2025-11-11T12:13:59-06:00 2024-12-31 990 2024-01-01 620528340 Fort Sanders Regional Medical Center FORT 8653745329 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 Joseph C Dolan EVP/CFO 8653746872 2025-11-11 0 2024 2025-03-06 01:10:19Z X Covenant Health Fort Sanders Regional James D VanderSteeg 244 Ft Sanders W Blvd Knoxville TN 37922 427640297 0 X www.covenanthealth.com/fort-sanders-regional X 1954 TN Fort Sanders Regional Medical Center is a 468-bed full service acute care hospital located in the Fort Sanders community of downtown Knoxville, Tennessee. It is a member of the Covenant Health system. 20 19 2446 558 1280332 17207 164521 440059 395258221 418112461 69526 101272 3834888 4533984 399327156 423187776 38484 61403 0 0 116109937 127584949 0 0 0 295381408 307433137 411529829 435079489 -12202673 -11891713 271470046 249493829 40011758 36400496 231458288 213093333 X Fort Sanders Regional Medical Center provides quality healthcare, in alignment with Covenant Health's mission to serve the community by improving the quality of life through better health, regardless of a patient's ability to pay. 0 0 427175154 61403 417715176 Fort Sanders Regional Medical Center ("Fort Sanders Regional") traces its beginnings to May 1919, when a group of physicians received a charter from the State of Tennessee for a new hospital to be built on the site of the Civil War Battle of Fort Sanders. Fort Sanders Regional has grown throughout its 100+ year history to include 45 medical specialties. The hospital has 444 acute care beds and 24 beds in the Fort Sanders Transitional Care Unit. SERVICEThe hospital is known for excellence in stroke care, neurosciences, cardiology, surgery, oncology, orthopedics, obstetrics, bariatrics, and rehabilitation medicine. In 2024, Fort Sanders Regional Medical Center received its fifth consecutive "A" Hospital Safety Grade from The Leapfrog Group. This national distinction celebrates Fort Sanders Regional's achievements in patient safety. Additionally, Fort Sanders Transitional Care Unit received an American Health Care Association Bronze National Quality Award, 5-star overall rating by the Centers for Medicare and Medicaid Services, and U.S. News & World Report recognition as a Best Nursing Home.The hospital was also named on Becker's Hospital Review's 2024 list of "Great Hospitals in America" a national list of facilities that are "widely recognized for their clinical excellence, commitment to patient safety, innovative initiatives, research efforts, education and high levels of patient satisfaction."In 2024, Fort Sanders Regional also received eight Zero Harm Awards for patient safety from the Tennessee Hospital Association. These awards recognize outstanding patient safety achievements at hospitals across Tennessee.Fort Sanders Regional Medical Center served 224,561 patients in 2024. Of these, 204,886 were outpatients and 19,675 were inpatients, with an average length-of-stay of 4.84 days.PUTTING PATIENTS FIRSTAs a neuroscience and rehabilitation center of excellence, Fort Sanders Regional is committed to providing the latest advancements for neurological care, including stereotactic neurosurgery and neuro-interventional radiology. When coupled with the comprehensive services of the Patricia Neal Rehabilitation Hospital (a joint venture hospital with Encompass Health at Fort Sanders Regional) and the Patricia Neal Outpatient Center (a department of Fort Sanders Regional), the neuroscience and rehabilitation programs provide services to optimize clinical and functional patient outcomes.Neurologic technology at the hospital includes an innovative 3D-imaging system that uses global positioning technology to give physicians real-time views inside the body without radiation, while facilitating less invasive and more precise surgeries. Fort Sanders Regional also offers diagnosis and treatment of epilepsy, Alzheimer's disease, dementia, Parkinson's disease and multiple sclerosis.Fort Sanders Regional is designated by The Joint Commission as a Comprehensive Stroke and Rehabilitation Center of Excellence specializing in the acute management of strokes, including advanced treatment and research. Fort Sanders Regional is the hub of Covenant Health's stroke hospital network, which links Covenant Health's member hospitals in providing access to collaborative, rapid, advanced stroke care throughout our region. Fort Sanders Regional's award-winning Heart Center offers comprehensive cardiovascular services that span the continuum of heart care, from testing and advanced diagnostics to interventional technologies, cardiovascular surgeries, clinical trials and cardiac rehabilitation. In 2024, the hospital became the first in state to adopt a new revolutionary diagnostic technology that provides a 3D model of a patient's heart structure to help better identify blockages. In 2024, the hospital earned the following American Heart Association/American Stroke Association designations for excellence in stroke and heart care: - Get With The Guidelines - Stroke Gold Plus Quality Achievement Award- Mission: Lifeline - STEMI Gold Plus Receiving Quality Achievement Award- Mission: Lifeline - NSTEMI Gold Quality Achievement Award Fort Sanders Regional is accredited by the National Accreditation Program for Rectal Cancer (NAPRC), a quality program of the American College of Surgeons. It was the first hospital in the state to receive the accreditation.Fort Sanders Regional Medical Center is recognized for excellence in surgery. The bariatric surgery program, which helps people who are morbidly obese reverse or eliminate medical risks associated with obesity through surgical treatment, is accredited as a Comprehensive Center under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. The program was also recognized as a "Best Weight Loss Clinic" by Newsweek in 2024. Fort Sanders Regional is also noted for women's surgeries such as breast cancer, c-section and gynecologic procedures. Fort Sanders Regional Medical Center has received the Blue Cross BlueShield Blue Distinction designation for bariatrics and spine surgery as well as knee and hip surgery. In 2024, a total of 11,483 patients underwent surgery at Fort Sanders Regional in specialty areas, including: - Cardiothoracic Surgery- Cardiovascular Surgery- Colon/Rectal Surgery- Neurosurgery- Orthopedic Surgery- Plastic Surgery- Sinus Surgery and other Ear, Nose, and Throat Procedures- Surgical Oncology- Thoracic Surgery- Vascular SurgeryFort Sanders Regional also offers surgical oncology, the surgical management of cancer. Surgical oncologists may specialize in thoracic or gynecological procedures, along with other sub-specialties to help cancer patients. IMPROVING THE COMMUNITY'S QUALITY OF LIFE THROUGH BETTER HEALTHFort Sanders Regional is committed to building a healthy community through these and other initiatives: - In 2024, the program reached its 1,000th case milestone for a new robotic-assisted bronchoscopy platform for minimally invasive lung biopsies, greatly improving the quality of life in lung nodule patients. This technology obtains tissue samples more efficiently and comfortably in deep, hard-to-reach areas of the lung, where many early-stage tumors are found.- The Innovative Recreation Cooperative offers innovative opportunities for individuals recovering from disabling illnesses or injuries to participate in adaptive sports and recreational activities.- Fort Sanders Regional's bariatric surgery seminars and support groups provide vital information to patients considering bariatric surgery and offer pre- and post-surgical support. - The Fort Sanders Regional Joint Center offers joint replacement education opportunities prior to surgery.