MORRISTOWN HAMBLEN HOSP: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MORRISTOWN HAMBLEN HOSP (EIN 62-0545814)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-13
- IRS object ID
- 201121339349304037
- Schema version
- 2009v1.7
- 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 J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-13T14:59:18-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pershing Yoakley & Associates P C | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Cherokee Mills 2220 Sutherland | AddressLine1 |
| City | Knoxville | City |
| State | TN | State |
| ZIP Code | 379192363 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 620545814 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MORRISTOWN-HAMBLEN HOSPITAL ASSOCIATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MORR | NameControl |
| Phone | 4235864231 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 908 WEST FOURTH NORTH STREET | AddressLine1 |
| City | MORRISTOWN | City |
| State | TN | State |
| ZIP Code | 37814 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Max Owens | Name |
| Title | President & CEO | Title |
| Phone | 4235864231 | Phone |
| Date Signed | 2011-05-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DEBORAH O ERNSBERGER | Name |
| Phone | 8656730844 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MORRISTOWN HAMBLEN HEALTHCARE System | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Richard L Clark | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 908 WEST FOURTH NORTH STREET | AddressLine1 |
| City | MORRISTOWN | City |
| State | TN | State |
| ZIP Code | 37814 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 93353210 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.MHHS1.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1955 | YearFormation |
| State Legal Domicile | TN | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE THE BEST HEALTHCARE TO THE REGION WITH INTEGRITY, COMPASSION AND EXCELLENCE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1013 | TotalNbrEmployees |
| Total Nbr Volunteers | 130 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 66000 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 128631 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 86939507 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 89439547 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 228449 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1759476 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2239171 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1821960 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 89473127 | TotalRevenuePriorYear |
| Total Revenue Current Year | 93149614 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 39063075 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 39735622 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 47698335 | OtherExpensePriorYear |
| Other Expenses Current Year | 50232528 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 86761410 | TotalExpensesPriorYear |
| Total Expenses Current Year | 89968150 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2711717 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3181464 | RevenuesLessExpensesCY |
| Total Assets BOY | 81606346 | TotalAssetsBOY |
| Total Assets EOY | 86894742 | TotalAssetsEOY |
| Total Liabilities BOY | 40932448 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 45127778 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 40673898 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 41766964 | NetAssetsOrFundBalancesEOY |
| Mission Description | The hospital continuously works toward its Vision of being recognized in the region as the best healthcare system for patients to receive care, physicians to practice medicine and employees to work. Working constantly to fulfill its Mission to provide the best healthcare to the region with integrity, compassion and excellence. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 69795933 | Expense |
| Revenue | 90479404 | Revenue |
| Description | Morristown-Hamblen Healthcare System ("Hospital") is a community hospital serving an eight county area in the heart of the Lakeway Area. The Hospital's heritage reflects a concern for each patient and family, as well as a sense of commitment to excellence in the provision of medical service. MHHS offers 167 acute care beds which includes 12 gero-psychiatric beds and is supported by approximately 188 active, courtesy, and consulting staff physicians. The Hospital is committed to providing quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of the Hospital, it is recognized that not all individuals possess the means to purchase needed medical services. The Hospital also strives to serve the community by providing both healthcare services and health related education. Therefore, in keeping with Hospital's commitment to serve all members of its community the following are offered:- charity care and/or subsidized care;- care provided to persons covered by governmental programs; and- health related activities and programs to support the community.All the above services are provided when a medical need exists (non-elective) regardless of an individual's ability to pay. The Hospital's policy of providing needed care to people regardless of their ability to pay constitutes the greater part of our commitment of service to our local community and surrounding region. Other activities include community education programs, special programs for the elderly, a program for obese children, the training of medical professionals, financial support of various community non-profit organizations for underserved individuals, and support for a variety of other community activities.In an effort to provide a continuum of care for patients from diagnosis through recovery, the Hospital has developed six clinical service lines (Centers of Excellence) which include our: Heart, Lung and Vascular Center, Women's Center, Morristown Regional Cancer Center, Surgery Center, Joint and Spine Center, and Emergency and Critical Care Center. The Heart, Lung and Vascular Center offers patient access to various