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THE THOMPSON CANCER SURVIVAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
THE THOMPSON CANCER SURVIVAL CENTER (EIN 62-1250943)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201323169349304012
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-12T12:07:53-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN621250943EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Thompson Cancer Survival CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTHOMNameControl
Phone8653746864Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11420 Centerpoint BlvdBldg CAddressLine1
CityKnoxvilleCity
StateTNState
ZIP Code379321960ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN T GEPPIName
TitleEVP/CFOTitle
Phone8653746872Phone
Date Signed2013-11-07DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameSelf PreparedName
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonAnthony L SpeziaNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 Ft Sanders W BlvdAddressLine1
CityKnoxvilleCity
StateTNState
ZIP Code37922ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22260466GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.thompsoncancer.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionThompson Cancer Survival Center is an outpatient regional referral center for cancer patients, with facilities located in Knoxville, Tennessee and surrounding counties. It is a member of the Covenant Health System.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees127TotalNbrEmployees
Total Nbr Volunteers24TotalNbrVolunteers
Total Gross UBI125005TotalGrossUBI
Net Unrelated Business Txbl Income9785NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1601368ContributionsGrantsPriorYear
Contributions Grants Current Year1598679ContributionsGrantsCurrentYear
Program Service Revenue Prior Year21496219ProgramServiceRevenuePriorYear
Program Service Revenue CY20635586ProgramServiceRevenueCY
Investment Income Prior Year-2153InvestmentIncomePriorYear
Investment Income Current Year5533InvestmentIncomeCurrentYear
Other Revenue Prior Year29959OtherRevenuePriorYear
Other Revenue Current Year17443OtherRevenueCurrentYear
Total Revenue Prior Year23125393TotalRevenuePriorYear
Total Revenue Current Year22257241TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year94812GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY77000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6977831SalariesEtcPriorYear
Salaries Etc Current Year6578716SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11371052OtherExpensePriorYear
Other Expenses Current Year10877481OtherExpensesCurrentYear
Total Expenses Prior Year18443695TotalExpensesPriorYear
Total Expenses Current Year17533197TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4681698RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4724044RevenuesLessExpensesCY
Total Assets BOY39220001TotalAssetsBOY
Total Assets EOY42529088TotalAssetsEOY
Total Liabilities BOY1952640TotalLiabilitiesBOY
Total Liabilities EOY1817101TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY37267361NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY40711987NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThompson Cancer Survival 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5488832Expense
Revenue13435445Revenue
DescriptionRadiation Oncology: The Radiation Oncology Department is dedicated to keeping up with the latest technology in order to give patients the best treatment available. Radiation services include TomoTherapy, High-dose Radiation, and Intense Modulated Radiation Therapy. Thompson's radiation services are provided in Downtown, West Knoxville, and in Sevierville, TN. The Radiation Oncology departments combined served 2,198 patients in 2012, performing 23,828 treatments.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2030515Expense
Revenue3538322Revenue
DescriptionPositron Emission Tomography (PET): In 2012, Thompson served 924 patients at the PET West location and 969 patients at the PET Downtown location. The downtown location offers the latest in leading-edge PET technology: the Biograph 40 Truepoint PET/CT scanner. This technology combines the accuracy of the TruePoint system with a 40-slice CT scanner. Thompson's PET Imaging Centers at West and Downtown are both accredited in positron emission tomography by the American College of Radiology (ACR). This accreditation assures patients that their treatment meets the most rigid standards of excellence mandated by the ACR. PET mobile services in Sevierville, TN served 84 patients in 2012. The PET departments maintained a 90% or better customer service satisfaction rate among patients.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1504073Expense
Revenue1009863Revenue
DescriptionBreast Center Cancer Outreach: Thompson Cancer Survival Center's Breast Center is one of a few select breast centers in Tennessee to be awarded a Breast Imaging Center of Excellence by the American College of Radiology (ACR). Certified technologists performed approximately 13,000 mammograms in 2012 using the latest in digital technology. The Breast Cancer facility served 12,561 patients in 2012. The Breast Center team includes a nurse breast health specialist and a mammograpy certified technologist. In addition, the Center also runs an Outreach Program that served 2,417 patients in 2012. The Outreach Program travels to underserved areas to provide low-cost or free services to people who are medically needy or underserved. Services include mammography, prostrate and cervical cancer screenings, and education about cancer detection and prevention.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense7322074Expense
Grants77000Grants
Revenue2532219Revenue
DescriptionOther patient services provided by Thompson Cancer Survival Center are: a multi-disciplinary breast clinic, clinical trials, social services, genetic counseling, a cancer registry and a Fellowship Center, which provides lodging assistance and meals for out-of-town patients and their families during treatment at TCSC.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp7322074TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt77000TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev2532219TotalOfOtherProgramServiceRev
