FORT SANDERS REGIONAL MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: FORT SANDERS REGIONAL MEDICAL CENTER (EIN 62-0528340)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-13
IRS object ID: 201203189349301325
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-13T09:11:15-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	620528340	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Fort Sanders Regional Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	FORT	NameControl
Phone	8653746864	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1420 Centerpoint Blvd Bldg C	AddressLine1
City	Knoxville	City
State	TN	State
ZIP Code	379321960	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JOHN T GEPPI	Name
Title	EVP/CFO	Title
Phone	8653746872	Phone
Date Signed	2012-11-07	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Self Prepared	Name

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Anthony L Spezia	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	100 Fort Sanders West Blvd	AddressLine1
City	Knoxville	City
State	TN	State
ZIP Code	37922	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	320071960	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.fsregional.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1954	YearFormation
State Legal Domicile	TN	StateLegalDomicile
Activity Or Mission Description	FSRMC provides quality hospital and other health services in the Knoxville metro area. (see Sch. O)Fort Sanders Regional Medical Center 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 30 in the United States.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	21	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	16	NbrIndependentVotingMembers
Total Nbr Employees	2262	TotalNbrEmployees
Total Nbr Volunteers	1765	TotalNbrVolunteers
Total Gross UBI	2587217	TotalGrossUBI
Net Unrelated Business Txbl Income	270148	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	633568	ContributionsGrantsPriorYear
Contributions Grants Current Year	308604	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	304282711	ProgramServiceRevenuePriorYear
Program Service Revenue CY	306053117	ProgramServiceRevenueCY
Investment Income Prior Year	-49117	InvestmentIncomePriorYear
Investment Income Current Year	48688	InvestmentIncomeCurrentYear
Other Revenue Prior Year	8291808	OtherRevenuePriorYear
Other Revenue Current Year	7552516	OtherRevenueCurrentYear
Total Revenue Prior Year	313158970	TotalRevenuePriorYear
Total Revenue Current Year	313962925	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	127069	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	149860	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	96421575	SalariesEtcPriorYear
Salaries Etc Current Year	96442806	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	201721142	OtherExpensePriorYear
Other Expenses Current Year	199080085	OtherExpensesCurrentYear
Total Expenses Prior Year	298269786	TotalExpensesPriorYear
Total Expenses Current Year	295672751	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	14889184	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	18290174	RevenuesLessExpensesCY
Total Assets BOY	156856678	TotalAssetsBOY
Total Assets EOY	164611848	TotalAssetsEOY
Total Liabilities BOY	44664047	TotalLiabilitiesBOY
Total Liabilities EOY	34051396	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	112192631	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	130560452	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	49588027	Expense
Revenue	51804887	Revenue
Description	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 is on Schedule O.Orthopedics, Neurology and Rehabilitation: Expenses - $49,588,027; Revenue - $51,804,887.From 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. Its commitment is 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 nursing unit staffed by expert nurses and caregivers who know how to help patients recover from orthopedic surgery; and * A wide array of inpatient and outpatient rehabilitation and therapy services 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 2011 the hospital had 10,097 Wound Care Center patient visits and 68,378 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 2011 there were 383 interventional neuro-radiology cases - made up of 203 aneurysm coilings, 170 IVC filter placements, and 10 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 saw 685 patients in 2011.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.An example of the hospital's commitment to state-of-the-art technology is the StealthStation Treon, which helps guide Fort Sanders 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. This innovative 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, the care provided by FSR and Patricia Neal Rehabilitation Center physicians and staff utilizes state-of-the-art diagnostic, treatment and rehabilitation modalities. The hospital holds a Primary Stroke Center certification from the Joint Commission (one of only a handful in the state of Tennessee) as well three separate stroke accreditations from the Commission on the Accreditation of Rehabilitation Facilities (CARF). In 2011 the hospital's Core Measure compliance related to strokes was 99.37%, and it had 358 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. Micro-catheters are inserted through the groin and then guided to the area of treatment to administer medications, coil aneurysms or retrieve clots. These new 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 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 15 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 Patricia Neal Rehabilitation Center. 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), a service of the PNRC, 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 to 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 a NICHE (Nurses Improving Care for Health System Elders) site committed to special health care for older adults and was the first NICHE-certified 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.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	41884412	Expense
Revenue	42654056	Revenue
Description	Surgical Services: Quality of care and patient safety are the top priorities at Fort Sanders Regional. The quality of care at Fort Sanders Regional has been recognized by the Joint Commission that inspects hospitals, the US Department of Health and leading independent standards associations. The focus in the surgical area is to reduce the risk of wound infection after surgery. This is achieved primarily by making sure our patients get the right medicines at the right time on the day of surgery. Success in preventing infection is measured by core measures which are compared to the national and state average. Fort Sanders Regional's core measures rank above both state and national averages on all measures. More information is on Schedule O.Surgical Services: Expenses: $41,884,412 Revenue: $42,654,056Fort Sanders Regional ("FSR") has the capability to provide extensive surgical procedures for patients in East Tennessee. The surgery program offers patients numerous options, utilizing the latest surgical technology available in addition to traditional surgical options such as advanced laparoscopy and day surgery procedures. Over 9,800 surgeries were performed at FSR in 2011.As an adjunct to its goal to provide an array of minimally invasive surgical procedures, FSR introduced the da Vinci Robotics system to East Tennessee in December 2004. Since that time, the hospital has used the system to perform: * More than 350 prostatectomies, * The first robotically-assisted lung removal surgery in the state, * One of the first robotically-assisted gynecological procedures in the area and, most recently, * The first cardiac single valve replacement in the region.Through robotics technology, surgeons are given greater precision and control. The surgeon's hand and finger movements are replicated by a computer through tiny incisions. The small incisions mean less pain, a shorter hospital stay and a quicker recovery for patients. For cardiac patients, the use of the robotics system can prevent the need to crack open the patient's sternum, again reducing recovery times and complications.In addition to robotics technology, FSR surgeons perform numerous procedures using a laparoscope. Laparoscopic surgery has become the procedure of choice for many patients and surgeons in the East Tennessee area because it offers less scarring, less pain and a more rapid recovery. A laparoscope is a narrow, tube-like instrument with a camera and light on the tip. The camera is connected to a television screen, giving surgeons a magnified view of the treatment area. The laparoscope is designed to allow physicians to see tissue and organs inside the abdominal cavity without fully opening it with a surgical incision. For most procedures, the scope is inserted either through the abdominal wall or navel. Long surgical instruments are inserted