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FORT LOUDOUN MEDICAL CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
FORT LOUDOUN MEDICAL CENTER (EIN 62-1373691)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-13
IRS object ID
202303179349309695
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-13T16:21:41-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN621373691EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Fort Loudoun Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFORTBusinessNameControlTxt
Phone8653743140PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11420 Centerpoint Blvd Bldg CAddressLine1Txt
CityKnoxvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP379321960ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJoseph C DolanPersonNm
Person TitleEVP/CFOPersonTitleTxt
Phone8655315421PhoneNum
Signature2023-11-08SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJosephPersonFirstNm
Person LastDolanPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJames D VanderSteegPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1244 Ft Sanders W BlvdAddressLine1Txt
CityKnoxvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37922ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$45,783,471GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.covenanthealth.com/fort-loudoun/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionFort Loudoun Medical Center is a 50-bed full service, acute care hospital located in Loudon County, Tennessee. It is a member of the Covenant Health system.ActivityOrMissionDesc
Voting Members Governing Body23VotingMembersGoverningBodyCnt
Voting Members Independent22VotingMembersIndependentCnt
Total Employee329TotalEmployeeCnt
Total Volunteers52TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$445,055PYContributionsGrantsAmt
CY Contributions Grants$912,511CYContributionsGrantsAmt
PY Program Service Revenue$40,723,513PYProgramServiceRevenueAmt
CY Program Service Revenue$44,620,604CYProgramServiceRevenueAmt
PY Investment Income$22,403PYInvestmentIncomeAmt
CY Investment Income$8,709CYInvestmentIncomeAmt
PY Other Revenue$220,228PYOtherRevenueAmt
CY Other Revenue$235,504CYOtherRevenueAmt
PY Total Revenue$41,411,199PYTotalRevenueAmt
CY Total Revenue$45,777,328CYTotalRevenueAmt
PY Grants And Similar Paid$1,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,620CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$15,425,404PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$15,311,062CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$22,430,194PYOtherExpensesAmt
CY Other Expenses$25,195,051CYOtherExpensesAmt
PY Total Expenses$37,856,598PYTotalExpensesAmt
CY Total Expenses$40,508,733CYTotalExpensesAmt
PY Revenues Less Expenses$3,554,601PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,268,595CYRevenuesLessExpensesAmt
Total Assets BOY$20,853,136TotalAssetsBOYAmt
Total Assets EOY$20,744,558TotalAssetsEOYAmt
Total Liabilities BOY$5,398,907TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,213,943TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,454,229NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,530,615NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionFort Loudoun Medical Center provides quality healthcare, in alignment with Covenant Health's mission to serve the community by improving the quality of life through better health, regardless of a patient's ability to pay.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$38,973,364ExpenseAmt
Grant$2,620GrantAmt
Revenue$44,625,404RevenueAmt
DescFort Loudoun Medical Center has been located in Lenoir City, Tennessee, since 2004, after serving the area from a previous location in Loudon County for many years. SERVICEFort Loudoun Medical Center ("Fort Loudoun")is known for quality and safety, and has earned accolades for top performance on core measures for inpatient care. The medical center is in the top 10 percent of hospitals nationwide in the prevention of hospital-acquired infections. The medical center is certified by The Joint Commission as an Advanced Primary Stroke Center. As part of Covenant Health's stroke hospital network, Fort Loudoun provides rapid diagnosis and treatment of stroke. In 2022 the hospital saw 62,898 patients. Of these, 60,741 were outpatients and 2,157 were inpatients with an average length-of-stay of 4.87 days. PUTTING PATIENTS FIRSTFort Loudoun Medical Center Descriptive Highlights - 87,000-square-foot facility, with an adjacent two-story medical office building - 50 beds with bedside charting technology - State-of-the-art imaging: X-Ray, CT, MRI, nuclear medicine and Low-Dose CT Lung Cancer screening. The hospital's Picture Archiving and Communications System (PACS) allows for digital capture, storage and transmission of medical images - Emergency department with 12 private suites, open 24/7, 365 days a year - Surgical suites for endoscopy and gastrointestinal procedures; ear, nose and throat; gynecology; ophthalmology; orthopedic; podiatry; pulmonology, and general non-invasive procedures - Women's Imaging Department offers mammography, ultrasound and bone density testing - Central registration area - Spacious private and semi-private rooms - Helipad for emergency transportation - Physicians representing various medical specialties provide a growing community with increased access to convenient, local care.IMPROVING THE COMMUNITY'S QUALITY OF LIFE THROUGH BETTER HEALTHBecause of COVID-19, many of Fort Loudoun's community-focused health events were paused. Previously, hospital staff, including the chief administrative officer and chief nursing officer, provided stroke education to the community through tours and luncheons offered at the hospital as well as external presentations to churches, schools, neighborhoods, fire departments, EMS, and local organizations. Fort Loudoun collaborated with local schools to provide tobacco education to students, offering health-related information to students who are caught using tobacco products on school property.Friday Fitness, a local hiking program through Covenant Health, provided quarterly community hikes throughout the year. Fort Loudoun looks forward to resuming these community events.COVENANT HEALTH Fort Loudoun is a member of Covenant Health. Covenant Health is a comprehensive, community-owned health system dedicated to improving the health of the people it serves. Established in 1996 by the consolidation of Fort Sanders Health System, Knoxville, Tennessee, and MMC HealthCare System in Oak Ridge, Covenant Health is governed by a voluntary board of directors comprised of community leaders and medical professionals. With more than 11,000 employees, affiliated physicians and volunteers, Covenant Health is the Knoxville area's largest employer and has been named a Best Employer by Forbes. Covenant Health includes nine acute care hospitals in East Tennessee: Methodist Medical Center of Oak Ridge, Fort Sanders Regional Medical Center and Parkwest Medical Center in Knoxville, Fort Loudoun Medical Center in Lenoir City, LeConte Medical Center in Sevierville, Morristown-Hamblen Healthcare System in Morristown, Roane Medical Center in Harriman, Claiborne Medical Center in Tazewell and Cumberland Medical Center in Crossville. It also includes Peninsula, a division of Parkwest Medical Center, a behavioral health hospital in Blount County, Tennessee. The health system also includes Covenant Medical Group, which includes more than 200 physicians and advanced practice clinicians in office locations throughout East Tennessee.Affiliated organizations include Thompson Cancer Survival Center, Thompson Oncology Group, Fortress Corporation and Subsidiaries, Covenant HomeCare, and Fort Sanders Perinatal Center. Philanthropic organizations include Fort Sanders Foundation and the Thompson Cancer Survival Center Foundation in Knoxville, Methodist Medical Center Foundation in Oak Ridge, Dr. Robert F. Thomas Foundation in Sevierville, and Morristown-Hamblen Hospital Foundation in Morristown. Funds raised by the foundations provide services, equipment and other resources for excellence in patient care.Fort Loudoun, as a member of the Covenant Health System, benefits from the collaboration among all affiliated organizations to promote quality improvement, patient safety and efficient delivery of care for the communities served.Desc
