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FORT LOUDOUN MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
FORT LOUDOUN MEDICAL CENTER (EIN 62-1373691)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-12
IRS object ID
202533169349302953
Schema version
2024v5.2
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)
Return2025-11-12T09:32:04-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

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
Phone8653745329PhoneNum

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
Signature2025-11-12SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Covenant Health Fort LoudounBusinessNameLine1Txt
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$53,844,252GrossReceiptsAmt
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 Body20VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee384TotalEmployeeCnt
Total Volunteers49TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$398PYContributionsGrantsAmt
CY Contributions Grants$577,483CYContributionsGrantsAmt
PY Program Service Revenue$47,563,802PYProgramServiceRevenueAmt
CY Program Service Revenue$52,705,479CYProgramServiceRevenueAmt
PY Investment Income$11,143PYInvestmentIncomeAmt
CY Investment Income$238,932CYInvestmentIncomeAmt
PY Other Revenue$275,894PYOtherRevenueAmt
CY Other Revenue$300,019CYOtherRevenueAmt
PY Total Revenue$47,851,237PYTotalRevenueAmt
CY Total Revenue$53,821,913CYTotalRevenueAmt
PY Grants And Similar Paid$15,747PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$12,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$16,972,294PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$18,584,123CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$26,580,134PYOtherExpensesAmt
CY Other Expenses$29,452,061CYOtherExpensesAmt
PY Total Expenses$43,568,175PYTotalExpensesAmt
CY Total Expenses$48,048,184CYTotalExpensesAmt
PY Revenues Less Expenses$4,283,062PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,773,729CYRevenuesLessExpensesAmt
Total Assets BOY$24,725,176TotalAssetsBOYAmt
Total Assets EOY$27,764,028TotalAssetsEOYAmt
Total Liabilities BOY$4,444,823TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,509,560TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$20,280,353NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$23,254,468NetAssetsOrFundBalancesEOYAmt
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$46,989,823ExpenseAmt
Grant$12,000GrantAmt
Revenue$52,710,865RevenueAmt
DescFort Loudoun Medical Center ("Loudoun") has been located in Lenoir City, Tennessee, since 2004, after serving the area from a previous location in Loudon County for many years.SERVICELoudoun 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 Medical Center provides rapid diagnosis and treatment of stroke. In 2024 Fort Loudoun received a Gold Plus Quality Achievement Award from the American Heart Association for its commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines.Loudoun was recognized by The Leapfrog Group in the spring and fall of 2024 with "A" grades for patient safety measures. In 2024, the hospital was also recognized with a 5-star overall hospital quality rating by Centers for Medicare and Medicaid Services. The Tennessee Hospital Association awarded Loudoun two Zero Harm Awards in 2024, recognizing zero healthcare-associated infections hospital-wide for CAUTIs (catheter-associated urinary tract infections) and in the Critical Care Unit for CLABSIs (central line-associated bloodstream infections). In 2024 the hospital saw 70,466 patients. Of these, 68,440 were outpatients and 2,026 were inpatients with an average length-of-stay of 4.09 days. PUTTING PATIENTS FIRSTLoudoun Descriptive Highlights - 87,000-square-foot facility, with an adjacent two-story medical office building - 50 beds - 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 HEALTHThe hospital staff works with community partners such as the school system, local support groups, retirement communities, and senior centers to provide relevant education on topics such as recognizing the signs of a stroke, the importance of having a primary care physician, and other health-related topics. In addition, Loudoun hosts a monthly stroke support group. The medical center also offers a pulmonary rehabilitation program that addresses Chronic Obstructive Pulmonary Disease (COPD) and post-COVID syndrome. As part of improving the quality of life through better health, Loudoun is enhancing access to care through the construction of an advanced medical wing that will house additional patient rooms, an 11-bed Intensive Care/Intermediate Care unit, and respiratory and rehabilitation therapy. The project will also expand Emergency Department capacity to meet the needs of the growing community. Construction was underway throughout 2024, with an anticipated opening later in 2025. In 2024 staffing initiatives such as the implementation of Patient Care support Assistants and recruitment of RNs have improved the efficiency of emergency care for patients. The hospital also established an "Eyes of the Consumer" council composed of staff members, physicians and community members who make recommendations to improve hospital processes, including access to care. COVENANT HEALTH Loudoun is a member of Covenant Health. Covenant Health is a community-owned, clinically integrated healthcare enterprise dedicated to being the region's premier healthcare network through service, community, and innovation. Our mission is to improve the quality of life in our region through better health. Covenant Health provides patient-centered care that inspires clinical and service excellence and strives to be the first and best choice for the communities we serve. 