FORT SANDERS REGIONAL MEDICAL CENTER: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- FORT SANDERS REGIONAL MEDICAL CENTER (EIN 62-0528340)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-10
- IRS object ID
- 201613159349301501
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-10T09:19:17-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 620528340 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fort Sanders Regional Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FORT | BusinessNameControlTxt |
| Phone | 8653746864 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1420 Centerpoint Blvd Bldg C | AddressLine1Txt |
| City | Knoxville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 379321960 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN T GEPPI | PersonNm |
| Person Title | EVP/CFO | PersonTitleTxt |
| Phone | 8653746872 | PhoneNum |
| Signature | 2016-11-09 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | James D Vandersteeg | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Ft Sanders W Blvd | AddressLine1Txt |
| City | Knoxville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37922 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $348,832,849 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.fsregional.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | See Schedule O. Fort Sanders Regional Medical Center (FSRMC) provides quality hospital and other health services in the Knoxville metro area. FSRMC is located in the Fort Sanders community of downtown Knoxville, Tennessee, and is a member of the Covenant Health system. It serves as a regional referral center, where other hospitals send their most difficult cases. Fort Sanders Regional includes a full-service acute care hospital with 517 beds serving many specialty areas, the 24-bed Fort Sanders Transitional Care Unit, the Patricia Neal Rehabilitation Center, and specialized outpatient centers. In early 2011, Fort Sanders Regional opened its Gamma Knife Center, which houses the first advanced system in Tennessee and is one of only two located in the state of Tennessee. | ActivityOrMissionDesc |
| Voting Members Governing Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 2142 | TotalEmployeeCnt |
| Total Volunteers | 243 | TotalVolunteersCnt |
| Total Gross UBI | $1,906,372 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $217,799 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $390,018 | PYContributionsGrantsAmt |
| CY Contributions Grants | $335,776 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $344,448,703 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $339,503,085 | CYProgramServiceRevenueAmt |
| PY Investment Income | $18,085 | PYInvestmentIncomeAmt |
| CY Investment Income | $14,514 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,578,367 | PYOtherRevenueAmt |
| CY Other Revenue | $4,729,655 | CYOtherRevenueAmt |
| PY Total Revenue | $351,435,173 | PYTotalRevenueAmt |
| CY Total Revenue | $344,583,030 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $144,454 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $133,281 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $90,683,444 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $92,323,665 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $228,453,487 | PYOtherExpensesAmt |
| CY Other Expenses | $232,176,761 | CYOtherExpensesAmt |
| PY Total Expenses | $319,281,385 | PYTotalExpensesAmt |
| CY Total Expenses | $324,633,707 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $32,153,788 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $19,949,323 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $226,764,889 | TotalAssetsBOYAmt |
| Total Assets EOY | $245,894,926 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,239,619 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $27,382,863 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $198,525,270 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $218,512,063 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Fort Sanders Regional 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 the patient's ability to pay. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $62,384,938 | ExpenseAmt |
| Revenue | $56,729,863 | RevenueAmt |
| Desc | Orthopedics, Neurology and Rehabilitation:The Ortho/Neuro/Rehab program at Fort Sanders Regional Medical Center is a comprehensive program of inpatient and outpatient services designed to restore optimal function and independence to individuals who are impaired due to orthopedic or neurological illness or injury. More information about these services is on Schedule O.Orthopedics, Neurology and Rehabilitation: Expenses - $62,384,938; Revenue - $56,729,863From hip, knee and shoulder replacement to other commonly performed orthopedic procedures like hand, foot and ankle and spine and back surgery, Fort Sanders Regional (FSR) possesses a commitment to service excellence and to improving the patient experience in every way. These commitments are reflected in the comprehensive care provided orthopedic surgery patients, including:* In-depth education that fully prepares patients for surgery and recovery;* Infection prevention protocols that minimize infection risks;* Experienced, specialized surgeons and operating room teams that use state-of-the-art techniques;* A dedicated inpatient orthopedic nursing unit staffed by expert nurses and caregivers who know how to help patients recover from orthopedic surgery; and* A wide array of rehabilitation and therapy services, inpatient and outpatient, to help patients return to an active lifestyle.At the FSR Joint and Spine Center, patients undergoing knee or hip replacement surgeries are not treated as "sick" but as healthy adults undergoing a procedure that will allow them to return to an active life. The goal is to get patients out of bed and moving as quickly as possible. This is accomplished through education, surgical expertise and intense physical therapy. Patients are provided information about joint replacement and are challenged to take the lead in their recovery. Patients go through the program with a family member, who is designated as the patient's "Coach and is taught how to assist the patient at home.Outpatient rehabilitation services are provided on the hospital campus and at a network of community based outpatient therapy centers. These centers offer a wide variety of therapy services, many of which are unique in the community. They include: * Physical, occupational and speech therapy, * Wound care, * Aquatic therapy, * Lymphedema treatment, * Low-vision and adaptive driving programs, * Certified hand therapy, * Vestibular rehabilitation, and * Functional capacity evaluations.In 2015 the hospital recorded 7,316 Wound Care Center patient visits and 84,046 Outpatient Physical Therapy visits.Conditions and diseases of the brain, spinal cord and nervous system can affect how people walk, talk, comprehend and function. FSR's neurologists specialize in the diagnosis and treatment of epilepsy, tumors, stroke, Alzheimer's disease, dementia, Parkinson's disease and multiple sclerosis. As a Neuro-Spine Center of Excellence, FSR has made the commitment to offer the latest advancements in neurology, neurosurgery, spine surgery, and neuro-interventional radiology. Whether a patient needs medical, surgical or neuro-radiological intervention, the goal is to provide the most appropriate care to optimize patient outcome. In 2015 there were 217 Interventional neuro-radiology cases - made up of 44 Aneurysm coilings, 57 IVC Filter placements, and 126 stroke treatments.At the Fort Sanders Sleep Disorders Center, the area's first accredited sleep center, neurologists work with patients who suffer from a host of sleep/wake disorders including sleep apnea, insomnia, narcolepsy, and restless leg syndrome. The Center treated 575 patients in 2015.Fort Sanders' neurosurgeons provide surgical intervention for brain tumors, aneurysms and hemorrhages, as well as a host of spine conditions. They also provide surgical relief for issues caused by nerve and muscle diseases, carpal tunnel syndrome, chronic back pain and conditions resistant to medical management, like Parkinson's disease.The StealthStation Treon is an example of the hospital's commitment to state-of-the-art technology, which helps guide FSR's neurosurgeons through a variety of operations, including neurological and spinal procedures. This innovative 3D-imaging system uses global positioning technology to give physicians real time views inside the body, without radiation. The technology allows less invasive operations and helps avoid brain and nerve damage.Strokes are the third leading cause of death in the United States and affect more than 795,000 Americans each year. As a Stroke Center of Excellence, FSR and Patricia Neal Rehabilitation Center physicians and staff utilize state-of-the-art diagnostic, treatment and rehabilitation modalities. The hospital holds a Comprehensive Stroke Center certification from the Joint Commission (one of only 5 in the state) as well three separate stroke accreditations from the Commission on the Accreditation of Rehabilitation Facilities (CARF). In 2015, FSR's aggregate score related to strokes was 99.1%, and it had 654 Ischemic and 96 Hemorrhagic stroke patient admissions.FSR was the first facility in the area to combine CT and bi-plane angiography with a full-time neuro-interventional radiologist to provide our region with new, minimally-invasive options for treating stroke, aneurysms, and other vascular diseases in the brain. With this system, neuro-interventional radiology procedures can be performed that would have previously required surgery and an extended hospital stay or would not have been options for some patients.Bi-plane technology improves imaging and resolution creating comprehensive 3D views of the blood vessels in the brain. Having a more precise picture of an abnormality makes it easier to diagnose and repair. A team of specialized technologists and nurses work to assist the performing radiologist with each procedure. All technologists are certified by the American Association of Radiological Technologists. These procedures often involve very short hospital stays, all while keeping radiation exposure to a safe minimum and avoiding major surgery.The Patricia Neal Rehabilitation Center (PNRC) is East Tennessee's recognized leader in helping stroke, spinal cord, brain injury, orthopedic and cancer patients rebuild their lives through the delivery of optimal rehabilitation services. Opened in 1978 as an integral part of the Ortho/Neuro/Rehab program at FSR, the PNRC offers a comprehensive team approach to care. Physical, occupational, recreational, behavioral medicine and speech language therapists work with nurses and physiatrists - doctors whose specialty is physical medicine and rehabilitation. This team develops the best individual care plan to return patients to their recovery potential as quickly as possible. Rehabilitation nurses and other specialists also educate patients, teaching them self-care skills to function as well as possible upon returning home. The Center holds 10 separate accreditations from the Commission on the Accreditation of Rehabilitation Facilities (CARF) and provides a comprehensive array of inpatient rehabilitation services that would otherwise be unavailable in the community.FSR is committed to maintaining access to unique services such as those at the PNRC. Through donations and other community support, the hospital, through the Fort Sanders Foundation, provides scholarships to allow patients with limited resources access to the rehab center's services.The Patricia Neal Innovative Recreation Cooperative (IRC) was created in 1994 to meet the needs of individuals who have suffered a life-changing illness or injury. The program was designed to be part of the continuum of care in the rehabilitation process. Its scope is to host clinics under an umbrella of education and awareness: education to teach leisure skills to enhance quality of life in a safe environment and awareness to heighten the understanding of disabilities in the community. In its existence, the IRC has seen over 7,000 participants and volunteers. The goal is to remove all the barriers to develop each individual's right to self-directed leisure for a healthier lifestyle. This program is supported by community donations, grants and a hospital subsidy.Older adults are a significant portion of the patient population in Ortho/Neuro/Rehab. FSR is committed to special health care for older adults and was the first NICHE-certified (Nurses Improving Care for Health System Elders) facility in the East Tennessee region. Care is provided to help prevent complications such as skin breakdowns, falls/injuries, pain, acute confusion, and the loss of strength and mobility. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $51,153,789 | ExpenseAmt |
| Revenue | $65,691,708 | RevenueAmt |