Total Program Service Expenses$38,973,364TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document50IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee329EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members23GoverningBodyVotingMembersCnt
Independent Voting Member22IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Amy DeLongBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8653743140PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11420 Centerpoint Blvd Bldg CAddressLine1Txt
CityKnoxvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP379321960ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Gerald Boyd
Director0.001.00Yes (X)$0$0$0
Willard Campbell MD
Director0.001.00Yes (X)$0$0$0
Michael Casey MD
Director0.001.00Yes (X)$0$0$0
Ronni Chandler
Director0.001.00Yes (X)$0$0$0
Mitchell Dickson MD
Director0.001.00Yes (X)$0$268$0
Stephanie Flood
Director0.001.00Yes (X)$0$849$0
James Gibson
Director0.001.00Yes (X)$0$74$0
Edgar Gray
Director0.001.00Yes (X)$0$1,432$0
Leslye Hartsell
Director0.001.00Yes (X)$0$889$0
Donald Hickman
Director0.001.00Yes (X)$0$1,538$0
Timothy Matthews
Director0.001.00Yes (X)$0$906$0
Janice McKinley
Director0.001.00Yes (X)$0$1,097$0
Dave Miller
Director0.001.00Yes (X)$0$1,208$0
Bill Myers
Director0.001.00Yes (X)$0$0$0
Alvin Nance
Director0.001.00Yes (X)$0$0$0
Linda Ogle
Director0.001.00Yes (X)$0$0$0
King Purnell
Director/Chair0.001.00Yes (X)$0$1,050$0Yes (X)
Jorge Sanabria
Director0.001.00Yes (X)$0$1,485$0
William Seale
Director0.001.00Yes (X)$0$1,251$0
Cosby Stone
Director0.001.00Yes (X)$0$1,408$0
Joe Sutter
Director0.001.00Yes (X)$0$979$0
James Tramontana MD
Director0.001.00Yes (X)$0$1,208$0
James D VanderSteeg
President & CEO0.0050.00Yes (X)$0$2,346,646$316,057Yes (X)
John T Geppi
EVP/CFO0.0050.00$0$1,099,851$33,916Yes (X)
Jeffrey L Feike
Fmr Pres & CAO (through Apr 2022)50.000.00$0$306,366$22,185Yes (X)
Connie B Martin
President & CAO50.000.00$0$244,887$38,175Yes (X)
M Scott Hamilton
VP - Financial Services10.0040.00$0$247,377$41,607Yes (X)
Suzanne Miller
VP - Chief Nursing Officer50.000.00$168,636$0$16,490Yes (X)
Ashley N Touton
Clinical Nurse50.000.00$142,700$0$16,594Yes (X)
Brenda L Smith
Clinical Nurse50.000.00$130,878$0$27,326Yes (X)
Matthew A Messer
Pharmacist50.000.00$119,108$0$39,195Yes (X)
Julie A Roberts
Team Leader - Ultrasound50.000.00$118,401$0$25,855Yes (X)
Steven M Mccullar Jr
Administrative Supervisor50.000.00$121,947$0$27,698Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$801,670TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,260,769TotReportableCompRltdOrgAmt
Total Other Compensation$605,098TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
The MCR Group LLC
PO Box 51325KnoxvilleTN37950Consulting Fees - Managed Care$780,121
Linen King LLC
1521 W 36th PlTulsaOK74107Linen Services$368,121
Medic Regional Blood Center
1601 Ailor AvenueKnoxvilleTN37921Blood Processing$207,204
Quest Diagnostics
PO Box 912512PasadenaCA911102512Diagnostic Services$154,961
Mayo Collaborative Services LLC
PO Box 4100RochesterMN559034100Lab Services$131,721
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Government Grants$912,511GovernmentGrantsAmt
Total Contributions$912,511TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNet Patient RevenueDesc
Business622110BusinessCd
Total Revenue Column$44,620,604TotalRevenueColumnAmt
Related Or Exempt Func Income$44,620,604RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$44,620,604TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,852TotalRevenueColumnAmt
Exclusion$14,852ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$6,143OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$6,143OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,143TotalRevenueColumnAmt
Exclusion-$6,143ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria722514$117,158$117,158
Gift Shop459420$113,166$113,166
Student Sponsorships812900$4,800$4,800

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$380TotalRevenueColumnAmt
Exclusion$380ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$235,504OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,777,328TotalRevenueColumnAmt
Related Or Exempt Func Income$44,625,404RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$239,413ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,620TotalAmt
Program Services$2,620ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$185,126TotalAmt
Management And General$185,126ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,585,303TotalAmt
Program Services$11,999,527ProgramServicesAmt
Management And General$585,776ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$387,788TotalAmt
Program Services$375,038ProgramServicesAmt
Management And General$12,750ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,240,244TotalAmt
Program Services$1,186,556ProgramServicesAmt
Management And General$53,688ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$912,601TotalAmt
Program Services$869,105ProgramServicesAmt
Management And General$43,496ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$4,583,827TotalAmt
Program Services$4,522,835ProgramServicesAmt
Management And General$60,992ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$905TotalAmt
Management And General$905ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,314,715TotalAmt
Program Services$7,259,465ProgramServicesAmt
Management And General$55,250ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$83,297TotalAmt
Program Services$79,422ProgramServicesAmt
Management And General$3,875ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$332,244TotalAmt
Program Services$221,912ProgramServicesAmt
Management And General$110,332ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,140,859TotalAmt
Program Services$866,098ProgramServicesAmt
Management And General$274,761ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,536TotalAmt
Program Services$5,041ProgramServicesAmt
Management And General$495ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,389TotalAmt
Program Services$2,389ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,939,455TotalAmt
Program Services$1,939,455ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$46,986TotalAmt
Program Services$7,638ProgramServicesAmt
Management And General$39,348ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$4,773,292$4,773,292
Bad Debt$3,348,752$3,348,752
Minor Equipment$1,170,803$1,120,360$50,443
Food and Dietary$229,267$229,160$107

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$222,724TotalAmt
Program Services$164,699ProgramServicesAmt
Management And General$58,025ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$40,508,733TotalAmt
Program Services$38,973,364ProgramServicesAmt
Management And General$1,535,369ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,800BOYAmt
EOY$1,800EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY-$240,048BOYAmt
EOY-$172,196EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,529,943BOYAmt
EOY$4,940,438EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$324,235BOYAmt
EOY$324,923EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$116,832BOYAmt
EOY$106,507EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$48,231,256LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$33,131,449LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$15,177,630BOYAmt