through the scope to repair medical problems. Most laparoscopic surgeries are performed on an outpatient basis, with patients hospitalized less than 24 hours. Recovery time is greatly minimized with most patients returning to work in just three to five days.FSR supports surgical procedures in multiple specialty areas: * Cardiothoracic Surgery * Cardiovascular Surgery * Colon/Rectal Surgery * Day Surgery * General Surgery * Neurosurgery * Orthopedic Surgery * Plastic Surgery * Surgical Oncology * Thoracic Surgery * Vascular SurgeryFSR is particularly strong in three of these areas: cardiovascular surgery, vascular surgery, and surgical oncology.The cardiovascular surgery program includes surgical procedures to correct abnormalities within the heart and/or great vessels. Some of the more common procedures are coronary artery bypass, valve repair or replacement, correction of congenital heart defects and repair of aortic aneurysms. As part of the facility's Cardiology Center of Excellence, FSR is the only facility in the region to have both a surgical and catheter based approach to treating atrial fibrillation. The hospital had 844 cardiac surgery cases in 2011.Vascular surgery is the branch of surgery that involves the repair of arteries and veins, as well as treatments for diseases of the peripheral vascular system. Common procedures performed by vascular surgeons include: abdominal aortic aneurysm repair, varicose veins, stenting of peripheral vessels, and more. The hospital had 810 vascular surgery cases in 2011.Surgical oncology is the branch of surgery which focuses on the surgical management of cancer. The medical staff at FSR includes general surgical oncologists as well as thoracic surgical oncologists, gynecologic oncologists and other sub-specialists that specialize in treating cancer patients.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	28463963	Expense
Revenue	40851967	Revenue
Description	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 2011 there were 203 surgical oncology cases; 1,492 admissions to the oncology unit with 8,870 patient days; and 18,732 infusions performed in the infusion centers. More information is on Schedule O.Oncology Services: Expenses - $28,463,963; Revenue - $40,851,967.The Oncology Center of Excellence at Fort Sanders Regional ("FSR") offers a comprehensive approach to patient care which minimizes patient disruption and maximizes clinical quality and efficiency. Cancer patients and their families can be assured their loved ones will receive the most complete and exceptional oncology care available. In FSR's specialized oncology unit, all staff team members receive specialized oncology education. 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 nurses are also oncology certified at a national level. They have dedicated more than 1,000 hours caring for cancer patients and have successfully completed a national certification examination demonstrating their specialized knowledge in this field. 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.FSR's emphasis on oncology knowledge and expertise is not limited to nurses. Each staff member on the oncology unit is also 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 our dietitians, to our pharmacists and radiologists, to our housekeeping staff, we have strived to provide oncology education to every employee who may come in contact with our patients. By completing this 360-degree education we provide better patient care. 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. The Oncology Center of Excellence at FSR 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 also serves as the inpatient component of the Stem Cell Center which is based at the Thompson Cancer Survival Center, another Covenant Health entity. 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 is the branch of surgery which focuses on the surgical management of cancer. The Medical Staff at FSR 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 with surgeon volume -- i.e. the more cancer cases a surgeon treats, the more proficient he or she becomes, thus improving overall outcomes and survival rates.Due to the close proximity of FSR to Thompson Cancer Survival Center ("TCSC"), the surgeons and staff at FSR work closely with TCSC'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 review treatment choices and answer questions. As part of outpatient Oncology care, FSR operates four outpatient Infusion Centers in the area, providing chemotherapy for cancer patients.FSR, through the Patricia Neal Rehabilitation Center ("PNRC") is the only facility in East Tennessee, and one of a handful in the country, that offers 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 PNRC, the cancer rehab team creates a special care plan for each patient. Our goal is to help patients regain as much ability and independence as possible.We treat 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 * Overall deconditioning * Lymphedema (swelling) * Weight loss * Communication difficulty * Impaired thinking or memory loss PNRC has a positive, encouraging atmosphere. Known for outstanding resources, from a rooftop therapy park to a computer life-skills lab, PNRC 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 * Balance programs * An adaptive living apartment to ease the transition back to everyday life	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	169685189	Expense
Grants	149860	Grants
Revenue	170870448	Revenue
Description	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.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	169685189	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	149860	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	170870448	TotalOfOtherProgramServiceRev
Total Program Service Expense	289621591	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	278	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2262	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	21	NbrVotingGoverningBodyMembers
Number Independent Voting Members	16	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	1	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Nancy Beck	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	8653746864	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1420 Centerpoint Blvd Bldg C	AddressLine1
City	Knoxville	City
State	TN	State
ZIP Code	379321985	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Anthony L Spezia
President & CEO	0.00	X	X	0	2492642	25707
Dr Richard Brinner
Director	0.00	X		0	0	0
Dr Mitchell Dickson
Director	0.00	X		0	1184	0
Pamela P Fansler
Director	0.00	X		0	0	0
Homer Fisher
Director	0.00	X		0	0	0
James Fitzsimmons
Director	0.00	X		0	1192	0
Dr William Hall
Director	0.00	X		0	1579	0
Wayne Heatherly
Director	0.00	X		0	747	0
Jim Johnson Jr
Director	0.00	X		0	1184	0
Karla Lane
Director	0.00	X		0	0	0
Eddie Mannis
Director	0.00	X		0	0	0
Larry Mauldin
Chairman	0.00	X		0	2832	0
Dr Joseph Metcalf
Director	0.00	X		0	0	0
George Miller
Director	0.00	X		0	0	0
Alvin Nance
Director	0.00	X		0	1235	0
Linda Ogle
Director	0.00	X		0	0	0
Francis H Olmstead Jr
Director	0.00	X		0	0	0
Mitchell Steenrod
Director	0.00	X		0	1184	0
Carl Storms
Director	0.00	X		0	769	0
Joseph E Sutter
Director	0.00	X		0	1273	0
Richard Swanson
Director	0.00	X		0	0	0
Joe Ben Turner
Director	0.00	X		0	1192	0
David C Verble
Director	0.00	X		0	1251	0
John T Geppi
EVP/CFO	0.00		X	0	705467	29048
Keith Altshuler
Pres. & CAO - FSRMC	44.00		X	0	325970	29477
Ronnie Beeler
VP-Financial Services	36.50		X	84607	0	9771
Jennifer L Hanson
VP-Chief Nursing Officer	45.00			212710	0	8285	X
Mary E Dillon
Medical Director	40.00			163065	0	4416		X
Christopher Norris
Pharmacy Director	40.00			140041	0	25020		X
Marianne Oliveira
Sr. Instructor - Nursing School	40.00			136988	0	20849		X
Gary Bush
Director of Surgery	40.00			129929	0	12239		X
Nancy Granger
Pharmacy Manager	40.00			128740	0	25458		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	996080	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3539701	TotalReportableCompFrmRltdOrgs
Total Other Compensation	190270	TotalOtherCompensation
Number Individuals GT100 K	38	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
GE Healthcare
PO Box 402076	Atlanta	GA	303842076	Service Contracts/ Equipment Maintenance	3249135
Medic Regional Blood Center
1601 Ailor Avenue	Knoxville	TN	37921	Blood Processing	1779934
Brasfield & Gorrie LLC
2636 Elm Hill Pike	Nashville	TN	37214	Construction Mgmt	1617801
Angelica Textile Services Inc
PO Box 535122	Atlanta	GA	30353	Linen Service	1342265
Covenant Medical Management
280 Fort Sanders West Blvd Ste 205	Knoxville	TN	37922	Physician Services	1250946

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	34	NumberOfContractorsGT100K
Related Organizations	175878	RelatedOrganizations
Government Grants	132726	GovernmentGrants
Noncash Contributions	1075	NoncashContributions
Total Contributions	308604	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Medical Services	622110	303246753	303246753
