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LECONTE MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LECONTE MEDICAL CENTER (EIN 62-1114867)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201213189349301711
Schema version
2011v1.2
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)
Timestamp2012-11-13T10:13:11-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN621114867EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LeConte Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLECONameControl
Phone8653746864Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJOHN T GEPPIName
TitleEVP/CFOTitle
Phone8653746872Phone
Date Signed2012-11-07DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameSelf preparedName
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts89686361GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.lecontemedicalcenter.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionLeConte Medical Center is a 79-bed full service acute care hospital located in Sevier County, Tennessee. It is a member of the Covenant Health system.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees705TotalNbrEmployees
Total Nbr Volunteers200TotalNbrVolunteers
Total Gross UBI528624TotalGrossUBI
Net Unrelated Business Txbl Income3807NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2047554ContributionsGrantsPriorYear
Contributions Grants Current Year2044416ContributionsGrantsCurrentYear
Program Service Revenue Prior Year76579156ProgramServiceRevenuePriorYear
Program Service Revenue CY86582884ProgramServiceRevenueCY
Investment Income Prior Year12864InvestmentIncomePriorYear
Investment Income Current Year6943InvestmentIncomeCurrentYear
Other Revenue Prior Year752810OtherRevenuePriorYear
Other Revenue Current Year974321OtherRevenueCurrentYear
Total Revenue Prior Year79392384TotalRevenuePriorYear
Total Revenue Current Year89608564TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year74893GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY154021GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year24190015SalariesEtcPriorYear
Salaries Etc Current Year25695331SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year53520434OtherExpensePriorYear
Other Expenses Current Year61226451OtherExpensesCurrentYear
Total Expenses Prior Year77785342TotalExpensesPriorYear
Total Expenses Current Year87075803TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1607042RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2532761RevenuesLessExpensesCY
Total Assets BOY92602344TotalAssetsBOY
Total Assets EOY88772828TotalAssetsEOY
Total Liabilities BOY59869491TotalLiabilitiesBOY
Total Liabilities EOY53497214TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY32732853NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY35275614NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionLeConte 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 the patient's ability to pay.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6640845Expense
Revenue5701524Revenue
DescriptionOrthopedic Surgery. See Schedule O for additional information.Orthopedic Surgery: Expenses - $6,640,845; Revenue - $5,701,524.The goal of LeConte Medical Center is to provide orthopedic surgical services that result in excellent clinical outcomes to the residents of the service area. The organization cared for over 4,600 orthopedic patients in 2011. In addition, the organization strives to use new technology and procedures to decrease recovery time and further improve patient mobility. Surgical services include total joint implants of the hip, shoulder and knee, spinal fusion and kyphoplasty. Physical therapy and dietary education and consultation are available as medically necessary.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense6268428Expense
Revenue6512268Revenue
DescriptionPulmonary. See Schedule O for additional information.Pulmonary: Expenses - $6,268,428; Revenue - $6,512,268.In 2011, LeConte Medical Center cared for 7,134 patients diagnosed with pulmonary disease or a related affliction. In order to meet the needs of the community it serves, the facility added a full time pulmonologist to its medical staff in 2011. As a result of this addition, the facility was able to serve patients with increased acuity levels and complications. Related diagnoses include pulmonary edema, simple pneumonia, chronic obstructive pulmonary disease and respiratory failure. In addition, the facility provides respiratory therapy and pulmonary rehabilitation. As an additional service to the community, the facility offers smoking cessation classes through its Community Health department.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense6082633Expense
Revenue5062123Revenue
DescriptionObstetrics, Gynecology, and Neonatal Services. See Schedule O for additional information.Obstetrics, Gynecology, and Neonatal Services: Expenses: $6,082,633 Revenue: $5,062,123In 2011 LeConte Medical Center cared for over 6,828 patients and had 935 births. The Dolly Parton Family Birthing Unit at LeConte Medical Center strives to give excellent care to mothers and newborns. The labor, delivery, recovery & post partum (LDRP) model of care provides an intimate birthing experience for mothers because they are included in their own patient care plan, and labor, deliver and recover in the comfort of their own room surrounded by family. The hospital encourages continuing staff education and has nurses who are certified in inpatient obstetrics and childbirth. All registered nurses in this department are NRP (Neonatal Resuscitation Program) certified. In addition, the staff is S.T.A.B.L.E. (sugar, temperature, airway, blood pressure, lab work and emotional support) certified. The facility provides a neonatal nurse practitioner for newborns requiring more care and employs a staff member certified in lactation consulting to offer help with mother and newborn bonding and to maximize nutritional intake. LeConte Medical Center provides classes to the community including prenatal, sibling and safe sitter education. The hospital contributes to literacy efforts by offering to register newborns for Dolly Parton's Imagination Library book program.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense66290124Expense
Grants154021Grants
Revenue69105575Revenue
DescriptionAs a full-service acute care hospital, LeConte Medical Center features diagnostic cardiology, imaging services, surgical services, 24-hour emergency care, on and off-site physical therapy clinics, a 54-bed nursing home, a hospital-based sleep disorders center, and a sports medicine program, as well as a host of other specialty medical services.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp66290124TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt154021TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev69105575TotalOfOtherProgramServiceRev
Total Program Service Expense85282030TotalProgramServiceExpense
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 Assets0ReportOtherAssets
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 Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
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 Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096120NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees705NumberOfEmployees
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 Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Anthony L Spezia
President & CEO0.00XX0249264225707
Dr Richard Brinner
Director0.00X000
Dr Mitchell Dickson
Director0.00X011840
Pamela P Fansler
Director0.00X000
Homer Fisher
Director0.00X000
James Fitzsimmons
Director0.00X011920
Dr William Hall
Director0.00X015790
Wayne Heatherly
Director0.00X07470
Jim Johnson Jr
Director0.00X011840
Karla Lane
Director0.00X000
Eddie Mannis
Director0.00X000
Larry Mauldin
Chairman0.00X028320
Dr Joseph Metcalf
Director0.00X000
George Miller
Director0.00X000
Alvin Nance
Director0.00X012350
Linda N Ogle
Director0.00X000
Francis H Olmstead Jr
Director0.00X000
Mitchell Steenrod
Director0.00X011840
Carl Storms
Director0.00X07690
Joseph E Sutter
Director0.00X012730
Richard Swanson
Director0.00X000
Joe Ben Turner
Director0.00X011920
David C Verble
Director0.00X012510
John T Geppi
EVP/CFO0.00X070546729048
Ellen F Wilhoit
Pres. & CAO50.00X024960724081
Rick A Carringer
VP - Financial Services50.00X13877906530
Claudia D Ogburn
Pharmacy Manager50.00128580014519X
Dennis D Woods
Pharmacist50.00109557018349X
Lindsay A Struebing
Pharmacist50.00106495011920X
Lori A Myers
VP-Chief Nursing Officer50.0010904506339X
FieldValueIRS element (for citing)
Total Reportable Comp From Org592456TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3463338TotalReportableCompFrmRltdOrgs
Total Other Compensation136493TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
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
Covenant Medical Management
280 Ft Sanders WBlvd Ste 205KnoxvilleTN37922Physician Services2248339
GE Healthcare
PO Box 402076AtlantaGA30384Service Contracts786325
SE Emergency Physicans
PO Box 634850CincinnatiOH45263ER Physican Services751694
Angelica Textile Services
PO Box 535122AtlantaGA30353Linen Service344709
Medic Regional Blood Center
1601 Ailor AvenueKnoxvilleTN37921Blood Processing313720
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Fundraising Events12055FundraisingEvents
Government Grants21378GovernmentGrants
All Other Contributions2010983AllOtherContributions
Total Contributions2044416TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Medical Services6221108595712285957122
Laboratory Services621500336815336815
Rental Inc - Affiliate53112028894727319715750
FieldValueIRS element (for citing)
Total Program Service Revenue86582884TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6762TotalRevenueColumn
Exclusion$6,762ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column181TotalRevenueColumn
Related Or Exempt Function Income181RelatedOrExemptFunctionIncome

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real246948Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real74139Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real172809Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column172809TotalRevenueColumn
Exclusion$172,809ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events5450GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events12055CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses3658FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column1792TotalRevenueColumn
Exclusion$1,792ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
Cafeteria722212227252$227,252
Gift Shop453220134568$134,568
Fitness Center713940128897128897

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column309003TotalRevenueColumn
Related Or Exempt Function Income150990RelatedOrExemptFunctionIncome
Unrelated Business Revenue47162UnrelatedBusinessRevenue
Exclusion$110,851ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue799720TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column89608564TotalRevenueColumn
Related Or Exempt Function Income86381490RelatedOrExemptFunctionIncome
Unrelated Business Revenue528624UnrelatedBusinessRevenue
Exclusion$654,034ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total144357Total
Program Services144357ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total9664Total
Program Services9664ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total138779Total
Management And General138779ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total20679418Total
Program Services20063406ProgramServices
Management And General616012ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total606464Total
Program Services549626ProgramServices
Management And General56838ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2754831Total
Program Services2506711ProgramServices
Management And General248120ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1515839Total
Program Services1373502ProgramServices
Management And General142337ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total4425965Total
Program Services4338478ProgramServices
Management And General87487ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total9579Total
Program Services8680ProgramServices
Management And General899ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9500Total
Management And General9500ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4614687Total
Program Services4552579ProgramServices
Management And General62108ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total201558Total
Program Services182780ProgramServices
Management And General18778ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2630712Total
Program Services2517008ProgramServices
Management And General113704ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1815055Total
Program Services1689218ProgramServices
Management And General125837ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total33386Total
Program Services29254ProgramServices
Management And General4132ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total86906Total
Program Services65414ProgramServices
Management And General21492ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total191688Total
Program Services191688ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4736096Total
Program Services4736096ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total217431Total
Program Services198045ProgramServices
Management And General19386ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Charity Care1463152014631520
Medical Supplies & Equi1206554312065543
Bad Debts1201734012017340
Sponsorship Expense22591182259118

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1280367Total
Program Services1152003ProgramServices
Management And General128364ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total87075803Total
Program Services85282030ProgramServices
Management And General1793773ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2709BOY
EOY2605EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY-359534BOY
EOY-365884EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5368201BOY
EOY4535236EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY989364BOY
EOY1042909EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY93362BOY
EOY82472EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis104161973LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec21723899LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY85501603BOY
EOY82438074EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY117564BOY
EOY119886EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY889075BOY
EOY917530EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY92602344BOY