EOY$15,099,807EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$942,744BOYAmt
EOY$443,279EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$20,853,136BOYAmt
EOY$20,744,558EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,194,563BOYAmt
EOY$2,938,237EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,204,344BOYAmt
EOY$1,275,706EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,398,907BOYAmt
EOY$4,213,943EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,454,229BOYAmt
EOY$16,530,615EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,454,229BOYAmt
EOY$16,530,615EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,853,136BOYAmt
EOY$20,744,558EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,268,595ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$4,192,209OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,335,985OtherCostOrOtherBasisAmt
Book Value$2,335,985BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,586,046OtherCostOrOtherBasisAmt
Depreciation$10,941,348DepreciationAmt
Book Value$6,644,698BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$49,526OtherCostOrOtherBasisAmt
Depreciation$36,193DepreciationAmt
Book Value$13,333BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,166,955OtherCostOrOtherBasisAmt
Depreciation$22,153,908DepreciationAmt
Book Value$6,013,047BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$92,744OtherCostOrOtherBasisAmt
Book Value$92,744BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$15,099,807TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Due to Affiliates, Net$209,505
Long-Term Deferred Compensation$188,478
Long-Term Reserve for Workers Comp$50,000
Operating and Finance Leases$150,765
Third Party Settlements$676,958
FieldValueIRS element (for citing)
Total Liability$1,275,706TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationExcerpt from the consolidated audited financial statements of Covenant Health (Covenant), parent company to Fort Loudoun Medical Center: Covenant and certain of its subsidiaries or controlled entities are exempt from income taxes pursuant to Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes on qualifying activities has been made for these entities in the accompanying consolidated financial statements. However, certain entities and operations are subject to income taxes. Covenant had no unrecognized tax benefits at December 31, 2022 and 2021. As such, no interest or penalties were recognized in the consolidated financial statements related to unrecognized tax benefits. At December 31, 2022 and 2021, tax returns for 2019 through 2022 are subject to examination by the Internal Revenue Service. Covenant has no uncertain tax positions that would require financial statement recognition or disclosure under GAAP at December 31, 2022 and 2021.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,740,364TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,740,364NetCommunityBenefitExpnsAmt
Total Expense0.04680TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,239,252TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,727,637DirectOffsettingRevenueAmt
Net Community Benefit Expns$511,615NetCommunityBenefitExpnsAmt
Total Expense0.01380TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,951TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,071DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,987,567TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,742,708DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,251,979NetCommunityBenefitExpnsAmt
Total Expense0.06060TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,674TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$23,674NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$87TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$87NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,782,046TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,782,046NetCommunityBenefitExpnsAmt
Total Expense0.07490TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,480TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,480NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,816,287TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,816,287NetCommunityBenefitExpnsAmt
Total Expense0.07580TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,803,854TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,742,708DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,068,266NetCommunityBenefitExpnsAmt
Total Expense0.13640TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,304TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,304NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$745TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$745NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$35NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,084TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,084NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,348,752BadDebtExpenseAmt
Bad Debt Expense Attributable$399,477BadDebtExpenseAttributableAmt
Reimbursed By Medicare$8,493,566ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$7,724,928CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$768,638MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Fort Loudoun Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1550 Fort Loudoun Medical CenterAddressLine1Txt
Address Line2DriveAddressLine2Txt
CityLenoir CityCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37772ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.covenanthealth.com/fort-loudounWebsiteAddressTxt
State License00000084StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Fort Loudoun Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted20CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Page 8OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Page 8StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.covenanthealth.com/patients-visitors/financial-assistance/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.covenanthealth.com/patients-visitors/financial-assistance/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.covenanthealth.com/patients-visitors/financial-assistance/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Fort Loudoun Medical CenterPart V, Section B, Line 5: Fort Loudoun Medical Center ("Fort Loudoun") conducted its third Community Health Needs Assessment ("CHNA") in 2020. A Steering Committee was formed to guide the assessment process and included the Loudon County Health Department, Loudon County United Way, Fort Loudoun Medical Center, Loudon County Health Council, and the Prevention Alliance of Loudon County. Each of these community organizations serve the broader community and, in particular, the low-income, uninsured, and chronically ill. The Steering Committee worked with the University of Tennessee-Knoxville Social Work Office of Research and Public Service ("UT-SWORPS") to devise a Loudon County household survey and to host three focus groups of community leaders, each of which represented a part of the overall Loudon County public health system. The household survey collected information from 353 Loudon County residents. Participation in the survey was diverse and reflected the demographic profile of the county for the attributes of educational level, income, ethnicity and age. The primary research was analyzed and combined with county demographics, mortality, and secondary data for more than 60 health indicators. A Data Team was formed to begin the analysis of the data and determine the most significant findings from the assessment. The Data Team included members of the Steering Committee as well as representatives from the Tennessee Department of Public Health, Office on Aging, Prevention Alliance of Loudon County, and several community leaders.
