FORT SANDERS REGIONAL MEDICAL CENTER: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- FORT SANDERS REGIONAL MEDICAL CENTER (EIN 62-0528340)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-13
- IRS object ID
- 202443189349304659
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-13T10:53:41-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 620528340 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fort Sanders Regional Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FORT | BusinessNameControlTxt |
| Phone | 8653745329 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1420 Centerpoint Blvd Bldg C | AddressLine1Txt |
| City | Knoxville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 379321960 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Joseph C Dolan | PersonNm |
| Person Title | EVP/CFO | PersonTitleTxt |
| Phone | 8653746872 | PhoneNum |
| Signature | 2024-11-13 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | James D VanderSteeg | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 244 Ft Sanders W Blvd | AddressLine1Txt |
| City | Knoxville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37922 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $404,294,138 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.covenanthealth.com/fort-sanders-regional | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | Fort Sanders Regional Medical Center is a 541-bed full service acute care hospital located in the Fort Sanders community of downtown Knoxville, Tennessee. It is a member of the Covenant Health system. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 21 | VotingMembersIndependentCnt |
| Total Employee | 2354 | TotalEmployeeCnt |
| Total Volunteers | 535 | TotalVolunteersCnt |
| Total Gross UBI | $997,816 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $2,524 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,949,207 | PYContributionsGrantsAmt |
| CY Contributions Grants | $164,521 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $368,208,650 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $395,258,221 | CYProgramServiceRevenueAmt |
| PY Investment Income | $105,587 | PYInvestmentIncomeAmt |
| CY Investment Income | $69,526 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,898,453 | PYOtherRevenueAmt |
| CY Other Revenue | $3,834,888 | CYOtherRevenueAmt |
| PY Total Revenue | $378,161,897 | PYTotalRevenueAmt |
| CY Total Revenue | $399,327,156 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $66,529 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $38,484 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $112,178,764 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $116,109,937 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $283,945,158 | PYOtherExpensesAmt |
| CY Other Expenses | $295,381,408 | CYOtherExpensesAmt |
| PY Total Expenses | $396,190,451 | PYTotalExpensesAmt |
| CY Total Expenses | $411,529,829 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$18,028,554 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$12,202,673 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $268,289,869 | TotalAssetsBOYAmt |
| Total Assets EOY | $271,470,046 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $37,997,912 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $40,011,758 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $230,291,957 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $231,458,288 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Fort Sanders Regional Medical Center provides quality healthcare, in alignment with Covenant Health's mission to serve the community by improving the quality of life through better health, regardless of a patient's ability to pay. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $401,295,732 | ExpenseAmt |
| Grant | $38,484 | GrantAmt |
| Revenue | $395,156,747 | RevenueAmt |
| Desc | Fort Sanders Regional Medical Center ("Fort Sanders Regional") traces its beginnings to May 1919, when a group of physicians received a charter from the State of Tennessee for a new hospital to be built on the site of the Civil War Battle of Fort Sanders. Fort Sanders Regional has grown throughout its 100+ year history to include 45 medical specialties. The hospital has 468 acute care beds, including the 22-bed Patricia Neal Rehabilitation Hospital, and 24 beds in the Fort Sanders Transitional Care Unit. SERVICEThe hospital is known for excellence in stroke care, neurosciences, cardiology, surgery, oncology, orthopedics, obstetrics, bariatrics, and rehabilitation medicine. In 2023, Fort Sanders Regional received an "A" Hospital Safety Grade from The Leapfrog Group. This national distinction celebrates Fort Sanders Regional's achievements in patient safety. Additionally, Fort Sanders Transitional Care Unit received a 5-star overall rating by the Centers for Medicare and Medicaid services.Fort Sanders Regional served 225,345 patients in 2023. Of these, 206,299 were outpatients and 19,046 were inpatients, with an average length-of-stay of 5.02 days.PUTTING PATIENTS FIRSTAs a neuroscience and rehabilitation center of excellence, Fort Sanders Regional is committed to providing the latest advancements for neurological care, including stereotactic neurosurgery and neuro-interventional radiology. When coupled with the comprehensive services of the Patricia Neal Rehabilitation Hospital, the neuroscience and rehabilitation programs provide services to optimize clinical and functional patient outcomes.Neurologic technology at the hospital includes an innovative 3D-imaging system that uses global positioning technology to give physicians real-time views inside the body without radiation, while facilitating less invasive and more precise surgeries. Fort Sanders Regional also offers diagnosis and treatment of epilepsy, Alzheimer's disease, dementia, Parkinson's disease and multiple sclerosis.Fort Sanders Regional continued to invest in technology and services to care for the people of East Tennessee. In 2023, the hospital grew the utilization of a new robotic-assisted bronchoscopy platform for minimally invasive lung biopsies. This technology is the first of its kind in East Tennessee and allows specially trained Fort Sanders Regional physicians to obtain tissue samples in deep regions of the lung, where many early-stage tumors are found.Fort Sanders Regional is designated by The Joint Commission as a Comprehensive Stroke and Rehabilitation Center of Excellence specializing in the acute management of strokes, including advanced treatment and research. Fort Sanders Regional is the hub of Covenant Health's stroke hospital network, which links Covenant Health's member hospitals in providing access to collaborative, rapid, advanced stroke care throughout our region. Fort Sanders Regional has also been home to the Patricia Neal Rehabilitation Center ("PNRC"), an award-winning rehabilitation center which served more than 600 inpatients annually. PNRC was East Tennessee's recognized leader in helping stroke, spinal cord, brain injury, and orthopedic patients rebuild their lives. Opened in 1978, PNRC offered a comprehensive team approach to care and provided an array of inpatient and outpatient services that otherwise would have been unavailable in the community.In 2020, Covenant Health announced a joint venture with Encompass Health for inpatient rehabilitation services. Plans included a new 51-bed, freestanding Patricia Neal Rehabilitation Hospital in west Knoxville to serve patients recovering from strokes, neurological disorders, brain injuries, spinal cord injuries, limb loss and complex orthopedic conditions. In addition, PNRC at Fort Sanders Regional was renovated to be a 22-bed hospital-in-hospital structure named Patricia Neal Rehabilitation Hospital- Downtown. Both facilities opened in February 2023. Fort Sanders Regional continues to offer outpatient therapies, numerous specialized treatment programs and patient/family support through the hospital's Patricia Neal Outpatient Center. In 2022, Fort Sanders Regional earned a three-year accreditation from the National Accreditation Program for Rectal Cancer (NAPRC), a quality program of the American College of Surgeons. It is the first hospital in the state to receive the accreditation.Fort Sanders Regional's award-winning Heart Center offers comprehensive cardiovascular services that span the continuum of heart care, from testing and advanced diagnostics to interventional technologies, cardiovascular surgeries, clinical trials and cardiac rehabilitation. Fort Sanders Regional is also recognized for excellence in surgery. The bariatric surgery program, which helps people who are morbidly obese reverse or eliminate medical risks associated with obesity through surgical treatment, is accredited as a Comprehensive Center under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. Fort Sanders Regional has received the Blue Cross BlueShield Blue Distinction designation for bariatrics, spine surgery, knee and hip surgery, and maternity care. In 2023, a total of 11,588 patients underwent surgery at Fort Sanders Regional in specialty areas, including:- Cardiothoracic Surgery- Cardiovascular Surgery- Colon/Rectal Surgery- Neurosurgery- Orthopedic Surgery- Plastic Surgery -Sinus Surgery and other Ear, Nose, and Throat Procedures- Surgical Oncology- Thoracic Surgery- Vascular SurgeryFort Sanders Regional also offers surgical oncology, the surgical management of cancer. Surgical oncologists may specialize in thoracic or gynecological procedures, along with other sub-specialties to help cancer patients. IMPROVING THE COMMUNITY'S QUALITY OF LIFE THROUGH BETTER HEALTHFort Sanders Regional is committed to building a healthy community through these and other initiatives: - The Innovative Recreation Cooperative offers innovative opportunities for individuals recovering from disabling illnesses or injuries to participate in adaptive sports and recreational activities.- Fort Sanders Regional's bariatric surgery seminars and support groups provide vital information to patients considering bariatric surgery and offer pre- and post-surgical support. - The Fort Sanders Regional Joint Center offers joint replacement education opportunities prior to surgery.- The stroke, spinal cord injury, brain injury and amputee support groups at Patricia Neal Outpatient Center help patients and families heal by bringing together those with common experiences who can provide group members with comfort, encouragement and advice. - Fort Sanders Regional's Teddy Bear University classes provide information and support for new parents, siblings and grandparents as they welcome a new baby. Class topics include pregnancy and childbirth, breastfeeding and more. Fort Sanders Regional is recognized as a Gold Safe Sleep Hospital by Cribs for Kids for providing education and vital information about safe sleep to the parents of newborns. | Desc |
| Total Program Service Expenses | $401,295,732 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 183 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2354 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 21 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Andrew McCreary | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8653745329 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1420 Centerpoint Blvd Bldg C | AddressLine1Txt |
| City | Knoxville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 379321960 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Gerald Boyd | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $977 | $0 | |||
| Willard Campbell MD | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael Casey MD | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Ronni Chandler | |||||||||
| Fmr Director (through June 2023) | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Mitchell Dickson MD | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $796 | $0 | |||
| Stephanie Flood | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $808 | $0 | |||
| James Gibson | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,008 | $0 | |||
| Edgar Gray | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,054 | $0 | |||
| Leslye Hartsell | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,027 | $0 | |||
| Donald Hickman | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,498 | $0 | |||
| Timothy Matthews | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,196 | $0 | |||
| Janice McKinley | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,222 | $0 | |||
| Dave Miller | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,044 | $0 | |||
| Bill Myers | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Alvin Nance | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,044 | $0 | |||
| Linda Ogle | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| King Purnell | |||||||||
| Director/Chair | 0.00 | 1.00 | Yes (X) | $0 | $1,630 | $0 | Yes (X) | ||
| Jorge Sanabria | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,234 | $0 | |||
| William Seale | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,321 | $0 | |||
| Cosby Stone | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,595 | $0 | |||
| Joe Sutter | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,462 | $0 | |||
| James Tramontana MD | |||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,196 | $0 | |||
| James D VanderSteeg | |||||||||
| President & CEO | 0.00 | 50.00 | Yes (X) | $0 | $2,762,691 | $352,568 | Yes (X) | ||
| John T Geppi | |||||||||
| Fmr EVP/CFO (through June 2023) | 0.00 | 50.00 | $0 | $971,426 | $24,345 | Yes (X) | |||
| Joseph C Dolan | |||||||||
| EVP/CFO | 0.00 | 50.00 | $0 | $358,890 | $38,564 | Yes (X) | |||
| Keith N Altshuler | |||||||||
| President & CAO | 44.00 | 6.00 | $0 | $637,314 | $34,825 | Yes (X) | |||
| Brian J Lett | |||||||||
| VP - Financial Services | 42.00 | 8.00 | $204,058 | $0 | $28,943 | Yes (X) | |||
| April Mount | |||||||||
| VP - Chief Nursing Officer | 50.00 | 0.00 | $245,157 | $0 | $29,755 | Yes (X) | |||
| Christopher S Hall | |||||||||
| VP - Support Services | 50.00 | 0.00 | $221,545 | $0 | $18,463 | Yes (X) | |||
| Joseph M Bowling | |||||||||
| Medical Physicist | 50.00 | 0.00 | $231,262 | $0 | $42,248 | Yes (X) | |||
| Richard C Calloway | |||||||||
| Clinical Nurse | 50.00 | 0.00 | $199,465 | $0 | $40,795 | Yes (X) | |||
| Linda E Yoder | |||||||||
| Fmr Dir Surg Svcs(through Aug 2023) | 50.00 | 0.00 | $194,355 | $0 | $22,928 | Yes (X) | |||
| Shellie L Shock | |||||||||
| Administrative Supervisor | 50.00 | 0.00 | $174,436 | $0 | $42,734 | Yes (X) | |||
| Linda E Rodriguez | |||||||||
| Fmr Dir Pt Care Svcs(through Nov 23) | 50.00 | 0.00 | $170,497 | $0 | $17,763 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,640,775 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,750,433 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $693,931 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 90 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Steris Corp | |||||
| 3316 2nd Ave North | Birmingham | AL | 35222 | Maintenance | $1,975,112 |
| Medic Regional Blood Center | |||||
| 1601 Ailor Avenue | Knoxville | TN | 37921 | Blood Processing Fees | $1,523,208 |
| Knoxville Contracting Company LLC | |||||
| 1601 N Central Street | Knoxville | TN | 37917 | Equipment Repairs | $1,224,060 |
| Linen King | |||||
| 1521 W 36th Place | Tulsa | OK | 74170 | Linen Services | $1,168,255 |
| Your Home Team Care LLC | |||||
| 300 N Winston Rd Suite 403 | Knoxville | TN | 37919 | Patient Sitters | $1,135,281 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 68 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $101,616 | RelatedOrganizationsAmt |
| Government Grants | $62,905 | GovernmentGrantsAmt |
| Noncash Contributions | $627 | NoncashContributionsAmt |
| Total Contributions | $164,521 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Revenue | 622110 | $393,729,550 | $393,729,550 | |
| Laboratory | 621500 | $1,107,291 | $1,107,291 | |
| Rental Income - Exempt Affiliates | 531120 | $421,380 | $421,380 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $395,258,221 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $86,696 | TotalRevenueColumnAmt |
| Exclusion | $86,696 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,336,610 | RealAmt |
| Personal | $15,895 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,929,317 | RealAmt |
| Personal | $15,895 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $407,293 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $407,293 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$120,272 | UnrelatedBusinessRevenueAmt |
| Exclusion | $527,565 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $4,600 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $21,770 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$17,170 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$17,170 | TotalRevenueColumnAmt |
| Exclusion | -$17,170 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria | 722514 | $1,846,858 | $1,846,858 | |
| Gift Shop | 459420 | $520,885 | $520,885 | |
| Management Fees | 561000 | $419,440 | $419,440 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $640,412 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $586,377 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $10,797 | UnrelatedBusinessRevenueAmt |
| Exclusion | $43,238 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,427,595 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $399,327,156 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $395,156,747 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $997,816 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,008,072 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,000 | TotalAmt |
| Program Services | $3,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,484 | TotalAmt |
| Program Services | $35,484 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $747,922 | TotalAmt |
| Management And General | $747,922 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,970,662 | TotalAmt |
| Program Services | $95,001,797 | ProgramServicesAmt |
| Management And General | $968,865 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,885,035 | TotalAmt |
| Program Services | $2,851,799 | ProgramServicesAmt |
| Management And General | $33,236 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,425,418 | TotalAmt |
| Program Services | $9,322,798 | ProgramServicesAmt |
| Management And General | $102,620 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,080,900 | TotalAmt |
| Program Services | $6,959,600 | ProgramServicesAmt |
| Management And General | $121,300 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,072,247 | TotalAmt |
| Program Services | $33,868,872 | ProgramServicesAmt |
| Management And General | $1,203,375 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,025 | TotalAmt |
| Management And General | $7,025 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,406,233 | TotalAmt |
| Program Services | $81,535,496 | ProgramServicesAmt |
| Management And General | $1,870,737 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,336 | TotalAmt |
| Program Services | $158,661 | ProgramServicesAmt |
| Management And General | $2,675 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,428,952 | TotalAmt |
| Program Services | $1,695,726 | ProgramServicesAmt |
| Management And General | $733,226 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,791,766 | TotalAmt |
| Program Services | $6,138,728 | ProgramServicesAmt |
| Management And General | $1,653,038 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,626 | TotalAmt |
| Program Services | $66,067 | ProgramServicesAmt |
| Management And General | $559 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,631 | TotalAmt |
| Program Services | $92,106 | ProgramServicesAmt |
| Management And General | $7,525 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,468 | TotalAmt |
| Program Services | $87,468 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,787,843 | TotalAmt |
| Program Services | $19,676,979 | ProgramServicesAmt |
| Management And General | $1,110,864 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $434,123 | TotalAmt |
| Program Services | $421,865 | ProgramServicesAmt |
| Management And General | $12,258 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $106,719,655 | $106,719,655 | |
| UBI Tax | $23,000 | $23,000 | |
| Bad Debt | $18,507,747 | $18,507,747 | |
| Minor Equipment | $13,690,806 | $12,447,075 | $1,243,731 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,096,950 | TotalAmt |
| Program Services | $5,704,809 | ProgramServicesAmt |
| Management And General | $392,141 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $411,529,829 | TotalAmt |
| Program Services | $401,295,732 | ProgramServicesAmt |
| Management And General | $10,234,097 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,880 | BOYAmt |
| EOY | -$245,272 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,356,159 | BOYAmt |
| EOY | -$1,609,033 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,618,622 | BOYAmt |
| EOY | $46,167,028 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,221,397 | BOYAmt |
| EOY | $5,831,110 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,170,072 | BOYAmt |
| EOY | $1,849,822 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $583,846,595 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $376,720,730 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $217,008,734 | BOYAmt |
| EOY | $207,125,865 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,621,323 | BOYAmt |
| EOY | $12,350,526 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $268,289,869 | BOYAmt |
| EOY | $271,470,046 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,503,711 | BOYAmt |
| EOY | $26,908,027 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,494,201 | BOYAmt |
| EOY | $13,103,731 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,997,912 | BOYAmt |
| EOY | $40,011,758 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $230,291,957 | BOYAmt |
| EOY | $231,458,288 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $230,291,957 | BOYAmt |
| EOY | $231,458,288 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $268,289,869 | BOYAmt |
| EOY | $271,470,046 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$12,202,673 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $13,369,004 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $141,706 | BeginningYearBalanceAmt |
| Contributions | $20 | ContributionsAmt |
| Investment Earnings Or Losses | $4,065 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,065 | OtherExpendituresAmt |
| End Year Balance | $141,726 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $141,706 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $7,728 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $7,728 | OtherExpendituresAmt |
| End Year Balance | $141,706 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $141,706 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $4,563 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,563 | OtherExpendituresAmt |
| End Year Balance | $141,706 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $141,706 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $5,103 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,103 | OtherExpendituresAmt |
| End Year Balance | $141,706 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $138,346 | BeginningYearBalanceAmt |
| Contributions | $3,360 | ContributionsAmt |
| Investment Earnings Or Losses | $5,608 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,608 | OtherExpendituresAmt |
| End Year Balance | $141,706 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,100,822 | OtherCostOrOtherBasisAmt |
| Book Value | $8,100,822 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $319,650,130 | OtherCostOrOtherBasisAmt |
| Depreciation | $175,170,603 | DepreciationAmt |
| Book Value | $144,479,527 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $570,221 | OtherCostOrOtherBasisAmt |
| Depreciation | $547,558 | DepreciationAmt |
| Book Value | $22,663 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $253,179,084 | OtherCostOrOtherBasisAmt |
| Depreciation | $201,002,569 | DepreciationAmt |
| Book Value | $52,176,515 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,346,338 | OtherCostOrOtherBasisAmt |
| Book Value | $2,346,338 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $207,125,865 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Due To Affiliates, Net | $3,455,232 |
| Due to Third Party Payors | $3,088,510 |
| Finance Lease | $2,081,358 |
| Long-Term Deferred Compensation | $762,361 |
| Long-Term Reserve for Workers Comp | $1,550,679 |
| Operating Lease | $1,007,687 |
| Other Liabilities | $1,157,904 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,103,731 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Fort Sanders Foundation maintains two permanent endowments for the purpose of providing a permanent source of income for the following programs at Fort Sanders Regional Medical Center: The Pastoral Care Fund and the Caroline Can! Fund. The principal of the endowments will be kept intact in perpetuity. Only the income generated will be distributed to FSRMC to provide support for the aforementioned programs. |
| Part X, Line 2: | Excerpt from the consolidated audited financial statements of Covenant Health (Covenant), parent company to Fort Sanders Regional Medical Center: Covenant and certain of its subsidiaries or controlled entities are exempt from income taxes pursuant to Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes on qualifying activities has been made for these entities in the accompanying consolidated financial statements. However, certain entities and operations are subject to income taxes. Covenant had no unrecognized tax benefits at December 31, 2023 and 2022. As such, no interest or penalties were recognized in the consolidated financial statements related to unrecognized tax benefits. At December 31, 2023 and 2022, tax returns for 2020 through 2023 are subject to examination by the Internal Revenue Service. Covenant has no uncertain tax positions that would require financial statement recognition or disclosure under GAAP at December 31, 2023 and 2022. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,766,495 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,766,495 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04520 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,332,758 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $54,081,053 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,251,705 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05920 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,003,895 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $379,031 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $624,864 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $96,103,148 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $54,460,084 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $41,643,064 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10600 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $294,755 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,005 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $255,750 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,452 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $49,952 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $48,916,136 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,364,589 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,551,547 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06250 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,962 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $52,962 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $49,318,305 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,408,094 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,910,211 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06340 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $145,421,453 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $78,868,178 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $66,553,275 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16940 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $510 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $510 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,708 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,708 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,806 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,806 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,950 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,950 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,551 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,551 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,525 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $43,525 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $18,507,747 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,974,195 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $49,257,059 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $51,559,566 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,302,507 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fort Sanders Regional Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 Clinch Avenue | AddressLine1Txt |
| City | Knoxville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37916 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.covenanthealth.com/fort-sanders-re | WebsiteAddressTxt |
| State License | 00000043 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fort Sanders Regional Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 23 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Page 8 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Page 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.covenanthealth.com/patients-visitors/financial-assistance/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.covenanthealth.com/patients-visitors/financial-assistance/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.covenanthealth.com/patients-visitors/financial-assistance/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Fort Sanders Regional Medical Center | Part V, Section B, Line 5: In conducting its most recent Community Health Needs Assessment ("CHNA"), Fort Sanders Regional Medical Center ("Fort Sanders Regional") partnered with the Knox County Health Department ("KCHD"), University of Tennessee-Social Work Office of Research and Public Service ("UT-SWORPS") and the Howard H. Baker Jr. Center for Public Policy. Community hospitals worked collaboratively with KCHD along with local healthcare providers, governmental agencies, and dozens of community stakeholders.KCHD convened data group meetings with assessment partners to organize and coordinate the qualitative and quantitative data collection efforts. The qualitative data consisted of 11 focus groups including one in Spanish, and more than 600 residents who participated in surveys, focus groups and interviews. Additionally with assistance from the Howard H. Baker Center for Public Policy, this assessment includes an economic component to evaluate the economic impact of chronic disease in the Knoxville Metropolitan Statistical Area (MSA) compared to other peer cities. |
| Fort Sanders Regional Medical Center | Part V, Section B, Line 6a: The 2023 Abridged CHNA for Knox County included the hospitals Fort Sanders Regional Medical Center and Parkwest Medical Center, both located within the county served by the health department. |
| Fort Sanders Regional Medical Center | Part V, Section B, Line 6b: The 2023 assessment was conducted in partnership with the Knox County Health Department, the University of Tennessee - Social Work Office of Research and Public Service, and the Howard H. Baker Jr. Center for Public Policy. |
| Fort Sanders Regional Medical Center | Part V, Section B, Line 11: In conducting the 2023 assessment, Fort Sanders Regional built upon the findings of the previous assessment. The health priorities were considered to be generational issues that are complicated and slow to change. Of the significant findings from the assessment, Fort Sanders Regional is focusing its resources on the following:1. Mental Health - Psych consult services using tele-video programming are now being supported by Peninsula Behavioral Health, a department of Parkwest Medical Center. Fort Sanders Regional partially subsidizes a psychiatrist and a nurse practitioner to provide on-site emergency department consultations. - Fort Sanders Regional, with funding support from the Covenant Health Department of Philanthropy, has implemented an Emergency Department Diversion Program. A team of medical and behavioral specialists conducts behavioral assessments for emergency patients who meet defined criteria, and the treatment plan proposes measures to meet identified needs. An outreach specialist will follow up with patients to guide implementation of the plan. - As a member of Covenant Health, we help serve the behavioral health needs of our community through Peninsula inpatient and outpatient programs, and as a part of Covenant Health's joint venture with East Tennessee Behavioral Health. - ComPASS Support Group: Through Covenant Health, Peninsula provides a monthly support group for those who have lost a family member, friend, or co-worker to suicide. This group provides a safe place of support, understanding and education during the journey of loss following the suicide death of a loved one. - Survivors of Suicide Loss Day: Through Covenant Health, an annual Survivors of Suicide Loss Day is held on the Saturday before Thanksgiving. This national observance is a day to provide support and healing to those affected by suicide. - Knox Area Rescue Ministries: Covenant HomeCare and Peninsula are providing on-site physical and mental health services to clients of Knox Area Rescue Ministries ("KARM"). Clients are predominantly homeless and living in shelters and on the street. Peninsula has an outreach specialist on-site at KARM once a week and is currently expanding services in conjunction with Covenant HomeCare. - Knox Area Mental Health Providers Coalition ("KAMHPC") was formed by members of Covenant Health to improve healthcare coordination for patients in the community. Since its inception the coalition has seen a reduction in hospital stays, lengths of stays, number of emergency room visits and psychiatric visits for patients studied over a 16-month period. The coalition addresses the need for more streamlined care coordination for those who frequently use mental health resources in our community. - Employee access to mental health resources through SupportLinc. Covenant Health is proud to partner with SupportLinc to offer all employees resources to help their families address and resolve everyday issues and personal concerns such as healthier lifestyles, stress management, family and caregiver concerns, career growth, legal resources and personal finance. Convenient, real-time support is available via phone, web portal or mobile app. 2. Substance Abuse - Peninsula Drug Treatment Program: Fort Sanders Regional can refer patients to the Peninsula Medication Assistance Treatment program for outpatient services related to substance abuse. This program offers specialized medications and intensive therapy to treat substance abuse disorders. - Opioid Light Program: Fort Sanders Regional's Emergency Department is participating in a Covenant Health system-wide initiative to curb the use of hospital-prescribed opioids. Physicians are prescribing non-opioid drugs when indicated for pain management, during treatment and at hospital discharge.3. Diabetes - Fort Sanders Regional is partnering with Knoxville Interfaith Health Center ("Interfaith") to support treatment and education for Interfaith patients with diabetes. Interfaith provides affordable health care to working uninsured or underserved individuals in the greater Knoxville area and offers specialty services for persons with diabetes. Fort Sanders Regional provides financial support for these programs. - Fort Sanders Regional is a major supporter of the annual Covenant Health Knoxville Marathon. Each year nearly 6000 runners, mostly from the East Tennessee region, participate in race events including a full marathon, half marathon, relay teams, 5K and Kids Run. Promoting physical activity and healthy weight is an important preventative measure to reduce the incidence of diabetes. Each year FSRMC contributes $25,000 in support of the marathon, which is sponsored in partnership with the Knoxville Track Club. 4. Tobacco Use - Smoking Cessation: Fort Sanders Regional offers a variety of patient education resources for smoking cessation. - Low-Dose CT scans: Fort Sanders Regional offers Low-Dose CT lung cancer screenings, which allow eligible patients to receive an annual screening to help identify lung cancer at early stages, when treatment can be more effective. - Lung Nodule Program: Fort Sanders Regional became the first hospital in the region to use robotic-assisted bronchoscopy technology to help lung nodule patients. The multidisciplinary team of pulmonologists, radiologists, surgeons and oncologists collaborate to provide evaluation and management of lung nodules. - Outpatient Cardiac Rehab Program: This program refers 100% of nicotine/tobacco users enrolled in cardiac rehab to cessation resources including: - 1:1 assessment with a respiratory therapist to measure patient's readiness to quit using nicotine/tobacco and to provide resources for cessation. - Tracking progress in daily assessment of the number of nicotine uses. 5. Lack of Affordable Housing - Fort Sanders Regional does not have the scope of service or expertise to specifically address affordable housing in our community. However, with our mission to improve the quality of life through better health, we will be supportive of community organizations that are leading affordable housing initiatives. |
| Fort Sanders Regional Medical Center | Part V, Section B, Line 16j: All other ways in which the hospital widely publicizes the FAP are discussed in detail in Part VI, Line 3. |
| Part V, line 7a, CHNA website | www.covenanthealth.com/fort-sanders-regional/chna/ |
| Part V, line 10a, Implementation Strategy Website | www.covenanthealth.com/fort-sanders-regional/chna/ |
| Part V, Line 20d, Presumptive Eligibility Determinations | The hospital follows the eligibility procedures as detailed within the FAP and does not make presumptive eligibility determinations. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 17 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - FSR Radiation Oncology Srvcs at TCSC | ||||
| 1915 White Avenue | Knoxville | TN | 37916 | Oncology Radiation Therapy |
| 2 - FSR Infusion Services at Oak Ridge | ||||
| 200 New York Ave Suite 230 | Oak Ridge | TN | 37830 | Pharmacy - Infusion Services |
| 3 - FS Regional MRI at TCSC | ||||
| 1915 White Avenue | Knoxville | TN | 37916 | MRI Dept (Diagnostic) |
| 4 - FtSanders Ctr for Digestive Health | ||||
| 1819 Clinch Ave Ste 212 | Knoxville | TN | 37916 | Gastrointestinal Specialists |
| 5 - FS PET Services at Thompson | ||||
| 1915 White Avenue | Knoxville | TN | 37916 | PET Imaging Services |
| 6 - FSR Infusion Services - Lenoir City | ||||
| 576 Ft Loudoun Med Ctr Dr Ste 204 | Lenoir City | TN | 37772 | Pharmacy - Infusion Services |
| 7 - The Sleep Disorders Center at FSRMC | ||||
| 5501 20th St Suite 303 | Knoxville | TN | 37916 | Sleep Center |
| 8 - Thompson Comprehensive Breast Center | ||||
| 1915 White Avenue | Knoxville | TN | 37916 | Diagnostic Breast Center |
| 9 - Ft Sanders Wound Treatment Center | ||||
| 2001 Laurel Avenue Ste NG-6 | Knoxville | TN | 37916 | Wound Care |
| 10 - Patricia Neal Rehabilitation Center | ||||
| 1901 Clinch Avenue | Knoxville | TN | 37916 | Rehabilitation Unit |
| 11 - FSR Transitional Care Unit | ||||
| 1901 Clinch Avenue | Knoxville | TN | 37916 | Skilled Nursing Facility |
| 12 - FSR Gamma Knife Center | ||||
| 1915 White Avenue | Knoxville | TN | 37916 | Gamma Knife Center |
| 13 - FS Regional Laser Center | ||||
| 1915 White Avenue | Knoxville | TN | 37916 | Center for Barrett's Esophagus |
| 14 - FSR Cardiopulmonary Rehab | ||||
| 501 20th St Ste 301 | Knoxville | TN | 37916 | Cardiopulmonary Rehab Therapy Center |
| 15 - FSR Therapy Center Downtown | ||||
| 2001 Laurel Avenue Ste N504 | Knoxville | TN | 37916 | Physical Rehab Therapy Center |
| 16 - FS Hyperbaric Oxygen Therapy Center | ||||
| 2001 Laurel Avenue | Knoxville | TN | 37916 | Hyperbaric Oxygen Therapy Center |
| 17 - FSR Therapy Center Powell | ||||
| 3515 Emory Rd Suite P-9 | Powell | TN | 37918 | Physical Rehab Therapy Center |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | In addition to the Federal Poverty Guidelines ("FPG"), Fort Sanders Regional utilizes an asset test as a factor in determining eligibility for free or discounted care. Ten percent (10%) of the patient/guarantor's net assets will be added to income for determination of total annual income. The guidelines for determining assets include, but are not limited to, primary dwelling (and attached land), automobiles, liquid assets, investments, farm land, business property, rental property, farm and/or business equipment including livestock and crops. All real property will be considered at fair market value. The values of both real and personal property will be reduced by any existing liabilities incurred by the applicant in obtaining the assets (net assets) with the exception of primary dwelling. The primary dwelling net asset will be the amount of equity above $100,000. Actual or potential third party liability to the patient, hospital or the guarantor by common law, contract, statute or otherwise, shall be considered an asset and must be listed on the Hospital Financial Assistance application. |
| Part I, Line 6a: | Covenant Health, the parent company of Fort Sanders Regional and other affiliated acute care hospitals, prepares an annual Report to the Community on behalf of the entire system. |
| Part I, Line 7: | Amounts on Lines 7a-7c and certain program costs included on Line 7g are from the hospital's cost accounting system, which addresses all patient segments. Other community benefit expenses are at cost from the general ledger. |
| Part I, Line 7g: | Subsidized health services includes the difference between the cost of services and the payments received for those services. The cost of providing dialysis exceeded the payments received by $2,237,449 and the cost of services from the Patricia Neal O/P Clinics exceeded payments received by $2,730,460. The cost of providing OB and neonatal care exceeded payments by $553,324. The total also includes $18,999,229 in physician sponsorship fees. All subsidized health services included on line 7g are for services that would otherwise be unavailable in the community or be below the community's needs. |
| Part I, Ln 7 Col(f): | The Bad Debt expense included on Form 990, Part IX, Line 24a, but subtracted for purposes of calculating the percentage in this column is $18,507,747. |
| Part II, Community Building Activities: | Fort Sanders Regional cares for the whole person and recognizes that improved social and economic conditions may lead to the improved health and well-being of the community. The hospital's community-building activities and those of its parent organization, Covenant Health, address many of the root causes of health problems, such as access to care, tobacco use, and conditions such as diabetes and obesity, and help develop collaborative responses with other community organizations.An allocation of the Parent's community-building expenditures has been made to each member hospital in proportion to the financial contribution of each to the health system. Covenant Health is not a hospital and does not file Schedule H with its Form 990. Contributions in 2023 were made to organizations meeting the community's needs by providing: - The basic needs of life including temporary shelter, food, clothing, and safety (Community Coalition Against Human Trafficking, Ladies of Charity, Seymour Volunteer Fire Department, Variety Children's Charity of East Tennessee, YWCA Knoxville) - Youth mentoring, development and after-school programs (Emerald Youth Foundation, Boys and Girls Club, Knox Education Foundation, First Tee of Greater Knoxville, Great Smoky Mountain Council, Young Life Knoxville) - Business recruitment, education and marketing initiatives that boost economic development and quality of life (Foothills Land Conservancy, Great Smoky Mountains Institute at Tremont, Knoxville Technology Council, Maryville College, Pellissippi State Foundation) - Leadership development programs and workshops (Knoxville Area Urban League, Leadership Knoxville) - Assistance and special programs for at-risk older adults, people with physical and mental challenges, and abused and neglected children (Knoxville-Knox County Community Action Committee, Senior Citizens Home Assistance Services, Sertoma Center) - Improve access to health services (East TN Children's Hospital, McNabb Center, Metropolitan Drug Commission, Interfaith Health Clinic, Knoxville Academy of Medicine, Region II Emergency Medical Services, Renew Clinic) - Programs supporting patients and their families (Alzheimer's Tennessee, American Cancer Society, American Heart Association, Cancer Support Community East Tennessee, East TN Veterans Memorial Association, Honor Air Knoxville, Knox County Imagination Library, Random Acts of Flowers, Spark) |
| Part III, Line 2: | Bad debt expense on Part III, Line 2 is the amount recorded in the organization's financial statements. Discounts and payments on patient accounts are netted against bad debt. The allowance for bad debt is determined based on management's assessment of factors including the age of the accounts, historical collections data, and industry standards. |
| Part III, Line 3: | At regular intervals, the Vice President of Revenue Cycle analyzes all self-pay accounts receivables to identify patients who may have been eligible for charity care during a particular period or year. Because this analysis does not yield a final determination of eligibility due to various factors including but not limited to charity applications still in process, failure of eligible patients to submit their charity application, and applications still under consideration, further analysis of the accounts comprising the self-pay accounts receivable is conducted. The accounts for which a patient was contacted to apply for charity care include an identifier; these charity-identified accounts are then categorized according to status. A ratio of the dollar amounts of those accounts whose charity application is in process or has been approved divided by the total self-pay accounts receivable is computed. This ratio is applied to the bad debt expense total to determine the estimated amount of the bad debt expense attributable to patients eligible for charity care according to the hospital's policy. |
| Part III, Line 4: | Note B to the 2023 Audited Consolidated Financial Statements of the Covenant Health system, of which Fort Sanders Regional is a member, states: Patient accounts receivable are reported net of an estimated allowance for contractual adjustments and an allowance for implicit price concessions. Covenant receives payments for services rendered from federal and state agencies, managed care health plans, commercial insurance companies, employers and patients. Covenant recognizes that revenues and receivables from government agencies are significant to operations, but does not believe there are significant credit risks associated with these government agencies. Covenant does not believe there are any other significant concentrations of revenues from any particular payer that would subject Covenant to any significant credit risks in the collection of accounts receivables. Covenant's policy does not require collateral or other security for patient accounts receivable and Covenant routinely accepts assignment of, or is otherwise entitled to receive, patient benefits payable under health insurance programs, plans or policies. |
| Part III, Line 8: | Medicare Shortfall: Fort Sanders Regional believes that all of the $2.3M shortfall reported in Line 7 should be considered as community benefit. The IRS Community Benefit Standard includes the provision of care to the elderly and Medicare patients. Medicare shortfalls must be absorbed by the hospital in order to continue treating the elderly in our community. This year, Medicare patients accounted for 16% of total patient days (14,976 out of 92,032 total). The hospital provides care regardless of this shortfall and thereby relieves the federal government of the burden of paying the full cost for Medicare beneficiaries. Costing Methodology: Fort Sanders Regional used a combination of sources in calculating Medicare allowable costs on Part III, Line 6 including its cost accounting system, general ledger accounting system, and facility-specific analyses and calculations. |
| Part III, Line 9b: | Fort Sanders Regional utilizes a look-back method to determine amounts generally billed ("AGB") to establish the maximum amount that will be charged to individuals eligible under the financial assistance policy ("FAP") for emergency or other medically necessary care. Self-pay patients automatically receive a 71% discount on charges based on the facility's calculated AGB. Federal poverty guidelines are utilized in the determination of charity care eligibility. Patients who are unable to pay and have exhausted all sources of payment assistance may qualify for charity care. A sliding scale is used for extending charity care utilizing the income levels reported under the federal poverty guidelines. Patients/guarantors with income that falls below 200% of the federal poverty guidelines receive 100% charity care. Patients/guarantors with income of 201-300% of the federal poverty guidelines receive 90% charity care. For catastrophic illness, exceptions to income and asset limitations may be made on a case-by-case basis. The amount considered for charity will be based upon the evaluation of the patient's/guarantor's ability to pay.Fort Sanders Regional makes reasonable efforts to determine a patient's eligibility under the facility FAP. All collection activity will be halted if a charity application is received and will remain on hold until a determination is made by FSRMC and communicated in writing to the responsible party. If the charity application is approved, all collection activities taken will be reversed and any amounts paid above the amount required will be refunded. Patients/guarantors who qualify for partial financial assistance are responsible for paying any balance remaining after the charity adjustment and third party payments. Fort Sanders Regional will not engage in extraordinary collection actions ("ECA") before it makes reasonable efforts to determine whether an individual who has an unpaid bill is eligible for financial assistance. Reasonable efforts to determine whether the individual who has an unpaid bill is eligible for financial assistance include notification to the individual of the FAP, contacting individuals who have submitted incomplete financial assistance applications regarding how to complete the application and allowing a reasonable time period to do so, and reviewing completed applications for financial assistance eligibility. Fort Sanders Regional does not sell any accounts receivable accounts to outside firms. All accounts remain property of and under the policies set by Fort Sanders Regional. Fort Sanders Regional will not defer or deny medically necessary care because of nonpayment for previously provided care whether it was covered or not covered under the charity program. |
| Part VI, Line 2: | While the CHNA is a formal means by which the health system assesses the needs of the community, there are many informal networks that give the Covenant Health hospitals a sense of community issues and needs. Fort Sanders Regional obtains additional community information through the service of its employees with organizations including the Interfaith Health Clinic, local Chambers of Commerce and Rotary clubs, the Knoxville Area Coalition on Childhood Obesity, Knox Area Project Access, and the United Way of Greater Knoxville. Covenant Health, the parent organization, maintains community benefit professionals working year-round to ensure that all hospitals are assessing and addressing the needs of the communities served. |
| Part VI, Line 3: | The FAP states that patients who are unable to pay or have exhausted all sources of payment assistance may be considered for charity care. Signage about the policy is posted in highly visible areas of the hospital, such as lobbies and registration areas. Information about the FAP is posted in patient booklets provided to patients during the registration process and communicated via patient billing statements. In addition, the FAP and application are available on the facility website. Fort Sanders Regional employs full time financial counselors to assist patients in applying for TennCare and screening for eligibility for financial assistance. Office hours and the phone number for the counselors are included on the signage. Wall signs informing patients about available financial assistance state the following: Covenant Health is committed to providing quality health services in a caring environment. It is the expressed philosophy of Covenant Health and its member hospitals that no one should be denied necessary medical care because of the inability to pay. In conjunction with this philosophy, counselors at Fort 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 will provide, at a reduced rate, medically indicated services. A financial counselor is available to assist you with these matters by calling 865-331-1112, Monday through Friday between the hours of 8 a.m.-4 p.m. Additional information regarding financial assistance is also available on our website at FSRegional.com. Signage at the registration areas state the following:It is Fort Sanders Regional Medical Center's philosophy that no one shall be denied medically necessary services based on an inability to pay. Financial assistance applications for medically necessary services are available during the registration process, through a financial counselor, or on our website at FSRegional.com. A financial counselor is available to assist you with these matters by calling 865-331-1112, Monday through Friday between the hours of 8 a.m.-4 p.m. |
| Part VI, Line 4: | Fort Sanders Regional is located in downtown Knoxville, Tennessee. Although located in metropolitan Knox County, Fort Sanders Regional 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 2023, 53.2% of the inpatients and 52.4% of outpatient cases were from Knox County. According to 2023 data from the County Health Ranking report of the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute, the population of Knox County is 486,677. The percent of the population that is 65 years or older constitute 16.3% of the residents. The unemployment rate in 2023 was 3.3%. Knox County residents have the following health indicators that are at or above the national benchmarks: Knox - TN - National Adult Smoking: 19% - 20% - 16% Adult Obesity: 35% - 36% - 32% Drug Overdose Deaths: 59 - 34 - 23 per 100,000 population Teen Birthrate: 19 - 27 - 19 of every 1,000 teenage girls |
| Part VI, Line 5: | Fort Sanders Regional, in conjunction with its parent company, Covenant Health, uses any available surplus of receipts over disbursements to expand and modernize the facility and to support the education of healthcare professionals, both of which serve to improve patient care and serve the unmet needs of the community.Covenant Health's voluntary Board of Directors serves as Fort Sanders Regional's board. The board is comprised of independent community leaders with diverse educational and professional backgrounds. The board provides governance and oversight of Fort Sanders Regional.Fort Sanders Regional maintains an open medical staff, with privileges available to all qualified physicians. Additionally, the hospital operates an active and accessible emergency department that accepts all patients regardless of ability to pay. |
| Part VI, Line 6: | Fort Sanders Regional, as a member of the Covenant Health system, benefits from the collaboration among all affiliated organizations to promote quality improvement, patient safety and efficient delivery of care for the communities served. As a system, Covenant assures that business processes are in place at each facility to measure and report quality; to increase the role of compliance; and to integrate risk management, utilization review, peer review, mandatory reporting and quality improvement into one cohesive function. In this way the system is able to use analytic tools to help identify any systemic inability to satisfy the various requirements on the part of the facilities. Fort Sanders Regional, as a regional referral hospital, provides a wide range of acute care services, many of which are unique in the Covenant system. These services are therefore more easily accessible by other affiliated hospitals and health care organizations through transfer or referral, helping to create a seamless continuum of care. The hospital, through its Patricia Neal Rehabilitation Center division, is the only acute inpatient rehabilitation facility in the Covenant system and the largest such provider in the service area. Programming includes specialized services for stroke, brain injury, spinal cord injury and other difficult patient populations with the primary goal of returning the patient home with the greatest gain in functional ability possible. Fort Sanders Regional also provides hospital-based skilled nursing care which serves as either a bridge back home or as an important step along the continuum of care to other long-term care resources. Fort Sanders Regional provides other important services unique to the Covenant system including high risk obstetrical services and home infusion. These services are important to prevent unnecessary hospitalizations through the provision of effective community-based care. Fort Sanders Regional also provides other extensive outpatient services through its ambulatory infusion centers, physical therapy centers, a wound care center, and its cardiac and pulmonary rehabilitation programs. Fort Sanders Regional's patients benefit from the availability of and ease of access to Covenant affiliated entities for services not provided by the hospital itself. Transfer or referral to such services is expedited and coordinated to help create a seamless continuum of care. A full range of community mental health and psychiatric hospital services are available within the system which help support the hospital's emergency room as well as provide an accessible and efficient pathway for those patients who require such services post discharge. Home health and hospice services are also an important part of the continuum of care for a large portion of the hospital's patient population. The Covenant Health system also enhances the patient's access to care through the provision of outpatient services in a variety of settings located throughout the service area.The Fort Sanders Foundation ("the Foundation") seeks out community support for Fort Sanders Regional and other Covenant Health hospitals through a variety of fundraising mechanisms. For example, the Fort Sanders Foundation helps to arrange sponsorship for significant fundraising activities of the Patricia Neal Rehabilitation Center division of the hospital including an annual golf tournament that has become the largest, single day fundraising event in the state of Tennessee. The proceeds of these events help fund needed equipment and facilities for the center as well as to provide access to the center's services for uninsured or underinsured individuals who are in need of intensive rehabilitation but may otherwise be denied such services due to the lack of resources. The Fort Sanders Nursing Department at Tennessee Wesleyan College is an important affiliate of Fort Sanders Regional. The school provides baccalaureate nursing education, helping to alleviate a shortage of registered nurses to serve a growing and aging population. It is a continuation of a nursing education tradition of the hospital that began more than eighty years ago. The hospital provides a substantial financial contribution to support the program. Training qualified nursing professionals to serve the current or future needs of the community is an important hospital mission.Through this combination of resources and the collective development, implementation and monitoring of clinical protocols and other improvement initiatives, the affiliated entities of Covenant Health are able to deliver higher quality care in a more efficient manner than could be achieved working independently. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Critical medications to indigent patients at discharge | GrantTypeTxt |
| Recipient | 122 | RecipientCnt |
| Cash Grant | $31,084 | CashGrantAmt |
| Valuation Method Used | Cost | ValuationMethodUsedDesc |
| Non Cash Assistance | Prescription medicines | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Grant funds are provided to charitable organizations for the purpose of enhancing and promoting health care and improving quality of life in the community. The organization has guidelines in place to review the eligibility of grantees, and all grants require written documentation and appropriate levels of approval. The organization also provides other post-hospital care assistance to eligible individuals. Funds are generally not tracked after being granted as the original eligibility and selection criteria have been met. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Personal Services | Yes (X) | PersonalServicesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| James D VanderSteeg | ||||||||||||||
| President & CEO | $0 | $1,523,002 | $0 | $1,039,500 | $0 | $200,189 | $0 | $322,565 | $0 | $30,003 | $0 | $3,115,259 | $0 | $0 |
| John T Geppi | ||||||||||||||
| Fmr EVP/CFO (through June 2023) | $0 | $349,550 | $0 | $292,063 | $0 | $329,813 | $0 | $12,200 | $0 | $12,145 | $0 | $995,771 | $0 | $0 |
| Keith N Altshuler | ||||||||||||||
| President & CAO | $0 | $455,233 | $0 | $113,000 | $0 | $69,081 | $0 | $12,200 | $0 | $22,625 | $0 | $672,139 | $0 | $0 |
| Joseph C Dolan | ||||||||||||||
| EVP/CFO | $0 | $284,875 | $0 | $60,000 | $0 | $14,015 | $0 | $29,667 | $0 | $8,897 | $0 | $397,454 | $0 | $0 |
| April Mount | ||||||||||||||
| VP - Chief Nursing Officer | $221,013 | $0 | $15,000 | $0 | $9,144 | $0 | $0 | $0 | $29,755 | $0 | $274,912 | $0 | $0 | $0 |
| Joseph M Bowling | ||||||||||||||
| Medical Physicist | $231,036 | $0 | $0 | $0 | $226 | $0 | $13,948 | $0 | $28,300 | $0 | $273,510 | $0 | $0 | $0 |
| Richard C Calloway | ||||||||||||||
| Clinical Nurse | $199,448 | $0 | $0 | $0 | $17 | $0 | $5,836 | $0 | $34,959 | $0 | $240,260 | $0 | $0 | $0 |
| Christopher S Hall | ||||||||||||||
| VP - Support Services | $171,168 | $0 | $26,000 | $0 | $24,377 | $0 | $8,691 | $0 | $9,772 | $0 | $240,008 | $0 | $0 | $0 |
| Brian J Lett | ||||||||||||||
| VP - Financial Services | $168,387 | $0 | $17,000 | $0 | $18,671 | $0 | $7,777 | $0 | $21,166 | $0 | $233,001 | $0 | $0 | $0 |
| Linda E Yoder | ||||||||||||||
| Fmr Dir Surg Svcs(through Aug 2023) | $106,427 | $0 | $0 | $0 | $87,928 | $0 | $9,582 | $0 | $13,346 | $0 | $217,283 | $0 | $0 | $0 |
| Shellie L Shock | ||||||||||||||
| Administrative Supervisor | $170,095 | $0 | $500 | $0 | $3,841 | $0 | $10,635 | $0 | $32,099 | $0 | $217,170 | $0 | $0 | $0 |
| Linda E Rodriguez | ||||||||||||||
| Fmr Dir Pt Care Svcs(through Nov 23) | $121,829 | $0 | $5,000 | $0 | $43,668 | $0 | $0 | $0 | $17,763 | $0 | $188,260 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | Tax gross-up payments related to deferred compensation and reimbursement of fees for personal services for legal and financial planning are provided to certain executives and managers. Amounts are included in taxable compensation. |
| Part I, Line 3 | Covenant Health, the parent company of Fort Sanders Regional Medical Center, used the following methods in establishing the compensation of President/CEO, James D. VanderSteeg: compensation committee, independent compensation consultant, written employment contract, compensation survey or study, and approval by the board or compensation committee. Additional detail is provided in response to Form 990, Part VI, Section B, Lines 15a and 15b within Schedule O. |
| Part I, Lines 4a-b | Linda Yoder, Former Director Surgical Services, received a severance payment of $61,004 during 2023. The amount is included in taxable compensation. Her termination date was August 17, 2023. Linda Rodriguez, Former Director Patient Care Services, received a severance payment of $38,334 during 2023. The amount is included in taxable compensation. Her termination date was November 10, 2023. Covenant Health maintains a nonqualified deferred compensation ("NQDC") plan intended to support retention of President and CEO, James D. VanderSteeg, and EVP and CFO, Joseph C. Dolan (plan effective 8-1-2023). Employer contributions of $340,032 are reported as deferred compensation on Schedule J, Part II, Column C. Contributions along with 2023 earnings of $92,131 are subject to a substantial risk of forfeiture. Amounts are combined with other compensation and considered for reasonableness. Compensation procedures are discussed in detail in Schedule O (Form 990, Part VI, Section B, Line 15a). Please note that the amounts included in Part II, Column C as contributions to the NQDC plan for James D. VanderSteeg and other executive leaders are deferred but NOT received during the filing year. We report compensation in both the year earned and the year paid, as required by IRS guidelines; however, wages appear overstated due to dual reporting of compensation earned in one year and distributed in a subsequent year. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Choice Spine LP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Family member of Keith N. Altshular - President and CAO | RelationshipDescriptionTxt |
| Transaction | $211,360 | TransactionAmt |
| Transaction | Key employee Keith N. Altshular has a family relationship with Marty Altshular, Co-President of Choice Spine LP. Amount represents fair market value for services rendered to the organization and all transactions between Choice Spine LP and Fort Sanders Regional Medical Center are conducted at arms'-length fair market value. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a | COVENANT HEALTH Fort Sanders Regional is a member of Covenant Health. Covenant Health is a community-owned, clinically integrated healthcare enterprise dedicated to being the region's premier healthcare network through service, community and innovation. Our mission is to improve the quality of life in our region through better health. Established in 1996 by the consolidation of Fort Sanders Health System, Knoxville, Tennessee, and MMC HealthCare System in Oak Ridge, Covenant Health is governed by a voluntary board of directors comprised of community leaders and medical professionals. With more than 11,000 employees, affiliated physicians and volunteers, Covenant Health is the Knoxville area's largest employer and has been named a Best Employer multiple times by Forbes. Covenant Health includes nine acute care hospitals in East Tennessee: Fort Sanders Regional Medical Center and Parkwest Medical Center in Knoxville, Methodist Medical Center of Oak Ridge, Fort Loudoun Medical Center in Lenoir City, LeConte Medical Center in Sevierville, Morristown-Hamblen Healthcare System in Morristown, Roane Medical Center in Harriman, Claiborne Medical Center in Tazewell and Cumberland Medical Center in Crossville. It also includes Peninsula, a division of Parkwest Medical Center, a behavioral health hospital in Blount County, Tennessee. The health system also includes Covenant Medical Group, which includes more than 200 physicians and advanced practice clinicians in office locations throughout East Tennessee. Affiliated organizations include Thompson Cancer Survival Center, Thompson Oncology Group, Fortress Corporation and Subsidiaries, Covenant HomeCare, and Fort Sanders Perinatal Center. Philanthropic organizations include Fort Sanders Foundation and the Thompson Cancer Survival Center Foundation in Knoxville, Methodist Medical Center Foundation in Oak Ridge, Dr. Robert F. Thomas Foundation in Sevierville, and Morristown-Hamblen Hospital Foundation in Morristown. Funds raised by the foundations provide services, equipment and other resources for excellence in patient care. Fort Sanders Regional, as a member of the Covenant Health system, benefits from the collaboration among all affiliated organizations to promote quality improvement, patient safety and efficient delivery of care for the communities served. |
| Form 990, Part VI, Section A, line 6 | Covenant Health is the sole member of Fort Sanders Regional Medical Center. |
| Form 990, Part VI, Section A, line 7a | Covenant Health's Board of Directors also serves as the Board of Directors for Fort Sanders Regional Medical Center. |
| Form 990, Part VI, Section A, line 7b | Governance decisions of Fort Sanders Regional Medical Center are subject to approval of the sole member, Covenant Health. |
| Form 990, Part VI, Section B, line 11b | The Covenant Health Board of Directors has delegated to its Finance Committee the full power and authority of the Board to receive, review, approve, authorize the filing of, address and resolve audit or review issues, and otherwise take all action required or appropriate relative to IRS Forms 990 and other applicable tax filings. Prior to filing Form 990, management reviews with the committee the returns, discusses any material variations in the Form 990 as compared to those to be filed by the organization's affiliates, and answers any questions. At the conclusion of review and discussion, the Finance Committee approves the Form 990. |
| Form 990, Part VI, Section B, line 12c | Board members, officers, and employees are required to adhere to rules and policies regarding conflicts of interest. Covenant Health distributes a board-approved Code of Conduct to all employees. The Code covers among other subjects, conflicts of interest, and requires disclosure and resolution of employee conflicts of interest. Additionally, officers, employed physicians, and highly compensated employees are required to complete and sign an annual conflict of interest disclosure statement. Board members' conflicts of interests are addressed in the corporate bylaws, and board members are required to complete and sign a conflict of interest questionnaire on an annual basis. The Integrity-Compliance Office maintains records that contain conflict of interest information obtained from board members, officers, and employees. These records are available to be queried prior to engaging in business transactions. The Chief Compliance Officer reviews conflict of interest data. Based on this information, the officer determines what conflicts of interest exist at that point in time. Between times when surveys are collected, board members are expected to disclose any new conflicts that have arisen that affect pending board decisions. Officers and other employees are expected to report conflicts to the Chief Compliance Officer as they arise. Depending on the nature of the conflict and the circumstances surrounding the conflict and transaction, the Chief Compliance Officer, senior leadership, or the Board of Directors may review the conflict of interest. When appropriate, these parties may also consult legal counsel. Restrictions imposed on persons with a conflict of interest are determined on a case by case basis. For Covenant Health employees, the Chief Compliance Officer in conjunction with Covenant Health Executive Leadership determines how to appropriately manage the conflict. In any conflict involving a board member, such member is expected to recuse himself or herself from voting on matters related to the conflict. |
| Form 990, Part VI, Section B, line 15 | Form 990, Part VI, Section B, Line 15a: Overall compensation policies for Fort Sanders Regional Medical Center, Covenant Health (Parent Company), and affiliates are set by the Covenant Health Chief Executive Officer (CEO) in consultation with appropriate Executive Vice Presidents and the Senior Vice President-Human Resources, after review by and discussion with the executive compensation consultant ("the Consultant") to ensure that total compensation for each executive is reasonable and within a fair market value range. The Covenant Health CEO is compensated by Covenant Health, and a detailed description of the compensation process is included on Covenant Health's 990. The process for Fort Sanders Regional Medical Center's CEO is included in response to Part VI, Section B, line 15b. Form 990, Part VI, Section B, Line 15b: Base salary and annual bonus opportunities for Keith Altshuler, President and Chief Administrative Officer, are set by the Covenant Health CEO in consultation with appropriate Executive Vice Presidents and the Senior Vice President-Human Resources, after review by and discussion with the executive compensation consultant ("the Consultant") to ensure that total compensation is reasonable and within a fair market value range. Salary ranges are based upon the recommendations of the Consultant made after comparison with similar jobs in similar size health systems across the nation. Bonuses are recommended by the CEO and reviewed with the Committee conditioned upon receipt of a written opinion from the Consultant that total compensation for the executive is reasonable and consistent with fair market value. Base salary for the CAO is initially targeted at the 25th percentile and may vary according to market conditions, performance, tenure, experience, special skills or qualifications, recruitment and retention challenges, and other relevant factors. Annual bonuses are designed to award 0-35% of base salary based upon system performance and accomplishment of certain targets established by the CEO. Base salaries and annual bonus opportunities for other officers and key employees are based on targets established by historical compensation consultant data and the Covenant Health Compensation department. Salary ranges are based upon comparison with similar jobs in similar size health systems across the nation. Base salaries and bonuses are approved by Executive Leadership predicated upon performance, and are reasonable and consistent with fair market value. Base salaries are initially targeted at midpoint and may vary according to market conditions, performance, tenure, experience, special skills or qualifications, recruitment and retention challenges, and other relevant factors. Annual bonuses are designed to award 0-20% of base salary based upon system performance and accomplishment of certain targets established by Executive Leadership. |
| Form 990, Part VI, Section C, line 19 | Fort Sanders Regional Medical Center files a Joint Annual Report containing financial information with the Tennessee Department of Health. Per its tax-exempt bond provisions, Covenant Health, the parent company of the organization, is required to file quarterly and annual consolidated and obligated group financial statements and other documentation with various bond insurers and other agencies, including the Electronic Municipal Market Access (EMMA) service of the Municipal Securities Rulemaking Board (MSRB). Any member of such a repository has access to these financial statements. The organization's governing documents and conflict of interest policy are not made publicly available. |
| Form 990, Part IX, line 11g | Sponsorship Fees: Program service expenses 18,999,230. Management and general expenses 0. Fundraising expenses 0. Total expenses 18,999,230. Other Purchased Services: Program service expenses 57,012,137. Management and general expenses 1,870,737. Fundraising expenses 0. Total expenses 58,882,874. Intercompany Purchased Services: Program service expenses 5,524,129. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,524,129. |
| Form 990, Part XI, line 9: | Transfers of Capital 13,369,004. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Advanced Care at Home | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1420 Centerpoint Blvd Bldg C | AddressLine1Txt |
| City | Knoxville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 379321960 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 921149522 | EIN |
| Primary Activities | Physician services | PrimaryActivitiesTxt |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $649,380 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fort Sanders Regional Medical Center | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Covenant Health | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 621646734 | Supporting organization | TN | 501(c)(3) | Line 12b, II | N/A | 0 | |
| Claiborne Medical Center | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 464420358 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Covenant HomeCare | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 621623114 | Home health services | TN | 501(c)(3) | Line 10 | 0 | Covenant Health | |
| Cumberland Medical Center | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 620790132 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Fort Loudoun Medical Center | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 621373691 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Fort Sanders Foundation | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 621748601 | Fundraising and patient outreach | TN | 501(c)(3) | Line 12b, II | 0 | Covenant Health | |
| Fort Sanders Perinatal Center | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 043760551 | High risk obstetrical services | TN | 501(c)(3) | Line 3 | Yes (1) | Fort Sanders Regional Medical Center | |
| LeConte Medical Center | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 621114867 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Methodist Medical Center | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 620636239 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Morristown-Hamblen Hospital Association | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 620545814 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Parkwest Medical Center | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 581897274 | Acute care hospital and behavioral health services | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Roane County Medical Center | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 680673354 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Thompson Cancer Survival Center | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 621250943 | Cancer support center | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Thompson Oncology Group | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 621619239 | Oncology services | TN | 501(c)(3) | Line 3 | 0 | Thompson Cancer Survival Center | |
| Thompson Cancer Survival Center Foundation | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 582130450 | Fundraising and patient outreach | TN | 501(c)(3) | Line 12b, II | 0 | Covenant Health | |
| The Dr Robert F Thomas Foundation Inc | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 581537582 | Fundraising and patient outreach | TN | 501(c)(3) | Line 12a, I | 0 | Covenant Health | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| Covenant-AmSurg ASC Ventures LLC | |||||||||
| 1A Burton Hills Blvd | Nashville | TN | 37215 | 884134388 | Management company | TN | N/A | 0 | 0 |
| Covenant-KEC ASC Ventures LLC | |||||||||
| 1A Burton Hills Blvd | Nashville | TN | 37215 | 920539400 | Management company | TN | N/A | 0 | 0 |
| TEC North LLC | |||||||||
| 1A Burton Hills Blvd | Nashville | TN | 37215 | 201871076 | Physician services | TN | N/A | 0 | 0 |
| The Endoscopy Center of Knoxville LLC | |||||||||
| 1A Burton Hills Blvd | Nashville | TN | 37215 | 621512837 | Physician services | TN | N/A | 0 | 0 |
| Boulevard ENT-Surgery Center LLC | |||||||||
| 9300 Parkwest Blvd | Knoxville | TN | 379234301 | 921460644 | Surgical services | TN | N/A | 0 | 0 |
| CHUC LLC | |||||||||
| 216 Centerview Drive Ste 100 | Brentwood | TN | 37027 | 621609262 | Physician services | TN | N/A | 0 | 0 |
| Surgery Center of Oak Ridge LLC | |||||||||
| 944 Oak Ridge Tpke Ste 200 | Oak Ridge | TN | 378306960 | 621801416 | Surgical services | TN | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Fortress Corporation | |||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 621308885 | Management company | TN | N/A | C | 0 |
| Covenant Medical Group Inc | |||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 621282917 | Physician practice management | TN | N/A | C | Yes (1) |
| Knoxville Heart Group | |||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 271528941 | Cardiology medical practice | TN | N/A | C | Yes (1) |
| East TN Cardiovascular Surgery Group Inc | |||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 621018541 | Cardiovascular surgical practice | TN | N/A | C | Yes (1) |
| TenHats LLC | |||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 814563094 | Data storage | TN | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Fort Sanders Perinatal Center | ||
| A | $370,073 | FMV |
| Fort Sanders Perinatal Center | ||
| L | $207,115 | Cost |
| Fort Sanders Perinatal Center | ||
| Q | $77,038 | Cost |
| Covenant Medical Group Inc | ||
| A | $543,163 | FMV |
| Knoxville Heart Group | ||
| A | $268,015 | FMV |
| East Tennessee Cardiovascular Group | ||
| A | $106,582 | FMV |
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