Laboratory	621500	1811339		1811339
Rental Inc - Affiliate	531120	995025	995025

Field	Value	IRS element (for citing)
Total Program Service Revenue	306053117	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	64034	TotalRevenueColumn
Exclusion	$64,034	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	403	TotalRevenueColumn
Related Or Exempt Function Income	403	RelatedOrExemptFunctionIncome

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	3374604	Real
Personal	5732	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	5957627	Real
Personal	2953	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-2583023	Real
Personal	2779	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-2580244	TotalRevenueColumn
Unrelated Business Revenue	2779	UnrelatedBusinessRevenue
Exclusion	-$2,583,023	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	9600	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	25349	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-15749	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-15749	TotalRevenueColumn
Exclusion	-$15,749	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	152811	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	123106	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	29705	TotalRevenueColumn
Exclusion	$29,705	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Pharmacy	900099	3877664	$3,877,664
Cafeteria	722212	2679057	$2,679,057
Maintenance	811000	885022	$30,566	854456

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2661312	TotalRevenueColumn
Related Or Exempt Function Income	1084721	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	773099	UnrelatedBusinessRevenue
Exclusion	$803,492	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	10103055	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	313962925	TotalRevenueColumn
Related Or Exempt Function Income	306181358	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2587217	UnrelatedBusinessRevenue
Exclusion	$4,885,746	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	113316	Total
Program Services	113316	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	36544	Total
Program Services	36544	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	315373	Total
Management And General	315373	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	78139477	Total
Program Services	77010972	ProgramServices
Management And General	1128505	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2456209	Total
Program Services	2430464	ProgramServices
Management And General	25745	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	9837180	Total
Program Services	9730381	ProgramServices
Management And General	106799	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5694567	Total
Program Services	5625788	ProgramServices
Management And General	68779	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	19199052	Total
Program Services	18808162	ProgramServices
Management And General	390890	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	134708	Total
Program Services	1131	ProgramServices
Management And General	133577	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	33691	Total
Management And General	33691	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	20363329	Total
Program Services	19595745	ProgramServices
Management And General	767584	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	728476	Total
Program Services	245758	ProgramServices
Management And General	482718	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3205468	Total
Program Services	2602187	ProgramServices
Management And General	603281	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5870026	Total
Program Services	4503082	ProgramServices
Management And General	1366944	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	85436	Total
Program Services	83205	ProgramServices
Management And General	2231	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	322237	Total
Program Services	192589	ProgramServices
Management And General	129648	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	446524	Total
Program Services	446524	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	12422370	Total
Program Services	12422370	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	835792	Total
Program Services	819613	ProgramServices
Management And General	16179	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
Unrelated Business Inco	-2480	-2480
Supplies and Equipment	90561189	55769	90505420
Charity Care	26396492		26396492
Bad Debts	11524807		11524807

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	6952968	Total
Program Services	6527041	ProgramServices
Management And General	425927	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	295672751	Total
Program Services	289621591	ProgramServices
Management And General	6051160	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3839	BOY
EOY	5380	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	-2010391	BOY
EOY	-1131729	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	26319193	BOY
EOY	24498510	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	44555	BOY
EOY	44555	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	6695999	BOY
EOY	7201110	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	534865	BOY
EOY	581288	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	354010557	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	235846549	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	121926998	BOY
EOY	118164008	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3341620	BOY
EOY	15248726	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	156856678	BOY
EOY	164611848	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	22491125	BOY
EOY	21690427	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	563664	BOY
EOY	300599	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	9044795	BOY
EOY	7420361	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	140137	BOY
EOY	98486	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	12424326	BOY
EOY	4541523	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	44664047	BOY
EOY	34051396	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	112192631	BOY
EOY	130560452	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	112192631	BOY
EOY	130560452	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	156856678	BOY
EOY	164611848	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	18290174	ReconcilationRevenueExpenses
Reconcilation Other Changes	77647	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	103913	BeginningOfYearBalance
Contributions	9896	Contributions
Investment Earnings Or Losses	4390	InvestmentEarningsOrLosses
Other Expenditures	4390	OtherExpenditures
End Of Year Balance	113809	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	65000	BeginningOfYearBalance
Contributions	38913	Contributions
Investment Earnings Or Losses	4233	InvestmentEarningsOrLosses
Other Expenditures	4233	OtherExpenditures
End Of Year Balance	103913	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	25000	BeginningOfYearBalance
Contributions	40000	Contributions
Investment Earnings Or Losses	567	InvestmentEarningsOrLosses
Other Expenditures	567	OtherExpenditures
End Of Year Balance	65000	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	25000	BeginningOfYearBalance
Investment Earnings Or Losses	999	InvestmentEarningsOrLosses
Other Expenditures	999	OtherExpenditures
End Of Year Balance	25000	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	100345	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	7271989	OtherCostOrOtherBasis
Book Value	7372334	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	81067129	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	89376809	OtherCostOrOtherBasis
Depreciation	87325041	Depreciation
Book Value	83118897	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2530246	OtherCostOrOtherBasis
Depreciation	1079227	Depreciation
Book Value	1451019	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	172548297	OtherCostOrOtherBasis
Depreciation	146520095	Depreciation
Book Value	26028202	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1115742	OtherCostOrOtherBasis
Depreciation	922186	Depreciation
Book Value	193556	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	118164008	TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
Assets Limited as to Use	1847181
Bond Issuance Costs, Net	27057
Deferred Compensation	897579
Due from Affiliates, Net	11707013
Miscellaneous Non-Affiliate Receivables	655262
Rental Income Receivable	114634

Field	Value	IRS element (for citing)
Total Book Value Other Assets	15248726	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
Due to Third Party Payors	$2,295,545
Long-term Deferred Compensation	$210,143
Long-term Reserve for Workers Comp	$2,035,835

Field	Value	IRS element (for citing)
Total Of Amounts	4541523	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	Part V, Line 4:	Fort Sanders Foundation mantains 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.