- The stroke, spinal cord injury, brain injury and amputee support groups at Patricia Neal Outpatient Center help patients and families heal by bringing together those with common experiences who can provide group members with comfort, encouragement and advice. - Fort Sanders Regional's Teddy Bear University classes provide information and support for new parents, siblings and grandparents as they welcome a new baby. Class topics include pregnancy and childbirth, breastfeeding and more. Fort Sanders Regional is recognized by Cribs for Kids as a Gold "Safe Sleep" Hospital for providing education and vital information about safe sleep to the parents of newborns. 427175154 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 212 0 1 2446 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 20 19 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Andrew McCreary 8653745329 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 Mitchell Dickson MD Director 0.00 1.00 X 0 0 0 Stephanie Flood Director 0.00 1.00 X 0 964 0 James Gibson Director 0.00 1.00 X 0 0 0 Edgar Gray Director 0.00 1.00 X 0 844 0 Leslye Hartsell Director 0.00 1.00 X 0 1124 0 Donald Hickman Director 0.00 1.00 X 0 675 0 Timothy Matthews Director 0.00 1.00 X 0 657 0 Janice McKinley Director 0.00 1.00 X 0 0 0 Cletus McMahon MD Director 0.00 1.00 X 0 0 0 Dave Miller Director 0.00 1.00 X 0 0 0 Bill Myers Director 0.00 1.00 X 0 0 0 Alvin Nance Director 0.00 1.00 X 0 648 0 Linda Ogle Director 0.00 1.00 X 0 0 0 King Purnell Director/Chair 0.00 1.00 X X 0 935 0 Jorge Sanabria Director 0.00 1.00 X 0 807 0 William Seale Director 0.00 1.00 X 0 1060 0 Cosby Stone Director 0.00 1.00 X 0 1113 0 Joe Sutter Director 0.00 1.00 X 0 881 0 James Tramontana MD Director 0.00 1.00 X 0 1086 0 James D VanderSteeg President & CEO 0.00 50.00 X X 0 2880556 362274 Joseph C Dolan EVP/CFO 0.00 50.00 X 0 861693 105608 Keith N Altshuler President & CAO 44.00 6.00 X 0 659599 36837 Brian J Lett VP - Financial Services 42.00 8.00 X 213776 0 31552 April Mount VP - Chief Nursing Officer 50.00 0.00 X 287378 0 41160 Christopher S Hall VP - Support Services 50.00 0.00 X 234073 0 19467 Mark A Moser CRNA 50.00 0.00 X 395807 0 30596 Tina D Ross CRNA 50.00 0.00 X 300022 0 20666 Gregory W Hagopian CRNA 50.00 0.00 X 281498 0 10256 Wiley Lowe CRNA 50.00 0.00 X 267520 0 30865 Kimberly A Sharkey CRNA 50.00 0.00 X 247756 0 10153 2227830 4412642 699434 143 0 1 0 Medically Home Group Inc 500 Harrison Avenue Ste 3R-A Boston MA 02118 Patient Home Care 2885603 Newstat PLLC PO Box 207830 Dallas TX 753207830 Leased Medical Providers 2156712 AMN Locum Tenens Inc PO Box 281923 Atlanta GA 30384 Physician Services 1822631 Linen King LLC PO Box 701683 Tulsa OK 74170 Linen Services 1748541 Medic Regional Blood Center 1601 Ailor Avenue Knoxville TN 37921 Blood Process Fees 1475273 65 375976 64083 440059 Net Patient Revenue 622110 416381026 416381026 Laboratory 621500 1196620 1196620 Rental Income - Exempt Affiliates 531120 534815 534815 418112461 75438 75438 5684240 4447405 1236835 1236835 77397 1159438 30950 5116 25834 25834 25834 Cafeteria 722514 1872063 1872063 Gift Shop 459420 532647 532647 Management Fees 561000 236410 236410 656029 562925 6315 86789 3297149 423187776 417715176 1280332 3752209 X 3280 3280 58123 58123 827403 827403 103582524 102819006 763518 3702392 3671669 30723 11470870 11370110 100760 8001760 7886149 115611 37707851 36732439 975412 16588 16588 81650987 81359371 291616 1581 1489 92 2422477 1666396 756081 8585578 7503847 1081731 76404 75506 898 50088 43824 6264 57593 57593 20265538 19150187 1115351 439456 424851 14605 Medical Supplies 112260213 112260213 Bad Debt 23113282 23113282 Minor Equipment 13898257 12557201 1341056 Food and Dietary 3104359 3104359 3782885 3316259 466626 435079489 427175154 7904335 0 -245272 -220885 -1609033 -2994970 46167028 44499237 5831110 5997296 1849822 1707250 592740502 395739469 207125865 197001033 12350526 3504868 271470046 249493829 26908027 28635104 13103731 7765392 40011758 36400496 X 231458288 213093333 231458288 213093333 271470046 249493829 X -11891713 -6473242 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 141726 21 5516 5516 141747 141706 20 4065 4065 141726 141706 7728 7728 141706 141706 4563 4563 141706 141706 5103 5103 141706 0.00000 1.00000 0.00000 0 1 1 8604191 8604191 322508113 182982125 139525988 574201 550191 24010 260501520 212207153 48294367 552477 552477 197001033 Due To Affiliates, Net 331323 Due to Third Party Payors 2753441 Long-term Deferred Compensation 890715 Long-term Reserve for Workers Comp 1550679 Operating and Finance Leases 1457091 Other Liabilities 782143 7765392 X Part V, Line 4: Covenant Health Foundation maintains two permanent endowments for specific programs at Fort Sanders Regional Medical Center: The Pastoral Care Fund and the Caroline Can! Fund. The principal of the endowments will be kept intact and invested in pereptuity. The income generated is distributed to Fort Sanders Regional Medical Center to support pastoral care or brain injury education programs. Part X, Line 2: Excerpt from the consolidated audited financial statements of Covenant Health (Covenant), parent company to Fort Sanders Regional Medical Center: Covenant and certain of its subsidiaries or controlled entities are exempt from income taxes pursuant to Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes on qualifying activities has been made for these entities in the accompanying consolidated financial statements. However, certain entities and operations are subject to income taxes. Covenant had no unrecognized tax benefits at December 31, 2024 and 2023. As such, no interest or penalties were recognized in the consolidated financial statements related to unrecognized tax benefits. At December 31, 2024 and 2023, tax returns for 2021 through 2024 are subject to examination by the Internal Revenue Service. Covenant has no uncertain tax positions that would require financial statement recognition or disclosure under GAAP at December 31, 2024 and 2023. 1 1 X 1 X 1 X 1 1 1 0 1 1 16326207 16326207 0.03960 73434897 54216713 19218184 0.04660 879906 235923 643983 0.00160 90641010 54452636 36188374 0.08780 254647 39005 215642 0.00050 86536 1500 85036 0.00020 33268723 7330621 25938102 0.06300 30783 30783 0.00010 33640689 7371126 26269563 0.06380 124281699 61823762 62457937 0.15160 285 285 0.00000 26939 26939 0.00010 6135 6135 0.00000 16223 16223 0.00000 2479 2479 0.00000 52061 52061 0.00010 0 23113282 3714304 47900762 50708769 -2808007 X 1 1 1 1 Fort Sanders Regional Medical Center 1901 Clinch Avenue Knoxville TN 37916 www.covenanthealth.com/fort-sanders-re 00000043 X X X X Fort Sanders Regional Medical Center 0 0 1 X X X X X X X X 23 1 1 1 1 X See Part V, Page 8 X 1 23 1 See Part V, Page 8 0 1 X 200.000000000000 300.000000000000 X X 1 1 X X X 1 X https://www.covenanthealth.com/patients-visitors/financial-assistance/ X https://www.covenanthealth.com/patients-visitors/financial-assistance/ X https://www.covenanthealth.com/patients-visitors/financial-assistance/ X X X X X X 1 X 0 X X X 1 X 0 0 Fort Sanders Regional Medical Center Part V, Section B, Line 5: In conducting its most recent Community Health Needs Assessment ("CHNA"), Fort Sanders Regional Medical Center ("Fort Sanders Regional") partnered with the Knox County Health Department ("KCHD"), University of Tennessee-Social Work Office of Research and Public Service ("UT-SWORPS") and the Howard H. Baker Jr. Center for Public Policy. Community hospitals worked collaboratively with KCHD along with local healthcare providers, governmental agencies, and dozens of community stakeholders.KCHD convened data group meetings with assessment partners to organize and coordinate the qualitative and quantitative data collection efforts. The qualitative data consisted of 11 focus groups including one in Spanish, and more than 600 residents who participated in surveys, focus groups and interviews. Additionally with assistance from the Howard H. Baker Center for Public Policy, this assessment includes an economic component to evaluate the economic impact of chronic disease in the Knoxville Metropolitan Statistical Area (MSA) compared to other peer cities. Fort