FORT SANDERS REGIONAL MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: FORT SANDERS REGIONAL MEDICAL CENTER (EIN 62-0528340)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-11
IRS object ID: 201103159349301005
Schema version: 2010v3.4
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	2011-11-11T09:20:20-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	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	1410 Centerpoint Blvd No 401	AddressLine1
City	Knoxville	City
State	TN	State
ZIP Code	379321985	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JOHN T GEPPI	Name
Title	EVP/CFO	Title
Phone	8655315421	Phone
Date Signed	2011-11-09	DateSigned

Preparer Preparer

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

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	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	317102716	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	2407	TotalNbrEmployees
Total Nbr Volunteers	1672	TotalNbrVolunteers
Total Gross UBI	2594820	TotalGrossUBI
Net Unrelated Business Txbl Income	123534	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	682385	ContributionsGrantsPriorYear
Contributions Grants Current Year	633568	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	284927809	ProgramServiceRevenuePriorYear
Program Service Revenue CY	304282711	ProgramServiceRevenueCY
Investment Income Prior Year	24664	InvestmentIncomePriorYear
Investment Income Current Year	-49117	InvestmentIncomeCurrentYear
Other Revenue Prior Year	8679125	OtherRevenuePriorYear
Other Revenue Current Year	8291808	OtherRevenueCurrentYear
Total Revenue Prior Year	294313983	TotalRevenuePriorYear
Total Revenue Current Year	313158970	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	431499	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	127069	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	93672649	SalariesEtcPriorYear
Salaries Etc Current Year	96421575	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	182721832	OtherExpensePriorYear
Other Expenses Current Year	201721142	OtherExpensesCurrentYear
Total Expenses Prior Year	276825980	TotalExpensesPriorYear
Total Expenses Current Year	298269786	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	17488003	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	14889184	RevenuesLessExpensesCY
Total Assets BOY	137057426	TotalAssetsBOY
Total Assets EOY	156856678	TotalAssetsEOY
Total Liabilities BOY	39671938	TotalLiabilitiesBOY
Total Liabilities EOY	44664047	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	97385488	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	112192631	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. Please see the Report to the Community for the Covenant Health organizations, which describes the substantial benefit provided by the system, at the end of this schedule.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	61416758	Expense
Revenue	65404479	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 - $61,416,758; Revenue - $65,404,479.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 2010 the hospital had 10,642 Wound Care Center patient visits and 71,052 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 2010 there were 298 interventional neuro-radiology cases - made up of 150 aneurysm coilings, 136 IVC filter placements, and 12 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 788 patients in 2010.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 2010 the hospital's Core Measure compliance related to strokes was 98.56%, and it had 369 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	48030389	Expense
Revenue	51582673	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: $48,030,389 Revenue: $51,582,673Fort Sanders Regional Medical Center 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. Nearly 10,000 surgeries were performed at Fort Sanders Regional in 2010.As an adjunct to its goal to provide an array of minimally invasive surgical procedures, Fort Sanders Regional 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 performed on 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 chest bone, again reducing recovery times and complications.In addition to robotics technology, Fort Sanders Regional 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 belly button. Long surgical instruments are inserted through the scope to repair medical problems. Most laparoscopic surgeries are performed on an outpatient basis, with patients in the hospital less than 24 hours. Recovery time is greatly minimized with most patients returning to work in just three to five days.Fort Sanders Regional Medical Center 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 SurgeryFort Sanders Regional 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, Fort Sanders Regional is the only facility in the region to have both a surgical and catheter based approach to treating atrial fibrillation. The hospital had 1,098 cardiac surgery cases in 2010.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 812 vascular surgery cases in 2010.Surgical oncology is the branch of surgery which focuses on the surgical management of cancer. The medical staff at Fort Sanders Regional Medical Center includes general surgical oncologists as well as thoracic surgical oncologists, gynecologic oncologists and other sub-specialists that specialize in treating cancer patients.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	34641673	Expense
Revenue	35583497	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 2010 there were 1,618 admissions to the oncology unit with 9,504 patient days. More information is on Schedule O.Oncology Services: Expenses - $34,641,673; Revenue - $35,583,497.The Oncology Center of Excellence at Fort Sanders Regional offers a comprehensive approach to patient care which minimizes patient disruption and maximizes clinical quality and efficiency. Cancer patients and their families can be assured their loved ones will receive the most complete and exceptional oncology care available. In Fort Sanders Regional'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 of the nurses are also oncology certified at a national level. They have dedicated more than 1,000 hours to 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.Fort Sanders Regional's emphasis on oncology knowledge and expertise isn't just 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, dietician, social worker, and RN case manager. This team communicates regularly to ensure the excellent patient care from admission to discharge. From the hospital's dieticians, to its