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← MORRISTOWN HAMBLEN HOSP

Form 990 for tax year 2022

Filed by MORRISTOWN HAMBLEN HOSP.

Totals

Total revenue
$136,975,269
Total expenses
$118,733,361
Contributions and grants received
$3,723,099
Grants paid
$30,902
Program service revenue
$132,693,846
Investment income
$24,321
Other revenue
$534,003
Total assets, end of year
$90,654,910
Total liabilities, end of year
$11,005,500
Net assets or fund balances, end of year
$79,649,410
Program services expenses (Part IX)
$116,435,228
Management and general expenses
$2,298,133
Fundraising expenses
$0
Program service expenses (Part III)
$116,435,228

Program services were 98.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $3,722,067

  • 1f · All other contributions, gifts and grants

    $1,032

  • 2a · Program service revenue: Net Patient Revenue

    total $132,564,120 · related or exempt $132,564,120

  • 2b · Program service revenue: Rental Income - Exempt Affiliate

    total $129,726 · related or exempt $129,726

  • 3 · Investment income

    total $28,509 · excluded $28,509

  • 6a · Gross rents

    real property $237,837

  • 6b · Less rental expenses

    real property $151,834

  • 6c · Rental income or loss

    real property $86,003

  • 6d · Net rental income or loss

    total $86,003 · unrelated business $86,003

  • 7b · Less cost or other basis and sales expenses

    other assets $4,188

  • 7c · Gain or loss

    other assets -$4,188

  • 7d · Net gain or loss

    total -$4,188 · excluded -$4,188

  • 11a · Other revenue: Cafeteria

    total $273,295 · excluded $273,295

  • 11b · Other revenue: Gift Shop

    total $81,578 · excluded $81,578

  • 11c · Other revenue: Vending

    total $37,789 · excluded $37,789

  • 11d · All other revenue

    total $55,338 · related or exempt $17,620 · excluded $37,718

  • 11e · Other revenue, total

    $448,000

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $4,482 · program services $4,482

  • 2 · Grants to domestic individuals

    total $26,420 · program services $26,420

  • 5 · Compensation of officers, directors and key employees

    total $399,647 · management and general $399,647

  • 7 · Other salaries and wages

    total $35,887,811 · program services $35,326,330 · management and general $561,481

  • 8 · Pension plan contributions

    total $552,136 · program services $548,584 · management and general $3,552

  • 9 · Other employee benefits

    total $3,905,351 · program services $3,850,149 · management and general $55,202

  • 10 · Payroll taxes

    total $2,603,111 · program services $2,538,819 · management and general $64,292

  • 11a · Fees: management

    total $12,125,379 · program services $11,897,058 · management and general $228,321

  • 11b · Fees: legal

    total $124,654 · management and general $124,654

  • 11g · Fees: other

    total $13,711,774 · program services $13,611,760 · management and general $100,014

