Erlanger

What it reported doing in 2024

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

Financial Efficiency

• Mission deployment rate: 72.3%; rating input score 72
• Program expense ratio: 76.9%; rating input score 77
• Fundraising efficiency: $8.03 raised per $1 spent on fundraising; rating input score 35; 35th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 92.3%; rating input score 92; 41st percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 4.7%; rating input score 55; 55th percentile among comparable filings
• Total-asset coverage ratio: 0.85; rating input score 34; 34th percentile among comparable filings
• Liabilities to assets ratio: 0.57; rating input score 30; 30th percentile among comparable filings
• Officer compensation ratio: 1.5%; rating input score 64; 64th percentile among comparable filings

Growth

• Program expense growth: 21.5% per year; rating input score 100; 93rd percentile among comparable filings
• Revenue growth: 21.2% per year; rating input score 100; 94th percentile among comparable filings
• Asset growth: 27% per year; rating input score 100; 97th percentile among comparable filings