Description of Uncertain Tax Positions Under FIN 48:	Part X:	Note G to the consolidated audited financial statements of Covenant Health, the parent company of Fort Sanders Regional Medical Center, reads in part: At December 31, 2011, tax returns for 2008 through 2011 are subject to examination by the Internal Revenue Service. Covenant has no uncertain tax positions that would require financial statement recognition on disclosure under generally accepted accounting principles at December 31, 2011 or 2010.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Uniform Sales	NameOfEvent1
Gross Receipts Event1	116374	GrossReceiptsEvent1
Gross Revenue Event1	116374	GrossRevenueEvent1
Other Direct Expenses Event1	92306	OtherDirectExpensesEvent1
Name Of Event2	Jewelry Sales	NameOfEvent2
Gross Receipts Event2	12913	GrossReceiptsEvent2
Gross Revenue Event2	12913	GrossRevenueEvent2
Other Direct Expenses Event2	10549	OtherDirectExpensesEvent2
Total Number Of Other Events	2	TotalNumberOfOtherEvents
Gross Receipts Other Events	23524	GrossReceiptsOtherEvents
Gross Revenue Other Events	23524	GrossRevenueOtherEvents
Other Direct Expenses Other Events	20251	OtherDirectExpensesOtherEvents
Gross Receipts Total	152811	GrossReceiptsTotal
Gross Revenue Total Events	152811	GrossRevenueTotalEvents
Other Direct Expenses Total Events	123106	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	123106	DirectExpenseSummaryEvents
Net Income Summary	29705	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17924827	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5873295	DirectOffsettingRevenue
Net Community Benefit Expense	12051532	NetCommunityBenefitExpense
Percent Of Total Expense	0.04240	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	56654720	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38234658	DirectOffsettingRevenue
Net Community Benefit Expense	18420062	NetCommunityBenefitExpense
Percent Of Total Expense	0.06480	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1724089	TotalCommunityBenefitExpense
Direct Offsetting Revenue	577379	DirectOffsettingRevenue
Net Community Benefit Expense	1146710	NetCommunityBenefitExpense
Percent Of Total Expense	0.00400	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	76303636	TotalCommunityBenefitExpense
Direct Offsetting Revenue	44685332	DirectOffsettingRevenue
Net Community Benefit Expense	31618304	NetCommunityBenefitExpense
Percent Of Total Expense	0.11120	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	101254	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17742	DirectOffsettingRevenue
Net Community Benefit Expense	83512	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	78881	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15689	DirectOffsettingRevenue
Net Community Benefit Expense	63192	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15256325	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10550449	DirectOffsettingRevenue
Net Community Benefit Expense	4705876	NetCommunityBenefitExpense
Percent Of Total Expense	0.01660	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	157173	TotalCommunityBenefitExpense
Net Community Benefit Expense	157173	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15593633	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10583880	DirectOffsettingRevenue
Net Community Benefit Expense	5009753	NetCommunityBenefitExpense
Percent Of Total Expense	0.01770	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	91897269	TotalCommunityBenefitExpense
Direct Offsetting Revenue	55269212	DirectOffsettingRevenue
Net Community Benefit Expense	36628057	NetCommunityBenefitExpense
Percent Of Total Expense	0.12890	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	14422	TotalCommunityBuildingExpense
Net Community Building Expense	14422	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	38478	TotalCommunityBuildingExpense
Net Community Building Expense	38478	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	1491	TotalCommunityBuildingExpense
Net Community Building Expense	1491	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	3579	TotalCommunityBuildingExpense
Net Community Building Expense	3579	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	57970	TotalCommunityBuildingExpense
Net Community Building Expense	57970	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$11,524,808	BadDebtExpenseAmount
Amount Attributable To	5047866	AmountAttributableTo
Amount Reimbursed By Medicare	73818990	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	65531705	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	8287285	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 NONE	BusinessNameLine1

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Fort Sanders Regional Medical Center	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1901 Clinch Avenue	AddressLine1
City	Knoxville	City
State	TN	State
ZIP Code	37916	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Fort Sanders Regional Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	300.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	19	NumberOfOtherFacilities

Other Facilities OtherFacilities (19 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
FSR Infusion Services TCSC
1915 White Avenue	Knoxville	TN	37916	Pharmacy - Infusion Services
FSR Infusion Services Oak Ridge
200 New York Avenue Suite 230	Oak Ridge	TN	37830	Pharmacy - Infusion Services
Thompson Infusion Center
215 BMH Cancer Center Drive	Maryville	TN	37804	Pharmacy - Infusion Services
Fort Sanders Regional MRI Dept
1915 White Avenue	Knoxville	TN	37916	Magnetic Resonance Imaging (Diagnostics)
Patricia Neal Rehabilitation Center
1901 Clinch Avenue	Knoxville	TN	37916	Rehabilitation Unit
Fort Sanders Wound Care Center
2001 Laurel Avenue Suite G-6	Knoxville	TN	37916	Wound Care
FSR Infusion Services Lenoir City
576 Fort Loudoun Med Ctr Dr Ste 204	Lenoir City	TN	37772	Pharmacy - Infusion Services
Fort Sanders West Diagnostic Center
MOB-3 Ste 210 Ft Sanders West Blvd	Knoxville	TN	37922	Diagnostic Center
Fort Sanders Regional Infusion Svcs
1901 Clinch Avenue	Knoxville	TN	37916	Pharmacy - Infusion Services
FSR Gamma Knife Center
1915 White Avenue 1st Floor	Knoxville	TN	37916	Gamma Knife Center
FSRMC Transitional Care Unit
1901 Clinch Avenue	Knoxville	TN	37916	Skilled Nursing Facility
FS Neurodiagnostics & Sleep Center
Ft Sanders POB Ste 303 501 20th St	Knoxville	TN	37916	Neurodiagnostics and Sleep Center
Fort Sanders Regional Breast Center
1915 White Avenue	Knoxville	TN	37916	Breast Center (Diagnostics)
Fort Sanders Regional Laser Center
1915 White Avenue	Knoxville	TN	37916	Center for Barrett's Esophagus
FSR Therapy Center - Downtown
2001 Laurel Avenue Ste 504	Knoxville	TN	37916	Physical Rehabilitation Therapy Center
Diabetes Center Outreach Program
MOB-2 Ste 205 220 FSW Blvd	Knoxville	TN	37922	Diabetes Center
FSR Cardiopulmonary Rehab
Ft Sanders POB Ste 301 501 20th St	Knoxville	TN	37916	Cardiopulmonary Rehab Therapy Center
FSR Therapy Center - Halls
6679 Maynardville Hwy	Knoxville	TN	37918	Physical Rehabilitation Therapy Center
FSR Therapy Center - Powell
3515 Emory Road Suite P-9	Powell	TN	37849	Physical Rehabilitation Therapy Center

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanation	IdentifierIdentifier
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 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 $1,033,871 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 $ 11524808.
Part II: 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 due to lack of education and jobs.Fort Sanders Regional supports the community building activities of its parent company. An allocation of the Parent's community building expenditures has been made to each member hospital in proportion to the financial contribution of each to the health system. Covenant Health is not a hospital and does not file Schedule H with its Form 990. Contributions made in 2011 were made to or designated for: Children's group homes Temporary housing for the homeless Low-income housing projects Community support organizations Youth mentoring programs After-school programs Early childhood literacy projects Community leadership training Advocacy for health care improvements
Part III, Line 4: Note B to the 2011 Audited Consolidated Financial Statements of the Covenant Health system, of which Fort Sanders Regional Medical Center is a member, reads: "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. Operations for 2011 and 2010 include an estimated provision for bad debts, included in Supplies and Other in the Consolidated Statements of Operations and Changes in Net Assets. 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."Bad debt expense on Part III, Line 2 is the amount recorded in the organization's financial statements. In 2011, 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 their qualification for financial assistance due to all information not yet being received but felt strongly that the patient was in need of some form of assistance. Notes in the patient record were examined to see if a charity care application had been sent to the patient or guarantor or if the account was 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.
Part III, Line 8: 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 47% 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 through routine collection channels internally, it may be assigned to an attorney/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 V, Section B, Line 13g: Please see the explanation to Part VI, Line 3.	Fort Sanders Regional Medical Center
Part V, Section B, Line 19d: Please see the explanation to Part III, Line 9b.	Fort Sanders Regional Medical Center
Part VI, Line 2: The hospital actively addresses a variety of identified needs in the community through its relationships with community based groups including the local health council, public health department, school systems, health coalitions, inter-agency council, and health-related not-for-profit organizations. Additionally, the East Tennessee 2-1-1 Information and Referral system is able to provide a profile of the health and social services most requested by the citizens of each county. This information serves as an ongoing assessment of basic health and human service needs and of what resources are lacking in each community.
