance represents the difference between established billing rates and estimated reimbursement from Medicare, TennCare and other third-party payment programs. The allowance for uncollectible accounts is estimated based upon the age of the patient accounts receivable, prior experience and any unusual circumstances (such as local, regional or national economic conditions) which affect the collectability of receivables, including management's assumptions about conditions it expects to exist and courses of action it expects to take. Covenant's policy does not require collateral or other security for patient accounts receivable and Covenant routinely accepts assignment of, or is otherwise entitled to receive, patient benefits payable under health insurance programs, plans or policies." |
| Part III, Line 8: | Medicare Shortfall: Cumberland Medical Center believes that all of the $2.8 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 58.4% of total patients' days (14,588 out of 24,966 total). The hospital provided care regardless of this shortfall and thereby relieves the federal government of the burden of paying the full cost for Medicare beneficiaries.Costing Methodology: Cumberland Medical Center used a combination of sources in calculating Medicare allowable costs on Part III, Line 6 including its cost accounting system, general ledger accounting system, and facility-specific analyses and calculations. |
| Part III, Line 9b: | Self-pay patients automatically receive a minimum 35% discount on charges. Federal poverty guidelines are utilized in the determination of charity care eligibility. Patients who are unable to pay and have exhausted all sources of payment assistance may qualify for charity care. A sliding scale is used for extending charity care utilizing the income levels reported under the federal poverty guidelines. Patients/guarantors with income that falls below 200% of the federal poverty guidelines receive 100% charity care. Patients/guarantors with income of 201-300% of the federal poverty guidelines receive 70% charity care.For catastrophic illness, exceptions to income and asset limitations may be made on a case-by-case basis. The amount considered for charity will be based upon the evaluation of the patient's/guarantor's ability to pay.Patients/guarantors who qualify for partial financial assistance are responsible for paying any balance remaining after the charity adjustment and third party payments. Once an account has been processed internally through routine collection channels, it may be assigned to an attorney or agency for collection. The patient/guarantor will be billed for all collection costs as may be applicable. Credit reports will be filed no earlier than 30 days following the assignment on all nonpaid balances. |
| Part VI, Line 2: | While the Community Health Needs Assessment is a formal means by which the health system assesses the needs of the community, there are many informal linkages that give the Covenant Health hospitals a sense of community issues and needs. Cumberland Medical Center obtains additional community information through the service of its employees with the Chamber of Commerce, the local Health Council, Rotary Clubs, and local not for profit boards. |
| Part VI, Line 3: | Cumberland Medical Center informs patients and other persons who may be billed for patient care about its financial assistance policies by posting signs in highly visible areas of the hospital and including information about the financial assistance policy in patient booklets placed in all inpatient rooms.The following sign is posted in the main registration area and Emergency Department registration entrance: Financial Assistance: Covenant Health is committed to providing quality health services in a caring environment. It is the expressed philosophy of Covenant Health, and its member hospitals, that no one should be denied necessary medical care because of the inability to pay. In conjunction with this philosophy, staffs of Cumberland Medical Center are available to assist you with your financial needs. If you are an uninsured person with no public or private source of payment for medical services, Cumberland Medical Center, in compliance with Tennessee Code Annotated, Title 47, Chapter 18 and Title 68, will provide at a reduced rate, medically indicated services. A financial counselor is available to assist you with these matters by calling 931.484.9511 or 931.459.7025, Monday through Friday between the hours of 8 a.m. and 5:00 p.m.Cumberland Medical Center employs full time financial counselors who meet with each uninsured patient. In addition, Cumberland 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: | Cumberland County, Tennessee, is the primary market for Cumberland Medical Center. Cumberland is a rural community located on the Cumberland Plateau, approximately 60 miles from the metropolitan Knoxville area. Cumberland Medical Center is the only hospital in the county. The following statistics are taken from 2010 data of the U.S. Census Bureau. The population of Cumberland County numbers roughly 57,985 people and is predominantly female 51%. Persons over the age of 65 account for 28% of the population. Over 17% of the population lives below the poverty level, and the unemployment rate is at 8.8%. Healthcare and social assistance make up the 12.7% of the workforce and is the largest employer category in Cumberland County. The median household income is $37,188.According to the 2014 County Health Rankings Report of the Robert Wood Johnson Foundation/ University of Wisconsin Population Health Institute, Cumberland County residents have the following health indicators that are above the national benchmarks: Cumberland - TN - National Adult Smoking: 17% - 23% - 14% Adult Obesity: 29% - 32% - 25% Alcohol impaired driving deaths 31% - 28% - 14% Teen Birthrate: 65 - 49 - 29 of every 1,000 teenage girls Poor or Fair Health: 21% - 19% - 10% Physical Inactivity: 29% - 30% - 29% |
| Part VI, Line 5: | Cumberland Medical Center (CMC), in conjunction with its parent company, Covenant Health, uses any available surplus of receipts over disbursements to expand and modernize the facility and to support the education of healthcare professionals, both of which serve to improve patient care and serve the unmet needs of the community.Covenant Health's Board of Directors serves as CMC's board. It is comprised of independent community leaders with diverse educational and professional backgrounds. The board sets policies and provides oversight of CMC.CMC maintains an open medical staff, with privileges available to all qualified physicians. Additionally, the hospital operates an active and accessible emergency department that accepts all patients regardless of ability to pay. |
| Part VI, Line 6: | Cumberland Medical Center (CMC), as a member of the Covenant Health system, benefits from the collaboration among all affiliated organizations to promote quality improvement, patient safety and efficient delivery of care for the communities served.As a system, Covenant assures that business processes are in place at each facility to measure and report quality, to increase the role of compliance, and to integrate risk management, utilization review, peer review, mandatory reporting and quality improvement into one cohesive function. In this way, the system is able to use analytic tools to help identify any systemic inability to satisfy the various requirements on the part of the facilities.CMC patients benefit from the availability of and ease of access to Covenant Health affiliated entities for services not provided by the hospital itself. Transfer or referral to such services is expedited and coordinated to help create a seamless continuum of care. A full range of community mental health and psychiatric hospital services are available within the system that help support the hospital's emergency room as well as provide an accessible and efficient pathway for those patients who require such services post discharge. Other specialized services such as inpatient rehabilitation, cardiac care, cancer treatment, home health and hospice services are provided by affiliated entities. The Covenant Health system also enhances the patient's access to care through the provision of outpatient services in a variety of settings located throughout the service area. These include a diabetes center, wound care center, bariatric surgery center, pulmonary rehabilitation programs and ambulatory infusion centers.Through this combination of resources and the collective development, implementation and monitoring of clinical protocols and other improvement initiatives, the affiliated entities of Covenant Health are able to deliver higher quality care in a more efficient manner than could be achieved working independently. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
| Total501c3 Org | 0 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Scholarships | GrantTypeTxt |
| Recipient | 4 | RecipientCnt |
| Cash Grant | $8,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Educational scholarships support recruitment and retention of students in selected critical job classifications that are identified annually by the hospital. The selection process, conducted by the Educational Assistance Committee, includes a formal application, an interview, and review of prior academic performance. Awards are limited to those living within the 30 mile service area of the hospital. Recipients must maintain a grade point average of 2.75 or better and are required to submit grade reports at the end of each semester, to the Human Resources Department. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Personal Services | Yes (X) | PersonalServicesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ed Anderson | ||||||||||||||
| CEO (retired)/Director | $82,102 | $0 | $0 | $0 | $71,904 | $861 | $1,512 | $0 | $0 | $0 | $155,518 | $861 | $0 | $0 |
| James Barnawell MD | ||||||||||||||
| Chairman, CMC BOD/ Physician | $0 | $0 | $0 | $0 | $330,000 | $0 | $0 | $0 | $0 | $0 | $330,000 | $0 | $0 | $0 |
| Elizabeth Petty MD | ||||||||||||||
| Director, CMC BOD/ Physician | $0 | $145,964 | $0 | $12,686 | $0 | $0 | $0 | $0 | $0 | $14,425 | $0 | $173,075 | $0 | $0 |
| Anthony L Spezia | ||||||||||||||
| President & CEO | $0 | $983,682 | $0 | $469,288 | $0 | $151,013 | $0 | $214,200 | $0 | $15,465 | $0 | $1,833,648 | $0 | $0 |
| John T Geppi | ||||||||||||||
| EVP/CFO | $0 | $472,919 | $0 | $199,500 | $0 | $80,241 | $0 | $10,200 | $0 | $16,156 | $0 | $779,016 | $0 | $0 |
| Jeremy Biggs | ||||||||||||||
| President & CAO | $0 | $186,575 | $0 | $30,000 | $0 | $24,261 | $0 | $8,416 | $0 | $20,411 | $0 | $269,663 | $0 | $0 |
| Larry Moore | ||||||||||||||
| VP-Financial Svcs. | $237,626 | $0 | $0 | $0 | $13,125 | $0 | $2,501 | $0 | $12,777 | $0 | $266,029 | $0 | $0 | $0 |
| Amanda Grubb Halford MD | ||||||||||||||
| Chief Medical Officer | $255,679 | $0 | $0 | $0 | $35,366 | $0 | $2,600 | $0 | $446 | $0 | $294,091 | $0 | $0 | $0 |
| Sivalingam Kanagasegar MD | ||||||||||||||
| Physician | $240,767 | $0 | $192,823 | $0 | $10,299 | $0 | $2,600 | $0 | $15,025 | $0 | $461,514 | $0 | $0 | $0 |
| Thomas A Allingham MD | ||||||||||||||
| Physician | $410,002 | $0 | $0 | $0 | $14,699 | $0 | $2,600 | $0 | $0 | $0 | $427,301 | $0 | $0 | $0 |
| Elmer R Gibbs MD | ||||||||||||||
| Physician | $312,374 | $0 | $92,106 | $0 | $1,914 | $0 | $1,375 | $0 | $15,671 | $0 | $423,440 | $0 | $0 | $0 |
| Elias Abou-Zeid MD | ||||||||||||||
| Physician | $247,558 | $0 | $136,079 | $0 | $351 | $0 | $2,600 | $0 | $15,671 | $0 | $402,259 | $0 | $0 | $0 |
| Giorgi Sirbiladze | ||||||||||||||
| Physician | $208,986 | $0 | $113,905 | $0 | $270 | $0 | $2,600 | $0 | $22,556 | $0 | $348,317 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | Officers and board members attending official board retreats are offered a discretionary spending allowance that may be used for incidental spending or companion travel. The allowance is treated as taxable compensation to the recipient. Reimbursement of fees for personal services for legal and financial planning are provided to certain executives and managers. These are treated as taxable compensation to the recipients. |
| Part I, Line 4b | 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 2014 amounted to $83,726 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 2014 totalled $204,000, which is reported in Col. C of Schedule J, Part II. Interest earned by Plan B during 2014 of $43,651 is not required to be reported in compensation in Part II, as Mr. Spezia is not substantially vested in Plan B. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 1 | REPORT TO THE COMMUNITY Covenant Health is a comprehensive, community-owned health system dedicated to improving the health of the people it serves. Established in 1996 by the consolidation of Fort Sanders Health System, Knoxville, Tennessee, and MMC HealthCare System in Oak Ridge, Covenant Health is governed by a voluntary board of directors made up of community leaders and medical professionals. Covenant Health includes nine acute care hospitals in East Tennessee: Claiborne Medical Center Cumberland Medical Center Fort Loudoun Medical Center Fort Sanders Regional Medical Center LeConte Medical Center Methodist Medical Center Morristown-Hamblen Healthcare System Parkwest Medical Center Roane County Medical Center Member organizations also include: Covenant HomeCare Peninsula Hospital The Patricia Neal Rehabilitation Center Thompson Cancer Survival Center Thompson Oncology Group Fortress Corporation Fort Sanders West Diagnostic Center Covenant Medical Group, Inc. Philanthropic affiliates include: Fort Sanders Foundation Methodist Medical Center Foundation Morristown-Hamblen Foundation Thompson Cancer Survival Center Foundation Approximately 10,000 people are employed by Covenant Health and its member organizations. Working together with nearly 1,500 affiliated physicians, these healthcare professionals deliver quality care to thousands of patients throughout East Tennessee. Kiosks for Patients' Convenience Covenant Health now has three types of kiosks available to help patients "check in" at registration, electronically sign documents, and to help family members find a patient's hospital location. The check-in kiosks are used over 5000 times per month by patients who sign in electronically, notifying registration staff of their arrival. A notable feature of the check-in kiosks is use of Covenant FastPass hand-scanning technology, which ensures positive patient identification and deters identity theft. Covenant also implemented electronic signature kiosks (eSign) at some facilities. These allow patients to review their personal and billing information and then sign registration paperwork on screen. The eSign service streamlines registration for patients with simple appointments and gives registration staff more time to spend with patients with more complex needs. For facility visitors, Covenant Wayfinding kiosks are used more than 2000 times per month to help family and friends locate patients being treated at Covenant facilities. A Legacy of Philanthropic Impact Since the first campaign of Fort Sanders Foundation to establish the Patricia Neal Rehabilitation Center (PNRC) in the late 1970s, the volunteer board members of Covenant Health's foundations have focused on raising funds to ensure the future of healthcare in its communities. The impact of the philanthropic efforts by individuals, businesses and foundations is substantial. Covenant's Office of Philanthropy coordinates fund raising efforts at four foundations: Fort Sanders Foundation, Methodist Medical Center Foundation, Morristown- Hamblen Hospital Foundation, and Thompson Cancer Survival Center Foundation. One strong example of philanthropic partnerships is the Will Rogers Institute and its 15-year history of support for the pulmonary rehabilitation programs of Covenant Health - in particular, the work of the Patricia Neal Rehabilitation Center. The Will Rogers Institute (WRI) is a national charitable organization dedicated to perpetuating the memory of one of America's best-loved entertainers. It supports cardiopulmonary research and treatment programs, neonatal care, and patient and community education on health/fitness topics. Each summer, movie theatres across the country participate in a fundraising campaign for WRI. Regal Entertainment Group, which supports the Patricia Neal Rehabilitation Center and its annual Golf Classic, helped develop the relationship between the Will Rogers Institute and Covenant Health many years ago. Over the past 15 years, WRI has granted more than $2 million to PNRC and the hospitals of Covenant Health. Grant funds support cardiopulmonary rehabilitation and health improvement initiatives at PNRC and other Covenant facilities, including a strong focus on smoking cessation and access to pulmonary rehabilitation care. Numerous pieces of therapy equipment, oxygen piping and monitoring systems, and pulmonary testing equipment have been provided for PRNC, the hospitals and outpatient pulmonary rehabilitation centers. The grant also funds a unique telemanagement program in which respiratory therapists make follow-up contact with all patients who have expressed an interest in smoking cessation while at a Covenant Health hospital. The therapists provide support, education and information on smoking cessation classes available in the area. At the end of 2014, the smoking cessation compliance rate for patients contacted by respiratory therapists via phone at 6 months post discharge stands at 41%. The grant also funded Covenant Health's development of a "Stop Smoking" app for Apple and Android phones. The app is offered free to the public as a tool to support efforts to break smoking addictions. The longstanding partnership with the Will Rogers Institute and Regal Entertainment Group has created a legacy for the future, not only for the Patricia Neal Rehabilitation Center and Covenant's pulmonary health initiatives, but for corporate and foundation funding of its health care mission throughout the region. |
| Form 990, Part III, Line 1 | Leadership Academy Participants Get Insider View of Healthcare For the third year, a selected group of business and community leaders from across the region have experienced an in-depth view of Covenant Health and the healthcare environment as participants in Covenant Answers: A Healthcare Leadership Academy. The Office of Philanthropy hosts the Academy each year in an effort to expand the cadre of healthcare-informed volunteer leaders in the community. Over a five-month period, class members attended an orientation with Covenant executive leadership and half-day sessions at five different Covenant hospitals. The sessions included behind-the-scenes tours and hands-on access to the latest technologies and treatments. Participants had opportunities to discuss the challenges of the current healthcare environment with Covenant physicians and clinicians, communicate via a tele-stroke robot with a physician in another state and visit with a patient who received a life-saving interventional stroke treatment. They also observed a TAVR heart valve replacement surgery and a Barrett's esophagus cancer laser procedure. A Healthy Start for Covenant's Smallest Patients When parents are expecting a new baby, they may read books, buy new furniture and baby clothes, and consult family and friends. As families prepare for their new arrivals, Covenant Health hospitals are ready and waiting with a variety of birthing options and hospital amenities to help welcome their smallest patients. More than 7,000 babies got their first glimpse of life from the security and comfort of a Covenant Health hospital in 2014. Maternity suites at Covenant hospitals are designed to maximize comfort and provide immediate access to technology. Room options may include private suites equipped with bassinets for "rooming in" and comfortable sleeper furniture for a family member. All maternity units are secured with monitored entries and exits. Additional security devices and procedures are in place to monitor babies' safety. More than 50 credentialed physicians provide care to Covenant Health patients during pregnancy and while in the hospital. Childbirth education classes are available to help parents prepare for their new arrival. Best Practices for Babies' Healthy Start Five Covenant Health hospitals that offer obstetrics services were recognized by the Tennessee Hospital Association for reducing the number of babies born electively between 37 and 39 weeks gestation during 2011-2014. Fort Sanders Regional Medical Center, Parkwest Medical Center, LeConte Medical Center, Methodist Medical Center and Morristown-Hamblen Healthcare System received recognition from THA's Tennessee Center for Patient Safety for reducing elective early deliveries, thereby increasing babies' chances for better lifelong health. The Covenant hospitals are part of a statewide Healthy Tennessee Babies Are Worth the Wait initiative to increase awareness of the benefits of full-term delivery. Babies born too early are at risk for respiratory distress, jaundice, hypoglycemia and other conditions that require more medical care and put them at greater risk for death before their first birthdays. Waiting until 39 weeks allows for better growth and development of vital organs and is also better for the health and safety of the mother. In addition to patient and staff education programs, Covenant Health obstetrics departments adopted a policy prohibiting early elective deliveries before 39 weeks unless there is a clear medical risk to the mother or the baby. For an infant, two additional weeks can mean the difference between complications leading to lifelong health issues and a healthy and robust start. In 2011 about 12 percent of the hospitals' deliveries that occurred prior to 39 weeks gestation were considered elective. By second quarter of 2015, the number had dropped to zero. Covenant hospitals with obstetrical services also collaborate with the Tennessee Department of Health's Safe Sleep program. Participating hospitals have agreed to develop and implement hospital safe sleep policies and provide education to staff and patients regarding safe sleep recommendations. LeConte Medical Center has received a bronze designation from the National Safe Sleep Hospital Certification Program for its leadership in best practices and education related to safe sleep. Covenant hospitals are also involved with the Tennessee Initiative for Perinatal Quality Care's breastfeeding project, which focuses on promoting and supporting breastfeeding in the delivery setting and after mothers return home. Caring for Women Throughout Their Lives Covenant Health provides a full spectrum of health services for women of all ages. The health system's nine breast centers, located conveniently throughout Covenant's service area, offer state-of-the-art digital mammography. Two locations, Parkwest Medical Center and Morristown-Hamblen Healthcare System, provide 3D mammography services. Covenant Health has additional technologies for the early detection of breast cancer, including breast ultrasound and MRI. The health system provides comprehensive heart and stroke care for women, and has developed educational and outreach programs to inform women about cardiovascular disease, risk factors, prevention, treatment and rehabilitation. A full range of diagnostic screenings, gynecological care, cancer care, and specialized treatment for conditions such as incontinence are offered to women in all ages and stages of life. A Heart for Excellence Covenant Health is committed to excellence in all areas of heart care - from heart disease prevention and diagnosis of heart conditions to advanced technology and treatments, emergency interventions, and cardiac rehabilitation programs for follow-up care. More than 50 affiliated cardiologists provide diagnostic testing and perform a variety of interventional procedures such as heart catheterization and techniques to clear blocked arteries and place stents to restore blood flow. Cardiologists also treat heart arrhythmias and often repair heart valves and holes in the chambers of the heart. Advanced Technology Keeps More Hearts Beating Covenant Health is at the forefront of cardiac innovations that restore health and the ability to live life to the fullest. Covenant was the first health system in the region to offer Transcatheter Aortic Valve Replacement (TAVR), in which a minimally invasive procedure places a new valve into the heart. The procedure gives new hope to patients suffering from life-threatening aortic stenosis who are not candidates for open-heart surgery. In addition to TAVR, a full spectrum of advanced cardiac procedures is available at Covenant Health's "heart hospitals" - Fort Sanders Regional Medical Center, Methodist Medical Center of Oak Ridge and Parkwest Medical Center. For patients experiencing severe coronary disease like blocked arteries and aortic enlargement, care close to home may seem like a distant hope. Covenant's cardiac services offer complex surgeries and treatments that are often only available in larger cities. When Minutes Matter If a heart attack occurs, time is critical. The heart hospitals of Covenant Health work together to make sure that patients receive the most appropriate care as quickly as possible. The American College of Cardiology and the American Heart Association have established recommended care standards for heart attack patients, specifically those identified as the "ST-Segment Elevation MI" (STEMI) population. These patients have the highest mortality (risk of death) and morbidity (risk of associated complications). They can be rapidly identified with an electrocardiogram (EKG). The standards emphasize organizing regional systems of care and patient transfer procedures to provide faster access to advanced therapies that help facilitate rapid restoration of blood flow during a heart attack. The care team - from first responders and emergency departments to cardiologists and cath lab staff - collaborate to provide efficient and effective care. They evaluate the entire process and collaborate with anyone who has contact with this patient population to develop a standardized approach to efficiently get them to a cath lab. Every 30 minutes results in nearly an eight percent increase in risk of death, so patient outcomes can be improved by having a systems approach to identification, notification, and rapid transfer. |
| Form 990, Part III, Line 1 | Several new Cardiac processes have been developed, including: * Training EMS providers to identify STEMI patients quickly, and building relationships with emergency transporters to ensure efficient arrival at a center equipped to deal with STEMI patients. * Clinical members of Covenant Rapid Access, Covenant Health's patient transfer center, are available 24/7 to accept STEMI patients from outlying hospitals and immediately notify the cath lab team and interventional cardiologist. "Rapid Access" is the coordinating center for Covenant facilities. * Emergency transporters can now simultaneously notify both ED and cath lab teams of potential STEMI patients and transmit an EKG when available. This allows earlier activation of the cath lab team, with personnel available immediately when the patient arrives. * A regular review process provides feedback on outcomes and helps continually improve systems and processes. As a result of these efforts, Fort Sanders Regional has exceeded state and national hospitals' performance in meeting standards for "First Medical Contact-to-Device" times. Mortality and readmission rates also declined. The STEMI team collaborates with hospitals and emergency responders in Claiborne, Sevier, and Jefferson counties, and as far away as Kentucky. Cardiac Rehab Helps Pave the Road to Recovery The weeks immediately following a heart attack, angioplasty, or open heart surgery are critical for long-range rehabilitation. Several Covenant hospitals offer medically supervised Cardio-Pulmonary Rehabilitation programs that safely restore physical fitness and function for people who have recently had serious cardiac events. Through monitored exercise, education, counseling and healthy lifestyle changes, patients regain confidence in exercising their hearts, and they learn to make lifestyle changes to reduce the risk of further complications from heart disease. Cardiac rehabilitation offers effective treatment for heart attack, angina, post-infarction, angioplasty, post-coronary bypass, and patients considered to be high risk for coronary artery disease. The Region's Only Stroke Hospital Network Covenant Health has the region's only stroke hospital network for delivering advanced diagnostics and treatment to halt the devastating effects of stroke. At the hub of the network are Fort Sanders Regional Medical Center, certified as a comprehensive stroke center by The Joint Commission, and the award-winning Patricia Neal Rehabilitation Center, accredited by the Commission on the Accreditation of Rehabilitation Facilities. Covenant Health's stroke hospital network offers advanced treatments and clinical trials that are unavailable in other areas of the region. Delivering Immediate and Excellent Care When a stroke happens, timely treatment is critical. The Comprehensive Stroke Center at Fort Sanders Regional Medical Center is well above the national average in delivering prompt treatment of life-saving medication. Clot-busting drugs are given to stroke patients to improve blood flow and minimize potential disabilities. The amount of time it takes for a patient to be brought into a hospital until the moment medications are intravenously administered is referred to as "door-to-needle time." The average door-to-needle time is a little more than an hour; the door-to-needle time at Fort Sanders Regional is 30 minutes, half an hour faster than the national average. The stroke center exists to provide the highest level of stroke care for complicated stroke cases, which includes finding out why the stroke occurred to prevent it from happening again. The Comprehensive Stroke Center at Fort Sanders Regional sees patients from throughout East Tennessee and beyond. To help patients reclaim as much ability and independence as possible, the Patricia Neal Rehabilitation Center provides inpatient and outpatient stroke care. Patients are treated by a holistic team that includes physiatrists (rehab physicians); physical, occupational and speech therapists; rehab psychologists; case managers and recreation therapists. Treatment includes goal setting and interdisciplinary in range of motion, strengthening and conditioning, along with self-care and activities of daily living. Leading the Fight Against Cancer Even though cancer affects many thousands of people, a cancer diagnosis can be a lonely experience. Covenant Health is committed to helping cancer patients fight the disease with excellent medical care and a multidisciplinary team of support. At the core of Covenant Health's cancer care is an elite team of physicians, armed with the most advanced cancer tools available. Technology includes advanced imaging such as positron emission technology (PET) in Knoxville and mobile PET services in Sevierville, TomoTherapy, high-dose-rate brachytherapy and 3D radiation therapy. Fort Sanders Regional Medical Center offers Gamma Knife, the area's only non-invasive radiosurgical device that targets tumors in a single visit. A variety of clinical trials, stem cell transplantation and genetic counseling are also available. The health system recently invested $7.6 million for equipment upgrades, expanded connectivity and growth of a highly regarded radiation therapy research program at six locations: Thompson Cancer Survival Centers in downtown and west Knoxville, Oak Ridge and Sevierville, at Morristown-Hamblen Hospital System, and at Cumberland Medical Center's radiation oncology program in Crossville. Patients receiving cancer care at Covenant Health facilities receive individualized treatment plans, and have a multidisciplinary team of specialists and "navigators" to help with the treatment process. Support is also provided by social workers, nutrition counselors, and other members of the cancer care team. Thompson Oncology Group has 10 physician offices in Sevierville, Knoxville, Blount County, Morristown and Oak Ridge. The group has been recognized by the Quality Oncology Practice Initiative Certification Program, an affiliate of the American Society of Clinical Oncology. The certification process includes each of the 10 Thompson Oncology Group locations and encompasses evaluation of treatment planning, staff training, patient education and safe chemotherapy administration. |
| Form 990, Part III, Line 1 | Connecting with Our Communities In addition to taking care of patients and families who receive direct services, Covenant Health is committed to making a positive impact in the health of the surrounding community. In all the communities Covenant Health serves, local initiatives and partnerships create opportunities to interact with people of all ages and encourage healthier lifestyles. * In April 2014 nearly 8,000 people participated in the 11th Covenant Health Knoxville Marathon, which attracted local runners and hand cyclists, as well as competitors from throughout the U.S. and other countries. Marathon events included 2- and 4-person relays, a 5K, half-marathon and full marathon. * The Covenant Health Biggest Winner Weight Loss Challenge continued as a friendly competition that encourages East Tennesseans to get moving for a fit and healthy lifestyle. Team members train together for five months, with the goal of crossing the finish line in Covenant Health Knoxville Marathon events, and 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 Patricia Neal Rehabilitation Center's Innovative Recreation Cooperative. More than $5,000 was given to the 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 nearly 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 HomeCare Hospice helps children grieving the loss of a loved one through Katerpillar Kids Camp, a free event offered with the support of Variety - The Children's Charity. The camp helps children in grades 1-12 express their feelings of loss in a supportive environment. * Methodist Medical Center co-sponsored the annual Baby's Best Fest, a day of family games and an ice cream social celebrating World Breastfeeding Month and supporting breastfeeding as the healthiest start for babies. * LeConte Medical Center partnered with Dollywood's Splash Country to host Water Safety Day. The event provided health and safety information to local children and families, and was held in conjunction with the "World's Largest Swimming Lesson," a national event promoting the importance of learning to swim. At the event LeConte employees educated children about water safety, representatives from Thompson Cancer Survival Center talked about the importance of sunscreen, and staff from the Patricia Neal Rehabilitation Center were on hand to talk about the Think First head injury prevention program and adaptive water sports. More than 600 children participated. * Cumberland Medical Center in Crossville co-sponsored numerous health fairs and community events throughout the year, and hosted free Mammogram Days for women who had not received a mammogram in two years and were age 40 or older without insurance coverage. * Missy Kane, health promotions coordinator for Covenant Health, led hikes in communities where Covenant Health hospitals are located and established walking clubs in Roane and Anderson counties in conjunction with Roane Medical Center and Methodist Medical Center. Parkwest Medical Center, LeConte Medical Center and Thompson Cancer Survival Center have been co-sponsors of hiking programs led by Missy Kane. |
| Form 990, Part VI, Section A, line 4 | On February 1, 2014 the charter and corporate bylaws of Cumberland Medical Center, Inc. (the "Organization") were amended and restated in connection with its admission of Covenant Health ("Covenant"), a nonprofit corporation exempt from tax under Section 501(c)(3) of the Code, as its sole member (the "Transaction"). Covenant is the parent corporation of an integrated health care delivery system comprised of nonprofit, tax exempt hospitals and other affiliated health care entities. Prior to the Transaction, the Organization had no members. SUMMARY OF CHANGES TO CHARTER Under the terms of the Transaction, Covenant became the sole member of the Organization and the Covenant Board of Directors became the governing body of the Organization, although a local board appointed by the Covenant board has been delegated certain powers and authority. Thus, the following changes were made to the Organization's charter: 1. Covenant has been designated as the sole member of the Organization. 2. The Covenant Board of Directors has been designated as the governing body and given the right to exercise all corporate powers with the exception of specific limited powers delegated to the local board. 3. The powers and authority of the local board are described in Paragraph 8 of the charter and are advisory in nature except that the local board (a) shall provide leadership for fundraising efforts of the Organization, (b) shall have the right to review and approve any name change of the Organization, and (c) for a period of five years must approve any termination of any existing inpatient or outpatient services offered at Cumberland Medical Center. In addition, the local board has the power to enforce the terms of the Organization's agreement with Covenant regarding the Transaction and submit nominations to the Covenant board to fill one seat on the Covenant board. 4. Although the local board is authorized to exist on a permanent basis, under Subparagraph 8(c)(i) its existence may be terminated at any time upon the vote of a majority of its members. 5. Amendments to the charter affecting the rights of the local board must be approved by the local board. 6. Other changes to the Charter were made in order to make its terms consistent with the charters of other nonprofit, tax exempt hospitals in the Covenant system. SUMMARY OF CHANGES TO CORPORATE BYLAWS The corporate bylaws of the Organization were modified to reflect the changes to its charter and to address the number of individuals to serve on the local board, the voting rights of local board members, the qualifications of local board members, the terms of office of local board members, the resignation and removal of local board members and method of filling vacancies, and other terms addressing the operation of the local board. In addition, other changes were made to conform the form of such bylaws to the form of bylaws of other Covenant nonprofit, tax exempt hospitals, including the inclusion of a conflict of interest policy (Article IX) and indemnification provisions (Article X). |
| Form 990, Part VI, Section B, line 11 | Covenant Health is a large, integrated health system which files fourteen Forms 990. Cumberland Medical Center is one of those fourteen entities. Annually, at the September Finance Committee meeting, one of the fourteen 990s is selected (a different entity each year) for distribution to each member of the Committee. Management then reviews in detail each of the Form 990 schedules and describes variances between entities, if any. The remaining thirteen Forms are made available for review by any committee member. The same presentation is made to the Covenant Health Board of Directors at the October meeting. All fourteen Forms 990 are then made available to all Board members for their review throughout the month of October. |
| Form 990, Part VI, Section B, line 12c | Board members, officers and employees are required to adhere to rules and policies regarding conflicts of interest. Covenant Health, the parent company of the organization, distributes a board-approved Code of Conduct to all employees. The Code covers among other subjects, conflicts of interest. Additionally managers are required to complete and sign 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 | Overall compensation policies for Cumberland Medical Center, Covenant Health (Parent Company), and affiliates are set by the Compensation Committee of the Board of Directors ("the Committee"), which is comprised of independent members of the board. The Committee is guided in its decision-making process by an independent, nationally-recognized executive compensation consultant experienced in advising nonprofit hospital boards. Compensation policies for Anthony Spezia and John Geppi are reported on the 2014 Form 990 of Covenant Health, EIN 62-1646734. Form 990, Part VI, Section B, Line 15b: Base salary and annual bonus opportunities for Jeremy Biggs, President and Chief Administrative Officer, 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 is reasonable and within a fair market value range. Salary ranges are based upon the recommendations of the Consultant made after comparison with similar jobs in similar size health systems across the nation. Bonuses are recommended by the CEO and approved by the Committee conditioned upon receipt of a written opinion from the Consultant that total compensation for the executive is reasonable and consistent with fair market value. Base salary is initially targeted at midpoint and may vary according to 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 Larry Moore, Vice-President of Financial Services, is based on targets established by an independent, nationally-recognized executive compensation consultant to ensure that total compensation for each executive is reasonable and within a fair market value range. Salary ranges are based upon comparison with similar jobs in similar size health systems across the nation. Base salaries and bonuses are approved by Executive Leadership predicated upon performance, and are reasonable and consistent with fair market value. Base salaries are initially targeted at midpoint and may vary according to 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 | Cumberland Medical Center files a Joint Annual Report containing financial information with the Tennessee Department of Health. Per its tax-exempt bond provisions, Covenant Health, the parent company of the organization, is required to file quarterly and annual consolidated and obligated group financial statements and other documentation with various bond insurers and other agencies, including the Electronic Municipal Market Access (EMMA) service of the Municipal Securities Rulemaking Board (MSRB). Any member of such a repository has access to these financial statements. The organization's governing documents and conflict of interest policy are not made publicly available. |
| Form 990, Part VI, Section A, Line 9 | Contact Addresses for Officers and Directors: Anthony L. Spezia Covenant Health 100 Fort Sanders West Blvd. Knoxville, TN 37922 John T. Geppi, Larry Mauldin and all Directors, except for the following: Dr. James Barnawell, Robert Harrison, Sally Oglesby, J.W. Brown, Ed Camera, Roy Howard, Dr. Reynaldo Oleachea, Dr. Elizabeth Petty, Dr. Larry Reed, and Cosby Stone. Covenant Health 1420 Centerpoint Blvd., Bldg C. Knoxville, TN 37932 All other persons listed in Part VII, Section A, inluding the Directors listed above, may be contacted at the organization's address, which is: Cumberland Medical Center 421 S. Main Street Crossville, TN 38555-5048 |
| Form 990, Part VII, Section A | In 2014, the following Directors served on the hospital board for one month only, prior to the acquisition of the hospital by Covenant Health. Dr. James Barnawell Robert Harrison Sally Oglesby J.W. Brown Ed Camera Roy Howard Dr. Reynaldo Olaechea Dr. Elizabeth Petty Dr. Larry Reed Cosby Stone |
| Form 990, Part XI, line 9: | Valuation adjustments -5,139,085. Transfer to affiliate -301,506. Miscellaneous adjustments 11,895. |
| 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
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Cumberland Physician Group LLC | |||||||||
| 421 S Main St | Crossville | TN | 385555048 | 371539508 | Physician services | TN | $349,973 | $456,492 | Cumberland Medical Center |
| CMC Hospitalist Group LLC | |||||||||
| 421 S Main St | Crossville | TN | 385555048 | Hospitalist staffing services | TN | $1,566,639 | $310,282 | Cumberland Medical Center | |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Covenant Health | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 37932 | 621646734 | Supporting organization | TN | 501(c)(3) | Line 11b, II | N/A | 0 | |
| 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 | |
| Parkwest Medical Center | |||||||||||
| 9352 Park West Boulevard | Knoxville | TN | 37923 | 581897274 | Acute care hospital & behavioral health services | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Methodist Medical Center | |||||||||||
| 990 Oak Ridge Turnpike | Oak Ridge | TN | 37830 | 620636239 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Morristown-Hamblen Healthcare System | |||||||||||
| 908 W 4th North Street | Morristown | TN | 37814 | 620545814 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| LeConte Medical Center | |||||||||||
| 742 Middle Creek Road | Sevierville | TN | 37862 | 621114867 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Roane County Medical Center dba Roane Medical Center | |||||||||||
| 8045 Roane Medical Center Dr | Harriman | TN | 37748 | 680673354 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Fort Loudoun Medical Center | |||||||||||
| 550 Fort Loudoun Medical Center Dr | Lenoir City | TN | 37772 | 621373691 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Claiborne Medical Center | |||||||||||
| 1850 Old Knoxville Road | Tazewell | TN | 37879 | 464420358 | 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 | Thompson Cancer Survival Center | |
| Covenant Homecare | |||||||||||
| 3001 Lake Brook Blvd Suite 101 | Knoxville | TN | 37909 | 621623114 | Home health services | TN | 501(c)(3) | Line 9 | 0 | Covenant Health | |
| Fort Sanders Perinatal Center | |||||||||||
| 501 19th Street Suite 304 | Knoxville | TN | 37916 | 043760551 | High risk obstetrical services | TN | 501(c)(3) | Line 3 | 0 | Fort Sanders Regional Medical Center | |
| Fort Sanders Foundation | |||||||||||
| 280 Fort Sanders West Blvd Ste 202 | Knoxville | TN | 37922 | 621748601 | Fundraising and patient outreach | TN | 501(c)(3) | Line 11b, II | 0 | Covenant Health | |
| Thompson Cancer Survival Center Foundation | |||||||||||
| 1915 White Avenue | Knoxville | TN | 37916 | 582130450 | Fundraising and patient outreach | TN | 501(c)(3) | Line 11b, II | 0 | Covenant Health | |
| Cumberland Medical Center Auxiliary Inc | |||||||||||
| 421 S Main Street | Crossville | TN | 38555 | 620988311 | Hospital gift shop and fundraising | TN | 501(c)(3) | Line 9 | N/A | 0 | |
| Cumberland Medical Center Foundation | |||||||||||
| 421 S Main Street | Crossville | TN | 38555 | 271489293 | Inactive - entity terminated | TN | 501(c)(3) | N/A | 0 | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| 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 200 | Knoxville | TN | 37922 | 621366907 | Outpatient surgery center | TN | N/A |
| Fort Sanders West Associates | |||||||
| 280 Fort Sanders West Blvd Ste 214 | Knoxville | TN | 37922 | 621384171 | Building ownership | TN | N/A |
| KOSC Properties LLC | |||||||
| 256 Fort Sanders West Blvd Ste 200 | Knoxville | TN | 37922 | 262444076 | Building ownership | TN | N/A |
| Knoxville Orthopaedic Surgery Center LLC | |||||||
| 256 Fort Sanders West Blvd Ste 200 | Knoxville | TN | 37922 | 262437385 | Orthopaedic surgery | TN | N/A |
| KOC 260 Bldg LLC | |||||||
| 260 Fort Sanders West Blvd | Knoxville | TN | 37922 | 465228440 | Land & building ownership | TN | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Fortress Corporation | |||||||||
| 280 Fort Sanders West Blvd Suite 21 | Knoxville | TN | 37922 | 621308885 | Management company | TN | N/A | C | 0 |
| Covenant Medical Group Inc | |||||||||
| 1400 Centerpoint Blvd Bldg A Suite | Knoxville | TN | 37932 | 621282917 | Physician practice management | TN | N/A | C | 0 |
| Knoxville Heart Group | |||||||||
| 1819 Clinch Ave Suite 108 | Knoxville | TN | 37916 | 271528941 | Cardiology medical practice | TN | N/A | C | 0 |
| East TN Cardiovascular Surgery Group Inc | |||||||||
| 9125 Cross Park Drive Ste 200 | Knoxville | TN | 37923 | 621018541 | Cardiovascular surgery practice | TN | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Covenant Medical Group Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | A | TransactionTypeTxt |
| Involved | $29,390 | InvolvedAmt |
| Method Of Amount Determination | Cash | MethodOfAmountDeterminationTxt |