METHODIST MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: METHODIST MEDICAL CENTER (EIN 62-0636239)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-11
IRS object ID: 201133159349300818
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 H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-11T09:38:12-06:00	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	620636239	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Methodist Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	METH	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	8653746872	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 Ft Sanders W Blvd	AddressLine1
City	Knoxville	City
State	TN	State
ZIP Code	37922	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	186773108	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	http://www.mmcoakridge.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1959	YearFormation
State Legal Domicile	TN	StateLegalDomicile
Activity Or Mission Description	Methodist Medical Center is a 301-bed full service, acute care hospital and regional referral center located in Oak Ridge, Tennessee. It is a member of the Covenant Health system.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	21	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	16	NbrIndependentVotingMembers
Total Nbr Employees	1410	TotalNbrEmployees
Total Nbr Volunteers	233	TotalNbrVolunteers
Total Gross UBI	-2734	TotalGrossUBI
Net Unrelated Business Txbl Income	-2734	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	361771	ContributionsGrantsPriorYear
Contributions Grants Current Year	549857	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	176372185	ProgramServiceRevenuePriorYear
Program Service Revenue CY	180792612	ProgramServiceRevenueCY
Investment Income Prior Year	2650392	InvestmentIncomePriorYear
Investment Income Current Year	1490750	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-323306	OtherRevenuePriorYear
Other Revenue Current Year	827009	OtherRevenueCurrentYear
Total Revenue Prior Year	179061042	TotalRevenuePriorYear
Total Revenue Current Year	183660228	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	73553	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	51985	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	63629851	SalariesEtcPriorYear
Salaries Etc Current Year	67291042	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	116904412	OtherExpensePriorYear
Other Expenses Current Year	117296216	OtherExpensesCurrentYear
Total Expenses Prior Year	180607816	TotalExpensesPriorYear
Total Expenses Current Year	184639243	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-1546774	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-979015	RevenuesLessExpensesCY
Total Assets BOY	195823293	TotalAssetsBOY
Total Assets EOY	198347611	TotalAssetsEOY
Total Liabilities BOY	28040487	TotalLiabilitiesBOY
Total Liabilities EOY	29166548	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	167782806	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	169181063	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	See Schedule O:Methodist Medical Center provides quality healthcare, in alignment with Covenant Health's mission to serve the community by improving the quality of life through better health regardless of a patient's ability to pay. The Covenant Health System Report to the Community can be found at the conclusion of Schedule O.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	33456929	Expense
Revenue	32555649	Revenue
Description	Surgical Services: See Schedule O.Surgical Services: Expenses-$33,456,929; Revenue-$32,555,649In 2010, surgeons at Methodist Medical Center performed procedures on 18,443 patients in several surgical specialty areas, including: Neurology and Neurosurgery, and Vascular Surgery. Under the clinical leadership of a board-certified neurosurgeon with a doctorate in neuroscience / anatomy, Methodist Medical Center's neurosurgery staff is committed to restoring quality of life to the fullest extent possible. Surgery is performed on patients with malignant, benign and metastatic brain tumors; aneurysms and malformations of the blood vessels; head and spinal injuries; herniated discs; epilepsy; and other conditions of the head, neck and back.Sophisticated imaging tools such as Methodist Medical Center's 3Tesla MRI provide detailed views of the central nervous system. However, images of the brain, spinal cord, nerve and muscles alone are not always enough when medical problems occur. The medical center's neurodiagnostic services include a full-range of studies including EEG's, somatosensory and visual response tests, and nerve conduction and transcranial Doppler studies. These tests allow physicians to gather more data to better diagnose and treat problems such as stroke, Parkinson's disease, Alzheimer's, cerebral palsy, brain tumors, spinal cord function, headaches, vision loss and other conditions. Vascular surgeons at Methodist perform procedures throughout the body to remove blockages in arteries, bypass diseased arteries, and replace vascular areas weakened by aneurisms. Examples include life-saving surgery for patients with carotid artery disease or inadequate blood flow to the kidneys or digestive organs, angiography, prosthetic grafts, balloon angioplasty, stents and stent-grafts.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	31749068	Expense
Revenue	32834978	Revenue
Description	Cardiac Services: See Schedule O.Cardiac Services: Expenses-$31,749,068; Revenue-$32,834,978Methodist Medical Center offers a complete continuum of heart care beginning with prevention efforts such as education, exercise programs, diet and stress management, early detection, diagnosis, treatment and rehabilitation, and advanced new treatments. The hospital treated 12,807 cardiac patients in 2010.Electrophysiology studies at Methodist Medical Center are helping to diagnose and treat irregular heartbeats. Traditional tests of irregular heartbeats record only the irregular heartbeats that occur during testing. With these tests, doctors may not obtain the detailed data they need to find the exact source of the problem. Using sophisticated technology, a specially trained cardiologist causes the irregular heartbeats to occur during a test. With information the doctor obtains, he or she can not only diagnose the source of the irregular heartbeats, but also: - determine the effectiveness of certain medications in dealing with the condition, - predict a patient's risk for sudden cardiac death, and - determine whether the patient needs a pacemaker or other device implanted near the heart. Methodist Medical Center's highly trained cardiologists, nurses and technicians combine their extensive skills with the latest technology in the areas of bypass surgery; procedures involving pacemakers, drug-eluting stents and cardiac defibrillators, angioplasty and emergency treatment. They also perform echocardiograms, electrocardiograms and stress tests. Telemetry monitoring is available for critical patients, and cardiac rehabilitation services, therapy, dietary consultation and congestive heart failure education classes are also provided at the facility. In addition, the facility offers heart screenings to the community and promotes cardiac education and wellness through community health fairs and seminars. The organization's goal is to provide excellent care to an increasing number of cardiac patients in its service area, as well as promoting cardiac education and wellness through community health fairs and educational seminars.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	22677935	Expense
Revenue	22745533	Revenue
Description	Orthopedic Services: See Schedule O.Orthopedic Surgery Services: Expenses-$22,677,935; Revenue-$22,745,533Methodist Medical Center's board-certified orthopedic surgeons are skilled in diagnosing and treating bone, muscle and joint disorders. Specialty areas include total hip and knee replacement, spinal surgeries, fractures, complex rotator cuff/shoulder repairs and hand reconstruction. The hospital treated 5,908 orthopedic surgery patients in 2010. After surgery intense inpatient rehabilitation begins in a group setting. It is one way of maximizing the patient's chance for a full recovery. Outpatient therapy may be continued at Methodist Therapy Center, which offers advanced physical, speech and occupational therapies for both adults and children. The therapy staff specializes in treating a variety of orthopedic, neurologic, and medical problems, with an emphasis on helping individuals overcome disability caused by disease, injury, development abnormality, or amputation. The physical therapy staff at Methodist Medical Center provides care for orthopedic, neurologic, and medical rehabilitation of individuals with neck, lower back, arm and leg injuries; sports and overuse injuries, arthritis, stroke, brain injury, and post-amputation needs. Specialty programs include sports medicine, wound/burn care, and aquatic therapy.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	92250308	Expense
Grants	52001	Grants
Revenue	92656452	Revenue
Description	As a full-service acute care hospital and regional referral center, Methodist 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	92250308	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	52001	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	92656452	TotalOfOtherProgramServiceRev
Total Program Service Expense	180134240	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	0	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	1	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	106	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1410	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	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
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	Julie Utterback	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	8658354002	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	990 Oak Ridge Turnpike	AddressLine1
City	Oak Ridge	City
State	TN	State
ZIP Code	37830	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
Anthony LSpezia
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 Ogle
Director	0.00	X		0	0	0
Francis H 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
Michael Belbeck
President & CAO	50.00		X	0	352459	43965
Julie Utterback
VP - Financial Services	50.00		X	144588	0	39518
Susan Harris
VP - Chief Nursing Officer	50.00			161179	0	39390	X
Scott Wing
Manager - Laboratory	40.00			115831	0	15666	X
Connie Martin
VP - Support Services	50.00			112763	0	24176	X
Shane West
Medical Physicist	50.00			173804	0	26372	X
Stephen E Ellis
Medical Director	40.00			163612	0	22255	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	871777	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2457839	TotalReportableCompFrmRltdOrgs
Total Other Compensation	499203	TotalOtherCompensation
Number Individuals GT100 K	7	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
Cardinal Health
21377 Network Place	Chicago	IL	60673	Pharmacy Management	9686407
Covenant Medical Management
280 Fort Sanders West Blvd Ste 20	Knoxville	TN	37922	Physician Services	2165189
Sodexo Inc & Affiliates
PO Box 536922	Atlanta	GA	303536922	Cafeteria Management	2064243
Medic Regional Blood Center
1601 Ailor Avenue	Knoxville	TN	37921	Blood Processing	1465493
SE Emergency Physicians
1431 Centerpoint Blvd Ste 100	Knoxville	TN	37922	Hospitalist Services	1248190

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	25	NumberOfContractorsGT100K
Related Organizations	507957	RelatedOrganizations
Government Grants	38900	GovernmentGrants
All Other Contributions	3000	AllOtherContributions
Noncash Contributions	8764	NoncashContributions
Total Contributions	549857	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Medical Services	622110	179861494	179861494
Rental Inc - Affiliate	531120	695336	695336
Occupational Health Se	900099	235782	235782

Field	Value	IRS element (for citing)
Total Program Service Revenue	180792612	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1687960	TotalRevenueColumn
Exclusion	$1,687,960	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2291668	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2818966	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-527298	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-527298	TotalRevenueColumn
Unrelated Business Revenue	-2734	UnrelatedBusinessRevenue
Exclusion	-$524,564	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	250	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	197460	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-197210	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-197210	TotalRevenueColumn
Exclusion	-$197,210	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	164651	GrossSalesOfInventory
Cost Of Goods Sold	96454	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	68197	TotalRevenueColumn
Exclusion	$68,197	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Cafeteria Sales	722212	990054	$990,054
Medical Records	561410	143847	$143,847
Volunteer Sales	541990	90918	$90,918

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	61291	TotalRevenueColumn
Exclusion	$61,291	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1286110	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	183660228	TotalRevenueColumn
Related Or Exempt Function Income	180792612	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	-2734	UnrelatedBusinessRevenue
Exclusion	$2,320,493	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	28509	Total
Program Services	28509	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	23476	Total
Program Services	23476	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	144588	Total
Management And General	144588	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	54387550	Total
Program Services	53249771	ProgramServices
Management And General	1137779	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1254172	Total
Program Services	1230791	ProgramServices
Management And General	23381	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	7758347	Total
Program Services	7624268	ProgramServices
Management And General	134079	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3746385	Total
Program Services	3678635	ProgramServices
Management And General	67750	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	8473341	Total
Program Services	8002460	ProgramServices
Management And General	470881	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	199649	Total
Program Services	168835	ProgramServices
Management And General	30814	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	24050	Total
Management And General	24050	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	14393182	Total
Program Services	14110820	ProgramServices
Management And General	282362	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	559112	Total
Program Services	38254	ProgramServices
Management And General	520858	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6385884	Total
Program Services	6188125	ProgramServices
Management And General	197759	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4862377	Total
Program Services	4005357	ProgramServices
Management And General	857020	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	24217	Total
Program Services	21087	ProgramServices
Management And General	3130	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	43442	Total
Program Services	20459	ProgramServices
Management And General	22983	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	198902	Total
Program Services	198902	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	11575648	Total
Program Services	11126037	ProgramServices
Management And General	449611	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	475514	Total
Program Services	472275	ProgramServices
Management And General	3239	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Hospital Supplies	36810347	36810347
Charity Care	15240009	15240009
Bad Debts	12925028	12925028
Sponsorship Expense	2165247	2165247
Food/Dietary	1270381	1256077	14304

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1669886	Total
Program Services	1549471	ProgramServices
Management And General	120415	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	184639243	Total
Program Services	180134240	ProgramServices
Management And General	4505003	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	4015	BOY
EOY	3965	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	-761015	BOY
EOY	-976609	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	16038156	BOY
EOY	16061099	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5206771	BOY
EOY	5699223	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1217369	BOY
EOY	1584337	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	235478179	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	140231923	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	102606588	BOY
EOY	95246256	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	71093982	BOY
EOY	80214580	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	417427	BOY
EOY	514760	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	195823293	BOY
EOY	198347611	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	14784474	BOY
EOY	21868580	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	255914	BOY
EOY	269143	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	238003	BOY
EOY	198057	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	12762096	BOY
EOY	6830768	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	28040487	BOY
EOY	29166548	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	167782806	BOY
EOY	169181063	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	167782806	BOY
EOY	169181063	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	195823293	BOY
EOY	198347611	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-979015	ReconcilationRevenueExpenses
Reconcilation Other Changes	2377272	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	257536	BeginningOfYearBalance
Contributions	35655	Contributions
Investment Earnings Or Losses	3633	InvestmentEarningsOrLosses
Administrative Expenses	-3633	AdministrativeExpenses
End Of Year Balance	293191	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	257536	BeginningOfYearBalance
Investment Earnings Or Losses	4744	InvestmentEarningsOrLosses
Other Expenditures	-4744	OtherExpenditures
End Of Year Balance	257536	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	257536	BeginningOfYearBalance
Investment Earnings Or Losses	10291	InvestmentEarningsOrLosses
End Of Year Balance	257536	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
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)
Other Cost Or Other Basis	8359000	OtherCostOrOtherBasis
Book Value	8359000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	109745366	OtherCostOrOtherBasis
Depreciation	54167100	Depreciation
Book Value	55578266	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8948181	OtherCostOrOtherBasis
Depreciation	4087566	Depreciation
Book Value	4860614	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	102301699	OtherCostOrOtherBasis
Depreciation	78912655	Depreciation
Book Value	23389044	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6123933	OtherCostOrOtherBasis
Depreciation	3064602	Depreciation
Book Value	3059332	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	95246256	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
Due to Affiliates, net	$163,310
Due to Third Party Payors	$3,842,231
Long-Term Deferred Compensation	$383,547
Long-term Reserve for Workers Comp	$2,441,680

Field	Value	IRS element (for citing)
Total Of Amounts	6830768	TotalOfAmounts
Total Revenue	183660228	TotalRevenue
Total Expenses	184639243	TotalExpenses
Excess Or Deficit For Year	-979015	ExcessOrDeficitForYear
Net Unrealized GL On Investments	2377272	NetUnrealizedGLOnInvestments
Total Adjustments	2377272	TotalAdjustments
Excess Or Deficit Per FS	1398257	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	170948511	TotRevenueEtcAuditedFinclStmt
Other Revenues	2915420	OtherRevenues
Revenue Not Rptd F990	2915420	RevenueNotRptdF990
Revenue Subtotal	168033091	RevenueSubtotal
Other Revenues Not Included	15627137	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	15627137	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	183660228	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	172349918	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	2950684	OtherExpensesIncluded
Expenses Not Rptd F990	2950684	ExpensesNotRptdF990
Expenses Subtotal	169399234	ExpensesSubtotal
Other Expenses Not Included	15240009	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	15240009	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	184639243	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	Part V, Line 4:	Methodist Hospital Foundation maintains four (4) permanent endowments for the purpose of providing a permanent source of income for the following programs at Methodist Medical Center: The Hospitality Houses, The Wellness Place, and the Jane Manly Quiet Room. The principal of all four permanent endowments will be kept intact in perpetuity. Only the income generated will be distributed to Methodist Medical Center to provide support for the aforementioned programs.
Part XII, Line 2d - Other Adjustments:		Rental Expenses 2,818,966. COGS - Gift Shop 96,454.
Part XII, Line 4b - Other Adjustments:		Contributions Reclass 387,128. Charity Care Deduction 15,240,009.
Part XIII, Line 2d - Other Adjustments:		Unrealized Gain/Loss 35,264. COGS - Gift Shop 96,454. Rental Expenses 2,818,966.
Part XIII, Line 4b - Other Adjustments:		Charity Care 15,240,009.

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	12751126	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4534170	DirectOffsettingRevenue
Net Community Benefit Expense	8216956	NetCommunityBenefitExpense
Percent Of Total Expense	0.04790	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	38370886	TotalCommunityBenefitExpense
Direct Offsetting Revenue	27494457	DirectOffsettingRevenue
Net Community Benefit Expense	10876429	NetCommunityBenefitExpense
Percent Of Total Expense	0.06330	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	159763	TotalCommunityBenefitExpense
Direct Offsetting Revenue	106057	DirectOffsettingRevenue
Net Community Benefit Expense	53706	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	51281775	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32134684	DirectOffsettingRevenue
Net Community Benefit Expense	19147091	NetCommunityBenefitExpense
Percent Of Total Expense	0.11150	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	184972	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1975	DirectOffsettingRevenue
Net Community Benefit Expense	182997	NetCommunityBenefitExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20190	TotalCommunityBenefitExpense
Net Community Benefit Expense	20190	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2394764	TotalCommunityBenefitExpense
Direct Offsetting Revenue	119868	DirectOffsettingRevenue
Net Community Benefit Expense	2274896	NetCommunityBenefitExpense
Percent Of Total Expense	0.01320	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	89874	TotalCommunityBenefitExpense
Net Community Benefit Expense	89874	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2689800	TotalCommunityBenefitExpense
Direct Offsetting Revenue	121843	DirectOffsettingRevenue
Net Community Benefit Expense	2567957	NetCommunityBenefitExpense
Percent Of Total Expense	0.01490	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	53971575	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32256527	DirectOffsettingRevenue
Net Community Benefit Expense	21715048	NetCommunityBenefitExpense
Percent Of Total Expense	0.12640	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	8348	TotalCommunityBuildingExpense
Net Community Building Expense	8348	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	40246	TotalCommunityBuildingExpense
Net Community Building Expense	40246	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	40418	TotalCommunityBuildingExpense
Net Community Building Expense	40418	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	2157	TotalCommunityBuildingExpense
Net Community Building Expense	2157	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	340	TotalCommunityBuildingExpense
Net Community Building Expense	340	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	2582	TotalCommunityBuildingExpense
Net Community Building Expense	2582	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	10079	TotalCommunityBuildingExpense
Net Community Building Expense	10079	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	104170	TotalCommunityBuildingExpense
Net Community Building Expense	104170	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$5,491,444	BadDebtExpenseAmount
Amount Attributable To	867648	AmountAttributableTo
Amount Reimbursed By Medicare	59848797	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	59731926	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	116871	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
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	Methodist Medical Center	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	990 Oak Ridge Turnpike	AddressLine1
City	Oak Ridge	City
State	TN	State
ZIP Code	37830	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
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	10	NumberOfOtherFacilities

Other Facilities OtherFacilities (10 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/AddressLine2
MMC Radiation Oncology Center
102 Vermont Avenue	Oak Ridge	TN	37830	Radiation Therapy Center
Oak Ridge Breast Center
3rd Floor Cheyenne Ambulatory	Oak Ridge	TN	37830	Breast Imaging Center	Center
Methodist Diagnostic Center
944 Oak Ridge Turnpike	Oak Ridge	TN	37830	Diagnostic Imaging and Lab Services
Methodist Therapy
991 Oak Ridge Turnpike	Oak Ridge	TN	37830	Physical, Occupational & Speech Therapy
Methodist Sleep Diagnostic Center
990 Oak Ridge Turnpike	Oak Ridge	TN	37830	Sleep Diagnostic Center
MMC Wound Treatment Center
160A West Tennessee Avenue	Oak Ridge	TN	37830	Wound Care & Hyperbaric Oxygen Clinic
MMC Healthworks
Suite L-50 988 Oak Ridge Turnpike	Oak Ridge	TN	37830	Occupational Health Services
MMC Cardiac Rehab Center
Suite 360 Westmall Medical Park	Oak Ridge	TN	37830	Cardiac Rehabilitation
The Wellness Place at Methodist
160C West Tennessee Avenue	Oak Ridge	TN	37830	Diabetes, Congestive Heart Failure, Chest Clinic
Methodist Physical Therapy-Lake City
110 Industrial Park Lane	Lake City	TN	37769	Physical Therapy

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanation
Part I, Line 6a: Covenant Health, the parent company of Methodist 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 $2,107,902 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 $ 12925028.
Part II: Methodist Medical Center's (MMC) community building activities and those of its parent organization, Covenant Health, address many of the root causes of health problems. MMC gives of its time and finances to provide programs and support for the youth in and around Oak Ridge. MAS*H Camp MMC is a free hands-on healthcare careers camp for high school-age teens held during the summer which features team building projects, job shadowing and hands-on lab activities. Financial contributions support educational programs of the Oak Ridge Public Schools. In addition, the hospital's administrator serves on the board of the Oak Ridge Public Schools Education Foundation. In addition Methodist 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, including but not limited to: 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 Methodist 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: Methodist 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 44% 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: Methodist Medical Center 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: Methodist Medical Center posts a sign in its emergency room lobby, outpatient registration area, and Cheyenne Ambulatory Center registration area that states: Methodist Medical Center, a member of Covenant Health, serves the community by improving the quality of life through better health. It is our philosophy that no one shall be denied medically necessary services based upon an inability to pay for those services. Applications for patients seeking financial assistance for medically necessary services are available during the registration process or in our Cashier's Office. Please ask our registration staff or contact the business office at 835-3560 if you wish to apply for financial assistance. Cashier office hours are Monday through Friday, 8 a.m. to 4:30 p.m. Thank you for allowing us to serve your healthcare needs. We trust you will be very satisfied with your care. Methodist Medical Center Administration
Part VI, Line 4: Methodist Medical Center defines its primary market as the counties of Anderson and Roane in East Tennessee. Anderson is a bedroom community to the metropolitan Knoxville area but is itself a rural county. Methodist is the only hospital in Anderson County but shares its primary market with Roane Medical Center in bordering Roane County. According to internal hospital data for 2010, slightly more than 45% of the inpatient discharges were Anderson County residents, and 23% were Roane County residents.The following statistics are taken from 2008 data of the U.S. Census Bureau. The combined two-county population totals about 129,000 people and is predominantly female (52%) and Caucasian (94%). Anderson County residents have a median age and income of 39 years and $35,483 per household, while the figures for Roane County residents are 40 years and $41,000 per household. Anderson County has a higher percentage (17%) of its population over the age of 65 than many of its peer counties. Twenty-two percent of the county's residents are under the age of 18. In 2009, the total percentage of persons living below the poverty level was 16%, and the unemployment rate was 10%.According to a recently released study by the Robert Wood Johnson Foundation/ University of Wisconsin Population Health Institute, Anderson County residents have the following health indicators that are above the national benchmarks: Anderson - TN - National Adult Smoking: 23% - 24% - 15% Adult Obesity: 30% - 31% - 25% Excessive Drinking: 10% - 9% - 8% Teen Birthrate: 53 - 55 - 22 of every 1,000 teenage girls Poor or Fair Health: 16% - 19% - 10%
Part VI, Line 6: Methodist Medical Center (MMC), 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 MMC's board. It is comprised of independent community leaders with diverse educational and professional backgrounds. The board sets policies and provides oversight of MMC.MMC 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: A 301-bed regional medical center, Methodist Medical Center of Oak Ridge ("Methodist") serves an area that includes nearly 200,000 people in Tennessee and Kentucky. Doctors trained in more than 30 specialties ranging from open heart and neurosurgery to orthopedics and vascular care provide care. This staff represents one of the highest percentages of board-certified physicians in the region. Methodist is one of the first hospitals in East Tennessee to offer cutting-edge treatments and technologies that benefit people with life-threatening aneurysms; severely damaged knee, hip and shoulder joints; sudden heart failure; and non-healing wounds. The medical center is among the first hospitals in the nation to open comprehensive chest and breast clinics that have reduced the waiting time between suspicion of cancer and beginning of treatment from weeks or months to days. It was also the first hospital in the area to implement a hypothermia protocol which lowers a patient's body temperature after cardiac arrest to reduce the risk of brain damage. Methodist is also the only medical center in East Tennessee to offer left ventricular assist device support for cardio septic shock and in high-risk heart procedures.In 2010 and 2011, Methodist Medical Center continued to earn national recognition for its clinical and service excellence. In July 2011, Methodist was ranked by U.S. News & World Report as No. 1 hospital in Knoxville metro area. The medical center was also one of only 28 out of 1,350 hospitals across the country to receive VHA, Inc.'s Leadership Award for Clinical Excellence in May 2011. In August 2010, Methodist was one of only two hospitals in Tennessee recognized for heart care by the American College of Cardiology's Mission: Lifeline Program. The hospital was also the Recipient of the Studer Group's March 2010 Fire Starter Award for clinical, service and operational excellence. The hospital ranks in the top 11% across the nation for core measures, while its joint replacement and oncology services are ranked in the top 10% nationwide for overall quality of care by Professional Research Consulting (PRC).Unique Services:--New 30-bed ortho-neuro unit with specialty joint destination center for hip and knee replacement patient.--New electrophysiology services for minimally invasive cardiac procedures and diagnostic technology such as a 64-slice CT which can capture images of the heart and coronary arteries in as little as five heartbeats.--Emergency and cardiac care collaboration yielding average door-to-balloon times which beat the national benchmark of 90 minutes by more 25 minutes.--Fully-accredited sleep diagnostic center staffed with a multi-boarded and fellowship trained physician and a clinical team comprised 100% of registered polysomnographic technicians.--The first dedicated wound treatment center in the greater Knoxville area to offer hyperbaric oxygen technology to treat chronic non-healing wounds.--Fully deployed surgical robotics program featuring the latest technology for heart, lung, gynecological and prostate procedures.--Critical care program offering leading-edge and life-saving treatments for bloodstream infections and brain injuries associated with heart attacks.--One of the first comprehensive chest clinics of its type in the nation--now reducing the time between discovery of possible cancer and treatment from weeks to days.--Individualized occupational, physical and speech therapies, including neurological, orthopedic, vestibular and pediatric rehab.--Regional cancer center offering image-guided radiation therapy, PET/CT diagnostic capabilities, a nationally-recognized disease management program, access to clinical trials, formal pain management program and the most experienced provider of high dose rate brachytherapy for women with cervical, uterine and vaginal cancer.Integrated Services:As a member of Covenant Health, Methodist is able to leverage the strengths of this integrated healthcare delivery system to streamline processes, enhance productivity and realize significant financial efficiencies. --Roane Medical Center transfers a majority of its ER transfers to Methodist.--Methodist transfers over 50% of our patients who need home health care to Covenant Home Health.--Fortress manages our physician buildings.--Covenant Medical Managements manages the hospital's employed physicians.--Corporate Finance completes the medical center's tax returns, cost reports, reports our financials to the Board, etc.--Corporate Billing bills the medical center's services to patients and insurance companies.--Methodist's laboratory performs lab testing for certain tests for other Covenant facilities.--Methodist's Capacity Management Center takes calls for the Covenant Rapid Access Center for the system at night.Community Services:From 2009 through 2011, Methodist Medical Center provided 132 separate health and wellness events to a total of 10,591 participants. These events were provided in both industry and community settings. A major component to these programs included screenings and education targeted specifically to chronic illness, diabetes, senior and family services, fitness and physical therapy.Through its partnership with local high schools and colleges, Methodist is helping to inspire and teach the next generation of healthcare providers. The Health Sciences Academy with Oak Ridge High School is a model program to mentor junior and senior students who wish to pursue a medical career. Additionally, Methodist invests in scholarship programs with the University of Tennessee School of Nursing, Roane State Community College and more than 15 high schools through the region. Foundation Support:Methodist Medical Center Foundation was established in 1990 to acquire and accept charitable gifts for Methodist Medical Center to help all those in need receive the highest quality of care regardless of the ability to pay. The Foundation is a separate, non-profit corporation which is governed by a volunteer Board of Directors, each of whom is a recognized leader in the communities MMC serves. Signature Foundation events such as Casino Night, Diva Day, Acorn Classic Golf Tournament and Holiday Lights for Health make it possible for the medical center to provide many important services and technologies to the community including:--free lodging through the Hospitality Houses for patients and families far from home,--assistance to patients, families or employees who find themselves in desperate situations, --support of cancer and palliative care programs, advanced cardiac and robotics technology,--education and scholarship support for medical center employees, and--a special fund for the greatest area of need.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Oak Ridge Chamber of Commerce	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1400 Oak Ridge Turnpike	AddressLine1
City	Oak Ridge	City
State	TN	State
ZIP Code	37830	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	620572006	EINOfRecipient
IRC Section	501(c)(6)	IRCSection
Amount Of Cash Grant	10000	AmountOfCashGrant
Purpose Of Grant	Millenium Partnership ProgramEvent SponsorShuttle bus sponsor	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	0	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
Educational Scholarships	28	20000	n/a
Car seats to indigent patients	63		n/a	476	car seats
Transportation to cancer patients	84	3000

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: Scholarship recipients must be graduating high school seniors pursuing a health-related career. Applicants are required to provide a personal letter of objectives, provide ACT/SAT scores and a current GPA on a 4.0 scale, two letters of recommendation and be accepted by an accredited college. Students are then required to remain enrolled in school during the scholarship period. All requests for scholarships and contributions are monitored and approved by a Steering Committee (President and Vice-Presidents).	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 (7 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 LSpezia
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
Michael Belbeck
0	245862	0	76985	0	29612	0	14724	0	29241	0	396424	0	0
Julie Utterback
116843	0	12149	0	15596	0	12581	0	26937	0	184106	0	0	0
Susan Harris
114411	0	21891	0	24877	0	10059	0	29331	0	200569	0	0	0
Shane West
158751	0	0	0	15053	0	10693	0	15679	0	200176	0	0	0
Stephen E Ellis
148258	0	0	0	15354	0	9850	0	12405	0	185867	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 Methodist Medical Center, used one or more of the methods listed in establishing the compensation of Anthony L. Spezia. Please see the statement to Core, Part VI, Section B, Line 15a on Schedule O.	Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, Part VI, Section B, line 11	A summary of Methodist 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 Methodist 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 Methodist Medical Center. Part VI, Section B, Line 15b: Base salaries and annual bonus opportunities for Michael Belbeck, President/CAO and Julie Utterback, 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 CAO's and 0-20% for the VP-Financial Services' base salary based upon system performance and accomplishment of certain targets established by the CEO.	Form 990, Part VI, Section B, line 15
	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, Methodist Medical Center files a Joint Annual Report containing financial information with the Tennessee Department of Health.	Form 990, Part VI, Section C, line 19
	Methodist Medical Center (MMC) entered into a partnership agreement with Oak Ridge Healthcare Associates,LLC (ORHA) on October 15, 2010 for the purpose of developing, owning, and operating an assisted living community in Oak Ridge, TN. When complete, ORHA will be the managing partner of the assisted living community. This joint venture is insignificant when compared to MMC's overall operations. The transaction, as well as any joint venture entered into by the hospital is reviewed by executive manangement and legal counsel. Additionally, all revenue is monitored to determine whether it creates unrelated business income for the hospital and will be reported accordingly.	Form 990, Part VI, Section B, Line 16b
Changes in Net Assets or Fund Balances:	Net unrealized gains on investments: 2,377,272.	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:
Contact addresses for Officers, Directors, etc.	Anthony L. Spezia Covenant Health 100 Fort Sanders West Blvd. Knoxville, TN 37922 John T. Geppi, Francis Olmstead and all Directors Covenant Health 1410 Centerpoint Blvd, Suite 401 Knoxville, TN 37932 All other persons listed in Part VII, Section A may be contacted at the organization's address.	Form 990, Part VI, 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 Methodist 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
	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.	Form 990, Part III, Line 1 - REPORT TO THE COMMUNITY:
	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. 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 I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	MMC Healthworks LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	988 Oak Ridge Turnpike Ste L-50	AddressLine1
City	Oak Ridge	City
State	TN	State
ZIP Code	37830	ZIPCode

Field	Value	IRS element (for citing)
EIN	020712412	EIN
Primary Activities	Occupational Health	PrimaryActivities
Legal Domicile State	TN	LegalDomicileState
Total Income	1399525	TotalIncome
EOY Assets	1185991	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Methodist Medical Center	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (13 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 Ste 401	Knoxville	TN	37932	621646734	Supporting organization	TN	501(c)(3)	11(B) - Type II	N/A	0
Covenant Homecare
3001 Lake Brook Blvd Ste 101	Knoxville	TN	37909	621623114	Home Health Services	TN	501(c)(3)	9		0	Covenant Health
Fort Loudoun Medical Center
550 Fort Loudoun Medical Ctr	Lenoir City	TN	37772	621373691	Acute care hospital	TN	501(c)(3)	3		0	Covenant Health
Fort Sanders Regional Medical Center
1901 W Clinch Ave	Knoxville	TN	37916	620528340	Acute care hospital	TN	501(c)(3)	3		0	Covenant Health
Fort Sanders Foundation
280 Ft Sanders West Blvd Ste 100	Knoxville	TN	37922	621748601	Fundraising and development	TN	501(c)(3)	11a - Type I		0	Covenant Health
Fort Sanders Perinatal Center
Trustees Tower Ste 304 501 19th St	Knoxville	TN	37916	043760551	High risk obstetrical services	TN	501(c)(3)	3		0	Fort Sanders Regional Medical Center
LeConte Medical Center
742 Middle Creek Road	Sevierville	TN	37862	621114867	Acute care hospital	TN	501(c)(3)	3		0	Covenant Health
Morristown-Hamblen Hospital Assc dba M-H Healthcare System
908 W 4th North Street	Morristown	TN	37814	620545814	Acute care hospital	TN	501(c)(3)	3		0	Covenant Health
Parkwest Medical Center
9352 Park West Blvd	Knoxville	TN	37923	581897274	Acute care hospital and behavioral services	TN	501(c)(3)	3		0	Covenant Health
Roane Co Medical Ctr dba Roane Medical Center
412 Devonia St	Harriman	TN	377482009	680673354	Acute care hospital	TN	501(c)(3)	3		0	Covenant Health
Thompson Cancer Survival Center
1915 White Ave	Knoxville	TN	37916	621250943	Cancer Treatment facility	TN	501(c)(3)	3		0	Covenant Health
Thompson Oncology Group
1915 White Ave	Knoxville	TN	37916	621619239	Cancer Treatment facility	TN	501(c)(3)	3		0	Thompson Cancer Survival Center
Methodist Medical Center Foundation
990 Oak Ridge Turnpike	Oak Ridge	TN	37830	621414205	Outreach and charity care	TN	501(c)(3)	11(a) - Type II	N/A	0

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

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

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity
Fortress Corporation
280 Ft Sanders West Blvd Ste 214	Knoxville	TN	37922	621308885	Management Company	TN	N/A	C
Covenant Medical Management Inc
280 Ft Sanders West Blvd Ste 205	Knoxville	TN	37922	621282917	Physician Practice Management	TN	N/A	C
KASC Acquisition Company Inc
1410 Centerpoint Blvd Ste 401	Knoxville	TN	37932	263400984	Real Estate Holdings	TN	N/A	C
Knoxville Heart Group
1819 Clinch Ave Ste 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		C

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MMC Healthworks LLC
L	300385	cost
MMC Healthworks LLC
K	242157	cost
MMC Healthworks LLC
A	79237	cost