Sanders Regional Medical Center Part V, Section B, Line 6a: The 2023 Abridged CHNA for Knox County included the hospitals Fort Sanders Regional Medical Center and Parkwest Medical Center, both located within the county served by the health department. Fort Sanders Regional Medical Center Part V, Section B, Line 6b: The 2023 assessment was conducted in partnership with the Knox County Health Department, the University of Tennessee - Social Work Office of Research and Public Service, and the Howard H. Baker Jr. Center for Public Policy. Fort Sanders Regional Medical Center Part V, Section B, Line 11: In conducting the 2023 assessment, Fort Sanders Regional built upon the findings of the previous assessment. The health priorities were considered to be generational issues that are complicated and slow to change. Of the significant findings from the assessment, Fort Sanders Regional is focusing its resources on the following:1. Mental Health - Psych consult services using tele-video programming are now being supported by Peninsula Behavioral Health, a department of Parkwest Medical Center. Fort Sanders Regional partially subsidizes a psychiatrist and a nurse practitioner to provide on-site emergency department consultations. - Fort Sanders Regional, with funding support from the Covenant Health Department of Philanthropy, has implemented an Emergency Department Diversion Program. A team of medical and behavioral specialists conducts behavioral assessments for emergency patients who meet defined criteria, and the treatment plan proposes measures to meet identified needs. An outreach specialist will follow up with patients to guide implementation of the plan. - As a member of Covenant Health, we help serve the behavioral health needs of our community through Peninsula inpatient and outpatient programs, and as a part of Covenant Health's joint venture with East Tennessee Behavioral Health. - ComPASS Support Group: Through Covenant Health, Peninsula provides a monthly support group for those who have lost a family member, friend, or co-worker to suicide. This group provides a safe place of support, understanding and education during the journey of loss following the suicide death of a loved one. - Survivors of Suicide Loss Day: Through Covenant Health, an annual Survivors of Suicide Loss Day is held on the Saturday before Thanksgiving. This national observance is a day to provide support and healing to those affected by suicide. - Knox Area Rescue Ministries: Covenant HomeCare and Peninsula are providing on-site physical and mental health services to clients of Knox Area Rescue Ministries ("KARM"). Clients are predominantly homeless and living in shelters and on the street. Peninsula has an outreach specialist on-site at KARM once a week and is currently expanding services in conjunction with Covenant HomeCare. - Knox Area Mental Health Providers Coalition ("KAMHPC") was formed by members of Covenant Health to improve healthcare coordination for patients in the community. Since its inception the coalition has seen a reduction in hospital stays, lengths of stays, number of emergency room visits and psychiatric visits for patients studied over a 16-month period. The coalition addresses the need for more streamlined care coordination for those who frequently use mental health resources in our community. - Employee access to mental health resources through SupportLinc. Covenant Health is proud to partner with SupportLinc to offer all employees resources to help their families address and resolve everyday issues and personal concerns such as healthier lifestyles, stress management, family and caregiver concerns, career growth, legal resources and personal finance. Convenient, real-time support is available via phone, web portal or mobile app. 2. Substance Abuse - Peninsula Drug Treatment Program: Fort Sanders Regional can refer patients to the Peninsula Medication Assistance Treatment program for outpatient services related to substance abuse. This program offers specialized medications and intensive therapy to treat substance abuse disorders. - Opioid Light Program: Fort Sanders Regional's Emergency Department is participating in a Covenant Health system-wide initiative to curb the use of hospital-prescribed opioids. Physicians are prescribing non-opioid drugs when indicated for pain management, during treatment and at hospital discharge.3. Diabetes - Fort Sanders Regional is partnering with Knoxville Interfaith Health Center ("Interfaith") to support treatment and education for Interfaith patients with diabetes. Interfaith provides affordable health care to working uninsured or underserved individuals in the greater Knoxville area and offers specialty services for persons with diabetes. Fort Sanders Regional provides financial support for these programs. - Fort Sanders Regional is a major supporter of the annual Covenant Health Knoxville Marathon. Each year nearly 6000 runners, mostly from the East Tennessee region, participate in race events including a full marathon, half marathon, relay teams, 5K and Kids Run. Promoting physical activity and healthy weight is an important preventative measure to reduce the incidence of diabetes. Each year FSRMC contributes $25,000 in support of the marathon, which is sponsored in partnership with the Knoxville Track Club. 4. Tobacco Use - Smoking Cessation: Fort Sanders Regional offers a variety of patient education resources for smoking cessation. - Low-Dose CT scans: Fort Sanders Regional offers Low-Dose CT lung cancer screenings, which allow eligible patients to receive an annual screening to help identify lung cancer at early stages, when treatment can be more effective. - Lung Nodule Program: Fort Sanders Regional became the first hospital in the region to use robotic-assisted bronchoscopy technology to help lung nodule patients. The multidisciplinary team of pulmonologists, radiologists, surgeons and oncologists collaborate to provide evaluation and management of lung nodules. - Outpatient Cardiac Rehab Program: This program refers 100% of nicotine/tobacco users enrolled in cardiac rehab to cessation resources including: - 1:1 assessment with a respiratory therapist to measure patient's readiness to quit using nicotine/tobacco and to provide resources for cessation. - Tracking progress in daily assessment of the number of nicotine uses. 5. Lack of Affordable Housing - Fort Sanders Regional does not have the scope of service or expertise to specifically address affordable housing in our community. However, with our mission to improve the quality of life through better health, we will be supportive of community organizations that are leading affordable housing initiatives. Fort Sanders Regional Medical Center Part V, Section B, Line 16j: All other ways in which the hospital widely publicizes the FAP are discussed in detail in Part VI, Line 3. Part V, line 7a, CHNA website www.covenanthealth.com/fort-sanders-regional/chna/ Part V, line 10a, Implementation Strategy Website www.covenanthealth.com/fort-sanders-regional/chna/ Part V, Line 20d, Presumptive Eligibility Determinations The hospital follows the eligibility procedures as detailed within the FAP and does not make presumptive eligibility determinations. 16 1 - FSR Infusion Services at Oak Ridge 200 New York Ave Suite 230 Oak Ridge TN 37830 Pharmacy - Infusion Services 2 - FSR Radiation Oncology Srvcs at TCSC 1915 White Avenue Knoxville TN 37916 Oncology Radiation Therapy 3 - FS Regional MRI 1915 White Avenue Knoxville TN 37916 MRI Dept (Diagnostic) 4 - FSR Infusion Services - Lenoir City 576 Ft Loudoun Med Ctr Dr Ste 204 Lenoir City TN 37772 Pharmacy - Infusion Services 5 - FtSanders Ctr for Digestive Health 1819 Clinch Ave Ste 212 Knoxville TN 37916 Gastrointestinal Specialists 6 - FS PET Services at Thompson 1915 White Avenue Knoxville TN 37916 PET Imaging Services 7 - FSR Gamma Knife Center 1915 White Avenue Knoxville TN 37916 Gamma Knife Center 8 - FSR Transitional Care Unit 1901 Clinch Avenue Knoxville TN 37916 Skilled Nursing Facility 9 - The Sleep Disorders Center at FSRMC 5501 20th St Suite 303 Knoxville TN 37916 Sleep Center 10 - Thompson Comprehensive Breast Center 1915 White Avenue Knoxville TN 37916 Diagnostic Breast Center 11 - Ft Sanders Wound Treatment Center 2001 Laurel Avenue Ste NG-6 Knoxville TN 37916 Wound Care 12 - FS Regional Laser Center 1915 White Avenue Knoxville TN 37916 Center for Barrett's Esophagus 13 - FSR Cardiopulmonary Rehab 501 20th St Ste 301 Knoxville TN 37916 Cardiopulmonary Rehab Therapy Center 14 - FS Hyperbaric Oxygen Therapy Center 2001 Laurel Avenue Knoxville TN 37916 Hyperbaric Oxygen Therapy Center 15 - FSR Therapy Center Downtown 2001 Laurel Avenue Ste N504 Knoxville TN 37916 Physical Rehab Therapy Center 16 - FSR Therapy Center Powell 3515 Emory Rd Suite P-9 Powell TN 37918 Physical Rehab Therapy Center Part I, Line 3c: In addition to the Federal Poverty Guidelines ("FPG"), Fort Sanders Regional utilizes an asset test as a factor in determining eligibility for free or discounted care. Ten percent (10%) of the patient/guarantor's net assets will be added to income for determination of total annual income. The guidelines for determining assets include, but are not limited to, primary dwelling (and attached land), automobiles, liquid assets, investments, farm land, business property, rental property, farm and/or business equipment including livestock and crops. All real property will be considered at fair market value. The values of both real and personal property will be reduced by any existing liabilities incurred by the applicant in obtaining the assets (net assets) with the exception of primary dwelling. The primary dwelling net asset will be the amount of equity above $100,000. Actual or potential third party liability to the patient, hospital or the guarantor by common law, contract, statute or otherwise, shall be considered an asset and must be listed on the Hospital Financial Assistance application. Part I, Line 6a: Covenant Health, the parent company of Fort Sanders Regional and other affiliated acute care hospitals, prepares an annual Report to the Community on behalf of the entire system. Part I, Line 7: Amounts on Lines 7a-7c and certain program costs included on Line 7g are from the hospital's cost accounting system, which addresses all patient segments. Other community benefit expenses are at cost from the general ledger. Part I, Line 7g: Subsidized health services includes the difference between the cost of services and the payments received for those services. The cost of providing dialysis exceeded the payments received by $1,479,120 and the cost of services from the Patricia Neal O/P Clinics exceeded payments received by $1,473,783. The total also includes $22,938,078 in physician sponsorship fees. All subsidized health services included on line 7g are for services that would otherwise be unavailable in the community or be below the community's needs. Part I, Ln 7 Col(f): The Bad Debt expense included on Form 990, Part IX, Line 24a, but subtracted for purposes of calculating the percentage in this column is $23,113,282. Part II, Community Building Activities: Fort Sanders Regional cares for the whole person and recognizes that improved social and economic conditions may lead to the improved health and well-being of the community. The hospital's community-building activities and those of its parent organization, Covenant Health, address many of the root causes of health problems, such as access to care, tobacco use, and conditions such as diabetes and obesity, and help develop collaborative responses with other community organizations.An allocation of the Parent's community-building expenditures has been made to each member hospital in proportion to the financial contribution of each to the health system. Covenant Health is not a hospital and does not file Schedule H with its Form 990. Contributions in 2024 were made to organizations meeting the community's needs by providing: - The basic needs of life including temporary shelter, food, clothing, and safety (Ladies of Charity, Seymour Volunteer Fire Department, YWCA Knoxville, Salvation Army, Clinch River Habitat for Humanity) - Youth mentoring, development and after-school programs (Emerald Youth Foundation, Boys and Girls Club, Knox Education Foundation, First Tee of Greater Knoxville, Great Smoky Mountain Council) - Business recruitment, education marketing and community initiatives that boost economic development and quality of life (Knoxville Technology Council, Pellissippi State Foundation, Tennessee Wesleyan University, University of Tennessee College of Nursing) - Leadership development programs and workshops (Knoxville Area Urban League, Leadership Knoxville)- Assistance and special programs for at-risk older adults, children and adults with physical or developmental challenges, and children who have experienced abuse, neglect or trauma (Knoxville-Knox County Community Action Committee, Senior Citizens Home Assistance Services, Sertoma Center, Friends of Tennessee's Babies with Special Needs, New Hope Children's Advocacy Center, Street Hope Tennessee, Variety Children's Charity of East Tennessee) - Improve access to health services (East TN Children's Hospital, McNabb Center, Metropolitan Drug Commission, Interfaith Health Center, Knoxville Academy of Medicine, Region II Emergency Medical Services, Renew Clinic) - Programs supporting patients and families (Alzheimer's Tennessee, American Heart Association, Angel Wings Memory Gowns, Cancer Support Community East Tennessee, East TN Veterans Memorial Association, Honor Air Knoxville, Knox County Imagination Library, Random Acts of Flowers, Spark, Survivor Fitness) Part III, Line 2: Bad debt expense on Part III, Line 2 is the amount recorded in the organization's financial statements. Discounts and payments on patient accounts are netted against bad debt. The allowance for bad debt is determined based on management's assessment of factors including the age of the accounts, historical collections data, and industry standards. Part III, Line 3: At regular intervals, the Vice President of Revenue Cycle analyzes all self-pay accounts receivables to identify patients who may have been eligible for charity care during a particular period or year. Because this analysis does not yield a final determination of eligibility due to various factors including but not limited to charity applications still in process, failure of eligible patients to submit their charity application, and applications still under consideration, further analysis of the accounts comprising the self-pay accounts receivable is conducted. The accounts for which a patient was contacted to apply for charity care include an identifier; these charity-identified accounts are then categorized according to status. A ratio of the dollar amounts of those accounts whose charity application is in process or has been approved divided by the total self-pay accounts receivable is computed. This ratio is applied to the bad debt expense total to determine the estimated amount of the bad debt expense attributable to patients eligible for charity care according to the hospital's policy. Part III, Line 4: Note B to the 2024 Audited Consolidated Financial Statements of the Covenant Health system, of which Fort Sanders Regional is a member, states: Patient accounts receivable are reported net of an estimated allowance for contractual adjustments and an allowance for implicit price concessions. Covenant receives payments for services rendered from federal and state agencies, managed care health plans, commercial insurance companies, employers and patients. Covenant recognizes that revenues and receivables from government agencies are significant to operations, but does not believe there are significant credit risks associated with these government agencies. Covenant does not believe there are any other significant concentrations of revenues from any particular payer that would subject Covenant to any significant credit risks in the collection of accounts receivables. Covenant's policy does not require collateral or other security for patient accounts receivable and Covenant routinely accepts assignment of, or is otherwise entitled to receive, patient benefits payable under health insurance programs, plans or policies. Part III, Line 8: Medicare Shortfall: Fort Sanders Regional believes that all of the $2.8M shortfall reported in Line 7 should be considered as community benefit. The IRS Community Benefit Standard includes the provision of care to the elderly and Medicare patients. Medicare shortfalls must be absorbed by the hospital in order to continue treating the elderly in our community. This year, Medicare patients accounted for 15% of total patient days (13,821 out of 94,104 total). The hospital provides care regardless of this shortfall and thereby relieves the federal government of the burden of paying the full cost for Medicare beneficiaries. Costing Methodology: Fort Sanders Regional used a combination of sources in calculating Medicare allowable costs on Part III, Line 6 including its cost accounting system, general ledger accounting system, and facility-specific analyses and calculations. Part III, Line 9b: Fort Sanders Regional utilizes a look-back method to determine amounts generally billed ("AGB") to establish the maximum amount that will be charged to individuals eligible under the financial assistance policy ("FAP") for emergency or other medically necessary care. Self-pay patients automatically receive a 71% discount on charges based on the facility's calculated AGB. Federal poverty guidelines are utilized in the determination of charity care eligibility. Patients who are unable to pay and have exhausted all sources of payment assistance may qualify for charity care. A sliding scale is used for extending charity care utilizing the income levels reported under the federal poverty guidelines. Patients/guarantors with income that falls below 200% of the federal poverty guidelines receive 100% charity care. Patients/guarantors with income of 201-300% of the federal poverty guidelines receive 90% charity care. For catastrophic illness, exceptions to income and asset limitations may be made on a case-by-case basis. The amount considered for charity will be based upon the evaluation of the patient's/guarantor's ability to pay.Fort Sanders Regional makes reasonable efforts to determine a patient's eligibility under the facility FAP. All collection activity will be halted if a charity application is received and will remain on hold until a determination is made by FSRMC and communicated in writing to the responsible party. If the charity application is approved, all collection activities taken will be reversed and any amounts paid above the amount required will be refunded. Patients/guarantors who qualify for partial financial assistance are responsible for paying any balance remaining after the charity adjustment and third party payments. Fort Sanders Regional will not engage in extraordinary collection actions ("ECA") before it makes reasonable efforts to determine whether an individual who has an unpaid bill is eligible for financial assistance. Reasonable efforts to determine whether the individual who has an unpaid bill is eligible for financial assistance include notification to the individual of the FAP, contacting individuals who have submitted incomplete financial assistance applications regarding how to complete the application and allowing a reasonable time period to do so, and reviewing completed applications for financial assistance eligibility. Fort Sanders Regional does not sell any accounts receivable accounts to outside firms. All accounts remain property of and under the policies set by Fort Sanders Regional. Fort Sanders Regional will not defer or deny medically necessary care because of nonpayment for previously provided care whether it was covered or not covered under the charity program. Part VI, Line 2: While the CHNA is a formal means by which the health system assesses the needs of the community, there are many informal networks that give the Covenant Health hospitals a sense of community issues and needs. Fort Sanders Regional obtains additional community information through the service of its employees with organizations including the Interfaith Health Clinic, local Chambers of Commerce and Rotary clubs, the Knoxville Area Coalition on Childhood Obesity, Knox Area Project Access, and the United Way of Greater Knoxville. Covenant Health, the parent organization, maintains community benefit professionals working year-round to ensure that all hospitals are assessing and addressing the needs of the communities served. Part VI, Line 3: The FAP states that patients who are unable to pay or have exhausted all sources of payment assistance may be considered for charity care. Signage about the policy is posted in highly visible areas of the hospital, such as lobbies and registration areas. Information about the FAP is posted in patient booklets provided to patients during the registration process and communicated via patient billing statements. In addition, the FAP and application are available on the facility website. Fort Sanders Regional employs full time financial counselors to assist patients in applying for TennCare and screening for eligibility for financial assistance. Office hours and the phone number for the counselors are included on the signage. Wall signs informing patients about available financial assistance state the following: Covenant Health is committed to providing quality health services in a caring environment. It is the expressed philosophy of Covenant Health and its member hospitals that no one should be denied necessary medical care because of the inability to pay. In conjunction with this philosophy, counselors at Fort Sanders Regional Medical Center are available to assist you with your financial needs. If you are an uninsured person with no public or private source of payment for medical services Fort Sanders Regional Medical Center will provide, at a reduced rate, medically indicated services. A financial counselor is available to assist you with these matters by calling 865-331-1112, Monday through Friday between the hours of 8 a.m.-4 p.m. Additional information regarding financial assistance is also available on our website at FSRegional.com. Signage at the registration areas state the following:It is Fort Sanders Regional Medical Center's philosophy that no one shall be denied medically necessary services based on an inability to pay. Financial assistance applications for medically necessary services are available during the registration process, through a financial counselor, or on our website at FSRegional.com. A financial counselor is available to assist you with these matters by calling 865-331-1112, Monday through Friday between the hours of 8 a.m.-4 p.m. Part VI, Line 4: Fort Sanders Regional is located in downtown Knoxville, Tennessee. Although located in metropolitan Knox County, Fort Sanders Regional receives many specialty referrals from outlying hospitals and physicians and serves patients from 16 diverse counties, a mix of urban, suburban and rural. According to internal hospital data for 2024, 52.8% of the inpatients and 57.6% of outpatient cases were from Knox County. According to 2024 data from the County Health Ranking report of the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute, the population of Knox County is 494,574. The percent of the population that is 65 years or older constitute 16.6% of the residents. The unemployment rate in 2024 was 2.9%. Knox County residents have the following health indicators that are at or above the national benchmarks: Knox - TN - National Adult Smoking: 17% - 20% - 15% Adult Obesity: 36% - 36% - 34% Teen Birthrate: 17 - 24 - 17 of every 1,000 teenage girls Part VI, Line 5: Fort Sanders Regional, in conjunction with its parent company, Covenant Health, uses any available surplus of receipts over disbursements to expand and modernize the facility and to support the education of healthcare professionals, both of which serve to improve patient care and serve the unmet needs of the community.Covenant Health's voluntary Board of Directors serves as Fort Sanders Regional's board. The board is comprised of independent community leaders with diverse educational and professional backgrounds. The board provides governance and oversight of Fort Sanders Regional.Fort Sanders Regional maintains an open medical staff, with privileges available to all qualified physicians. Additionally, the hospital operates an active and accessible emergency department that accepts all patients regardless of ability to pay. Part VI, Line 6: Fort Sanders Regional, as a member of the Covenant Health system, benefits from the collaboration among all affiliated organizations to promote quality improvement, patient safety and efficient delivery of care for the communities served. As a system, Covenant assures that business processes are in place at each facility to measure and report quality; to increase the role of compliance; and to integrate risk management, utilization review, peer review, mandatory reporting and quality improvement into one cohesive function. In this way the system is able to use analytic tools to help identify any systemic inability to satisfy the various requirements on the part of the facilities. Fort Sanders Regional, as a regional referral hospital, provides a wide range of acute care services, many of which are unique in the Covenant system. These services are therefore more easily accessible by other affiliated hospitals and health care organizations through transfer or referral, helping to create a seamless continuum of care. The hospital, through its Patricia Neal Rehabilitation Center division, is the only acute inpatient rehabilitation facility in the Covenant system and the largest such provider in the service area. Programming includes specialized services for stroke, brain injury, spinal cord injury and other difficult patient populations with the primary goal of returning the patient home with the greatest gain in functional ability possible. Fort Sanders Regional also provides hospital-based skilled nursing care which serves as either a bridge back home or as an important step along the continuum of care to other long-term care resources. Fort Sanders Regional provides other important services unique to the Covenant system including high risk obstetrical services and home infusion. These services are important to prevent unnecessary hospitalizations through the provision of effective community-based care. Fort Sanders Regional also provides other extensive outpatient services through its ambulatory infusion centers, physical therapy centers, a wound care center, and its cardiac and pulmonary rehabilitation programs. Fort Sanders Regional's patients benefit from the availability of and ease of access to Covenant affiliated entities for services not provided by the hospital itself. Transfer or referral to such services is expedited and coordinated to help create a seamless continuum of care. A full range of community mental health and psychiatric hospital services are available within the system which help support the hospital's emergency room as well as provide an accessible and efficient pathway for those patients who require such services post discharge. Home health and hospice services are also an important part of the continuum of care for a large portion of the hospital's patient population. The Covenant Health system also enhances the patient's access to care through the provision of outpatient services in a variety of settings located throughout the service area.The Covenant Health Foundation ("the Foundation") seeks out community support for Fort Sanders Regional and other Covenant Health hospitals through a variety of fundraising mechanisms. For example, the Covenant Health Foundation helps to arrange sponsorship for significant fundraising activities of the Patricia Neal Rehabilitation Center division of the hospital including an annual golf tournament that has become the largest, single day fundraising event in the state of Tennessee. The proceeds of these events help fund needed equipment and facilities for the center as well as to provide access to the center's services for uninsured or underinsured individuals who are in need of intensive rehabilitation but may otherwise be denied such services due to the lack of resources. The Fort Sanders Nursing Department at Tennessee Wesleyan College is an important affiliate of Fort Sanders Regional. The school provides baccalaureate nursing education, helping to alleviate a shortage of registered nurses to serve a growing and aging population. It is a continuation of a nursing education tradition of the hospital that began more than eighty years ago. The hospital provides a substantial financial contribution to support the program. Training qualified nursing professionals to serve the current or future needs of the community is an important hospital mission.Through this combination of resources and the collective development, implementation and monitoring of clinical protocols and other improvement initiatives, the affiliated entities of Covenant Health are able to deliver higher quality care in a more efficient manner than could be achieved working independently. 1 Critical medications to indigent patients at discharge 102 25469 Cost Temporary housing/shelter for patients upon discharge 12 21653 Cost Scholarship assistance 1 8800 Cost Part I, Line 2: Grant funds are provided to charitable organizations for the purpose of enhancing and promoting health care and improving quality of life in the community. The organization has guidelines in place to review the eligibility of grantees, and all grants require written documentation and appropriate levels of approval. The organization also provides other post-hospital care assistance to eligible individuals. Funds are generally not tracked after being granted as the original eligibility and selection criteria have been met. Scholarship assistance is both merit-based and needs-based, and funds are contingent upon ongoing satisfactory academic progress. X X 1 1 0 1 0 0 0 0 0 0 0 James D VanderSteeg President & CEO 0 1578849 0 1078259 0 223448 0 335103 0 27171 0 3242830 0 0 Joseph C Dolan EVP/CFO 0 697828 0 138667 0 25198 0 72802 0 32806 0 967301 0 0 Keith N Altshuler President & CAO 0 469937 0 95000 0 94662 0 13200 0 23637 0 696436 0 0 Mark A Moser CRNA 395371 0 0 0 436 0 0 0 30596 0 426403 0 0 0 April Mount VP - Chief Nursing Officer 236099 0 32500 0 18779 0 6602 0 34558 0 328538 0 0 0 Tina D Ross CRNA 299586 0 0 0 436 0 0 0 20666 0 320688 0 0 0 Wiley Lowe CRNA 267084 0 0 0 436 0 0 0 30865 0 298385 0 0 0 Gregory W Hagopian CRNA 278593 0 0 0 2905 0 0 0 10256 0 291754 0 0 0 Kimberly A Sharkey CRNA 246508 0 0 0 1248 0 0 0 10153 0 257909 0 0 0 Christopher S Hall VP - Support Services 183313 0 26000 0 24760 0 8519 0 10948 0 253540 0 0 0 Brian J Lett VP - Financial Services 174599 0 20000 0 19177 0 7984 0 23568 0 245328 0 0 0 Part I, Line 1a Tax gross-up payments related to deferred compensation and reimbursement of fees for personal services for legal and financial planning are provided to certain executives and managers. Amounts are included in taxable compensation. Part I, Line 3 Covenant Health, the parent company of Fort Sanders Regional Medical Center, used the following methods in establishing the compensation of President/CEO, James D. VanderSteeg: compensation committee, independent compensation consultant, written employment contract, compensation survey or study, and approval by the board or compensation committee. Additional detail is provided in response to Form 990, Part VI, Section B, Lines 15a and 15b within Schedule O. Part I, Line 4b Covenant Health maintains a nonqualified deferred compensation ("NQDC") plan intended to support retention of President and CEO, James D. VanderSteeg, and EVP and CFO, Joseph C. Dolan. Employer contributions of $321,903 for James D. VanderSteeg and $72,802 for Joseph C. Dolan are reported as deferred compensation on Schedule J, Part II, Column C. Contributions along with 2024 earnings of $114,551 for James D. VanderSteeg and $4,468 for Joseph C. Dolan are subject to a substantial risk of forfeiture. Amounts are combined with other compensation and considered for reasonableness. Compensation procedures are discussed in detail in Schedule O (Form 990, Part VI, Section B, Line 15a). Please note that the amounts included in Part II, Column C as contributions to the NQDC plan for James D. VanderSteeg and other executive leaders are deferred but NOT received during the filing year. We report compensation in both the year earned and the year paid, as required by IRS guidelines; however, wages appear overstated due to dual reporting of compensation earned in one year and distributed in a subsequent year. Choice Spine LP Family member of Keith N. Altshular - President and CAO 184490 Key employee Keith N. Altshular has a family relationship with Marty Altshular, Co-President of Choice Spine LP. Amount represents fair market value for services rendered to the organization and all transactions between Choice Spine LP and Fort Sanders Regional Medical Center are conducted at arms'-length fair market value. 0 Form 990, Part III, Line 4a COVENANT HEALTH Fort Sanders Regional is a member of Covenant Health. Covenant Health is a community-owned, clinically integrated healthcare enterprise dedicated to being the region's premier healthcare network through service, community and innovation. Our mission is to improve the quality of life in our region through better health. Established in 1996 by the consolidation of Fort Sanders Health System, Knoxville, Tennessee, and MMC HealthCare System in Oak Ridge, Covenant Health is governed by a voluntary board of directors comprised of community leaders and medical professionals. With more than 11,000 employees, affiliated physicians and volunteers, Covenant Health is the Knoxville area's largest employer and has been named a Best Employer multiple times by Forbes. Covenant Health includes nine acute care hospitals in East Tennessee: Fort Sanders Regional Medical Center and Parkwest Medical Center in Knoxville, Methodist Medical Center of Oak Ridge, Fort Loudoun Medical Center in Lenoir City, LeConte Medical Center in Sevierville, Morristown-Hamblen Healthcare System in Morristown, Roane Medical Center in Harriman, Claiborne Medical Center in Tazewell and Cumberland Medical Center in Crossville. It also includes Peninsula, a division of Parkwest Medical Center, a behavioral health hospital in Blount County, Tennessee. The health system also includes Covenant Medical Group, which includes more than 200 physicians and advanced practice clinicians in office locations throughout East Tennessee. Affiliated organizations include Thompson Cancer Survival Center, Thompson Oncology Group, Fortress Corporation and Subsidiaries, Covenant HomeCare, and Fort Sanders Perinatal Center. Philanthropic organizations include Covenant Health Foundation and the Thompson Cancer Survival Center Foundation in Knoxville, Methodist Medical Center Foundation in Oak Ridge, Dr. Robert F. Thomas Foundation in Sevierville, and Morristown-Hamblen Hospital Foundation in Morristown. Funds raised by the foundations provide services, equipment and other resources for excellence in patient care. Fort Sanders Regional, as a member of the Covenant Health system, benefits from the collaboration among all affiliated organizations to promote quality improvement, patient safety and efficient delivery of care for the communities served. Form 990, Part VI, Section A, line 6 Covenant Health is the sole member of Fort Sanders Regional Medical Center. Form 990, Part VI, Section A, line 7a Covenant Health's Board of Directors also serves as the Board of Directors for Fort Sanders Regional Medical Center. Form 990, Part VI, Section A, line 7b Governance decisions of Fort Sanders Regional Medical Center are subject to approval of the sole member, Covenant Health. Form 990, Part VI, Section B, line 11b The Covenant Health Board of Directors has delegated to its Finance Committee the full power and authority of the Board to receive, review, approve, authorize the filing of, address and resolve audit or review issues, and otherwise take all action required or appropriate relative to IRS Forms 990 and other applicable tax filings. Prior to filing Form 990, management reviews with the committee the returns, discusses any material variations in the Form 990 as compared to those to be filed by the organization's affiliates, and answers any questions. At the conclusion of review and discussion, the Finance Committee approves the Form 990. Form 990, Part VI, Section B, line 12c Board members, officers, and employees are required to adhere to rules and policies regarding conflicts of interest. Covenant Health makes available a board-approved Code of Conduct to all employees. The Code covers among other subjects, conflicts of interest, and requires disclosure and resolution of employee conflicts of interest. Additionally, officers, employed physicians, and highly compensated employees are required to complete and sign an annual conflict of interest disclosure statement. Board members' conflicts of interests are addressed in the corporate bylaws, and board members are required to complete and sign a conflict of interest questionnaire on an annual basis. The Integrity-Compliance Office maintains records that contain conflict of interest information obtained from board members, officers, and employees. These records are available to be queried prior to engaging in business transactions. The Chief Compliance Officer reviews conflict of interest data. Based on this information, the officer determines what conflicts of interest exist at that point in time. Between times when surveys are collected, board members are expected to disclose any new conflicts that have arisen that affect pending board decisions. Officers and other employees are expected to report conflicts to the Chief Compliance Officer as they arise. Depending on the nature of the conflict and the circumstances surrounding the conflict and transaction, the Chief Compliance Officer, senior leadership, or the Board of Directors may review the conflict of interest. When appropriate, these parties may also consult legal counsel. Restrictions imposed on persons with a conflict of interest are determined on a case by case basis. For Covenant Health employees, the Chief Compliance Officer in conjunction with the Covenant Health Executive Leadership Team determines how to appropriately manage the conflict. In any conflict involving a board member, such member is expected to recuse himself or herself from voting on matters related to the conflict. Form 990, Part VI, Section B, line 15 Form 990, Part VI, Section B, Line 15a: Overall compensation policies for Fort Sanders Regional Medical Center, Covenant Health (Parent Company), and affiliates are set by the Covenant Health Chief Executive Officer (CEO) in consultation with appropriate Executive Vice Presidents and the Senior Vice President-Human Resources, after review by and discussion with the executive compensation consultant ("the Consultant") to ensure that total compensation for each executive is reasonable and within a fair market value range. The Covenant Health CEO is compensated by Covenant Health, and a detailed description of the compensation process is included on Covenant Health's 