Fort Loudoun Medical CenterPart V, Section B, Line 6b: Though Fort Loudoun's CHNA was issued as a stand-alone report, many non-hospital organizations assisted with the report. Research partners provided expertise on survey design, focus group facilitation, data collection, data sources, and analysis. UT-SWORPS was an integral participant, as well as the Loudon County Health Department and the Loudon County Health Council.Additionally, focus groups were beneficial in discussing and identifying community needs in Loudon County. Organizations and individuals participating in the focus groups include:- Align 9 - Boys and Girls Club - Cherokee Health System - Edward Jones Financial- Good Samaritan Center - Community Hispanic advocate - Community Volunteer - Senior Advocate - District Attorney's Office- Loudon Co. Coordinated School Health - Loudon Co. Health Department- Loudon Co. Health Council - Loudon Co. Government - Loudon Co. United Way - News Herald - Prevention Alliance of Loudon Co. - Tate and Lyle - Tellico Recreation Center - UT Extension Service - Veterans Affairs - Victim Advocate YWCA
Fort Loudoun Medical CenterPart V, Section B, Line 11: At the conclusion of the 2020 assessment process, the Data Team identified a list of 7 health priorities. The primary findings from the assessment were chronic disease management, mental health, substance abuse, COVID-19, tobacco, homelessness and non-English speaking residents. The top four most significant issues in rank order as determined by the Data Team were: 1. Substance Abuse Disorder 2. Chronic Disease Management 3. Mental Health 4. Tobacco Fort Loudoun updated its 2020 Implementation Plan based on the identified needs and plans to address all of the identified issues in the following ways:1. Mental HealthBehavioral Health Services Expansion - Psychiatric consult service is now being provided for patients in the Emergency Department and for inpatients at Fort Loudoun via tele-video through Peninsula Behavioral Health, a department of Parkwest Medical Center. - Fort Loudoun, with funding support from the Covenant Health Office of Philanthropy, implemented an Emergency Department Diversion Program in 2021. A team of medical and behavioral specialists will conduct a behavioral assessment and treatment plan to propose measures to meet the identified needs. An outreach specialist will follow up with patients to oversee the implementation plan. 2. Chronic Disease ManagementPulmonary Outreach Programs - Fort Loudoun is offering a grant-funded pulmonary rehab program that addresses Chronic Obstructive Pulmonary Disease and Post-COVID Syndrome. Information is given to medical providers for community members who would benefit from the program.Community Stroke Education - Fort Loudoun will continue to promote and implement a community-wide stroke education program in Loudon County to improve and ensure awareness of stroke, stroke symptoms and the need for rapid treatment.3. Substance AbusePeninsula Drug Treatment Program - Fort Loudoun can now refer their patients to Peninsula Medication Assistance Treatment program's Center for Outpatient Services for Substance Abuse. This program offers specialized medications and intensive therapy to treat substance abuse disorders. Opioid Lite Program - Fort Loudoun's Emergency Department is participating in a Covenant Health system-wide initiative to curb the use of hospital prescribed opioids (tobacco products were identified as well). Physicians are prescribing non-opioid drugs when indicated for pain management, both during treatment and upon discharge from the hospital. - Fort Loudoun will work in conjunction with other community resources, including Helen Ross McNabb, Loudon County Health Department and the Prevention Alliance of Loudon County to address opioid-related issues. 4. Tobacco CessationVaping Impact Program - Fort Loudoun, in partnership with the Prevention Alliance of Loudon County, is co-developing education and prevention videos and other content for use in Loudon County Schools to reduce the incidence of vaping among students.
Fort Loudoun Medical CenterPart V, Section B, Line 16j: All other ways in which the hospital widely publicizes the FAP are discussed in detail in Part VI, Line 3.
Part V, Line 7a, CHNA websitehttps://www.covenanthealth.com/fort-loudoun/chna/
Part V, Line 10a, Implementation Strategy Websitehttps://www.covenanthealth.com/fort-loudoun/chna/
Part V, Line 20d, Presumptive Eligibility DeterminationsThe hospital follows the eligibility procedures as detailed within the FAP and does not make presumptive eligibility determinations.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Ft Loudoun Cardiopulmonary Rehab Ctr
423 Medical Park Drive Suite 500Lenoir CityTN37772Cardiac Rehab Therapy Center
2 - Ft Loudoun Therapy Center
423 Medical Park Drive Suite 300Lenoir CityTN37772Physical Rehabilitation & Therapy Center
3 - Fort Loudoun Therapy Center
1127 Grove StreetLoudonTN37774Physical Rehabilitation & Therapy Center

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:In addition to the Federal Poverty Guidelines ("FPG"), Fort Loudoun utilizes an asset test as a factor in determining eligibility for free or discounted care. Ten percent (10%) of the patient/guarantor's net assets will be added to income for determination of total annual income. The guidelines for determining assets include, but are not limited to, primary dwelling (and attached land), automobiles, liquid assets, investments, farm land, business property, rental property, farm and/or business equipment including livestock and crops. All real property will be considered at fair market value. The values of both real and personal property will be reduced by any existing liabilities incurred by the applicant in obtaining the assets (net assets) with the exception of primary dwelling. The primary dwelling net asset will be the amount of equity above $100,000. Actual or potential liability to the patient, hospital or the guarantor by common law, contract, statute or otherwise, shall be considered an asset and must be listed on the Hospital Financial Assistance application.