specialists including: cardiologists, a pulmonologist and a vascular surgeon. The Center offers diagnostic services consisting of electrocardiograms, 4-D Ultrasound services, stress testing, echocardiograms, transesophageal echocardiograms, heart catheterizations and angiography services. Specialized services include: emergent and non-emergent treatments with stent placement, cardio versions, pacemaker placement, and peripheral vascular services.Cardiac rehabilitation and pulmonary rehabilitation services are also provided to promote wellness and a healthy lifestyle. Patients are provided a customized three-phase rehabilitation program that begins the moment the patient is diagnosed or enters the hospital with a heart or lung condition. The Heart, Lung and Vascular Center also offers a Sleep Disorder Center to provide diagnostic testing and screening services for area patients who have health-threatening sleep disorders. The Center's staff works with teams of physicians including: a pulmonologist, neurologist, primary care doctors, and ENT specialists to provide diagnosis and treatment solutions for their patients. Additionally, the Sleep Disorder Center provides community programs such as smoking cessation classes and risk assessments for heart disease. The Women's Center provides services to both mother and baby in the same facility. The Center includes a labor and delivery unit with a Level III nursery, and a dedicated unit for gynecological and other female patients. Our Birthing Center is a secure unit that provides postpartum care, obstetrical services as well as childbirth, parenting and baby care education. A fetal monitoring system ensures that babies are being cared for even before they are born. Over 45,000 babies have been delivered at our current location. Gynecological and specialized care for women complete the services offered through this Center. The Morristown Regional Cancer Center offers services focused on the diagnosis, care and treatment of patients in a comfortable setting specially designed for cancer patients and their families. A multidisciplinary team of physicians, nurses, dietitians, pharmacists, and other support staff work with patients and their families to create an individualized plan. In addition, related specialists include: medical oncologists, a radiation oncologist, radiologists, pathologists, general surgeons specialized in oncology, a pulmonologist and gastroenterologists to assist in the care and treatment of cancer patients. A weekly tumor conference is all held to enhance communication among providers and to develop optimal treatment plans. The Center offers the latest treatments including High Dose Radiation and Chemotherapy services.The Center for Surgical Services includes both inpatient and outpatient surgical services. The Center encompasses 25,300 square feet of space and is equipped with technology to support general surgery, orthopedic and spine surgery, ophthalmologic, gynecologic, endoscopic, cystoscopic and vascular surgery services for the community. The Joint & Spine Center offers a full scope of care for orthopedic and spine patients. The Center offers patient education classes for both those who have made the decision to have surgery and those who have questions about surgery. The classes are offered at no charge to the public. The Center is designed for the specialized surgical and inpatient needs for patients who undergo orthopedic and/or spine surgery, and includes specially trained staff and facilities designed around the needs of these patients. Treatment and discharge plans are designed to enhance overall patient outcomes. The Emergency and Critical Care Center provides 24-hour care seven days a week to area patients for the treatment of injuries, illness, trauma, and various other conditions. Experienced physicians and nurses treat and respond to emergencies requiring immediate attention. The Center treats all types of general emergencies and maintains the only designated general pediatric emergency facility in the eight county region. A fast track area is available to care for patients in need of services for minor medical emergencies. Healthcare professionals with EPNC ("Emergency Nurse Pediatric Certification") and PALS ("Pediatric Advanced Life Support") also work in the Center. Additionally, aero medical services are available for those requiring advanced levels of care not otherwise available in our community. The Critical Care Unit and Intensive Care Unit include 20 inpatient beds with monitoring equipment and specially trained staff to care for patients in need of intensive care services. In addition to our Centers of Excellence, the Healthcare System also provides other needed services.The Radiology and Imaging Department features diagnostic imaging technologies which include general radiographic rooms, advanced 16-slice and 64-slice computerized tomography (CT) scanners, magnetic resonance imaging ("MRI") machines, ultrasound equipment, and a nuclear medicine camera. We also offer limited interventional radiology services. A Picture Archiving Computerized System (PACS) was added to transition the Hospital from film to electronic images to enhance the quality of care delivered by this clinical department. The Hospital has also updated its Breast Center to include digital mammography, an R-2 checker, ultrasound and breast MRI technologies. This area is staffed with a team of full time technologists and radiologists.The Center for Behavioral Health addresses the emotional, physical and spiritual needs of our senior population. The Center offers an inpatient gero-psychiatric program designed to meet the psychological and medical needs of older adults. An out-patient program is also available. Treatments are available for depression, dementia, delirium, generalized anxiety, panic, other disorders, as well as changes in behavior, function and memory. A senior assessment service is also available which provides a multidimensional assessment of a senior adult's functional ability, physical health, cognitive and mental health, and socio-environmental situation. Recently, the Center added Senior Connect to provide seniors in our community a support group designed to promote healthy living. A Senior Access Team, which is a team of trained professionals, also offers specialized assessments for in-patient's with behavioral issues or mental status changes. | Description |