Total Program Service Expense16345494TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art1DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109656NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees127NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address1OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Nancy BeckBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8653746864TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11420 Centerpoint Blvd Bldg CAddressLine1
CityKnoxvilleCity
StateTNState
ZIP Code37932ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Anthony L Spezia
President & CEO0.0050.00XX01526847230374
Dr Richard Brinner
Director0.001.00X012910
Dr Mitchell Dickson
Director0.001.00X019140
Pamela P Fansler
Director0.001.00X000
James Fitzsimmons
Director0.001.00X017420
Kimberly Greene
Director0.001.00X09370
Wayne Heatherly
Director0.001.00X07520
Jim Johnson Jr
Director0.001.00X016420
Karla Lane
Director0.001.00X09240
Eddie Mannis
Director0.001.00X000
Larry Mauldin
Chairman0.001.00X08340
Dr Joseph Metcalf
Director0.003.00X0156030
George Miller
Director0.001.00X09780
Alvin Nance
Director0.001.00X09660
Linda Ogle
Director0.001.00X000
Mitchell Steenrod
Director0.001.00X08050
Carl Storms
Director0.001.00X016410
Joseph ESutter
Director0.001.00X013130
Richard Swanson
Director0.001.00X000
Joe Ben Turner
Director0.001.00X07830
David C Verble
Director0.001.00X09580
Gerald Boyd
Director0.001.00X06790
John T Geppi
EVP/CFO0.0050.00X067309527138
Gordon Lintz
President & CAO25.0025.00X030832319145
Mitzi Anderson
VP Financial Services25.0025.00X100804024348
Jeremy Biggs
Interim CAO25.0025.00X019476327058
Chester Ramsey
Senior Medical Physicist45.000.00183494030197X
Joseph Bowling
Medical Physicist25.0020.00175330021455X
Daniel Chase
Medical Physicist45.000.00169461030323X
Alexander Usynin
Medical Physicist45.000.00120554019801X
Beverly A Henderlight
VP - Chief Nursing Officer25.0020.00110188017004X
FieldValueIRS element (for citing)
Total Reportable Comp From Org859831TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2736790TotalReportableCompFrmRltdOrgs
Total Other Compensation446843TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Tomotherapy USA
1240 Deming WayMadisonWI537171954Service and Support550000
Media Directions Advertising Inc
9724 Kingston Pike Suite 301KnoxvilleTN37922Marketing Services248216
GE Healthcare
PO Box 96483ChicagoIL60693Service & Maintenance244987
Coverall of Eastern TN
109 Northshore Drive Suite 300KnoxvilleTN37919Housekeeping153821
Staffing Solutions
PO Box 102332AtlantaGA303682332Staffing Services131808
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations1598679RelatedOrganizations
Noncash Contributions7819NoncashContributions
Total Contributions1598679TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Medical Services6221101888104418881044
Management Fees900099843104708699125005$9,400
Rental Inc - Affiliate531120454225454225
East TN Cancer Registry900099287586287586
Clinical Trials900099166477166477

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column3150TotalRevenueColumn
Related Or Exempt Function Income3150RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue20635586TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5533TotalRevenueColumn
Exclusion$5,533ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real6000Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real3225Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2775Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2775TotalRevenueColumn
Exclusion$2,775ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMedical RecordsDescription
Business Code900099BusinessCode
Total Revenue Column14668TotalRevenueColumn
Related Or Exempt Function Income14668RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue14668TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22257241TotalRevenueColumn
Related Or Exempt Function Income20515849RelatedOrExemptFunctionIncome
Unrelated Business Revenue125005UnrelatedBusinessRevenue
Exclusion$17,708ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total9500Total
Program Services9500ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total67500Total
Program Services67500ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total125152Total
Management And General125152ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5375617Total
Program Services4922765ProgramServices
Management And General452852ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total241380Total
Program Services234028ProgramServices
Management And General7352ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total438099Total
Program Services422953ProgramServices
Management And General15146ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total398468Total
Program Services382135ProgramServices
Management And General16333ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1706676Total
Program Services1608066ProgramServices
Management And General98610ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total25308Total
Program Services399ProgramServices
Management And General24909ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total11500Total
Management And General11500ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1181317Total
Program Services1122120ProgramServices
Management And General59197ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total319941Total
Program Services80389ProgramServices
Management And General239552ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2087231Total
Program Services2049987ProgramServices
Management And General37244ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total963055Total
Program Services932574ProgramServices
Management And General30481ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total23739Total
Program Services19396ProgramServices
Management And General4343ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total62807Total
Program Services48501ProgramServices
Management And General14306ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3190179Total
Program Services3162060ProgramServices
Management And General28119ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total13991Total
Program Services3296ProgramServices
Management And General10695ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Charity Care559992559992
Hospital Supplies515268515268
Bad Debts7929479294
Malpractice Insurance7538175381

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total61802Total
Program Services49890ProgramServices
Management And General11912ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17533197Total
Program Services16345494ProgramServices
Management And General1187703ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY665BOY
EOY675EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY-8472BOY
EOY-219625EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2618754BOY
EOY1865312EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY363187BOY
EOY735309EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis48641998LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec38211387LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13150574BOY
EOY10430611EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY23095293BOY
EOY29716806EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY39220001BOY
EOY42529088EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1894811BOY
EOY1734154EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY57829BOY
EOY82947EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1952640BOY
EOY1817101EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY37267361BOY
EOY40711987EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37267361BOY
EOY40711987EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY39220001BOY
EOY42529088EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4724044ReconcilationRevenueExpenses
Reconcilation Other Changes-1279418ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19540760OtherCostOrOtherBasis
Depreciation14400963Depreciation
Book Value5139797BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis29041117OtherCostOrOtherBasis
Depreciation23810424Depreciation
Book Value5230693BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis60121OtherCostOrOtherBasis
Book Value60121BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10430611TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Deferred Compensation82947
Due from Affiliates, Net29556216
Other Receivables77643
FieldValueIRS element (for citing)
Total Book Value Other Assets29716806TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionLong-term Deferred CompensationDescription
Amount$82,947Amount
FieldValueIRS element (for citing)
Total Of Amounts82947TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X, Line 2:ReturnReference
ExplanationNote B to the consolidated audited financial statements of Covenant Health, parent company to Thompson Cancer Survival Center, reads in part: "Income Taxes: 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 which are accounted for in accordance with Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) 740, Income Taxes (See Note G)." Note G reads in part: "Covenant had no unrecognized tax benefits at December 31, 2012 and 2011. As such, no interest or penalties were recognized in the Consolidated Statements of Operations related to unrecognized tax benefits. At December 31, 2012, tax returns for 2009 through 2012 are subject to examination by the Internal Revenue Service. Covenant has no uncertain tax positions that would require financial statement recognition or disclosure under generally accepted accounting principles at December 31, 2012 or 2011."Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1The Wellness Community dba The Cancer Support CommunityBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12230 Sutherland AvenueAddressLine1
CityKnoxvilleCity
StateTNState
ZIP Code379192350ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient581846210EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant6500AmountOfCashGrant
Purpose Of GrantSupport services to cancer patients & familiesPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantPost hospital care assistanceTypeOfGrant
Number Of Recipients636NumberOfRecipients
Amount Of Cash Grant67500AmountOfCashGrant
Method Of ValuationCostMethodOfValuation
Description Of Non Cash AssistancePharmaceuticals, utilities, transportation or miscellaneous need to facilitate patient recovery.DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: Funds to organizations are reviewed for how they support the Thompson Cancer Survival Center's objective of serving cancer patients. Individuals that need assistance submit a request for assistance. If the patient meets the criteria, payment is made on behalf of the patient for payment of pharmaceuticals, utilities, transportation, or a need that should be met to assist in the patient's healing or comfort.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Anthony L Spezia
President & CEO09419530379600020529402138000165740175722100
John T Geppi
EVP/CFO0421940017199107916409800017338070023300
Gordon Lintz
President & CAO01994600567340521290980009345032746800
Jeremy Biggs
Interim CAO016729501000001746808601018457022182100
Chester Ramsey
Senior Medical Physicist1831370003570112320189650213691000
Joseph Bowling
Medical Physicist1752060001240105370109180196785000
Daniel Chase
Medical Physicist16275700067040102990200240199784000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 3Covenant Health, the parent company of Thompson Cancer Survival Center, used one or more of the methods listed in establishing the compensation of Anthony L. Spezia. Please see the statement to Core Part VI, Section B, Line 15a on Schedule O.
Part I, Line 4bPart I, Line 4b: Anthony L. Spezia was a participant in two nonqualified deferred compensation plans, which will be referred to as Plan A and Plan B. In 2011 Mr. Spezia vested in Plan A, and the accumulated balance as of August 1, 2011 was included in his taxable income. An Amendment to Plan A was adopted effective August 1, 2011 which terminated further accruals (contributions) to the plan. However, the Amendment does allow the accrual of interest on undistributed amounts which will be subject to risk of forfeiture until such time as indicated in the Amendment. Interest earned by Plan A in 2012 amounted to $71,781.22 and is not required to be reported in Part II, as Mr. Spezia is not substantially vested in earnings accumulated after July 31, 2011. Plan B was established in 2011. Employer contributions to Plan B during 2012 totaled $204,000, which is reported in Column C of Schedule J, Part II. Interest earned by Plan B during 2012 of $17,909.59 is not required to be reported in compensation in Part II, as Mr. Spezia is not substantially vested in Plan B.