Part I, Line 6a:Covenant Health, the parent company of Fort Loudoun and other affiliated acute care hospitals, prepares an annual Report to the Community on behalf of the entire system.
Part I, Line 7:Amounts on Lines 7a-7c and certain program costs included on Line 7g are from the hospital's cost accounting system, which addresses all patient segments. Other community benefit expenses are at cost from the general ledger.
Part I, Line 7g:Subsidized health services includes the difference between the cost of services and the payments received for those services. The organization has included $2,782,046 in physician sponsorship fees in total subsidized health services. All subsidized health services included on line 7g are for services that would otherwise be unavailable in the community or be below the community's needs.
Part I, Ln 7 Col(f):The Bad Debt expense included on Form 990, Part IX, Line 24a, but subtracted for purposes of calculating the percentage in this column is $3,348,752.
Part II, Community Building Activities:Fort Loudoun cares for the whole person and recognizes that improved social and economic conditions may lead to the improved health and well-being of the community. The hospital's community building activities and those of its parent organization, Covenant Health, address many of the root causes of health problems, such as poverty and homelessness, and help find solutions to alleviate the symptoms.An allocation of the Parent's community building expenditures has been made to each member hospital in proportion to the financial contribution of each to the health system. Covenant Health is not a hospital and does not file Schedule H with its Form 990. Contributions in 2022 were made to organizations meeting the community's needs by providing: - The basic needs of life including temporary shelter, food and clothing (Ladies of Charity, City Shepherds, Safe Families for Children East TN and Second Harvest Food Bank) - Youth mentoring, development and after-school programs (Emerald Youth Foundation, Boys and Girls Club, Knox Education Foundation, First Tee of Greater Knoxville and Great Smoky Mountain Council) - Business recruitment and marketing initiatives that boost economic development (Knoxville Technology Council, Knoxville Zoological Garden and Pellissippi State Foundation) - Leadership development programs and workshops (Knoxville Area Urban League and Leadership Knoxville) - Assistance and special programs for at risk older adults, people with physical and mental challenges, and abused and neglected children (Senior Citizens Home Assist and Sertoma Center) - Improve access to health services (East TN Children's Hospital, Helen Ross McNabb Center, Interfaith Health Clinic, Knoxville Academy of Medicine, and Region II Emergency Medical Services) - Programs supporting patients and their families (Air Force Association, Alzheimer's Tennessee, American Cancer Society, American Heart Association, Angel Wings Memory Gowns, East TN Kidney Foundation, East TN Veteran Memorial Association, Juvenile Diabetes Research Foundation and Leukemia & Lymphoma Society, Wreaths Across America)
Part III, Line 2:Bad debt expense on Part III, Line 2 is the amount recorded in the organization's financial statements. Discounts and payments on patient accounts are netted against bad debt. The allowance for bad debt is determined based on management's assessment of factors including the age of the accounts, historical collections data, and industry standards.
Part III, Line 3:At regular intervals, the Vice President of Revenue Cycle analyzes all self-pay accounts receivables to identify patients who may have been eligible for charity care during a particular period or year. Because this analysis does not yield a final determination of eligibility due to various factors including but not limited to charity applications still in process, failure of eligible patients to submit their charity application, and applications still under consideration, further analysis of the accounts comprising the self-pay accounts receivable is conducted. The accounts for which a patient was contacted to apply for charity care include an identifier; these charity-identified accounts are then categorized according to status. A ratio of the dollar amounts of those accounts whose charity application is in process or has been approved divided by the total self-pay accounts receivable is computed. This ratio is applied to the bad debt expense total to determine the estimated amount of the bad debt expense attributable to patients eligible for charity care according to the hospital's policy.
Part III, Line 4:Note B to the 2022 Audited Consolidated Financial Statements of the Covenant Health system, of which Fort Loudoun is a member, states: Patient accounts receivable are reported net of an estimated allowance for contractual adjustments and an allowance for implicit price concessions. Covenant's policy does not require collateral or other security for patient accounts receivable and Covenant routinely accepts assignment of, or is otherwise entitled to receive, patient benefits payable under health insurance programs, plans or policies.
Part III, Line 8:Costing Methodology: Fort Loudoun used a combination of sources in calculating Medicare allowable costs on Part III, Line 6 including its cost accounting system, general ledger accounting system, and facility-specific analyses and calculations.
Part III, Line 9b:Fort Loudoun utilizes a look-back method to determine amounts generally billed ("AGB") to establish the maximum amount that will be charged to individuals eligible under the financial assistance policy ("FAP") for emergency or other medically necessary care. Self-pay patients automatically receive a 66% discount on charges based on the facility's calculated AGB. Federal poverty guidelines are utilized in the determination of charity care eligibility. Patients who are unable to pay and have exhausted all sources of payment assistance may qualify for charity care. A sliding scale is used for extending charity care utilizing the income levels reported under the federal poverty guidelines. Patients/guarantors with income that falls below 200% of the federal poverty guidelines receive 100% charity care. Patients/guarantors with income of 201-300% of the federal poverty guidelines receive 90% charity care. For catastrophic illness, exceptions to income and asset limitations may be made on a case-by-case basis. The amount considered for charity will be based upon the evaluation of the patient's/guarantor's ability to pay.Fort Loudoun makes reasonable efforts to determine a patient's eligibility under the facility FAP. All collection activity will be halted if a charity application is received and will remain on hold until a determination is made by Fort Loudoun and communicated in writing to the responsible party. If the charity application is approved, all collection activities taken will be reversed and any amounts paid above the amount required will be refunded. Patients/guarantors who qualify for partial financial assistance are responsible for paying any balance remaining after the charity adjustment and third party payments. Fort Loudoun will not engage in extraordinary collection actions ("ECA") before it makes reasonable efforts to determine whether an individual who has an unpaid bill is eligible for financial assistance. Reasonable efforts to determine whether the individual who has an unpaid bill is eligible for financial assistance include notification to the individual of the financial assistance policy, contacting individuals who have submitted incomplete financial assistance applications regarding how to complete the application and allowing a reasonable time period to do so, and reviewing completed applications for financial assistance eligibility. Fort Loudoun does not sell any accounts receivable accounts to outside firms. All accounts remain property of and under the policies set by Fort Loudoun. Fort Loudoun will not defer or deny medically necessary care because of nonpayment for previously provided care whether it was covered or not covered under the charity program.