EOY88772828EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4004901BOY
EOY4644938EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY20628BOY
EOY9450EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4071015BOY
EOY3339866EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY51772947BOY
EOY45502960EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY59869491BOY
EOY53497214EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY32732853BOY
EOY35275614EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32732853BOY
EOY35275614EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY92602344BOY
EOY88772828EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2532761ReconcilationRevenueExpenses
Reconcilation Other Changes10000ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

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 Basis73858030OtherCostOrOtherBasis
Depreciation3755604Depreciation
Book Value70102426BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis75592OtherCostOrOtherBasis
Depreciation57332Depreciation
Book Value18260BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis30146451OtherCostOrOtherBasis
Depreciation17854421Depreciation
Book Value12292030BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis81900OtherCostOrOtherBasis
Depreciation56542Depreciation
Book Value25358BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings82438074TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Capital Lease Obligations$42,424
Due to Affiliates, Net$45,420,770
Due to Third Party Payors$7,586
Long-term Deferred Compensation$32,180
FieldValueIRS element (for citing)
Total Of Amounts45502960TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X:ReturnReference
ExplanationNote G to the consolidated audited financial statements of Covenant Health, the parent company of LeConte Medical Center, reads in part: At December 31, 2011, tax returns for 2008 through 2011 are subject to examination by the Internal Revenue Service. Covenant has no uncertain tax positions that would require financial statement recognition on disclosure under generally accepted accounting principles at December 31, 2011 or 2010.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Touch of ClassNameOfEvent1
Gross Receipts Event117505GrossReceiptsEvent1
Charitable Contributions Event112055CharitableContributionsEvent1
Gross Revenue Event15450GrossRevenueEvent1
Rent Facility Costs Event12904RentFacilityCostsEvent1
Other Direct Expenses Event1754OtherDirectExpensesEvent1
Gross Receipts Total17505GrossReceiptsTotal
Charitable Contributions Total12055CharitableContributionsTotal
Gross Revenue Total Events5450GrossRevenueTotalEvents
Rent Facility Costs Total Events2904RentFacilityCostsTotalEvents
Other Direct Expenses Total Events754OtherDirectExpensesTotalEvents
Direct Expense Summary Events3658DirectExpenseSummaryEvents
Net Income Summary1792NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense7617413TotalCommunityBenefitExpense
Direct Offsetting Revenue1762081DirectOffsettingRevenue
Net Community Benefit Expense5855332NetCommunityBenefitExpense
Percent Of Total Expense0.07800PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense18327629TotalCommunityBenefitExpense
Direct Offsetting Revenue12845121DirectOffsettingRevenue
Net Community Benefit Expense5482508NetCommunityBenefitExpense
Percent Of Total Expense0.07300PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense12246TotalCommunityBenefitExpense
Direct Offsetting Revenue2534DirectOffsettingRevenue
Net Community Benefit Expense9712NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense25957288TotalCommunityBenefitExpense
Direct Offsetting Revenue14609736DirectOffsettingRevenue
Net Community Benefit Expense11347552NetCommunityBenefitExpense
Percent Of Total Expense0.15110PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense71420TotalCommunityBenefitExpense
Direct Offsetting Revenue2660DirectOffsettingRevenue
Net Community Benefit Expense68760NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense3636TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3636NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4454776TotalCommunityBenefitExpense
Direct Offsetting Revenue1838847DirectOffsettingRevenue
Net Community Benefit Expense2615929NetCommunityBenefitExpense
Percent Of Total Expense0.03490PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense149894TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense149894NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4679726TotalCommunityBenefitExpense
Direct Offsetting Revenue1841507DirectOffsettingRevenue
Net Community Benefit Expense2838219NetCommunityBenefitExpense
Percent Of Total Expense0.03780PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense30637014TotalCommunityBenefitExpense
Direct Offsetting Revenue16451243DirectOffsettingRevenue
Net Community Benefit Expense14185771NetCommunityBenefitExpense
Percent Of Total Expense0.18890PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense3488TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense3488NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense14263TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense14263NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense361TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense361NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense866TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense866NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense18978TotalCommunityBuildingExpense
Net Community Building Expense18978NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$12,017,340BadDebtExpenseAmount
Amount Attributable To1994878AmountAttributableTo
Amount Reimbursed By Medicare14028573AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare12045057CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1983516MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 NoneBusinessNameLine1
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1LeConte Medical CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1742 Middle Creek RoadAddressLine1
CitySeviervilleCity
StateTNState
ZIP Code37862ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LeConte Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities7NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
LeConte Medical Center Infusion Svcs
710 Middle Creek RoadSeviervilleTN37862Infusion Services
Fort Sanders Sevier Nursing Home
731 Middle Creek RoadSeviervilleTN37862Nursing Home
The Breast Center
740 Middle Creek Road Suite 106SeviervilleTN37862Breast Imaging Center
The Sleep Disorders Center
740 Middle Creek Road Suite 212SeviervilleTN37862Sleep Disorders Center
LeConte Therapy Services - Sevierville
711 Middle Creek RoadSeviervilleTN37862Physical Rehabilitation & Therapy Services
LeConte Therapy Services - Seymour
127 W Macon LaneSeymourTN37865Physical Rehabilitation & Therapy Services
LeConte Wellness Center
170 Community Center DrivePigeon ForgeTN37863Fitness Center

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanationIdentifierIdentifier
Part I, Line 6a: Covenant Health, the parent company of LeConte Medical Center 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 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: The organization has included $2,109,118 in physician sponsorship fees in total subsidized health services.
Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 12017340.
Part II: LeConte Medical Center 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 poverty and homelessness due to lack of education and jobs.LeConte Medical Center supports the community building activities of its parent company. 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 made in 2011 were made to or designated for: Children's group homes Temporary housing for the homeless Low-income housing projects Community support organizations Youth mentoring programs After-school programs Early childhood literacy projects Community leadership training Advocacy for health care improvements
Part III, Line 4: Note B to the 2011 Audited Consolidated Financial Statements of the Covenant Health system, of which LeConte Medical Center is a member, reads: "Patient accounts receivable are reported net of both an estimated allowance for uncollectible accounts and an estimated allowance for contractual adjustments. The contractual allowance represents the difference between established billing rates and estimated reimbursement from Medicare, TennCare and other third-party payment programs. Operations for 2011 and 2010 include an estimated provision for bad debts, included in Supplies and Other in the Consolidated Statements of Operations and Changes in Net Assets. The allowance for uncollectible accounts is estimated based upon the age of the patient accounts receivable, prior experience and any unusual circumstances (such as local, regional or national economic conditions) which affect the collectability of receivables, including management's assumptions about conditions it expects to exist and courses of action it expects to take. 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."Bad debt expense on Part III, Line 2 is the amount recorded in the organization's financial statements.In 2011, the hospital reviewed all self-pay accounts receivable to identify patients who might have qualified for financial assistance. As of year end, the hospital could not make a final determination as to their qualification for financial assistance due to all information not yet being received but felt strongly that the patient was in need of some form of assistance. Notes in the patient record were examined to see if a charity care application had been sent to the patient or guarantor or if the account was being analyzed by a business office employee for approval for charity care. The percentage of patient accounts being analyzed as a percent of total self-pay accounts receivable has been applied to the current year total bad debt expense on Line 2 to arrive at the amount reported on Line 3.
Part III, Line 8: LeConte Medical Center 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: Self-pay patients automatically receive a minimum 52% discount on charges. 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 70% 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.Patients/ guarantors who qualify for partial financial assistance are responsible for paying any balance remaining after the charity adjustment and third party payments. Once an account has been processed through routine collection channels internally, it may be assigned to an attorney/agency for collection. The patient/ guarantor will be billed for all collection costs as may be applicable. Credit reports will be filed no earlier than 30 days following the assignment on all nonpaid balances.
Part V, Section B, Line 13g: Please see the explanation to Part VI, Line 3.LeConte Medical Center
Part V, Section B, Line 19d: Please see the explanation to Part III, Line 9b.LeConte Medical Center
Part VI, Line 2: The hospital actively addresses a variety of identified needs in the community through its relationships with community based groups including the local health council, public health department, school systems, health coalitions, inter-agency council, and health-related not-for-profit organizations. Additionally, the East Tennessee 2-1-1 Information and Referral system is able to provide a profile of the health and social services most requested by the citizens of each county. This information serves as an ongoing assessment of basic health and human service needs and of what resources are lacking in each community.
Part VI, Line 3: LeConte Medical Center informs patients and other persons who may be billed for patient care about its financial assistance policies by posting signs in highly visible areas of the hospital and including information about the financial assistance policy in patient booklets placed in all inpatient rooms.The following sign is posted in the main registration area and at the Emergency Department registration entrance: Financial Assistance: 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, staffs of LeConte 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, LeConte Medical Center, in compliance with Tennessee Code Annotated, Title 47, Chapter 18 and Title 68, will provide at a reduced rate, medically indicated services. A financial counselor is available to assist you with these matters by calling 865.446.8687, Monday through Friday between the hours of 8am and 4:30pm.Signs are also posted at each registration desk and at Customer Service stating: Financial Assistance: It is LeConte 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 or through our Financial Counselor's office. To apply for financial aid, please ask our registration staff or contact the Counselor's office at 446.8687. The Financial Counselor is available Monday - Friday, 8a.m. - 4:30 p.m.LeConte Medical Center employs full time financial counselors that meet with each uninsured patient. In addition, Leconte Medical Center assists them with completion of a TennCare application and ensures the application is directed to the appropriate Department of Human Services.The Charity Care Policy states that patients who are unable to pay and have exhausted all sources of payment assistance may be screened for potential charity care eligibility. According to the policy, the financial counselors initiate screening of the patient and/or guarantor by obtaining income and other financial information to determine eligibility for charity care or discounted services.