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9901200NoncashContribsRptdF990
Method Of Determining RevenuesDonor Receipt or FMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Organization Mission StatementForm 990, Part III, Line 1In 1996, Fort Sanders Health System and MMC Healthcare System of Oak Ridge consolidated to form Covenant Health, with a mission of serving its communities by improving the quality of life through better health. Covenant Health is a nationally recognized top health system in many areas: patient care, quality performance, cost, integration, information technology, finances, ethics and innovation. To meet the challenges and implications of healthcare reform, Covenant Health has committed to these imperatives: * Serving the community as a not-for-profit health system. * Leading in quality and service. * Outstanding governance and leadership. * An engaged work force with the right skill sets. * Being the practice environment of choice for physicians. * Reinvesting in communities, providing programs, services, technologies and facilities that improve local healthcare services and patient care. Covenant Health has invested more than a billion dollars in its communities since 2000 - a commitment no other healthcare organization has approached. Covenant Health has opened new hospitals, expanded services, and brought cutting-edge medical technology to the region. * Meeting the challenges of the healthcare environment through effective strategic planning and wise use of resources. * Providing excellent care to every patient, every time. This commitment to excellence will help the system accomplish its mission of improving the quality of life through better health. In order to deliver on the promise of excellence in today's healthcare environment, preparation is critical. Covenant Health's Board of Directors ("the Board") is committed to advancing its understanding of health care. The Board is continually learning about hospitals' operational challenges and how the current environment affects physicians and their practices. The healthcare universe is constantly shifting. The Board members are volunteers, but have a passion for Covenant Health's mission, and a desire to expand its knowledge in preparation for leading the organization. Dedication to a shared goal is essential. Very few community endeavors are as important as making high-quality health care available to its citizens. Our patients and their families are at vulnerable points in their lives, and the Board believes it is a privilege to meet their healthcare needs. Experience is a valuable asset. Covenant Health has a legacy of delivering high-quality care, which will help to weather the storms of change, including transitioning to value-based reimbursement. COVENANT HEALTH MEMBER ORGANIZATIONS AND SERVICES Covenant Health Board members and administrative leaders serve their communities through strategic planning and successful operation of these member organizations: Hospitals and Other Healthcare Providers: Covenant Homecare and Hospice Fort Loudoun Medical Center Fort Sanders Perinatal Center Fort Sanders Regional Medical Center LeConte Medical Center Methodist Medical Center of Oak Ridge Morristown-Hamblen Healthcare System Parkwest Medical Center Peninsula Hospital, a Division of Parkwest Medical Center Roane County Medical Center Thompson Cancer Survival Center Thompson Oncology Group Knoxville Heart Group Outpatient and Specialty Care Departments, and Joint Ventures: Fort Sanders West Diagnostic Center Fort Sanders West Outpatient Surgery Center Patricia Neal Rehabilitation Center Peninsula Outpatient Centers Fort Sanders Sevier Nursing Home Foundations: Fort Sanders Foundation Methodist Medical Center Foundation Morristown-Hamblen Hospital Foundation Thompson Cancer Survival Center Foundation BRINGING QUALITY CARE TO LOCAL COMMUNITIES Covenant Health delivers quality care, with services designed to meet the specific needs of people in the communities it serves. Seven acute care hospitals located in Knoxville and surrounding areas comprise the foundation of the health system. The hospitals offer comprehensive care, including emergency care, specialty services, and a full range of diagnostics and treatment, provided by board-certified medical staffs. Three Covenant Health hospitals - Fort Sanders Regional, Methodist, and Parkwest Medical Centers, were named among the top 10 hospitals in Tennessee in 2013 by U.S. News and World Report, recognizing excellence in both overall and specialty care. Several hospitals have been recognized for clinical accomplishments by VHA, Inc., a cooperative of non-profit healthcare organizations. In 2013, the community celebrated the opening of the new 50-bed Roane County Medical Center in Harriman. The new hospital brings expanded medical services and sophisticated technology to the people of Roane County. In addition to comprehensive hospital services, Covenant Health provides: * Innovative cancer care and technologies to deliver radiation therapy and other cancer treatment in Knox, Sevier, Anderson and Hamblen counties. * Nationally recognized care for patients suffering from physical disabilities, stroke and traumatic brain injury at Fort Sanders Regional Medical Center's Patricia Neal Rehabilitation Center. * Affiliated physician clinics throughout the region which offers convenient access to primary and specialty care. * Rehabilitation services including physical therapy, speech therapy, sports medicine, and specialized therapy such as hand therapy and vestibular (balance) rehabilitation. RACING AGAINST TIME AND DISTANCE IN STROKE CARE With Fort Sanders Regional Medical Center's "tele-stroke" robot, East Tennessee stroke patients can benefit from early consultation with the hospital's stroke experts - regardless of where patients are located across the region. Fort Sanders Regional Medical Center ("Fort Sanders") introduced robots to the region in 2012. The InTouch R7 robot is a mobile communications platform that enables stroke patients to receive consults from Fort Sanders' neurologists via its video screen "face." The robot allows neurologist's availability to patients in outlying areas 24 hours a day. Covenant Health stationed its first two robots in the emergency departments at Parkwest Medical Center in Knoxville and LeConte Medical Center in Sevierville. The telestroke network allows physicians in surrounding hospitals to use live Web video streaming to consult with Fort Sanders Stroke Center neurologists as soon as a patient arrives at the community hospital. The neurologist can remotely review patient information and examine and talk with the patient, family members and local clinicians to help determine the best course of treatment, all at the patient's bedside. A STROKE CENTER OF EXCELLENCE Fort Sanders is a Stroke Center of Excellence, and the only facility in the region to hold both a Comprehensive Stroke Center certification from the Joint Commission and three separate stroke accreditations from the Commission on the Accreditation of Rehabilitation Facilities. Fort Sanders has a team of experts available to treat patients 24 hours a day, seven days a week. The stroke team includes emergency room physicians, neurologists, neurosurgeons, neurointerventional radiologists, nurses and therapists who quickly diagnose patients and use the most technically advanced methods available to remove clots, repair broken arteries that cause strokes, and restore blood flow to the brain.
TAVR - CHARTING NEW DIRECTIONS IN HEART CARE In 2012, Parkwest Medical Center ("Parkwest") performed its first transcatheter aortic valve replacement (TAVR) procedure. Parkwest is the first hospital in the area to offer TAVR as a minimally invasive procedure to help men and women with the progressive, life-threatening condition known as aortic stenosis. Within the first year, the TAVR team of physicians from Parkwest and Fort Sanders Regional Medical Centers performed surgery for nearly 60 people who were deemed inoperable for traditional open-heart surgery. The patients received new heart valves via a catheter tube inserted either into the femoral artery or through the rib cage. Recovery is markedly shorter than traditional open-heart surgery. In most cases the patients were discharged from the hospital within three to six days. An important aspect of TAVR is its multi-disciplinary approach. The TAVR team includes physicians specializing in cardiovascular and cardiothoracic surgery, interventional cardiology, and cardiac anesthesiology, as well as nurses and technicians with specialized training. The operating room used for TAVR procedures at Parkwest is also multi-disciplinary in design. The $2.6 million hybrid operating room combines the resources of a cardiac catheterization lab and an operating room, including the imaging equipment needed for minimally invasive procedures. ACHIEVING QUALITY THROUGH PARTNERSHIPS WITH PHYSICIANS Overall, Covenant Health's desire for alignment is driven by the need to fully evolve as a healthcare system. In pursuing its goal of outstanding quality and seamless continuum of care, Covenant Medical Management, Inc. (CMM), a for-profit entity in the Covenant Health system, has developed models with physicians that include both employment and joint ventures. CMM provides practice management services and support to over 120 primary care and specialty physicians in more than 60 practices in East Tennessee. CMM recently added Southern Medical Group and Family Care Specialists to its employed physician groups that include: * Cardiology Associates of East Tennessee * Crossville Medical Group * Fort Sanders Women's Specialists * Tennessee Brain and Spine CMM also acquired a new, separate corporation, East Tennessee Cardiovascular Surgery Group, in 2012. Prior to joining the Covenant Health system, the surgeons in this practice served as the primary cardiac surgeons for Fort Sanders Regional, Methodist, and Parkwest Medical Centers and worked in the system's Valve Centers and TAVR program. BEHAVIORAL HEALTH - A COMMITMENT TO ESSENTIAL SERVICES In 2012, Peninsula, a division of Parkwest Medical Center, faced an unprecedented challenge: Lakeshore, a state-funded mental health institute, would be closing its doors for good, and the majority of patients would funnel into Peninsula Hospital. The closing was a strategic move by the state Department of Mental Health to follow the national trend of moving behavioral health toward community-based care and away from state-funded care. With a multi-professional team made up of experienced people from across the continuum of mental health care, Peninsula laid out a plan to accommodate the influx of hospital admissions, reduce costs, and improve the quality of care for mental health patients. The team was challenged by not only having more patients, but patients with serious and complex mental disorders. Changes in staffing and processes helped create a smooth admission process and improvement of service. On average, Peninsula serves about a dozen more inpatients per day since Lakeshore closed. Even with the additional volume, Peninsula has been able to increase its customer satisfaction score and maintain or improve its performance in safety quality measures. Many of the changes which resulted in taking the patients from Lakeshore translated to better service. For example, a process was developed to assess and enroll the patients in CoverRX, the state-funded program for prescription coverage. Patients have benefited by increased collaborative efforts within the community such as regular meetings with a community providers group including representatives from local law enforcement, hospital emergency departments, mobile crisis, and a state mental health facility. The group works on the continuum of services for behavioral health patients in the area. Peninsula participates in the Crisis Intervention Training (CIT) for officers from the surrounding areas' police and sheriff's offices. The training facilitates understanding about mental illness, and when that happens, patients benefit. A partnership with the State of Tennessee brought improvements to the community based care of mental health patients, such as transportation and medications. As a result, more outpatients are keeping their first appointments, and there are a lower number of readmissions. In addition to the 155-bed inpatient psychiatric hospital in Blount County, Peninsula also has outpatient facilities in Knox, Blount, Loudon and Sevier counties. SETTING THE STANDARD FOR TECHNOLOGY The recently enacted American Recovery and Reinvestment Act includes incentives and penalties designed to accelerate our nation's adoption and "meaningful use" of electronic health records, ("EHRs"). The implementation of meaningful use initiatives is changing the way healthcare is delivered not only at Covenant Health, but also across Tennessee, and throughout the U.S. With widespread adoption, EHRs can: * make a patient's current health information available in a single, secure, shared record, * provide real-time decision support designed to hardwire best practices and reduce care variability, * reduce paperwork, duplicate testing and other inefficiencies. Meaningful Use provides the technology infrastructure and electronic applications to connect care settings, reduce costs, improve efficiency and standardize quality. From 2015 forward, for every year that meaningful use requirements are not met, providers will receive penalties in the form of reduced reimbursement. At Covenant Health, interdisciplinary and multidisciplinary operational teams have been involved in developing and implementing applications and processes related to the main components of Meaningful Use: * E-prescription writing, and computerized patient order entry, * Interoperability, or exchanging key clinical information among providers and patients, * Automated quality reporting. Through Meaningful Use initiatives Covenant Health will transform the way it delivers care by improving patient outcomes, clinical quality, patient safety and organizational effectiveness. Covenant Health has installed a record number of applications related to Meaningful Use. Seven initiatives ranging from admission databases and medication reconciliation (important for patient safety) to computerized patient order entry and physician practice management software took place in 2012 and continued in 2013. The successful installation of multiple applications in a one-year period is unprecedented in the IT world. Quality assurance processes are in place to ensure delivery of the best applications and processes for patient care, clinical quality, and patient safety.
"MOST WIRED" Hospitals & Health Networks magazine, the journal of the American Hospital Association, has named Covenant Health among the nation's Most Wired healthcare organizations in the 15th annual Most Wired Survey and Benchmarking Study. It is the 10th time that Covenant Health has been named to the Most Wired list. Although Covenant has been named among the nation's Most Wired many times, the health systems that made the list in recent years have had to meet the demands of a more stringent analytic structure. The Most Wired survey includes questions about IT initiatives that support Meaningful Use requirements. It measures IT achievements in four focus sections: infrastructure, business and administrative management, clinical quality and safety (hospital inpatient/outpatient) and clinical integration (ambulatory/physician/community). Participating organizations must meet specific criteria for each section in order to be named "Most Wired." Most Wired surveys were completed by 659 healthcare organizations representing 1,713 hospitals, or roughly 30 percent of all U.S. hospitals. PHILANTHROPY TURNS CHALLENGE INTO OPPORTUNITY The Covenant Health Office of Philanthropy coordinates the philanthropic contributions of individuals and businesses throughout East Tennessee and beyond in support of health care in the region. Fund raising efforts are led by volunteer boards and staff at four foundations: Fort Sanders Foundation, Methodist Medical Center Foundation, Morristown- Hamblen Hospital Foundation, and Thompson Cancer Survival Center Foundation. When Fort Sanders Health Systems created its first fund raising office, Fort Sanders Foundation, in the mid-1970s to raise funds to support Fort Sanders Regional Medical Center, it was a progressive move for a health care provider. Fund raising was not a need, but more in the category of 'nice to have.' This status has changed in today's era of healthcare reform. Financial resources have tightened and hospitals look to the community for charitable contributions that are now very much in the 'need to have' category if they are to continue to meet the healthcare needs of the people of East Tennessee. During the past year these foundations received contributions of approximately $3.7 million to help provide new equipment and facilities at the hospitals, staff training and patient care programs. While the Office of Philanthropy staff coordinates community events and fund raisers, local community leadership and involvement is critical to fund raising success. In an effort to expand the cadre of informed volunteer leaders in the community, the Office of Philanthropy launched a new education program this year, Covenant Answers: A Healthcare Leadership Academy. Inaugural Academy participants included representatives from the boards of Covenant Health, and Fort Sanders and TCSC foundations. Future Leadership Academy classes will include business and community representatives from throughout Covenant Health's service area. Over a five-month period, class members attended half-day sessions at five Covenant hospitals, which included behind-the-scenes tours and hands-on access to the latest technologies and treatments. Participants discussed the challenges of the current health care environment with Covenant physicians and clinicians, heard firsthand from patients whose recovery hinged on the excellent care provided at our hospitals, and even tried their hands at using adaptive rehab equipment and maneuvering a surgical robot. IMPROVING HEALTH BEYOND HOSPITAL WALLS One of the greatest challenges facing a healthcare organization is not only caring for the patients and families who receive direct services, but making a positive impact in the health of the surrounding community. That is the mission of Covenant Health: reaching beyond hospital walls to improve the quality of life through better health. In all the communities Covenant Health serves, local initiatives and partnerships create opportunities to interact with people of all ages and encourage healthier lifestyles. * In Knoxville more than 7,000 people participated in the annual Covenant Health Knoxville Marathon, which attracted local runners and hand cyclists, as well as competitors from throughout the U.S. and other countries. * The Covenant Health Biggest Winner Weight Loss Challenge is a friendly competition that encourages East Tennesseans to get off the couch and get moving for a fit and healthy lifestyle. Team members train together for five months, with the goal of crossing the finish line in Covenant Health Knoxville Marathon events. Participants challenge other East Tennesseans to start a health journey that will change their lives for the better. * Some of the funds raised through the Covenant Health Knoxville Marathon were contributed to The Patricia Neal Rehabilitation Center's Innovative Recreation Cooperative, a collaboration of groups and individuals who help disabled persons enjoy leisure and recreation activities such as water skiing and cycling. * The Covenant Kids Run attracted over 1,000 children who participated in a "marathon" of activities over a period of several weeks, culminating in a run to Neyland Stadium on the day before the Covenant Health Knoxville Marathon. * Covenant Health was the fitness sponsor of the Dogwood Arts Festival, held annually in April. Fitness activities included several outdoor walks, "Bikes and Blooms" bike rides on local Dogwood trails, and a Dogwood Mile run and Kids Race held in downtown Knoxville. * Covenant HomeCare Hospice helps children grieving the loss of a loved one through Katerpillar Kids Camp, offered with the support of Variety-The Children's Charity. The camp is staffed by health system volunteers and helps children in grades 1-12 express their feelings in a supportive environment while enjoying camp activities. * Morristown-Hamblen's Wellness of Women is dedicated to improving the lives of area women and their families. The program sponsors events such as an annual Girls Night Out, which offers free health screenings and encourages women to have fun while learning to stay healthy. UNCOMPENSATED CARE One of the most tangible expressions of the charitable purpose of Covenant Health is providing care to people in need. As a not-for-profit system, Covenant Health provides medically necessary services to people with limited resources. Covenant Health actively participates in the state's TennCare program, and collaborates with other area providers to identify and support efforts to make community healthcare resources available for those in need. The Community Benefit totals for uncompensated care are included on the Forms 990 for the individual Covenant Health hospitals.
