EAST TENNESSEE CHILDRENS HOSPITAL ASSOCIATION INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: EAST TENNESSEE CHILDRENS HOSPITAL ASSOCIATION INC (EIN 62-6002604)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-10
IRS object ID: 201131309349301608
Schema version: 2009v1.7
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	2011-05-10T11:04:53-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Pershing Yoakley & Associates P C	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	One Cherokee Mills 2220 Sutherland	AddressLine1
City	Knoxville	City
State	TN	State
ZIP Code	379192363	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	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 GOODRICH	Name
Title	chIEF FINANCIAL OFFICER	Title
Phone	8655418154	Phone
Date Signed	2011-05-10	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	8656730844	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	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	151777442	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
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	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	2063	TotalNbrEmployees
Total Nbr Volunteers	12096	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	5205354	ContributionsGrantsPriorYear
Contributions Grants Current Year	4844759	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	130190693	ProgramServiceRevenuePriorYear
Program Service Revenue CY	143270067	ProgramServiceRevenueCY
Investment Income Prior Year	-1258658	InvestmentIncomePriorYear
Investment Income Current Year	462984	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2052783	OtherRevenuePriorYear
Other Revenue Current Year	1730308	OtherRevenueCurrentYear
Total Revenue Prior Year	136190172	TotalRevenuePriorYear
Total Revenue Current Year	150308118	TotalRevenueCurrentYear
Grants And Similar Amnts CY	23000	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	79071814	SalariesEtcPriorYear
Salaries Etc Current Year	80868252	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	783433	TotalFundrsngExpCurrentYear
Other Expense Prior Year	56409621	OtherExpensePriorYear
Other Expenses Current Year	61234572	OtherExpensesCurrentYear
Total Expenses Prior Year	135481435	TotalExpensesPriorYear
Total Expenses Current Year	142125824	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	708737	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	8182294	RevenuesLessExpensesCY
Total Assets BOY	205423266	TotalAssetsBOY
Total Assets EOY	216274757	TotalAssetsEOY
Total Liabilities BOY	86439028	TotalLiabilitiesBOY
Total Liabilities EOY	86237345	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	118984238	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	130037412	NetAssetsOrFundBalancesEOY
Mission Description	EAST TENNESSEE CHILDREN'S HOSPITAL ("ETCH") WILL IMPROVE THE HEALTH OF CHILDREN THROUGH EXCEPTIONAL COMPREHENSIVE FAMILY-CENTERED CARE, WELLNESS, AND EDUCATION. ETCH BELIEVES BECAUSE CHILDREN ARE SPECIAL, THEY DESERVE THE BEST POSSIBLE HEALTH CARE GIVEN IN A POSITIVE, CHILD/FAMILY CENTERED ATMOSPHERE OF FRIENDLINESS, COOPERATION, AND SUPPORT - REGARDLESS OF RACE, RELIGION, OR ABILITY TO PAY; THEIR MEDICAL NEEDS ARE CLOSELY RELATED TO THEIR EMOTIONAL AND INFORMATIONAL NEEDS; THEREFORE, THE TOTAL CHILD MUST BE CONSIDERED IN TREATING ANY ILLNESS OR INJURY; THEIR HEALTH CARE REQUIRES FAMILY INVOLVEMENT, SPECIAL UNDERSTANDING, SPECIAL EQUIPMENT, AND SPECIALLY TRAINED PERSONNEL WHO RECOGNIZE THAT CHILDREN ARE NOT MINIATURE ADULTS; THEIR HEALTH CARE CAN BEST BE PROVIDED BY A FACILITY WITH A WELL TRAINED MEDICAL AND HOSPITAL STAFF WHOSE ONLY INTERESTS AND CONCERNS ARE WITH THE TOTAL HEALTH AND WELL-BEING OF INFANTS, CHILDREN AND ADOLESCENTS.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	125394076	Expense
Revenue	144417005	Revenue
Description	East Tennessee Children's Hospital ("ETCH") is the only medical center in East Tennessee dedicated exclusively to the care of children. Since 1937, ETCH has provided excellent pediatric health care for children from birth to 21 years of age. ETCH is certified by the state of Tennessee as the only Comprehensive Regional Pediatric Center in East Tennessee. 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 MedicineNeonatologyPediatricsPediatric 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 600 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 MRIs. To meet these needs, ETCH offers PASS on Pain, provided by 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 on Pain 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 childrens' 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, magnetic resonance imaging (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	125394076	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
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
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	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	91	NumberFormsTransmittedWith1096
Number W2 G Included	6	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2063	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
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
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	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	0	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

Form990 Part VII Section A Form990PartVIISectionA (30 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	FormerFormer
Dennis B Ragsdale
Chairman	2.00	X	0	0	0
Jeff Jennings Md
Vice 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
Danni B Varlan
Board member	2.00	X	0	0	0
Debbie J Christiansen Md
Board member	2.00	X	0	0	0
Dawn Ford
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
Board member	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
John Q Buchheit Md
Board member	2.00	X	0	0	0
j laurens tullock
Board member	2.00	X	0	0	0
Keith D Goodwin
Chief Executive Officer	40.00	X	429242	0	42384	X
Rudolph Mckinley
Vp operations	40.00		247360	0	32793	X
laura preston barnes
Vp patient serivces	40.00		179685	0	25361	X
paul c bates
Vp comp & Benefits	40.00		193571	0	15723	X
zane d goodrich
VP Finance	40.00		181922	0	21287	X
Bryan Pabst
VP Ptrs in Pediatrics	40.00		237588	0	6866	X
Bruce Anderson
vp legal services	40.00		200731	0	12349	X
Sue Wilburn
Vp Human Resources	40.00		67470	0	683	X
Joe Childs
vp medical services	40.00		48796	0	6311	X
carmen diez tapiador
Physician	40.00		212467	0	12416		X
alexandra p eidelwein
Physician	40.00		183732	0	11597		X
Laszlo Hopp
Physician	40.00		231509	0	3301		X
Martha Sparrow
Physician	40.00		200439	0	1249		X
Kelly Boggan
Physician	40.00		160103	0	997		X
Robert F Koppel
Former CEO, emeritus	40.00		1743725	0	7665			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4518340	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	200982	TotalOtherCompensation
Number Individuals GT100 K	52	NumberIndividualsGT100K
Formers Listed	1	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
Southeastern Emergency Physicians
1900 North Winston Road	Knoxville	TN	37919	Physician Services	12144877
CHildren's Anesthesiologists PC
2018 W Clinch Avenue	Knoxville	TN	37916	Physician services	7903719
Cardinal Health Pharmacy Division
7000 Cardinal Place	Dublin	OH	43017	Pharmacy Services	4649093
Owens & Minor
3551 Workman Road	knoxville	TN	37950	healthcare services	4052036
Oak RIdge Pediatric CLinic Pc
145 East Vance Road	oak ridge	TN	37830	Physician Services	1947162

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	137	NumberOfContractorsGT100K
Fundraising Events	1083044	FundraisingEvents
All Other Contributions	3761715	AllOtherContributions
Total Contributions	4844759	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient care revenue	623990	141839212	141839212
Other healthcare srvcs	621300	833494	833494
Passthrough revenue	621110	597361	597361

Field	Value	IRS element (for citing)
Total Program Service Revenue	143270067	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	477475	TotalRevenueColumn
Related Or Exempt Function Income	477475	RelatedOrExemptFunctionIncome

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	655200	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	655200	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	655200	TotalRevenueColumn
Related Or Exempt Function Income	655200	RelatedOrExemptFunctionIncome

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	14491	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-14491	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-14491	TotalRevenueColumn
Related Or Exempt Function Income	-14491	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	687020	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	1083044	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	796503	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-109483	TotalRevenueColumn
Exclusion	-$109,483	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	37387	GrossIncomeGaming
Gaming Direct Expenses	8633	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	28754	TotalRevenueColumn
Related Or Exempt Function Income	28754	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	642129	GrossSalesOfInventory
Cost Of Goods Sold	649697	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-7568	TotalRevenueColumn
Exclusion	-$7,568	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Cafeteria Sales	722210	1048818	$1,048,818
Miscellaneous	900099	114587	$114,587

Field	Value	IRS element (for citing)
Total Other Revenue	1163405	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	150308118	TotalRevenueColumn
Related Or Exempt Function Income	144417005	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$1,046,354	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	23000	Total
Program Services	23000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3207932	Total
Program Services	2732708	ProgramServices
Management And General	441284	ManagementAndGeneral
Fundraising	33940	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	58679462	Total
Program Services	49986780	ProgramServices
Management And General	8071960	ManagementAndGeneral
Fundraising	620722	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2741640	Total
Program Services	2364499	ProgramServices
Management And General	377141	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	11330547	Total
Program Services	9771914	ProgramServices
Management And General	1558633	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4908671	Total
Program Services	4233433	ProgramServices
Management And General	675238	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	57103	Total
Management And General	57103	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	100511	Total
Management And General	100511	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	14181084	Total
Program Services	12576446	ProgramServices
Management And General	1598006	ManagementAndGeneral
Fundraising	6632	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2228192	Total
Program Services	2228192	ProgramServices

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	209564	Total
Program Services	101734	ProgramServices
Management And General	103648	ManagementAndGeneral
Fundraising	4182	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	2330554	Total
Program Services	2330554	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	6774715	Total
Program Services	6121483	ProgramServices
Management And General	651500	ManagementAndGeneral
Fundraising	1732	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1302785	Total
Management And General	1302785	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
supplies	22398879	21887241	495017	16621
bad debt	4729975	4729975
equipment rental/mnt	3903212	3865487	37725
Other	1110015	1089318		20697
dues & subscriptions	569559	569559

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1338424	Total
Program Services	781753	ProgramServices
Management And General	477764	ManagementAndGeneral
Fundraising	78907	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	142125824	Total
Program Services	125394076	ProgramServices
Management And General	15948315	ManagementAndGeneral
Fundraising	783433	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	10675112	BOY
EOY	16312244	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	29085461	BOY
EOY	28865135	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	30864458	BOY
EOY	31974486	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2436757	BOY
EOY	2610387	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1859109	BOY
EOY	1972381	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	148705813	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	71684118	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	78528242	BOY
EOY	77021695	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	51690354	BOY
EOY	57256332	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	283773	BOY
EOY	262097	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	205423266	BOY
EOY	216274757	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	17876293	BOY
EOY	17810349	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	45626992	BOY
EOY	44674259	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	22935743	BOY
EOY	23752737	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	86439028	BOY
EOY	86237345	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	101420920	BOY
EOY	112412707	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3754145	BOY
EOY	3608325	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	13809173	BOY
EOY	14016380	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	118984238	BOY
EOY	130037412	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	205423266	BOY
EOY	216274757	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	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	13809173	BeginningOfYearBalance
Contributions	207207	Contributions
End Of Year Balance	14016380	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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	421201	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	8536966	OtherCostOrOtherBasis
Book Value	8958167	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	91141222	OtherCostOrOtherBasis
Depreciation	39036170	Depreciation
Book Value	52105052	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	47496923	OtherCostOrOtherBasis
Depreciation	32647948	Depreciation
Book Value	14848975	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1109501	OtherCostOrOtherBasis
Book Value	1109501	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	77021695	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Investment in subsidiaries	Description
Amount	$23,752,737	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	23752737	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Part X:	Identifier
Return Reference	Description of Uncertain Tax Positions Under FIN 48:	ReturnReference
Explanation	THE AUDIT FOR ETCH AND ITS SUBSIDIARIES IS PREPARED ON A CONSOLIDATED BASIS. EFFECTIVE FOR THE YEAR ENDED JUNE 30, 2010, THE COMPANY IS REQUIRED TO EVALUATE UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FASB PROVISION NO. 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THIS EVALUATION WOULD INCLUDE A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF FOR-PROFIT SUBSIDIARIES. THE ENTITY WAS AUDITED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM THAT DEEMED THAT THE ADOPTION OF FASB 740 DID NOT HAVE A MATERIAL EFFECT ON THE COMPANY'S STATEMENT OF OPERATIONS FOR THE YEAR ENDED JUNE 30, 2010.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	fantasy of trees	NameOfEvent1
Gross Receipts Event1	1439538	GrossReceiptsEvent1
Charitable Contributions Event1	752518	CharitableContributionsEvent1
Gross Revenue Event1	687020	GrossRevenueEvent1
Non Cash Prizes Event1	7500	NonCashPrizesEvent1
Rent Facility Costs Event1	59262	RentFacilityCostsEvent1
Other Direct Expenses Event1	547364	OtherDirectExpensesEvent1
Name Of Event2	Center Stage	NameOfEvent2
Gross Receipts Event2	301550	GrossReceiptsEvent2
Charitable Contributions Event2	301550	CharitableContributionsEvent2
Rent Facility Costs Event2	51454	RentFacilityCostsEvent2
Other Direct Expenses Event2	110799	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	28976	GrossReceiptsOtherEvents
Charitable Contrib Other Events	28976	CharitableContribOtherEvents
Cash Prizes Other Events	1600	CashPrizesOtherEvents
Rent Facility Costs Other Events	8060	RentFacilityCostsOtherEvents
Other Direct Expenses Other Events	10464	OtherDirectExpensesOtherEvents
Gross Receipts Total	1770064	GrossReceiptsTotal
Charitable Contributions Total	1083044	CharitableContributionsTotal
Gross Revenue Total Events	687020	GrossRevenueTotalEvents
Cash Prizes Total Events	1600	CashPrizesTotalEvents
Non Cash Prizes Total Events	7500	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	118776	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	668627	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	796503	DirectExpenseSummaryEvents
Net Income Summary	-109483	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	37387	GrossRevenueOtherGaming
Non Cash Prizes Other Gaming	7500	NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming	1133	OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming	1	VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming	1.00000	VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming	37387	GrossRevenueTotalGaming
Non Cash Prizes Total Gaming	7500	NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming	1133	OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming	8633	DirectExpenseSummaryGaming
Net Gaming Income Summary	28754	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 voluteers 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	28755	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)
Persons Served	89660	PersonsServed
Total Community Benefit Expense	316976	TotalCommunityBenefitExpense
Direct Offsetting Revenue	29453	DirectOffsettingRevenue
Net Community Benefit Expense	287523	NetCommunityBenefitExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	79940928	TotalCommunityBenefitExpense
Direct Offsetting Revenue	66078432	DirectOffsettingRevenue
Net Community Benefit Expense	13862496	NetCommunityBenefitExpense
Percent Of Total Expense	0.10090	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	89660	PersonsServed
Total Community Benefit Expense	80257904	TotalCommunityBenefitExpense
Direct Offsetting Revenue	66107885	DirectOffsettingRevenue
Net Community Benefit Expense	14150019	NetCommunityBenefitExpense
Percent Of Total Expense	0.10300	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	287523	TotalCommunityBenefitExpense
Net Community Benefit Expense	287523	NetCommunityBenefitExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	9823	PersonsServed
Total Community Benefit Expense	776314	TotalCommunityBenefitExpense
Direct Offsetting Revenue	20466	DirectOffsettingRevenue
Net Community Benefit Expense	755848	NetCommunityBenefitExpense
Percent Of Total Expense	0.00550	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	54080	TotalCommunityBenefitExpense
Net Community Benefit Expense	54080	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	95296	PersonsServed
Total Community Benefit Expense	312013	TotalCommunityBenefitExpense
Net Community Benefit Expense	312013	NetCommunityBenefitExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	105119	PersonsServed
Total Community Benefit Expense	1429930	TotalCommunityBenefitExpense
Direct Offsetting Revenue	20466	DirectOffsettingRevenue
Net Community Benefit Expense	1409464	NetCommunityBenefitExpense
Percent Of Total Expense	0.01030	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	194779	PersonsServed
Total Community Benefit Expense	81687834	TotalCommunityBenefitExpense
Direct Offsetting Revenue	66128351	DirectOffsettingRevenue
Net Community Benefit Expense	15559483	NetCommunityBenefitExpense
Percent Of Total Expense	0.11330	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Persons Served	2456	PersonsServed
Total Community Building Expense	112238	TotalCommunityBuildingExpense
Direct Offsetting Revenue	955	DirectOffsettingRevenue
Net Community Building Expense	111283	NetCommunityBuildingExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	2456	PersonsServed
Total Community Building Expense	112238	TotalCommunityBuildingExpense
Direct Offsetting Revenue	955	DirectOffsettingRevenue
Net Community Building Expense	111283	NetCommunityBuildingExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$1,858,880	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	15021	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	42928	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-27907	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	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

Form990 Schedule H Part V Form990ScheduleHPartV

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 VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Costing Method Used	Part I, Line 7: Cost is derived from the actual expense data accumulated within the ETCH general ledger which addresses all patient segments including inpatient, outpatient, emergency room, commercial insurance, government insurance, uninsured and self-pay. A cost-to-charge ratio was used to determine charity care. 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.	CostingMethodUsed
Percent Of Total Expense Expln	Part I, Line 7f: Bad debt expense of $4,729,975 is included in total expenses on Form 990, Part IX, line 25, column (a), but excluded in calculating the percent of total expenses reported in column (f), on part I, line 7.	PercentOfTotalExpenseExpln
Bad Debt Footnote	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: "Net patient service revenue is reported on the accrual basis in the period in which services are provided at the estimated net realizable amounts, including estimated retroactive adjustments under reimbursement agreements with certain third-party payors. Retroactive adjustments are accrued on an estimated basis in the period the related services are rendered and adjusted in future periods as final settlements are determined.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 are charged with an estimate provision for bad debts based upon historical experience, aging of receivables and any unusual circumstances which affect the collectability of receivables. 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. Receipts form the state of tennessee under the tenncare essential access, disproportionate share and trauma care programs are recognized as net patient service revenue when such amounts can be reasonably estimated.the hospital provides care, without charge, to patients who meet criteria under its charity care policy. because the hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue."	BadDebtFootnote
Shortfall As Community Benefit	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 $27,907 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.	ShortfallAsCommunityBenefit
Debt Collection Policy	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.	DebtCollectionPolicy
Needs Assessment	Part VI, Line 2: Currently, the organization relies on assessment data gathered from the State of Tennessee, Knox County and other resources to assess the needs of the community. ETCH does not formally assess the health care needs of the community it serves but is working to develop a formal community needs assessment that will be performed regularly, collaborating with local agencies, schools and community groups. ETCH is planning to partner with the University of Tennessee School of Social Work to examine the pediatric healthcare needs of Eastern Tennessee and the surrounding areas. The results will help to determine both short-term and long-term priorities as well as strategies for improving pediatric health.	NeedsAssessment
Patient Education Assistance	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.).	PatientEducationAssistance
Community Information	Part VI, Line 4: ETCH is certified by the state of Tennessee as the only Comprehensive Regional Pediatric Center in East Tennessee. 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. ETCH's primary service area includes: Knox, Blount, Sevier, Cocke, Jefferson, Hamblen, Grainger, union, claiborne, anderson, campbell, scott, morgan, roane, loudon, and monroe counties. Fentress, cumberland, rhea, meigs, mcminn, hancock, hawkins, greene, washington and sullivan counties comprise ETCH's secondary service area. ETCH is accredited by the joint commission on accreditation of healthcare organizations. ETCH is a member of CHildren's hospital alliance of Tennessee, hospital alliance of tennessee, the national association of children's hospitals & related institutions, and tennessee hospital association.	CommunityInformation
Community Building Activities	Part VI, Line 5: ETCH provides numerous benefits to the community it serves:1. An open-door policy. This is our most important benefit, as stated in our Statement of Philosophy. We offer medical services to all children, regardless of their parents' ability to pay. Not only that, but our Scott M. Niswonger Emergency Department is open 24 hours a day, meaning the door is always open!2. A dedicated pediatric facility. ETCH treats patients from birth through age 21. We offer 28 pediatric subspecialties and a full complement of pediatric medical and surgical services. This means families seldom need to travel to Nashville, Atlanta or even farther to receive specialized care for their children.3. Healthy Kids Community Education Program. The Healthy Kids program features parenting classes and newsletters on a variety of topics ranging from safety to development to health. Classes are primarily for parents, grandparents and guardians, but some are also designed for teens (such as the Safe Sitter babysitting course) and children. Most classes are free; if a fee is charged, it is only to cover the cost of purchased materials. Healthy Kids Newsletters are provided free to area schools and child care centers as well as to parents and caregivers.4. Community involvement. As an advocate for children, ETCH provides staff, volunteers, in-kind services (such as meeting space) and/or financial support to many community organizations whose goals are to improve the lives of children, including American Cancer Society, CoverKids, CureFinders, Cystic Fibrosis Foundation, Down Syndrome Awareness Group, Dream Connection, Girls on the Run, Juvenile Diabetes Research Foundation, Knox County Health Department, Knox County Schools' Partners in Education, Knoxville Area Pregnancy Prevention Initiative, Knoxville Police Department's Safety City, Knoxville Police Department's Think Fast Alcohol Awareness Program, Leukemia and Lymphoma Society, March of Dimes, a secret safe place for newborns of Tennessee, inc., Montgomery Village, Smoke-Free Knoxville, TENNder Care Coalition and United Way. In addition, ETCH is the lead organization for Safe Kids of the Greater Knox Area, a local chapter of this international non-profit dedicated to preventing unintentional injury in children ages 14 and under. ETCH is also a participating medical facility that will accept surrenders of newborns under the Safe Haven law, which allows mothers of newborns to surrender unharmed babies to designated medical facilities within 72 hours of the baby's birth, without fear of prosecution. 5. Partners in Education. ETCH participates in the Knox County School System's Partners in Education program. Our "adopted" schools are Karns Elementary School, Cedar Bluff Intermediate School and Fort Sanders Educational Development Center. Each school year, ETCH conducts programs for the students at each school and provides special treats for their teachers. We also provide the students an opportunity to create artwork to hang on the hospital's walls or at our affiliate sites or to be used in our publications and on our Web site. 6. Hello Hospital. The Child Life Department at ETCH and dozens of volunteers provide this free program to kindergarten classes in all Knox County elementary schools. "Hello Hospital" is designed to teach young children about what it is like to visit a hospital and ease some of their fears about the experience.7. The ETCH Web site. The ETCH Web site provides free access to a wide range of information regarding kids and their health, including thousands of pediatric health articles and "virtual visits," which help to teach kids (and their parents) about what to expect when they visit the hospital for a test, admission or surgery.8. Professional education. ETCH supports health care education by offering student internships, externships, nursing scholarships and training programs for student nurses, pre-med students, social work students, child development specialists and others pursuing health care as a career. Also, ETCH works jointly with the University of Tennessee Medical Center and University of Tennessee Medical School to provide medical school rotations in family practice and other specialties at our facility. ETCH also is the pediatric clinical training site for student nurses, respiratory therapists, radiology students and students in other health care disciplines. Furthermore, ETCH is an accredited Continuing Medical Education provider in Tennessee. As a CME provider, ETCH conducts and sponsors relevant CME programs for physicians and nurse practitioners who treat children. 9. Community events. ETCH takes part in a variety of health fairs at local schools and community events to provide health education to the public. At these events we provide free brochures and information sheets on many health topics.10. Summer camps. ETCH sponsors camps for a number of our patients with special medical needs who might be unable to attend a traditional camp. The camps for our hematology/oncology, diabetes and Rehab Center patients are staffed with health care professionals who provide supervision and needed medical care during the camping experience.	CommunityBuildingActivities
Other Information	Part VI, Line 6: 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.	OtherInformation
Affiliated Health Care System	Part VI, Line 7: ETCH is not part of an affiliated health care system.	AffiliatedHealthCareSystem
Reports Filed With States	TN	ReportsFiledWithStates

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
Tennessee Emergency Medical Services for Children
2200 childrens way	nashville	TN	37232	202802786	501(c)(3)	5000	donation
March of Dimes foundation
1275 mamaroneck avenue	white plains	NY	10605	131846366	501(c)(3)	3000	donation
University of Tennessee
600 andy holt tower	knoxville	TN	37996		501(c)(3)	5000	2009 nursing nighting gala sponsor
University HEalth Systems
1520 cherokee trail	knoxville	TN	37920	311626179	501(c)(3)	5000	an evening in orange sponsor
Variety of Eastern Tennessee
7132 Regal Lane	Knoxville	TN	37918	331025695	501(c)(3)	5000	Kenny CHesney event sponsor

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	5	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)
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
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)

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
428508	0	0	0	734	0	37482	0	4902	0	471626	0	0	0
Rudolph Mckinley
246626	0	0	0	734	0	31130	0	1663	0	280153	0	0	0
laura preston barnes
178251	0	700	0	734	0	23609	0	1752	0	205046	0	0	0
paul c bates
163557	0	29436	0	578	0	12551	0	3172	0	209294	0	0	0
zane d goodrich
181529	0	0	0	393	0	17800	0	3487	0	203209	0	0	0
Bryan Pabst
201975	0	35357	0	256	0	0	0	6866	0	244454	0	0	0
Bruce Anderson
198683	0	0	0	2048	0	11019	0	1330	0	213080	0	0	0
carmen diez tapiador
116676	0	95642	0	149	0	9076	0	3340	0	224883	0	0	0
alexandra p eidelwein
183578	0	0	0	154	0	7906	0	3691	0	195329	0	0	0
Laszlo Hopp
204294	0	26620	0	595	0	0	0	3301	0	234810	0	0	0
Martha Sparrow
165396	0	34329	0	714	0	0	0	1249	0	201688	0	0	0
Kelly Boggan
129502	0	29399	0	1202	0	0	0	997	0	161100	0	0	0
Robert F Koppel
139491	0	1603747	0	487	0	6106	0	1559	0	1751390	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Line 1a	Housing allowance or residence for personal use: In some cases an employment contract may provide for a temporary housing allowance. All such contracts are in writing and a real estate agent is consulted as to the appropriate allowance amount. At this time ETCH has one such contract.
Part I, Line 4a	Supplemental nonqualified plan Keith Goodwin $28,147 Rudolph McKinley 16,124 Bruce Anderson 8,865 Zane Goodrich 5,845 Laura Preston Barnes 11,936
Part III	Part II, Column (B)(ii), Robert F. Koppel: THE MAJORITY OF MR. KOPPEL'S COMPENSATION RELATES TO A PAYOUT OF DEFERRED COMPENSATION. MR. KOPPEL RETIRED FROM HIS POSITION AS CHIEF EXECUTIVE OFFICER OF ETCH AFTER SERVING 31 YEARS.	Supplemental Information
Part III	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. No payments of benefits occurred during the current year. 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.	Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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	2006-02-15	DateIssued
Issue Price	50000000	IssuePrice
Description Of Purpose	DEBT SERVICE AND FUTURE CAPITAL PROJECTS	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	49754946	TotalProceeds
Amount In Reserve Fund	3301550	AmountInReserveFund
Amount Defeased	6489075	AmountDefeased
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)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Bond Counsel Routinely Engaged	0	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.01000	PrcntgePrvtBusinessUseByOthers
Total Private Business Use	0.01000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
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
Exception To Rebate	0	ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
CHild Neurology services PC
Provider of medical services to ETCH	420605	CHRISTOPHER 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	155378	DAVID MARTIN, member of the etch board of directors, IS THE PRESIDENT OF MARTIN & COMPANY, INC.	0
neurosurgical associates pc
provider or medical services to etch	330510	LEWIS HARRIS, M.D., member of the etch board of directors, IS A SHAREHOLDER IN NEUROSURGICAL ASSOCIATES, P.C.	0
KNoxville Pediatric Cardiology PC
provider or medical services to etch	738988	Jeff Jennings, M.d. is a shareholder in knoxville pediatric cardiology, P.C., which provides medical services to ETCH.	0

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	gala auction items	107	40056	property selling price
X	Food/misc. support items	121	299876	market value

Field	Value	IRS element (for citing)
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 (8 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, Part VI, Section B, line 11	The 2009 Form 990 and the related schedules are prepared by an unrelated, independent accounting firm and then submitted to the ETCH CFO for internal review. A draft is also provided to the ETCH board of directors finance committee for review. The CFO is available to answer any questions received from the board and address any significant disclosures within the Form 990 and related schedules 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. These conflict of interest disclosures are reviewed by ETCH's general counsel to assure compliance with this policy. 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 15a	The executive committee of the ETCH board of directors reviews and approves the compensation of the CEO. State and national comparability data is used to assist in determining appropriate compensation. While such review process was not in place for other officers and key employees of as June 30, 2010, the organization is planning to establish a review and approval process going forward.
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 and the conflict of interest policy is posted on ETCH's intranet.
Form 990, Part IX, Line 2c	THe process the audit committee uses to oversee the audit has not changed from the prior year.
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, 2010 ETCH had 36,571 total inpatient days, 175,664 total outpatient visits and 72,031 emergency department visits.	Continuation of program service accomplishments
FOrm 990, Part Vi, Section B, Line 13:	the organization does not presently have a formal written whistle blower policy; however, ETCH does have a non-retaliation policy. The organization is currently working to formalize a whistle blower policy.	Whistle Blower Policy
FOrm 990, Part VII	Bryan Pabst, Martha Sparrow and Kelly Boggan are employed and receive a Form W-2 from ETCH. However, compensation for these individuals is reimbursed by another organization.	Reimbursed compensation

Schedule R IRS990ScheduleR

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Children's West Surgery Center LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1020 CHildrens Way	AddressLine1
City	Knoxville	City
State	TN	State
ZIP Code	37922	ZIPCode

Field	Value	IRS element (for citing)
EIN	621872553	EIN
Primary Activity	Medical Surgery Center	PrimaryActivity
Legal Domicile State	TN	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Predominant Income Type	related	PredominantIncomeType
Share Of Total Income	597361	ShareOfTotalIncome
Share Of EOY Assets	831388	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	0	GeneralOrManagingPartner

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 NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity
Share Of Total Income	22735223	ShareOfTotalIncome
Share Of EOY Assets	5203794	ShareOfEOYAssets
Percentage Ownership	1.00000	PercentageOwnership

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
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	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	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	D	TransactionType
Amount Involved	1131130	AmountInvolved