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 composed 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 top employer by Forbes and Becker's Hospital Review. Covenant Health serves a 25-county area and includes nine acute care hospitals in East Tennessee: Fort Sanders Regional Medical Center and Parkwest Medical Center in Knoxville, Methodist Medical Center of Oak Ridge, 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. Peninsula provides behavioral health services at an inpatient hospital in Blount County and at outpatient locations in Knox, Blount, Loudon, and Sevier counties. The health system includes Covenant Medical Group, which serves patients at more than 90 office and clinic locations. CMG providers include primary care physicians and specialists in areas such as cardiology, gastroenterology, neurology, surgery, and other medical specialties. Covenant Health employs nearly 450 physicians and advanced practice clinicians throughout East Tennessee. Affiliated organizations include Thompson Cancer Survival Center, Thompson Oncology Group, Fortress Corporation and Subsidiaries, Covenant HomeCare, and Fort Sanders Perinatal Center. Covenant Health also operates Thompson Proton Center and offers innovative services such as Advanced Care at Home. Philanthropic organizations include Covenant Health Foundation and 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 to enhance patient care.Loudoun, as a member of Covenant Health, benefits from collaboration among all affiliated organizations to promote quality, patient safety, and excellence in delivering care.Desc
Total Program Service Expenses$46,989,823TotalProgramServiceExpensesAmt
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 IndividualsYes (1)GrantsToIndividualsInd
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 Document66IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee384EmployeeCnt
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 Members20GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
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 Line1Andrew McCrearyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8653745329PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Mitchell Dickson MD
Director0.001.00Yes (X)$0$0$0
Stephanie Flood
Director0.001.00Yes (X)$0$964$0
James Gibson
Director0.001.00Yes (X)$0$0$0
Edgar Gray
Director0.001.00Yes (X)$0$844$0
Leslye Hartsell
Director0.001.00Yes (X)$0$1,124$0
Donald Hickman
Director0.001.00Yes (X)$0$675$0
Timothy Matthews
Director0.001.00Yes (X)$0$657$0
Janice McKinley
Director0.001.00Yes (X)$0$0$0
Cletus McMahon MD
Director0.001.00Yes (X)$0$0$0
Dave Miller
Director0.001.00Yes (X)$0$0$0
Bill Myers
Director0.001.00Yes (X)$0$0$0
Alvin Nance
Director0.001.00Yes (X)$0$648$0
Linda Ogle
Director0.001.00Yes (X)$0$0$0
King Purnell
Director/Chair0.001.00Yes (X)$0$935$0Yes (X)
Jorge Sanabria
Director0.001.00Yes (X)$0$807$0
William Seale
Director0.001.00Yes (X)$0$1,060$0
Cosby Stone
Director0.001.00Yes (X)$0$1,113$0
Joe Sutter
Director0.001.00Yes (X)$0$881$0
James Tramontana MD
Director0.001.00Yes (X)$0$1,086$0
James D VanderSteeg
President & CEO0.0050.00Yes (X)$0$2,880,556$362,274Yes (X)
Joseph C Dolan
EVP/CFO0.0050.00$0$861,693$105,608Yes (X)
M Scott Hamilton
VP - Financial Services10.0040.00$0$251,190$45,231Yes (X)
Connie B Martin
President & CAO50.000.00$0$335,406$37,179Yes (X)
Brenda L Smith
Clinical Nurse50.000.00$148,357$0$32,216Yes (X)
Ashley N Touton
Clinical Nurse50.000.00$118,638$0$18,923Yes (X)
James E Pitt IV
Pharmacist50.000.00$115,789$0$9,900Yes (X)
Pamela G Free-Ollard
Manager Rehab Services50.000.00$114,656$0$18,727Yes (X)
Angela Knight
Manager Imaging50.000.00$114,536$0$7,098Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$611,976TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,339,639TotReportableCompRltdOrgAmt
Total Other Compensation$637,156TotalOtherCompensationAmt
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 Christman Company
2400 Sutherland AveKnoxvilleTN37920Contractor Services$3,398,491
Resource Anesthesia PC
12752 Kingston Pike Ste 202KnoxvilleTN37934Physician Fees$315,800
Quest Diagnostics
PO Box 740736AtlantaGA303740736Lab Services$220,127
Linen King LLC
1521 West 36th PlaceTulsaOK74107Linen Services$211,012
Medic Regional Blood Center
1601 Ailor AveKnoxvilleTN37921Blood Processing Fees$185,443
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Related Organizations$398RelatedOrganizationsAmt
Government Grants$577,085GovernmentGrantsAmt
Total Contributions$577,483TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNet Patient RevenueDesc
Business622110BusinessCd
Total Revenue Column$52,705,479TotalRevenueColumnAmt
Related Or Exempt Func Income$52,705,479RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$52,705,479TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,076TotalRevenueColumnAmt
Exclusion$3,076ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$258,195OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$22,339OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$235,856OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$235,856TotalRevenueColumnAmt
Exclusion$235,856ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria722514$160,996$160,996
Gift Shop459420$133,637$133,637
Pharmacy456110$5,386$5,386
FieldValueIRS element (for citing)
Other Revenue Total$300,019OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,821,913TotalRevenueColumnAmt
Related Or Exempt Func Income$52,710,865RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$533,565ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,000TotalAmt
Program Services$1,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$11,000TotalAmt
Program Services$11,000ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$15,129,995TotalAmt
Program Services$14,589,543ProgramServicesAmt
Management And General$540,452ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$466,430TotalAmt
Program Services$451,815ProgramServicesAmt
Management And General$14,615ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,886,525TotalAmt
Program Services$1,823,223ProgramServicesAmt
Management And General$63,302ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,101,173TotalAmt
Program Services$1,066,668ProgramServicesAmt
Management And General$34,505ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$5,098,720TotalAmt
Program Services$5,047,874ProgramServicesAmt
Management And General$50,846ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,542TotalAmt
Management And General$1,542ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,159,307TotalAmt
Program Services$9,138,870ProgramServicesAmt
Management And General$20,437ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,244TotalAmt
Program Services$2,144ProgramServicesAmt
Management And General$100ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$373,693TotalAmt
Program Services$284,410ProgramServicesAmt
Management And General$89,283ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,292,716TotalAmt
Program Services$1,156,893ProgramServicesAmt
Management And General$135,823ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,127TotalAmt
Program Services$4,722ProgramServicesAmt
Management And General$405ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$9,818TotalAmt
Program Services$8,989ProgramServicesAmt
Management And General$829ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,757TotalAmt
Program Services$4,757ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,317,647TotalAmt
Program Services$2,317,647ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$48,244TotalAmt
Program Services$8,794ProgramServicesAmt
Management And General$39,450ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Medical Supplies$5,164,185$5,164,185
Bad Debt$4,115,997$4,115,997
Minor Equipment$1,264,718$1,264,718
Food and Dietary$317,582$317,582

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$275,764TotalAmt
Program Services$208,992ProgramServicesAmt
Management And General$66,772ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$48,048,184TotalAmt
Program Services$46,989,823ProgramServicesAmt
Management And General$1,058,361ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,700BOYAmt
EOY$1,700EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY-$110,487BOYAmt
EOY-$197,489EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,140,415BOYAmt
EOY$6,110,577EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$295,713BOYAmt
EOY$442,659EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,086,274BOYAmt
EOY$85,331EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$58,261,616LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$37,301,528LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$15,891,975BOYAmt
EOY$20,960,088EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$419,586BOYAmt
EOY$361,162EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$24,725,176BOYAmt
EOY$27,764,028EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,063,599BOYAmt
EOY$3,290,986EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$136,195EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,381,224BOYAmt
EOY$1,082,379EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,444,823BOYAmt
EOY$4,509,560EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,280,353BOYAmt
EOY$23,254,468EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,280,353BOYAmt
EOY$23,254,468EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,725,176BOYAmt
EOY$27,764,028EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,773,729ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$2,799,614OtherChangesInNetAssetsAmt
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$2,914,985OtherCostOrOtherBasisAmt
Book Value$2,914,985BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,135,626OtherCostOrOtherBasisAmt
Depreciation$12,022,181DepreciationAmt
Book Value$7,113,445BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$56,576OtherCostOrOtherBasisAmt
Depreciation$36,987DepreciationAmt
Book Value$19,589BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,714,322OtherCostOrOtherBasisAmt
Depreciation$25,242,360DepreciationAmt
Book Value$6,471,962BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,440,107OtherCostOrOtherBasisAmt
Book Value$4,440,107BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$20,960,088TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Due to Affiliates, Net$236,818
Long-Term Deferred Compensation$79,192
Long-Term Reserve for Workers Comp$50,000
Operating and Finance Leases$17,258
Third Party Settlements$699,111
FieldValueIRS element (for citing)
Total Liability$1,082,379TotalLiabilityAmt
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, 2024 and 2023. As such, no interest or penalties were recognized in the consolidated financial statements related to unrecognized tax benefits. At December 31, 2024 and 2023, tax returns for 2021 through 2024 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, 2024 and 2023.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$1,924,586TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,924,586NetCommunityBenefitExpnsAmt
Total Expense0.04010TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,311,848TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,567,790DirectOffsettingRevenueAmt
Net Community Benefit Expns$744,058NetCommunityBenefitExpnsAmt
Total Expense0.01550TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,474TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,134DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,246,908TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,587,924DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,668,644NetCommunityBenefitExpnsAmt
Total Expense0.05560TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,884TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,884NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,152TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,152NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,789,061TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,789,061NetCommunityBenefitExpnsAmt
Total Expense0.09970TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,192TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,192NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,816,289TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,816,289NetCommunityBenefitExpnsAmt
Total Expense0.10030TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,063,197TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,587,924DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,484,933NetCommunityBenefitExpnsAmt
Total Expense0.15590TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$39NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,222TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,222NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$835TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$835NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,209TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,209NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$338TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$338NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,643TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,643NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$4,115,997BadDebtExpenseAmt
Bad Debt Expense Attributable$491,038BadDebtExpenseAttributableAmt
Reimbursed By Medicare$8,648,761ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$7,670,632CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$978,129MedicareSurplusOrShortfallAmt

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 Conducted23CHNAConductedYr
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 Adpt23ImplementationStrategyAdptYr
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 Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
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 fourth Community Health Needs Assessment ("CHNA") in 2023. A Steering Committee was formed to guide the assessment process and included the Loudon County Health Department, Fort Loudoun, 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 four 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 336 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:- Loudon Co. Coordinated School Health - Priority Ambulance - Prevention Alliance of Loudon County - EMS of Loudon County- Loudon County Schools - Lenoir City Government - Fort Loudoun Medical Center - Loudon County Government- Loudon County Health Dept - Lenoir City Parks and Recreation- Tellico Recreation Center - United Way of Loudon County - Loudon Senior Center - Loudon Co. Road Superintendent - Office on Aging - 911
Fort Loudoun Medical CenterPart V, Section B, Line 11: For 2023, the Steering Committee elected to use the same secondary health indicators that were used in the 2020 assessment. The indicators were updated to include the most current data points available. Additionally, COVID-19 statistics were included that did not exist in 2020. Updated demographics, leading causes of death, community survey results, focus group analysis and secondary data for dozens of health indicators was used by the Data Team to determine the most significant health priorities for the 2023 health assessment cycle.The Data Team used a methodology to determine whether the 2020 CHNA significant issues should be continued, modified or replaced. New issues that may have emerged since the 2020 CHNA also were discussed for potential inclusion. Largely due to COVID-19, the Data Team consensus was to continue the four health priorities of the 2020 CHNA and add a fifth health priority: improving access to healthcare. Data Team members felt each priority area of the 2020 assessment had worsened. Communities were faced with increased uncertainty and stress, many community resources were paused, and healthcare organizations were pushed to a breaking point. Overall, the demand for health and human resources far outweighed the supply. The 2023 most significant health priorities for Loudon County are as follows: Substance Abuse Disorders, Mental Health Access, Chronic Disease Management, Smoking and Vaping, and Improving Access to Healthcare. Fort Loudoun updated its 2023 Implementation Plan based on the identified needs and plans to address all of the identified issues in the following ways:1. Substance Abuse DisorderPeninsula Drug Treatment Program:- Peninsula, a department of Parkwest Medical Center, provides an outpatient Opioid Treatment Center- Covenant Health's partnership with Acadia to open East Tennessee Behavioral Health provides another option for treatment.- Fort Loudoun participates in tracking of referrals to ensure patients receive the most appropriate and most timely transfer from the Emergency Department. Opioid Light Program:- Fort Loudoun's Emergency Department is participating in a Covenant Health system-wide initiative to curb the use of hospital prescribed opioids. 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 the McNabb Center, Loudon County Health Department and the Prevention Alliance of Loudon County to address opioid-related issues. 2. Mental Health AccessBehavioral 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 as well as remote mobile crisis.- Fort Loudoun has access to Covenant Health's Emergency Department Diversion Program for patients with psychiatric and emotional needs. A team of behavioral specialists conduct a behavioral assessment for each patient to determine the correct treatment plan. This program includes a psychiatric consult service via tele-video through Peninsula Behavioral as well as remote Mobile Crisis. The Emergency Department Diversion program assists in placement to an inpatient facility if deemed appropriate and will follow up for Outpatient treatment if patient is discharged from the Emergency Department. - Peninsula Outpatient has an office located on the campus of Fort Loudoun.- Covenant Health's partnership with Acadia to open East Tennessee Behavioral Health provides another option for treatment and patient transfer. - Fort Loudoun participates in tracking of referrals to ensure patients receive the most appropriate and most timely transfer from the Emergency Department. 3.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.- Fort Loudoun launched a stroke support group in 2023, which is another opportunity to continue both patient and family education, as well as connect patients with appropriate services. - Fort Loudoun implemented an Educational Series in 2023 that delivers content to nearby communities.Expanded Parkinson's Disease Therapeutic Services:- Fort Loudoun Outpatient Rehabilitation Clinic plans to secure Big and Loud certification for selected therapists to expand therapy to patients with Parkinson's disease.4. Smoking and VapingVaping Impact Program:-Fort Loudoun collaborated with Fort Loudoun Primary Care to launch smoking cessation education for Emergency Department patients. Fort Loudoun Primary Care providers offer appointments to assess patients for potential medical management during smoking cessation.Smoking Cessation Education:-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.Low Dose CT Lung Cancer Screening:-Fort Loudoun introduced Low Dose CT Lung Cancer Screening in 2022, which allows qualifying patients to receive annual screening. Low Dose CT screening identifies lung cancer earlier when it is more treatable.5. Improve Access to Healthcare- Fort Loudoun will be adding an advanced medicine wing that will house additional patient rooms, an 11-bed Intensive Care/Immediate Care unit, respiratory and rehabilitation therapy. This will enable all private rooms, resulting in more Loudon County patients choosing Loudoun for their care because they do not have the potential to be in a double-occupancy patient room. - The relocation of the existing Critical Care Unit (which will transition into the 11-bed ICU/IMC) will vacate space that will allow expanded Emergency Department capacity.- Creative initiatives, e.g. Patient Care Support Assistants, coupled with successful recruitment of Registered Nurses has reduced the number of boarded patients in the Emergency Department, thereby reducing the likelihood patients seek care further away. Improved efficiency has already resulted in additional patients being treated in our Emergency Department. - Fort Loudoun is implanting an Eyes of the Consumer council, comprised of hospital staff, physicians, and selected community members to develop recommendations to improve processes, including access to care. - Fort Loudoun partnered with both Fort Loudoun Primary Care and an external agency to assist with transitions of care and ensure assessment and monitoring once discharged.
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 Therapy Center - Lenoir City
423 Medical Park Drive Suite 300Lenoir CityTN37772Physical Rehabilitation & Therapy Center
2 - Ft Loudoun Cardiopulmonary Rehab Ctr
423 Medical Park Drive Suite 500Lenoir CityTN37772Cardiac Rehab Therapy Center
3 - Fort Loudoun Therapy Center - Loudon
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 $4,789,061 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 $4,115,997.
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 access to care, tobacco use, and conditions such as diabetes and obesity, and help develop collaborative responses with other community organizations.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 2024 were made to organizations meeting the community's needs by providing: - The basic needs of life, including temporary shelter, food, clothing, and safety (Ladies of Charity, Seymour Volunteer Fire Department, YWCA Knoxville, Salvation Army, Clinch River Habitat for Humanity) - Youth mentoring, development and after-school programs (Emerald Youth Foundation, Boys and Girls Club, First Tee of Greater Knoxville, Great Smoky Mountain Council) - Business recruitment, education marketing and community initiatives that boost economic development and quality of life (Knoxville Technology Council, Pellissippi State Foundation, Tennessee Wesleyan University, University of Tennessee College of Nursing) - Leadership development programs and workshops (Knoxville Area Urban League, Leadership Knoxville) - Assistance and special programs for at-risk older adults, children and adults with physical or developmental challenges, and children who have experienced abuse, neglect or trauma (Knoxville-Knox County Community Action Committee, Senior Citizens Home Assistance Services, Sertoma Center, Friends of Tennessee's Babies with Special Needs, New Hope Children's Advocacy Center, Street Hope Tennessee, Variety Children's Charity of East Tennessee) - Improve access to health services (East TN Children's Hospital, McNabb Center, Metropolitan Drug Commission, Interfaith Health Center, Knoxville Academy of Medicine, Region II Emergency Medical Services, Renew Clinic) - Programs supporting patients and families (Alzheimer's Tennessee, American Heart Association, Angel Wings Memory Gowns, Cancer Support Community East Tennessee, East TN Veterans Memorial Association, Honor Air Knoxville, Knox County Imagination Library, Random Acts of Flowers, Spark, Survivor Fitness)
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 2024 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 receives payments for services rendered from federal and state agencies, managed care health plans, commercial insurance companies, employers and patients. Covenant recognizes that revenues and receivables from government agencies are significant to operations, but does not believe there are significant credit risks associated with these government agencies. Covenant does not believe there are any other significant concentrations of revenues from any particular payer that would subject Covenant to any significant credit risks in the collection of accounts receivable. 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 69% 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. Loudoun is the only hospital in the county. According to internal hospital data for 2024, 76.5% of inpatient and 69.6% of outpatient encounters were Loudon County residents. The following statistics are taken from the 2024 County Health Rankings data, Robert Wood Johnson Foundation. The population of Loudon County is 58,181. Persons over the age of 65 account for 27.9% of the population. The racial makeup of the population is 86.1% white persons, non-Hispanic, 9.9% Hispanic, and less than three percent of other races. In 2024, 12% of the adults were uninsured as were 6% of the children. The median income of Loudon County is $79,700 per household. Unemployment is at 3.2%.According to the 2024 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: 19% - 20% - 15% Adult Obesity: 34% - 36% - 34% Teen Birthrate: 25 - 24 - 17 of every 1,000 teenage girls Poor or Fair Health: 17% - 18% - 14% Physical Inactivity: 27% - 27% - 23% Drug Overdose Deaths: 46 - 43 - 27 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 voluntary 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 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.Covenant Health Foundation seeks out community financial support for 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 I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeScholarshipsGrantTypeTxt
Recipient11RecipientCnt
Cash Grant$11,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 2:Grant funds are provided to charitable organizations for the purpose of enhancing and promoting health care and improving quality of life in the community. The organization has guidelines in place to review the eligibility of grantees, and all grants require written documentation and appropriate levels of approval. Funds are generally not tracked after being granted as the original entity and selection criteria have been met.
Part III, Line 1Scholarship assistance is both merit-based and needs-based, and funds are contingent upon ongoing satisfactory academic progress.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (5 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$1,578,849$0$1,078,259$0$223,448$0$335,103$0$27,171$0$3,242,830$0$0
Joseph C Dolan
EVP/CFO$0$697,828$0$138,667$0$25,198$0$72,802$0$32,806$0$967,301$0$0
Connie B Martin
President & CAO$0$210,655$0$57,500$0$67,251$0$11,925$0$25,254$0$372,585$0$0
M Scott Hamilton
VP - Financial Services$0$202,796$0$32,000$0$16,394$0$9,794$0$35,437$0$296,421$0$0
Brenda L Smith
Clinical Nurse$147,993$0$0$0$364$0$9,018$0$23,198$0$180,573$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, and EVP and CFO, Joseph C. Dolan. Employer contributions of $321,903 for James D. VanderSteeg and $72,802 for Joseph C. Dolan are reported as deferred compensation on Schedule J, Part II, Column C. Contributions along with 2024 earnings of $114,551 for James D. VanderSteeg and $4,468 for Joseph C. Dolan 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). Please note that the amounts included in Part II, Column C as contributions to the NQDC plan for James D. VanderSteeg and other executive leaders are deferred but NOT received during the filing year. We report compensation in both the year earned and the year paid, as required by IRS guidelines; however, wages appear overstated due to dual reporting of compensation earned in one year and distributed in a subsequent year.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Covenant Health is the sole member of Loudoun.
Form 990, Part VI, Section A, line 7aCovenant Health's board of directors also serves as the board of directors for Loudoun.
Form 990, Part VI, Section A, line 7bGovernance decisions of Loudoun 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 makes available 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 the Covenant Health Executive Leadership Team 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 Loudoun, 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'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 for the CAO 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 19Loudoun 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 1,343,804. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,343,804. Other Purchased Services: Program service expenses 3,314,462. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,314,462. Sponsorship Fees: Program service expenses 4,480,604. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,480,604. Other Purchased Services: Program service expenses 0. Management and general expenses 20,437. Fundraising expenses 0. Total expenses 20,437.
Form 990, Part XI, line 9:Transfers of Capital -2,799,614.

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
Covenant Health 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 (8 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
Boulevard ENT-Surgery Center LLC
9300 Parkwest BlvdKnoxvilleTN379234301921460644Surgical servicesTNN/A00
CHUC LLC
216 Centerview Drive Ste 100BrentwoodTN37027621609262Physician servicesTNN/A00
Surgery Center of Oak Ridge LLC
944 Oak Ridge Tpke Ste 200Oak RidgeTN378306960621801416Surgical servicesTNN/A00
D1 Blount LLC
244 Fort Sanders West BlvdKnoxvilleTN37922991820445Fitness centerTNN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 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
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 OrgYes (1)GiftGrntCapContriFromOthOrgInd
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