| Desc | Oncology Services: Fort Sanders Regional Medical Center features extensive inpatient and outpatient oncology care provided by exceptional oncologists who practice throughout the Knoxville area. In 2015 Fort Sanders Regional Medical Center had 1,484 admissions to the oncology unit with 8,890 patient days. More information about oncology services is on Schedule O.Oncology Services: Expenses - $51,153,789; Revenue - $65,691,708The Oncology Center of Excellence at Fort Sanders Regional offers a comprehensive approach to patient care which minimizes patient disruption and maximizes clinical quality and efficiency. Safety is the number one priority in the Oncology Center of Excellence. Due to the nature and potency of the medications used in this area, strict safety processes are performed by doctors, pharmacists and certified nurses who work as a team to double and triple check these medications for accuracy. Chemotherapy-trained nurses work with oncologists to make sure each patient receives the correct chemotherapy drug, in the right dosage cycle, every time. Within the Oncology Center of Excellence, many of the nurses are oncology certified at a national level. Staff attends special lectures and conferences hosted by local and national medical oncologists and radiation oncologists to keep up with the newest innovative treatments available.Each staff member on the oncology unit is uniquely trained in the care of cancer patients. The oncology team includes a dedicated oncologic pharmacist, dietitian, social worker, and RN case manager. This team communicates regularly to ensure excellent patient care from admission to discharge. From dietitians, to pharmacists and radiologists, to housekeeping staff, Fort Sanders has done a lot of work to provide oncology education to every employee who may come in contact with patients. By completing this 360-degree education, Fort Sanders provides better patient care. The Oncology Center of Excellence at Fort Sanders Regional holds the prestigious Certificate of Approval from the Commission on Cancer. The Commission on Cancer Certification is awarded only to facilities with oncology programs committed to providing the best comprehensive cancer care. The Oncology Nursing Unit serves as the inpatient component of the accredited Stem Cell Center based at the Thompson Cancer Survival Center. This Stem Cell treatment center in conjunction with our Oncology Nursing Unit has accomplished accreditation by the Foundation of Accreditation for Cellular Therapy, also known as FACT.Surgical oncology focuses on the surgical management of cancer. The medical staff at Fort Sanders Regional Medical Center includes general surgical oncologists as well as thoracic surgical oncologists, gynecologic oncologists and other sub-specialists that specialize in treating cancer patients. Outcomes in surgical cancer care are positively associated to surgeon volume -- i.e. the more cancer cases a surgeon treats, the more proficient the surgeon becomes, thus improving overall outcomes and survival rates. In 2015 FSR had 467 surgical oncology cases.Due to the close proximity of Fort Sanders Regional Medical Center to Thompson Cancer Survival Center, the surgeons and staff at Fort Sanders Regional work closely with the cancer center's multidisciplinary treatment teams in the collaboration of care and treatment plans for patients with chest and breast cancer. A team of cancer specialists in differing areas of expertise, including surgeons, gather and evaluate each patient's case to determine possible treatment options. Each specialist then meets individually with the patient to go over treatment choices and answer questions. As part of outpatient Oncology care, Fort Sanders Regional has five outpatient Infusion Centers in the area providing many of the chemotherapy medications for cancer patients. There were 62,766 infusion visits to the infusion centers in 2015.Fort Sanders Regional Medical Center, through the Patricia Neal Rehabilitation Center is the only place in East Tennessee, and one of a handful in the country that offer a cancer rehabilitation program. The cancer program combines many of the rehabilitation techniques currently used for patients with brain and spinal cord injuries and strokes because the impairments cancer patients experience can be very similar to those of traumatic injuries. The health-care team includes:* Each patient's personal physician * Medical, radiation and surgical oncologists * Physiatrists doctors whose specialty is physical medicine and rehabilitation * Rehabilitation nurses * Physical, occupational and recreational therapists * Psychologists * Speech language pathologists * Pharmacists * Dietitians * Case managers At Patricia Neal, the cancer rehab team creates a special care plan for each patient with the goal of helping patients regain as much ability and independence as possible. The center treats many of the impairments that can result from cancer, cancer surgery, radiation therapy, chemotherapy and other treatments, such as:* Fatigue * Muscle wasting * Weakness * Pain * Skin breakdown * Impaired mobility * Anxiety * Depression * Adjustment problems * Overall deconditioning * Lymphedema swelling * Weight loss * Communication difficulty * Impaired thinking or memory loss Patricia Neal has a positive, encouraging atmosphere and is known for outstanding resources, from a rooftop therapy park to a computer life-skills lab. The center also offers:* Fully-equipped therapy gyms * Special adaptive equipment programs * Animal therapy * Support groups * Community outings * Family and caregiver training * Tools to improve communication * Adaptive driving programs* Balance programs * An adaptive living apartment to ease the transition back to everyday life | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $30,977,226 | ExpenseAmt |
| Revenue | $31,431,426 | RevenueAmt |
| Desc | Cardiovascular Services:From diagnosis to rehabilitation, Fort Sanders Regional's award-winning Heart Center has one of the most comprehensive cardiac services available. Our advanced diagnostics, interventional technologies, cardiovascular surgery, and clinical trials are tailored to meet each patient's cardiac needs. Fort Sanders Regional's program is designed to help patients regain their strength and stamina. In 2015 the hospital recorded 1,288 admissions to the Cardiology unit with 5,908 patient days. More information about cardiology services is on Schedule O. Cardiovascular Services: Expenses - $30,977,226; Revenue - $31,431,426Fort Sanders Regional Medical Center's Cardiology department is the recipient of the 2014 American College of Cardiology Foundation's NCDR ACTION Registry - 2014 GWTG Platinum Performance Achievement Award. The award recognizes the hospital's commitment and success in implementing a higher standard of care for heart attack patients. Honored hospitals have maintained a rate of performance of 90% or better for eight consecutive quarters, ending quarter four in 2013. The Joint Commission named Fort Sanders Regional Medical Center one of the nation's Top Performers on Key Quality Measures. Fort Sanders Regional Medical Center is one of three "valve centers" in the Covenant Health system, allowing the most complex cardiovascular problems to be treated locally. Covenant Health is also the first health system in East Tennessee and only one of 10 in the entire state to offer TAVR, a breakthrough procedure for replacing heart valves. State-of-the-Art Cardiac DiagnosticsThere were 40,771 cardiac diagnostic procedures performed at Fort Sanders Regional Medical Center's Cardiology Department in 2015.A fast, accurate diagnosis of a heart condition significantly improves a patient's chance for recovery after a heart attack. State-of-the-art diagnostic tools available at Fort Sanders Regional include:* The area's first Lightspeed 64-slice VCT Scanner captures an incredibly precise image of the heart in just five heartbeats. * Vivid 7 echocardiography uses ultrasound to produce a moving cardiac image in real time. * Nuclear stress tests find difficult-to-detect problems in the heart's outer covering. * Electrocardiograms provide reliable diagnostics and stress tests performed right in the hospital assure immediate care if a problem is discovered. The Latest MedicinesPhysicians at Fort Sanders Regional participate in clinical trials of new medicines for a wide range of heart conditions. Three potentially life-saving medicines for unstable angina and heart attacks are currently being tested. A new trial is investigating a drug to prevent heart attacks and strokes in acute coronary syndrome patients. Minimally-Invasive TreatmentGreat strides have been made in minimally-invasive procedures for heart-related issues. Minimally-invasive procedures allow physicians to implant valves and repair holes in the heart wall without a major incision.* The new Innova 2100-IQ all-digital cath lab gives cardiologists unprecedented image clarity to better view hard-to-see blood vessels, with less radiation exposure for patients and physicians. * Radio frequency ablation controls rapid heartbeats with radio waves. * Drug-eluting stents open blocked arteries and help prevent a recurrence of the blockage. Cardiovascular SurgeryCardiovascular surgery includes surgical procedures to correct abnormalities within the heart and/or great vessels. The hospital recorded 337 cardiology surgical cases in 2015. Some of the more common procedures are Coronary Artery Bypass Grafting, commonly known as CABG, which is a treatment option for clogged arteries; valve repair or replacement; and correction of congenital heart defects and repair of aortic aneurysms.Robotically-Assisted Surgery - The da Vinci robotics system gives surgeons the capability to perform select heart procedures without opening the patient's chest and patients usually experience fewer side effects and faster recovery times. Cardiac Rehabilitation - Heart patients often need to strengthen weakened heart muscles and learn heart-healthy practices. Fort Sanders Regional's complete Cardiac Rehabilitation Outpatient Program (CROP) combines education, exercise, counseling, and more to help heart patients regain their functional capacity and reduce the possibility of future heart problems. In 2015 there were 13,706 cardiac rehabilitation visits recorded.Information for Heart Failure Patients - Fort Sanders Regional has developed a resource booklet for patients who are being treated for heart failure. This booklet includes details about heart failure, how it is diagnosed and treated, and lifestyle information for those seeking to be as healthy and active as possible while dealing with heart failure. The booklet also contains tracking sheets to record information that will be helpful for you and your healthcare provider, as well as a list of related resources and services within Covenant Health. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $172,619,954 | ExpenseAmt |
| Grant | $133,281 | GrantAmt |
| Revenue | $185,553,457 | RevenueAmt |
| Desc | As a full-service acute care hospital and regional referral center, Fort Sanders Regional Medical Center treats patients across a broad spectrum of medical specialties in addition to those highlighted above. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $172,619,954 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $133,281 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $185,553,457 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $317,135,907 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 385 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2142 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Nancy Beck | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8653746864 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1420 Centerpoint Blvd Bldg C | AddressLine1Txt |
| City | Knoxville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 379321960 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Ed Anderson | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,435 | $0 | ||||
| Gerald Boyd | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,316 | $0 | ||||
| Dr Willard Campbell | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dr Michael Casey | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $2,275 | $0 | ||||
| Dr Mitchell Dickson | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,919 | $0 | ||||
| Pamela P Fansler | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Homer Fisher | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| James Fitzsimmons | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,813 | $0 | ||||
| Jim Johnson Jr | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,272 | $0 | ||||
| Amber Krupacs | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,741 | $0 | ||||
| Eddie Mannis | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Timothy Matthews | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,637 | $0 | ||||
| Larry Mauldin | ||||||||||
| Chairman | 0.00 | 1.00 | Yes (X) | $0 | $1,422 | $0 | ||||
| Dr Joseph Metcalf | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| George Miller | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,270 | $0 | ||||
| Alvin Nance | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,314 | $0 | ||||
| Linda Ogle | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Roger Osborne | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Carl Storms | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,206 | $0 | ||||