pharmacists and radiologists, and to its housekeeping staff, Fort Sanders Regional has done a lot of work 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 Fort Sanders Regional holds the prestigious Certificate of Approval from the Commission on Cancer. The Commission on Cancer Certification is awarded only to facilities with oncology programs committed to providing the best comprehensive cancer care. The Oncology Nursing Unit also serves as the inpatient component of the Stem Cell Center which is based at the Thompson Cancer Survival Center. This Stem Cell treatment center in conjunction with our Oncology Nursing Unit has accomplished accreditation by the Foundation of Accreditation for Cellular Therapy, also known as FACT.Surgical oncology is the branch of surgery which focuses on the surgical management of cancer. The Medical Staff at Fort Sanders Regional Medical Center includes general surgical oncologists as well as thoracic surgical oncologists, gynecologic oncologists and other sub-specialists that specialize in treating cancer patients. Outcomes in surgical cancer care are positively associated to surgeon volume -- i.e. the more cancer cases a surgeon treats, the more proficient he becomes, thus improving overall outcomes and survival rates. Fort Sanders Regional's surgical oncologists handled 194 cases in 2010.Due to the close proximity of Fort Sanders Regional Medical Center to Thompson Cancer Survival Center, the surgeons and staff at Fort Sanders Regional work closely with the cancer center's multidisciplinary treatment teams in the collaboration of care and treatment plans for patients with chest and breast cancer. A team of cancer specialists in differing areas of expertise, including surgeons, gather and evaluate each patient's case to determine possible treatment options. Each specialist then meets individually with the patient to go over treatment choices and answer questions. As part of its outpatient oncology care, Fort Sanders Regional has opened four outpatient Infusion Centers in the area providing many of the chemotherapy medications for cancer patients. About 15,810 infusions were performed in the infusion centers in 2010.Fort Sanders Regional Medical Center, through the Patricia Neal Rehabilitation Center, is the only place in East Tennessee, and one of a handful in the country, who 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. At the Center, the cancer rehab team creates a special care plan for each patient. The goal is to help patients regain as much ability and independence as possible. 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 Patricia Neal Rehabilitation Center treats many of the impairments that can result from cancer, cancer surgery, radiation therapy, chemotherapy and other treatments, such as: * Fatigue * Muscle wasting * Weakness * Pain * Skin breakdown * Impaired mobility * Anxiety * Depression * Adjustment problems * Overall deconditioning * Lymphedema (swelling) * Weight loss * Communication difficulty * Impaired thinking or memory loss Patricia Neal Rehabilitation Center has a positive, encouraging atmosphere. It is known for outstanding resources, from a rooftop therapy park to a computer life-skills lab. The Center also offers: * Fully-equipped therapy gyms * Special adaptive equipment programs * Animal therapy * Support groups * Community outings * Family and caregiver training * Tools to improve communication * Adaptive driving * 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	148013475	Expense
Grants	104269	Grants
Revenue	151680501	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	148013475	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	104269	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	151680501	TotalOfOtherProgramServiceRev
Total Program Service Expense	292102295	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
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	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	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	0	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	181	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2407	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	Ronnie Beeler	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	8655412566	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1901 Clinch Ave	AddressLine1
City	Knoxville	City
State	TN	State
ZIP Code	379162307	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (30 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	1406336	246381
Dr Richard Brinner
Director	0.00	X		0	922	0
Harry M Call
Director	0.00	X		0	1532	0
Dr Mitchell Dickson
Director	0.00	X		0	1771	0
Pamela P Fansler
Director	0.00	X		0	767	0
Homer Fisher
Director	0.00	X		0	436	0
James Fitzsimmons
Director	0.00	X		0	1876	0
Dr William Hall
Director	0.00	X		0	1274	0
Wayne Heatherly
Director	0.00	X		0	1697	0
Jim Johnson Jr
Director	0.00	X		0	1114	0
Karla Lane
Director	0.00	X		0	950	0
Dr Randolph Lowry
Director	0.00	X		0	1665	0
Larry Mauldin
Director	0.00	X		0	1226	0
George Miller
Director	0.00	X		0	647	0
Alvin Nance
Director	0.00	X		0	673	0
Linda N Ogle
Director	0.00	X		0	0	0
Francis Olmstead Jr
Chairman	0.00	X		0	2212	0
Mitchell Steenrod
Director	0.00	X		0	1081	0
Joseph E Sutter
Director	0.00	X		0	1829	0
Joe Ben Turner
Director	0.00	X		0	819	0
David C Verble
Director	0.00	X		0	1434	0
John T Geppi
EVP/CFO	0.00		X	0	675119	41480
Keith Altshuler
Pres. & CAO - FSRMC	44.00		X	0	374679	50893
David McReynolds
VP-Financial Services	36.50		X	178482	0	35259
Jennifer L Hanson
VP-Chief Nursing Officer	45.00			0	220542	13765	X
Mary E Dillon
Medical Director	40.00			162472	0	4619		X
Chad J Brown
VP-Operations	45.00			203430	0	12962		X
Christopher Norris
Pharmacy Director	40.00			135832	0	24198		X
Nancy Granger
Pharmacy Manager	40.00			122610	0	25133		X
Marianne Oliveira
Sr. Instructor - Nursing School	40.00			134789	0	20988		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	937615	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2700601	TotalReportableCompFrmRltdOrgs
Total Other Compensation	475678	TotalOtherCompensation
Number Individuals GT100 K	34	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	2751870
Medic Regional Blood Center
1601 Ailor Avenue	Knoxville	TN	37921	Blood Processing	1780688
Angelica Textile Services Inc
PO Box 535122	Atlanta	GA	30353	Linen Service	1322878
Covenant Medical Management
280 Fort Sanders West Blvd Ste 205	Knoxville	TN	37922	Physician Services	1080647
Covenant Health Properties
280 Fort Sanders West Blvd Ste 214	Knoxville	TN	37922	Property Management	1042319

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	34	NumberOfContractorsGT100K
Related Organizations	450751	RelatedOrganizations
Government Grants	181114	GovernmentGrants
All Other Contributions	1703	AllOtherContributions
Noncash Contributions	22590	NoncashContributions
Total Contributions	633568	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Medical Services	622110	301745800	301745800
Laboratory	621500	1730219		1730219
Rental Inc - Affiliate	531120	806692	806692

Field	Value	IRS element (for citing)
Total Program Service Revenue	304282711	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	30970	TotalRevenueColumn
Exclusion	$30,970	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	1086	TotalRevenueColumn
Related Or Exempt Function Income	1086	RelatedOrExemptFunctionIncome

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2754928	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	3753985	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-999057	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-999057	TotalRevenueColumn
Exclusion	-$999,057	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	81173	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-81173	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-81173	TotalRevenueColumn
Exclusion	-$81,173	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	120756	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	108588	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	12168	TotalRevenueColumn
Exclusion	$12,168	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
Pharmacy	900099	3159347	$3,159,347
Cafeteria	722212	2612401	$2,612,401
Steam and Oxygen	900099	833018		833018

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2673931	TotalRevenueColumn
Related Or Exempt Function Income	1697572	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	31583	UnrelatedBusinessRevenue
Exclusion	$944,776	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	9278697	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	313158970	TotalRevenueColumn
Related Or Exempt Function Income	304251150	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2594820	UnrelatedBusinessRevenue
Exclusion	$5,679,432	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	101246	Total
Program Services	101246	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	25823	Total
Program Services	25823	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	213741	Total
Management And General	213741	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	78268799	Total
Program Services	76739538	ProgramServices
Management And General	1529261	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2444302	Total
Program Services	2378718	ProgramServices
Management And General	65584	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	9837364	Total
Program Services	9557167	ProgramServices
Management And General	280197	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5657369	Total
Program Services	5481048	ProgramServices
Management And General	176321	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	18560011	Total
Program Services	18178229	ProgramServices
Management And General	381782	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	103062	Total
Program Services	5481	ProgramServices
Management And General	97581	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	33812	Total
Management And General	33812	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	18587869	Total
Program Services	17767194	ProgramServices
Management And General	820675	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	462651	Total
Program Services	126736	ProgramServices
Management And General	335915	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3127384	Total
Program Services	2623517	ProgramServices
Management And General	503867	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5267988	Total
Program Services	4287185	ProgramServices
Management And General	980803	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	90126	Total
Program Services	85929	ProgramServices
Management And General	4197	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	288536	Total
Program Services	161696	ProgramServices
Management And General	126840	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	523085	Total
Program Services	523085	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	13906010	Total
Program Services	13906010	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	956764	Total
Program Services	933454	ProgramServices
Management And General	23310	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
Unrelated Business Inco	72637	72637
Supplies and Equipment	88715140	274655	88440485
Charity Care	30524627		30524627
Bad Debts	14975758		14975758
Food/Dietary	2866775	4103	2862672

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2658907	Total
Program Services	2416697	ProgramServices
Management And General	242210	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	298269786	Total
Program Services	292102295	ProgramServices
Management And General	6167491	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2669	BOY
EOY	3839	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	-5016772	BOY
EOY	-2010391	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	27262151	BOY
EOY	26319193	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	6504835	BOY
EOY	6695999	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	647482	BOY
EOY	534865	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	348335730	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	226408732	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	104370837	BOY
EOY	121926998	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3241669	BOY
EOY	3341620	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	137057426	BOY
EOY	156856678	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	20375832	BOY
EOY	22491125	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	585312	BOY
EOY	563664	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	10577991	BOY
EOY	9044795	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	308822	BOY
EOY	140137	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	7823981	BOY
EOY	12424326	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	39671938	BOY
EOY	44664047	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	97385488	BOY
EOY	112192631	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	97385488	BOY
EOY	112192631	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	137057426	BOY
EOY	156856678	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	14889184	ReconcilationRevenueExpenses
Reconcilation Other Changes	-82041	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	65000	BeginningOfYearBalance
Contributions	38913	Contributions
Investment Earnings Or Losses	4233	InvestmentEarningsOrLosses
Other Expenditures	4233	OtherExpenditures
End Of Year Balance	103913	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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	6790526	OtherCostOrOtherBasis
Book Value	6890871	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	30749482	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	87562205	OtherCostOrOtherBasis
Depreciation	80996611	Depreciation
Book Value	37315076	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1826606	OtherCostOrOtherBasis
Depreciation	838232	Depreciation
Book Value	988374	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	220274220	OtherCostOrOtherBasis
Depreciation	143754379	Depreciation
Book Value	76519841	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1032346	OtherCostOrOtherBasis
Depreciation	819510	Depreciation
Book Value	212836	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	121926998	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
Due to Affiliates, Net	$7,468,858
Due to Third Party Payors	$2,804,181
Long-term Deferred Compensation	$115,452
Long-term Reserve for Workers Comp	$2,035,835

Field	Value	IRS element (for citing)
Total Of Amounts	12424326	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Description of Intended Use of Endowment Funds:	Identifier
Return Reference	Part V, Line 4:	ReturnReference
Explanation	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.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Uniform Sales	NameOfEvent1
Gross Receipts Event1	50176	GrossReceiptsEvent1
Gross Revenue Event1	50176	GrossRevenueEvent1
Other Direct Expenses Event1	40040	OtherDirectExpensesEvent1
Name Of Event2	Jewelry Sales	NameOfEvent2
Gross Receipts Event2	11101	GrossReceiptsEvent2
Gross Revenue Event2	11101	GrossRevenueEvent2
Other Direct Expenses Event2	9069	OtherDirectExpensesEvent2
Gross Receipts Total	61277	GrossReceiptsTotal
Gross Revenue Total Events	61277	GrossRevenueTotalEvents
Other Direct Expenses Total Events	49109	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	49109	DirectExpenseSummaryEvents
Net Income Summary	12168	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	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
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	19077522	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6450409	DirectOffsettingRevenue
Net Community Benefit Expense	12627113	NetCommunityBenefitExpense
Percent Of Total Expense	0.04460	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	58941781	TotalCommunityBenefitExpense
Direct Offsetting Revenue	40245990	DirectOffsettingRevenue
Net Community Benefit Expense	18695791	NetCommunityBenefitExpense
Percent Of Total Expense	0.06600	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2021203	TotalCommunityBenefitExpense
Direct Offsetting Revenue	538012	DirectOffsettingRevenue
Net Community Benefit Expense	1483191	NetCommunityBenefitExpense
Percent Of Total Expense	0.00520	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	80040506	TotalCommunityBenefitExpense
Direct Offsetting Revenue	47234411	DirectOffsettingRevenue
Net Community Benefit Expense	32806095	NetCommunityBenefitExpense
Percent Of Total Expense	0.11580	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	96995	TotalCommunityBenefitExpense
Direct Offsetting Revenue	39775	DirectOffsettingRevenue
Net Community Benefit Expense	57220	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	55269	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8036	DirectOffsettingRevenue
Net Community Benefit Expense	47233	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11102728	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7080509	DirectOffsettingRevenue
Net Community Benefit Expense	4022219	NetCommunityBenefitExpense
Percent Of Total Expense	0.01420	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	162567	TotalCommunityBenefitExpense
Direct Offsetting Revenue	56294	DirectOffsettingRevenue
Net Community Benefit Expense	106273	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11417559	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7184614	DirectOffsettingRevenue
Net Community Benefit Expense	4232945	NetCommunityBenefitExpense
Percent Of Total Expense	0.01500	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	91458065	TotalCommunityBenefitExpense
Direct Offsetting Revenue	54419025	DirectOffsettingRevenue
Net Community Benefit Expense	37039040	NetCommunityBenefitExpense
Percent Of Total Expense	0.13080	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	12903	TotalCommunityBuildingExpense
Net Community Building Expense	12903	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	49300	TotalCommunityBuildingExpense
Net Community Building Expense	49300	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	45458	TotalCommunityBuildingExpense
Net Community Building Expense	45458	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	524	TotalCommunityBuildingExpense
Net Community Building Expense	524	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	108185	TotalCommunityBuildingExpense
Net Community Building Expense	108185	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$4,113,665	BadDebtExpenseAmount
Amount Attributable To	1438960	AmountAttributableTo
Amount Reimbursed By Medicare	75518080	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	70991653	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	4526427	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	Not Required	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	18	NumberOfOtherFacilities

Other Facilities OtherFacilities (18 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
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
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
FSRMC Transitional Care Unit
1901 Clinch Avenue	Knoxville	TN	37916	Skilled Nursing Facility
FSR Infusion Services Lenoir City
576 Fort Loudoun Med Ctr Dr Ste 204	Lenoir City	TN	37772	Pharmacy - Infusion Services
FS Neurodiagnostics & Sleep Center
Ft Sanders POB Ste 303 501 20th St	Knoxville	TN	37916	Neurodiagnostics and Sleep Center
Thompson Infusion Center
215 BMH Cancer Center Drive	Maryville	TN	37804	Pharmacy - Infusion Services
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 - Powell
3515 Emory Road Suite P-9	Powell	TN	37849	Physical Rehabilitation Therapy Center
FSR Therapy Center - Halls
6679 Maynardville Hwy	Knoxville	TN	37918	Physical Rehabilitation Therapy Center

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanation
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 historical cost from the general ledger.
Part I, Line 7g: The organization has included $1,076,067 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 $ 14975758.
Part II: Fort Sanders Regional Medical Center supports the community building activities of its parent company, Covenant Health. 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.Community Building activities included cash and in-kind donations for the development of community health programs and partnerships. These activities include physical improvements and housing, economic development and support system enhancements like disaster readiness, mentoring programs, and youth asset development initiatives. Such programs address the root causes of health problems, such as poverty and homelessness due to lack of education and jobs.In 2010 the System provided Community Building support to many organizations, the most significant of which included: Catholic Charities of East Tennessee East TN Economic Development Agency Emerald Youth Foundation Great Schools Partnership Charitable Trust (for Knox Co. schools) Innovation Valley Technology Council Second Harvest Food Bank of East TN Variety Children's Charity of East TN
Part III, Line 4: Note B to the 2010 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 adjustment represents the difference between established billing rates and estimated reimbursement from Medicare, TennCare and other third-party payment programs. Current operations for 2010 and 2009 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 at cost on Line 2 was obtained from the hospital's cost accounting system from a listing of all accounts written off to bad debt.In the previous year, the hospital reviewed all patient accounts in bad debt status to identify persons who might have qualified for financial assistance. Notes in the patient record were reviewed to see if a patient or guarantor was sent a charity care application based on statements that they could not afford to pay all that they owed. The hospital could not make a final determination as to their qualification for financial assistance due to missing or incomplete information (i.e. charity care application was not returned to the hospital business office or supporting documentation was not provided) but felt strongly that the patients were in need of some form of assistance. The percentage of total bad debt at cost applicable to patients identified through this review process has been applied to the current year total bad debt at cost 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 46% 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.
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 at 541-2987. 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 2010, slightly more than 52% 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, nearly 11% 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 6: 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 7: Fort Sanders Regional Medical Center (FSRMC), as an affiliate of Covenant Health, benefits from the collaboration among all affiliated organizations as well as with other community-based resources to promote quality improvement, patient safety and efficiency of care delivery for the communities served. 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. 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. FSRMC, 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. FSRMC 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.The hospital also provides other important services unique to the Covenant system including high risk obstetrical services and home infusion. The hospital operates the only outpatient diabetes center in the health system which 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. FSRMC 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. FSRMC benefits from the access and availability of services within the Covenant system that are not provided by the hospital itself. For example, home health and hospice services are an important part of the continuum of care for a large portion of the hospital's patient population due to the complexity of care provided by the hospital. Also very important are the full range of community mental health and psychiatric hospital services that are available within the system which help support the hospital's emergency room as well as to provide an accessible and efficient pathway for those patients who require such services post discharge from the acute care hospital. The Covenant system also enhances the patient's access to care through the provision of services through a variety of outpatient settings located throughout the service area.FSRMC works closely with the Fort Sanders Foundation which seeks out community support 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 would 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 FSRMC. The school provides a baccalaureate nursing education helping to alleviate what is 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. FSRMC 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, the location of two regional referral hospitals (FSRMC and East Tennessee Children's Hospital) in its boundaries along with the flagship campus of the University of Tennessee, 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.

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)	10000	Fellowship Center maintenance and food fund	100
Joni and Friends Ministry Knoxville
1540 Robinson Road	Knoxville	TN	37923	621458199	501(c)(3)	8000	Wheels to the World and Family Retreat programs

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

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	381	12691	Book	Prescription medications and infusion supplies
Paid for ambulance service to transfer patients to nursing home	2	773	Book	Transportation
One month rental of medical equipment for patient unable to afford it on discharge	1	2900	Book	Medical equipment
Nursing scholarships	4				8800
Provided sign language interpreter for patient following discharge from hospital	1	659	Cost	Sign language interpreters

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 (9 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	690560	0	652524	0	63252	0	216512	0	29869	0	1652717	0	156680
John T Geppi
0	367693	0	268268	0	39158	0	9800	0	31680	0	716599	0	0
Keith Altshuler
0	238746	0	102297	0	33636	0	15034	0	35859	0	425572	0	0
David McReynolds
133207	0	19589	0	25686	0	11032	0	24227	0	213741	0	0	0
Jennifer L Hanson
0	136999	0	66125	0	17418	0	0	0	13765	0	234307	0	0
Mary E Dillon
162047	0	0	0	425	0	0	0	4619	0	167091	0	0	0
Chad J Brown
174925	0	9890	0	18615	0	0	0	12962	0	216392	0	0	0
Christopher Norris
125776	0	0	0	10056	0	8432	0	15766	0	160030	0	0	0
Marianne Oliveira
125932	0	0	0	8857	0	5520	0	15468	0	155777	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Line 1a	Part I, Line 1a: Tax indemnification and gross-up payments are provided to certain executives and managers. These are treated as taxable compensation to the recipient.
Part I, Line 4b	Part I, Line 4b: Anthony L. Spezia (compensated by Covenant Health, parent organization) $206,712 - current year contribution to 457(f) plan $213,161 - current year distribution from 457(f) plan, of which $156,680 was earned and reported in 2006.
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 (10 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, Part VI, Section B, line 11	A summary of Fort Sanders Regional Medical Center's 2010 Form 990 was prepared and presented to the Covenant Health Finance Committee and Board of Directors at their 2011 September and October meetings, respectively. This entity is one member of a large, integrated healthcare system which files a total of twelve (12) Form 990s. Prior to filing, the Board of Directors and Finance Committee had access to the 990s of all Covenant Health facilities.
	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 12c
	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 2010 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 salaries and annual bonus opportunities for Keith Altshuler, President/CAO, and David McReynolds, VP-Financial Services, ("Key Executives") are set by the Covenant Health CEO or Executive Vice President-Human Resources and/or Executive Vice President-Operations, 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 for each executive is reasonable and within a fair market value range. Salary ranges for each executive position 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 each Key Executive 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% for the CAOs and 0-20% for the VP-Financial Services of base salary based upon system performance and accomplishment of certain targets established by the CEO.	Form 990, Part VI, Section B, line 15
	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 Nationally Recognized Municipal Securities Information Repositories. 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.	Form 990, Part VI, Section C, line 19
Contact Addresses for Officers, Directors, Etc.:	Anthony L. Spezia Covenant Health 100 Ft Sanders West Blvd. Knoxville, TN 37922 John T. Geppi, Francis Olmstead, and all Directors Covenant Health 1410 Centerpoint Blvd., Suite 401 Knoxville, TN 37932 Chad Brown 1606 Kilmer Drive Knoxville, TN 37922 All other persons listed in Part VII, Section A may be contacted at the organization's address.	Form 990, Part VI, Section A, Line 9 and Part VII
	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 2010 are reported on Covenant Health's Form 990, Part VII.	Form 990, Part VII, Section A, Column B:
Changes in Net Assets or Fund Balances:	Intracompany Eliminations -82,041. Total to Form 990, Part XI, Line 5: -82,041.	Form 990, Part XI, line 5:
	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.	Form 990, Part XII, Line 2c:
	Service to the people and communities of East Tennessee is the cornerstone of the mission of Covenant Health, hereinafter referred to as "the System,' a community-owned health system which includes acute care hospitals, outpatient facilities and clinics, and numerous specialty services. The System's mission, "we serve the community by improving the quality of life through better health," has been the foundation of the services and programs offered by the System and its member organizations since it was formed through the consolidation of Fort Sanders Health System in Knoxville and MMC Healthcare System in Oak Ridge in 1996. The System is a community-owned healthcare system and provides comprehensive health services throughout East Tennessee. Headquartered in Knoxville, Tennessee, the System includes seven acute care hospitals with a total of more than 1,700 licensed beds, as well as numerous outpatient services and clinics. The System also includes specialty providers of behavioral, oncology, and rehabilitation services, along with home care, physician clinics, community wellness programs and managed care products and services. The System has more than 1,000 affiliated physicians and 9,000 employees. Covenant Health, a tax-exempt entity pursuant to section 501(c)(3) of the Internal Revenue Code, is the parent company and sole member of several controlled entities: Fort Loudoun Medical Center, Fort Sanders Regional Medical Center, LeConte Medical Center, Methodist Medical Center of Oak Ridge, Morristown-Hamblen Hospital Association, Parkwest Medical Center, Peninsula, a Division of Parkwest Medical Center, Roane Medical Center, Thompson Cancer Survival Center, Covenant HomeCare and Fort Sanders Perinatal Center. These entities were established to provide healthcare services primarily to East Tennesseans in the surrounding 16-county area. Operating as an integrated network of health services, 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 history of the System demonstrates a clear and consistent charitable purpose: the provision of healthcare services to all residents of the community without regard to age, race, gender, creed, national origin, ability to pay, or physical or mental handicap. Beyond the services documented in this report are countless acts of generosity by employees that will never be completely captured and reported, nor will they be forgotten by those who benefited from them. One of the most tangible expressions of the System's charitable purpose is the provision of care to people unable to pay. The System embraces its purpose and strives to grow the types of services not provided by other area health care providers; examples of such services include but are not limited to services provided by Peninsula, a Division of Parkwest, which provides inpatient and outpatient behavioral health services, and the Hope Center, which provides comprehensive support services for patients with HIV/AIDS and other serious illnesses, and their families and caregivers. The System provides medically necessary services to all people, regardless of their ability to pay. Patients who fall below 300 percent of the federal poverty income guidelines for a 12-month period, who are unable to pay, and who have exhausted all sources of payment assistance may be eligible for charity care. According to policy, patients whose annual income falls between 0-200% of federal poverty guidelines receive 100% discount while those whose income is between 201-300% of the federal poverty guidelines receive a 70% discount. For those who do not fall below the guidelines but are facing difficult economic circumstances, ability to pay is determined on a case-by-case basis. In particular, cases involving serious illness and/or unusually high-cost care are individually evaluated, and expectation of payment by the System is adjusted to recognize the reasonable ability of the individual patient to pay for services received. For the year ending December 31, 2010, the System provided services under the previously stated policy which resulted in significant losses to the System. Both inpatients and outpatients were provided care under the aforementioned policy. No patient was refused necessary medical care on the basis of his or her ability to pay. In addition to the level of services identified above, the System is an active participant in the State of Tennessee TennCare program. The System is the area's largest TennCare provider of services to residents of East Tennessee. The TennCare program seeks to provide payment for healthcare services to individuals who meet certain financial and categorical requirements. Financial requirements include evaluation of both assets and income. TennCare program reimbursement rates are substantially below Medicare reimbursement rates. In addition to the provision of care without expectation of payment or the provision of care to TennCare-eligible people at rates substantially below charges, the System provided services to people covered under the federal Medicare program. Medicare recipients were the largest single payor classification of patients served by the System. The payment rate for inpatient services was on a per case rate, calculated based on the diagnostic-related group into which the patient was categorized, coupled with other factors related to area wage rates, capital costs and other variables. Outpatient services were reimbursed on a pre-determined case rate. Moreover, the System works diligently throughout the year to achieve its mission by supporting community health education and outreach programs. The System underwrites the cost of community screenings, health fairs, outreach programs for seniors, outdoor fitness programs, community exercise classes, support groups for new parents and other specific populations, smoking cessation classes, and local wellness education programs. Notable examples of these programs include: Covenant Health Check, a multi-county annual screening event, now in its 27th year, which has served more than 150,000 people; Body Works, a multi-location exercise program for adults; Passport, an organization promoting health and active lifestyles for adults 50 and older; Monthly Lunch 'n Learns and Health Nights in Knox and surrounding counties; Covenant Health at the Mall, freestanding health information kiosks at two local malls; Community fitness events such as the Covenant Health Knoxville Marathon and a bike ride and foot race held in conjunction with Knoxville's Dogwood Arts Festival; Wellness programs, support groups, and outreach services sponsored by Covenant Health's member hospitals. The system also funds two "hospitality house" outreach programs, one at Fort Sanders Regional Medical Center in Knoxville, and one at Methodist Medical Center in Oak Ridge. These facilities provide temporary "homes away from home" for non-local patients and caregivers who are receiving ongoing medical treatment care at Covenant Health member organizations. The System is committed to education in order to prepare qualified nurses and other healthcare workers for the future, and to provide continuing education for current healthcare professionals. This support is shown in multiple ways, including support of Tennessee Wesleyan College-Fort Sanders Nursing, a baccalaureate level nursing education program offered under the auspices of Tennessee Wesleyan College in Athens, Tennessee, with classroom and clinical training opportunities offered in Knoxville and at various Covenant Health facilities. The System also provides clinical training rotations at its hospitals and member facilities for students in area nursing and ancillary health education programs. Additional program support and scholarships are given to students and to schools providing healthcare education throughout the area. Special programs are offered to high school and middle school students who are interested in careers in healthcare. Continuing education opportunities are provided for physicians, nurses, and other healthcare professionals on a variety of topics. During 2010, the System subsidized services related to sports medicine, services for women and children, and behavioral health assessments. Subsidized services are those services which are typically provided to meet an identified community need. If no longer offered, the services would either be unavailable in the area or fall to the responsibility of the government or another not-for-profit system to provide.	Form 990, Part III, Line 1 - Report to the Community:
	The system also designated specific amounts as Physician subsidies to support the recruitment by the System and its affiliates of physicians and other health professionals for areas underserved or specialties not adequately served in the community. High populations of Tenncare patients and uninsured patients typically reside in these areas. The System supported the important work of many unaffiliated organizations and charities during 2010. While the principal community donation by the System was in the area of indigent care, donations within the context of the organization's established charitable contribution policy were also made to other causes. More than 50 organizations received charitable contributions from Covenant Health and/or its member organizations in 2010, including: American Cancer Society American Heart Association Catholic Charities East Tennessee Children's Hospital Great Schools Partnership Holston Home for Children Innovation Valley Knoxville Track Club (for sponsorship of Covenant Health Knoxville Marathon) Senior Services Contributions and Sponsorships Susan G. Komen Foundation University of Tennessee Variety Children's Charity of East Tennessee Wellness Community Donations also included support of medical mission trips to Guatemala and Haiti. Community Building activities included cash, in-kind donations, and budgeted expenditures for the development of community health programs and partnerships. These activities include physical improvements and housing, economic development and support system enhancements like disaster readiness, mentoring programs, and youth asset development initiatives. In 2010 the System provided Community Building support to many organizations, including but not limited to: Boys & Girls Club Emerald Youth Foundation Family Promise of Knoxville Interfaith Health Clinic Knoxville Academy of Medicine Project Access Roane Alliance Second Harvest Food Bank United Way Wee Course Classic In a separate but related donation category, in 2010 employees of the System also contributed financially to the System's United Way drive and Covenant Health's We Care campaign, which raises funds for charitable services provided by the System such as patient assistance with medication costs, chaplain's fund for employees in need, hospitality houses for patients from outside the area, and nursing scholarship programs. The volunteer programs at the System's acute care organizations are active and vital parts of the System's success. Volunteers donate time and service to Fort Loudoun Medical Center, Fort Sanders Regional Medical Center, LeConte Medical Center, Methodist Medical Center, Morristown-Hamblen Hospital Association, Parkwest Medical Center, Thompson Cancer Survival Center, and Covenant HomeCare. At the acute care facilities, volunteers include adults, college students and teenagers working in a variety of settings such as inpatient and outpatient facility departments, patient reception areas, gift shops, fellowship centers, etc. Funds raised by volunteers are donated for hospital equipment, supplies and special projects, as well as to meet charitable community needs.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 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
1410 Centerpoint Blvd Suite 401	Knoxville	TN	379321985	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	Loudon	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	Thompson Cancer Survival Center
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	Fort Sanders Regional Medical Center
Fort Sanders Foundation
280 Fort Sanders West Blvd Ste 100	Knoxville	TN	37922	621748601	Fundraising and development	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

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	EINEIN
Fort Sanders Endoscopy Center LLC
100 Fort Sanders West Blvd	Knoxville	TN	37922	Inactive - dissolved October 2010	TN	N/A
Fort Sanders OP Cardiac Catheterization Ctr LLC
100 Fort Sanders West Blvd	Knoxville	TN	37922	Inactive - dissolved October 2010	TN	N/A
Parkwest Endoscopy Center LLC
100 Fort Sanders West Blvd	Knoxville	TN	37922	Inactive - dissolved October 2010	TN	N/A
Endoscopy Center of Oak Ridge LLC
988 Oak Ridge Turnpike Ste 200	Oak Ridge	TN	37830	Outpatient medical facility	TN	N/A	621667358
Fort Sanders West OP Surgery Ctr LLC
210 Fort Sanders West Blvd Ste 106	Knoxville	TN	37922	Outpatient surgery center	TN	N/A	621366907
Fort Sanders West Associates
280 Fort Sanders West Blvd Ste 214	Knoxville	TN	37922	Building ownership	TN	N/A	621384171
Associates of the Meridian Health Outpatient Surgery Ctr LLC
908 W 4th North St	Morristown	TN	37814	Outpatient surgery center	TN	N/A	861167487

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
Fortress Corporation
280 Fort Sanders West Blvd Suite 21	Knoxville	TN	37922	621308885	Management company	TN	N/A	C
KASC Acquisition Company Inc
1410 Centerpoint Blvd Suite 401	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	N/A	C
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	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	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	0	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	439835	FMV
Fort Sanders Perinatal Center
N	73947	Cost
Fort Sanders Perinatal Center
O	52831	Cost
Fort Sanders Perinatal Center
P	63777	Cost
Knoxville Heart Group
A	205677	FMV
Knoxville Heart Group
N	74876	Cost
Knoxville Heart Group
O	520208	Cost
Knoxville Heart Group
P	48392	Cost