Part VI, Line 3: Fort Sanders Regional Medical Center (FSRMC) posts a sign in each registration office that states: Financial Assistance: It is FSRMC'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. The Financial Counselor is available Monday - Friday, 8 a.m. to 4:30 p.m.In addition, signs are posted in the main and registration lobbies at FSRMC that read: 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. - 4:30 p.m.FSRMC employs full-time financial counselors that meet with each uninsured patient. In addition, FSRMC contracts with First Source Solutions, an eligibility service, that places a representative in the facility full time. This representative screens patients for eligibility, assists them with TennCare and disability enrollment, and ensures enrollment in the appropriate programs.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 counselors initiate 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 2011, 53.5% of the inpatients discharged were Knox County residents. 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 2008 data of the U.S. Census Bureau, the collective population of the 16-county region is 1,157,473, of which 51.2% are female and 48.8% are male. The racial makeup of the population is 94% Caucasian, 4.6% black, and 1.4% other races. There are 22 hospitals in the 16-county area which, with one exception, are tax exempt. The average income and percentage of the population with incomes below the federal poverty guideline within the 16 counties ranges from a low of $12,925 and 21% in Morgan County to a high of $21,875 and 14% in Knox County.According to a recently released study by the Robert Wood Johnson Foundation/ University of Wisconsin Population Health Institute, Knox County residents have the following health indicators that are above the national benchmarks: Knox - TN - National Adult Smoking: 21% - 24% - 15% Adult Obesity: 29% - 31% - 25% Excessive Drinking: 11% - 9% - 8% Teen Birthrate: 39 - 55 - 22 of every 1,000 teenage girls Poor or Fair Health: 16% - 19% - 10%
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 in 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.In 2011 Fort Sanders Regional opened its Gamma Knife Center located at Thompson Cancer Survival Center, an affiliated cancer treatment center. The Gamma Knife Center features the newest and most advanced Leksell Gamma Knife Perfexion, a non-invasive radiosurgical tool used to treat brain tumors and other disorders. Patients undergoing Gamma Knife procedures benefit from reduced treatment times and minimized surgical complications. Fort Sanders Regional also provides other important services unique to the Covenant system including high risk obstetrical services and home infusion. It's outpatient diabetes center serves a large community-based population with educational, dietary and other supportive medical services that would otherwise be unavailable or difficult to access. Co-located with the diabetes center, the Coumadin clinic serves to educate another vulnerable population as well as to monitor the therapeutic effectiveness of this drug. These services, the diabetes center and the Coumadin clinic, 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)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Address Line2AddressUS/AddressLine2
Thompson Cancer Survival Center
1915 White Avenue	Knoxville	TN	37916	621250943	501(c)(3)	75192	Financial support of Fellowship Center
Fort Sanders Foundation
280 Fort Sanders West Blvd Suite	Knoxville	TN	37922	621748601	501(c)(3)	15000	Fellowship Center maintenance and food fund	100
Joni and Friends Ministry Knoxville
1540 Robinson Road	Knoxville	TN	37923	621458199	501(c)(3)	20000	Share the Hope

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Amount Of Cash GrantAmountOfCashGrant
Provided medication and medical supplies to patients who could not be discharged without it but could not pay for it	401	24202	Book	Prescription medications and infusion supplies
Paid for ambulance service to transfer patients to other facilities	2	1100	Cost	Transportation
Paid for personal care assistant to accompany discharged patient to radiation therapy at another facility	1	1642	Cost	Personal care services
Nursing scholarships	4		Cost		8800
Paid for burial for patient	1	800	Cost	Burial expenses

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: The hospital provides for the post-hospitalization transportation and 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Anthony L Spezia
0	924445	0	326250	0	1241947	0	9800	0	15907	0	2518349	0	759468
John T Geppi
0	393584	0	237900	0	73983	0	9800	0	19248	0	734515	0	0
Keith Altshuler
0	254454	0	26896	0	44620	0	9800	0	19677	0	355447	0	0
Jennifer L Hanson
161879	0	33199	0	17632	0	0	0	8285	0	220995	0	0	0
Mary E Dillon
162284	0	0	0	781	0	0	0	4416	0	167481	0	0	0
Christopher Norris
138642	0	0	0	1399	0	8689	0	16331	0	165061	0	0	0
Marianne Oliveira
134652	0	0	0	2336	0	8280	0	12569	0	157837	0	0	0
Nancy Granger
127140	0	0	0	1600	0	8058	0	17400	0	154198	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Line 1a	Part I, Line 1a: Tax gross-up payments are provided to certain executives and managers. These are treated as taxable compensation to the recipient.
Part I, Line 4b	Part II, Anthony L. Spezia (compensated by Covenant Health, parent organization) - Column (B)(iii): Other reportable compensation. $1,010,702 of the total amount reported as "other reportable compensation" under Column (B)(iii) is the total amount accrued during years 2007, 2008, 2009, 2010 and 2011 under a 457(f) deferred compensation plan established for Mr. Spezia in year 2000. Amounts accrued in years 2007 through 2010 have been previously reported and included in compensation on Form 990 for the applicable year. Although all deferred amounts became fully vested and taxable in 2011, only 2007 accruals were distributed to Mr. Spezia in 2011. Accruals for 2008-2011 are distributable in future years. Consequently, the $1,103, 451 is comprised of the following: $586,516 accrued and previously reported as income on Form 990 for years 2008, 2009, and 2010; which is fully vested but has not been distributed $235,299 distributed in 2011, of which $172,952 was previously reported as income on Form 990 for year 2007, the remainder representing earnings on the deferred amount distributed $188,887 accrued in 2011, which is fully vested but has not been distributed
Part III	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.	Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Organization Mission Statement	Form 990, Part III, Line 1	In 1996 two healthcare systems - Fort Sanders Alliance and MMC Healthcare System of Oak Ridge consolidated to form what is known today as Covenant Health. The two organizations, which had a combined legacy of more than 100 years of service in East Tennessee, united with the strong belief that by working together, they could do more for their communities than they could alone. Nearly two decades later, the connections Covenant Health has forged with East Tennessee communities have strengthened as the health system has worked in tandem with area leaders, businesses and organizations to provide excellent local healthcare. In recent years Covenant Health has opened replacement hospitals, outpatient centers and clinics; made innovative technology and medical advances available, and achieved national recognition for quality care and service excellence. As a tax-exempt health system, Covenant Health reinvests every dollar for the benefit of the community, not profitability or shareholder interests. As the largest private employer in the greater Knoxville area, Covenant Health's staff of more than 10,000 supports local communities by purchasing goods and services, participating in local activities, and contributing volunteer time and leadership in local organizations. Covenant Health is both committed to and connected to the communities it serves, as it lives out the health system's mission. COVENANT HEALTH'S MISSION We serve the community by improving the quality of life through better health. COVENANT HEALTH'S VALUES In service to God and community, we value: Integrity, Quality, Service, Caring, Developing People, and Using Resources Wisely. COVENANT HEALTH'S VISION Covenant Health's clinical and service excellence will make us the first and best choice for patients, employees, physicians, employers, volunteers, and the community. COVENANT HEALTH MEMBER ORGANIZATIONS AND SERVICES The Covenant Health System ("the System") provides comprehensive health care services throughout East Tennessee. Headquartered in Knoxville, Tennessee, Covenant Health and its affiliates seek to provide affordable, superior healthcare to patients through continued operation of both acute care and non-hospital programs. The System includes seven acute care hospitals with a total of more than 1,700 licensed beds, a behavioral health hospital, and numerous outpatient services and clinics. The System also includes specialty providers of behavioral, oncology and rehabilitation services, along with home health care, physician clinics, community wellness programs and managed care products and services. Member organizations and programs are listed by name below. Hospitals and Other Healthcare Providers: Covenant Homecare and Hospice Fort Loudoun Medical Center Fort Sanders Perinatal Center Fort Sanders Regional Medical Center LeConte Medical Center Methodist Medical Center of Oak Ridge Morristown-Hamblen Healthcare System Parkwest Medical Center Peninsula Hospital, a Division of Parkwest Medical Center Roane County Medical Center Thompson Cancer Survival Center Thompson Oncology Group Outpatient and Specialty Care Departments, and Joint Ventures: Fort Sanders Sevier Nursing Home Fort Sanders West Diagnostic Center Fort Sanders West Outpatient Surgery Center Morristown Regional Diagnostic Center Patricia Neal Rehabilitation Center Peninsula Outpatient Centers Surgery-Endoscopy Center of Morristown Foundations: Fort Sanders Foundation Methodist Medical Center Foundation Morristown-Hamblen Hospital Foundation Thompson Cancer Survival Center Foundation CONNECTING WITH OUR COMMUNITIES THROUGH QUALITY CARE Covenant Health delivers quality care in local settings, with services designed to meet the needs of our communities. The acute care hospitals located in Knoxville and surrounding areas comprise the foundation of the health system. They offer comprehensive care provided by board certified medical staffs, including emergency care, specialty services, and a full range of diagnostics and treatment. When specialty care is needed, Covenant Health provides: * Innovative cancer care and technologies to deliver radiation therapy and other cancer treatment at facilities affiliated with Thompson Cancer Survival Center in Knox and surrounding counties. * Nationally recognized care for patients suffering from physical disabilities, stroke and traumatic brain injury at Fort Sanders Regional Medical Center's Patricia Neal Rehabilitation Center. * Rehabilitation services including physical therapy, speech therapy, sports medicine, and specialized therapy such as hand therapy and vestibular (balance) rehabilitation are offered at a dozen Covenant Therapy Centers locations. In addition, more than 30 affiliated physician clinics throughout the region offer convenient access to primary and specialty care. BEHAVIORAL HEALTH - A COMMITMENT TO ESSENTIAL SERVICES Covenant Health provides comprehensive behavioral health services under the auspices of Peninsula, a Division of Parkwest Medical Center ("Peninsula"). Peninsula operates a behavioral health hospital and outpatient centers for treatment of addictive behaviors, depression, and other mental health issues. With 75 years of combined experience, Peninsula organizations have helped thousands of people recover from disorders and dependencies and lead healthy, positive and productive lives. In 2012 the State of Tennessee announced the closing of Lakeshore Mental Health Institute in Knoxville, as Tennessee moves toward more community-based mental health services. In response, Covenant Health announced that Peninsula would do everything it could to help the vulnerable population Lakeshore served. Peninsula pledged to take as many Lakeshore patients as it feasibly could, adding staff (including some former Lakeshore employees) and expanding facilities to handle the expected influx. It is not the first time the State has sought Peninsula's help. When Lakeshore closed its child and adolescent program in 2004, Peninsula became the only child and adolescent inpatient psychiatric facility between Chattanooga and Johnson City, Tennessee. COMMUNITY CELEBRATES PROGRESS FOR NEW ROANE COUNTY MEDICAL CENTER "One Community. One Hospital" is the theme of progress for the new Roane County Medical Center, a replacement hospital for the current facility in Harriman. The new facility is under construction near the Midtown exit off I-40, and scheduled to open in February 2013. About 200 people attended a mid-progress celebration in Spring 2012 at the hospital construction site. Covenant Health President Tony Spezia welcomed guests and introduced dignitaries, including legislative representatives, Roane County leaders, Covenant Health board members, and others. The celebration included a time capsule where speakers could place items that represent the legacy and future of Roane County Medical Center. Items will be placed in the time capsule until it is sealed in February 2013. Gaye Jolly, the President and CAO of Roane County Medical Center, said employees and physicians look forward to continuing recent quality accomplishments and the hospital's tradition of excellent care for every patient in the new facility. Key features of the new hospital include all private, modern patient rooms with large natural light windows, 15 emergency suites, technologically-advanced surgery suites, and enlarged and modern nursing units. Patient drop-off and pick-up areas will be available, as well as free parking in more than 500 parking spots. Patients and visitors can enjoy freshly prepared meals in the new Three Rivers Cafe. The new medical center campus will be wired with new and innovative technologies including computer systems, information technologies and hardware for transition to electronic medical records. Adjacent to the hospital will be a new professional office building, which will be home to medical professionals including Thompson Oncology Group, Roane Medical Patricia Neal Outpatient Center, and Roane Medical Cardiopulmonary Rehabilitation. Thompson Oncology Group will be staffed with board-certified oncology physicians, who will have access to nationally-acclaimed multidisciplinary cancer care through Thompson Cancer Survival Center. Roane Patricia Neal Outpatient Center will feature an in-ground therapy pool complete with a built-in treadmill, and Roane Cardiopulmonary Rehabilitation will offer a new, state-of-the-art telemetry monitoring system.
		CARDIAC INNOVATIONS FOR THE HEARTS OF EAST TENNESSEE Innovative Valve Centers Offer Specialty Cardiac Care The most complex cardiovascular problems can now be treated in Knoxville. Covenant Health is debuting Valve Centers at Parkwest, Fort Sanders Regional, and Methodist Medical Centers. Valve centers are staffed by experienced cardiovascular surgeons, cardiologists, nurses and other professional medical staff who are educated in the latest protocols. The coordination of care made possible by the Valve Centers will help Covenant Health hospitals deliver better outcomes, with fewer complications and higher survival rates. A new $2.6 million "hybrid" operating room opened this spring at Parkwest Medical Center and is used by Covenant Health physicians primarily for cardiac and vascular procedures. A hybrid operating room combines the best of a traditional surgical suite with large imaging equipment such as real-time X-ray and CT in a sterile setting. Hybrid operating rooms allow surgeons to perform combined open, minimally invasive, image-guided and/or catheter-based procedures in the same operating room. Patients facing aortic aneurysm surgery or aortic valve replacement may have a less invasive option and a quicker recovery. COVENANT HEALTH PERFORMS REGION'S FIRST BREAKTHROUGH TAVR PROCEDURE What if a heart valve could be replaced without surgically opening the chest cavity? That is now a reality for some patients. Parkwest Medical Center is one of only 140 sites in the nation and the first Knoxville hospital to offer Trans Aortic Valve Replacement (TAVR), an innovative procedure to replace diseased aortic valves. TAVR is appropriate for some high-risk patients with severe aortic stenosis (narrowing of the aortic valve opening) who are not candidates for surgery. In the United States, TAVR continues to be studied as part of the PARTNER (Placement of Aortic Transcatheter Valves) trial which studied inoperable patients with severe symptomatic aortic stenosis. Covenant Health has been selected by Edwards Lifesciences as the only entity in Knoxville to have surgeons trained in the TAVR procedure. STANDING STRONG FOR THE COMMUNITIES WE SERVE As a tax-exempt organization governed by a voluntary Board of Directors, Covenant Health reinvests excess revenues after expenses in improving patient care. Since 2000 Covenant Health has invested nearly $1 billion in facilities, technologies, programs and services. No other health system in East Tennessee in this decade has approached Covenant Health's investment in clinical and medical information technology, and new, renovated and expanded hospitals and services. The current economic environment has been particularly difficult and challenging for healthcare organizations, and has included cuts in reimbursement for services and the sale or closure of hospitals in our region. Covenant Health is committed to standing strong, and to the wise use of the health system's resources. Despite operating results at roughly a break-even level over the last five years, a strong balance sheet has allowed Covenant Health to continue providing substantial care to those with limited resources. In 2011 Covenant Health provided more than $150 million in charity and uncompensated care. CONNECTING MEDICAL COMMUNITIES WITH ADVANCED TECHNOLOGY When one thinks of technology, machines are often thought of - not only imposing-looking diagnostic equipment, but smaller electronic tools such as computers and hand-held devices. Often the concept of technology revolves around the hardware seen in healthcare settings. Using Technology to Achieve Quality Covenant Health's data center includes over 850 servers and 200 terabytes of storage capacity that are available to each hospital across the system via a high-speed gigabit network. The system is progressing toward a national meaningful use mandate, where healthcare organizations are challenged to use data in ways that improve patient safety and outcomes while paying close attention to information security. Some Covenant Health meaningful use initiatives include computerized patient order entry, real-time medication alerts to prevent allergy or drug interactions, and automated evidence-based care processes so that physicians and caregivers have immediate access to information about best practices. Other initiatives include computer-generated review and reconciliation of the patient's medications upon admission to the hospital, and delivery of relevant clinical information to the case management system in order to plan appropriate post-discharge care. Beyond Health System Boundaries Covenant Health is also leading the charge to expand technology benefits by participants beyond the system. The East Tennessee Health Information Network is a collaboration of leaders at other tax exempt health systems to create what will eventually be an electronic community of care that will encompass 17 counties in East Tennessee. The local initiative supports national efforts to move to electronic health records and create secure networks for sharing information through a health information exchange. REACHING OUT TO CREATE A HEALTHIER EAST TENNESSEE To improve the health of the community, Covenant Health reaches beyond hospital walls. Local initiatives and partnerships create opportunities to interact with people of all ages and encourage healthier lifestyles. * In Knoxville nearly 7,000 people participated in the 2012 Covenant Health Knoxville Marathon, which attracted local runners and hand cyclists, as well as competitors from throughout the U.S. and other countries. * The Covenant Kids Run attracted over 1,000 children who participated in a "marathon" of activities over a period of several weeks, culminating in a run to Neyland Stadium on the day before the Covenant Health Knoxville Marathon. * Covenant Health's Body Works program makes community fitness classes convenient, affordable, and fun. With more than 80 classes offered weekly throughout East Tennessee, Body Works offers a variety of exercise options for adults of all ages and fitness levels. * Covenant Health was the fitness sponsor of the Dogwood Arts Festival, held annually in April. Fitness activities included several outdoor walks, Bikes and Blooms bike rides on local dogwood trails, and a Dogwood Mile run and Kids Race held in downtown Knoxville. * Covenant Passport is a free membership program for adults age 50 and older. The program encourages healthy, active lifestyles through a newsletter, community presentations, health screenings, and travel/recreation opportunities. Nearly 25,000 members are currently enrolled. * Covenant Health annually sponsors MASH Camp at Methodist Medical Center to give high school students a sneak preview of healthcare career options and a chance to job shadow professionals in several hospital departments. * Covenant HomeCare Hospice helps children grieving the loss of a loved one through Katerpillar Kids Camp, offered with the support of Variety-The Children's Charity. The camp is staffed by health system volunteers and helps children in grades 1-12 express their feelings in a supportive environment while enjoying camp activities. * Morristown-Hamblen's Wellness of Women is dedicated to improving the lives of area women and their families. The program sponsors events such as an annual Girls' Night Out, which offers free health screenings and encourages women to have fun while learning to stay healthy. * Fort Sanders Regional Medical Center's Patricia Neal Rehabilitation Center leads the Innovation Recreation Cooperative, a collaboration of groups and individuals who help disabled persons enjoy leisure and recreation activities such as water skiing and cycling. * Fort Loudoun Medical Center sponsors "Let's Move Day" for area children and their families, featuring a day of games and activities, healthy snacks, and fitness checks.
		HEARTFELT CONNECTIONS INCREASE AWARENESS OF WOMEN AND HEART DISEASE The latest advancement in reducing heart disease in women is not a new test or treatment. Women can dramatically reduce their risks of developing heart disease by doing just four things - eating right, being physically active, not smoking, and maintaining a healthy weight. According to the most current research 62 percent of women are aware that heart disease is the number one killer of women. But many women still fail to take their risks personally or seriously. The Heart Truth Champions of Covenant Health are reaching out to help women understand that heart disease risk is a personal thing. Covenant Health was selected by the National Heart Lung and Blood Institute and the Office on Women's Health as one of a handful of sites across the United States to initiate a Heart Truth Champions program. Twelve Heart Truth Champion volunteers were selected based on their involvement in community health education activities, and their willingness to create and participate in local events to raise awareness of women and heart disease. SIX NUMBERS AT THE HEART OF GOOD HEALTH What you measure, you improve. That was the goal of Know Your Six, Chicks, a year-long community campaign to help women fight heart disease through awareness of six measures of heart health: blood pressure, cholesterol, fasting glucose, body mass index (BMI), physical activity and sleep habits. The campaign included heart health information, Lunch and Learns, community screenings, an interactive website and online health assessment, and mobile blood pressure screening units placed at local businesses. Know Your Six, Chicks is estimated to have directly reached just over 10,000 participants. Local businesses played an important role in Know Your Six, Chicks, providing locations for mobile Heart Centers and even providing spokespersons for the initiative. In addition to business participation, Know Your Six, Chicks also reached out to community centers, church locations, cultural events and trade shows - and expanded to include men in its outreach efforts. CONNECTING TO THE FUTURE THROUGH EDUCATION Covenant Health actively supports education programs for future nurses and other healthcare professionals. One example is the health system's partnership with Tennessee Wesleyan College-Fort Sanders Nursing, ("TWC"). The program offers a bachelor's degree in nursing through TWC in Athens, Tennessee, with classroom and clinical training opportunities at the school's Knoxville campus and at Covenant Health organizations. The collaboration has been in place for more than 10 years. This past Spring of 2012, more than 70 nursing students graduated from TWC. In summer 2012 the program launched an online RN-to-BSN degree designed especially for professional nurses who want to earn a baccalaureate degree while still continuing their nursing responsibilities. In addition to the TWC partnership, Covenant Health provides clinical training opportunities for students in health career programs at other area universities, community colleges and post-secondary schools, and has affiliation agreements with more than 100 schools across the country. COMMUNITY LEADERS PLAY KEY ROLES IN FOUNDATIONS' EVENTS AND PROGRAMS The Covenant Health Office of Philanthropy coordinates the philanthropic contributions of individuals and businesses throughout East Tennessee and beyond. Fund raising efforts are coordinated by four foundations: Fort Sanders Foundation, Methodist Medical Center Foundation, Morristown-Hamblen Hospital Foundation, and Thompson Cancer Survival Center Foundation. During the past year these foundations received contributions of about $4 million to help provide new equipment and facilities at the hospitals, staff training, and provide assistance to patients. While the Foundations coordinate community events and fund raisers, local community involvement is critical to the success of the events. CARING FOR THOSE UNABLE TO PAY One of the most tangible expressions of the charitable purpose of Covenant Health is providing care to people in need. As a tax-exempt system, Covenant Health provides medically necessary services to people with limited resources. Covenant Health actively participates in the state's TennCare program, and collaborates with other area providers to identify and support efforts to make community healthcare resources available for those in need. 2011 Summary of Community Benefit Totals for Uncompensated Care* Charity Care. . . . . . . . . . . . . . .$44 million TennCare . . . . . . . . . . . . . . . . $52 million Medicare . . . . . . . . . . . . . . . . . $60 million Total Uncompensated Care. . $156 million *Care which costs more to provide than reimbursements from state and national programs cover. Covenant Health provides community benefit that far exceeds the value of its tax-exempt status.