Part VI, Line 4: Sevier County, Tennessee, is the primary market for LeConte Medical Center, a non-profit hospital affiliated with Covenant Health. Sevier is a rural community within close proximity to the metropolitan Knoxville area. LeConte Medical Center is the only hospital in the county. According to internal hospital data for 2011, about 74% of the inpatient discharges were Sevier County residents.The following statistics are taken from 2008 data of the U.S. Census Bureau. The population of Sevier County numbers roughly 85,000 people and is predominantly female (51.2%) with an average age of 38 years. The largest population segment is the 18 and under age group, accounting for 23% of the population. Persons over the age of 65 account for 15.2% of the population. Over 13% of the population lives below the poverty level, and the unemployment rate is at 10%. Three-fourths of the population works in the hospitality/ tourism sector, and the median household income is $48,000.According to a recently released study by the Robert Wood Johnson Foundation/ University of Wisconsin Population Health Institute, Sevier County residents have the following health indicators that are above the national benchmarks: Sevier - TN - National Adult Smoking: 24% - 24% - 15% Adult Obesity: 29% - 31% - 25% Excessive Drinking: 9% - 9% - 8% Teen Birthrate: 61 - 55 - 22 of every 1,000 teenage girls Poor or Fair Health: 21% - 19% - 10%
Part VI, Line 5: LeConte Medical Center (LeConte), 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 Board of Directors serves as LeConte's board. It is comprised of independent community leaders with diverse educational and professional backgrounds. The board sets policies and provides oversight of LeConte.LeConte 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: LeConte Medical Center (LeConte), 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 helpidentify any systemic inability to satisfy the various requirements on the part of the facilities.LeConte's patients benefit from the availability of and ease of access to Covenant Health 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 that 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. Other specialized services such as inpatient rehabilitation, cardiac care, cancer treatment, home health and hospice services are provided by affiliated entities. TheCovenant 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. These include a diabetes center, wound care center, bariatric surgery center, pulmonary rehabilitation programs and ambulatory infusion centers.LeConte utilized Covenant departments, Center for Community Health and Senior Services, to assist with community healthcare related programs and health screenings such as Heart Score, Stroke Score, Stroke IQ, Covenant Health Check sites and Senior Health Fairs. In addition, Senior Services publishes a senior health related news letter, Passport, to nearly 2,000 Sevier County residences. When promoting health screenings & programs to the community, LeConte Medical Center utilized the services of Covenant Health Graphic Services for producing advertisements, fliers, etc. LeConte also worked with Covenant Marketing to include such information on its website.Thompson Cancer Survival Center participates with LeConte Medical Center in educating the community about cancer prevention and treatment by providing information and materials at Sevier County annual Relay for Life event. Thompson also provides free and low cost mammography screenings at the Fort Sanders Sevier Senior Center and Sevier County Office on Aging.The Robert F. Thomas Foundation (Foundation), a not for profit fundraising organization, conducts fund raising events. A portion of the funds are donated to LeConte Medical Center for the purpose of purchasing healthcare related equipment. In addition, the Foundation donates funds to be used for the continuing education of physical therapists employed by LeConte Medical Center.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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Walters State Community College Foundation
500 S Davy Crockett PkwyMorristownTN37813510162364501(c)(3)25000Nursing skill lab
East TN State University Foundation
PO Box 70732Johnson CityTN37614237092731501(c)(3)100000Clinical/Medical student scholarship
(no name)
clinical & physicians health program
(no name)
various community programs
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
Patient transportation,post-hospital stay2749664
Newborn infant caps

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: The organization maintains records of check requests authorizing gifts and donations. Donations are made to charitable foundations for the purpose of enhancing and promoting health care and education in Sevier County, Tennessee. Annually, the Chief Administrative Officer and the volunteer coordinator determine the amounts of donations to community organizations. As part of its medical mission, the organization may also provide transportation for patients who are financially unable to make transportation arrangements.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
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 (3 entries)

Base 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
092444503262500124194709800015907025183490759468
John T Geppi
0393584023790007398309800019248073451500
Ellen F Wilhoit
016741905256702962109800014281027368800

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aPart I, Line 1a: Tax gross-up payments are provided to certain executives & managers. These are treated as taxable compensation to the recipient.
Part I, Line 4bPart II, Anthony L. Spezia (compensated by Covenant Health, parent organization) - Column (B)(iii): Other reportable compensation. $1,010,702 of the total amount reported as "other reportable compensation" under Column (B)(iii) is the total amount accrued during years 2007, 2008, 2009, 2010 and 2011 under a 457(f) deferred compensation plan established for Mr. Spezia in year 2000. Amounts accrued in years 2007 through 2010 have been previously reported and included in compensation on Form 990 for the applicable year. Although all deferred amounts became fully vested and taxable in 2011, only 2007 accruals were distributed to Mr. Spezia in 2011. Accruals for 2008-2011 are distributable in future years. Consequently, the $1,103, 451 is comprised of the following: $586,516 accrued and previously reported as income on Form 990 for years 2008, 2009, and 2010; which is fully vested but has not been distributed $235,299 distributed in 2011, of which $172,952 was previously reported as income on Form 990 for year 2007, the remainder representing earnings on the deferred amount distributed $188,887 accrued in 2011, which is fully vested but has not been distributed
Part IIIPart I, Line 3: Covenant Health, the parent company of LeConte Medical 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.Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Organization Mission StatementForm 990, Part III, Line 1In 1996 two healthcare systems - Fort Sanders Alliance and MMC Healthcare System of Oak Ridge consolidated to form what is known today as Covenant Health. The two organizations, which had a combined legacy of more than 100 years of service in East Tennessee, united with the strong belief that by working together, they could do more for their communities than they could alone. Nearly two decades later, the connections Covenant Health has forged with East Tennessee communities have strengthened as the health system has worked in tandem with area leaders, businesses and organizations to provide excellent local healthcare. In recent years Covenant Health has opened replacement hospitals, outpatient centers and clinics; made innovative technology and medical advances available, and achieved national recognition for quality care and service excellence. As a tax-exempt health system, Covenant Health reinvests every dollar for the benefit of the community, not profitability or shareholder interests. As the largest private employer in the greater Knoxville area, Covenant Health's staff of more than 10,000 supports local communities by purchasing goods and services, participating in local activities, and contributing volunteer time and leadership in local organizations. Covenant Health is both committed to and connected to the communities it serves, as it lives out the health system's mission. COVENANT HEALTH'S MISSION We serve the community by improving the quality of life through better health. COVENANT HEALTH'S VALUES In service to God and community, we value: Integrity, Quality, Service, Caring, Developing People, and Using Resources Wisely. COVENANT HEALTH'S VISION Covenant Health's clinical and service excellence will make us the first and best choice for patients, employees, physicians, employers, volunteers, and the community. COVENANT HEALTH MEMBER ORGANIZATIONS AND SERVICES The Covenant Health System ("the System") provides comprehensive health care services throughout East Tennessee. Headquartered in Knoxville, Tennessee, Covenant Health and its affiliates seek to provide affordable, superior healthcare to patients through continued operation of both acute care and non-hospital programs. The System includes seven acute care hospitals with a total of more than 1,700 licensed beds, a behavioral health hospital, and numerous outpatient services and clinics. The System also includes specialty providers of behavioral, oncology and rehabilitation services, along with home health care, physician clinics, community wellness programs and managed care products and services. Member organizations and programs are listed by name below. 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 Outpatient and Specialty Care Departments, and Joint Ventures: Fort Sanders Sevier Nursing Home Fort Sanders West Diagnostic Center Fort Sanders West Outpatient Surgery Center Morristown Regional Diagnostic Center Patricia Neal Rehabilitation Center Peninsula Outpatient Centers Surgery-Endoscopy Center of Morristown Foundations: Fort Sanders Foundation Methodist Medical Center Foundation Morristown-Hamblen Hospital Foundation Thompson Cancer Survival Center Foundation CONNECTING WITH OUR COMMUNITIES THROUGH QUALITY CARE Covenant Health delivers quality care in local settings, with services designed to meet the needs of our communities. The acute care hospitals located in Knoxville and surrounding areas comprise the foundation of the health system. They offer comprehensive care provided by board certified medical staffs, including emergency care, specialty services, and a full range of diagnostics and treatment. When specialty care is needed, Covenant Health provides: * Innovative cancer care and technologies to deliver radiation therapy and other cancer treatment at facilities affiliated with Thompson Cancer Survival Center in Knox and surrounding 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. * Rehabilitation services including physical therapy, speech therapy, sports medicine, and specialized therapy such as hand therapy and vestibular (balance) rehabilitation are offered at a dozen Covenant Therapy Centers locations. In addition, more than 30 affiliated physician clinics throughout the region offer convenient access to primary and specialty care. BEHAVIORAL HEALTH - A COMMITMENT TO ESSENTIAL SERVICES Covenant Health provides comprehensive behavioral health services under the auspices of Peninsula, a Division of Parkwest Medical Center ("Peninsula"). Peninsula operates a behavioral health hospital and outpatient centers for treatment of addictive behaviors, depression, and other mental health issues. With 75 years of combined experience, Peninsula organizations have helped thousands of people recover from disorders and dependencies and lead healthy, positive and productive lives. In 2012 the State of Tennessee announced the closing of Lakeshore Mental Health Institute in Knoxville, as Tennessee moves toward more community-based mental health services. In response, Covenant Health announced that Peninsula would do everything it could to help the vulnerable population Lakeshore served. Peninsula pledged to take as many Lakeshore patients as it feasibly could, adding staff (including some former Lakeshore employees) and expanding facilities to handle the expected influx. It is not the first time the State has sought Peninsula's help. When Lakeshore closed its child and adolescent program in 2004, Peninsula became the only child and adolescent inpatient psychiatric facility between Chattanooga and Johnson City, Tennessee. COMMUNITY CELEBRATES PROGRESS FOR NEW ROANE COUNTY MEDICAL CENTER "One Community. One Hospital" is the theme of progress for the new Roane County Medical Center, a replacement hospital for the current facility in Harriman. The new facility is under construction near the Midtown exit off I-40, and scheduled to open in February 2013. About 200 people attended a mid-progress celebration in Spring 2012 at the hospital construction site. Covenant Health President Tony Spezia welcomed guests and introduced dignitaries, including legislative representatives, Roane County leaders, Covenant Health board members, and others. The celebration included a time capsule where speakers could place items that represent the legacy and future of Roane County Medical Center. Items will be placed in the time capsule until it is sealed in February 2013. Gaye Jolly, the President and CAO of Roane County Medical Center, said employees and physicians look forward to continuing recent quality accomplishments and the hospital's tradition of excellent care for every patient in the new facility. Key features of the new hospital include all private, modern patient rooms with large natural light windows, 15 emergency suites, technologically-advanced surgery suites, and enlarged and modern nursing units. Patient drop-off and pick-up areas will be available, as well as free parking in more than 500 parking spots. Patients and visitors can enjoy freshly prepared meals in the new Three Rivers Cafe. The new medical center campus will be wired with new and innovative technologies including computer systems, information technologies and hardware for transition to electronic medical records. Adjacent to the hospital will be a new professional office building, which will be home to medical professionals including Thompson Oncology Group, Roane Medical Patricia Neal Outpatient Center, and Roane Medical Cardiopulmonary Rehabilitation. Thompson Oncology Group will be staffed with board-certified oncology physicians, who will have access to nationally-acclaimed multidisciplinary cancer care through Thompson Cancer Survival Center. Roane Patricia Neal Outpatient Center will feature an in-ground therapy pool complete with a built-in treadmill, and Roane Cardiopulmonary Rehabilitation will offer a new, state-of-the-art telemetry monitoring system.
CARDIAC INNOVATIONS FOR THE HEARTS OF EAST TENNESSEE Innovative Valve Centers Offer Specialty Cardiac Care The most complex cardiovascular problems can now be treated in Knoxville. Covenant Health is debuting Valve Centers at Parkwest, Fort Sanders Regional, and Methodist Medical Centers. Valve centers are staffed by experienced cardiovascular surgeons, cardiologists, nurses and other professional medical staff who are educated in the latest protocols. The coordination of care made possible by the Valve Centers will help Covenant Health hospitals deliver better outcomes, with fewer complications and higher survival rates. A new $2.6 million "hybrid" operating room opened this spring at Parkwest Medical Center and is used by Covenant Health physicians primarily for cardiac and vascular procedures. A hybrid operating room combines the best of a traditional surgical suite with large imaging equipment such as real-time X-ray and CT in a sterile setting. Hybrid operating rooms allow surgeons to perform combined open, minimally invasive, image-guided and/or catheter-based procedures in the same operating room. Patients facing aortic aneurysm surgery or aortic valve replacement may have a less invasive option and a quicker recovery. COVENANT HEALTH PERFORMS REGION'S FIRST BREAKTHROUGH TAVR PROCEDURE What if a heart valve could be replaced without surgically opening the chest cavity? That is now a reality for some patients. Parkwest Medical Center is one of only 140 sites in the nation and the first Knoxville hospital to offer Trans Aortic Valve Replacement (TAVR), an innovative procedure to replace diseased aortic valves. TAVR is appropriate for some high-risk patients with severe aortic stenosis (narrowing of the aortic valve opening) who are not candidates for surgery. In the United States, TAVR continues to be studied as part of the PARTNER (Placement of Aortic Transcatheter Valves) trial which studied inoperable patients with severe symptomatic aortic stenosis. Covenant Health has been selected by Edwards Lifesciences as the only entity in Knoxville to have surgeons trained in the TAVR procedure. STANDING STRONG FOR THE COMMUNITIES WE SERVE As a tax-exempt organization governed by a voluntary Board of Directors, Covenant Health reinvests excess revenues after expenses in improving patient care. Since 2000 Covenant Health has invested nearly $1 billion in facilities, technologies, programs and services. No other health system in East Tennessee in this decade has approached Covenant Health's investment in clinical and medical information technology, and new, renovated and expanded hospitals and services. The current economic environment has been particularly difficult and challenging for healthcare organizations, and has included cuts in reimbursement for services and the sale or closure of hospitals in our region. Covenant Health is committed to standing strong, and to the wise use of the health system's resources. Despite operating results at roughly a break-even level over the last five years, a strong balance sheet has allowed Covenant Health to continue providing