  • 12 · Advertising and promotion

    total $151,309 · program services $147,550 · management and general $3,759

  • 13 · Office expenses

    total $662,847 · program services $563,403 · management and general $99,444

  • 16 · Occupancy

    total $2,928,921 · program services $2,698,083 · management and general $230,838

  • 17 · Travel

    total $36,526 · program services $35,998 · management and general $528

  • 19 · Conferences, conventions and meetings

    total $15,451 · program services $14,409 · management and general $1,042

  • 22 · Depreciation, depletion and amortization

    total $5,743,114 · program services $5,656,694 · management and general $86,420

  • 23 · Insurance

    total $117,037 · program services $6,711 · management and general $110,326

  • 24a · Other expenses: Medical Supplies

    total $27,986,707 · program services $27,986,707

  • 24b · Other expenses: Bad Debt

    total $7,943,991 · program services $7,943,991

  • 24c · Other expenses: Minor Equipment

    total $2,784,777 · program services $2,762,179 · management and general $22,598

  • 24d · Other expenses: Food and Dietary

    total $497,957 · program services $497,860 · management and general $97

  • 24e · All other expenses

    total $523,959 · program services $318,041 · management and general $205,918

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,380 · end of year $1,380

  • 2 · Savings and temporary cash investments

    beginning of year -$607,883 · end of year -$2,606,547

  • 4 · Accounts receivable

    beginning of year $13,089,242 · end of year $15,633,557

  • 8 · Inventories for sale or use

    beginning of year $1,201,662 · end of year $1,145,303

  • 9 · Prepaid expenses and deferred charges

    beginning of year $438,200 · end of year $496,234

  • 10a · Land, buildings and equipment: cost or other basis

    $166,673,550

  • 10b · Land, buildings and equipment: accumulated depreciation

    $101,180,508

  • 10c · Land, buildings and equipment, net

    beginning of year $46,225,652 · end of year $65,493,042

  • 14 · Intangible assets

    beginning of year $8,819,138 · end of year $8,819,138

  • 15 · Other assets

    beginning of year $2,667,741 · end of year $1,672,803

  • 17 · Accounts payable and accrued expenses

    beginning of year $14,068,754 · end of year $9,567,480

  • 25 · Other liabilities

    beginning of year $1,513,541 · end of year $1,438,020

  • 27 · Net assets without donor restrictions

    beginning of year $56,252,837 · end of year $79,649,410

Mission and programs · 2022

Mission

Morristown-Hamblen Hospital Association provides quality healthcare, in alignment with Covenant Health's mission to serve the community by improving the quality of life through better health, regardless of the patient's ability to pay.

Activities or mission (Part I)

Morristown-Hamblen Hospital Association operates a 167-bed acute care hospital located in Hamblen County, Tennessee. It is a member of the Covenant Health System.

  • Withheld by Nonprofiteer: this text may name a private individual.

    Expenses $116,435,228 · Grants $30,902 · Revenue $132,711,466

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here. A text marked withheld matched a screen for wording that may name a private individual, such as an honorific or "in memory of". Most of what it withholds names no one; it is withheld so that what does is never shown.

Listed in Part VII

  • Gerald Boyd

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Willard Campbell MD

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Michael Casey MD

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Ronni Chandler

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Mitchell Dickson MD

    Director

    Total calculated
    $268
    From this org
    $0
    From related orgs
    $268
    Other
    $0
    Hours/week
    0 + 1 related

  • Stephanie Flood

    Director

    Total calculated
    $849
    From this org
    $0
    From related orgs
    $849
    Other
    $0
    Hours/week
    0 + 1 related

  • James Gibson

    Director

    Total calculated
    $74
    From this org
    $0
    From related orgs
    $74
    Other
    $0
    Hours/week
    0 + 1 related

  • Edgar Gray

    Director

    Total calculated
    $1,432
    From this org
    $0
    From related orgs
    $1,432
    Other
    $0
    Hours/week
    0 + 1 related

  • Leslye Hartsell

    Director

    Total calculated
    $889
    From this org
    $0
    From related orgs
    $889
    Other
    $0
    Hours/week
    0 + 1 related

  • Donald Hickman

    Director

    Total calculated
    $1,538
    From this org
    $0
    From related orgs
    $1,538
    Other
    $0
    Hours/week
    0 + 1 related

  • Timothy Matthews

    Director

    Total calculated
    $906
    From this org
    $0
    From related orgs
    $906
    Other
    $0
    Hours/week
    0 + 1 related

  • Janice McKinley

    Director

    Total calculated
    $1,097
    From this org
    $0
    From related orgs
    $1,097
    Other
    $0
    Hours/week
    0 + 1 related

  • Dave Miller

    Director

    Total calculated
    $1,208
    From this org
    $0
    From related orgs
    $1,208
    Other
    $0
    Hours/week
    0 + 1 related

  • Bill Myers

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Alvin Nance

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Linda Ogle

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • King Purnell

    Director/Chair

    Total calculated
    $1,050
    From this org
    $0
    From related orgs
    $1,050
    Other
    $0
    Hours/week
    0 + 1 related

  • Jorge Sanabria

    Director

    Total calculated
    $1,485
    From this org
    $0
    From related orgs
    $1,485
    Other
    $0
    Hours/week
    0 + 1 related

  • William Seale

    Director

    Total calculated
    $1,251
    From this org
    $0
    From related orgs
    $1,251
    Other
    $0
    Hours/week
    0 + 1 related

  • Cosby Stone

    Director

    Total calculated
    $1,408
    From this org
    $0
    From related orgs
    $1,408
    Other
    $0
    Hours/week
    0 + 1 related

  • Joe Sutter

    Director

    Total calculated
    $979
    From this org
    $0
    From related orgs
    $979
    Other
    $0
    Hours/week
    0 + 1 related

  • James Tramontana MD

    Director

    Total calculated
    $1,208
    From this org
    $0
    From related orgs
    $1,208
    Other
    $0
    Hours/week
    0 + 1 related

  • James D VanderSteeg

    President & CEO

    Total calculated
    $2,662,703
    From this org
    $0
    From related orgs
    $2,346,646
    Other
    $316,057
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,425,507 related
    Bonus
    $0 + $742,500 related
    Other
    $0 + $178,639 related
    Deferred
    $0 + $284,975 related
    Nontaxable benefits
    $0 + $31,082 related
    Filer's total
    $0 + $2,662,703 related

  • John T Geppi

    EVP/CFO

    Total calculated
    $1,133,767
    From this org
    $0
    From related orgs
    $1,099,851
    Other
    $33,916
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $679,719 related
    Bonus
    $0 + $309,084 related
    Other
    $0 + $111,048 related
    Deferred
    $0 + $11,600 related
    Nontaxable benefits
    $0 + $22,316 related
    Filer's total
    $0 + $1,133,767 related

  • Gordon E Lintz

    President & CAO

    Total calculated
    $504,776
    From this org
    $0
    From related orgs
    $481,299
    Other
    $23,477
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $314,946 related
    Bonus
    $0 + $105,813 related
    Other
    $0 + $60,540 related
    Deferred
    $0 + $11,600 related
    Nontaxable benefits
    $0 + $11,877 related
    Filer's total
    $0 + $504,776 related

  • Amy E Herndon

    VP - Financial Services

    Total calculated
    $212,268
    From this org
    $186,096
    From related orgs
    $0
    Other
    $26,172
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $121,570
    Bonus
    $29,075
    Other
    $35,451
    Deferred
    $5,738
    Nontaxable benefits
    $20,434
    Filer's total
    $212,268

  • Lisa M Kelley

    VP - Chief Nursing Officer

    Total calculated
    $187,379
    From this org
    $153,733
    From related orgs
    $0
    Other
    $33,646
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $127,887
    Bonus
    $10,000
    Other
    $15,846
    Deferred
    $4,602
    Nontaxable benefits
    $29,044
    Filer's total
    $187,379

  • Robert J Drinnon

    Medical Physicist

    Total calculated
    $226,119
    From this org
    $191,573
    From related orgs
    $0
    Other
    $34,546
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $190,086
    Bonus
    $1,220
    Other
    $267
    Deferred
    $5,974
    Nontaxable benefits
    $28,572
    Filer's total
    $226,119

  • Donna J Antrican

    Clinical Nurse

    Total calculated
    $147,782
    From this org
    $129,483
    From related orgs
    $0
    Other
    $18,299
    Hours/week
    50

  • Pamela S Western

    Pharmacist

    Total calculated
    $164,929
    From this org
    $142,767
    From related orgs
    $0
    Other
    $22,162
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $141,119
    Bonus
    $1,220
    Other
    $428
    Deferred
    $4,411
    Nontaxable benefits
    $17,751
    Filer's total
    $164,929

  • Jacqueline S Lewis

    Clinical Nurse

    Total calculated
    $161,914
    From this org
    $131,785
    From related orgs
    $0
    Other
    $30,129
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $129,519
    Bonus
    $2,220
    Other
    $46
    Deferred
    $2,449
    Nontaxable benefits
    $27,680
    Filer's total
    $161,914

  • Renata Hannah

    Clinical Nurse

    Total calculated
    $140,925
    From this org
    $128,083
    From related orgs
    $0
    Other
    $12,842
    Hours/week
    50

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Tax indemnification and gross-up payments
  • 1a · Personal services (maid, chauffeur, chef)
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 1a
Tax gross-up payments related to deferred compensation and reimbursement of fees for personal services for legal and financial planning are provided to certain executives and managers. Amounts are included in taxable compensation.
Part I, Line 3
Covenant Health, the parent company of Morristown-Hamblen Hospital Association, used the following methods in establishing the compensation of President/CEO, James D. VanderSteeg: compensation committee, independent compensation consultant, written employment contract, compensation survey or study, and approval by the board or compensation committee. Additional detail is provided in response to Form 990, Part VI, Section B, Lines 15a and 15b within Schedule O.
Part I, Line 4b
Covenant Health maintains a nonqualified deferred compensation ("NQDC") plan intended to support retention of President and CEO, James D. VanderSteeg. Employer contributions of $273,375 are reported as deferred compensation on Schedule J, Part II, Column C. Contributions along with 2022 earnings of $70,560 are subject to a substantial risk of forfeiture. Amounts are combined with other compensation and considered for reasonableness. Compensation procedures are discussed in detail in Schedule O (Form 990, Part VI, Section B, Line 15a).

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
8 November 2023
IRS schema version
2022v5.0
Source object
202333179349311043

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