	Form 990, Part VI, Section B, line 11	Covenant Health is a large integrated health system which files twelve Forms 990. Fort Sanders Regional Medical Center is one of these twelve entities. Annually, at the September Finance Committee meeting, one of the twelve 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 eleven 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 twelve Form 990s 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 employee handbook to all employees. The handbook 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 with in the corporate bylaws, and Board members are required to complete and sign a conflict of interest questionnaire on an annual basis. The Integrity Compliance Office maintains records that contain conflict of interest information obtained from Board members, officers and employees. These records are available to be queried prior to engaging in business transactions. The 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, 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 2011 Form 990 of Covenant Health, EIN 62-1646734, parent company of Fort Sanders Regional Medical Center. Form 990, Part VI, Section B, Line 15b: Base salary and annual bonus opportunities for Keith Altshuler, President/CAO, are set by the Covenant Health CEO or Executive 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 insure 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 President/CAO is reasonable and consistent with fair market value. Base salaries are initially targeted at midpoint and vary according to the individual's experience, market conditions and competition. 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 salary and annual bonus opportunities for Ronnie Beeler, VP-Financial Services, are based on established targets to insure that total compensation 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 vary according to the individual's experience, market conditions and competition. 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	Form 990, Part VI, Section C, Line 19: Per its tax-exempt bond provisions, the parent company, Covenant Health, is required to file quarterly and annual consolidated and obligated group financial statements in addition to other documentation, with various bond insurers and other agencies, including the Electronic Municipal Market Access, EMMA, website. Any member of such a repository has access to these financial statements. In addition, Fort Sanders Regional Medical Center files a Joint Annual Report containing financial information with the Tennessee Department of Health.
Contact Addresses for Officers, Directors, Etc.:	Form 990, Part VI, Section A, Line 9 and Part VII	Anthony L. Spezia Covenant Health 100 Ft Sanders West Blvd. Knoxville, TN 37922 John T. Geppi, Larry Mauldin, and all Directors Covenant Health 1420 Centerpoint Blvd., Bldg. C Knoxville, TN 37932 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 VII, Section A, Column B:	The President/CEO, EVP/CFO, and Board of Directors serve Covenant Health, EIN 62-1646734, parent company of an integrated health care delivery system, of which Fort Sanders Regional Medical Center is a member, as a whole. The hours these individuals devoted to the system in 2011 are reported on Covenant Health's Form 990, Part VII.
Changes in Net Assets or Fund Balances:	Form 990, Part XI, line 5:	Intracompany Eliminations 77,647. Total to Form 990, Part XI, Line 5: 77,647.
	Form 990, Part XII, Line 2c:	The Finance Committee of the Board of Directors assumes responsibility for oversight of the audit of the consolidated financial statements and selection of an independent accountant.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
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 Boulevard	Knoxville	TN	37923	581897274	Acute care hospital & behavioral 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 dba Roane Medical Center
412 Devonia Street	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 Avenue	Knoxville	TN	37916	621250943	Cancer treatment facility	TN	501(c)(3)	Line 3		0	Covenant Health
Thompson Oncology Group
1915 White Avenue	Knoxville	TN	37916	621619239	Oncology services	TN	501(c)(3)	Line 3		0	Covenant Health
Covenant Homecare
3001 Lake Brook Blvd Suite 101	Knoxville	TN	37909	621623114	Home health services	TN	501(c)(3)	Line 9		0	Covenant Health
Fort Sanders Perinatal Center
501 19th Street Suite 304	Knoxville	TN	37916	043760551	High risk obstetrical services	TN	501(c)(3)	Line 3		1	Covenant Health
Fort Sanders Foundation
280 Fort Sanders West Blvd Ste 100	Knoxville	TN	37922	621748601	Fundraising and patient outreach	TN	501(c)(3)	Line 11a, I		0	Covenant Health
Morristown-Hamblen Hospital Assoc dba M-H Healthcare System
908 W 4th North St	Morristown	TN	37814	620545814	Acute care hospital	TN	501(c)(3)	Line 3		0	Covenant Health
Thompson Cancer Survival Center Foundation
1915 White Avenue	Knoxville	TN	37916	582130450	Fundraising and patient outreach	TN	501(c)(3)	Line 11a, I		0	Thompson Cancer Survival Center
Morristown Regional Cancer Center LLC
908 W 4th North St	Morristown	TN	37814	200916364	Cancer treatment facility	TN	501(c)(3)	Line 3		0	Morristown- Hamblen Hospital Association

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA
Endoscopy Center of Oak Ridge LLC
988 Oak Ridge Turnpike Ste 200	Oak Ridge	TN	37830	621667358	Outpatient medical facility	TN	N/A
Fort Sanders West OP Surgery Ctr LLC
210 Fort Sanders West Blvd Ste 106	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
Assoc of the Meridian Health Outpatient Surgery Ctr LLC
908 W 4th North St	Morristown	TN	37814	861167487	Outpatient surgery center	TN	N/A
Tellico Senior Living LLC
PO Box 308	Caryville	TN	37714	364353505	Retirement village	TN	N/A
KOSC Properties LLC
260 Fort Sanders West Blvd Ste 200	Knoxville	TN	37922	262444076	Building ownership	TN	N/A
Knoxville Orthopaedic Surgery Center LLC
260 Fort Sanders West Blvd Ste 200	Knoxville	TN	37922	262437385	Orthopaedic surgery	TN	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
Fortress Corporation
280 Fort Sanders West Blvd Suite 21	Knoxville	TN	37922	621308885	Management company	TN	N/A	C
KASC Acquisition Company Inc
1420 Centerpoint Blvd Bldg C	Knoxville	TN	37932	263400984	Real estate holdings	TN	N/A	C
Covenant Medical Management Inc
280 Fort Sanders West Blvd Suite 20	Knoxville	TN	37922	621282917	Physician practice management	TN	N/A	C
Knoxville Heart Group
1819 Clinch Ave Suite 108	Knoxville	TN	37916	271528941	Cardiology medical practice	TN		C	Fort Sanders Regional Medical Center	-2337705	154403	1.00000
Morristown-Hamblen Health Services Inc
908 W 4th North St	Morristown	TN	37814	621588521	Inactive - dissolved 2/5/2011	TN	N/A	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	1	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	1	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Fort Sanders Perinatal Center
A	566742	FMV
Fort Sanders Perinatal Center
L	72006	Cost
Fort Sanders Perinatal Center
N	108809	Cost
Fort Sanders Perinatal Center
O	57339	Cost
Knoxville Heart Group
A	225503	FMV
Knoxville Heart Group
N	119634	Cost
Knoxville Heart Group
O	569909	Cost
Knoxville Heart Group
P	11830	Cost