Form 990, Part VI, Section B, line 11Part VI, Section B, Line 11: Covenant Health is a large integrated health system which files twelve Forms 990. Thompson Cancer Survival Center is one of these twelve entities. Annually, at the September Finance Committee meeting, one of the twelve 990s is selected (a different entity each year) for distribution to each member of the Committee. Management then reviews in detail each of the Form 990 schedules and describes variances between entities, if any. The remaining eleven Forms are made available for review by any committee member. The same presentation is made to the Covenant Health Board of Directors at the October meeting. All twelve Forms 990 are then made available to all Board members for their review throughout the month of October.
Form 990, Part VI, Section B, line 12cBoard members, officers and employees are required to adhere to rules and policies regarding conflicts of interest. Covenant Health, the parent company of the organization, distributes a Board-approved Code of Conduct to all employees. The Code covers among other subjects, conflicts of interest. Additionally, managers are required to complete and sign an annual management certification that addresses conflicts of interest. Board members' conflicts of interests are dealt with 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 Integrity Compliance Officer initially reviews all 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. As well, managers and other employees are expected to report conflicts to the Integrity Compliance Officer as they arise. Depending on the nature of the conflict and the circumstances surrounding the conflict and transaction, the Integrity Compliance Officer, Senior Leadership, or the Board of Directors may review the conflict of interest. Where appropriate these bodies 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 Integrity Compliance Officer, in conjunction with Executive Leadership determines how to appropriately handle the conflict. In any conflict involving a Board member, such member is expected to excuse himself or herself from voting on matters that give rise to the conflict.
Form 990, Part VI, Section B, line 15Form 990, Part VI, Section B, Line 15a: Overall compensation policies for Thompson Cancer Survival Center, Covenant Health (Parent Company), and affiliates are set by the Compensation Committee of the Board of Directors, which is comprised of independent members of the Board. The Committee is guided in its decision-making process by an independent, nationally-recognized executive compensation consultant experienced in advising nonprofit hospital boards. Compensation policies for Anthony Spezia and John Geppi are reported on the 2012 Form 990 of Covenant Health, EIN 62-1646734, parent company of Thompson Cancer Survival Center. Part VI, Section B, Line 15b: Base salaries and annual bonus opportunities for Gordon Lintz, President/CAO and Jeremy Biggs, Interim Chief Admininistrative Officer, are set by the Covenant Health CEO or Executive Vice President-Human Resources, subject to approval of the Compensation Committee of the Covenant Health Board of Directors ("the Committee"), 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 approved by the Committee conditioned upon receipt of a written opinion from the consultant that total compensation is reasonable and consistent with fair market value. Base salary is initially targeted at midpoint and varies according to the individual's experience, market conditions and competition. 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 salary and bonus opportunities for Mitzi Anderson, VP-Financial Services, are based on established targets to insure that total compensation is reasonable and within a fair market value range. Salary ranges are based upon comparison with similar jobs in similar size health systems across the nation. Base salary and bonuses are approved by Executive Leadership predicated upon performance and are reasonable and consistent with fair market value. Base salary is initially targeted at midpoint and varies according to the individual's experience, market conditions and competition. 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 19Form 990, Part VI, Section C, Line 19: Per its tax exempt bond provisions, the parent company, Covenant Health, is required to file quarterly and annual consolidated and obligated group financial statements in addition to other documentation, with various bond insurers and other agencies, including Electronic Municipal Market Access, EMMA, website. Any member of such a repository has access to these financial statements. In addition, Thompson Cancer Survival Center files a Joint Annual Report containing financial information with the Tennessee Department of Health.
Contact Addresses for Officers, Directors, Etc:Form 990, Part VI, Section A, Line 9Anthony L. Spezia Covenant Health 100 Fort Sanders West Blvd. Knoxville, TN 37922 John T. Geppi, Larry Mauldin, and all Directors: Covenant Health 1420 Centerpoint Blvd, Bldg C Knoxville, TN 37932 All other persons listed in Part VII, Section A may be contacted at the organization's address, which is: Thompson Cancer Survival Center 1915 White Ave Knoxville, TN 37916
Changes in Net Assets or Fund Balances:Form 990, Part XI, line 9:Forgiveness of affiliate receivables -1,279,418.
Form 990, Part XII, Line 2cThe Finance Committee of the Board of Directors assumes responsibility for oversight of the audit of the consolidated financial statements and selection of an independent accountant.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Covenant Health
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621646734Supporting organizationTN501(c)(3)Line 11b, IIN/A0
Covenant Homecare
3001 Lake Brook Blvd Suite 101KnoxvilleTN37909621623114Home health servicesTN501(c)(3)Line 90Covenant Health
Fort Loudoun Medical Center
550 Fort Loudoun Medical Center DrLenoir CityTN37772621373691Acute care hospitalTN501(c)(3)Line 30Covenant Health
Fort Sanders Regional Medical Center
1901 W Clinch AveKnoxvilleTN37916620528340Acute care hospitalTN501(c)(3)Line 30Covenant Health
Fort Sanders Foundation
280 Ft Sanders West Blvd Ste 202KnoxvilleTN37922621748601Fundraising & patient outreachTN501(c)(3)Line 11b, II0Covenant Health
Fort Sanders Perinatal Center
501 19th St Ste 304KnoxvilleTN37916043760551High risk obstetrical servicesTN501(c)(3)Line 30Covenant Health
LeConte Medical Center
742 Middle Creek RoadSeviervilleTN37862621114867Acute care hospitalTN501(c)(3)Line 30Covenant Health
Methodist Medical Center
990 Oak Ridge TurnpikeOak RidgeTN37830620636239Acute care hospitalTN501(c)(3)Line 30Covenant Health
Morristown-Hamblen Hospital Assc dba M-H Healthcare System
908 W 4th North StMorristownTN37814620545814Acute care hospitalTN501(c)(3)Line 30Covenant Health
Parkwest Medical Center
9352 Park West BlvdKnoxvilleTN37923581897274Acute care hospital & behavioral health servicesTN501(c)(3)Line 30Covenant Health
Roane County Medical Center dba Roane Medical Center
8045 Roane Medical Center DrHarrimanTN37748680673354Acute care hospitalTN501(c)(3)Line 30Covenant Health
Thompson Oncology Group
1915 White AveKnoxvilleTN37916621619239Oncology servicesTN501(c)(3)Line 30Covenant Health
Thompson Cancer Survival Center Foundation
1915 White AveKnoxvilleTN37916582130450Fundraising & patient outreachTN501(c)(3)Line 11a, I0Thompson Cancer Survival Center
Morristown Regional Cancer Center LLC
908 W 4th North StMorristownTN37814200916364Cancer treatment facilityTN501(c)(3)Line 30Morristown-Hamblen Hospital Assc

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
Endoscopy Center of Oak Ridge LLC
988 Oak Ridge Turnpike Ste 200Oak RidgeTN378306919621667358Outpatient medical facilityTNN/A
Fort Sanders West Associates
280 Ft Sanders West Blvd Ste 214KnoxvilleTN37922621384171Building ownershipTNN/A
Fort Sanders West OP Surgery Center LLC
210 Fort Sanders West Blvd Ste 106KnoxvilleTN37922621366907Outpatient surgery centerTNN/A
Associates of the Meridian Health OP Surgery Ctr LLC
908 W 4th North StMorristownTN37814861167487Outpatient surgery centerTNN/A
KOSC Properties LLC
260 Ft Sanders W Blvd Ste 200KnoxvilleTN37922262444076Building ownershipTNN/A
Knoxville Orthopaedic Surgery Center LLC
260 Ft Sanders W Blvd Ste 200KnoxvilleTN37922262437385Orthopaedic surgeryTNN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrg
Fortress Corporation
280 Ft Sanders West Blvd Ste 214KnoxvilleTN37922621308885Management companyTNN/AC0
KASC Acquisition Company Inc
1420 Centerpoint Blvd Bldg CKnoxvilleTN37932263400984Real estate holdingsTNN/AC0
Covenant Medical Management Inc
1400 Centerpoint Blvd Ste 100 BldgKnoxvilleTN37932621282917Physician practice managementTNN/AC0
Knoxville Heart Group
1819 Clinch Ave Ste 108KnoxvilleTN37916271528941Cardiology medical practiceTNN/AC0
East TN Cardiovascular Surgery Group Inc
9125 Cross Park Drive Ste 200KnoxvilleTN37923621018541Cardiovascular Surgical PracticeTNN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg