ERLANGER HEALTH: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: ERLANGER HEALTH (EIN 88-3616696)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-15
IRS object ID: 202601359349310545
Schema version: 2024v5.5
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 C
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)
Return	2026-05-15T14:13:32-05:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	420714325	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	RSM US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	30 SOUTH WACKER DR SUITE 3300	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606063392	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	883616696	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERLANGER HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ERLA	BusinessNameControlTxt
Phone	4237787000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	975 EAST THIRD STREET	AddressLine1Txt
City	CHATTANOOGA	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	374032163	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEPHANIE GARY	PersonNm
Person Title	EVP AND CFO	PersonTitleTxt
Phone	4237787000	PhoneNum
Signature	2026-05-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	REBEKUH ELEY	PreparerPersonNm
PTIN	P01247672	PTIN
Phone	3126343400	PhoneNum
Preparation	2026-05-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	STEPHANIE GARY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	975 EAST THIRD STREET	AddressLine1Txt
City	CHATTANOOGA	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	374032163	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,114,399,030	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ERLANGER.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2022	FormationYr
Legal Domicile State	TN	LegalDomicileStateCd
Activity Or Mission	TO BE A CENTER OF EXCELLENCE IN PROVIDING HIGH-QUALITY HEALTH CARE.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	8319	TotalEmployeeCnt
Total Volunteers	701	TotalVolunteersCnt
Total Gross UBI	$5,467	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$13,039,035	PYContributionsGrantsAmt
CY Contributions Grants	$12,810,820	CYContributionsGrantsAmt
PY Program Service Revenue	$1,285,493,925	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,587,595,940	CYProgramServiceRevenueAmt
PY Investment Income	$8,932,139	PYInvestmentIncomeAmt
CY Investment Income	$19,020,011	CYInvestmentIncomeAmt
PY Other Revenue	$5,404,270	PYOtherRevenueAmt
CY Other Revenue	$4,229,166	CYOtherRevenueAmt
PY Total Revenue	$1,312,869,369	PYTotalRevenueAmt
CY Total Revenue	$1,623,655,937	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$31,745	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$635,042,774	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$750,365,278	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,596,108	CYTotalFundraisingExpenseAmt
PY Other Expenses	$613,118,202	PYOtherExpensesAmt
CY Other Expenses	$796,419,503	CYOtherExpensesAmt
PY Total Expenses	$1,248,160,976	PYTotalExpensesAmt
CY Total Expenses	$1,546,816,526	CYTotalExpensesAmt
PY Revenues Less Expenses	$64,708,393	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$76,839,411	CYRevenuesLessExpensesAmt
Total Assets BOY	$996,962,018	TotalAssetsBOYAmt
Total Assets EOY	$1,307,876,311	TotalAssetsEOYAmt
Total Liabilities BOY	$525,057,428	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$750,092,152	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$471,904,590	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$557,784,159	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE COMPASSIONATELY CARE FOR PEOPLE.	MissionDesc
Significant New Program Srvc	Yes (1)	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,188,784,914	ExpenseAmt
Grant	$31,745	GrantAmt
Revenue	$1,587,595,940	RevenueAmt
Desc	ERLANGER HEALTH IS A TENNESSEE NON-PROFIT, PUBLIC BENEFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAXES AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. ERLANGER HEALTH AND ITS AFFILIATES OWN AND OPERATE HOSPITALS AND OTHER HEALTH CARE FACILITIES KNOWN AS ERLANGER HEALTH (THE "HEALTH SYSTEM OR "ERLANGER") LOCATED PRIMARILY IN AND NEAR THE CITY OF CHATTANOOGA, TENNESSEE (THE "HOSPITAL FACILITIES"). PRIOR TO JULY 1, 2023, THE HOSPITAL FACILITIES WERE OWNED AND OPERATED BY THE CHATTANOOGA-HAMILTON COUNTY HOSPITAL AUTHORITY. ON JULY 1, 2023, THE HOSPITAL AUTHORITY TRANSFERRED THE HOSPITAL FACILITIES TO THE ERLANGER PURSUANT TO A MISSION AGREEMENT DATED AUGUST 29, 2022 AMONG THE HOSPITAL AUTHORITY, ERLANGER AND HAMILTON COUNTY, TENNESSEE. FOUNDED IN 1889 BY FRENCH NOBLEMAN, BARON FREDERIC EMILE D'ERLANGER, THE HOSPITAL OPENED IN 1899 WITH 72 BEDS. SOON AFTER OPENING, ERLANGER FORMED ONE OF THE STATE'S FIRST NURSING SCHOOLS AND DEVELOPED A PARTNERSHIP WITH CHATTANOOGA MEDICAL COLLEGE, NOW THE UNIVERSITY OF TENNESSEE AT CHATTANOOGA.ERLANGER CONTINUES ITS COMMITMENT TO EXCELLENCE AS AN ACADEMIC MEDICAL CENTER AND PASSION FOR ADVANCING MEDICAL EDUCATION THROUGH A 50 YEAR PARTNERSHIP WITH THE UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER COLLEGE OF MEDICINE CHATTANOOGA.THE HEALTH SYSTEM IS THE LARGEST HEALTHCARE PROVIDER IN SOUTHEAST TENNESSEE, TREATING MORE THAN 1,000,000 PEOPLE ANNUALLY. ERLANGER HEALTH EMPLOYS OVER 6,800 PEOPLE IN ORDER TO OPERATE A TOTAL OF 930 LICENSED BEDS. MORE THAN 700 VOLUNTEERS PROVIDE OVER 100,000 HOURS OF TIME TO THE HEALTH SYSTEM. THE HEALTH SYSTEM INCLUDES 6 HOSPITAL FACILITIES AND 28 PRIMARY CARE LOCATIONS TO PROVIDE A NUMBER OF SPECIALIZED CLINICAL SERVICES SUCH AS LEVEL I ADULT AND PEDIATRIC TRAUMA, LEVEL IV NEONATOLOGY SERVICES, KIDNEY TRANSPLANTATION, HEPATOBILIARY CANCER TREATMENT, THE COMPREHENSIVE STROKE CENTER OF EXCELLENCE, THE ORTHOPEDIC CENTER OF EXCELLENCE, A REGIONAL CANCER UNIT, OPEN-HEART SURGERY AND NEUROSURGERY, AS WELL AS A FULL-SERVICE CHILDREN'S HOSPITAL, ALL OF WHICH ARE SUPPORTED BY SIX "LIFE FORCE" AIR AMBULANCES COVERING A 100-MILE RADIUS AROUND CHATTANOOGA, TENNESSEE. ERLANGER HAS A MEDICAL STAFF CONSISTING OF ADULT AND PEDIATRIC SUBSPECIALTY PHYSICIANS AND A LARGE PRIMARY CARE NETWORK COVERING THE ERLANGER REGION. THE MEDICAL STAFF CONSISTS OF EMPLOYED PHYSICIANS AND PRIVATE ATTENDING PHYSICIANS, MANY OF WHOM HAVE FACULTY APPOINTMENTS WITH UTHSC COLLEGE OF MEDICINE CHATTANOOGA. THE MAJORITY OF SPECIALISTS ARE LOCATED ON ONE OF THE CHATTANOOGA CAMPUSES.ERLANGER HEALTH IS THE REGION'S ONLY SAFETY NET HOSPITAL PROVIDING MEDICALLY NECESSARY HEALTHCARE TO ALL INDIVIDUALS, WHERE NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES REGARDLESS OF THE ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS. AT ERLANGER, DIVERSITY IS AN INDISPENSABLE COMPONENT OF HEALTHCARE EXCELLENCE. A COMMITMENT TO DIVERSITY MEANS A COMMITMENT TO THE INCLUSION, WELCOME, AND SUPPORT OF INDIVIDUALS FROM ALL GROUPS, ENCOMPASSING THE VARIOUS CHARACTERISTICS OF PERSONS IN OUR EMPLOYMENT AND COMMUNITY. THESE CHARACTERISTICS INCLUDE RACE, ETHNICITY, NATURAL ORIGIN, GENDER, AGE, SOCIOECONOMIC BACKGROUND, RELIGION, SEXUAL ORIENTATION, AND DISABILITY. AS WE EMBRACE THE POWER OF DIVERSITY, WE WILL PROVIDE OUR STAFF, VISITORS, PATIENTS, AND COMMUNITY WITH AN EXPERIENCE RICH IN OPPORTUNITIES AND PERSPECTIVES TO LEARN FROM EACH OTHER. THROUGH OUR EMPLOYEES, PHYSICIANS, AND CLINICIANS OUR HOSPITAL IS A WELCOMING PLACE FOR ALL AS WE EMBRACE THE POWER OF DIVERSITY. AT ERLANGER HEALTH, OUR VALUES DEFINE WHO WE ARE AND HOW WE ACT AS STAKEHOLDERS, INDIVIDUALLY AND COLLECTIVELY. WE BELIEVE VALUES IN ACTION CREATE THE CULTURE WE DESIRE: EXCELLENCE, RESPECT, LEADERSHIP, ACCOUNTABILITY, NURTURING, GENEROSITY, ETHICS, RECOGNITION. OUR VALUES REPRESENT WHO WE ARE, WHAT WE DO AND OUR ASPIRATIONS FOR THE FUTURE.FORM 990, PART III, LINE 4A, CONTINUATION:ERLANGER HONORS AND AWARDSCHILDREN'S HOSPITAL AT ERLANGER WAS RECOGNIZED FOR THE 2024 CYSTIC FIBROSIS FOUNDATION OUTSTANDING CARE CENTER PARTNER AWARD.ERLANGER EAST RECEIVED THE MOTHERS' MILK BANK OF TENNESSEE FIRST PLACE AWARD FOR 2025 DONATIONS. CHILDREN'S HOSPITAL AT ERLANGER RECEIVED THE MOTHERS' MILK BANK OF TENNESSEE SECOND PLACE AWARD FOR 2025 DONATIONS.ERLANGER BARONESS HOSPITAL AND ERLANGER EAST HOSPITAL RECEIVED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES - STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD FOR THEIR COMMITMENT TO ENSURING STROKE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED, RESEARCH-BASED GUIDELINES. ERLANGER BARONESS HOSPITAL RECEIVED THE AMERICAN HEART ASSOCIATION'S TARGET: STROKE ELITE PLUS AWARD BY MEETING SPECIFIC CRITERIA THAT REDUCE THE TIME BETWEEN AN ELIGIBLE PATIENT'S ARRIVAL AT THE HOSPITAL AND TREATMENT WITH THROMBOLYTIC THERAPY.ERLANGER BARONESS HOSPITAL RECEIVED THE AMERICAN HEART ASSOCIATION'S TARGET: STROKE HONOR ROLL ADVANCED THERAPY AWARD BY MEETING SPECIFIC CRITERIA THAT REDUCE THE TIME BETWEEN AN ELIGIBLE PATIENT'S ARRIVAL AT THE HOSPITAL AND TREATMENT TO REMOVE THE CLOT CAUSING THE STROKE.ERLANGER EAST HOSPITAL RECEIVED THE AMERICAN HEART ASSOCIATION'S TARGET: STROKE HONOR ROLL ELITE AWARD BY MEETING SPECIFIC CRITERIA THAT REDUCE THE TIME BETWEEN AN ELIGIBLE PATIENT'S ARRIVAL AT THE HOSPITAL AND TREATMENT WITH THROMBOLYTIC THERAPY.ERLANGER HEALTH WAS NAMED BEST HOSPITAL, BEST EMERGENCY ROOM, BEST GENERAL PRACTICE DOCTOR (BRENT CAMPELL), BEST URGENT CARE, AND BEST PLACE TO HAVE A BABY (ERLANGER EAST) IN THE 2025 CHATTANOOGA TIMES FREE PRESS BEST OF THE BEST READERS' CHOICE AWARDS. THE WIN FOR BEST PLACE TO HAVE A BABY WAS THE EIGHTEENTH CONSECUTIVE YEAR. THE TENNESSEE DEPARTMENT OF DISABILITY AND AGING CHOSE ERLANGER AS A 2024 TENNESSEE EMPLOYMENT FIRST INCLUSIVE EMPLOYER AWARD RECIPIENT FOR ITS INVOLVEMENT WITH THE PROGRAM, PROJECT SEARCH. THIS AWARD IS GIVEN TO BUSINESSES WHO ARE "DEDICATED TO THE RECRUITMENT, HIRING, ADVANCEMENT AND RETENTION OF PEOPLE WITH DISABILITIES." ERLANGER LIFE FORCE AWARDED FLIGHT PROGRAM OF THE YEAR BY THE ASSOCIATION OF AIR MEDICAL SERVICES. JESSICA HOLLADAY, VICE PRESIDENT AND ASSISTANT CHIEF NURSING OFFICER, SURGICAL AND TRAUMA SERVICES AT ERLANGER RECEIVED THE 2024 THA NURSE LEADER OF DISTINCTION AWARD.ERLANGER REGISTERED NURSE, GARY HUIE, RECEIVED THE 2025 THA CLINICAL NURSE OF DISTINCTION AWARD. EILEEN SHRUM, DIRECTOR OF PATIENT SAFETY AND QUALITY AT ERLANGER HEALTH, WAS THE WINNER OF THE THA PATIENT SAFETY LEADERSHIP AWARD.ERLANGER SUPPLY CHAIN WAS RECOGNIZED BY HEALTHCARE SUPPLY CHAIN LEADER, GLOBAL HEALTHCARE EXCHANGE (GHX), AS A RECIPIENT OF THE 2025 SUPPLY CHAINS OF DISTINCTION AWARD HONORING TOP PERFORMING MEDIUM SIZE HOSPITALS AND HEALTH SYSTEMS IN NORTH AMERICA THAT HAVE DEMONSTRATED EXCEPTIONAL COMMITMENT TO SUPPLY CHAIN EXCELLENCE, INNOVATION, AND RESILIENCE.ERLANGER HEALTH SYSTEM WAS HONORED WITH THE 2025 TENNESSEE BOARD OF REGENTS (TBR) EXCELLENCE IN PHILANTHROPY AWARD BY CHATTANOOGA STATE COMMUNITY COLLEGE FOR CONTRIBUTING OVER $1.75 MILLION AND DEMONSTRATING EXCEPTIONAL LEADERSHIP IN SUPPORTING STUDENT SUCCESS AND EDUCATIONAL INITIATIVES. THIS PRESTIGIOUS AWARD RECOGNIZES PARTNERS FOR OUTSTANDING CONTRIBUTIONS TO TBR INSTITUTIONS.	Desc
Total Program Service Expenses	$1,188,784,914	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	368	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	8319	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STEPHANIE GARY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4237787759	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	975 EAST THIRD STREET	AddressLine1Txt
City	CHATTANOOGA	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	374032163	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SHEILA BOYINGTON
BOARD CHAIR	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
VICKY GREGG
BOARD VICE CHAIR	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
JEFFREY WOODARD
BOARD SECRETARY, CHIEF LEGAL OFFICER	40.00	1.00	Yes (X)	Yes (X)	$820,244	$0	$44,697
JOHN GERM
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
JAMES HAYNES MD
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
DEBBIE INGRAM
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
BARRY LARGE
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
WARREN MCEWEN
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
LINDA MOSS MINES
BOARD MEMBER UNTIL 7/24	1.00	0.00	Yes (X)		$0	$0	$0
MITCH MUTTER MD
BOARD MEMBER UNTIL 7/24	1.00	0.00	Yes (X)		$0	$0	$0
CHRIS POOLE MD
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
LORIE RUNGE
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
JAY SIZEMORE MD
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
LEMON WILLIAMS
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
LARVIZO WRIGHT
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
JIM COLEMAN
PRESIDENT & CEO	40.00	1.00		Yes (X)	$1,635,521	$0	$36,507
LYNN DEJACO
EVP, CFO & TREASURER	40.00	1.00		Yes (X)	$1,144,437	$0	$32,872
WENDY FOURNET
EVP, CHIEF ADMINISTRATIVE OFFICER	40.00	0.00		Yes (X)	$601,857	$0	$9,810
TYLER WINKS
EVP, CHIEF OPERATING OFFICER	40.00	0.00		Yes (X)	$823,569	$0	$43,878
RACHEL HARRIS
EVP, CHIEF NURSING OFFICER	40.00	0.00		Yes (X)	$647,009	$0	$25,444
MARTHA ARVIN VP CHIEF
COMPLIANCE & PRIVACY OFFICER	40.00	0.00		Yes (X)	$379,162	$0	$34,404
STEVEN BURKETT VP OF
STRATEGY & BUSINESS DEVELOPMENT	40.00	0.00			$412,135	$0	$18,886	Yes (X)
JENSEN HYDE
CHIEF MEDICAL OFFICER - VP	40.00	0.00			$543,564	$0	$17,549	Yes (X)
JEANNA ADLER
VP CORPORATE FINANCE	40.00	1.00			$349,262	$0	$34,606	Yes (X)
PETER DEVERSA
CORP MEDICAL DIR REVENUE INTEGRITY	40.00	0.00			$341,410	$0	$28,770	Yes (X)
MISTY BRACKETT
SVP REVENUE CYCLE	40.00	0.00			$280,274	$0	$45,635	Yes (X)
TRACI JENNINGS
VP OPERATIONS	40.00	0.00			$337,486	$0	$35,463	Yes (X)
ADAM ROYER
VP OPERATIONS	40.00	0.00			$361,270	$0	$17,338	Yes (X)
ADAM CAMPBELL
SVP CHF QLTY & PT SAFETY OFFICER	40.00	0.00			$400,145	$0	$34,264	Yes (X)
ADAM FALL
CORP MEDICAL DIR PHYS ADVISOR	40.00	0.00			$437,515	$0	$29,363	Yes (X)
MARK STAFNE
EVP & CHIEF GROWTH OFFICER	40.00	0.00			$380,587	$0	$40,358	Yes (X)
CINNAMON MATHEWS
SVP & CDIO	40.00	0.00			$353,006	$0	$33,493	Yes (X)
STANFORD STEPHENS
VP FACS, CONST & SUPPT SVCS	40.00	0.00			$330,655	$0	$28,891	Yes (X)
JESSE DOTY
PHYSICIAN	40.00	0.00			$1,870,069	$0	$18,346		Yes (X)
DANIEL KUETER
PHYSICIAN	40.00	0.00			$2,540,725	$0	$33,339		Yes (X)
MATTHEW HIGGINS
PHYSICIAN	40.00	0.00			$1,817,664	$0	$42,607		Yes (X)
JOSEPH MILLER
PHYSICIAN	40.00	0.00			$2,066,682	$0	$45,258		Yes (X)
PETER BOEHM
PHYSICIAN	40.00	0.00			$1,805,419	$0	$42,972		Yes (X)
GREGG GENTRY
FORMER EVP, CAO	40.00	0.00			$609,041	$0	$377,265			Yes (X)
ROBERT MALONEY
FORMER EVP, COO	40.00	1.00			$986,487	$0	$107,243			Yes (X)
DAVID GARRETT FORMER SVP
& CHIEF INFORMATION OFFICER	40.00	0.00			$427,632	$0	$12,214			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$22,702,827	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,271,472	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1075	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ANESTHESIOLOGY CONSULTANTS EXCHANGE INC
979 EAST 3RD STREET SUITE C-235	CHATTANOOGA	TN	37403	ANESTHESIA SERVICES	$15,875,216
SURGICAL MANAGEMENT PARTNERS LLC
979 EAST 3RD STREET SUITE C-320	CHATTANOOGA	TN	37403	STAFF MANAGEMENT	$11,560,313
UNIVERSITY SURGICAL ASSOCIATES PLLC
979 EAST 3RD STREET SUITE C-300	CHATTANOOGA	TN	37403	SURGICAL SERVICES	$4,592,707
BASS BERRY & SIMS PLC
150 THIRD AVENUE SOUTH SUITE 2800	NASHVILLE	TN	37201	LEGAL SERVICES	$4,556,648
TENNESSEE INTERVENTIONAL & IMAGING ASSOC
979 EAST 3RD STREET BOX 376	CHATTANOOGA	TN	37403	RADIOLOGY SERVICES	$4,296,528

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	94	CntrctRcvdGreaterThan100KCnt
Fundraising	$1,070,353	FundraisingAmt
Related Organizations	$570,325	RelatedOrganizationsAmt
Government Grants	$8,498,363	GovernmentGrantsAmt
All Other Contributions	$2,671,779	AllOtherContributionsAmt
Noncash Contributions	$52,143	NoncashContributionsAmt
Total Contributions	$12,810,820	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	621400	$1,373,881,215	$1,373,881,215
PUBLIC ASSESSMENT REVENUE	900099	$133,301,082	$133,301,082
PHARMACY REVENUE	456110	$49,203,489	$49,203,489
OTHER OPERATING REVENUE	900099	$29,934,047	$29,934,047
INCOME FROM JOINT VENTURES	900003	$1,276,107	$1,276,107

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,587,595,940	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,527,210	TotalRevenueColumnAmt
Exclusion	$19,527,210	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,133,520	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,133,520	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,133,520	TotalRevenueColumnAmt
Exclusion	$4,133,520	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$489,618,201	SecuritiesAmt
Other	$114,818	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$489,754,322	SecuritiesAmt
Other	$485,896	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$136,121	SecuritiesAmt
Other	-$371,078	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$507,199	TotalRevenueColumnAmt
Exclusion	-$507,199	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$593,054	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,070,353	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$502,875	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$90,179	TotalRevenueColumnAmt
Exclusion	$90,179	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	SUPPLY SALES	Desc
Business	456199	BusinessCd
Total Revenue Column	$5,467	TotalRevenueColumnAmt
Unrelated Business Revenue	$5,467	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,467	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,623,655,937	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,587,595,940	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,467	UnrelatedBusinessRevenueAmt
Exclusion	$23,243,710	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$11,245	TotalAmt
Program Services	$11,245	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$20,500	TotalAmt
Program Services	$20,500	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$12,688,505	TotalAmt
Program Services	$9,648,981	ProgramServicesAmt
Management And General	$3,025,668	ManagementAndGeneralAmt
Fundraising	$13,856	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$612,684,583	TotalAmt
Program Services	$465,916,331	ProgramServicesAmt
Management And General	$146,099,171	ManagementAndGeneralAmt
Fundraising	$669,081	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,241,843	TotalAmt
Program Services	$4,746,613	ProgramServicesAmt
Management And General	$1,488,414	ManagementAndGeneralAmt
Fundraising	$6,816	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$80,133,681	TotalAmt
Program Services	$60,937,702	ProgramServicesAmt
Management And General	$19,108,469	ManagementAndGeneralAmt
Fundraising	$87,510	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$38,616,666	TotalAmt
Program Services	$29,366,065	ProgramServicesAmt
Management And General	$9,208,430	ManagementAndGeneralAmt
Fundraising	$42,171	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,369,760	TotalAmt
Program Services	$2,562,536	ProgramServicesAmt
Management And General	$803,544	ManagementAndGeneralAmt
Fundraising	$3,680	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,404,583	TotalAmt
Management And General	$7,404,583	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$254,410	TotalAmt
Management And General	$254,410	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$237,680	TotalAmt
Program Services	$180,744	ProgramServicesAmt
Management And General	$56,676	ManagementAndGeneralAmt
Fundraising	$260	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$373,528	TotalAmt
Management And General	$373,528	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$206,666,229	TotalAmt
Program Services	$157,159,449	ProgramServicesAmt
Management And General	$49,281,091	ManagementAndGeneralAmt
Fundraising	$225,689	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,826,836	TotalAmt
Program Services	$2,910,120	ProgramServicesAmt
Management And General	$912,537	ManagementAndGeneralAmt
Fundraising	$4,179	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$25,637,686	TotalAmt
Program Services	$19,496,192	ProgramServicesAmt
Management And General	$6,113,496	ManagementAndGeneralAmt
Fundraising	$27,998	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$295,014	TotalAmt
Program Services	$224,344	ProgramServicesAmt
Management And General	$70,348	ManagementAndGeneralAmt
Fundraising	$322	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$18,429,241	TotalAmt
Program Services	$14,014,526	ProgramServicesAmt
Management And General	$4,394,589	ManagementAndGeneralAmt
Fundraising	$20,126	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$46,522,313	TotalAmt
Program Services	$35,377,918	ProgramServicesAmt
Management And General	$11,093,590	ManagementAndGeneralAmt
Fundraising	$50,805	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,712,206	TotalAmt
Program Services	$6,625,202	ProgramServicesAmt
Management And General	$2,077,490	ManagementAndGeneralAmt
Fundraising	$9,514	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SUPPLIES	$185,150,397	$140,797,722	$44,150,482	$202,193
DRUG SUPPLIES	$112,485,116	$85,539,369	$26,822,908	$122,839
BAD DEBT EXPENSE	$77,329,744	$77,329,744
LICENSES AND FEES	$67,282,146	$51,164,745	$16,043,926	$73,475

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$32,442,614	TotalAmt
Program Services	$24,754,866	ProgramServicesAmt
Management And General	$7,652,154	ManagementAndGeneralAmt
Fundraising	$35,594	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,546,816,526	TotalAmt
Program Services	$1,188,784,914	ProgramServicesAmt
Management And General	$356,435,504	ManagementAndGeneralAmt
Fundraising	$1,596,108	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$197,451,026	BOYAmt
EOY	$149,002,949	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$208,994,029	BOYAmt
EOY	$73,009,482	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,166,172	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$182,911,405	BOYAmt
EOY	$342,457,820	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$19,878,505	BOYAmt
EOY	$22,366,525	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$15,555,134	BOYAmt
EOY	$20,730,304	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$967,874,355	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$705,804,667	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$267,151,849	BOYAmt
EOY	$262,069,688	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$276,050,135	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$4,091,905	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$105,020,070	BOYAmt
EOY	$156,931,331	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$996,962,018	BOYAmt
EOY	$1,307,876,311	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$154,686,906	BOYAmt
EOY	$192,794,600	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,903,591	BOYAmt
EOY	$3,621,784	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$153,082,329	BOYAmt
EOY	$349,325,170	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
EOY	$50,000,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$10,350,459	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$214,384,602	BOYAmt
EOY	$144,000,139	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$525,057,428	BOYAmt
EOY	$750,092,152	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$469,894,352	BOYAmt
EOY	$544,186,377	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,010,238	BOYAmt
EOY	$13,597,782	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$471,904,590	BOYAmt
EOY	$557,784,159	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$996,962,018	BOYAmt
EOY	$1,307,876,311	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$76,839,411	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,503,805	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$14,750	DonatedServicesAndUseFcltsAmt
Prior Period Adjustments	$3,405,156	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$2,116,447	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$237,680	OtherActivitiesAmt
Total Lobbying Expenditures	$237,680	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BE A CENTER OF EXCELLENCE IN PROVIDING HIGH-QUALITY HEALTH CARE AND ITS COMMITMENT TO THE HEALTH AND WELLNESS OF OUR COMMUNITY, ERLANGER HEALTH PAYS MEMBERSHIP DUES AND PUBLIC AFFAIRS SERVICES TO PROFESSIONAL AND TRADE ASSOCIATIONS. A PORTION OF DUES ARE DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$227,864	BeginningYearBalanceAmt
Investment Earnings Or Losses	$15,465	InvestmentEarningsOrLossesAmt
Administrative Expenses	$947	AdministrativeExpensesAmt
End Year Balance	$242,382	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,984,777	OtherCostOrOtherBasisAmt
Book Value	$10,984,777	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$304,971,294	OtherCostOrOtherBasisAmt
Depreciation	$215,989,056	DepreciationAmt
Book Value	$88,982,238	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,106,404	OtherCostOrOtherBasisAmt
Depreciation	$18,058,025	DepreciationAmt
Book Value	$3,048,379	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$623,235,646	OtherCostOrOtherBasisAmt
Depreciation	$471,757,586	DepreciationAmt
Book Value	$151,478,060	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,576,234	OtherCostOrOtherBasisAmt
Book Value	$7,576,234	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$262,069,688	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$105,357,445
RIGHT OF USE ASSETS - FINANCE	$8,992,035
RIGHT OF USE ASSETS - OPERATING	$42,581,851

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$156,931,331	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
ESTIMATED SELF-INSURANCE LIABILITIES	$2,834,502
PTO LIABILITY	$31,891,033
DUE TO AFFILIATES	$56,637,230
OPERATING LEASE LIABILITIES	$43,313,490
FINANCING LEASE LIABILITIES	$9,323,884

Field	Value	IRS element (for citing)
Total Liability	$144,000,139	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

FOR THE PURPOSE OF THE PEDIATRIC GASTROENTEROLOGY PROGRAM.

PART X, LINE 2:

EMC, BLEDSOE, AND EWCH ARE CLASSIFIED AS ORGANIZATIONS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE IRC. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. CYBERKNIFE AND CONTINUCARE ARE TAXABLE ENTITIES AND ACCOUNT FOR INCOME TAXES IN ACCORDANCE WITH ASC 740, INCOME TAXES. AT JUNE 30, 2025, MANAGEMENT DOES NOT BELIEVE ERLANGER HEALTH HOLDS ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE UNDER ASC 740. IT IS ERLANGER HEALTH'S POLICY TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS AS AN OPERATING EXPENSE.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	2025 BELIEVE BASH	Event1Nm
Gross Receipts Event1	$1,663,407	GrossReceiptsEvent1Amt
Charitable Contri Event1	$1,070,353	CharitableContriEvent1Amt
Gross Revenue Event1	$593,054	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$47,275	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$126,963	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$226,444	FoodAndBeverageEvent1Amt
Entertainment Event1	$11,000	EntertainmentEvent1Amt
Other Direct Expenses Event1	$91,193	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$1,663,407	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,070,353	CharitableContributionsTotAmt
Gross Revenue Total Events	$593,054	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$47,275	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$126,963	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$226,444	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$11,000	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$91,193	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$502,875	DirectExpenseSummaryEventsAmt
Net Income Summary	$90,179	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,108,804	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$90,108,804	NetCommunityBenefitExpnsAmt
Total Expense	0.06130	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$247,000,719	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$147,778,590	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$99,222,129	NetCommunityBenefitExpnsAmt
Total Expense	0.06750	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,389,344	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,937,406	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,451,938	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$341,498,867	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$150,715,996	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$190,782,871	NetCommunityBenefitExpnsAmt
Total Expense	0.12980	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,553,604	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,174,813	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,378,791	NetCommunityBenefitExpnsAmt
Total Expense	0.01660	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,787	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,787	DirectOffsettingRevenueAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,577,391	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,198,600	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,378,791	NetCommunityBenefitExpnsAmt
Total Expense	0.01660	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$378,076,258	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$162,914,596	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$215,161,662	NetCommunityBenefitExpnsAmt
Total Expense	0.14640	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Persons Served	1950	PersonsServedCnt
Total Community Benefit Expns	$37,185	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$37,185	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Persons Served	1000	PersonsServedCnt
Total Community Benefit Expns	$15,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Persons Served	18300	PersonsServedCnt
Total Community Benefit Expns	$72,772	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$72,772	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	21250	PersonsServedCnt
Total Community Benefit Expns	$124,957	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$124,957	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$363,926,710	BadDebtExpenseAmt
Bad Debt Expense Attributable	$286,687,093	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$657,822,151	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$1,053,780,288	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$395,958,137	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	8	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (8 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Childrens HospitalChildrensHospitalInd	Critical Access HospitalCriticalAccessHospitalInd
ERLANGER MEDICAL CENTER
1	975 E 3RD STREET	CHATTANOOGA	TN	37403	HTTPS://WWW.ERLANGER.ORG/	140	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
ERLANGER EAST HOSPITAL
2	1751 GUNBARREL ROAD	CHATTANOOGA	TN	37421	HTTPS://WWW.ERLANGER.ORG/LOCATIONS/ERL	140	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
CHILDREN'S HOSPITAL AT ERLANGER
3	910 BLACKFORD STREET	CHATTANOOGA	TN	37403	HTTPS://WWW.CHILDRENSATERLANGER.ORG/	140	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A	Yes (X)
ERLANGER NORTH HOSPITAL
4	632 MORRISON SPRINGS ROAD	CHATTANOOGA	TN	37415	HTTPS://WWW.ERLANGER.ORG/LOCATIONS/ERL	140	Yes (X)	Yes (X)		Yes (X)	A
ERLANGER SEQUATCHIE VALLEY EMERGENCY
5	16931 RANKIN AVENUE	DUNLAP	TN	37327	HTTPS://WWW.ERLANGER.ORG/LOCATIONS/ERL	5	Yes (X)			Yes (X)	A
ERLANGER BEHAVIORAL HEALTH HOSPITAL
6	804 N HOLTZCLAW AVENUE	CHATTANOOGA	TN	37404	HTTPS://WWW.ERLANGERBH.COM/	L000000035551	Yes (X)	Yes (X)			A
ERLANGER BEHAVIORAL HEALTH NORTH
7	632 MORRISON SPRINGS ROAD	CHATTANOOGA	TN	37415	HTTPS://WWW.ERLANGERBH.COM/	L000000035552	Yes (X)	Yes (X)			A
ERLANGER BLEDSOE
8	71 WHEELERTOWN AVENUE	PIKEVILLE	TN	37367	HTTPS://WWW.ERLANGER.ORG/LOCATIONS/ERL	5	Yes (X)	Yes (X)		Yes (X)	B		Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Other MethodOtherMethodInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
FACILITY REPORTING GROUP - A
0	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	25	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	ERLANGER.ORG/ABOUT-US/COMMUNITY-IMPACT	Yes (X)	Yes (1)	25	Yes (1)	ERLANGER.ORG/ABOUT-US/COMMUNITY-IMPACT	0	Yes (1)	Yes (X)	250.000000000000	0.000000000000	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.ERLANGER.ORG/FAP	Yes (X)	WWW.ERLANGER.ORG/FAP	Yes (X)	WWW.ERLANGER.ORG/FAP	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
FACILITY REPORTING GROUP - B
0	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	25	Yes (1)	0	0	Yes (1)	Yes (X)	ERLANGER.ORG/ABOUT-US/COMMUNITY-IMPACT	Yes (X)	Yes (1)	25	Yes (1)	ERLANGER.ORG/ABOUT-US/COMMUNITY-IMPACT	0	Yes (1)	Yes (X)	250.000000000000	0.000000000000	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	WWW.ERLANGER.ORG/FAP	Yes (X)	WWW.ERLANGER.ORG/FAP	Yes (X)	WWW.ERLANGER.ORG/FAP	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:	- FACILITY 8: ERLANGER BLEDSOE
GROUP B-FACILITY 8 -- ERLANGER BLEDSOE PART V, SECTION B, LINE 2:	PRIOR TO JULY 1, 2023, THE HOSPITAL FACILITIES WERE OWNED AND OPERATED BY THE CHATTANOOGA-HAMILTON COUNTY HOSPITAL AUTHORITY. ON JULY 1, 2023, THE HOSPITAL AUTHORITY TRANSFERRED THE HOSPITALS FACILITIES TO ERLANGER PURSUANT TO A MISSION AGREEMENT DATED AUGUST 29, 2022 AMONG THE HOSPITAL AUTHORITY, ERLANGER HEALTH AND HAMILTON COUNTY, TN.
GROUP B-FACILITY 8 -- ERLANGER BLEDSOE PART V, SECTION B, LINE 5:	THE PROCESS BEGINS BY DEFINING THE APPROPRIATE SERVICE AREA FOR EACH HOSPITAL, GENERALLY SPEAKING THIS WOULD BE THE GEOGRAPHIC AREA WHICH COMPRISES 75-80% OF THE INPATIENT ADMISSIONS FOR EACH HOSPITAL. WITH THIS INFORMATION, WE PREPARE A COMMUNITY HEALTH STATUS REPORT, WHICH IS A STATISTICAL AND DEMOGRAPHIC PROFILE OF THE SERVICE AREA FOR EACH HOSPITAL. THIS INCLUDES, BUT IS NOT LIMITED TO AGE/GENDER, RACE/ETHNIC, EDUCATIONAL & INCOME PROFILES ALONG WITH SUMMARY LEVEL MEDICAL PROFILES.IN ADDITION, WE CONDUCTED PRIMARY RESEARCH THROUGH A SURVEY ORGANIZATION SEEKING DIRECT INPUT FROM COMMUNITY MEMBERS WHICH IS STATISTICALLY REPRESENTATIVE AT THE 95% CONFIDENCE LEVEL, WITHIN +/- 5%. ALL OF OUR RESEARCH WAS PRESENTED TO A SERIES OF COMMUNITY BASED FOCUS GROUPS THAT WERE INVITED TO PARTICIPATE AND REPRESENTED VARIOUS COMMUNITY STAKEHOLDER PERSPECTIVES. THE FOCUS GROUPS WERE GUIDED BY FACILITATORS FROM THE SURVEY ORGANIZATION AND DISCUSSED A WIDE RANGE OF HEALTH CARE ISSUES AND THEN PRIORITIZED THEM THROUGH GROUP VOTING. THE RESULTS OF ALL THE FOCUS GROUPS WERE COMPILED AND REPORTED TO THE CHNA COMMITTEE.THE CHNA WORK TEAM EVALUATED ALL OF THE RESEARCH & COMMUNITY INPUT AND RECOMMENDED PRIORITIES AND NEXT STEPS. FINALLY, THE PRIORITY RECOMMENDATIONS WERE REVIEWED AND ENDORSED BY THE CHNA COMMITTEE. THE FINAL CHNA DOCUMENTS WERE PRESENTED TO THE ERLANGER EXECUTIVE LEADERSHIP TEAM, AND ULTIMATELY TO THE ERLANGER HEALTH - BOARD OF DIRECTORS FOR REVIEW, APPROVAL AND ADOPTION.
GROUP B-FACILITY 8 -- ERLANGER BLEDSOE PART V, SECTION B, LINE 11:	AN ISSUE OF SIGNIFICANT COMMUNITY NEED THAT WAS IDENTIFIED IS FOR EH TO RE-CONNECT WITH PARTNER ORGANIZATIONS IN THE COMMUNITY AND BROADER REGIONAL SERVICE AREA. THIS EFFORT WILL BE DESIGNED TO PROVIDE INFORMATION AS TO SERVICES WHICH EH HAS INITIATED IN RECENT YEARS AS WELL AS ENGAGEMENT FOR DEVELOPMENT AND EVALUATION OF POTENTIAL NEW SERVICES. RITA BUNCH (PRIOR CEO FOR NORTH AND EAST) HAD MULTIPLE MEETINGS WITH COMMUNITY LEADERS AND ADAM SCHRAEDER IS CONTINUING THOSE EFFORTS. AN ISSUE OF SIGNIFICANT COMMUNITY NEED THAT WAS IDENTIFIED IS TRANSPORTATION FOR PATIENTS WHICH NEED ASSISTANCE TO GET TO MEDICAL APPOINTMENTS AND HEALTH RELATED SERVICES. EH WILL HIRE A GRANT WRITER IN AN EFFORT TO FOCUS ON SEEKING OUT AVAILABLE GRANT FUNDING FROM 41 VARIOUS CHARITABLE SOURCES. IF SUCCESSFUL, THIS FUNDING WILL BE USED TO ACQUIRE AND POTENTIALLY DEVELOP AN ALTERNATIVE TRANSPORTATION OPTION SPECIFICALLY PERTAINING TO MEDICAL APPOINTMENTS AND ASSOCIATED HEALTHCARE SERVICES. A GRANT WRITER HAS BEEN HIRED AND THIS IS ONE OF HER ASSIGNMENTS.A SIGNIFICANT COMMUNITY NEED IDENTIFIED IN THE 2022 CHNA WAS MENTAL HEALTH. PLEASE SEE SECTION C OF THIS CHNA DOCUMENT FOR A DISCUSSION OF HOW THAT WAS ADDRESSED. THE ACTIVITY TO ADDRESS THAT COMMUNITY NEED IS CURRENTLY ONGOING, AND INCLUDES DEVELOPMENT OF AN AMBULATORY BEHAVIORAL HEALTH CLINIC TO SERVE ED AND IP PATIENTS POST. FURTHER, DISCUSSION IS UNDERWAY WITH THE UNIVERSITY OF TENNESSEE - COLLEGE OF MEDICINE - CHATTANOOGA UNIT ("UT-COM"), TO DEVELOP A GRADUATE MEDICAL EDUCATION PROGRAM FOR PSYCHIATRY & BEHAVIORAL HEALTH. THIS PROGRAM IS BEING ADDRESSED, HOWEVER, IT IS NOT A COMMITTED PROJECT, AS SUCH, BECAUSE EH IS UNABLE TO DEVELOP THE PROGRAM WITHOUT UT-COM. AN ISSUE OF SIGNIFICANT COMMUNITY NEED THAT WAS IDENTIFIED IS CARE COORDINATION PERTAINING TO MENTAL HEALTH SERVICES FOR PEDIATRIC PATIENTS UPON DISCHARGE FROM EITHER ED OR IP TREATMENT. THIS SHOULD BE TO FACILITATE REFERRAL FOR THESE PATIENTS TO ENABLE SUCCESSFUL RE-ENTRY TO THE COMMUNITY.AN ISSUE OF SIGNIFICANT COMMUNITY NEED IS IDENTIFICATION OF CHILDREN WHICH HAVE EXPERIENCED NON-ACCIDENTAL TRAUMA (I.E.-CHILD ABUSE). THIS EFFORT SHOULD BE TO SEEK TO IDENTIFY CHILDREN BEFORE THEY COME TO THE ED FOR TREATMENT. FURTHER, TO SUPPORT THEIR CONTINUED CARE IN THE COMMUNITY THROUGH ENHANCED FOCUS ON TRAINING AND EDUCATION OF OUR STAFF TO IDENTIFY, TRACK AND CARE FOR CHILDREN EXPERIENCING NON-ACCIDENTAL TRAUMA IN PARTNERSHIP WITH OUR COMMUNITY EXPERTS. EH WILL EVALUATE THIS ISSUE AND ATTEMPT TO DEVELOP A PROGRAMMATIC RESPONSE, HOWEVER, THE TYPE AND NATURE OF WHAT SUCH A RESPONSE WOULD BE, IS CURRENTLY UNKNOWN.
GROUP B-FACILITY 8 -- ERLANGER BLEDSOE PART V, SECTION B, LINE 15E:	IN ADDITION TO THE WRITTEN MATERIALS AND CONTACT INFORMATION PROVIDED ABOUT THE FINANCIAL ASSISTANCE POLICY AND APPLICATION, ERLANGER HAS FINANCIAL ADVOCATES THAT ASSIST PATIENTS IN APPLYING FOR FINANCIAL ASSISTANCE AND ALSO ACT AS POINTS OF CONTACT AND RESOURCES FOR COMMUNITY PARTNERS WHICH ALSO ASSIST THOSE IN NEED WITH APPLYING FOR FINANCIAL ASSISTANCE.
GROUP B-FACILITY 8 -- ERLANGER BLEDSOE PART V, SECTION B, LINE 16J:	ERLANGER HAS LONG BEEN KNOWN IN THE COMMUNITY AS THE SAFETY-NET HOSPITAL. ERLANGER'S FINANCIAL ADVOCATES ARE OFTEN IN CONTACT WITH COMMUNITY PARTNERS -- SUCH AS LA PAZ CHATTANOOGA, HOMELESS HEALTH CENTER, SOUTHEAST TENNESSEE PROJECT ACCESS, CEMPA COMMUNITY CARE, BLAZING HOPE RANCH, KARIS COMMUNITY HEALTH, CLINICA MEDICOS, ONE12RECOVERY, AND CHATTANOOGA CANCER SUPPORT SERVICES -- TO EDUCATE, ASSIST AND SHEPHERD THEIR REPSECTIVE CLIENTS THROUGH THE ERLANGER FINANCIAL ASSISTANCE PROCESS.
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: ERLANGER MEDICAL CENTER, - FACILITY 2: ERLANGER EAST HOSPITAL, - FACILITY 3: CHILDREN'S HOSPITAL AT ERLANGER, - FACILITY 4: ERLANGER NORTH HOSPITAL, - FACILITY 5: ERLANGER SEQUATCHIE VALLEY EMERGENCY, - FACILITY 6: ERLANGER BEHAVIORAL HEALTH HOSPITAL, - FACILITY 7: ERLANGER BEHAVIORAL HEALTH NORTH
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 2:	PRIOR TO JULY 1, 2023, THE HOSPITAL FACILITIES WERE OWNED AND OPERATED BY THE CHATTANOOGA-HAMILTON COUNTY HOSPITAL AUTHORITY. ON JULY 1, 2023, THE HOSPITAL AUTHORITY TRANSFERRED THE HOSPITALS FACILITIES TO ERLANGER PURSUANT TO A MISSION AGREEMENT DATED AUGUST 29, 2022 AMONG THE HOSPITAL AUTHORITY, ERLANGER HEALTH AND HAMILTON COUNTY, TN.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:	THE PROCESS BEGINS BY DEFINING THE APPROPRIATE SERVICE AREA FOR EACH HOSPITAL, GENERALLY SPEAKING THIS WOULD BE THE GEOGRAPHIC AREA WHICH COMPRISES 75-80% OF THE INPATIENT ADMISSIONS FOR EACH HOSPITAL. WITH THIS INFORMATION, WE PREPARE A COMMUNITY HEALTH STATUS REPORT, WHICH IS A STATISTICAL AND DEMOGRAPHIC PROFILE OF THE SERVICE AREA FOR EACH HOSPITAL. THIS INCLUDES, BUT IS NOT LIMITED TO AGE/GENDER, RACE/ETHNIC, EDUCATIONAL & INCOME PROFILES ALONG WITH SUMMARY LEVEL MEDICAL PROFILES.IN ADDITION, WE CONDUCTED PRIMARY RESEARCH THROUGH A SURVEY ORGANIZATION SEEKING DIRECT INPUT FROM COMMUNITY MEMBERS WHICH IS STATISTICALLY REPRESENTATIVE AT THE 95% CONFIDENCE LEVEL, WITHIN +/- 5%. ALL OF OUR RESEARCH WAS PRESENTED TO A SERIES OF COMMUNITY BASED FOCUS GROUPS THAT WERE INVITED TO PARTICIPATE AND REPRESENTED VARIOUS COMMUNITY STAKEHOLDER PERSPECTIVES. THE FOCUS GROUPS WERE GUIDED BY FACILITATORS FROM THE SURVEY ORGANIZATION AND DISCUSSED A WIDE RANGE OF HEALTH CARE ISSUES AND THEN PRIORITIZED THEM THROUGH GROUP VOTING. THE RESULTS OF ALL THE FOCUS GROUPS WERE COMPILED AND REPORTED TO THE CHNA COMMITTEE.THE CHNA WORK TEAM EVALUATED ALL OF THE RESEARCH & COMMUNITY INPUT AND RECOMMENDED PRIORITIES AND NEXT STEPS. FINALLY, THE PRIORITY RECOMMENDATIONS WERE REVIEWED AND ENDORSED BY THE CHNA COMMITTEE. THE FINAL CHNA DOCUMENTS WERE PRESENTED TO THE ERLANGER EXECUTIVE LEADERSHIP TEAM, AND ULTIMATELY TO THE ERLANGER HEALTH - BOARD OF DIRECTORS FOR REVIEW, APPROVAL AND ADOPTION.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A:	- FACILITY 1: ERLANGER MEDICAL CENTER- FACILITY 2: ERLANGER EAST HOSPITAL- FACILITY 3: CHILDREN'S HOSPITAL AT ERLANGER- FACILITY 4: ERLANGER NORTH HOSPITAL- FACILITY 5: ERLANGER SEQUATCHIE VALLEY EMERGENCY DEPARTMENT- FACILITY 6: ERLANGER BEHAVIORAL HEALTH HOSPITAL- FACILITY 7: ERLANGER BEHAVIORAL HEALTH NORTH
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11:	AN ISSUE OF SIGNIFICANT COMMUNITY NEED THAT WAS IDENTIFIED IS FOR EH TO RE-CONNECT WITH PARTNER ORGANIZATIONS IN THE COMMUNITY AND BROADER REGIONAL SERVICE AREA. THIS EFFORT WILL BE DESIGNED TO PROVIDE INFORMATION AS TO SERVICES WHICH EH HAS INITIATED IN RECENT YEARS AS WELL AS ENGAGEMENT FOR DEVELOPMENT AND EVALUATION OF POTENTIAL NEW SERVICES. RITA BUNCH (PRIOR CEO FOR NORTH AND EAST) HAD MULTIPLE MEETINGS WITH COMMUNITY LEADERS AND ADAM SCHRAEDER IS CONTINUING THOSE EFFORTS. AN ISSUE OF SIGNIFICANT COMMUNITY NEED THAT WAS IDENTIFIED IS TRANSPORTATION FOR PATIENTS WHICH NEED ASSISTANCE TO GET TO MEDICAL APPOINTMENTS AND HEALTH RELATED SERVICES. EH WILL HIRE A GRANT WRITER IN AN EFFORT TO FOCUS ON SEEKING OUT AVAILABLE GRANT FUNDING FROM 41 VARIOUS CHARITABLE SOURCES. IF SUCCESSFUL, THIS FUNDING WILL BE USED TO ACQUIRE AND POTENTIALLY DEVELOP AN ALTERNATIVE TRANSPORTATION OPTION SPECIFICALLY PERTAINING TO MEDICAL APPOINTMENTS AND ASSOCIATED HEALTHCARE SERVICES. A GRANT WRITER HAS BEEN HIRED AND THIS IS ONE OF HER ASSIGNMENTS.A SIGNIFICANT COMMUNITY NEED IDENTIFIED IN THE 2022 CHNA WAS MENTAL HEALTH. PLEASE SEE SECTION C OF THIS CHNA DOCUMENT FOR A DISCUSSION OF HOW THAT WAS ADDRESSED. THE ACTIVITY TO ADDRESS THAT COMMUNITY NEED IS CURRENTLY ONGOING, AND INCLUDES DEVELOPMENT OF AN AMBULATORY BEHAVIORAL HEALTH CLINIC TO SERVE ED AND IP PATIENTS POST. FURTHER, DISCUSSION IS UNDERWAY WITH THE UNIVERSITY OF TENNESSEE - COLLEGE OF MEDICINE - CHATTANOOGA UNIT ("UT-COM"), TO DEVELOP A GRADUATE MEDICAL EDUCATION PROGRAM FOR PSYCHIATRY & BEHAVIORAL HEALTH. THIS PROGRAM IS BEING ADDRESSED, HOWEVER, IT IS NOT A COMMITTED PROJECT, AS SUCH, BECAUSE EH IS UNABLE TO DEVELOP THE PROGRAM WITHOUT UT-COM. AN ISSUE OF SIGNIFICANT COMMUNITY NEED THAT WAS IDENTIFIED IS CARE COORDINATION PERTAINING TO MENTAL HEALTH SERVICES FOR PEDIATRIC PATIENTS UPON DISCHARGE FROM EITHER ED OR IP TREATMENT. THIS SHOULD BE TO FACILITATE REFERRAL FOR THESE PATIENTS TO ENABLE SUCCESSFUL RE-ENTRY TO THE COMMUNITY.AN ISSUE OF SIGNIFICANT COMMUNITY NEED IS IDENTIFICATION OF CHILDREN WHICH HAVE EXPERIENCED NON-ACCIDENTAL TRAUMA (I.E.-CHILD ABUSE). THIS EFFORT SHOULD BE TO SEEK TO IDENTIFY CHILDREN BEFORE THEY COME TO THE ED FOR TREATMENT. FURTHER, TO SUPPORT THEIR CONTINUED CARE IN THE COMMUNITY THROUGH ENHANCED FOCUS ON TRAINING AND EDUCATION OF OUR STAFF TO IDENTIFY, TRACK AND CARE FOR CHILDREN EXPERIENCING NON-ACCIDENTAL TRAUMA IN PARTNERSHIP WITH OUR COMMUNITY EXPERTS. EH WILL EVALUATE THIS ISSUE AND ATTEMPT TO DEVELOP A PROGRAMMATIC RESPONSE, HOWEVER, THE TYPE AND NATURE OF WHAT SUCH A RESPONSE WOULD BE, IS CURRENTLY UNKNOWN.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 15E:	IN ADDITION TO THE WRITTEN MATERIALS AND CONTACT INFORMATION PROVIDED ABOUT THE FINANCIAL ASSISTANCE POLICY AND APPLICATION, ERLANGER HAS FINANCIAL ADVOCATES THAT ASSIST PATIENTS IN APPLYING FOR FINANCIAL ASSISTANCE AND ALSO ACT AS POINTS OF CONTACT AND RESOURCES FOR COMMUNITY PARTNERS WHICH ALSO ASSIST THOSE IN NEED WITH APPLYING FOR FINANCIAL ASSISTANCE.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16J:	ERLANGER HAS LONG BEEN KNOWN IN THE COMMUNITY AS THE SAFETY-NET HOSPITAL. ERLANGER'S FINANCIAL ADVOCATES ARE OFTEN IN CONTACT WITH COMMUNITY PARTNERS -- SUCH AS LA PAZ CHATTANOOGA, HOMELESS HEALTH CENTER, SOUTHEAST TENNESSEE PROJECT ACCESS, CEMPA COMMUNITY CARE, BLAZING HOPE RANCH, KARIS COMMUNITY HEALTH, CLINICA MEDICOS, ONE12RECOVERY, AND CHATTANOOGA CANCER SUPPORT SERVICES -- TO EDUCATE, ASSIST AND SHEPHERD THEIR REPSECTIVE CLIENTS THROUGH THE ERLANGER FINANCIAL ASSISTANCE PROCESS.

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	ERLANGER ALSO EXTENDS FINANCIAL ASSISTANCE TO THOSE INDIVIDUALS WHO ARE ELIGIBLE AND ENROLLED IN SOUTHEAST TENNESSEE PROJECT ACCESS (STPA). THESE PATIENTS ARE ELIGIBLE FOR FREE CARE FOR EMERGENCY MEDICAL CONDITIONS AND MEDICALLY NECESSARY CARE WITHOUT APPLYING FOR FINANCIAL ASSISTANCE FOR THE DURATION OF THEIR ELIGIBILITY FOR STPA, AS INDICATED ON THEIR STPA IDENTIFICATION CARD. THE PATIENT SHOULD PROVIDE HIS OR HER STPA CARD AT THE TIME OF SERVICE.
PART I, LINE 7:	ERLANGER HEALTH USED THE ACTUAL COST METHODOLOGY TO PREPARE SCHEDULE H, PART I, LINE 7.
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 $ 77,329,744.
PART II, COMMUNITY BUILDING ACTIVITIES:	ERLANGER HEALTH SERVES THE COMMUNITY THROUGH EDUCATIONAL, CELEBRATORY, AND FUNDRAISING EVENTS. THESE EVENTS INCLUDE COMMUNITY SCREENINGS, MEDICAL AND SAFETY EDUCATIONAL EVENTS, SYMPOSIUMS, SUPPORT GROUPS, AND SAFETY FESTS. ERLANGER IS HIGHLY ACTIVE IN THE CHATTANOOGA COMMUNITY BY WAY OF PARTICIPATION IN AND SPONSORING OF EVENTS SUCH AS THE CHATTANOOGA MARKET, SAFE KIDS AT THE CHATTANOOGA ZOO, THE CHATTANOOGA MARATHON, THE IRONMAN CHATTANOOGA, STRIKE OUT STROKE, AND THE ANNUAL FUNFAIR AT CHILDREN'S HOSPITAL.
PART III, LINE 2:	ERLANGER ESTIMATES THE TRANSACTION PRICE BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE OR A PROVISION FOR CREDIT LOSSES IN THE PERIOD OF CHANGE.
PART III, LINE 3:	ERLANGER HEALTH ACCEPTS PATIENTS REGARDLESS OF ABILITY TO PAY. UNDER ITS FINANCIAL ASSISTANCE POLICY, ELIGIBILITY FOR DISCOUNTED MEDICALLY NECESSARY CARE MAY BE DETERMINED THROUGH PRESUMPTIVE REVIEW FOR UNINSURED PATIENTS WITH FAMILY INCOME AT OR BELOW 200% OF FEDERAL POVERTY GUIDELINES OR THROUGH AN APPLICATION PROCESS FOR INSURED OR UNINSURED PATIENTS WITH INCOME GENERALLY AT OR BELOW 250% OF FEDERAL POVERTY GUIDELINES AND LIMITED ASSETS.
PART III, LINE 4:	ERLANGER HEALTH HAS ELECTED THE PRACTICAL EXPEDIENT ALLOWED UNDER FASB ASC 606-10-32-18 AND DOES NOT ADJUST THE PROMISED AMOUNT OF CONSIDERATION FROM PATIENTS AND THIRD-PARTY PAYERS FOR THE EFFECTS OF A SIGNIFICANT FINANCING COMPONENT DUE TO THE EXPECTATION THAT THE PERIOD BETWEEN THE TIME THE SERVICE IS PROVIDED TO A PATIENT AND THE TIME THAT THE PATIENT OR A THIRD-PARTY PAYER PAYS FOR THAT SERVICE WILL BE ONE YEAR OR LESS. USING A PORTFOLIO APPROACH, ERLANGER HEALTH ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. IN ADDITION, FOR UNINSURED PATIENTS, ERLANGER HEALTH REDUCES CHARGES FROM CURRENT RATES BASED ON AVERAGE DISCOUNTS PROVIDED TO CERTAIN THIRD-PARTY PAYERS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE OR A PROVISION FOR CREDIT LOSSES.
PART III, LINE 9B:	ERLANGER OFFERS FREE CARE FOR THOSE WHO QUALIFY FOR FINANCIAL ASSISTANCE; THEREFORE, NO BILLING AND COLLECTION ATTEMPTS ARE MADE AGAINST THE PATIENT FOR AN ACCOUNT THAT HAS BEEN FLAGGED AS BEING SUBJECT TO FINANCIAL ASSISTANCE, AS THE ACCOUNT IS WRITTEN OFF.THE POLICY EXPLICITLY STATES THAT ACCOUNTS ARE NOT REFERRED TO LEGAL OR AN EXTERNAL VENDOR UNTIL EFFORTS HAVE BEEN MADE TO DETERMINE IT IS NOT SUBJECT TO FINANCIAL ASSISTANCE. FURTHER, IF A PATIENT APPLIES FOR FINANCIAL ASSISTANCE, ALL EXTRAORDINARY COLLECTION ACTIONS WILL CEASE, ANDANY FUNDS PAID BY THE PATIENT WILL BE REFUNDED.
PART VI, LINE 2:	THE PROCESS BEGINS BY DEFINING THE APPROPRIATE SERVICE AREA FOR EACH HOSPITAL, GENERALLY SPEAKING THIS WOULD BE THE GEOGRAPHIC AREA WHICH COMPRISES 75-80% OF THE INPATIENT ADMISSIONS FOR EACH HOSPITAL. WITH THIS INFORMATION, WE PREPARE A COMMUNITY HEALTH STATUS REPORT, WHICH IS A STATISTICAL AND DEMOGRAPHIC PROFILE OF THE SERVICE AREA FOR EACH HOSPITAL. THIS INCLUDES, BUT IS NOT LIMITED TO AGE/GENDER, RACE/ETHNIC, EDUCATIONAL & INCOME PROFILES ALONG WITH SUMMARY LEVEL MEDICAL PROFILES.IN ADDITION, WE CONDUCTED PRIMARY RESEARCH THROUGH A SURVEY ORGANIZATION SEEKING DIRECT INPUT FROM COMMUNITY MEMBERS WHICH IS STATISTICALLY REPRESENTATIVE AT THE 95% CONFIDENCE LEVEL, WITHIN +/-5%. ALL OF OUR RESEARCH WAS PRESENTED TO A SERIES OF COMMUNITY BASED FOCUS GROUPS THAT WERE INVITED TO PARTICIPATE AND REPRESENTED VARIOUS COMMUNITY STAKEHOLDER PERSPECTIVES. THE FOCUS GROUPS WERE GUIDED BY FACILITATORS FROM THE SURVEY ORGANIZATION AND DISCUSSED A WIDE RANGE OF HEALTH CARE ISSUES AND THEN PRIORITIZED THEM THROUGH GROUP VOTING. THE RESULTS OF ALL THE FOCUS GROUPS WERE COMPILED AND REPORTED TO THE CHNA COMMITTEE.THE CHNA WORK TEAM EVALUATED ALL OF THE RESEARCH & COMMUNITY INPUT AND RECOMMENDED PRIORITIES AND NEXT STEPS. FINALLY, THE PRIORITY RECOMMENDATIONS WERE REVIEWED AND ENDORSED BY THE CHNA COMMITTEE. THE FINAL CHNA DOCUMENTS WERE PRESENTED TO THE ERLANGER EXECUTIVE LEADERSHIP TEAM, AND ULTIMATELY TO THE ERLANGER HEALTH - BOARD OF DIRECTORS FOR REVIEW, APPROVAL AND ADOPTION.
PART VI, LINE 3:	ERLANGER PROVIDES EXTENSIVE GUIDANCE ON THE ORGANIZATION'S WEBSITE REGARDING FINANCIAL ASSISTANCE, INCLUDING THE APPLICATION, POLICY AND CONTACT INFORMATION FOR FINANCIAL COUNSELORS. FINANCIAL COUNSELORS ARE AVAILABLE TO DISCUSS FINANCIAL ASSISTANCE AND CHARITY CARE IN PERSON OR BY PHONE. THEY PROVIDE ASSISTANCE WITH OBTAINING, COMPLETING AND/OR SUBMITTING THE FINANCIAL ASSISTANCE APPLICATION. THEY CAN ALSO HELP PATIENTS WITH TENNCARE, MEDICAID, HAMILTON COUNTY ASSISTANCE PROGRAM AND CARING WAYS PRIVATE FUNDRAISING PLATFORM.
PART VI, LINE 4:	AS THE ANCHOR OF A REGIONAL HEALTH SYSTEM, ERLANGER MEDICAL CENTER SERVES A BROAD AREA THAT COVERS PORTIONS OF FOUR STATES. FROM A HEALTH PLANNING PERSPECTIVE, HOWEVER, EMC'S PRIMARY AND SECONDARY SERVICE AREA IS DEFINED BY 13 COUNTIES IN TENNESSEE AND GEORGIA. THESE COUNTIES COMBINE TO MAKE UP APPROXIMATELY 75% OF PATIENT ENCOUNTERS FOR ALL FOUR ERLANGER HOSPITALS IN HAMILTON COUNTY. THE OVER-65 POPULATION HAS GROWN SLIGHTLY IN THE ERLANGER SERVICE AREA SINCE 2022, CONSISTENT WITH NATIONAL TRENDS IN AGING POPULATIONS. HOWEVER, A QUARTER OF THE SERVICE AREA IS UNDER THE AGE OF 18. WHILE CHATTANOOGA AND HAMILTON COUNTY ARE MORE RACIALLY DIVERSE, THE ERLANGER SERVICE AREA OVERALL IS OVER 88% WHITE. HOWEVER, THE NON-WHITE POPULATION IS GROWING SLIGHTLY ACROSS THE SERVICE AREA. HAMILTON COUNTY IS HOME TO THE LARGEST SHARE OF BLACK/AFRICAN AMERICAN RESIDENTS IN THE SERVICE AREA. HAMILTON AND BRADLEY COUNTIES ARE HOME TO THE LARGEST SHARE OF HISPANIC/LATINO RESIDENTS. URBAN AREAS AND THE SUBURBAN AREAS THAT SURROUND THEM TEND TO HAVE HIGHER PERCENTAGES OF RESIDENTS WHO HAVE COMPLETED HIGH SCHOOL AND COLLEGE. THAT IS GENERALLY THE CASE IN THE ERLANGER SERVICE AREA. HOWEVER, HIGH SCHOOL GRADUATION RATES AND THE SHARE OF THOSE EARNING COLLEGE OR ADVANCED DEGREES SEEMS TO BE INCREASING SLOWLY. ACCORDING TO CENSUS DATA, INCOME LEVELS ROSE DRAMATICALLY FROM 2021 TO 2024, WITH HAMILTON COUNTY AND CATOOSA COUNTY LEADING THE WAY. PER CAPITA INCOME IN HAMILTON COUNTY INCREASED FROM $32,839 IN 2021 TO $43,484 IN 2024 DATA. THE PERCENTAGE OF PERSONS LIVING IN POVERTY IN HAMILTON COUNTY DECLINED FROM 13.3% IN 2021 DATA TO 12.9% IN 2024.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MURPHY MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3990 E US HWY 64 ALT	AddressLine1Txt
City	MURPHY	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28906	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	561844262	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$11,245	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	OPERATING SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	EMPLOYEE HELP FUND	GrantTypeTxt
Recipient	20	RecipientCnt
Cash Grant	$20,500	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	APPLICANTS SHOULD REQUEST A SPECIFIC DOLLAR AMOUNT BETWEEN $50 AND $1,000. IN RARE CIRCUMSTANCES, THE COMMITTEE MAY APPROVE AMOUNTS EXCEEDING $1,000 IF THE SITUATION WARRANTS IT. ONCE AN APPLICATION IS SUBMITTED, A COMMITTEE OF FOUR REPRESENTATIVES REVIEWS THE INFORMATION TO DETERMINE WHETHER IT MEETS THE CRITERIA FOR APPROVAL. EMPLOYEES ARE NOTIFIED OF THE FINAL DECISION WITHIN SEVEN BUSINESS DAYS OF SUBMITTING THE APPLICATION. ONCE ASSISTANCE IS APPROVED, THE PAYROLL DEPARTMENT IS NOTIFIED VIA EMAIL WITH A REQUEST TO ISSUE FUNDS FROM THE EMPLOYEE HELP FUND ACCOUNT. ASSISTANCE IS INCLUDED IN THE EMPLOYEE'S PAYROLL CHECK AND IS SUBJECT TO TAX. EMPLOYEE RELATIONS MAINTAINS A RECORD OF APPROVALS AND DENIALS AND WORKS CLOSELY WITH ACCOUNTING TO ENSURE THE FUND BALANCE ALIGNS WITH APPROVED DISBURSEMENTS AND REMAINING RESOURCES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (27 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DANIEL KUETER
PHYSICIAN	$940,060	$0	$1,401,680	$0	$198,985	$0	$17,250	$0	$16,089	$0	$2,574,064	$0	$0	$0
JOSEPH MILLER
PHYSICIAN	$925,817	$0	$994,729	$0	$146,136	$0	$17,250	$0	$28,008	$0	$2,111,940	$0	$0	$0
JESSE DOTY
PHYSICIAN	$500,019	$0	$1,369,509	$0	$541	$0	$17,250	$0	$1,096	$0	$1,888,415	$0	$0	$0
MATTHEW HIGGINS
PHYSICIAN	$464,879	$0	$1,352,276	$0	$509	$0	$17,250	$0	$25,357	$0	$1,860,271	$0	$0	$0
PETER BOEHM
PHYSICIAN	$932,257	$0	$720,130	$0	$153,032	$0	$17,250	$0	$25,722	$0	$1,848,391	$0	$0	$0
JIM COLEMAN
PRESIDENT & CEO	$991,180	$0	$287,090	$0	$357,251	$0	$17,250	$0	$19,257	$0	$1,672,028	$0	$0	$0
LYNN DEJACO
EVP, CFO & TREASURER	$637,228	$0	$186,758	$0	$320,451	$0	$12,549	$0	$20,323	$0	$1,177,309	$0	$0	$0
ROBERT MALONEY
FORMER EVP, COO	$75,463	$0	$108,991	$0	$802,033	$0	$103,373	$0	$3,870	$0	$1,093,730	$0	$0	$0
GREGG GENTRY
FORMER EVP, CAO	$29,560	$0	$0	$0	$579,481	$0	$377,265	$0	$0	$0	$986,306	$0	$0	$0
TYLER WINKS
EVP, CHIEF OPERATING OFFICER	$526,171	$0	$176,486	$0	$120,912	$0	$17,250	$0	$26,628	$0	$867,447	$0	$0	$0
JEFFREY WOODARD
BOARD SECRETARY, CHIEF LEGAL OFFICER	$387,216	$0	$120,262	$0	$312,766	$0	$17,250	$0	$27,447	$0	$864,941	$0	$0	$0
RACHEL HARRIS
EVP, CHIEF NURSING OFFICER	$359,862	$0	$109,254	$0	$177,893	$0	$17,250	$0	$8,194	$0	$672,453	$0	$0	$0
WENDY FOURNET
EVP, CHIEF ADMINISTRATIVE OFFICER	$447,004	$0	$81,091	$0	$73,762	$0	$1,769	$0	$8,041	$0	$611,667	$0	$0	$0
JENSEN HYDE
CHIEF MEDICAL OFFICER - VP	$382,486	$0	$92,160	$0	$68,918	$0	$17,250	$0	$299	$0	$561,113	$0	$0	$0
ADAM FALL
CORP MEDICAL DIR PHYS ADVISOR	$387,671	$0	$48,074	$0	$1,770	$0	$17,250	$0	$12,113	$0	$466,878	$0	$0	$0
DAVID GARRETT FORMER SVP
& CHIEF INFORMATION OFFICER	$160,930	$0	$0	$0	$266,702	$0	$4,982	$0	$7,232	$0	$439,846	$0	$0	$0
ADAM CAMPBELL
SVP CHF QLTY & PT SAFETY OFFICER	$282,610	$0	$48,904	$0	$68,631	$0	$16,863	$0	$17,401	$0	$434,409	$0	$0	$0
STEVEN BURKETT VP OF
STRATEGY & BUSINESS DEVELOPMENT	$158,780	$0	$53,251	$0	$200,104	$0	$8,800	$0	$10,086	$0	$431,021	$0	$0	$0
MARK STAFNE
EVP & CHIEF GROWTH OFFICER	$291,320	$0	$55,806	$0	$33,461	$0	$13,456	$0	$26,902	$0	$420,945	$0	$0	$0
MARTHA ARVIN VP CHIEF
COMPLIANCE & PRIVACY OFFICER	$296,668	$0	$51,236	$0	$31,258	$0	$17,250	$0	$17,154	$0	$413,566	$0	$0	$0
CINNAMON MATHEWS
SVP & CDIO	$268,506	$0	$50,731	$0	$33,769	$0	$17,250	$0	$16,243	$0	$386,499	$0	$0	$0
JEANNA ADLER
VP CORPORATE FINANCE	$285,436	$0	$49,336	$0	$14,490	$0	$17,250	$0	$17,356	$0	$383,868	$0	$0	$0
ADAM ROYER
VP OPERATIONS	$267,794	$0	$45,284	$0	$48,192	$0	$17,129	$0	$209	$0	$378,608	$0	$0	$0
TRACI JENNINGS
VP OPERATIONS	$260,052	$0	$45,284	$0	$32,150	$0	$10,971	$0	$24,492	$0	$372,949	$0	$0	$0
PETER DEVERSA
CORP MEDICAL DIR REVENUE INTEGRITY	$341,410	$0	$0	$0	$0	$0	$17,250	$0	$11,520	$0	$370,180	$0	$0	$0
STANFORD STEPHENS
VP FACS, CONST & SUPPT SVCS	$299,306	$0	$30,482	$0	$867	$0	$2,377	$0	$26,514	$0	$359,546	$0	$0	$0
MISTY BRACKETT
SVP REVENUE CYCLE	$181,971	$0	$48,060	$0	$50,243	$0	$15,793	$0	$29,842	$0	$325,909	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINES 4A-B	FormAndLineReferenceDesc
Explanation	DURING THE 2024 CALENDAR YEAR, ROBERT MALONEY, GREGG GENTRY, DAVID GARRETT, AND STEVEN BURKETT RECEIVED SEVERANCE PAYMENTS OF $527,291, $358,402, $261,768, AND $145,341 RESPECTIVELY. THESE PAYMENTS ARE REPORTED AS TAXABLE COMPENSATION ON PART II, COLUMN B(III). THE FOLLOWING EMPLOYEES PARTICIPATED IN A 457(F) PLAN THAT WAS TERMINATED EFFECTIVE JUNE 30, 2023, WITH FINAL PAYOUTS MADE DURING CALENDAR YEAR 2024. THESE PAYMENTS ARE REPORTED AS TAXABLE COMPENSATION ON PART II, COLUMN (B)(III): JIM COLEMAN - $99,462; LYNN DEJACO - $152,610; ROBERT MALONEY - $183,088; JEFFREY WOODARD - $178,503; RACHEL HARRIS - $120,968; GREGG GENTRY - $219,975	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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 CHATTANOOGA TENNESSEE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	521298872	BondIssuerEIN
CUSIP	162409AP1	CUSIPNum
Bond Issued	2024-08-29	BondIssuedDt
Issue Price	$352,839,249	IssuePriceAmt
Purpose	PROCEEDS WERE USED TO REFUND ALL OUTSTANDING SERIES 2014A BONDS	PurposeDesc
Defeased	Yes (1)	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$3,514,078	RetiredAmt
Total Proceeds	$352,839,249	TotalProceedsAmt
Issuance Costs From Proceeds	$2,898,768	IssuanceCostsFromProceedsAmt
Working Capital Expenditures	$349,940,481	WorkingCapitalExpendituresAmt
Capital Expenditures	$3,163,430	CapitalExpendituresAmt
Other Spent Proceeds	$149,920,000	OtherSpentProceedsAmt
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: THE HEALTH, EDUCATIONAL AND HOUSING FACILITY BOARD OF CHATTANO DATE THE REBATE COMPUTATION WAS PERFORMED: 12/19/2024	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (29 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$34,567,934	PHYSICIAN SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$29,938,558	FACILITY SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$27,896,237	PHYSICIAN SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$6,997,548	IT SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$6,951,499	PHYSICIAN SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$5,212,769	PHYSICIAN SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$5,013,546	PHYSICIAN SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$4,958,344	PHYSICIAN SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$4,912,070	LEGAL SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$3,872,872	INSURANCE SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$3,635,569	SECURITY SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$3,258,337	MARKETING SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$2,598,705	HEALTHCARE SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$1,478,408	CONSULTING SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$785,613	PHYSICIAN SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$736,403	INSURANCE SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$563,190	CONSULTING SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$531,068	LEGAL SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$450,000	IT SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$349,307	CONSULTING SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$348,443	HEALTHCARE SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$325,785	INSURANCE SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$307,241	PHYSICIAN SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$198,474	HEALTHCARE SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$167,429	ACCOUNTING SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$164,000	HEALTHCARE SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$160,290	REAL ESTATE SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$127,209	CONSULTING SERVICES	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$121,757	HEALTHCARE SERVICES	0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	AUCTION ITEMS	12	$46,579	FMV
Yes (X)	PLANTS	2	$5,564	FMV

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	NUMBER OF CONTRIBUTIONS	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 2	ON NOVEMBER 30, 2024, ERLANGER HEALTH ASSUMED THE ASSETS AND LIABILITIES OF THE ERLANGER FOUNDATION - PREVIOUSLY THE 501(C)(3) FUNDRAISING ARM OF ERLANGER. AS A DEPARTMENT OF ERLANGER, THE TRADE NAME ("ERLANGER FOUNDATION") WAS MAINTAINED BY ERLANGER. ADDITIONALLY, THE PREVIOUS BOARD OF DIRECTORS OF ERLANGER FOUNDATION WAS RECONSTITUTED FROM A FIDUCIARY BOARD TO A NON-FIDUCIARY COMMITTEE OF THE ERLANGER HEALTH BOARD UNDER THE TITLE OF THE "ERLANGER FOUNDATION ADVANCEMENT COUNCIL".
FORM 990, PART VI, SECTION B, LINE 11B	THE ACCOUNTING DEPARTMENT PROVIDES INFORMATION TO AN UNRELATED, INDEPENDENT ACCOUNTING FIRM FOR PREPARATION OF THE FORM 990. THE RETURN IS REVIEWED BY THE ORGANIZATION'S EVP/CFO AND IS PROVIDED IN ELECTRONIC FORM TO ALL MEMBERS OF THE ERLANGER HEALTH AUDIT AND FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO BEING FILED WITH THE IRS. THE EVP/CFO ATTENDS THE MEETING WITH THE COMMITTEE TO ANSWER ANY QUESTIONS AND ADDRESS ANY SIGNIFICANT DISCLOSURES WITHIN THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	ERLANGER HEALTH HAS A CONFLICT-OF-INTEREST POLICY FOR ALL MEMBERS OF THE BOARD OF DIRECTORS, THE CHAIR, PRESIDENT, EXECUTIVES, PART VII VICE PRESIDENTS, SENIOR VICE PRESIDENTS, AND VICE PRESIDENTS, AND APPLIES TO ALL ERLANGER HEALTH FACILITIES. ALL PERSONS COVERED BY THIS POLICY ARE REQUIRED TO COMPLETE A CONFLICT-OF-INTEREST DISCLOSURE FORM ON AN ANNUAL BASIS. SHOULD A CONFLICT ARISE, IT IS THE RESPONSIBILITY OF THE CONFLICTED INDIVIDUAL TO UPDATE HIS OR HER DISCLOSURE IMMEDIATELY. IF A MEMBER OF THE BOARD OR BOARD COMMITTEE HAS A CONFLICT OF INTEREST INVOLVING ANY ISSUE ON THE BOARD AGENDA, HE OR SHE MUST DECLARE THE CONFLICT OF INTEREST DURING THE PERIOD ALLOTTED FOR DISCLOSURE. IF ANY ISSUE ARISES DURING A MEETING IN WHICH THE BOARD MEMBER HAS A CONFLICT OF INTEREST, HE OR SHE MUST IMMEDIATELY DECLARE THE CONFLICT. WHILE EACH MEMBER OF THE BOARD OR BOARD COMMITTEE IS RESPONSIBLE FOR DISCLOSING CONFLICTS OF INTEREST, IT IS ALSO THE RESPONSIBILITY OF ANY BOARD MEMBER AWARE OF A CONFLICT WHICH HAS NOT BEEN DISCLOSED TO ENSURE THE BOARD IS MADE AWARE. THE PRESIDING OFFICER OF A BOARD OR BOARD COMMITTEE MEETING MAY ASK A CONFLICTED MEMBER TO EXCUSE THEMSELVES FROM THE MEETING DURING THE DISCUSSION RELATED TO THE ISSUE WITH WHICH THE CONFLICT OF INTEREST APPLIES. UNDER NO CIRCUMSTANCES SHALL A MEMBER VOTE ON A MATTER THAT GIVES RISE TO A POTENTIAL CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION PROCESS FOR TOP OFFICIAL: THE EXECUTIVE COMPENSATION COMMITTEE SERVES AS THE COMPENSATION OVERSIGHT COMMITTEE OF ERLANGER HEALTH'S BOARD OF DIRECTORS. THE EXECUTIVE COMPENSATION COMMITTEE IS COMPRISED OF MEMBERS WHO ARE DETERMINED TO BE INDEPENDENT AND WHOM ARE NOT RELIANT UPON ANY BUSINESS RELATIONSHIP WITH ERLANGER HEALTH FOR INCOME OR COMPENSATION. THE COMPENSATION PLAN FOR JIM COLEMAN, ERLANGER HEALTH'S PRESIDENT AND CEO, WAS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE AND THEN BY THE ERLANGER HEALTH BOARD OF DIRECTORS IN ACCORDANCE WITH THE BOARD'S COMPENSATION POLICY AND PRACTICE. THE BOARD OF DIRECTORS RELIES UPON THE ADVICE OF AN INDEPENDENT AND EXPERIENCED COMPENSATION CONSULTANT WITH KNOWLEDGE ABOUT PAY PRACTICES FOR COMPARABLE POSITIONS WITHIN THE INDUSTRY, AND WHO HAS ACCESS TO BROAD DATA, STUDIES AND SURVEYS IN ORDER TO ENSURE THE COMPENSATION FALLS WITHIN COMPETITIVE AND APPROPRIATE RANGES FOR THE POSITION. COMPENSATION PROCESS FOR OFFICERS & KEY EMPLOYEES: ON AN ANNUAL BASIS, ERLANGER HEALTH'S HUMAN RESOURCES (H/R) DEPARTMENT EVALUATES COMPENSATION FOR ALL EXECUTIVES AT A POSITION LEVEL OF VICE PRESIDENT AND ABOVE. HR'S EVALUATION IS BASED ON MARKET DATA OBTAINED FROM INDEPENDENT THIRD-PARTY CONSULTANTS FOR POSITIONS WITH SIMILAR RESPONSIBILITIES AT SIMILARLY SITUATED ORGANIZATIONS. BASED ON THIS COMPARABLE DATA, ERLANGER HEALTH'S PRESIDENT & CEO EVALUATES THE DATA AND SUBMITS HIS RECOMMENDATIONS TO ERLANGER HEALTH'S BOARD OF DIRECTORS FOR THEIR FINAL REVIEW AND APPROVAL. IN ADDITION, ERLANGER HEALTH OFFERS AN INCENTIVE PLAN TO EXECUTIVES BASED ON TARGETED ACHIEVEMENT METRICS APPROVED BY THE ERLANGER HEALTH BOARD OF DIRECTORS WHICH INCLUDE QUALITY OF CARE, ACCESS TO CARE, COST MANAGEMENT, ETC.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST TO THE APPROPRIATE PARTIES REQUESTING THEM FOR THE SAME PERIOD OF TIME AS SET FORTH IN IRC SECTION 6104(D). FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST TO APPROPRIATE PARTIES REQUESTING THEM, AND THEY ARE MADE AVAILABLE TO THOSE PARTIES WHO OWN INDEBTEDNESS OF THE COMPANY ON A QUARTERLY BASIS. QUARTERLY FINANCIAL STATEMENTS AND THE ANNUAL AUDITED FINANCIAL STATEMENTS ARE POSTED ON DACBOND.COM AND EMMA.MSRB.ORG, THE OFFICIAL PUBLIC DISCLOSURE WEBSITE.
FORM 990, PART IX, LINE 11G	CONTRACTED/PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 102,975,190. MANAGEMENT AND GENERAL EXPENSES 32,290,325. FUNDRAISING EXPENSES 147,878. TOTAL EXPENSES 135,413,393. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 34,077,808. MANAGEMENT AND GENERAL EXPENSES 10,685,909. FUNDRAISING EXPENSES 48,938. TOTAL EXPENSES 44,812,655. COMPUTER SERVICES: PROGRAM SERVICE EXPENSES 10,294,624. MANAGEMENT AND GENERAL EXPENSES 3,228,125. FUNDRAISING EXPENSES 14,784. TOTAL EXPENSES 13,537,533. LAB OUTSIDE FEES: PROGRAM SERVICE EXPENSES 2,982,119. MANAGEMENT AND GENERAL EXPENSES 935,115. FUNDRAISING EXPENSES 4,282. TOTAL EXPENSES 3,921,516. MISCELLANEOUS FEES: PROGRAM SERVICE EXPENSES 6,829,708. MANAGEMENT AND GENERAL EXPENSES 2,141,617. FUNDRAISING EXPENSES 9,807. TOTAL EXPENSES 8,981,132.
FORM 990, PART XI, LINE 9:	NET ASSETS FROM FOUNDATION ACQUISITION 2,116,447.
FORM XII, LINE 2C	THE AUDIT AND FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ERLANGER FOUNDATION
975 EAST THIRD STREET B-508	CHATTANOOGA	TN	37403	581664027	FUNDRAISING	TN	501(C)(3)	LINE 7	ERLANGER HEALTH	0
MURPHY MEDICAL CENTER INC
3990 US HIGHWAY 64 E ALT	MURPHY	NC	28906	561844262	HEALTHCARE	NC	501(C)(3)	LINE 3	ERLANGER HEALTH	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
CYBERKNIFE OF CHATTANOOGA LLC
5217 MARYLAND WAY SUITE 200	BRENTWOOD	TN	37027	273411092	TO OPERATE AN AMBULATORY CENTER TO PROVIDE RADIATION THERAPY SERVICES	TN	ERLANGER HEALTH	RELATED	$417,305	$460,801	0	0	0.51000
EN LLC
715 MARKET STREET SUITE 203	CHATTANOOGA	TN	37402	830729368	TO OPERATE CLINICS WHICH PROVIDE WALK-IN HEALTH SERVICES	TN	NOON EN LLC	RELATED		$265,679	0	Yes (1)	0.20000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CONTINUCARE HEALTHSERVICES INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	975 EAST THIRD STREET	AddressLine1Txt
City	CHATTANOOGA	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37403	ZIPCd

Field	Value	IRS element (for citing)
EIN	621214963	EIN
Primary Activities	TO PROVIDE HEALTH AND WELLNESS SERVICES	PrimaryActivitiesTxt
Legal Domicile State	TN	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ERLANGER HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$530,234	ShareOfTotalIncomeAmt
Share Of EOY Assets	$22,329,467	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MURPHY MEDICAL CENTER INC 56-1844262	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	J	TransactionTypeTxt
Involved	$88,145	InvolvedAmt
Method Of Amount Determination	FAIR MARKET VALUE	MethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS	FormAndLineReferenceDesc
Explanation	ERLANGER FOUNDATION DISSOLVED ON NOVEMBER 30, 2024.	ExplanationTxt