Part VI, Line 2:While the CHNA is a formal means by which the health system assesses the needs of the community, there are many informal networks that give the Covenant Health hospitals a sense of community issues and needs. Fort Loudoun obtains additional community information through the service of its employees with the local health council, United Way of Loudon County, Chamber of Commerce, and Rotary Clubs. Covenant Health, the parent organization, maintains community benefit professionals working year-round to ensure that all hospitals are assessing and addressing the needs of the communities served.
Part VI, Line 3:The FAP states that patients who are unable to pay or have exhausted all sources of payment assistance may be considered for charity care. Signage about the policy is posted in highly visible areas of the hospital, such as lobbies and registration areas. Information about the FAP is posted in patient booklets provided to patients during the registration process and communicated via patient billing statements. In addition, the FAP and application are available on the facility website. Fort Loudoun employs full time financial counselors to assist patients in applying for TennCare and screening for eligibility for financial assistance. Office hours and the phone number for the counselors are included on the signage. Wall signs informing patients about available financial assistance state the following: Covenant Health is committed to providing quality health services in a caring environment. It is the expressed philosophy of Covenant Health and its member hospitals that no one should be denied necessary medical care because of the inability to pay. In conjunction with this philosophy, counselors at Fort Loudoun Medical Center are available to assist you with your financial needs. If you are an uninsured person with no public or private source of payment for medical services Fort Loudoun Medical Center will provide, at a reduced rate, medically indicated services. A financial counselor is available to assist you with these matters by calling 865-271-6219 or 865-271-6223, Monday through Friday between the hours of 8:30 a.m.-5:00 p.m. Additional information regarding financial assistance is also available on our website at FtLoudoun.com. Signage at the registration areas state the following:It is Fort Loudoun Medical Center's philosophy that no one shall be denied medically necessary services based on an inability to pay. Financial assistance applications for medically necessary services are available during the registration process, through a financial counselor, or on our website at FtLoudoun.com. A financial counselor is available to assist you with these matters by calling 865-271-6219 or 865-271-6223, Monday through Friday between the hours of 8:30 a.m.-5 p.m.
Part VI, Line 4:Loudon County, Tennessee, is the primary market for Fort Loudoun. Loudon is a rural community within close proximity to the metropolitan Knoxville area. Fort Loudoun is the only hospital in the county. According to internal hospital data for 2022, over 73% of inpatient and 69% of outpatient encounters were Loudon County residents. The following statistics are taken from the 2022 County Health Rankings data, Robert Wood Johnson Foundation. The population of Loudon County is 54,910. Persons over the age of 65 account for 27.6% of the population. The racial makeup of the population is 86.8% white persons, non-Hispanic, 9.6% Hispanic, and less than three percent of other races. Loudon is one of several counties in East Tennessee that is experiencing a significant increase in the Hispanic population. In 2022, 16% of the adults were uninsured as were 7% of the children. The median income of Loudon County is $70,300 per household. Unemployment is at 6.4%, and the manufacturing sector accounts for 22.7% of the labor market. According to the 2022 County Health Rankings Report of the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute, Loudon County residents have the following health indicators that are above the national benchmarks: Loudon - TN - National Adult Smoking: 21% - 21% - 16% Adult Obesity: 37% - 37% - 32% Teen Birthrate: 29 - 27 - 19 of every 1,000 teenage girls Poor or Fair Health: 21% - 20% - 17% Physical Inactivity: 30% - 29% - 26% Drug Overdose Deaths: 35 - 34 - 23 per 100,000 population
Part VI, Line 5:Fort Loudoun, in conjunction with its parent company, Covenant Health, uses any available surplus of receipts over disbursements to expand and modernize the facility and to support the education of healthcare professionals, both of which serve to improve patient care and serve the unmet needs of the community.Covenant Health's Board of Directors serves as Fort Loudoun's board. The board is comprised of independent community leaders with diverse educational and professional backgrounds. The board provides governance and oversight of Fort Loudoun.Fort Loudoun maintains an open medical staff, with privileges available to all qualified physicians. Additionally, the hospital operates an active and accessible emergency department that accepts all patients regardless of ability to pay.
Part VI, Line 6:Fort Loudoun, as a member of the Covenant Health system, benefits from the collaboration among all affiliated organizations to promote quality improvement, patient safety and efficient delivery of care for the communities served.As a system, Covenant assures that business processes are in place at each facility to measure and report quality; to increase the role of compliance; and to integrate risk management, utilization review, peer review, mandatory reporting and quality improvement into one cohesive function. In this way, the system is able to use analytic tools to help identify any systemic inability to satisfy the various requirements on the part of the facilities.Fort Loudoun patients benefit from the availability of and ease of access to Covenant Health affiliated entities for services not provided by the hospital itself. Transfer or referral to such services is expedited and coordinated to help create a seamless continuum of care. A full range of community mental health and psychiatric hospital services are available within the system that help support the hospital's emergency room as well as provide an accessible and efficient pathway for those patients who require such services post discharge. Other specialized services such as inpatient rehabilitation, cardiac care, cancer treatment, home health and hospice services are provided by affiliated entities. The Covenant Health system also enhances the patient's access to care through the provision of outpatient services in a variety of settings located throughout the service area. These include a diabetes center, wound care center, bariatric surgery center, pulmonary rehabilitation programs and ambulatory infusion centers.Fort Sanders Foundation seeks out community financial support for Fort Loudoun and other Covenant Health hospitals. Funds are used for indigent patient care, medical equipment, outreach programs, services and staff.Through this combination of resources and the collective development, implementation and monitoring of clinical protocols and other improvement initiatives, the affiliated entities of Covenant Health are able to deliver higher quality care in a more efficient manner than could be achieved working independently.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
James D VanderSteeg
President & CEO$0$1,425,507$0$742,500$0$178,639$0$284,975$0$31,082$0$2,662,703$0$0
John T Geppi
EVP/CFO$0$679,719$0$309,084$0$111,048$0$11,600$0$22,316$0$1,133,767$0$0
Jeffrey L Feike
Fmr Pres & CAO (through Apr 2022)$0$89,596$0$71,369$0$145,401$0$11,600$0$10,585$0$328,551$0$0
M Scott Hamilton
VP - Financial Services$0$191,681$0$39,975$0$15,721$0$9,440$0$32,167$0$288,984$0$0
Connie B Martin
President & CAO$0$169,207$0$31,775$0$43,905$0$15,849$0$22,326$0$283,062$0$0
Suzanne Miller
VP - Chief Nursing Officer$122,254$0$26,362$0$20,020$0$6,019$0$10,471$0$185,126$0$0$0
Ashley N Touton
Clinical Nurse$139,250$0$3,440$0$10$0$7,225$0$9,369$0$159,294$0$0$0
Matthew A Messer
Pharmacist$112,907$0$1,220$0$4,981$0$7,287$0$31,908$0$158,303$0$0$0
Brenda L Smith
Clinical Nurse$127,541$0$3,190$0$147$0$5,915$0$21,411$0$158,204$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aTax gross-up payments related to deferred compensation are provided to certain executives and managers. Amounts are included in taxable compensation.
Part I, Line 3Covenant Health, the parent company of Fort Loudoun Medical Center, 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 4bCovenant 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).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4aIMPACT OF COVID-19 In March 2020, the outbreak of the coronavirus disease 2019 ("COVID-19") was declared a public health emergency by the Department of Health and Human Services and declared a national pandemic by the World Health Organization. The COVID-19 pandemic had a major impact on the operations of all hospitals and affiliates included within the Covenant Health System. Three years later, although the overall number of hospital admissions due to the virus is significantly lower than the prior two years, COVID-19 continues to be a long-term problem. The stresses on the System which began in 2020 continue to have long-term and far-reaching implications, creating new challenges for every hospital in the System. The rapid rise in costs for supplies and equipment, unprecedented staffing shortages, and lower patient volumes continue to result in financial stress. Elective surgeries and diagnostic procedures have not yet returned to pre-COVID levels. Government subsidies in 2020 and 2021 helped offset the financial losses caused by significant declines in volumes due to cancelled and postponed procedures. In 2021 and 2022, Federal and state grants continued to be used to subsidize the rising costs of retaining staff and providing quality care. These federal and state grants were helpful but the financial pressures of rising costs across the System are ongoing. Early results from our focus groups for the Community Health Needs Assessments indicate that community problems such as substance abuse, mental illness, asthma and other respiratory diseases, and access to health care have gotten worse since COVID-19, thus stressing the health care System even more than usual. Covenant Health has put in place a number of changes to address these challenges. We are aggressively pursuing cost reductions in supplies across our hospitals and with our vendors. Covenant has increased nurse pay and implemented retention bonuses and other incentives to help reduce staff fatigue and turnover. A number of innovations, including a growing use of Tele-health capabilities, have assured that we continue to reach and serve patients in the community. Patient care continues to be our top priority despite the economic pressures.
Form 990, Part VI, Section A, line 6Covenant Health is the sole member of Fort Loudoun Medical Center.
Form 990, Part VI, Section A, line 7aCovenant Health's board of directors also serves as the board of directors for Fort Loudoun Medical Center.
Form 990, Part VI, Section A, line 7bGovernance decisions of Fort Loudoun Medical Center are subject to approval of the sole member, Covenant Health.
Form 990, Part VI, Section B, line 11bThe Covenant Health board of directors has delegated to its Finance Committee the full power and authority of the board to receive, review, approve, authorize the filing of, address and resolve audit or review issues, and otherwise take all action required or appropriate relative to IRS Forms 990 and other applicable tax filings. Prior to filing Form 990, management reviews with the committee the returns, discusses any material variations in the Form 990 as compared to those to be filed by the organization's affiliates, and answers any questions. At the conclusion of review and discussion, the Finance Committee approves the Form 990.
Form 990, Part VI, Section B, line 12cBoard members, officers, and employees are required to adhere to rules and policies regarding conflicts of interest. Covenant Health distributes a board-approved Code of Conduct to all employees. The Code covers among other subjects, conflicts of interest, and requires disclosure and resolution of employee conflicts of interest. Additionally, officers, employed physicians, and highly compensated employees are required to complete and sign an annual conflict of interest disclosure statement. Board members' conflicts of interests are addressed in the corporate bylaws, and board members are required to complete and sign a conflict of interest questionnaire on an annual basis. The Integrity-Compliance Office maintains records that contain conflict of interest information obtained from board members, officers, and employees. These records are available to be queried prior to engaging in business transactions. The Chief Compliance Officer reviews conflict of interest data. Based on this information, the officer determines what conflicts of interest exist at that point in time. Between times when surveys are collected, board members are expected to disclose any new conflicts that have arisen that affect pending board decisions. Officers and other employees are expected to report conflicts to the Chief Compliance Officer as they arise. Depending on the nature of the conflict and the circumstances surrounding the conflict and transaction, the Chief Compliance Officer, senior leadership, or the board of directors may review the conflict of interest. When appropriate, these parties may also consult legal counsel. Restrictions imposed on persons with a conflict of interest are determined on a case by case basis. For Covenant Health employees, the Chief Compliance Officer in conjunction with Covenant Health Executive Leadership determines how to appropriately manage the conflict. In any conflict involving a board member, such member is expected to recuse himself or herself from voting on matters related to the conflict.
Form 990, Part VI, Section B, line 15Form 990, Part VI, Section B, Line 15a: Overall compensation policies for Fort Loudoun Medical Center, Covenant Health (Parent Company), and affiliates are set by the Covenant Health Chief Executive Officer (CEO) in consultation with appropriate Executive Vice Presidents and the Senior Vice President-Human Resources, after review by and discussion with the executive compensation consultant ("the Consultant") to ensure that total compensation for each executive is reasonable and within a fair market value range. The Covenant Health CEO is compensated by Covenant Health, and a detailed description of the compensation process is included on Covenant Health's Form 990. The process for Fort Loudoun Medical Center's CEO is included in response to Part VI, Section B, line 15b. Form 990, Part VI, Section B, Line 15b: Base salary and annual bonus opportunities for Connie Martin, President and Chief Administrative Officer, are set by the Covenant Health CEO in consultation with appropriate Executive Vice Presidents and the Senior Vice President-Human Resources, after review by and discussion with the executive compensation consultant ("the Consultant") to ensure that total compensation is reasonable and within a fair market value range. Salary ranges are based upon the recommendations of the Consultant made after comparison with similar jobs in similar size health systems across the nation. Bonuses are recommended by the CEO and reviewed with the Committee conditioned upon receipt of a written opinion from the Consultant that total compensation for the executive is reasonable and consistent with fair market value. Base salary is initially targeted at the 25th percentile and may vary according to market conditions, performance, tenure, experience, special skills or qualifications, recruitment and retention challenges, and other relevant factors. Annual bonuses are designed to award 0-35% of base salary based upon system performance and accomplishment of certain targets established by the CEO. Base salaries and annual bonus opportunities for other officers and key employees are based on targets established by historical compensation consultant data and the Covenant Health Compensation department. Salary ranges are based upon comparison with similar jobs in similar size health systems across the nation. Base salaries and bonuses are approved by Executive Leadership predicated upon performance, and are reasonable and consistent with fair market value. Base salaries are initially targeted at midpoint and may vary according to market conditions, performance, tenure, experience, special skills or qualifications, recruitment and retention challenges, and other relevant factors. Annual bonuses are designed to award 0 - 20% of base salary based upon system performance and accomplishment of certain targets established by Executive Leadership.
Form 990, Part VI, Section C, line 19Fort Loudoun Medical Center files a joint annual report containing financial information with the Tennessee Department of Health. Per its tax exempt bond provisions, Covenant Health, the parent company of the organization, is required to file quarterly and annual consolidated and obligated group financial statements and other documentation with various bond insurers and other agencies, including the Electronic Municipal Market Access (EMMA) service of the Municipal Securities Rulemaking Board (MSRB). Any member of such a repository has access to these financial statements. The organization's governing documents and conflict of interest policy are not made publicly available.
Form 990, Part IX, line 11gIntercompany Purchased Services: Program service expenses 1,637,534. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,637,534. Other Purchased Services: Program service expenses 3,139,885. Management and general expenses 55,250. Fundraising expenses 0. Total expenses 3,195,135. Sponsorship Fees: Program service expenses 2,482,046. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,482,046.
Form 990, Part XI, line 9:Transfers of Capital -4,192,209.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Covenant Health
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621646734Supporting organizationTN501(c)(3)Line 12b, IIN/A0
Covenant HomeCare
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621623114Home health servicesTN501(c)(3)Line 100Covenant Health
Fort Sanders Regional Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960620528340Acute care hospitalTN501(c)(3)Line 30Covenant Health
Fort Sanders Foundation
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621748601Fundraising and patient outreachTN501(c)(3)Line 12b, II0Covenant Health
Fort Sanders Perinatal Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960043760551High risk obstetrical servicesTN501(c)(3)Line 30Fort Sanders Regional Medical Center
LeConte Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621114867Acute care hospitalTN501(c)(3)Line 30Covenant Health
Methodist Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960620636239Acute care hospitalTN501(c)(3)Line 30Covenant Health
Morristown-Hamblen Hospital Association
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960620545814Acute care hospitalTN501(c)(3)Line 30Covenant Health
Parkwest Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960581897274Acute care hospital and behavioral health servicesTN501(c)(3)Line 30Covenant Health
Roane County Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960680673354Acute care hospitalTN501(c)(3)Line 30Covenant Health
Thompson Cancer Survival Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621250943Cancer support centerTN501(c)(3)Line 30Covenant Health
Thompson Oncology Group
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621619239Oncology servicesTN501(c)(3)Line 30Thompson Cancer Survival Center
Thompson Cancer Survival Center Foundation
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960582130450Fundraising and patient outreachTN501(c)(3)Line 12b, II0Covenant Health
Cumberland Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960620790132Acute care hospitalTN501(c)(3)Line 30Covenant Health
Claiborne Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960464420358Acute care hospitalTN501(c)(3)Line 30Covenant Health
The Dr Robert F Thomas Foundation Inc
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960581537582Fundraising and patient outreachTN501(c)(3)Line 30Covenant Health

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Covenant-AmSurg ASC Ventures LLC
1A Burton Hills BlvdNashvilleTN37215884134388Management CompanyTNN/A00
Covenant-KEC ASC Ventures LLC
1A Burton Hills BlvdNashvilleTN37215920539400Management CompanyTNN/A00
TEC North LLC
1A Burton Hills BlvdNashvilleTN37215201871076Physician ServicesTNN/A00
The Endoscopy Center of Knoxville LLC
1A Burton Hills BlvdNashvilleTN37215621512837Physician ServicesTNN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Fortress Corporation
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621308885Management companyTNN/AC0
Covenant Medical Group Inc
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621282917Physician practice managementTNN/AC0
Knoxville Heart Group
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960271528941Cardiology medical practiceTNN/AC0
East TN Cardiovascular Surgery Group Inc
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621018541Cardiovascular surgical practiceTNN/AC0
VortexT Analytics Inc
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960475296949Computer programming servicesTNN/AC0
TenHats LLC
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960814563094Data storageTNN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd