EAST TENNESSEE CHILDRENS HOSPITAL ASSOCIATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: EAST TENNESSEE CHILDRENS HOSPITAL ASSOCIATION INC (EIN 62-6002604)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201441359349303899
Schema version: 2012v2.1
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-15T10:45:54-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	621517792	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PERSHING YOAKLEY & ASSOCIATES PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	ONE CHEROKEE MILLS 2220 SUTHERLAND	AddressLine1
Address Line2	AVE	AddressLine2
City	KNOXVILLE	City
State	TN	State
ZIP Code	379192363	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	626002604	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	EAST TENNESSEE CHILDREN'S HOSPITAL	BusinessNameLine1
Business Name Line2	ASSOCIATION INC	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	EAST	NameControl
Phone	8655418154	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 15010	AddressLine1
City	KNOXVILLE	City
State	TN	State
ZIP Code	379015010	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ZANE D GOODRICH	Name
Title	CHIEF FINANCIAL OFFICER	Title
Phone	8655418154	Phone
Date Signed	2014-05-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	DEBORAH O ERNSBERGER	Name
PTIN	P00364912	PTIN
Phone	8656730844	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	KEITH D GOODWIN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 15010	AddressLine1
City	KNOXVILLE	City
State	TN	State
ZIP Code	379015010	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	218749577	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	HTTP://WWW.ETCH.COM/	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1937	YearFormation
State Legal Domicile	TN	StateLegalDomicile
Activity Or Mission Description	AT ETCH, CHILDREN ARE OUR ONLY CONCERN, PROVIDING THE BEST HEALTHCARE TO EVERY CHILD SERVED.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	2167	TotalNbrEmployees
Total Nbr Volunteers	16866	TotalNbrVolunteers
Total Gross UBI	38877	TotalGrossUBI
Net Unrelated Business Txbl Income	37877	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3651573	ContributionsGrantsPriorYear
Contributions Grants Current Year	5628168	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	196699405	ProgramServiceRevenuePriorYear
Program Service Revenue CY	204028414	ProgramServiceRevenueCY
Investment Income Prior Year	2138641	InvestmentIncomePriorYear
Investment Income Current Year	2857720	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2040951	OtherRevenuePriorYear
Other Revenue Current Year	4533592	OtherRevenueCurrentYear
Total Revenue Prior Year	204530570	TotalRevenuePriorYear
Total Revenue Current Year	217047894	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	89170	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	94264	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	96513802	SalariesEtcPriorYear
Salaries Etc Current Year	101917098	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	740979	TotalFundrsngExpCurrentYear
Other Expense Prior Year	76042898	OtherExpensePriorYear
Other Expenses Current Year	79325068	OtherExpensesCurrentYear
Total Expenses Prior Year	172645870	TotalExpensesPriorYear
Total Expenses Current Year	181336430	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	31884700	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	35711464	RevenuesLessExpensesCY
Total Assets BOY	275074608	TotalAssetsBOY
Total Assets EOY	318071958	TotalAssetsEOY
Total Liabilities BOY	90540706	TotalLiabilitiesBOY
Total Liabilities EOY	93850603	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	184533902	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	224221355	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	AT EAST TENNESSEE CHILDREN'S HOSPITAL ("ETCH"), CHILDREN ARE OUR ONLY CONCERN, AND THAT DRIVES OUR MISSION TO IMPROVE THE HEALTH OF CHILDREN THROUGH EXCEPTIONAL, COMPREHENSIVE FAMILY-CENTERED CARE, WELLNESS AND EDUCATION. IT IS A MISSION THAT CENTERS ON A PROFOUND AND UNCHANGING COMMITMENT TO THE PHYSICAL, EDUCATIONAL AND EMOTIONAL NEEDS OF EACH CHILD.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	158690557	Expense
Grants	94264	Grants
Revenue	207321973	Revenue
Description	EAST TENNESSEE CHILDREN'S HOSPITAL ("ETCH") IS THE ONLY COMPREHENSIVE REGIONAL PEDIATRIC CENTER IN TENNESSEE. SINCE 1937, ETCH HAS PROVIDED EXCELLENT PEDIATRIC HEALTH CARE FOR CHILDREN FROM BIRTH TO 21 YEARS OF AGE. ETCH OFFERS MORE PEDIATRIC SUBSPECIALTIES THAN ANY OTHER HOSPITAL IN THE REGION, SERVING CHILDREN FROM EAST TENNESSEE, SOUTHWEST VIRGINIA, SOUTHEAST KENTUCKY AND WESTERN NORTH CAROLINA. THE SUBSPECIALTIES AVAILABLE AT ETCH INCLUDE: ADOLESCENT GYNECOLOGYADOLESCENT MEDICINECHILD ABUSE PEDIATRICSDEVELOPMENTAL-BEHAVIORAL PEDIATRICSNEONATOLOGYPEDIATRICSPEDIATRIC ALLERGY & IMMUNOLOGYPEDIATRIC ANESTHESIOLOGYPEDIATRIC CARDIOLOGY PEDIATRIC CRITICAL CAREPEDIATRIC DENTISTRY/PEDODONTICSPEDIATRIC DERMATOLOGYPEDIATRIC EMERGENCY MEDICINEPEDIATRIC ENDOCRINOLOGYPEDIATRIC GASTROENTEROLOGYPEDIATRIC HEMATOLOGY/ONCOLOGYPEDIATRIC INFECTIOUS DISEASESPEDIATRIC NEPHROLOGYPEDIATRIC NEUROLOGYPEDIATRIC NEUROSURGERYPEDIATRIC OPHTHALMOLOGYPEDIATRIC ORTHOPEDICSPEDIATRIC OTOLARYNGOLOGYPEDIATRIC PHYSIATRYPEDIATRIC PLASTIC/RECONSTRUCTIVE SURGERYPEDIATRIC PULMONOLOGYPEDIATRIC RADIOLOGYPEDIATRIC SURGERYPEDIATRIC UROLOGYPEDIATRIC PERINATOLOGYSLEEP MEDICINEIN ADDITION, ETCH PROVIDES THE FOLLOWING: MEDICAL/SURGICAL SERVICES:THE EMERGENCY DEPARTMENT IS STAFFED WITH LICENSED PHYSICIANS AND NURSING PERSONNEL TO PROVIDE TREATMENT FOR ALL TYPES OF EMERGENCIES 24 HOURS A DAY, SEVEN DAYS A WEEK. THE DEPARTMENT PROVIDES EVALUATION AND TREATMENT FOR PATIENTS UP TO 21 YEARS OF AGE WITH VARYING LEVELS OF ILLNESS AND INJURY, FROM MINOR TO LIFE THREATENING. THE HOSPITAL'S PEDIATRIC INTENSIVE CARE UNIT (PICU) PROVIDES SOPHISTICATED, 24-HOUR-A-DAY TREATMENT FOR CRITICALLY ILL AND INJURED CHILDREN. THE PICU IS STAFFED WITH DOCTORS AND NURSES SPECIFICALLY TRAINED AND EXPERIENCED IN THE CARE OF CRITICALLY ILL CHILDREN. PATIENTS IN THE PICU RECEIVE A HIGH LEVEL OF MONITORING AND/OR TREATMENT UNTIL THEY ARE WELL ENOUGH TO BE TRANSFERRED TO A REGULAR PATIENT ROOM OR DISCHARGED HOME.IN THE NEONATAL INTENSIVE CARE UNIT (NICU), TINY AND FRAGILE INFANTS BORN PREMATURELY OR FACING LIFE-THREATENING ILLNESSES RECEIVE TREATMENT FROM A TEAM OF BOARD-CERTIFIED NEONATOLOGISTS, WITH VALUABLE ASSISTANCE FROM SPECIALLY TRAINED NURSES, RESPIRATORY THERAPISTS, LACTATION CONSULTANTS AND OTHER MEDICAL PROFESSIONALS. THE NICU TREATS MORE THAN 700 NEWBORNS EACH YEAR, AND 97 PERCENT OF THE BABIES GO HOME. AS A REGIONAL REFERRAL CENTER FOR EAST TENNESSEE, ETCH OFFERS NEONATAL AND PEDIATRIC TRANSPORT FROM OUTLYING HOSPITALS IN LIFELINE, A MOBILE INTENSIVE CARE UNIT SPECIALLY DESIGNED TO MAINTAIN THE SAME QUALITY OF CARE DURING TRANSPORT AS PATIENTS RECEIVE IN THE HOSPITAL'S CRITICAL CARE UNITS. LIFELINE CARRIES ALMOST 1,000 SUPPLIES TO ADMINISTER CARE TO PATIENTS, FROM THE TINIEST PREMATURE INFANT TO AN ADULT-SIZE PEDIATRIC PATIENT, DURING TRANSPORT TO THE HOSPITAL. IN ADDITION TO THE SPECIAL EQUIPMENT, THE LIFELINE MEDICAL TEAM MAY INCLUDE A NEONATOLOGIST, NEONATAL NURSE PRACTITIONER, PEDIATRIC/NEONATAL RN, RESPIRATORY THERAPIST AND AN EMT, DEPENDING ON THE CONDITION OF THE PATIENT. THE HOSPITAL'S TWO LIFELINE VEHICLES TRAVEL TENS OF THOUSANDS OF MILES EACH YEAR TO DOZENS OF DIFFERENT HOSPITALS IN TENNESSEE AND SURROUNDING STATES, AND TRANSPORT HUNDREDS OF PEDIATRIC PATIENTS TO ETCH.ETCH MEETS A WIDE RANGE OF PEDIATRIC SURGICAL NEEDS, FROM COMMON OUTPATIENT PROCEDURES SUCH AS TONSILLECTOMIES TO MORE COMPLICATED PROCEDURES, SUCH AS RECONSTRUCTIVE SURGERY OR NEUROSURGERY. FIVE DEPARTMENTS COMPRISE ETCH'S SURGICAL SERVICES: OUTPATIENT SURGERY, SURGERY, POST-ANESTHESIA (THE OPERATING ROOMS) CARE UNIT ("WAKE UP" OR RECOVERY ROOM), INPATIENT SURGERY AND ANESTHESIA. THESE DEPARTMENTS WORK TOGETHER TO MAKE SURE EACH CHILD'S SURGERY AND RECOVERY IS AS QUICK AND PAINLESS AS POSSIBLE. THE DOCTORS, NURSES, ANESTHESIOLOGISTS AND OTHER SURGICAL STAFF ARE TRAINED IN PEDIATRIC MEDICINE. AT ANY GIVEN TIME AND FOR VARIOUS REASONS, A CHILD MAY NEED TO BE ADMITTED TO ETCH AS AN INPATIENT. DOCTORS AND NURSES CONTINUOUSLY MONITOR AND TREAT INPATIENTS ACCORDING TO THEIR INDIVIDUAL NEEDS. ALONG WITH PROVIDING COMPREHENSIVE MEDICAL AND NURSING CARE, ETCH IS DEDICATED TO MAKING A CHILD'S STAY IN THE HOSPITAL AS COMFORTABLE AS POSSIBLE. EACH ROOM HAS A TV/DVD PLAYER WITH ACCESS TO MOVIE CHANNELS, AND PLAY ROOMS ARE LOCATED ON EACH FLOOR. OTHER SERVICES SUCH AS CHILD LIFE, NUTRITION, PASTORAL CARE AND SOCIAL WORK PROVIDE FOR THE PHYSICAL AND EMOTIONAL NEEDS OF THE CHILD. THE RESPIRATORY CARE DEPARTMENT AT ETCH IS STAFFED WITH LICENSED AND ACCREDITED RESPIRATORY THERAPISTS WHOSE ROLES INCLUDE TREATING PATIENTS WITH LUNG AND/OR HEART DISEASES SUCH AS ASTHMA, PNEUMONIA, PREMATURE LUNGS AND CYSTIC FIBROSIS. TREATMENTS PROVIDED BY RESPIRATORY CARE PRACTITIONERS INCLUDE AEROSOL MEDICATIONS, DELIVERY OF OXYGEN AND OTHER MEDICAL GASES, VENTILATOR MANAGEMENT AND MANY OTHER PROCEDURES. RESPIRATORY CARE PRACTITIONERS HELP PATIENTS THROUGHOUT THE HOSPITAL, FROM THE EMERGENCY DEPARTMENT TO THE NICU. THEY ARE ALSO MEMBERS OF THE PEDIATRIC TRANSPORT TEAM THAT HELPS BRING SICK AND INJURED CHILDREN TO THE HOSPITAL FOR SPECIALIZED CARE. EDUCATION IS ALSO A KEY ROLE OF RESPIRATORY CARE PRACTITIONERS; THEY TEACH PATIENTS AND THEIR FAMILIES HOW TO CARE FOR CERTAIN CONDITIONS AT HOME. PATIENTS IN A VARIETY OF HOSPITAL DEPARTMENTS MAY BENEFIT FROM SEDATION DURING SOME PAINFUL TESTS AND PROCEDURES. IN ADDITION, YOUNG CHILDREN MAY NEED SEDATION TO REMAIN STILL DURING LONG TESTS, SUCH AS AN MAGNETIC RESONANCE IMAGING (MRI). TO MEET THESE NEEDS, ETCH OFFERS PEDIATRIC ANALGESIA AND SEDATION SPECIALISTS (PASS). WHILE THE HOSPITAL CANNOT ELIMINATE PAIN FOR SOME CHILDREN, IT IS OUR GOAL TO KEEP PAINFUL OR UNCOMFORTABLE SITUATIONS TO A MINIMUM. PASS IS A DEDICATED SERVICE THAT UTILIZES THE MOST CURRENT SEDATION TECHNIQUES TO HELP CHILDREN UNDERGOING LENGTHY OR PAINFUL PROCEDURES AT ETCH. A MULTISPECIALTY TEAM SEES EACH CHILD, INCLUDING A PEDIATRIC SEDATION PHYSICIAN AND PEDIATRIC NURSES WHO ARE SPECIFICALLY PREPARED TO WORK WITH CHILDREN'S SEDATION. DIAGNOSTIC SERVICES:THE CLINICAL LAB IS RESPONSIBLE FOR ALL DIAGNOSTIC TESTING, WHICH INCLUDES THE FOLLOWING AREAS: HEMATOLOGY, CHEMISTRY, MICROBIOLOGY, IMMUNOLOGY, SEROLOGY AND BLOOD BANK.NEUROLOGY LAB/SLEEP LAB - THE NEUROLOGY LAB OFFERS A VARIETY OF DIAGNOSTIC TESTS FOR PATIENTS DEALING WITH SEIZURES, HEARING PROBLEMS, SLEEP DISORDERS AND OTHER CONDITIONS INVOLVING THE BRAIN. THE MOST COMMON TESTS OFFERED IN THE NEUROLOGY LABORATORY ARE THE ELECTROENCEPHALOGRAM (EEG) FOR CHILDREN HAVING SEIZURES AND OTHER NEUROLOGICAL PROBLEMS, AND THE BRAINSTEM AUDITORY EVOKED RESPONSE (BAER) HEARING TEST, OFFERED MOST OFTEN TO INFANTS WHO FAIL NEWBORN HEARING SCREENINGS AND TODDLERS WHO ARE SPEECH DELAYED. CHILDREN'S SLEEP MEDICINE CENTER - THE CHILDREN'S SLEEP MEDICINE CENTER OFFERS SLEEP STUDY TESTING FOR CHILDREN WHO ARE HAVING PROBLEMS WITH SLEEP. THE SLEEP STUDIES TAKE PLACE OVERNIGHT, DURING THE CHILD'S REGULAR SLEEP CYCLE, TO FIND THE CAUSE OF SUCH PROBLEMS AS SLEEP TERRORS AND SLEEPWALKING.THE PULMONARY FUNCTION LAB, A VITAL PART OF THE RESPIRATORY CARE DEPARTMENT, PERFORMS TESTS TO DIAGNOSE LUNG AND HEART DISEASES. THE DEPARTMENT IS STAFFED BY SPECIALLY TRAINED RESPIRATORY CARE PRACTITIONERS. SERVICES PROVIDED INCLUDE SPIROMETRY TESTING, METABOLIC STUDIES, CARDIAC STRESS TESTING, LUNG VOLUMES AND THE CYSTIC FIBROSIS CLINIC. THE RADIOLOGY DEPARTMENT SERVES AS AN "IMAGING" CENTER FOR CHILDREN. THESE IMAGES INCLUDE X-RAY, ULTRASOUND, CT SCAN, NUCLEAR MEDICINE, MRI, ECHOCARDIOGRAM AND FLUOROSCOPY.OUTPATIENT SERVICES:CHILDREN'S HOSPITAL HOME HEALTH CARE, WHICH IS A HOSPITAL-BASED HOME HEALTH AGENCY, SUPPORTS THE PHILOSOPHY, MISSION AND POLICIES OF ETCH AND IS DEDICATED TO MEETING THE NEEDS OF CHILDREN. HOME HEALTH PROVIDES FOLLOW-UP SUPPORTIVE CARE TO PATIENTS NEWBORN TO 21 YEARS OF AGE WHO DO NOT REQUIRE HOSPITALIZATION OR CONSTANT SKILLED SUPERVISION. HOME HEALTH IS LICENSED TO PROVIDE SERVICES IN 16 EAST TENNESSEE COUNTIES. ALL PATIENTS ARE ACCEPTED ON THE BASIS OF PHYSICIAN REFERRAL, THE ABILITY OF HOME HEALTH TO MEET THE PATIENT'S SPECIFIC NEEDS, AND WHEN THE PHYSICIAN, CHILD'S FAMILY AND THE HOME HEALTH STAFF AGREE THAT IN-HOME CARE WOULD BE AN APPROPRIATE AND EFFECTIVE MEANS OF TREATMENT. AVAILABLE SERVICES INCLUDE REGISTERED NURSING, RESPIRATORY THERAPY, HOME INFUSION, NUTRITIONAL SUPPORT, HOME MEDICAL EQUIPMENT, SUPPLIES, PHYSICAL THERAPY, SPEECH THERAPY AND OCCUPATIONAL THERAPY.	Description
Total Program Service Expense	158690557	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	1	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	1	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	1	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	112	NumberFormsTransmittedWith1096
Number W2 G Included	5	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2167	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	0	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	TN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	ZANE D GOODRICH	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	8655418154	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 15010	AddressLine1
City	KNOXVILLE	City
State	TN	State
ZIP Code	379015010	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
DENNIS B RAGSDALE
CHAIRMAN	2.00	X	0	0	0
MICHAEL C CRABTREE
SECRETARY/TREASURER	2.00	X	0	0	0
STEVEN D HARB
BOARD MEMBER	2.00	X	0	0	0
GORDON MARK CRAMOLINI MD
BOARD MEMB./CHIEF OF STAFF 1/13-6/13	15.00	X	16667	0	0
DEBBIE J CHRISTIANSEN MD
BOARD MEMBER	2.00	X	0	0	0
LEWIS W HARRIS MD
BOARD MEMBER	2.00	X	0	0	0
DEE HASLAM
BOARD MEMBER	2.00	X	0	0	0
A DAVID MARTIN
BOARD MEMBER	2.00	X	0	0	0
WILLIAM F TERRY MD
VICE CHAIRMAN	2.00	X	0	0	0
CHRISTOPHER A MILLER MD
BOARD MEMBER	2.00	X	0	0	0
STEPHEN A SOUTH
BOARD MEMBER	2.00	X	0	0	0
KEITH D GOODWIN
BOARD MEMBER/ETCH PRES. & CEO	40.00	X	814159	0	93631	X
LISE M CHRISTENSEN MD
BOARD MEM./CHIEF OF STAFF 7/12-12/12	15.00	X	2159	0	0
LARRY B MARTIN
BOARD MEMBER	2.00	X	0	0	0
JOHN Q BUCHHEIT MD
BOARD MEMBER	2.00	X	0	0	0
RANDALL L GIBSON
BOARD MEMBER	2.00	X	0	0	0
R GALE HUNEYCUTT JR
BOARD MEMBER	2.00	X	0	0	0
JOHN F LANSING
BOARD MEMBER	2.00	X	0	0	0
RUDOLPH MCKINLEY
VP OPERATIONS	40.00		326225	0	42868	X
LAURA PRESTON BARNES
VP/CHIEF NURSING OFFICER	40.00		259082	0	38561	X
ZANE D GOODRICH
VP/CHIEF FINANCIAL OFFICER	40.00		291627	0	44954	X
BRYAN PABST
VP PTRS IN PEDIATRICS	40.00		241439	0	40530	X
BRUCE ANDERSON
VP LEGAL SERVICES/CHIEF COUNSEL	40.00		300219	0	30471	X
SUE WILBURN
VP HUMAN RESOURCES	40.00		221799	0	33273	X
JOE CHILDS MD
VP/CHIEF MEDICAL OFFICER	40.00		78038	0	2192	X
CARLTON LONG
VP DEVELOPMENT/COMMUNITY SRVCS	40.00		204626	0	27203	X
SUMEET SHARMA MD
PEDIATRIC CARDIOLOGIST	40.00		627681	0	45486		X
JEFFORY GLENN JENNINGS MD
PEDIATRIC CARDIOLOGIST	40.00		558524	0	71120		X
WILLIAM GLAZE VAUGHAN MD
PEDIATRIC SURGEON	40.00		611539	0	3871		X
CARLOS A ANGEL MD
PEDIATRIC SURGEON	40.00		550148	0	2687		X
ERIC R JENSEN
PEDIATRIC SURGEON	40.00		455944	0	4789		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5559876	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	481636	TotalOtherCompensation
Number Individuals GT100 K	74	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
CHILDREN'S ANESTHESIOLOGISTS PC
2018 W CLINCH AVENUE	KNOXVILLE	TN	37916	PHYSICIAN SERVICES	8887862
GI FOR KIDS PLLC
171 ALCOTT MANOR LANE	KNOXVILLE	TN	37922	PHYSICIAN SERVICES	3237780
OAK RIDGE PEDIATRIC CLINIC PC
145 EAST VANCE ROAD	OAK RIDGE	TN	37830	PHYSICIAN SERVICES	2505458
PEDIATRIC CLINIC PC
7773 OAK RIDGE HIGHWAY	KNOXVILLE	TN	37931	PHYSICIAN SERVICES	1729025
BLOUNT PEDIATRIC ASSOCIATES
414 GREENBELT DRIVE	MARYVILLE	TN	37801	PHYSICIAN SERVICES	1669100