990. The process for Fort Sanders Regional Medical Center's CEO is included in response to Part VI, Section B, line 15b. Form 990, Part VI, Section B, Line 15b: Base salary and annual bonus opportunities for Keith Altshuler, President and Chief Administrative Officer, are set by the Covenant Health CEO in consultation with appropriate Executive Vice Presidents and the Senior Vice President-Human Resources, after review by and discussion with the executive compensation consultant ("the Consultant") to ensure that total compensation is reasonable and within a fair market value range. Salary ranges are based upon the recommendations of the Consultant made after comparison with similar jobs in similar size health systems across the nation. Bonuses are recommended by the CEO and reviewed with the Committee conditioned upon receipt of a written opinion from the Consultant that total compensation for the executive is reasonable and consistent with fair market value. Base salary for the CAO is initially targeted at the 25th percentile and may vary according to market conditions, performance, tenure, experience, special skills or qualifications, recruitment and retention challenges, and other relevant factors. Annual bonuses are designed to award 0-35% of base salary based upon system performance and accomplishment of certain targets established by the CEO. Base salaries and annual bonus opportunities for other officers and key employees are based on targets established by historical compensation consultant data and the Covenant Health Compensation department. Salary ranges are based upon comparison with similar jobs in similar size health systems across the nation. Base salaries and bonuses are approved by Executive Leadership predicated upon performance, and are reasonable and consistent with fair market value. Base salaries are initially targeted at midpoint and may vary according to market conditions, performance, tenure, experience, special skills or qualifications, recruitment and retention challenges, and other relevant factors. Annual bonuses are designed to award 0-20% of base salary based upon system performance and accomplishment of certain targets established by Executive Leadership. Form 990, Part VI, Section C, line 19 Fort Sanders Regional Medical Center files a Joint Annual Report containing financial information with the Tennessee Department of Health. Per its tax-exempt bond provisions, Covenant Health, the parent company of the organization, is required to file quarterly and annual consolidated and obligated group financial statements and other documentation with various bond insurers and other agencies, including the Electronic Municipal Market Access (EMMA) service of the Municipal Securities Rulemaking Board (MSRB). Any member of such a repository has access to these financial statements. The organization's governing documents and conflict of interest policy are not made publicly available. Form 990, Part IX, line 11g Sponsorship Fees: Program service expenses 22,938,078. Management and general expenses 0. Fundraising expenses 0. Total expenses 22,938,078. Other Purchased Services: Program service expenses 53,204,623. Management and general expenses 291,616. Fundraising expenses 0. Total expenses 53,496,239. Intercompany Purchased Services: Program service expenses 5,216,670. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,216,670. Form 990, Part XI, line 9: Transfers of Capital -6,473,242. Advanced Care at Home 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 921149522 Physician services TN 477064 Fort Sanders Regional Medical Center Covenant Health EMS LLC 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 993579742 Ambulance services TN 406336 Fort Sanders Regional Medical Center Covenant Health 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621646734 Supporting organization TN 501(c)(3) Line 12b, II N/A 0 Claiborne Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 464420358 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Covenant HomeCare 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621623114 Home health services TN 501(c)(3) Line 10 Covenant Health 0 Cumberland Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 620790132 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Fort Loudoun Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621373691 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Covenant Health Foundation 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621748601 Fundraising and patient outreach TN 501(c)(3) Line 12b, II Covenant Health 0 Fort Sanders Perinatal Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 043760551 High risk obstetrical services TN 501(c)(3) Line 3 Fort Sanders Regional Medical Center 1 LeConte Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621114867 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Methodist Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 620636239 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Morristown-Hamblen Hospital Association 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 620545814 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Parkwest Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 581897274 Acute care hospital and behavioral health services TN 501(c)(3) Line 3 Covenant Health 0 Roane County Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 680673354 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Thompson Cancer Survival Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621250943 Cancer support center TN 501(c)(3) Line 3 Covenant Health 0 Thompson Oncology Group 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621619239 Oncology services TN 501(c)(3) Line 3 Thompson Cancer Survival Center 0 Thompson Cancer Survival Center Foundation 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 582130450 Fundraising and patient outreach TN 501(c)(3) Line 12b, II Covenant Health 0 The Dr Robert F Thomas Foundation Inc 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 581537582 Fundraising and patient outreach TN 501(c)(3) Line 12a, I Covenant Health 0 Covenant-AmSurg ASC Ventures LLC 1A Burton Hills Blvd Nashville TN 37215 884134388 Management company TN N/A 0 0 Covenant-KEC ASC Ventures LLC 1A Burton Hills Blvd Nashville TN 37215 920539400 Management company TN N/A 0 0 TEC North LLC 1A Burton Hills Blvd Nashville TN 37215 201871076 Physician services TN N/A 0 0 The Endoscopy Center of Knoxville LLC 1A Burton Hills Blvd Nashville TN 37215 621512837 Physician services TN N/A 0 0 Boulevard ENT-Surgery Center LLC 9300 Parkwest Blvd Knoxville TN 379234301 921460644 Surgical services TN N/A 0 0 CHUC LLC 216 Centerview Drive Ste 100 Brentwood TN 37027 621609262 Physician services TN N/A 0 0 Surgery Center of Oak Ridge LLC 944 Oak Ridge Tpke Ste 200 Oak Ridge TN 378306960 621801416 Surgical services TN N/A 0 0 D1 Blount LLC 244 Fort Sanders West Blvd Knoxville TN 37922 991820445 Fitness center TN N/A 0 0 Fortress Corporation 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621308885 Management company TN N/A C 0 Covenant Medical Group Inc 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621282917 Physician practice management TN N/A C 1 Knoxville Heart Group 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 271528941 Cardiology medical practice TN N/A C 1 East TN Cardiovascular Surgery Group Inc 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621018541 Cardiovascular surgical practice TN N/A C 1 TenHats LLC 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 814563094 Data storage TN N/A C 0 1 0 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 Fort Sanders Perinatal Center A 471278 FMV Fort Sanders Perinatal Center L 200682 Cost Fort Sanders Perinatal Center Q 56308 Cost Covenant Medical Group Inc A 568855 FMV Knoxville Heart Group A 269144 FMV East Tennessee Cardiovascular Group A 104857 FMV Covenant Health Foundation C 371048 Cost