| Joseph E Sutter | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,490 | $0 | ||||
| Richard Swanson | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,444 | $0 | ||||
| David C Verble | ||||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,428 | $0 | ||||
| Anthony L Spezia | ||||||||||
| President & CEO | 0.00 | 50.00 | Yes (X) | $0 | $1,660,333 | $230,699 | Yes (X) | |||
| John T Geppi | ||||||||||
| EVP/CFO | 0.00 | 50.00 | $0 | $795,717 | $27,890 | Yes (X) | ||||
| Keith Altshuler | ||||||||||
| President & CAO | 44.00 | 6.00 | $0 | $399,825 | $35,154 | Yes (X) | ||||
| Ronnie S Beeler | ||||||||||
| VP - Financial Services | 30.00 | 10.00 | $202,842 | $0 | $30,118 | Yes (X) | ||||
| Kelly S Miles | ||||||||||
| VP - Chief Nursing Officer | 40.00 | 0.00 | $241,777 | $0 | $19,575 | Yes (X) | ||||
| Bridgette Welch | ||||||||||
| Director, Surgical Services | 40.00 | 0.00 | $133,608 | $0 | $18,232 | Yes (X) | ||||
| Mary E Dillon MD | ||||||||||
| Medical Director | 40.00 | 0.00 | $240,376 | $0 | $3,055 | Yes (X) | ||||
| Nancy L Granger | ||||||||||
| Pharmacy Manager | 40.00 | 0.00 | $148,099 | $0 | $30,042 | Yes (X) | ||||
| Christopher C Norris | ||||||||||
| Pharmacy Director | 40.00 | 0.00 | $157,164 | $0 | $30,607 | Yes (X) | ||||
| Joseph M Bowling | ||||||||||
| Medical Physicist | 40.00 | 0.00 | $189,346 | $0 | $28,810 | Yes (X) | ||||
| Jennifer Hanson | ||||||||||
| Former VP - Chief Nursing Officer | 0.00 | 50.00 | $0 | $281,702 | $18,846 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,313,212 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,160,559 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $473,028 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 41 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GE Healthcare | |||||
| PO Box 96483 | Chicago | IL | 60693 | Equipment Maintenance/Service | $2,666,471 |
| Medic Regional Blood Center | |||||
| 1601 Ailor Avenue | Knoxville | TN | 379216702 | Blood Processing | $1,432,534 |
| Angelica Textile Services Inc | |||||
| PO Box 535122 | Atlanta | GA | 30353 | Linen Service | $1,191,048 |
| Fresenius Medical Care | |||||
| 16343 Collections Center Drive | Chicago | IL | 60693 | Dialysis Services | $1,162,938 |
| Enduracare Therapy Mgmt Inc TMI | |||||
| POBox 654072 | Dallas | TX | 75265 | Management Services | $754,601 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 32 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $250,692 | RelatedOrganizationsAmt |
| Government Grants | $80,084 | GovernmentGrantsAmt |
| All Other Contributions | $5,000 | AllOtherContributionsAmt |
| Noncash Contributions | $10,942 | NoncashContributionsAmt |
| Total Contributions | $335,776 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Medical Services | 622110 | $337,665,236 | $337,665,236 | |
| Laboratory | 621500 | $1,134,947 | $1,134,947 | |
| Rental Inc - Exempt Affiliate | 531120 | $702,902 | $702,902 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $339,503,085 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,436 | TotalRevenueColumnAmt |
| Exclusion | $20,436 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,424,675 | RealAmt |
| Personal | $23,495 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,220,002 | RealAmt |
| Personal | $23,495 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $204,673 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $204,673 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$61,135 | UnrelatedBusinessRevenueAmt |
| Exclusion | $265,808 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $400 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $6,322 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$5,922 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,922 | TotalRevenueColumnAmt |
| Exclusion | -$5,922 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Food Services | 722212 | $1,831,979 | $1,831,979 | |
| Steam & Oxygen | 900099 | $826,558 | $826,558 | |
| Gift Shop | 453220 | $640,851 | $640,851 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,225,594 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,038,316 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $6,002 | UnrelatedBusinessRevenueAmt |
| Exclusion | $181,276 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,524,982 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $344,583,030 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $339,406,454 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,906,372 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,934,428 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,992 | TotalAmt |
| Program Services | $88,992 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,289 | TotalAmt |
| Program Services | $44,289 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $494,312 | TotalAmt |
| Management And General | $494,312 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,003,136 | TotalAmt |
| Program Services | $74,404,203 | ProgramServicesAmt |
| Management And General | $598,933 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,297,416 | TotalAmt |
| Program Services | $2,277,910 | ProgramServicesAmt |
| Management And General | $19,506 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,760,903 | TotalAmt |
| Program Services | $8,679,802 | ProgramServicesAmt |
| Management And General | $81,101 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,767,898 | TotalAmt |
| Program Services | $5,689,742 | ProgramServicesAmt |
| Management And General | $78,156 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,873,530 | TotalAmt |
| Program Services | $21,967,111 | ProgramServicesAmt |
| Management And General | $906,419 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,916 | TotalAmt |
| Management And General | $156,916 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,398,296 | TotalAmt |
| Program Services | $21,160,002 | ProgramServicesAmt |
| Management And General | $238,294 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $696,563 | TotalAmt |
| Program Services | $684,449 | ProgramServicesAmt |
| Management And General | $12,114 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,831,174 | TotalAmt |
| Program Services | $2,186,316 | ProgramServicesAmt |
| Management And General | $644,858 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,783,448 | TotalAmt |
| Program Services | $5,505,033 | ProgramServicesAmt |
| Management And General | $2,278,415 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,092 | TotalAmt |
| Program Services | $42,244 | ProgramServicesAmt |
| Management And General | $1,848 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $261,713 | TotalAmt |
| Program Services | $225,677 | ProgramServicesAmt |
| Management And General | $36,036 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,010 | TotalAmt |
| Program Services | $8,010 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,589,263 | TotalAmt |
| Program Services | $11,068,356 | ProgramServicesAmt |
| Management And General | $1,520,907 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $666,340 | TotalAmt |
| Program Services | $657,049 | ProgramServicesAmt |
| Management And General | $9,291 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| Unrelated Business Inco | $13,417 | $13,417 | |
| Supplies & Equipment | $96,713,251 | $88,797 | $96,624,454 |
| Charity Care | $33,170,135 | $33,170,135 | |
| Bad Debts | $17,320,921 | $17,320,921 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,649,692 | TotalAmt |
| Program Services | $15,331,212 | ProgramServicesAmt |
| Management And General | $318,480 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $324,633,707 | TotalAmt |
| Program Services | $317,135,907 | ProgramServicesAmt |
| Management And General | $7,497,800 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,678 | BOYAmt |
| EOY | $6,083 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,966,137 | BOYAmt |
| EOY | -$1,604,118 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,681,390 | BOYAmt |
| EOY | $28,437,542 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,555 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,677,145 | BOYAmt |
| EOY | $6,922,270 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,228,313 | BOYAmt |
| EOY | $698,440 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $407,510,830 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $300,563,892 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,932,742 | BOYAmt |
| EOY | $106,946,938 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,161,203 | BOYAmt |
| EOY | $104,487,771 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $226,764,889 | BOYAmt |
| EOY | $245,894,926 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,347,150 | BOYAmt |
| EOY | $23,382,847 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,059,901 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $243,787 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,832,568 | BOYAmt |
| EOY | $3,756,229 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,239,619 | BOYAmt |
| EOY | $27,382,863 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $198,525,270 | BOYAmt |
| EOY | $218,512,063 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $198,525,270 | BOYAmt |
| EOY | $218,512,063 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $226,764,889 | BOYAmt |
| EOY | $245,894,926 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $19,949,323 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $37,470 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $132,536 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,981 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,981 | OtherExpendituresAmt |
| End Year Balance | $132,536 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $130,916 | BeginningYearBalanceAmt |
| Contributions | $1,620 | ContributionsAmt |
| Investment Earnings Or Losses | $6,275 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $6,275 | OtherExpendituresAmt |
| End Year Balance | $132,536 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $129,426 | BeginningYearBalanceAmt |
| Contributions | $1,490 | ContributionsAmt |
| Investment Earnings Or Losses | $4,041 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,041 | OtherExpendituresAmt |
| End Year Balance | $130,916 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $113,809 | BeginningYearBalanceAmt |
| Contributions | $15,617 | ContributionsAmt |
| Investment Earnings Or Losses | $3,914 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,914 | OtherExpendituresAmt |
| End Year Balance | $129,426 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $103,913 | BeginningYearBalanceAmt |
| Contributions | $9,896 | ContributionsAmt |
| Investment Earnings Or Losses | $4,390 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,390 | OtherExpendituresAmt |
| End Year Balance | $113,809 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $100,345 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $7,271,989 | OtherCostOrOtherBasisAmt |
| Book Value | $7,372,334 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $83,241,991 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $100,404,545 | OtherCostOrOtherBasisAmt |
| Depreciation | $111,298,546 | DepreciationAmt |
| Book Value | $72,347,990 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,530,246 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,065,484 | DepreciationAmt |
| Book Value | $464,762 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $209,390,556 | OtherCostOrOtherBasisAmt |
| Depreciation | $186,115,245 | DepreciationAmt |
| Book Value | $23,275,311 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,571,158 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,084,617 | DepreciationAmt |
| Book Value | $3,486,541 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $106,946,938 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Deferred Compensation | $1,126,762 |
| Due from Affiliates, Net | $103,007,986 |
| Miscellaneous Non-Affiliate Receivables | $194,282 |
| Rental Income Receivable | $158,741 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $104,487,771 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Third Party Payors | $1,031,329 |
| Long-term Deferred Compensation | $1,126,762 |
| Long-term Reserve for Workers Comp | $1,598,138 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,756,229 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Fort Sanders Foundation maintains two permanent endowments for the purpose of providing a permanent source of income for the following programs at Fort Sanders Regional Medical Center: The Pastoral Care Fund and the Caroline Can! Fund. The principal of the endowments will be kept intact in perpetuity. Only the income generated will be distributed to FSRMC to provide support for the aforementioned programs. |
| Part X, Line 2: | Note B to the consolidated audited financial statements of Covenant Health, parent company to Fort Sanders Regional Medical Center, reads in part: "Income Taxes: Covenant and certain of its subsidiaries or controlled entities are exempt from income taxes pursuant to Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes on qualifying activities has been made for these entities in the accompanying consolidated financial statements. However, certain entities and operations are subject to income taxes (See Note G). Note G reads in part: "Covenant had no unrecognized tax benefits at December 31, 2015 and 2014. As such, no interest or penalties were recognized in the Consolidated Statements of Operations and Changes in Net Assets related to unrecognized tax benefits. At December 31, 2015, tax returns for 2012 through 2015 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, 2015 or 2014." |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,842,517 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,454,903 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,387,614 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04030 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $49,980,904 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,774,076 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,206,828 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03320 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,100,749 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $299,592 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $801,157 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $71,924,170 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $48,528,571 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,395,599 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07610 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $176,401 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $121,563 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $54,838 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $92,915 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $92,915 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,604,494 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,165,030 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,439,464 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02750 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $149,023 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $54,866 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $94,157 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,022,833 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,341,459 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,681,374 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02830 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $99,947,003 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $67,870,030 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,076,973 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10440 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $228 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $228 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,025 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $37,025 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,356 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $31,356 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,791 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,791 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $72,400 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $72,400 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $17,320,921 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $9,699,716 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $54,424,084 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $59,557,587 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,133,503 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 NONE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fort Sanders Regional Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 Clinch Avenue | AddressLine1Txt |
| City | Knoxville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37916 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.fsregional.com | WebsiteAddressTxt |
| State License | 00000043 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fort Sanders Regional Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.fsregional.com | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.fsregional.com | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Fort Sanders Regional Medical Center | Part V, Section B, Line 5: "Together! Healthy Knox" (T!HK) was launched by the Knox County Health Department in May 2010 and was designed to create a community approach to better health. The T!HK initiative is based on the Mobilizing for Action through Planning and Partnerships (MAPP) model for community health planning, which consists of specific steps meant to be repeated every three to five years. What began with a twenty partner Leadership Team grew to involve over seventy community and organizational partners. The assessment process, led by the Health Department, had broad participation from the public health community, including all Knox County hospitals. All four MAPP assessments were completed in 2011, and the T!HK Leadership Team determined the most critical issues to be addressed in Knox County. After nearly three years of data collection, analysis and meetings, the priority areas were announced to the broader community in a press conference on November 1, 2012. Three action teams formulated goals and strategies to address the three priority areas identified. |
| Fort Sanders Regional Medical Center | Part V, Section B, Line 6a: Knox County hospitals who participated in the "Together! Healthy Knox" initiative included Fort Sanders Regional Medical Center, Parkwest Medical Center, East Tennessee Children's Hospital, and The University of Tennessee Medical Center. |
| Fort Sanders Regional Medical Center | Part V, Section B, Line 6b: The CHNA could not have been completed without the leadership of the Knox County Health Department and the Together! Healthy Knox Leadership Team. Their expertise, use of the MAPP process, meeting facilitation and guidance ultimately resulted in the most comprehensive health assessment process ever undertaken in Knox County. Other community organizations who participated in the CHNA process were Child and Family Tennessee, City of Knoxville, Knoxville Academy of Medicine, Knoxville Area Coalition on Childhood Obesity, Knoxville Chamber of Commerce, Knoxville Police Department, Knoxville Community Development Corporation, Helen Ross McNabb Center, Interfaith Health Clinic, Knox County Government, Metropolitan Drug Commission, and community members from many other organizations. |
| Fort Sanders Regional Medical Center | Part V, Section B, Line 11: Of the significant findings identified in the CHNA, Fort Sanders Regional Medical Center is focusing its resources on the following: Achieving Equitable Health Outcomes *Promoting educational clinics through the Patricia Neal Innovative Recreation Cooperative to assist individuals with disabilities so they can improve their quality of life through adaptive recreational endeavors *Increasing community safety awareness as a participant in Dollywood Safety Day Strengthening Community Partnerships *Collaborating with a local children's hospital to identify and treat infants diagnosed with Neonatal Abstinence Syndrome and initiating referrals to substance abuse resources and community agencies as appropriate *Partnering with employers to assist with their worksite employee health program utilizing the HealthQuest program; assistance includes wellness program consultation, health risk data analysis, biometric screenings, employee outreach, weight management and primary care referral |
| Fort Sanders Regional Medical Center | Part V, Section B, Line 16i: Please see the explanation to Part VI, Line 3. |
| Fort Sanders Regional Medical Center | Part V, Section B, Line 22d: Please see the explanation to Part III, Line 9b. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 18 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| 1 - FSR Infusion Services Oak Ridge | |||||
| 200 New York Avenue Suite 230 | Oak Ridge | TN | 37830 | Pharmacy - Infusion Services | |
| 2 - FSR Infusion Services TCSC | |||||
| 1915 White Avenue | Knoxville | TN | 37916 | Pharmacy - Infusion Services | |
| 3 - Patricia Neal Rehabilitation Center | |||||
| 1901 Clinch Avenue | Knoxville | TN | 37916 | Rehabilitation Unit | |
| 4 - Thompson Infusion Center | |||||
| 215 BMH Cancer Center Drive | Maryville | TN | 37804 | Pharmacy - Infusion Services | |
| 5 - Fort Sanders Regional MRI Dept | |||||
| 1915 White Avenue | Knoxville | TN | 37916 | MRI Dept (Diagnostic) | |
| 6 - FSR Infusion Services Lenoir City | |||||
| 576 Fort Loudoun Med Ctr Dr Ste 204 | Lenoir City | TN | 37772 | Pharmacy - Infusion Services | |
| 7 - Fort Sanders West Diagnostic Center | |||||
| Fort Sanders West Blvd MOB-3 Ste | Knoxville | TN | 37922 | Diagnostic Center | 210 |
| 8 - Fort Sanders Regional Infusion Services | |||||
| 1901 Clinch Avenue | Knoxville | TN | 37916 | Pharmacy - Infusion Services | |
| 9 - FSR Gamma Knife Center | |||||
| 1915 White Avenue 1st Floor | Knoxville | TN | 37916 | Gamma Knife Center | |
| 10 - Fort Sanders Wound Care Center | |||||
| 2001 Laurel Avenue Suite G-5 | Knoxville | TN | 37916 | Wound Care | |
| 11 - FSRMC Transitional Care Unit | |||||
| 1901 Clinch Avenue | Knoxville | TN | 37916 | Skilled Nursing Facility | |
| 12 - FS Neurodiagnostics & Sleep Center | |||||
| Ft Sanders POB Ste 303 501 20th St | Knoxville | TN | 37916 | Neurodiagnostic and Sleep Center | |
| 13 - Fort Sanders Regional Laser Center | |||||
| 1915 White Avenue | Knoxville | TN | 37916 | Center for Barrett's Esophagus | |
| 14 - FSR Therapy Center - Downtown | |||||
| 2001 Laurel Avenue Ste 504 | Knoxville | TN | 37916 | Physical Rehabilitation Therapy Center | |
| 15 - FSR Cardiopulmonary Rehab | |||||
| Ft Sanders POB Ste 301 501 20th St | Knoxville | TN | 37916 | Cardiopulmonary Rehab Therapy Center | |
| 16 - Fort Sanders Regional Breast Center | |||||
| 1915 White Avenue | Knoxville | TN | 37916 | Breast Center (Diagnostic) | |
| 17 - FSR Therapy Center - Halls | |||||
| 6679 Maynardville Hwy | Knoxville | TN | 37918 | Physical Rehabilitation Therapy Center | |
| 18 - FSR Therapy Center - Powell | |||||
| 3515 Emory Road Suite P-9 | Powell | TN | 37849 | Physical Rehabilitation Therapy Center | |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | Covenant Health, the parent company of Fort Sanders Regional Medical Center and other affiliated acute care hospitals, prepares an annual Report to the Community on behalf of the entire system. |
| Part I, Line 7: | Amounts on Lines 7a-7c and certain program costs included on Line 7g are from the hospital's cost accounting system, which addresses all patient segments. Other community benefit expenses are at cost from the general ledger. |
| Part I, Line 7g: | The organization has included $6,960,326 in physician sponsorship fees in total subsidized health services. |
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 17,320,921. |
| Part II, Community Building Activities: | Fort Sanders Regional Medical Center cares for the whole person and recognizes that improved social and economic conditions may lead to the improved health and well-being of the community. The hospital's community building activities and those of its parent organization, Covenant Health, address many of the root causes of health problems, such as poverty and homelessness, and help find solutions to alleviate the symptoms.An allocation of the Parent's community building expenditures has been made to each member hospital in proportion to the financial contribution of each to the health system. Covenant Health is not a hospital and does not file Schedule H with its Form 990. In 2015 contributions were made to organizations meeting the community's needs by providing: *Literacy programs - Dollywood Foundation *The basic needs of life including temporary shelter, food and clothing - United Way and others *Youth mentoring, development and after-school programs - Emerald Youth Foundation, Boys and Girls Club and Great Smoky Mountain Council *Business recruitment and marketing initiatives that boost economic development - Innovation Valley and East Tennessee Economic Development Agency *Leadership development programs and workshops - Leadership Knoxville *Assistance and special programs for at risk, physically challenged, abused and neglected children - Variety of Eastern Tennessee (local chapter of Variety-The Children's Charity) and East TN Tech Access Center, Inc. *Improve access to health services - Interfaith Health Clinic and Knoxville Academy of Medicine *Programs targeting cancer patients and their families - Cancer Support Community, Inc. and Komen Knoxville Race for Cure |
| Part III, Line 2: | Bad debt expense on Line 2 is the amount recorded in the organization's financial statements. Discounts and payments on patient accounts are netted against bad debt. |