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	29	NumberOfContractorsGT100K
Fundraising Events	656667	FundraisingEvents
All Other Contributions	4971501	AllOtherContributions
Noncash Contributions	519241	NoncashContributions
Total Contributions	5628168	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT CARE REVENUE	621990	201868804	201829927	38877
OTHER HEALTHCARE SRVCS	621990	1322035	1322035
PASSTHROUGH REVENUE	621110	837575	837575

Field	Value	IRS element (for citing)
Total Program Service Revenue	204028414	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2848140	TotalRevenueColumn
Related Or Exempt Function Income	2848140	RelatedOrExemptFunctionIncome

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	435839	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	435839	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	435839	TotalRevenueColumn
Related Or Exempt Function Income	435839	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	9580	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	9580	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	9580	TotalRevenueColumn
Related Or Exempt Function Income	9580	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	948168	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	656667	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	1012156	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-63988	TotalRevenueColumn
Exclusion	-$63,988	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	33407	GrossIncomeGaming
Gaming Direct Expenses	6000	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	27407	TotalRevenueColumn
Exclusion	$27,407	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	686655	GrossSalesOfInventory
Cost Of Goods Sold	683527	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	3128	TotalRevenueColumn
Exclusion	$3,128	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
HEALTH INCENTIVE PAYMENT	900099	2414948	$2,414,948
CAFETERIA SALES	621110	1213503	$1,213,503
MISCELLANEOUS	900099	502755	$502,755

Field	Value	IRS element (for citing)
Total Other Revenue	4131206	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	217047894	TotalRevenueColumn
Related Or Exempt Function Income	207283096	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	38877	UnrelatedBusinessRevenue
Exclusion	$4,097,753	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	94264	Total
Program Services	94264	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3001742	Total
Program Services	2574254	ProgramServices
Management And General	427488	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	77020142	Total
Program Services	65450394	ProgramServices
Management And General	10964541	ManagementAndGeneral
Fundraising	605207	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3187556	Total
Program Services	2733777	ProgramServices
Management And General	453779	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	12799209	Total
Program Services	10977121	ProgramServices
Management And General	1822088	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5908449	Total
Program Services	5067326	ProgramServices
Management And General	841123	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	55161	Total
Management And General	55161	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	98587	Total
Management And General	98587	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	26763234	Total
Program Services	24190787	ProgramServices
Management And General	2543974	ManagementAndGeneral
Fundraising	28473	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2804013	Total
Program Services	2562352	ProgramServices
Management And General	241661	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	482504	Total
Program Services	281529	ProgramServices
Management And General	191878	ManagementAndGeneral
Fundraising	9097	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	2181202	Total
Program Services	2181202	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	7791014	Total
Program Services	6120142	ProgramServices
Management And General	1670103	ManagementAndGeneral
Fundraising	769	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1009921	Total
Program Services	50	ProgramServices
Management And General	1009871	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
SUPPLIES	25766728	24456156	1267828	42744
EQUIPMENT RENTAL/MNT	4650425	4650356	69
BAD DEBT	3691343	3691343
POSTAGE	304281	52674	247361	4246

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3726655	Total
Program Services	3606830	ProgramServices
Management And General	69382	ManagementAndGeneral
Fundraising	50443	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	181336430	Total
Program Services	158690557	ProgramServices
Management And General	21904894	ManagementAndGeneral
Fundraising	740979	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	29402170	BOY
EOY	28163071	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	147839	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	30297334	BOY
EOY	26718735	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2222944	BOY
EOY	1452040	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2864513	BOY
EOY	3084223	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1488920	BOY
EOY	1432592	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	156903581	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	81855244	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	75753729	BOY
EOY	75048337	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	73980783	BOY
EOY	118073649	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	25606779	BOY
EOY	26244995	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	383000	BOY
EOY	248432	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	33074436	BOY
EOY	37458045	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	275074608	BOY
EOY	318071958	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	20727602	BOY
EOY	21642618	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	42631527	BOY
EOY	41543825	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	27181577	BOY
EOY	30664160	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	90540706	BOY
EOY	93850603	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	161397098	BOY
EOY	198950745	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	7103337	BOY
EOY	9104210	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	16033467	BOY
EOY	16166400	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	184533902	BOY
EOY	224221355	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	275074608	BOY
EOY	318071958	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	35711464	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	5693321	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-1717332	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

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

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	16033467	BeginningOfYearBalance
Contributions	132933	Contributions
End Of Year Balance	16166400	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	15978655	BeginningOfYearBalance
Contributions	54812	Contributions
End Of Year Balance	16033467	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	14016380	BeginningOfYearBalance
Contributions	1962275	Contributions
End Of Year Balance	15978655	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	13809173	BeginningOfYearBalance
Contributions	207207	Contributions
End Of Year Balance	14016380	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	13587048	BeginningOfYearBalance
Contributions	222625	Contributions
Other Expenditures	500	OtherExpenditures
End Of Year Balance	13809173	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	436201	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	8545188	OtherCostOrOtherBasis
Book Value	8981389	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	92109662	OtherCostOrOtherBasis
Depreciation	45706906	Depreciation
Book Value	46402756	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	55812530	OtherCostOrOtherBasis
Depreciation	36148338	Depreciation
Book Value	19664192	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	75048337	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
TRUSTEED BOND FUNDS	5542264	F
DONOR RESTRICTED INVESTMENTS	20702731	F

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	26244995	TotalOfBookValueProgramRelated

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	INTERCOMPANY	Description
Book Value	37458045	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	37458045	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
INVESTMENT IN SUBSIDIARIES	$28,262,854
DUE TO/FROM THIRD-PARTY PAYORS	$2,401,306

Field	Value	IRS element (for citing)
Total Of Amounts	30664160	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X, LINE 2:	ReturnReference
Explanation	PER THE EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC. AND SUBSIDIARIES AUDITED CONSOLIDATED FINANCIAL STATEMENTS: THE HOSPITAL IS CLASSIFIED AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS RELATED TO THE 501(C)(3) ORGANIZATION. PRIMARY CARE AND COLLECTOR'S INC. OF KNOXVILLE (CIK) ARE TAXABLE ENTITIES AND ACCOUNT FOR INCOME TAXES IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES. THE HOSPITAL HAS NO UNCERTAIN TAX POSITIONS AT JUNE 30, 2013 OR 2012. AT JUNE 30, TAX RETURNS FOR 2009 THROUGH 2013 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	FANTASY OF TREES	NameOfEvent1
Gross Receipts Event1	968496	GrossReceiptsEvent1
Charitable Contributions Event1	251091	CharitableContributionsEvent1
Gross Revenue Event1	717405	GrossRevenueEvent1
Rent Facility Costs Event1	44885	RentFacilityCostsEvent1
Other Direct Expenses Event1	534991	OtherDirectExpensesEvent1
Name Of Event2	CENTER STAGE	NameOfEvent2
Gross Receipts Event2	357875	GrossReceiptsEvent2
Charitable Contributions Event2	271560	CharitableContributionsEvent2
Gross Revenue Event2	86315	GrossRevenueEvent2
Rent Facility Costs Event2	71206	RentFacilityCostsEvent2
Other Direct Expenses Event2	253847	OtherDirectExpensesEvent2
Total Number Of Other Events	2	TotalNumberOfOtherEvents
Gross Receipts Other Events	278464	GrossReceiptsOtherEvents
Charitable Contrib Other Events	134016	CharitableContribOtherEvents
Gross Revenue Other Events	144448	GrossRevenueOtherEvents
Rent Facility Costs Other Events	25783	RentFacilityCostsOtherEvents
Other Direct Expenses Other Events	81444	OtherDirectExpensesOtherEvents
Gross Receipts Total	1604835	GrossReceiptsTotal
Charitable Contributions Total	656667	CharitableContributionsTotal
Gross Revenue Total Events	948168	GrossRevenueTotalEvents
Rent Facility Costs Total Events	141874	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	870282	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	1012156	DirectExpenseSummaryEvents
Net Income Summary	-63988	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	33407	GrossRevenueOtherGaming
Non Cash Prizes Other Gaming	6000	NonCashPrizesOtherGaming
Volunteer Labor Other Gaming	1	VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming	1.00000	VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming	33407	GrossRevenueTotalGaming
Non Cash Prizes Total Gaming	6000	NonCashPrizesTotalGaming
Direct Expense Summary Gaming	6000	DirectExpenseSummaryGaming
Net Gaming Income Summary	27407	NetGamingIncomeSummary

Field	Value	IRS element (for citing)
States Where Gaming Conducted	TN	StatesWhereGamingConducted
Licensed	1	Licensed
License Suspended Etc	0	LicenseSuspendedEtc
Gaming With Nonmembers	1	GamingWithNonmembers
Member Of Other Entity	0	MemberOfOtherEntity
Percentage Of Gaming Othr Facility	1.00000	PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper Person	ZANE GOODRICH	NameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 15010	AddressLine1
City	KNOXVILLE	City
State	TN	State
ZIP Code	379015010	ZIPCode

Field	Value	IRS element (for citing)
Contract With3rd Party For Gam Rev	0	ContractWith3rdPartyForGamRev
Gaming Manager Name Person	ELIZABETH THOMAS	GamingManagerNamePerson
Gaming Manager Services Provided	ELIZABETH THOMAS IS THE DIRECTOR OF VOLUNTEER SERVICES. THE VOLUNTEER SERVICES DEPARTMENT IS RESPONSIBLE FOR THE FANTASY OF TREES. THE RAFFLE TREE IS THE GAMING EVENT HELD WITHIN THE FANTASY OF TREES. VOLUNTEER SERVICES FOSTERS THE RELATIONSHIP WITH RAFFLE SPONSORS AND DECIDES WHERE/ HOW THE AREA IS DESIGNED ON THE FLOOR. VOLUNTEER SERVICES RECRUITS VOLUNTEERS TO SELL RAFFLE TICKETS, LOCK THE DRUM, AND ARRANGE THE TICKET DRAWING AND DELIVERY.	GamingManagerServicesProvided
Gaming Manager Is Employee	X	GamingManagerIsEmployee
Charitable Distrib Required	1	CharitableDistribRequired
Amount Distributed	33407	AmountDistributed

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	365696	TotalCommunityBenefitExpense
Net Community Benefit Expense	365696	NetCommunityBenefitExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	98311296	TotalCommunityBenefitExpense
Direct Offsetting Revenue	86050319	DirectOffsettingRevenue
Net Community Benefit Expense	12260977	NetCommunityBenefitExpense
Percent Of Total Expense	0.06900	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	98676992	TotalCommunityBenefitExpense
Direct Offsetting Revenue	86050319	DirectOffsettingRevenue
Net Community Benefit Expense	12626673	NetCommunityBenefitExpense
Percent Of Total Expense	0.07110	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	70070	PersonsServed
Total Community Benefit Expense	609461	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6560	DirectOffsettingRevenue
Net Community Benefit Expense	602901	NetCommunityBenefitExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	5153	PersonsServed
Total Community Benefit Expense	672197	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11793	DirectOffsettingRevenue
Net Community Benefit Expense	660404	NetCommunityBenefitExpense
Percent Of Total Expense	0.00370	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Persons Served	500	PersonsServed
Total Community Benefit Expense	168761	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	168761	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	135638	PersonsServed
Total Community Benefit Expense	369763	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	369763	NetCommunityBenefitExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	211361	PersonsServed
Total Community Benefit Expense	1820182	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18353	DirectOffsettingRevenue
Net Community Benefit Expense	1801829	NetCommunityBenefitExpense
Percent Of Total Expense	0.01010	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	211361	PersonsServed
Total Community Benefit Expense	100497174	TotalCommunityBenefitExpense
Direct Offsetting Revenue	86068672	DirectOffsettingRevenue
Net Community Benefit Expense	14428502	NetCommunityBenefitExpense
Percent Of Total Expense	0.08120	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	7070	PersonsServed
Total Community Building Expense	14625	TotalCommunityBuildingExpense
Net Community Building Expense	14625	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Persons Served	372	PersonsServed
Total Community Building Expense	6592	TotalCommunityBuildingExpense
Net Community Building Expense	6592	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Persons Served	2115	PersonsServed
Total Community Building Expense	90190	TotalCommunityBuildingExpense
Net Community Building Expense	90190	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Persons Served	39	PersonsServed
Total Community Building Expense	1093	TotalCommunityBuildingExpense
Net Community Building Expense	1093	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Persons Served	440	PersonsServed
Total Community Building Expense	132798	TotalCommunityBuildingExpense
Net Community Building Expense	132798	NetCommunityBuildingExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	10036	PersonsServed
Total Community Building Expense	245298	TotalCommunityBuildingExpense
Net Community Building Expense	245298	NetCommunityBuildingExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$1,402,710	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	20736	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	58334	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-37598	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

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

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 CHILDREN'S WEST SURGERY CENTER LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	MEDICAL SURGERY CENTER	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.50000	OrganizationProfitOrOwnership
Physicans Profit Or Ownership	0.50000	PhysicansProfitOrOwnership

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

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

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	EAST TENNESSEE CHILDREN'S HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	PO BOX 15010	AddressLine1
City	KNOXVILLE	City
State	TN	State
ZIP Code	379015010	ZIPCode

Field	Value	IRS element (for citing)
Childrens Hospital	X	ChildrensHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	EAST TENNESSEE CHILDREN'S HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	0	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	1	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	200.000000000000	FPGDiscountPercent
Explains Basis	0	ExplainsBasis
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 7: A COST-TO-CHARGE RATIO, DERIVED FROM THE SCHEDULE H APPLICABLE WORKSHEETS, INCLUDING WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES, WAS USED TO DETERMINE CHARITY CARE. ACTUAL EXPENSE DATA IS ACCUMULATED WITHIN THE ETCH GENERAL LEDGER WHICH ADDRESSES ALL PATIENT SEGMENTS INCLUDING INPATIENT, OUTPATIENT, EMERGENCY ROOM, COMMERCIAL INSURANCE, GOVERNMENT INSURANCE, UNINSURED AND SELF-PAY. THE TOTAL OPERATING EXPENSE WAS DIVIDED BY PATIENT REVENUES TO CALCULATE AN OVERALL RATIO THAT WAS THEN APPLIED TO INDIGENT AND CHARITY CARE CHARGES TO ARRIVE AT COST. THE STATE OF TENNESSEE'S COVERKIDS PROGRAM PROVIDES COVERAGE FOR THE VAST MAJORITY OF CHILDREN WHO REQUIRE MEDICAL CARE BUT ARE UNINSURED. ETCH REPRESENTATIVES WORK EXTENSIVELY WITH PATIENTS' FAMILIES TO HELP THEM UNDERSTAND AVAILABILITY OF STATE AID AND TO ASSIST THEM IN BECOMING ENROLLED IN THE PROGRAM. FOR THAT REASON, THE AMOUNT OF TRUE "CHARITY CARE" RENDERED BY ETCH IS CONSIDERABLY SMALLER THAN LEVELS EXPERIENCED BY COMMUNITY HOSPITALS OR OTHER FACILITIES SERVING THE ADULT POPULATION.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3691343.
PART II: ETCH PROVIDES NUMEROUS BENEFITS TO THE PUBLIC AND PROMOTES THE HEALTH OF THE COMMUNITY IN THE FOLLOWING WAYS:1. COMMUNITY SUPPORT. ETCH EMPLOYEES VOLUNTEER TIME TO THE FOLLOWING NEIGHBORHOOD SUPPORT GROUPS: RONALD MCDONALD HOUSE, HABITAT FOR HUMANITY, FRIENDS OF LITERACY, AND SHOES FOR SCHOOLS. THE TIME VOLUNTEERED TO THESE ORGANIZATIONS IS COMPENSATED BY ETCH. IN ADDITION TO EMPLOYEE TIME, ETCH PROVIDED SEMINAR SPACE FREE OF CHARGE TO SUPPORT AND TRAINING FOR EXCEPTIONAL PARENTS (STEP). STEP IS A PROGRAM PROVIDING SERVICES FOR FAMILIES OF CHILDREN WITH DISABILITIES. STEP ADDRESSES ISSUES FACED BY CHILDREN WITH DISABILITIES AT SCHOOL. STEP HELD ITS EARLY CHILDHOOD TRANSITIONS EDUCATIONAL SEMINAR IN THE ETCH CONFERENCE ROOM. STEP HELD A SECOND INDIVIDUALIZED EDUCATION PROGRAM (IEP) WORKSHOP IN THE ETCH CONFERENCE ROOM DURING WHICH AN ETCH-EMPLOYED SOCIAL WORKER PARTICIPATED.2. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS. ETCH EMPLOYEES FACILITATED A NUMBER OF MEETINGS FOR COMMUNITY RESIDENTS SUCH AS: STEPHEN MINISTRY PEER GROUP SUPERVISION MEETINGS (15 SEPARATE MEETINGS DURING FISCAL YEAR 2013), A STRATEGIC PLANNING MEETING FOR THE EAST TENNESSEE FOUNDATION BOARD OF DIRECTORS, AND A LEADERSHIP PRESENTATION FOR THE TENNESSEE BAR ASSOCIATION. ETCH COMPENSATED THEIR EMPLOYEES FOR THE TIME DEDICATED TO THESE ACTIVITIES AND FOR ANY TRAVEL EXPENSES INCURRED.3. COALITION BUILDING. ETCH PARTICIPATED IN THE FOLLOWING COMMUNITY COALITIONS TO ADDRESS HEALTH AND SAFETY ISSUES SPECIFIC TO CHILDREN: 1. TOGETHER! HEALTHY KNOX (T!HK). ETCH IS A PARTNER IN THIS INITIATIVE OF THE COMMUNITY HEALTH COUNCIL SERVING THE CITY OF KNOXVILLE, KNOX COUNTY, AND THE TOWN OF FARRAGUT. THE MISSION OF TOGETHER! HEALTHY KNOX IS "A COMMUNITY APPROACH TO BETTER HEALTH." T!HK HOPES TO ENCOURAGE A BROAD DEFINITION OF HEALTH IN THE COMMUNITY: PHYSICIAN, MENTAL, SPIRITUAL AND SOCIAL. 2. KNOXVILLE AREA COALITION ON CHILDHOOD OBESITY. THIS COALITION, FOR WHICH ETCH IS THE LEAD ORGANIZATION, WORKS TO IMPROVE THE HEALTH OF CHILDREN THROUGH A COMMUNITY-WIDE PARTNERSHIP. THE GOAL OF THE COALITION IS TO REVERSE THE INCIDENCE OF CHILDHOOD OBESITY AND BECOME ONE OF AMERICA'S FITTEST CITIES FOR CHILDREN BY 2015. THE COALITION INCLUDES MORE THAN 35 COMMUNITY AGENCIES AND ORGANIZATIONS AND IS REPRESENTED BY OVER 90 INDIVIDUALS. 3. TENNESSEE INITIATIVE FOR PERINATAL QUALITY CARE (TIPQC). AN ETCH EMPLOYEE SERVES AS A PROJECT MEMBER FOR THE TIPQC HUDDLE 21 INITIATIVE. ETCH COMPENSATES THIS EMPLOYEE FOR THE TIME DEDICATED ON A MONTHLY BASIS TO THIS ACTIVITY. TIPQC SEEKS TO IMPROVE HEALTH OUTCOMES FOR MOTHERS AND INFANTS IN TENNESSEE BY ENGAGING KEY STAKEHOLDERS IN A PERINATAL QUALITY COLLABORATIVE THAT WILL IDENTIFY OPPORTUNITIES TO OPTIMIZE BIRTH OUTCOMES AND IMPLEMENT DATA-DRIVEN PROVIDER- AND COMMUNITY-BASED PERFORMANCE IMPROVEMENT INITIATIVES.4. COMMUNITY HEALTH IMPROVEMENT ADVOCACY. ETCH LENDS ITS EMPLOYEES TO SUPPORT POLICIES AND PROGRAMS TO SAFEGUARD CHILDREN AND IMPROVE CHILDREN'S HEALTH AND THEIR ACCESS TO HEALTH CARE SERVICES. ETCH EMPLOYEES PARTICIPATE IN THE FOLLOWING PROGRAMS: KNOX COUNTY CHILD FATALITY REVIEW AND HUMAN RIGHTS COMMITTEE BOARD.5. WORKFORCE DEVELOPMENT. ETCH RECRUITS PHYSICIAN SPECIALTIES AND OTHER HEALTH PROFESSIONALS DEDICATED TO SERVING THE ADOLESCENT POPULATION TO MEDICAL SHORTAGE AREAS OR OTHER AREAS DESIGNATED AS UNDERSERVED.
PART III, LINE 4: A COST-TO-CHARGE RATIO WAS ALSO USED TO DETERMINE BAD DEBT COST. THE TOTAL OPERATING EXPENSE WAS DIVIDED BY PATIENT REVENUES TO CALCULATE AN OVERALL RATIO THAT WAS THEN APPLIED TO THE BAD DEBT EXPENSE TO ARRIVE AT COST.ETCH'S FINANCIAL STATEMENTS READ AS FOLLOWS: "PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF BOTH AN ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS. THE CONTRACTUAL ALLOWANCE REPRESENTS THE DIFFERENCE BETWEEN ESTABLISHED BILLING RATES AND ESTIMATED REIMBURSEMENT FROM MEDICAID, TENNCARE AND OTHER THIRD-PARTY PAYMENT PROGRAMS. CURRENT OPERATIONS INCLUDE A PROVISION FOR BAD DEBTS ESTIMATED BASED UPON THE AGE OF THE PATIENT ACCOUNTS RECEIVABLE, HISTORICAL WRITEOFFS AND RECOVERIES AND ANY UNUSUAL CIRCUMSTANCES (SUCH AS LOCAL, REGIONAL OR NATIONAL ECONOMIC CONDITIONS) WHICH AFFECT THE COLLECTABILITY OF RECEIVABLES, INCLUDING MANAGEMENT'S ASSUMPTIONS ABOUT CONDITIONS IT EXPECTS TO EXIST AND COURSES OF ACTION IT EXPECTS TO TAKE. ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RESULT FROM THE PROVISION OF BADE DEBTS. PATIENT ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PATIENT SERVICE REVENUE IS RECORDED PRIOR TO ASSESSING THE PATIENT'S ABILITY TO PAY AND AS SUCH, THE ESTIMATED PROVISION FOR BAD DEBTS IS RECORDED AS A DEDUCTION FROM PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS.THE HOSPITAL'S POLICY DOES NOT REQUIRE COLLATERAL OR OTHER SECURITY FOR PATIENT ACCOUNTS RECEIVABLE. THE HOSPITAL ROUTINELY ACCEPTS ASSIGNMENT OF, OR IS OTHERWISE ENTITLED TO RECEIVE, PATIENT BENEFITS PAYABLE UNDER HEALTH INSURANCE PROGRAMS, PLANS OR POLICIES."
PART III, LINE 8: A COST-TO-CHARGE RATIO WAS USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS. THE TOTAL OPERATING EXPENSE WAS DIVIDED BY PATIENT REVENUES TO CALCULATE AN OVERALL RATIO THAT WAS THEN APPLIED TO MEDICARE CHARGES TO ARRIVE AT COST.THE SHORTFALL OF $37,598 AS REPORTED IN PART III, LINE 7, SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. ALSO, THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS, AND THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS.
PART III, LINE 9B: UNDER ETCH'S POLICIES AND PROCEDURES, ETCH UNDERTAKES MEASURES TO COMMUNICATE WITH THE FAMILIES OF PATIENTS WITH SELF-PAY BALANCES. IN MANY CASES, ETCH AND FAMILIES WORK TOGETHER TO OBTAIN COVERAGE THROUGH THE STATE OF TENNESSEE'S COVERKIDS PROGRAM. IN CASES WHERE COVERKIDS COVERAGE IS NOT AVAILABLE, ETCH SEEKS TO OBTAIN INFORMATION NECESSARY TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER ETCH'S CHARITY CARE PROGRAM. ONCE A PATIENT'S ELIGIBILITY FOR FREE OR DISCOUNTED CARE HAS BEEN DETERMINED, THE BALANCE ON THE PATIENT'S ACCOUNT IS ADJUSTED ACCORDINGLY. IN ADDITION, ETCH PERSONNEL WORK CLOSELY WITH FAMILIES TO DETERMINE THEIR ABILITY TO PAY THE ADJUSTED BALANCES, SUCH EFFORTS OFTEN RESULT IN PAYMENT PLANS INTENDED TO PERMIT THE GRADUAL PAYMENT OF AMOUNT DUE WITHOUT IMPOSING UNDUE FINANCIAL HARDSHIP ON FAMILIES ALREADY DEALING WITH THE CHALLENGES OF CHILDREN'S HEALTH ISSUES. UNFORTUNATELY, THERE REMAIN CIRCUMSTANCES WHERE PATIENTS CANNOT BE DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE DUE TO THE INACCESSIBILITY OF THE FAMILY, OR THE FAMILY'S INABILITY OR REFUSAL TO PROVIDE THE REQUIRED INFORMATION. IN SUCH CASES, ETCH FOLLOWS AN ESTABLISHED MULTI-STEP PROCESS CONSISTING OF MAILED NOTICES AND PHONE CALLS IN AN EFFORT TO REACH TO FAMILY AND PROVIDE THEM WITH INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE PROGRAM. ETCH'S COLLECTION PRACTICES APPLY TO ALL PATIENTS, CHARITY CARE AND NON-CHARITY CARE PATIENTS. ACCOUNTS ARE SENT TO COLLECTIONS (ETCH CONTRACTS WITH AN ORGANIZATION WITH SUBSTANTIAL EXPERIENCE IN COLLECTION OF PATIENT ACCOUNTS) ONLY AFTER ALL ESTABLISHED STEPS HAVE BEEN UNDERTAKEN, WITHOUT SUCCESS.
PART V, SECTION B, LINE 3: ETCH TOOK INTO ACCOUNT INPUT FROM KEY INFORMANTS, COMMUNITY MEMBERS, AND NOT-FOR-PROFIT ORGANIZATIONS IN ITS CHNA AS WELL AS SECONDARY DATA FROM EXISTING PUBLIC DOCUMENTS AND OTHER PUBLISHED MATERIAL. THE PURPOSE OF THE KEY INFORMANT INTERVIEWS IS TO COLLECT INFORMATION FROM A WIDE RANGE OF PEOPLE, INCLUDING COMMUNITY LEADERS, PROFESSIONALS, AND RESIDENTS WHO HAVE FIRST-HAND KNOWLEDGE ABOUT THE HEALTH OF THE COMMUNITY AND POPULATION SERVED, WHICH IN THIS CASE, IS CHILDREN AND YOUNG ADOLESCENTS. ETCH SOLICITED THE HELP OF THE KNOX COUNTY HEALTH DEPARTMENT ("KCHD") IN IDENTIFYING AND INTERVIEWING KEY INFORMANTS. KATHLEEN C. BROWN, PHD, MPH, CHES, KCHD DIRECTOR OF COMMUNITY ASSESSMENT AND HEALTH PROMOTION, COORDINATED AND SUPERVISED THE KEY INFORMANT INTERVIEWS, WHICH WERE CONDUCTED BY FRAN PISANO, MD, PEDIATRICIAN AND STUDENT IN THE MASTERS OF PUBLIC HEALTH PROGRAM AT THE UNIVERSITY OF TENNESSEE. DR. PISANO CONDUCTED 14 FACE-TO-FACE INTERVIEWS, ONE OF WHICH WAS CONDUCTED WITH A SMALL GROUP OF THREE INDIVIDUALS. A TOTAL OF 16 INDIVIDUALS WERE INTERVIEWED. THE INDIVIDUALS INTERVIEWED INCLUDED REPRESENTATIVES FROM THE KNOX COUNTY SCHOOLS, THE KNOX COUNTY JUVENILE COURT SYSTEM, VARIOUS LOW-INCOME ORGANIZATIONS, ETCH EMERGENCY PHYSICIANS, AND CENTRO HISPANO DE EAST TENNESSEE. IN ORDER TO SUPPLEMENT OTHER SOURCES OF DATA AVAILABLE TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY, ETCH CONDUCTED A COMMUNITY OPINION SURVEY THROUGHOUT EAST TENNESSEE. A WRITTEN SURVEY OF THE GENERAL PUBLIC WAS MAILED TO 500 HOUSEHOLDS WHO PRESENTED THEIR CHILDREN IN ETCH'S EMERGENCY ROOM OCTOBER THROUGH NOVEMBER 2012. SIXTY PERCENT OF THE 500 PATIENTS WHOSE HOUSEHOLDS WERE TARGETED FOR MAILING WERE INSURED THROUGH TENNCARE. TENNCARE IS THE STATE OF TENNESSEE'S MEDICAID PROGRAM. ETCH TARGETED THESE HOUSEHOLDS SPECIFICALLY IN AN EFFORT TO SOLICIT THE OPINION OF LOWER-INCOME HOUSEHOLDS. FOCUS GROUP MEETINGS CONSISTING OF PEDIATRICIANS AND PEDIATRIC SUBSPECIALISTS SERVING IN AND AROUND KNOX COUNTY WERE CONDUCTED ON ETCH'S BEHALF BY AN OUTSIDE THIRD-PARTY. THE PURPOSE OF THESE MEETINGS WAS TO CREATE AN INTERACTIVE SETTING WHERE PARTICIPANTS COULD CONVERSE FREELY WITH OTHER GROUP MEMBERS ABOUT THEIR PERCEPTIONS AND EDUCATED OPINIONS REGARDING THE HEALTH OF THE CHILDREN WITHIN THE COMMUNITY.ADDITIONALLY, ETCH REQUESTED INPUT FROM THE FOLLOWING GROUPS REGARDING THE NEEDS THEY PERCEIVE TO BE THE HEALTH CARE NEEDS OF THE CHILDREN SERVED BY ETCH:- ETCH NURSING MAGNET LEADERSHIP GROUP. - ETCH BOARD OF DIRECTORS. - ETCH FAMILY ADVISORY COUNCIL.	EAST TENNESSEE CHILDREN'S HOSPITAL
PART V, SECTION B, LINE 7: HEALTH NEEDS IDENTIFIED DURING THE CHNA THAT WERE NOT IDENTIFIED AS PRIORITIES BY ETCH INCLUDE: CHILD IMMUNIZATION, TEEN PREGNANCY, TEEN SUBSTANCE ABUSE, AND HANDICAP ACCESS. WHILE ETCH WILL FOCUS THE MAJORITY OF ITS EFFORT ON THE IDENTIFIED PRIORITIES, ALL OF THE NEEDS IDENTIFIED IN THE CHNA WILL BE REVIEWED FOR FUTURE COLLABORATION AND WORK. THESE NON-PRIORITIES, WHILE STILL IMPORTANT TO THE HEALTH OF THE CHILDREN IN THE COMMUNITY, WILL BE MET THROUGH OTHER HEALTH CARE ORGANIZATIONS WITH ASSISTANCE FROM ETCH AS NEEDED. THE COMMUNITY NEEDS NOT ADDRESSED BY ETCH WILL CONTINUE TO BE ADDRESSED BY GOVERNMENTAL AGENCIES AND EXISTING COMMUNITY-BASED ORGANIZATIONS.	EAST TENNESSEE CHILDREN'S HOSPITAL
PART VI, LINE 2: IN COMPLIANCE WITH 501(R)(C) OF THE INTERNAL REVENUE CODE, ETCH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"). USING THE RESULTS OF THE CHNA, ETCH SEEKS TO IMPROVE THE HEALTH OF THE CHILDREN IN THE COMMUNITY BY EMPOWERING PARENTS AND CAREGIVERS WITH INFORMATION, AWARENESS OF POTENTIAL HEALTH ISSUES, AND KNOWLEDGE OF RESOURCES AVAILABLE TO TREAT THE ISSUES. ON APRIL 16, 2013, THE ETCH BOARD OF DIRECTORS APPROVED A PLAN OF ACTION TO ADDRESS THE HEALTH NEEDS IDENTIFIED AS PRIORITIES DURING THE CHNA ALONG WITH A PROJECTED BUDGET TO SUPPORT ETCH EFFORTS.ETCH DID NOT ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY SERVED IN ADDITION TO THE CHNA REPORTED IN PART V, SECTION B AND SUMMARIZED ABOVE.
PART VI, LINE 3: ETCH RECOGNIZES THAT UNEXPECTED MEDICAL PROBLEMS CAN CREATE UNEXPECTED FINANCIAL PROBLEMS. ETCH IS AVAILABLE TO ASSIST PATIENTS' FAMILIES IN FINDING RESOURCES THAT HELP TO COVER MEDICAL EXPENSES. AS INDICATED ABOVE, ETCH WORKS CLOSELY WITH PATIENTS' FAMILIES TO HELP THEM UNDERSTAND AND ENROLL IN MEDICAL ASSISTANCE PROGRAMS AVAILABLE THROUGH THE STATE OF TENNESSEE, AND WHERE APPROPRIATE, FEDERAL PROGRAMS. WHERE SUCH PROGRAMS ARE NOT AVAILABLE, HOWEVER, PATIENTS MAY BE ELIGIBLE FOR FREE OR DISCOUNTED CARE UNDER ETCH'S ESTABLISHED POLICIES AND PROCEDURES. THE AVAILABILITY OF FINANCIAL ASSISTANCE IS PUBLICIZED THROUGHOUT THE ETCH FACILITY AND THROUGH VARIOUS MEASURES, INCLUDING INFORMATION ON ETCH'S WEBSITE AND WRITTEN BROCHURES OR OTHER MATERIALS PROVIDED TO PATIENT'S FAMILIES. INFORMATION (IN BOTH ENGLISH AND SPANISH) IS MADE AVAILABLE AT ALL POINTS OF REGISTRATION (INTAKE AND DISCHARGE) AS WELL AS ON THE ETCH WEBSITE. THE MOST SIGNIFICANT EDUCATION, HOWEVER, OCCURS IN DIRECT DIALOGUE BETWEEN PATIENT FAMILIES AND ETCH'S TRAINED PATIENT ACCOUNT REPRESENTATIVES. ETCH MAKES EXTENSIVE EFFORTS TO PERMIT FACE-TO-FACE DIALOGUE, AS WELL AS COMMUNICATION VIA TELEPHONE AND OTHER MEANS, AS NECESSARY TO ENSURE THAT FAMILIES ARE PROVIDED WITH SUFFICIENT INFORMATION REGARDING FREE OR DISCOUNTED CARE, AS WELL AS THE BILLING AND COLLECTION PROCESS. ALL STAFF WITH PATIENT CONTACT ARE KNOWLEDGEABLE ABOUT THE CHARITY CARE POLICY (ADMITTING AND BILLING CLERKS, NURSING AND MEDICAL STAFF, SOCIAL WORKERS, ETC.).
PART VI, LINE 4: ALTHOUGH ETCH SERVES THE ENTIRE EAST TENNESSEE REGION AS A COMPREHENSIVE REGIONAL PEDIATRIC CENTER, NEARLY HALF OF ETCH'S TOTAL PATIENT VISITS ARE FROM KNOX COUNTY RESIDENTS. CHILDREN RESIDING IN NEIGHBORING BLOUNT AND SEVIER COUNTIES GENERATE THE NEXT HIGHEST PATIENT VISITS. HIGHLIGHTS FROM THE COUNTY STATISTICS PRESENTED IN THE 2012 CHNA INCLUDE THE FOLLOWING: IN GENERAL, THE STATE OF TENNESSEE IS UNHEALTHY COMPARED TO THE UNITED STATES AS A WHOLE; WHEN COMPARED TO THE TENNESSEE AS A WHOLE, BLOUNT, SEVIER, AND KNOX COUNTY, ESPECIALLY, FARE BETTER HEALTH-WISE; LOW BIRTHRATE IS A CONCERN IN EACH OF THE COUNTIES PRESENTED; PHYSICAL INACTIVITY IS A CONCERN, ESPECIALLY IN KNOX AND BLOUNT COUNTIES; AND SEVIER COUNTY HAS A HIGH PERCENTAGE OF CHILDREN IN POVERTY.
PART VI, LINE 5: ETCH'S PHILOSOPHY IS THAT BECAUSE CHILDREN ARE SPECIAL, THEY DESERVE THE BEST POSSIBLE HEALTH CARE GIVEN IN A POSITIVE, CHILD/FAMILY CENTERED ATMOSPHERE OF FRIENDLINESS AND COOPERATION REGARDLESS OF RACE, RELIGION, OR ABILITY TO PAY. ETCH IS COMMITTED TO CARING FOR VULNERABLE POPULATIONS SUCH AS CHILDREN WITH SPECIAL MEDICAL NEEDS, ADVOCATING FOR THE HEALTH AND SAFETY OF CHILDREN AS PART OF THE COMMON GOOD AND EFFECTIVELY STEWARDING COMMUNITY RESOURCES. ETCH OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS, WITHOUT REGARD TO THE ABILITY TO PAY. ETCH USES ANY SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND, OR IMPROVE ITS FACILITIES, AND ADVANCE ITS MEDICAL TRAINING, EDUCATION AND RESEARCH PROGRAMS. ETCH'S BOARD OF DIRECTORS CONSISTS PRIMARILY OF INDIVIDUALS REPRESENTING THE COMMUNITY. ETCH MAINTAINS AN OPEN MEDICAL STAFF, WITH MEMBERSHIP AND PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS AND HEALTHCARE PROFESSIONALS. IN THESE AND OTHER RESPECTS, ETCH IS ORGANIZED AND OPERATED IN A MANNER THAT PROMOTES THE HEALTH OF THE COMMUNITY AND THEREFORE FULFILLS CHARITABLE PURPOSES WITHIN THE MEANING OF INTERNAL REVENUE CODE SECTION 501(C)(3).ADDITIONALLY, PLEASE REFER TO THE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS AS PROVIDED IN SCHEDULE O FOR FURTHER DOCUMENTATION REGARDING ETCH'S COMMITMENT WITHIN ITS COMMUNITY.
PART VI, LINE 6: ETCH IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
TN	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
VARIETY-THE CHILDREN'S CHARITY
7132 REGAL LANE	KNOXVILLE	TN	37918	331025696	501(C)(3)	10000	GENERAL SUPPORT
THE RONALD MCDONALD HOUSE
1705 WEST CLINCH AVENUE	KNOXVILLE	TN	37916	581510276	501(C)(3)	7000	GOLF TOURNAMENT SPONSORSHIP
LEUKEMIA & LYMPHOMA SOCIETY
404 BNA DRIVE BLDG 200 STE 102	NASHVILLE	TN	37217	135644916	501(C)(3)	15000	LIGHT THE NIGHT WALK SPONSORSHIP
FRIENDS OF THE KNOX COUNTY PUBLIC LIBRARY
500 WEST CHURCH AVENUE	KNOXVILLE	TN	37902	237208195	501(C)(3)	7500	KNOX COUNTY IMAGINATION LIBRARY
MARCH OF DIMES FOUNDATION
322 NANCY LYNN LANE	KNOXVILLE	TN	37919	131846366	501(C)(3)	18112	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	4	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	1	SubstantiationRequired
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KEITH D GOODWIN
BOARD MEMBER/ETCH PRES. & CEO	491061	0	108332	0	214766	0	88490	0	5141	0	907790	0	211584	0
RUDOLPH MCKINLEY
VP OPERATIONS	265232	0	58220	0	2773	0	41323	0	1545	0	369093	0	0	0
LAURA PRESTON BARNES
VP/CHIEF NURSING OFFICER	210780	0	46171	0	2131	0	36641	0	1920	0	297643	0	0	0
ZANE D GOODRICH
VP/CHIEF FINANCIAL OFFICER	238151	0	51860	0	1616	0	41013	0	3941	0	336581	0	0	0
BRYAN PABST
VP PTRS IN PEDIATRICS	230594	0	10000	0	845	0	33638	0	6892	0	281969	0	0	0
BRUCE ANDERSON
VP LEGAL SERVICES/CHIEF COUNSEL	214525	0	47132	0	38562	0	29032	0	1439	0	330690	0	34953	0
SUE WILBURN
VP HUMAN RESOURCES	180518	0	40648	0	633	0	27535	0	5738	0	255072	0	0	0
CARLTON LONG
VP DEVELOPMENT/COMMUNITY SRVCS	166494	0	37404	0	728	0	22306	0	4897	0	231829	0	0	0
SUMEET SHARMA MD
PEDIATRIC CARDIOLOGIST	315772	0	311445	0	464	0	41250	0	4236	0	673167	0	0	0
JEFFORY GLENN JENNINGS MD
PEDIATRIC CARDIOLOGIST	298878	0	256478	0	3168	0	70000	0	1120	0	629644	0	0	0
WILLIAM GLAZE VAUGHAN MD
PEDIATRIC SURGEON	456034	0	153949	0	1556	0	0	0	3871	0	615410	0	0	0
CARLOS A ANGEL MD
PEDIATRIC SURGEON	457218	0	90876	0	2054	0	0	0	2687	0	552835	0	0	0
ERIC R JENSEN
PEDIATRIC SURGEON	455116	0	350	0	478	0	0	0	4789	0	460733	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINE 4B	ReturnReference
Explanation	SUPPLEMENTAL NONQUALIFIED EXECUTIVE RETIREMENT PLAN: THE SUPPLEMENTAL EXECUTIVE 457(F) RETIREMENT PLAN IS INTENDED TO SUPPORT RETENTION OF KEY EXECUTIVES AND TO OFFER A COMPETITIVE TOTAL RETIREMENT BENEFIT. THESE BENEFITS ARE PART OF A RETIREMENT PROGRAM THAT PROVIDES RETIREMENT INCOME FOR THE EXECUTIVE'S TOTAL YEARS OF SERVICE WITH THE ORGANIZATION PURSUANT TO A WRITTEN PLAN AGREEMENT AS APPROVED BY INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THESE BENEFITS ARE AT RISK AND WILL NOT BE PAID UNLESS THE EXECUTIVE PROVIDES SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION IN ACCORDANCE WITH A VESTING SCHEDULE. AN ESTIMATE OF THE ANNUAL INCREASE IN ACTUARIAL VALUE IS REPORTED AS DEFERRED COMPENSATION IN PART VII AND IN SCHEDULE J, COLUMN (C) FOR THE APPLICABLE EXECUTIVES. EMPLOYER CONTRIBUTION TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN: KEITH GOODWIN $ 75,990 RUDOLPH MCKINLEY 26,340 BRUCE ANDERSON 21,917 ZANE GOODRICH 25,116 LAURA PRESTON BARNES 21,270 SUE WILBURN 18,459 SUMEET SHARMA 32,000 JEFFORY JENNINGS 60,000 BRYAN PABST 23,762 CARLTON LONG 17,355 EMPLOYER PAYMENT FROM 457(F) PLAN (INCLUDING VESTED EARNINGS ON PREVIOUSLY REPORTED COMPENSATION): KEITH GOODWIN $ 211,584 BRUCE ANDERSON 34,953	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF KNOX COUNTY TENNESSEE	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	621220275	IssuerEIN
CUSIP Number	499523UD8	CUSIPNumber
Date Issued	2003-02-15	DateIssued
Issue Price	50000000	IssuePrice
Description Of Purpose	DEBT SERVICE AND FUTURE CAPITAL PROJECTS	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	49754946	TotalProceeds
Amount In Reserve Fund	3301550	AmountInReserveFund
Refunding Escrow	6489075	RefundingEscrow
Issuance Costs From Proceeds	1965576	IssuanceCostsFromProceeds
Working Capital Expenditures	2727895	WorkingCapitalExpenditures
Capital Expenditures	35270850	CapitalExpenditures
Year Of Subst Completion	2006	YearOfSubstCompletion
Current Refunding	0	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.01000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.01000	TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test	0	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs	1	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	1	Form8038TFiled
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	1	ProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
CHILD NEUROLOGY SERVICES PC
PROVIDER OF MEDICAL SERVICES TO ETCH	448970	CHRISTOPHER A. MILLER, M.D., MEMBER OF THE ETCH BOARD OF DIRECTORS, IS A SHAREHOLDER IN CHILD NEUROLOGY SERVICES, P.C.	0
MARTIN & COMPANY INC
PROVIDER OF FINANCIAL SERVICES TO ETCH	430222	A. DAVID MARTIN, MEMBER OF THE ETCH BOARD OF DIRECTORS, IS THE CHAIRMAN & FOUNDER OF MARTIN & COMPANY, INC.	0
NEUROSURGICAL ASSOCIATES PC
PROVIDER OF MEDICAL SERVICES TO ETCH	329535	LEWIS W. HARRIS, M.D., MEMBER OF THE ETCH BOARD OF DIRECTORS, IS A SHAREHOLDER IN NEUROSURGICAL ASSOCIATES, P.C.	0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	300	NoncashContribsRptdF990
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenues

Food Inventory FoodInventory

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	20	NumberOfContributions
Noncash Contribs Rptd F990	28664	NoncashContribsRptdF990
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	AUCTION ITEMS	55	21266	MARKET VALUE
X	EVENT SUPPLIES	331	227275	MARKET VALUE
X	HOSPITAL SUPPORT	628	241736	MARKET VALUE

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
CONTINUATION OF PROGRAM SERVICE ACCOMPLISHMENTS:	FORM 990, PART III, LINE 4A,	THE CHILDREN'S HOSPITAL REHABILITATION CENTER WAS ESTABLISHED IN 1947 BY A GROUP OF PARENTS WHOSE CHILDREN HAD CEREBRAL PALSY, AND IT HAS BEEN AN ETCH DEPARTMENT SINCE 1995. THE CENTER PROVIDES REHAB EVALUATION AND TREATMENT SERVICES TO INPATIENTS AT ETCH AND THE CENTER, AS WELL AS HOME HEALTH REHAB THROUGH CHILDREN'S HOSPITAL HOME HEALTH CARE. PATIENTS RANGE FROM THOSE WITH MILD DEVELOPMENTAL DELAYS TO MULTIPLE HANDICAPPING CONDITIONS. ALL SERVICES ARE DESIGNED TO HELP CHILDREN REACH THEIR GREATEST INDEPENDENT FUNCTION AND DEVELOPMENTAL POTENTIAL. IN ADDITION TO OUTPATIENT PHYSICAL AND OCCUPATIONAL THERAPY AND SPEECH PATHOLOGY AT THE CENTER, OUTPATIENT SERVICES ALSO INCLUDE THE CHILDREN'S CORNER MEDICAL DAY TREATMENT PROGRAM, NUTRITION, PSYCHOLOGY, SUMMER DAY CAMP, TRANSPORTATION, PARENT TRAINING AND OUTPATIENT CLINICS AT ETCH. THE CENTER ALSO PROVIDES HIGH-RISK FOLLOW-UP AND SEATING CLINICS. THE CHILDREN'S HOSPITAL REHABILITATION CENTER IS A UNITED WAY AGENCY. ETCH ALSO PROVIDES COMPREHENSIVE CONSULTATION, EVALUATION, DIAGNOSTIC SERVICES AND TREATMENT FOR PEDIATRIC PATIENTS WITH ACUTE, CHRONIC AND/OR COMPLEX CONDITIONS THROUGH THE JAMES S. BUSH OUTPATIENT CARE CENTER. SEVERAL CLINICS FOR SPECIFIC CONDITIONS ARE OFFERED INCLUDING CRANIOFACIAL, CYSTIC FIBROSIS, DERMATOLOGY, DIABETES, GYNECOLOGY, HEMATOLOGY/ONCOLOGY, HIGH RISK, INFECTIOUS DISEASES, METABOLIC DISEASES, MULTISPECIALITY, RHEUMATOLOGY, SPECIAL ATTENTION AND SPASTICITY. A CLINIC VISIT MAY INCLUDE TREATMENT AND CONSULTATION WITH PHYSICIANS, NURSES AND STAFF FROM NUTRITION, SOCIAL WORK, CHILD LIFE, REHABILITATION OR RESPIRATORY CARE. ADDITIONAL SERVICES: THE SOCIAL WORK DEPARTMENT AT ETCH HELPS PATIENTS AND THEIR FAMILIES DEAL WITH EMOTIONAL STRESS CAUSED BY ILLNESS, INJURY OR THE HOSPITALIZATION ITSELF. SOCIAL WORK SERVICES INCLUDE INFORMATION AND REFERRAL; SHORT-TERM SUPPORTIVE COUNSELING FOR PATIENTS AND PARENTS; CRISIS INTERVENTION ASSISTANCE; DISCHARGE PLANNING; FINANCIAL ASSISTANCE; INFORMATION ON SUPPORT AND ADVOCACY GROUPS; AND ASSISTANCE WITH CONCRETE NEEDS, INCLUDING RONALD MCDONALD HOUSE REFERRALS. THE DEPARTMENT ALSO COORDINATES TRANSLATION OF MUCH OF THE HOSPITAL'S PRINTED MATERIAL INTO SPANISH TO GIVE THE HISPANIC POPULATION COMMUNICATION ACCESS WHEN MEDICAL SERVICES ARE PROVIDED. SOCIAL WORK ALSO PROVIDES SEVERAL INTERPRETATION SERVICES FOR ETCH. OPTIMAL PHONE INTERPRETERS IS A TELEPHONE SERVICE THAT PROVIDES INTERPRETERS IN MORE THAN 204 LANGUAGES AND DIALECTS. INTERPRETERS CAN BE ARRANGED FOR FACE-TO-FACE INTERACTIONS BETWEEN SPANISH-SPEAKING PATIENTS AND PARENTS AND THE PHYSICIAN AND/OR OTHER HOSPITAL STAFF MEMBER. SIGN LANGUAGE INTERPRETERS ARE ALSO AVAILABLE FOR HEARING IMPAIRED PATIENTS AND FAMILIES. HOSPITALIZATION, MEDICAL PROCEDURES, ILLNESS AND PAIN ARE OFTEN FEARFUL TIMES FOR PEOPLE OF ALL AGES. THE CHILD LIFE DEPARTMENT AT ETCH IS RESPONSIBLE FOR HELPING CHILDREN COPE WITH THEIR HOSPITALIZATION THROUGH EDUCATION, MEDICAL PLAY AND ACTIVITIES. THE CHILD LIFE STAFF ASSESSES THE CHILD'S FEARS AND NEEDS, EXPLAIN PROCEDURES IN LANGUAGE CHILDREN CAN UNDERSTAND AND USE DISTRACTIONS TO MAKE PROCEDURES, SUCH AS THE PLACEMENT OF AN IV LINE, LESS INTIMIDATING. THE CHILD LIFE STAFF MEMBERS HOLD DEGREES IN EDUCATION, CHILD DEVELOPMENT OR THERAPEUTIC RECREATION. THEY HAVE EXPERTISE IN DEALING WITH A CHILD'S CONCERNS AND REACTIONS TO THE HOSPITAL AND HIS OR HER ILLNESS. IN ADDITION TO ITS WORK WITHIN THE HOSPITAL, THE CHILD LIFE DEPARTMENT ALSO COORDINATES SEVERAL ACTIVITIES FOR CHILDREN IN THE COMMUNITY. PASTORAL CARE - CHAPLAINS ARE AVAILABLE 24 HOURS A DAY TO PROVIDE SPIRITUAL AND EMOTIONAL SUPPORT TO PATIENTS, FAMILIES AND STAFF AT ETCH. CHAPLAINS ALSO PROVIDE CONSULTATION CONCERNING ETHICAL ISSUES RELATED TO PATIENT CARE. FOOD AND NUTRITION SERVICES - ETCH'S CAFETERIA IS OPEN DAILY. VENDING MACHINES ON THE GROUND FLOOR NEAR THE DINING ROOM AND IN THE SCOTT M. NISWONGER EMERGENCY DEPARTMENT WAITING AREA PROVIDE SANDWICHES, SNACKS AND BEVERAGES 24 HOURS A DAY. FOR PATIENTS WITH NO DIETARY RESTRICTIONS, FOOD AND NUTRITION SERVICES OFFERS A SELECTIVE MENU OF IN-ROOM MEALS. ALSO, REGISTERED DIETITIANS PROVIDE CLINICAL NUTRITION SERVICES, AND MEDICAL NUTRITION THERAPY IS AVAILABLE TO INPATIENTS AND OUTPATIENTS WHO ATTEND SPECIALTY CLINICS OR WHO HAVE INDIVIDUAL APPOINTMENTS. THESE SERVICES INCLUDE NUTRITION ASSESSMENT, FEEDING RECOMMENDATIONS, INTAKE EVALUATION AND NUTRITION COUNSELING. ETCH'S HEALTHY KIDS PROGRAM IS A COMMUNITY EDUCATION INITIATIVE OF THE COMMUNITY RELATIONS DEPARTMENT. THE PROGRAM SERVES AS AN EDUCATION RESOURCE FOR PARENTS, GRANDPARENTS AND OTHER CARETAKERS BY OFFERING CLASSES, LITERATURE, A QUARTERLY NEWSLETTER AND OTHER OPPORTUNITIES FOR LEARNING HOW TO IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN. ETCH IS THE LEAD ORGANIZATION FOR AN IMPORTANT AREA COALITION: SAFE KIDS OF THE GREATER KNOX AREA. THE MISSION OF THE LOCAL SAFE KIDS COALITION IS TO REDUCE UNINTENTIONAL INJURIES IN CHILDREN UP TO AGE 14 IN THE EAST TENNESSEE REGION BY PROMOTING AWARENESS AND IMPLEMENTING PREVENTION INITIATIVES. THE LOCAL SAFE KIDS IS PART OF SAFE KIDS WORLDWIDE, A NETWORK OF COALITIONS WHOSE PRIMARY PURPOSE IS TO PREVENT UNINTENTIONAL INJURIES IN CHILDREN BY PROVIDING CHILDREN AND ADULTS CARING FOR THEM WITH INFORMATION ABOUT HOW TO STAY SAFE. HOPP IS HEMATOLOGY/ONCOLOGY PATIENTS AND PARENTS, AN OFFICIAL SUPPORT GROUP OF ETCH THAT PROVIDES SUPPORT FOR FAMILIES DEALING WITH A CHILD WITH CANCER. FOR THE YEAR ENDED JUNE 30, 2013 ETCH HAD 40,404 TOTAL INPATIENT DAYS, 168,355 TOTAL OUTPATIENT VISITS AND 72,004 EMERGENCY DEPARTMENT VISITS.
	FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 AND RELATED SCHEDULES ARE PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND THEN SUBMITTED TO THE ETCH VP OF FINANCE FOR INTERNAL REVIEW. A DRAFT FORM IS ALSO PROVIDED TO THE ALL ETCH BOARD OF DIRECTORS MEMBERS PRIOR TO FILING.
	FORM 990, PART VI, SECTION B, LINE 12C	EACH MEMBER OF THE BOARD OF DIRECTORS IS ASKED TO REVIEW THE CONFLICT OF INTEREST POLICY AND PROVIDE DISCLOSURE OF ANY ACTIVITIES WHICH COULD CONSTITUTE A CONFLICT OF INTEREST OR POTENTIAL CONFLICT OF INTEREST ANNUALLY. THESE CONFLICT OF INTEREST DISCLOSURES ARE REVIEWED BY ETCH'S GENERAL COUNSEL TO ASSURE COMPLIANCE. ADDITIONALLY, BOARD MEMBERS ARE ASKED TO RECUSE THEMSELVES ON ANY MATTERS OF INTEREST BEFORE THE BOARD IN WHICH A CONFLICT OF INTEREST MAY EXIST. ANY SUCH RECUSAL IS DOCUMENTED WITHIN THE MINUTES OF THE BOARD OR COMMITTEE.
	FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMMITTEE OF THE ETCH BOARD OF DIRECTORS UTILIZES THE SERVICES OF INDEPENDENT, OUTSIDE COMPENSATION CONSULTANTS TO PROVIDE THE COMMITTEE WITH RELEVANT MARKET DATA FROM STATE AND NATIONAL SALARY SURVEYS FOR COMPARABLE MARKETS. WITH THIS DATA AND THE ADVICE OF OUTSIDE CONSULTANTS, THE ETCH BOARD OF DIRECTORS EXECUTIVE COMMITTEE MAKES RECOMMENDATIONS ON PAY AND BENEFITS FOR THE ETCH PRESIDENT/CEO.
	FORM 990, PART VI, SECTION C, LINE 19	ALL ETCH GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. ADDITIONALLY, FINANCIAL STATEMENTS ARE PROVIDED TO BONDHOLDERS, LOCAL HOSPITALS AND DONORS. THE CONFLICT OF INTEREST POLICY IS POSTED ON ETCH'S INTRANET.
	FORM 990, PART VI, SECTION B, LINE 13, WHISTLEBLOWER POLICY:	THE ORGANIZATION DOES NOT PRESENTLY HAVE A FORMAL WRITTEN WHISTLEBLOWER POLICY; HOWEVER, ETCH DOES HAVE A NON-RETALIATION POLICY. THE ORGANIZATION IS CURRENTLY WORKING TO FORMALIZE A WHISTLEBLOWER POLICY.
	FORM 990, PART VII, SECTION A, COMPENSATION:	KEITH D. GOODWIN, MEMBER OF ETCH'S BOARD OF DIRECTORS, RECEIVED REPORTABLE COMPENSATION AS AN THE PRESIDENT AND CEO OF ETCH. HE DID NOT RECEIVE ANY COMPENSATION FOR SERVING ON THE BOARD OF DIRECTORS.
OTHER FEES	FORM 990, PART IX, LINE 11G	OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 4,224,227. MANAGEMENT AND GENERAL EXPENSES 1,382,614. FUNDRAISING EXPENSES 28,473. TOTAL EXPENSES 5,635,314. MARKETING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 921,422. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 921,422. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 19,283,779. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,283,779. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 664,322. MANAGEMENT AND GENERAL EXPENSES 73,813. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 738,135. RECRUITMENT SERVICES: PROGRAM SERVICE EXPENSES 18,459. MANAGEMENT AND GENERAL EXPENSES 166,125. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 184,584.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 9:	EQUITY IN EARNINGS OF SUBSIDIARY -1,910,656. BOOK/TAX DIFFERENCE FOR PASSTHROUGH INVESTMENT 193,324.

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S PRIMARY CARE CENTER	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 15010	AddressLine1
City	KNOXVILLE	City
State	TN	State
ZIP Code	37901	ZIPCode

Field	Value	IRS element (for citing)
EIN	621573297	EIN
Primary Activity	PEDIATRIC CLINIC HOLDING COMPANY	PrimaryActivity
Legal Domicile State	TN	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	EAST TENNESEE CHILDREN'S HOSPITAL ASSOCIATION INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity
Share Of Total Income	-24824052	ShareOfTotalIncome
Share Of EOY Assets	8237044	ShareOfEOYAssets
Percentage Ownership	1.00000	PercentageOwnership
Controlled Org	0	ControlledOrg

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S PRIMARY CARE CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	R	TransactionType
Amount Involved	4410752	AmountInvolved
Method Of Amt Determination	COST	MethodOfAmtDetermination