| Total Program Service Expense | 69795933 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 43 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1013 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | TN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMy E Herndon | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4235224165 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 908 West FOURTH NORTH STREET | AddressLine1 |
| City | MORRISTOWN | City |
| State | TN | State |
| ZIP Code | 37814 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| MR RICHARD L CLARK | |||||||
| president & CEO | 50.00 | X | X | 294417 | 0 | 13629 | |
| MR CARL STORMS | |||||||
| CHAIRMAN | 3.00 | X | 0 | 0 | 0 | ||
| Mr Richard Swanson | |||||||
| VICE CHAIRMAN | 3.00 | X | 0 | 0 | 0 | ||
| Mr Thomas M Strate | |||||||
| SECRETARY | 3.00 | X | 0 | 0 | 0 | ||
| Mrs Kay Senter | |||||||
| DIRECTOR | 3.00 | X | 0 | 0 | 0 | ||
| Mrs Kathy Davis | |||||||
| DIRECTOR | 3.00 | X | 0 | 0 | 0 | ||
| Mr C Reece Sexton | |||||||
| DIRECTOR | 3.00 | X | 0 | 0 | 0 | ||
| Mr Edgar Gray | |||||||
| DIRECTOR | 3.00 | X | 0 | 0 | 0 | ||
| dr Ramsey Larson MD | |||||||
| DIRECTOR | 3.00 | X | 0 | 0 | 0 | ||
| Mr Thomas C Stewart | |||||||
| DIRECTOR | 3.00 | X | 0 | 0 | 0 | ||
| dr Dennis Klein DO | |||||||
| DIRECTOR | 3.00 | X | 0 | 0 | 0 | ||
| Mrs Maudie Briggs | |||||||
| DIRECTOR | 3.00 | X | 0 | 0 | 0 | ||
| Mr George o Haggard Jr | |||||||
| DIRECTOR | 3.00 | X | 0 | 0 | 0 | ||
| Mr Joe Spoone | |||||||
| DIRECTOR | 3.00 | X | 0 | 0 | 0 | ||
| MR Mark Thompson | |||||||
| SVP & CFO | 50.00 | X | 195226 | 0 | 13040 | ||
| MS DEDRA whitaker | |||||||
| SVP & CNO | 50.00 | X | 170495 | 0 | 13861 | ||
| MR Anthony Farmer | |||||||
| SVp & COO | 50.00 | X | 128561 | 0 | 6896 | ||
| DR PETER CLARK MD | |||||||
| OB/GYN | 50.00 | 380397 | 0 | 9673 | X | ||
| DR FRANK ELLIS MD | |||||||
| OB/GYN | 50.00 | 334874 | 0 | 12236 | X | ||
| DR EUSTACIA PRATT MD | |||||||
| HOSPITALIST | 50.00 | 239491 | 0 | 15991 | X | ||
| DR HARIKRISHNAN DAMODARANNAIR MD | |||||||
| CARDIOLOGIST | 50.00 | 205095 | 0 | 7830 | X | ||
| DR ALPESH PATEL MD | |||||||
| CARDIOLOGIST | 50.00 | 279148 | 0 | 9761 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2227704 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 102917 | TotalOtherCompensation |
| Number Individuals GT100 K | 18 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| nicholas anthony grimaldi | |||||
| 1647 talon ct | talbott | TN | 37877 | medical services | 111625 |
| saune-elisabet c carlisle md | |||||
| 1253 mimosa | morristown | TN | 37814 | medical services | 108792 |
| devon d smith | |||||
| 1621 w morris blvd | morristown | TN | 37813 | medical services | 105240 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Related Organizations | 41862 | RelatedOrganizations |
| Government Grants | 86769 | GovernmentGrants |
| Total Contributions | 128631 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NEt patient srvc rev | Description |
| Business Code | 621990 | BusinessCode |
| Total Revenue Column | 89439547 | TotalRevenueColumn |
| Related Or Exempt Function Income | 89439547 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 89439547 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1785028 | TotalRevenueColumn |
| Exclusion | $1,785,028 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 873989 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 178044 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 695945 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 695945 | TotalRevenueColumn |
| Exclusion | $695,945 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 25552 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -25552 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -25552 | TotalRevenueColumn |
| Exclusion | -$25,552 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| CANCER CNTR INVESTMENT | 621400 | 773700 | 773700 |
| HOSPITAL SERVICES | 900099 | 448787 | 448787 |
| BILLING FEES | 561000 | 128915 | 128915 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -225387 | TotalRevenueColumn |
| Related Or Exempt Function Income | -311545 | RelatedOrExemptFunctionIncome |
| Exclusion | $86,158 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1126015 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 93149614 | TotalRevenueColumn |
| Related Or Exempt Function Income | 90479404 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,541,579 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 642535 | Total |
| Program Services | 481901 | ProgramServices |
| Management And General | 160634 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32279979 | Total |
| Program Services | 24209984 | ProgramServices |
| Management And General | 8069995 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 521359 | Total |
| Program Services | 391019 | ProgramServices |
| Management And General | 130340 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4130981 | Total |
| Program Services | 3098236 | ProgramServices |
| Management And General | 1032745 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2160768 | Total |
| Program Services | 1620576 | ProgramServices |
| Management And General | 540192 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1335187 | Total |
| Program Services | 1001390 | ProgramServices |
| Management And General | 333797 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4778804 | Total |
| Program Services | 3584103 | ProgramServices |
| Management And General | 1194701 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 359329 | Total |
| Program Services | 269497 | ProgramServices |
| Management And General | 89832 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18573388 | Total |
| Program Services | 13930041 | ProgramServices |
| Management And General | 4643347 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1384070 | Total |
| Program Services | 1038053 | ProgramServices |
| Management And General | 346017 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63053 | Total |
| Program Services | 47290 | ProgramServices |
| Management And General | 15763 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106289 | Total |
| Program Services | 79717 | ProgramServices |
| Management And General | 26572 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1649778 | Total |
| Program Services | 1237334 | ProgramServices |
| Management And General | 412444 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4279666 | Total |
| Program Services | 3209750 | ProgramServices |
| Management And General | 1069916 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1287446 | Total |
| Program Services | 965585 | ProgramServices |
| Management And General | 321861 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad Debt Expense | 10510906 | 10510906 | |
| EQUiP. RENTAL & MAINT. | 3668816 | 2751612 | 917204 |
| Physician Fees | 563075 | 422306 | 140769 |
| Linen & Laundry | 433181 | 324886 | 108295 |
| Bank Fees | 410704 | 410704 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 828836 | Total |
| Program Services | 621747 | ProgramServices |
| Management And General | 207089 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89968150 | Total |
| Program Services | 69795933 | ProgramServices |
| Management And General | 20172217 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11283 | BOY |
| EOY | 9602 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22135034 | BOY |
| EOY | 29255618 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6398547 | BOY |
| EOY | 5617031 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 689452 | BOY |
| EOY | 2030556 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1561206 | BOY |
| EOY | 1623355 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1256679 | BOY |
| EOY | 447482 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 78437860 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 42354580 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36119954 | BOY |
| EOY | 36083280 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1032520 | BOY |
| EOY | 928340 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4779045 | BOY |
| EOY | 4458595 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7622626 | BOY |
| EOY | 6440883 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81606346 | BOY |
| EOY | 86894742 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6555383 | BOY |
| EOY | 9910834 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6097065 | BOY |
| EOY | 5319857 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28280000 | BOY |
| EOY | 29897087 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40932448 | BOY |
| EOY | 45127778 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40673898 | BOY |
| EOY | 41766964 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40673898 | BOY |
| EOY | 41766964 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81606346 | BOY |
| EOY | 86894742 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 857200 | OtherCostOrOtherBasis |
| Book Value | 857200 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 39743634 | OtherCostOrOtherBasis |
| Depreciation | 16955971 | Depreciation |
| Book Value | 22787663 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1311372 | OtherCostOrOtherBasis |
| Depreciation | 886021 | Depreciation |
| Book Value | 425351 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 35791267 | OtherCostOrOtherBasis |
| Depreciation | 24512588 | Depreciation |
| Book Value | 11278679 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 734387 | OtherCostOrOtherBasis |
| Book Value | 734387 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 36083280 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CAPITAL FUNDS | Description |
| Book Value | 4458595 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 4458595 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE FROM THIRD PARTIES | Description |
| Book Value | 6440883 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 6440883 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Long-term debt | Description |
| Amount | $29,897,087 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 29897087 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 300.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 0 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2645827 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 776006 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1869821 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02350 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13847399 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7472766 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6374633 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08020 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16493226 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8248772 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8244454 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10370 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 45 | NumberOfActivitiesOrPrograms |
| Persons Served | 84410 | PersonsServed |
| Total Community Benefit Expense | 131441 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17449 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 113992 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 6750 | PersonsServed |
| Total Community Benefit Expense | 66179 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 31050 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 35129 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 803 | PersonsServed |
| Total Community Benefit Expense | 11116 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 11116 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 52 | NumberOfActivitiesOrPrograms |
| Persons Served | 91963 | PersonsServed |
| Total Community Benefit Expense | 208736 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 48499 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 160237 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 52 | NumberOfActivitiesOrPrograms |
| Persons Served | 91963 | PersonsServed |
| Total Community Benefit Expense | 16701962 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8297271 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8404691 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10560 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 60 | PersonsServed |
| Total Community Building Expense | 797 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 797 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 500 | PersonsServed |
| Total Community Building Expense | 2412 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2412 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 11 | NumberOfActivitiesOrPrograms |
| Persons Served | 9570 | PersonsServed |
| Total Community Building Expense | 11805 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 11805 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 2297 | PersonsServed |
| Total Community Building Expense | 17583 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 60 | DirectOffsettingRevenue |
| Net Community Building Expense | 17523 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 530 | PersonsServed |
| Total Community Building Expense | 1741 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1741 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 20 | NumberOfActivitiesOrPrograms |
| Persons Served | 12957 | PersonsServed |
| Total Community Building Expense | 34338 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 60 | DirectOffsettingRevenue |
| Net Community Building Expense | 34278 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $3,194,264 | BadDebtExpenseAmount |
| Amount Attributable To | 735763 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 28323537 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 26435725 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1887812 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | associates of the meridian health outpatient surgery center llc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | healthcare services | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.88000 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.12000 | PhysicansProfitOrOwnership |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Morristown-Hamblen Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 908 WEST FOURTH NORTH STREET | AddressLine1 |
| City | MORRISTOWN | City |
| State | TN | State |
| ZIP Code | 37814 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Costing Method Used | Part I, Line 7: Cost is derived from the actual expense data accumulated within the hospital general ledger which addresses all patient segments (inpatient, outpatient, emergency room, private insurance, medicaid, medicare, uninsured, and self-pay). the Hospital allocates those expenses to all patient segments at the procedure level based on a cost-to-charge ratio. | CostingMethodUsed |
| Percent Of Total Expense Expln | Part I, Line 7f: Bad debt expense included in FOrm 990, part IX, line 25, column (a) is $10,510,906. the Hospital excluded the full amount, $10,510,906, for purposes of calculating the percentage in column (f), on part I, line 7. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: A cost-to-charge ratio was also used to determine bad debt cost. The total operating expense was divided by patient revenues to calculate an overall ratio that was then applied to the bad debt expense to arrive at cost. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: Medicare allowable costs were reported using the hospital's filed Medicare Cost Report (C/R). The C/R uses a cost to charge ratio based on a step-down allocation methodology. In caring for the patient, there are several services that are considered non-allowable by CMS such as: transportation of a patient, comfort items to include a television or a telephone. Additional non-allowable costs include the recruitment of physicians, physician guarantees and a portion of the bad debt associated with the care of the patient. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: It is the policy of the hospital to pursue collection of patient balances from patients who have the ability to pay for these services. The Hospital's collection practices apply to all patients, charity care and non-charity care, consistently and fairly regardless of insurance status. Practices include no abusive phone calls. A patient account representative is assigned to each patient account. Self-pay accounts receive a discount at discharge. Additionally, any remaining balance in an account, after posting the remit amounts, automatically transfers to a self-pay classification. Self-pay accounts that have aged 61 days and have had no payment or account activity in 29 days are sent to in-house collections. Patient account representatives diligently work with patients and evaluate new information learned during the collection process to determine if collection activities should be ceased or if the patient qualifies for financial assistance. Self-pay accounts are written off to bad debt and sent to an outside collection agency, Tri-County Collections, an organization with substantial experience in collection of patient accounts, only after all established steps have been undertaken, without success. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: The hospital currently does not formally assess the health care needs of the community it serves. However, any new physician positions created are approved by the board of directors and evaluated for the overall benefit provided to the community. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: To communicate the hospital's financial policy to the patient, the hospital's website has a "Patients and Visitors" menu where patients can go to view information about payment policies, accepted insurance, and the hospital financial assistance (charity care) program. The website gives two phone numbers that patients can use to contact a financial counselor to discuss their individual financial alternatives. The hospital's charity care policy and financial assistance contact information is posted in the admissions areas, emergency areas, and other areas of the hospital's facilities in which eligible patients may be present. All staff with patient contact are knowledgeable about the charity care policy (admitting and billing clerks, nursing and medical staffs, social workers, chaplains, patient advocates, etc.). | PatientEducationAssistance |
| Community Information | Part VI, Line 4: The hospital is located in Hamblen county. Hamblen County has a population of 61,412 and is in the Eastern portion of Tennessee. This is a rural county with the closest large city being Knoxville which is approximately 48 miles away. Hamblen County is part of the Appalachian region as defined by the Appalachian Regional Commission. 18.4% of individuals living in Hamblen County are below the poverty level. This is more than the state average of 15.7%. 75.4% of individuals living in Hamblen County have a high school education which is lower than the state average of 81.8%; 13.8% of individuals have a Bachelor's degree or higher which is lower than the state average of 22.2%. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: The hospital provides numerous education and outreach efforts to the community, ranging from health screenings and fairs to presentations to area groups. The various programs and services are provided complimentary or at a minimum charge. These are offered throughout the year based upon activities and services which Hospital believes will serve a bona fide community health need.Health Screenings and FairsHospital employees work diligently to achieve the Hospital's mission of supporting health education for the public. From providing displays and staff who can answer questions at local health fairs to underwriting the cost of complimentary community screenings, the organization reaches into the community in many ways to improve residents' understanding of the impact or lifestyle choices on health. Hospital annually provides a variety of complimentary and/or low-cost health screenings and fairs throughout its region. Hospital provides its services at the request of various schools, civic organizations, and other businesses within its area served. As an example of Hospital's commitment to health education, the following represent some, but not all, of the community health education and outreach activities provided during the year:- Medical services and equipment to participate in Remote Area Medical Volunteer Corps.- Health fairs provided to local schools, focusing on hand washing and nutrition.- Health fairs provided to area businesses within the community, offering screenings of cholesterol, body fat, blood pressure, and blood glucose.- Health clinics for Spanish-speaking individuals of the community.- Health fairs to promote the health and wellness of community senior citizens by screening blood cholesterol, body fat, blood pressure, and blood glucose targeted to Senior Connect, senior citizen centers, and local department stores.- Teacher wellness events at local schools including various screenings.- Industry fairs to promote occupational health issues.- Displays at various civic organizations, covering additional health topics such as dental health, rehabilitation, women's health, men's health, nutrition, children's health, and home safety.- Career fairs at local schools and colleges.- Flu vaccinations for area homeless shelter.- X-ray screenings of Halloween goodies for local children.- Quarterly educational seminars and education newsletter.- Safety related events focused on Christmas and Halloween safety as well as summer safety.Educational OutreachHospital has a long-standing commitment to community education in the healthcare area. This commitment is demonstrated through an active program of classes directed at the community-at-large and specialized classes directed at populations with special health needs. Hospital seeks to share health information and expand the community's awareness of available services and of the need for choosing healthy lifestyles. The Hospital's primary goal is to educate the community on health and wellness. Hospital personnel share their knowledge through guest lectures and presentations throughout the area served, including local schools (K-12 and collegiate level), civic organizations and the general public. Additionally, Hospital provides education to the community in the following ways:- Sponsors and promotes Buddy Check 11 program.- Offers educational and wellness opportunities to the members of the community through the Health Resource Center. The Center includes a library with books, videos, and other educational materials and is staffed with skilled individuals to help answer questions on health-related issues. - Provides literature to Spanish-speaking individuals of the community.- Provides literature to local area schools.- Sponsors public service advertisement for mammograms, including a one-month discount of 20% on mammography screening services when a mammogram appointment is made during the month of May, October, and November to promote breast health.- Maintains a "wall of fame" honoring individuals who have made contributions to disabled individuals.- Provides education on disabilities to assist individuals with such a life-changing event.- Provides free CPR programs to the community and reduced-cost programs to medical providers.- Sponsors diabetes class with nutritionist and staff nurse.In October 2002, Hospital launched the Buddy Check 11 program as an important step to educate the community regarding the benefit of early detection of breast cancer. Breast cancer is the second leading cause of cancer death in women. In an effort to increase awareness of the importance of early detection, Hospital teamed up with AM1150 WCRK and the Citizen Tribune. Through monthly radio and television segments along with educational materials, the Buddy Check program educates women on the importance of monthly breast self-exams and routine mammography screenings. Hospital distributes a complimentary packet containing monthly reminder stickers, a reminder refrigerator magnet, a breast self-exam hanger, and an informative breast cancer brochure.In addition to the health education programs and activities listed above, Hospital participates in other community outreach and support programs, including various community activities to benefit civic organizations, local schools, and members of the community. Hospital values the relationships maintained with the community and community organizations. Hospital provides conference rooms for a variety of meetings, seminars, and educational programming at no charge to outside groups. Additionally, Hospital provides other in-kind services and staff support to many area support groups. Listed below are some, but not all, of the community outreach programs supported by Hospital. These include:- Senior Connect for seniors in the community, including sponsoring health fairs and information and living will services at the Health Resource Center.- Various Chamber of Commerce activities including active participation on committees and on special projects.- Blood drive in participation with MEDIC Regional Blood Center.- Various activities at Walter State Community College, a local community college, including career fairs, Women's Expo, Student Wellness Fair, health education, and set-up of first aid station at Expo.- Meeting space, educational materials, food and refreshments, and the organization of picnics, holiday dinners, and various fairs and speakers for support groups, including the Diabetes Group, Growing Through Grief, Health Hearts Support Group, Multiple Sclerosis, Cancer, Senior Connect, Parkinson's Support Group, Osteoporosis, and others. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: The hospital is dedicated to serving the community by improving the quality of life of the community through better health. The hospital is committed to providing quality health care services in a caring environment that fulfills the needs of our patients, physicians, employers, employees, and community. The hospital operates an emergency room open to all persons, without regard to the ability to pay. The hospital uses any surplus funds to improve the quality of patient care, expand, or improve its facilities, and advance its medical training, education and research programs. The hospital's board of directors consists of individuals representing the community. The hospital maintains an open medical staff, with membership and privileges available to all qualified physicians and healthcare professionals. In these and other respects, the hospital is organized and operated in a manner that promotes the health of the community and therefore fulfills charitable purposes within the meaning of Internal Revenue Code section 501(c)(3).Additionally, please refer to the Statement of program service accomplishments as provided in Schedule O for further documentation regarding the hospital's commitment within its community. | OtherInformation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MR RICHARD L CLARK | |||||||||||||
| 243191 | 0 | 22439 | 0 | 28787 | 0 | 5454 | 0 | 8175 | 0 | 308046 | 0 | 0 | 0 |
| MR Mark Thompson | |||||||||||||
| 169483 | 0 | 14790 | 0 | 10953 | 0 | 3097 | 0 | 9943 | 0 | 208266 | 0 | 0 | 0 |
| MS DEDRA whitaker | |||||||||||||
| 154935 | 0 | 13586 | 0 | 1974 | 0 | 867 | 0 | 12994 | 0 | 184356 | 0 | 0 | 0 |
| DR PETER CLARK MD | |||||||||||||
| 365443 | 0 | 0 | 0 | 14954 | 0 | 0 | 0 | 9673 | 0 | 390070 | 0 | 0 | 0 |
| DR FRANK ELLIS MD | |||||||||||||
| 324131 | 0 | 0 | 0 | 10743 | 0 | 0 | 0 | 12236 | 0 | 347110 | 0 | 0 | 0 |
| DR EUSTACIA PRATT MD | |||||||||||||
| 222842 | 0 | 0 | 0 | 16649 | 0 | 5176 | 0 | 10815 | 0 | 255482 | 0 | 0 | 0 |
| DR HARIKRISHNAN DAMODARANNAIR MD | |||||||||||||
| 199838 | 0 | 0 | 0 | 5257 | 0 | 4442 | 0 | 3388 | 0 | 212925 | 0 | 0 | 0 |
| DR ALPESH PATEL MD | |||||||||||||
| 267656 | 0 | 0 | 0 | 11492 | 0 | 4442 | 0 | 5319 | 0 | 288909 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 1a | ReturnReference |
| Explanation | HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: IN CASES WHERE CORPORATE MEMBERSHIPS ARE NOT AVAILABLE, A MEMBERSHIP MAY BE OBTAINED IN AN EXEcUTIVE'S NAME WITH A "BUSINESS USE ONLY" RESTRICTION. AT THIS TIME MHHA HAS ONE SUCH MEMBERSHIP. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| morristown regional cancer center llc | |||
| provider of medical services to the hospital. | 928340 | Morristown regional cancer center, llc, a 501(c)(3) organization, provides MEDICAL SERVICES to and rents space from morristown-hamblen hospital association. Richard Clark, morristown-hamblen hospital association president and ceo, serves as an officer and trustee on the board of Morristown regional cancer center. Dedra whitaker, morristown-hamblen hospital association SVP and CNO, and Mark THompson, Morristown-hamblen hospital association SVP and CFO, also serve as trustees on the board of Morristown regional cancer center, LLC. | 0 |
| Assoc of the meridian health Outpatient Surgery Center llc | |||
| provider of healthcare services to the hospital. | 733001 | The hospital has an 88% interest in associates of the meridian health outpatient surgery center, llc (ASTC). ASTC rents space from, pays a management fee to, and pays interest on a loan to the Hospital. Dedra Whitaker, morristown-hamblen hospital association SVP and CNO, serves as a manager and is secretary on the board of ASTC. Richard Clark, morristown-hamblen hospital association president and CEO, and Tony Farmer, Morristown-hamblen hospital association SVP and Coo, also serve as managers on the board of ASTC. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | the 2009 form 990 and the related schedules are prepared by an unrelated, independent accounting firm and then submitted to the hospital CFO for internal review. a draft is also provided to the hospital board of directors for review. THe cfo is available to answer any questions received from the board and address any significant disclosures within the form 990 and related schedules prior to filing. | |
| Form 990, Part VI, Section B, line 12c | Each member of the board is asked to review the conflict of interest policy and provide disclosure of any activities which could constitute a conflict of interest oR potential conflict of interest. THe conflict of interest disclosures are reviewed by the board chair and compliance office to assure compliance with this policy. Additionally, board members are asked to recuse themselves on any matters of interest before the board in which a conflict may exist. Any such recusal is documented within the minutes of the board or committee. | |
| Form 990, Part VI, Section B, line 15 | All available salary survey data are reviewed by the Executive Committee of the hospital Board who makes the final recommendation to the hospital Board of Directors for approval for the compensation of the CEO and other key executive positions. All available salary survey data are reviewed by the HR Executive Director and other appropriate executives prior to final approval by the CEO for the compensation of other top management positions. | |
| Form 990, Part VI, Section C, line 19 | all hospital governing documents, the conflict of interst policy and financial statements are available upon request. | |
| Form 990, Part III, Line 4a, | The Center for Laboratory Services provides inpatient and outpatient testing services. These services includes a laboratory information system which provides an automated technology for tracking, distributing, and storing results of more than 700 types of tests. Laboratory services were recently made available at our Outpatient Diagnostic Center to increase patient access and expedite testing. The Laboratory is accredited by The College of American Pathologists (CAP) and the Laboratory blood bank is accredited by The American Association of Blood Banks (AABB). Prompt Family Care clinics are located throughout our primary service area for patients who need medical treatment, but whose condition is not serious enough to require a trip to the emergency room. One of the clinics is designed to meet the specialized needs of our Hispanic community with a full-time translator on staff to ensure the Hospital meets the needs of this growing population. The centers treat non-emergent conditions such as lacerations, hypertension, stomach aches, colds, and influenza. In addition to those services described above, the Hospital provides case management services, a 24-hour pharmacy, community education and outreach services, Women's Health Specialists Clinics, a Hospitalist program providing 24-hour in-patient physician services, Wellness of Women which is a free health education program for area women, and a Hospital Auxiliary program with volunteers dedicated to providing support and comfort to patients and their families. AS OF THE FISCAL YEAR ENDING JUNE 30, 2010, HOSPITAL MAINTAINED THE FOLLOWING OPERATING STATISTICS: INPATIENT ADMISSIONS 7,397 LABORATORY TESTS 442,423 RADIOLOGY EXAMS 78,405 BIRTHS 842 EMERGENCY ROOM VISITS 38,424 OUTPATIENT VISITS 100,279 SURGERIES 4,147 HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENT PROGRAMS AT BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. THE UNREIMBURSED VALUE OF PROVIDING SERVICES (CHARGES) FOR THE FISCAL YEAR ENDING JUNE 30, 2010 WAS $97,053,513 FOR SERVICES TO MEDICARE, MEDICAID, AND TENNCARE; $64,521,619 FOR SERVICES TO ENTITIES WHO RECEIVED DISCOUNTS FROM FULL CHARGES; $3,133,448 FOR SERVICES TO CHARITY AND OTHER INDIGENT PATIENTS; AND $10,510,905 IN CHARGES WHICH WERE NOT PAID BECAUSE THEY BECAME BAD DEBTS. NO PATIENT WAS REFUSED NECESSARY MEDICAL CARE ON THE BASIS OF THEIR INABILITY TO PAY. | Continuation of program service accomplishments: |
| Form 990, Part XI, line 2b, | Morristown-Hamblen Hospital Association became part of the Covenant Health System, a section 501(C)(3) organization, on July 1, 2010. As such, agreed upon procedures were performed in accordance with the transaction. Audited financial statements as of June 30, 2010 were not prepared for Morristown-Hamblen Hospital Association. | Audited financial statements: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | mORRISTOWN HAMBLEN HEALTH SPECIALISTS LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 908 WEST FOURTH NORTH STREET | AddressLine1 |
| City | MORRISTOWN | City |
| State | TN | State |
| ZIP Code | 37814 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 264532036 | EIN |
| Primary Activities | HEALTHCARE SERVICES | PrimaryActivities |
| Legal Domicile State | TN | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| MORRISTOWN-HAMBLEN HOSPITAL FOUNDATION | |||||||||
| 908 west fourth north street | MORRISTOWN | TN | 37814 | 621697090 | fundraising for hospital | TN | 501(c)(3) | Line 11a, I | N/A |
| morristown regional cancer center llc | |||||||||
| 137 east blount avenue | knoxville | TN | 37920 | 200916364 | medical services | TN | 501(c)(3) | Line 3 | N/A |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Assoc of the meridian health Outpatient Surgery Center llc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 908 west fourth north street | AddressLine1 |
| City | morristown | City |
| State | TN | State |
| ZIP Code | 37814 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861167487 | EIN |
| Primary Activity | healthcare services | PrimaryActivity |
| Legal Domicile State | TN | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | related | PredominantIncomeType |
| Share Of Total Income | -479 | ShareOfTotalIncome |
| Share Of EOY Assets | 3741547 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | morristown-hamblen health services | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1178 | AddressLine1 |
| City | morristown | City |
| State | TN | State |
| ZIP Code | 37816 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621588521 | EIN |
| Primary Activity | inactive | PrimaryActivity |
| Legal Domicile State | TN | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Associates of the meridian health outpatient surgery center llc | |
| D | 1365243 |
| Associates of the Meridian Health Outpatient Surgery Center LLC | |
| A | 459275 |
| Associates of the meridian health outpatient surgery center llc | |
| K | 273726 |
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