| Part III, Line 3: | In 2015, the hospital reviewed all self-pay accounts receivable to identify patients who might have qualified for financial assistance. As of year end, the hospital could not make a final determination as to some patients' qualification for financial assistance because not all requested financial information had been received but felt strongly that they were in need of some form of assistance. Notes in the patient records were examined to see if a charity care application had been sent to the patients or guarantors or if the accounts were being analyzed by a business office employee for approval for charity care. The percentage of patient accounts being analyzed as a percent of total self-pay accounts receivable has been applied to the current year total bad debt expense on Line 2 to arrive at the amount reported on Line 3. It is our belief that the amount of bad debt on line 3 should be included as community benefit. As a tax-exempt hospital, we must provide necessary services regardless of the patients' ability to pay for the service provided. As a not-for-profit, patient care is provided to all, regardless of ability to pay for that care. Making quality patient care available to all in our community, regardless of economic means, qualifies bad debts as a community benefit. |
| Part III, Line 4: | Note B to the 2015 Audited Consolidated Financial Statements of the Covenant Health system, of which Fort Sanders Regional Medical Center is a member, reads in part: "Patient accounts receivable are reported net of both an estimated allowance for uncollectible accounts and an estimated allowance for contractual adjustments. The contractual allowance represents the difference between established billing rates and estimated reimbursement from Medicare, TennCare and other third-party payment programs. The allowance for uncollectible accounts is estimated based upon the age of the patient accounts receivable, prior experience and any unusual circumstances (such as local, regional or national economic conditions) which affect the collectability of receivables, including management's assumptions about conditions it expects to exist and courses of action it expects to take. Covenant's policy does not require collateral or other security for patient accounts receivable and Covenant routinely accepts assignment of, or is otherwise entitled to receive, patient benefits payable under health insurance programs, plans or policies." |
| Part III, Line 8: | Medicare Shortfall: Fort Sanders Regional Medical Center believes that all of the $5.1 million shortfall reported in Line 7 should be considered as community benefit. The IRS Community Benefit Standard includes the provision of care to the elderly and Medicare patients. Medicare shortfalls must be absorbed by the hospital in order to continue treating the elderly in our community. This year, Medicare patients accounted for 27.9% of total patient days (22,634 out of 81,192 total). The hospital provides care regardless of this shortfall and thereby relieves the federal government of the burden of paying the full cost for Medicare beneficiaries.Costing Methodology: Fort Sanders Regional Medical Center used a combination of sources in calculating Medicare allowable costs on Part III, Line 6 including its cost accounting system, general ledger accounting system, and facility-specific analyses and calculations. |
| Part III, Line 9b: | Self-pay patients automatically receive a minimum 48% discount on charges. Federal poverty guidelines are utilized in the determination of charity care eligibility. Patients who are unable to pay and have exhausted all sources of payment assistance may qualify for charity care. A sliding scale is used for extending charity care utilizing the income levels reported under the federal poverty guidelines. Patients/guarantors with income that falls below 200% of the federal poverty guidelines receive 100% charity care. Patients/guarantors with income of 201-300% of the federal poverty guidelines receive 70% charity care.For catastrophic illness, exceptions to income and asset limitations may be made on a case-by-case basis. The amount considered for charity will be based upon the evaluation of the patient's/guarantor's ability to pay.Patients/guarantors who qualify for partial financial assistance are responsible for paying any balance remaining after the charity adjustment and third party payments. Once an account has been processed internally through routine collection channels, it may be assigned to an attorney or agency for collection. The patient/guarantor will be billed for all collection costs as may be applicable. Credit reports will be filed no earlier than 30 days following the assignment on all nonpaid balances. |
| Part VI, Line 2: | While the Community Health Needs Assessment is a formal means by which the health system assesses the needs of the community, there are many informal linkages that give the Covenant Health hospitals a sense of community issues and needs. Fort Sanders Regional Medical Center obtains additional community information thru the service of its employees with organizations including the Interfaith Health Clinic, local Chambers of Commerce and Rotary clubs, the Knoxville Area Coalition on Childhood Obesity, Knox Area Project Access, and the United Way of Greater Knoxville. |
| Part VI, Line 3: | Fort Sanders Regional Medical Center informs patients and other persons who may be billed for patient care about its financial assistance policies by posting signs in highly visible areas of the hospital and including information about the financial assistance policy in patient booklets provided to inpatients during the registration process.The following sign is posted in the main registration area, main lobby area and in the Emergency Department registration entrance: Financial Assistance: Covenant Health is committed to providing quality health services in a caring environment. It is the expressed philosophy of Covenant Health, and its member hospitals, that no one should be denied necessary medical care because of the inability to pay. In conjunction with this philosophy, staffs of Fort Sanders Regional 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 Sanders Regional Medical Center, in compliance with Tennessee Code Annotated, Title 47, Chapter 18 and Title 68, will provide at a reduced rate, medically indicated services. A financial counselor is available to assist you with these matters by calling 865-541-1112, Monday through Friday between the hours of 8 a.m. and 4:30 p.m.Signs are also posted at each registration desk and at Customer Service stating: Financial Assistance: It is Fort Sanders Regional 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 or through our Financial Counselor's office. To apply for financial aid, please ask our registration staff or contact the Counselor's office at 541-1112. The Financial Counselor is available Monday - Friday, 8 a.m. - 4:30 p.m.Fort Sanders Regional Medical Center employs full time financial counselors and has a contract employee from First Source Solutions that meet with each uninsured patient. In addition, Fort Sanders Regional Medical Center assists with completion of a TennCare application and ensures the application is directed to the appropriate Department of Human Services.The Charity Care Policy states that patients who are unable to pay and have exhausted all sources of payment assistance may be screened for potential charity care eligibility. According to the policy, the financial counselor initiates screening of the patient and/or guarantor by obtaining income and other financial information to determine eligibility for charity care or discounted services. |
| Part VI, Line 4: | Fort Sanders Regional Medical Center is located in downtown Knoxville, Tennessee. Although located in metropolitan Knox County, Fort Sanders Regional Medical Center receives many specialty referrals from outlying hospitals and physicians and serves patients from 16 diverse counties, a mix of urban, suburban and rural. According to internal hospital data for 2015, more than 54% of the inpatients and outpatient cases were from Knox County. Sevier County provides Fort Sanders Regional with the second highest number of admissions compared to other counties in the region, slightly more than 9% of the total.According to 2015 data from the County Health Ranking report of the Robert Wood Johnson Foundation the population of Knox County is 448,644. The percent of the population that is 65 years or older constitute 14.5% of the residents. The unemployment rate in 2015 was 4.8%. According to the 2015 County Health Rankings Report by the Robert Wood Johnson Foundation/ University of Wisconsin Population Health Institute, Knox County residents ranked 15 out of 95 Tennessee Counties in overall health. Knox County residents have the following health indicators that are at or above the national benchmarks: Knox - TN - National Adult Smoking: 22% - 24% - 14% Adult Obesity: 29% - 32% - 25% Excessive Drinking: 12% - 12% - 12% Teen Birthrate: 31 - 45 - 19 of every 1,000 teenage girls |
| Part VI, Line 5: | Fort Sanders Regional Medical Center (FSRMC), 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 FSRMC's board. It is comprised of independent community leaders with diverse educational and professional backgrounds. The board sets policies and provides oversight of FSRMC.FSRMC 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 Sanders Regional Medical Center, 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 Sanders Regional, as a regional referral hospital, provides a wide range of acute care services, many of which are unique in the Covenant system. These services are therefore more easily accessible by other affiliated hospitals and health care organizations through transfer or referral, helping to create a seamless continuum of care. The hospital, through its Patricia Neal Rehabilitation Center division, is the only acute inpatient rehabilitation facility in the Covenant system and the largest such provider in the service area. Programming includes specialized services for stroke, brain injury, spinal cord injury and other difficult patient populations with the primary goal of returning the patient home with the greatest gain in functional ability possible. Fort Sanders Regional also provides hospital-based skilled nursing care which serves as either a bridge back home or as an important step along the continuum of care to other long-term care resources. Fort Sanders Regional also provides other important services unique to the Covenant system including high risk obstetrical services and home infusion. Regional operates the Coumadin clinic, as well, which serves to educate another vulnerable population as well as to monitor the therapeutic effectiveness of this drug. These services are important to preventing unnecessary hospitalizations through the provision of effective community-based care. Fort Sanders Regional also provides other extensive outpatient services through its ambulatory infusion centers, physical therapy centers, a wound care center, and its cardiac and pulmonary rehabilitation programs. Fort Sanders Regional's patients benefit from the availability of and ease of access to Covenant 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 which 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. Home health and hospice services are also an important part of the continuum of care for a large portion of the hospital's patient population. 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.The Fort Sanders Foundation seeks out community support for Fort Sanders Regional and other Covenant Health hospitals through a variety of fund raising mechanisms. For example, the Fort Sanders Foundation helps to arrange sponsorship for significant fund raising activities of the Patricia Neal Rehabilitation Center division of the hospital including an annual golf tournament that has become the largest, single day fundraising event in the state of Tennessee. The proceeds of these events help fund needed equipment and facilities for the center as well as to provide access to the center's services for uninsured or underinsured individuals who are in need of intensive rehabilitation but may otherwise be denied such services due to the lack of resources. The Foundation also provides temporary residential services through the Fellowship Center for patients of the hospital and their families that travel to Knoxville to receive needed care but are unable to afford the costs involved.The Fort Sanders Nursing Department at Tennessee Wesleyan College is an important affiliate of Fort Sanders Regional. The school provides a baccalaureate nursing education, helping to alleviate a shortage of registered nurses to serve a growing and aging population. It is a continuation of a nursing education tradition of the hospital that began more than eighty years ago. The hospital provides a substantial financial contribution to support the program. Training qualified nursing professionals to serve the current or future needs of the community is an important hospital mission.Fort Sanders Regional is integrated with its community in a number of ways including its active participation in the development of a Fort Sanders Neighborhood District Long Range Plan. Fort Sanders is a densely populated urban neighborhood in the City of Knoxville. With its proximity to downtown and with the location of two regional referral hospitals (East Tennessee Children's Hospital being the other) and the flagship campus of the University of Tennessee in its boundaries, it provides an ideal location for convenient access for residents and as a gateway to visitors. With these assets, it is imperative that the city and neighborhood leaders work together in order to coordinate quality growth while maintaining the rich character and history that give Fort Sanders its unique identity.Through this combination of resources and the collective development, implementation and monitoring of clinical protocols and other improvement initiatives, the affiliated entities of Covenant Health are able to deliver higher quality care in a more efficient manner than could be achieved working independently. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Fort Sanders Foundation | |||||||
| 280 Ft Sanders West Blvd Ste 202 | Knoxville | TN | 37922 | 621748601 | 501(c)(3) | $10,200 | Fellowship Center and patient support |
| Thompson Cancer Survival Center | |||||||
| 1915 White Avenue | Knoxville | TN | 37916 | 621250943 | 501(c)(3) | $75,193 | Operating subsidy for Fellowship Center |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| Leased a LifeVest Wearable defibrillator for one month for a patient. | 1 | $3,000 | |||
| Provided critical medications to indigent hospital patients at discharge in order to facilitate earlier discharge or to prevent readmission. | 332 | $23,947 | Cost | Prescription medications | |
| Patient well being items- gift cards, tickets, drugs & medical supplies. | 100 | $8,542 | Cost or FMV | Donated gift cards, tickets and clothing passed on to patients | |
| Provided 4 scholarships for nursing school to non-employees. | 4 | $8,800 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The hospital provides for the post-hospitalization medication needs of its patients when there is a demonstrated need as attested to by a social services worker. The determination is made by Case Management based on the judgment of the social services worker after working with the patient and the patient's family. Assistance is approved on a case-by-case basis by Case Management, and this approval is verified upon approval of any invoices to be paid. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Anthony L Spezia | ||||||||||||||
| President & CEO | $0 | $1,003,236 | $0 | $503,500 | $0 | $153,597 | $0 | $214,400 | $0 | $16,299 | $0 | $1,891,032 | $0 | $0 |
| John T Geppi | ||||||||||||||
| EVP/CFO | $0 | $496,663 | $0 | $215,000 | $0 | $84,054 | $0 | $10,400 | $0 | $17,490 | $0 | $823,607 | $0 | $0 |
| Keith Altshuler | ||||||||||||||
| President & CAO | $0 | $267,757 | $0 | $80,000 | $0 | $52,068 | $0 | $10,400 | $0 | $24,754 | $0 | $434,979 | $0 | $0 |
| Ronnie S Beeler | ||||||||||||||
| VP - Financial Services | $162,699 | $0 | $20,000 | $0 | $20,143 | $0 | $7,056 | $0 | $23,062 | $0 | $232,960 | $0 | $0 | $0 |
| Kelly S Miles | ||||||||||||||
| VP - Chief Nursing Officer | $212,772 | $0 | $20,000 | $0 | $9,005 | $0 | $4,523 | $0 | $15,052 | $0 | $261,352 | $0 | $0 | $0 |
| Bridgette Welch | ||||||||||||||
| Director, Surgical Services | $132,068 | $0 | $1,302 | $0 | $238 | $0 | $8,135 | $0 | $10,097 | $0 | $151,840 | $0 | $0 | $0 |
| Mary E Dillon MD | ||||||||||||||
| Medical Director | $239,228 | $0 | $0 | $0 | $1,148 | $0 | $0 | $0 | $3,055 | $0 | $243,431 | $0 | $0 | $0 |
| Nancy L Granger | ||||||||||||||
| Pharmacy Manager | $144,401 | $0 | $0 | $0 | $3,698 | $0 | $8,604 | $0 | $21,438 | $0 | $178,141 | $0 | $0 | $0 |
| Christopher C Norris | ||||||||||||||
| Pharmacy Director | $155,866 | $0 | $0 | $0 | $1,298 | $0 | $9,280 | $0 | $21,327 | $0 | $187,771 | $0 | $0 | $0 |
| Joseph M Bowling | ||||||||||||||
| Medical Physicist | $189,198 | $0 | $0 | $0 | $148 | $0 | $10,953 | $0 | $17,857 | $0 | $218,156 | $0 | $0 | $0 |
| Jennifer Hanson | ||||||||||||||
| Former VP - Chief Nursing Officer | $0 | $201,594 | $0 | $44,000 | $0 | $36,108 | $0 | $10,330 | $0 | $8,516 | $0 | $300,548 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | Tax gross-up payments related to deferred compensation are provided to certain executives and managers. These are treated as taxable compensation to the recipients. |
| Part I, Line 3 | Covenant Health, the parent company of Fort Sanders Regional Medical Center, used one or more of the methods listed in establishing the compensation of Anthony L. Spezia. Please see the statement to Core Part VI, Section B, Line 15a on Schedule O. |
| Part I, Line 4b | Anthony L. Spezia was a participant in two nonqualified deferred compensation plans, which will be referred to as Plan A and Plan B. In 2011 Mr. Spezia vested in Plan A, and the accumulated balance as of August 1, 2011 was included in his 2011 taxable income. An Amendment to Plan A was adopted effective August 1, 2011 which terminated further accruals (contributions) to the plan. However, the Amendment does allow the accrual of interest on undistributed amounts which will be subject to risk of forfeiture until such time as indicated in the Amendment. Interest earned by Plan A in 2015 amounted to $90,424 and is not required to be reported in Part II, as Mr. Spezia is not substantially vested in earnings accumulated after July 31, 2011. Plan B was established in 2011. Employer contributions to Plan B during 2015 totaled $204,000, which is reported in Column C of Schedule J, Part II. Interest earned by Plan B during 2015 of $57,620 is not required to be reported in compensation in Part II, as Mr. Spezia is not substantially vested in Plan B. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 1 | 2015 Report to the Community Covenant Health is a comprehensive, community-owned, not-for-profit health system serving 23 counties in East Tennessee. Nine acute care hospitals located in Knoxville and surrounding areas comprise the foundation of the health system. Additional outpatient and specialty care departments are located throughout the region providing diagnostic and surgery services, mental health and cancer treatments, and therapy and home health services. Over 10,000 employees and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than one million patients and families served each year. Covenant Health's mission is to serve its communities by improving health. It has invested well over a billion dollars in the local communities since 2000 - a commitment that no other healthcare organization in the region has approached. In the current challenging environment Covenant Health is nationally recognized as a top performer in many areas: patient care, quality, cost, information technology, finances, ethics and innovation. It reaffirms its long-standing commitment to the communities and its core strategies: * Provide the best care and outstanding customer service to every patient, every time. * Serve its communities as a not-for-profit health system. * Provide excellence in governance and leadership, effective strategic planning and wise use of resources. * Engage a work force with the appropriate skill sets. * Be the practice environment of choice for its physicians. * Optimize the value of being a unified health system. In 2015, Covenant Health ranked in the top 20 percent of a national study of health systems that measures quality and efficiency in areas such as adherence to clinical standards of care, patient safety and satisfaction, length of stay and other criteria. It received awards for clinical excellence from VHA, Inc., a national healthcare performance improvement alliance. Two of its hospitals - Fort Loudoun Medical Center and LeConte Medical Center - were among just six hospitals in the country to receive a VHA 2015 Excellence Award for Clinical Effectiveness for achieving exceptionally high levels of performance compared to national benchmarks. Fort Sanders Center for Bariatric Surgery Obesity has become a significant national health issue. Morbid obesity, defined as having a Body Mass Index (BMI) over 35 and being at risk for obesity-related health issues, is closely correlated with serious medical conditions including heart disease, high blood pressure and diabetes. Bariatric surgery often eliminates these conditions, along with the side effects that can result from the medications used to treat them. It is becoming a more viable option for people who need to lose at least 100 pounds and have found other weight-loss strategies to be unsuccessful. Bariatric surgeons, after helping more than 2000 patients over the past dozen years, created the Fort Sanders Center for Bariatric Surgery which has been designated as a Center of Excellence by the American Society of Metabolic and Bariatric Surgery. The atmosphere at the Center for Bariatric Surgery is one of support and encouragement. The relationship between physicians, staff and the patient is very open. It is important that the patient is completely informed when making a choice about surgery. A support group is available before and after surgery, and patients are strongly encouraged to take part. The Center for Bariatric Surgery offers two cutting edge solutions. Laparoscopic gastric bypass, usually done as a robotic procedure, creates a smaller stomach pouch and reroutes a portion of the small intestine. Sleeve gastrectomy removes a portion of the stomach and creates a narrower digestive tube. The safety of bariatric surgery has improved greatly over the past several years, and in most instances the patient goes home within 24 hours after surgery. Partners in Quality Care Covenant Health collaborates with physicians to carry out its mission of improving the quality of life through better health. Physicians partner with the health system in many ways including employment, as members of hospital medical staffs and Covenant's board of directors, and in committee leadership roles. Covenant Medical Group, Inc. (CMG) employs nearly 200 primary care and specialty physicians in about 100 practice locations. Covenant Health builds and maintains partnerships with physicians through joint ventures such as surgery centers and the development of service line strategies that focus on improving quality and cost of patient care. Nearly 1,500 physicians are affiliated with Covenant Health hospitals and member organizations as active or consulting members of the health system's medical staffs. These physicians may serve in leadership positions at their respective hospitals, and several also represent their organizations and communities through membership in Covenant Health's Board of Directors. Good Health is Good Business In addition to partnerships with physicians, Covenant Health works with businesses and insurance brokers to help control and lower healthcare costs. Working side by side with companies, Covenant Health helps to develop programs and services such as on-site clinics to engage employees in healthy behaviors and manage chronic diseases. With more than 30 years of experience providing biometric screenings and wellness programs in local communities, Covenant Health's professionals deliver on-site solutions for business clients. The program's goals are to improve employee health and positively affect an organization's healthcare investment. |
| Form 990, Part III, Line 1 | Covenant Health Named Among Nation's "Most Wired" The American Hospital Association's Health Forum and the College of Healthcare Information Management Executives (CHIME) named Covenant Health among the nation's "Most Wired" healthcare organizations in the 2015 "Most Wired" survey. The survey and benchmarking study is a leading industry barometer measuring information technology use among hospitals nationwide. The survey of more than 2,213 hospitals examined how healthcare organizations leverage IT to improve performance for value-based healthcare in areas such as infrastructure, business and administrative management, quality and safety, and clinical integration. The survey showed that hospitals are taking more aggressive privacy and security measures to protect and safeguard patient data. Most Wired hospitals are using IT to better facilitate information exchange across health care and other settings, and greater alignment between hospitals and physicians. Most Wired organizations are also implementing patient portals to get patients actively involved in their health and health care. Covenant Health is one of only four Tennessee healthcare organizations to be named to the Most Wired list. It is the 12th time that Covenant Health has been ranked among Most Wired. Best Practices for Babies' Healthy Start The Covenant hospitals are part of a statewide Healthy Tennessee Babies Are Worth the Wait initiative to increase awareness of the benefits of full-term delivery. Babies born too early are at risk for respiratory distress, jaundice, hypoglycemia and other conditions that need more medical care and put them at greater risk for death before their first birthdays. Waiting until 39 weeks to deliver allows for better growth and development of vital organs and is also better for the health and safety of the mother. In addition to patient and staff education programs, Covenant Health obstetrics departments adopted a policy prohibiting early elective deliveries before 39 weeks unless there is a clear medical risk to the mother or the baby. In 2011 about 12 percent of the hospitals' deliveries that occurred prior to 39 weeks gestation were considered elective. By second quarter of 2015, the number had dropped to zero. Covenant hospitals are also involved with the Tennessee Initiative for Perinatal Quality Care's breastfeeding project, which focuses on promoting and supporting breastfeeding in the delivery setting and after mothers return home. Caring for Women throughout Their Lives Covenant Health provides a full spectrum of health services for women of all ages. The health system's ten breast centers offer patients access to the latest technological advances in the prevention, early detection, diagnosis and treatment of breast cancer. A full range of diagnostic screenings, gynecological care, cancer care, and specialized treatment are offered to women in all ages and stages of life. The health system provides comprehensive heart and stroke care for women, and has developed educational and outreach programs to teach women about cardiovascular disease, risk factors, prevention, treatment and rehabilitation. Advanced Technology Keeps More Hearts Beating Covenant Health is committed to excellence in all areas of heart care - from heart disease prevention and diagnosis of heart conditions to advanced technology and treatments, emergency interventions, and cardiac rehabilitation programs for follow-up care. More than 50 affiliated cardiologists provide diagnostic testing and perform a variety of interventional procedures such as heart catheterization and techniques to clear blocked arteries and place stents to restore blood flow. Cardiologists also treat heart arrhythmias and often repair heart valves and holes in the chambers of the heart. Covenant Health is at the forefront of cardiac innovations that restore health and the ability to live life to the fullest. Covenant was the first health system in the region to offer Transcatheter Aortic Valve Replacement (TAVR), in which a minimally invasive procedure places a new valve into the heart. The procedure gives new hope to patients suffering from life-threatening aortic stenosis who are not candidates for open-heart surgery. In addition to TAVR, a full spectrum of advanced cardiac procedures are available at Covenant Health's "heart hospitals" - Fort Sanders Regional Medical Center, Methodist Medical Center of Oak Ridge and Parkwest Medical Center. For patients experiencing severe coronary disease like blocked arteries and aortic enlargement, care close to home may seem like a distant hope. Covenant's cardiac services offer complex surgeries and treatment that are often only available in larger cities. When Minutes Matter If a heart attack occurs, time is critical. The heart hospitals of Covenant Health have adopted the American College of Cardiology and American Heart Association recommended care standards for heart attack patients, specifically those identified as the "ST-Segment Elevation MI" (STEMI) population. These patients have the highest mortality (risk of death) and morbidity (risk of associated complications). They can be rapidly identified by having an electrocardiogram (EKG). The standards emphasize organizing regional systems of care and patient transfer procedures to provide faster access to advanced therapies that help facilitate rapid restoration of blood flow during a heart attack. The care team - from first responders and emergency departments to cardiologists and cath lab staff - collaborate to provide efficient and effective care. They evaluate the entire process and collaborate with anyone who has contact with this patient population to develop a standardized approach to efficiently get them to a cath lab. Every 30 minutes results in nearly an eight percent increase in risk of death, so patient outcomes are improved by having a systems approach to identification, notification, and rapid transfer. Several new processes have been developed, including: * Training EMS providers to identify STEMI patients quickly, and building relationships with emergency transporters to ensure efficient arrival at a center equipped to deal with STEMI patients. * Clinical members of Covenant Rapid Access, Covenant Health's patient transfer center, are available 24/7 to accept STEMI patients from outlying hospitals and immediately notify the cath lab team and interventional cardiologist. Rapid Access is the coordinating center for Covenant facilities. * Emergency transporters simultaneously notify both ED and cath lab teams of potential STEMI patients and transmit an EKG when available. This allows earlier activation of the cath lab team, with personnel available immediately when the patient arrives. * A regular review process provides feedback on outcomes and helps continually improve systems and processes. As a result of these efforts, Fort Sanders Regional Medical Center has exceeded state and national hospitals' performance in meeting standards for "First Medical Contact-to-Device" times. Mortality and readmission rates also declined. The STEMI team collaborates with hospitals and emergency responders in Claiborne, Sevier, and Jefferson counties, and as far away as Kentucky. |
| Form 990, Part III, Line 1 | Cardiac Rehabilitation Helps Pave the Road to Recovery The weeks immediately following a heart attack, angioplasty, or open heart surgery are critical for long-range rehabilitation. Several Covenant hospitals offer medically supervised Cardio-Pulmonary Rehabilitation programs that safely restore physical fitness and function for people who have recently had serious cardiac events. Through monitored exercise, education, counseling and healthy lifestyle changes, patients regain confidence in exercising their hearts, and they learn to make lifestyle changes to reduce the risk of further complications from heart disease. Cardiac rehabilitation offers effective treatment for heart attack, angina, post-infarction, angioplasty, post-coronary bypass, and patients considered to be high risk for coronary artery disease. The Region's Only Stroke Hospital Network When a stroke happens, timely treatment is critical. The Covenant Health network is well above the national average in delivering advanced diagnostics and treatment to halt the devastating effects of stroke. At the hub of the network are Fort Sanders Regional Medical Center, certified as a comprehensive stroke center by The Joint Commission, and the award-winning Patricia Neal Rehabilitation Center, accredited by the Commission on the Accreditation of Rehabilitation Facilities. Reaching Across Time and Distance Thanks to Fort Sanders Regional Medical Center's "tele-stroke" robot, East Tennessee stroke patients benefit from early consultation with the hospital's stroke experts, even if they are at a different hospital location. The InTouch R7 robot is a mobile communications platform that enables stroke patients to receive consults from Fort Sanders neurologists via its video screen "face." The robot allows neurologists to be available to patients in outlying areas 24 hours a day. Covenant Health has stationed robots in the emergency departments at Parkwest Medical Center in Knoxville, LeConte Medical Center in Sevierville and Morristown-Hamblen Hospital in Morristown. The telestroke network allows physicians in surrounding hospitals to use live Web video streaming to consult with neurologists as soon as a patient arrives at the community hospital. The neurologist can remotely review patient information and examine and talk with the patient, family members and local clinicians to help determine the best course of treatment, all at the patient's bedside. The interaction between neurologist and the patient via the robot helps the physician see facial expressions and get the patient to respond to the physician. Accurate, timely diagnosis is essential when stroke occurs. The clock starts with the onset of symptoms. As time ticks by, treatment options become more limited and patients can lose more and more functionality. With this tele-medicine tool, neurologists and specialists can advise surrounding emergency departments how to best treat their stroke patients or to have them transported to Fort Sanders Regional for advanced care. Rehabilitation After Stroke While prompt medical care can stop or minimize the effects of stroke, rehabilitation after a "brain attack" can help a patient recover abilities and reconnect with loved ones. At the Patricia Neal Rehabilitation Center, stroke patients are treated with a holistic team approach including the patient and family members. Physical Medicine and Rehabilitation physicians, physical therapists, occupational therapists, speech-language pathologists, rehab psychologists (behavioral medicine), nursing staff, case managers and recreation therapists make up the treatment team. Treatment is an active process with both patient and family involved in goal setting, therapy and education. Therapies include psychological and leisure/recreation evaluations, and training in range of motion, strengthening and conditioning exercises, self-care and daily living skills, and speech, language and swallowing. Other aspects include identification and management of risk factors to help prevent future strokes. The Patricia Neal Rehabilitation Center has received multiple awards including five top-honor Crystal Awards from Professional Research Consultants for overall patient satisfaction along with accolades for innovation, quality of care and successful outcomes. Leading the Fight Against Cancer Even though cancer affects many thousands of people, a cancer diagnosis can be a lonely experience. Covenant Health is committed to helping cancer patients fight the disease with excellent medical care and a multidisciplinary team of support. At the core of Covenant Health's cancer care is an elite team of physicians, armed with the most advanced cancer fighting tools available. Technology includes advanced imaging such as positron emission technology (PET) in Knoxville and mobile PET services in Sevierville, high-dose-rate brachytherapy and 3D radiation therapy. Fort Sanders Regional Medical Center offers Gamma Knife, a non-invasive radiosurgical device that targets tumors in a single visit. A variety of clinical trials, stem cell transplantation and genetic counseling are also available. Patients receiving cancer care at Covenant Health facilities receive individualized treatment plans, and have a multidisciplinary team of specialists and "navigators" to help with the treatment process. Support is also provided by social workers, nutrition counselors and other members of the cancer care team. The health system invested $7.6 million for equipment upgrades, expanded connectivity and growth of a highly regarded radiation therapy research program at six locations: Thompson Cancer Survival Centers in downtown and west Knoxville, Oak Ridge and Sevierville, at Morristown Regional Cancer Center, and at Cumberland Medical Center's radiation oncology program in Crossville. Thompson Oncology Group has 8 physician offices in 7 different counties. The group has been recognized by the Quality Oncology Practice Initiative Certification Program, an affiliate of the American Society of Clinical Oncology. The certification process includes each of the 8 Thompson Oncology Group locations and entails evaluation of treatment planning, staff training, patient education and safe chemotherapy administration. |
| Form 990, Part III, Line 1 | Connecting with Our Communities In addition to taking care of patients and families who receive direct services, Covenant Health is committed to making a positive impact in the health of the surrounding community. In all the communities Covenant Health serves, local initiatives and partnerships create opportunities to interact with people of all ages and encourage healthier lifestyles. * In March 2015 Covenant Health sponsored the Knoxville Marathon for the 11th year in a row. The race attracted over 7,750 people who competed in full and half marathons, a 5K, relays, hand cycling and push-rim wheelchair races. * Some of the funds raised through the Covenant Health Knoxville Marathon were contributed to Patricia Neal Rehabilitation Center's Innovative Recreation Cooperative (IRC). More than $5,000 was given to the IRC by a collaboration of groups and individuals who help disabled persons enjoy leisure/recreation activities such as skiing and cycling. * The Covenant Health Biggest Winner Weight Loss Challenge continued as a friendly competition that encourages East Tennesseans to get moving for a fit and healthy lifestyle. Team members trained together for five months, with the goal of crossing the finish line in Covenant Health Knoxville Marathon events, and challenging other East Tennesseans to change their lives for the better. * The Covenant Kids Run attracted nearly 1,000 children who participated in a "marathon of activities" over a period of several weeks, culminating in a run to Neyland Stadium the day before the Covenant Health Knoxville Marathon. * Covenant HomeCare Hospice helps children grieving the loss of a loved one through Katerpillar Kids Camp, a free event offered with the support of Variety - The Children's Charity. The camp helps children in grades 1-12 express their feelings of loss in a supportive environment. * Methodist Medical Center co-sponsored the third annual Baby's Best Fest, a day of family games and an ice cream social celebrating World Breastfeeding Month and supporting breastfeeding as the healthiest start for babies. * LeConte Medical Center partnered with Dollywood's Splash Country for the second year to host Water Safety Day. The day was held in conjunction with the "World's Largest Swimming Lesson," a national event promoting the importance of learning to swim. LeConte employees educated children about water safety; representatives from Thompson Cancer Survival Center talked about the need for sunscreen; and staff from the Patricia Neal Rehabilitation Center presented the Think First head and spinal cord injury prevention program and adaptive water sports. More than 600 children participated. * Cumberland Medical Center in Crossville co-sponsored numerous health fairs and community events throughout the year, and hosted free Mammogram Days for women who met specific screening criteria and did not have insurance coverage. * Parkwest Medical Center, LeConte Medical Center and Thompson Cancer Survival Center co-sponsored hiking programs led by Missy Kane, an Olympic Medalist from Tennessee and fitness expert. Missy led hikes in communities where Covenant Health hospitals are located and established walking clubs in Roane and Anderson counties in conjunction with Roane Medical Center and Methodist Medical Center. |
| Form 990, Part VI, Section B, line 11 | Covenant Health is a large integrated health system which files fourteen Forms 990. Fort Sanders Regional Medical Center is one of these fourteen entities. Annually, at the September Finance Committee meeting, one of the fourteen 990s is selected (a different entity each year) for distribution to each member of the Committee. Management then reviews in detail each of the Form 990 schedules and describes variances between entities, if any. The remaining thirteen Forms are made available for review by any committee member. The same presentation is made to the Covenant Health Board of Directors at the October meeting. All fourteen Forms 990 are then made available to all board members for their review throughout the month of October. |
| Form 990, Part VI, Section B, line 12c | Board members, officers and employees are required to adhere to rules and policies regarding conflicts of interest. Covenant Health, the parent company of the organization, distributes a board-approved Code of Conduct to all employees. The Code covers among other subjects, conflicts of interest. Additionally, managers are required to complete and sign an annual management certification that addresses conflicts of interest. Board members' conflicts of interests are dealt within the corporate bylaws, and board members are required to complete and sign a conflict of interest questionnaire on an annual basis. The Integrity Compliance Office maintains records that contain conflict of interest information obtained from board members, officers and employees. These records are available to be queried prior to engaging in business transactions. The Integrity Compliance Officer initially reviews all conflict of interest data. Based on this information, the officer determines what conflicts of interest exist at that point in time. Between times when surveys are collected board members are expected to disclose any new conflicts that have arisen that affect pending board decisions. As well, managers and other employees are expected to report conflicts to the Integrity Compliance Officer as they arise. Depending on the nature of the conflict and the circumstances surrounding the conflict and transaction, the Integrity Compliance Officer, Senior Leadership, or the Board of Directors may review the conflict of interest. Where appropriate these bodies may also consult legal counsel. Restrictions imposed on persons with a conflict of interest are determined on a case by case basis. For Covenant Health employees, the Integrity Compliance Officer in conjunction with Executive Leadership determines how to appropriately handle the conflict. In any conflict involving a board member, such member is expected to excuse himself or herself from voting on matters that give rise to the conflict. |
| Form 990, Part VI, Section B, line 15 | Form 990, Part VI, Section B, Line 15a: Overall compensation policies for Fort Sanders Regional Medical Center, Covenant Health (Parent Company), and affiliates are set by the Compensation Committee of the Board of Directors ("the Committee"), which is comprised of independent members of the board. The Committee is guided in its decision-making process by an independent, nationally-recognized executive compensation consultant experienced in advising nonprofit hospital boards. Compensation policies for Anthony Spezia and John Geppi are reported on the 2015 Form 990 of Covenant Health, EIN 62-1646734. Form 990, Part VI, Section B, Line 15b: Base salary and annual bonus opportunities for Keith Altshuler, President and Chief Administrative Officer, are set by the Covenant Health CEO in consultation with the Senior Vice President-Human Resources, subject to approval of the Compensation Committee of the Covenant Health Board of Directors ("the Committee"), after review by and discussion with the executive compensation consultant ("the Consultant") to ensure that total compensation is reasonable and within a fair market value range. Salary ranges are based upon the recommendations of the Consultant made after comparison with similar jobs in similar size health systems across the nation. Bonuses are recommended by the CEO and approved by the Committee conditioned upon receipt of a written opinion from the Consultant that total compensation for the executive is reasonable and consistent with fair market value. Base salary is initially targeted at midpoint and may vary according to 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 Ronnie Beeler, Vice President of Financial Services, and Kelly Miles, Vice President and Chief Nursing Officer, are based on targets established by an independent, nationally-recognized executive compensation consultant to ensure that total compensation for each executive is reasonable and within a fair market value range. Salary ranges are based upon comparison with similar jobs in similar size health systems across the nation. Base salaries and bonuses are approved by Executive Leadership predicated upon performance, and are reasonable and consistent with fair market value. Base salaries are initially targeted at midpoint and may vary according to 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 19 | Fort Sanders Regional Medical Center files a Joint Annual Report containing financial information with the Tennessee Department of Health. Per its tax-exempt bond provisions, Covenant Health, the parent company of the organization, is required to file quarterly and annual consolidated and obligated group financial statements and other documentation with various bond insurers and other agencies, including the Electronic Municipal Market Access (EMMA) service of the Municipal Securities Rulemaking Board (MSRB). Any member of such a repository has access to these financial statements. The organization's governing documents and conflict of interest policy are not made publicly available. |
| Form 990, Part VI, Section A, Line 9: | Contact Addresses for Officers, Directors, Etc. Anthony L. Spezia Covenant Health 100 Fort Sanders West Blvd. Knoxville, TN 37922 John T. Geppi, Larry Mauldin, and all Directors Covenant Health 1420 Centerpoint Blvd., Bldg. C Knoxville, TN 37932 Jenny Hanson LeConte Medical Center 742 Middle Creek Road Sevierville, TN 37862 All other persons listed in Part VII, Section A may be contacted at the organization's address, which is: Fort Sanders Regional Medical Center 1901 Clinch Avenue Knoxville, TN 37916 |
| Form 990, Part XI, line 9: | Intracompany eliminations 37,470. |
| Form 990, Part XII, Line 2c: | The Audit Committee of the Board of Directors annually selects the external auditors for Covenant Health. There is a joint meeting of the Finance Committee and Audit Committee of the Board of Directors where the audit of the consolidated financial statements are presented. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Covenant Health | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 621646734 | Supporting organization | TN | 501(c)(3) | Line 11b, II | N/A | 0 | |
| Parkwest Medical Center | |||||||||||
| 9352 Park West Blvd | Knoxville | TN | 37923 | 581897274 | Acute care hospital and behavioral health services | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Methodist Medical Center | |||||||||||
| 990 Oak Ridge Turnpike | Oak Ridge | TN | 37830 | 620636239 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| LeConte Medical Center | |||||||||||
| 742 Middle Creek Road | Sevierville | TN | 37862 | 621114867 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Roane County Medical Center | |||||||||||
| 8045 Roane Medical Center Dr | Harriman | TN | 37748 | 680673354 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Fort Loudoun Medical Center | |||||||||||
| 550 Fort Loudoun Medical Center Dr | Lenoir City | TN | 37772 | 621373691 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Thompson Cancer Survival Center | |||||||||||
| 1915 White Ave | Knoxville | TN | 37916 | 621250943 | Cancer support center | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Thompson Oncology Group | |||||||||||
| 1915 White Ave | Knoxville | TN | 37916 | 621619239 | Oncology services | TN | 501(c)(3) | Line 3 | 0 | Thompson Cancer Survival Center | |
| Covenant Homecare | |||||||||||
| 3001 Lake Brook Blvd Ste 101 | Knoxville | TN | 37909 | 621623114 | Home health services | TN | 501(c)(3) | Line 9 | 0 | Covenant Health | |
| Fort Sanders Perinatal Center | |||||||||||
| Trustees Tower 501 19th St Ste 304 | Knoxville | TN | 37916 | 043760551 | High risk obstetrical services | TN | 501(c)(3) | Line 3 | Yes (1) | Fort Sanders Regional Medical Center | |
| Fort Sanders Foundation | |||||||||||
| 280 Fort Sanders West Blvd Ste 202 | Knoxville | TN | 37922 | 621748601 | Fundraising and patient outreach | TN | 501(c)(3) | Line 11b, II | 0 | Covenant Health | |
| Morristown-Hamblen Hospital Association | |||||||||||
| 908 W 4th N St | Morristown | TN | 37814 | 620545814 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Thompson Cancer Survival Center Foundation | |||||||||||
| 1915 White Ave | Knoxville | TN | 37916 | 582130450 | Fundraising and patient outreach | TN | 501(c)(3) | Line 11b, II | 0 | Covenant Health | |
| Cumberland Medical Center | |||||||||||
| 421 S Main St | Crossville | TN | 385555048 | 620790132 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Claiborne Medical Center | |||||||||||
| 1850 Old Knoxville Rd | Tazewell | TN | 378793625 | 464420358 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| Fort Sanders West OP Surgery Center LLC | |||||||
| 210 Fort Sanders West Blvd Ste 200 | Knoxville | TN | 37922 | 621366907 | Outpatient surgery center | TN | N/A |
| Fort Sanders West Associates | |||||||
| 280 Fort Sanders West Blvd Ste 214 | Knoxville | TN | 37922 | 621384171 | Building ownership | TN | N/A |
| KOSC Properties LLC | |||||||
| 256 Fort Sanders West Blvd Ste 200 | Knoxville | TN | 37922 | 262444076 | Building ownership | TN | N/A |
| Knoxville Orthopaedic Surgery Center LLC | |||||||
| 256 Fort Sanders West Blvd Ste 200 | Knoxville | TN | 37922 | 262437385 | Orthopaedic surgery | TN | N/A |
| KOC 260 Bldg LLC | |||||||
| 260 Fort Sanders West Blvd | Knoxville | TN | 37922 | 465228440 | Land and building ownership | TN | N/A |
| Endoscopy Center of Oak Ridge LLC | |||||||
| 988 Oak Ridge Turnpike Ste 200 | Oak Ridge | TN | 378306919 | 621667358 | Outpatient medical facility | TN | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Fortress Corporation | |||||||||
| 280 Ft Sanders West Blvd Ste 214 | Knoxville | TN | 37922 | 621308885 | Management company | TN | N/A | C | 0 |
| Covenant Medical Group Inc | |||||||||
| 1400 Centerpoint Blvd Ste 100 Bldg | Knoxville | TN | 37932 | 621282917 | Physician practice management | TN | N/A | C | Yes (1) |
| Knoxville Heart Group | |||||||||
| 1819 Clinch Ave Ste 108 | Knoxville | TN | 37916 | 271528941 | Cardiology medical practice | TN | N/A | C | 0 |
| East TN Cardiovascular Surgery Group Inc | |||||||||
| 9125 Cross Park Drive Ste 200 | Knoxville | TN | 37923 | 621018541 | Cardiovascular surgical practice | TN | N/A | C | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Fort Sanders Perinatal Center | ||
| A | $376,156 | FMV |
| Fort Sanders Perinatal Center | ||
| J | $276,731 | Cost |
| Fort Sanders Perinatal Center | ||
| L | $112,766 | Cost |
| Fort Sanders Perinatal Center | ||
| Q | $95,530 | Cost |
| Covenant Medical Group Inc | ||
| A | $255,229 | FMV |
| Knoxville Heart Group | ||
| A | $190,845 | FMV |