substantial care to those with limited resources. In 2011 Covenant Health provided more than $150 million in charity and uncompensated care. CONNECTING MEDICAL COMMUNITIES WITH ADVANCED TECHNOLOGY When one thinks of technology, machines are often thought of - not only imposing-looking diagnostic equipment, but smaller electronic tools such as computers and hand-held devices. Often the concept of technology revolves around the hardware seen in healthcare settings. Using Technology to Achieve Quality Covenant Health's data center includes over 850 servers and 200 terabytes of storage capacity that are available to each hospital across the system via a high-speed gigabit network. The system is progressing toward a national meaningful use mandate, where healthcare organizations are challenged to use data in ways that improve patient safety and outcomes while paying close attention to information security. Some Covenant Health meaningful use initiatives include computerized patient order entry, real-time medication alerts to prevent allergy or drug interactions, and automated evidence-based care processes so that physicians and caregivers have immediate access to information about best practices. Other initiatives include computer-generated review and reconciliation of the patient's medications upon admission to the hospital, and delivery of relevant clinical information to the case management system in order to plan appropriate post-discharge care. Beyond Health System Boundaries Covenant Health is also leading the charge to expand technology benefits by participants beyond the system. The East Tennessee Health Information Network is a collaboration of leaders at other tax exempt health systems to create what will eventually be an electronic community of care that will encompass 17 counties in East Tennessee. The local initiative supports national efforts to move to electronic health records and create secure networks for sharing information through a health information exchange. REACHING OUT TO CREATE A HEALTHIER EAST TENNESSEE To improve the health of the community, Covenant Health reaches beyond hospital walls. Local initiatives and partnerships create opportunities to interact with people of all ages and encourage healthier lifestyles. * In Knoxville nearly 7,000 people participated in the 2012 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 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's Body Works program makes community fitness classes convenient, affordable, and fun. With more than 80 classes offered weekly throughout East Tennessee, Body Works offers a variety of exercise options for adults of all ages and fitness levels. * 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 Passport is a free membership program for adults age 50 and older. The program encourages healthy, active lifestyles through a newsletter, community presentations, health screenings, and travel/recreation opportunities. Nearly 25,000 members are currently enrolled. * Covenant Health annually sponsors M*A*S*H* Camp at Methodist Medical Center to give high school students a sneak preview of healthcare career options and a chance to job shadow professionals in several hospital departments. * 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. * Fort Sanders Regional Medical Center's Patricia Neal Rehabilitation Center leads the Innovation Recreation Cooperative, a collaboration of groups and individuals who help disabled persons enjoy leisure and recreation activities such as water skiing and cycling. * Fort Loudoun Medical Center sponsors "Let's Move Day" for area children and their families, featuring a day of games and activities, healthy snacks, and fitness checks.
HEARTFELT CONNECTIONS INCREASE AWARENESS OF WOMEN AND HEART DISEASE The latest advancement in reducing heart disease in women is not a new test or treatment. Women can dramatically reduce their risks of developing heart disease by doing just four things - eating right, being physically active, not smoking, and maintaining a healthy weight. According to the most current research 62 percent of women are aware that heart disease is the number one killer of women. But many women still fail to take their risks personally or seriously. The Heart Truth Champions of Covenant Health are reaching out to help women understand that heart disease risk is a personal thing. Covenant Health was selected by the National Heart Lung and Blood Institute and the Office on Women's Health as one of a handful of sites across the United States to initiate a Heart Truth Champions program. Twelve Heart Truth Champion volunteers were selected based on their involvement in community health education activities, and their willingness to create and participate in local events to raise awareness of women and heart disease. SIX NUMBERS AT THE HEART OF GOOD HEALTH What you measure, you improve. That was the goal of Know Your Six, Chicks, a year-long community campaign to help women fight heart disease through awareness of six measures of heart health: blood pressure, cholesterol, fasting glucose, body mass index (BMI), physical activity and sleep habits. The campaign included heart health information, Lunch and Learns, community screenings, an interactive website and online health assessment, and mobile blood pressure screening units placed at local businesses. Know Your Six, Chicks is estimated to have directly reached just over 10,000 participants. Local businesses played an important role in Know Your Six, Chicks, providing locations for mobile Heart Centers and even providing spokespersons for the initiative. In addition to business participation, Know Your Six, Chicks also reached out to community centers, church locations, cultural events and trade shows - and expanded to include men in its outreach efforts. CONNECTING TO THE FUTURE THROUGH EDUCATION Covenant Health actively supports education programs for future nurses and other healthcare professionals. One example is the health system's partnership with Tennessee Wesleyan College-Fort Sanders Nursing, ("TWC"). The program offers a bachelor's degree in nursing through TWC in Athens, Tennessee, with classroom and clinical training opportunities at the school's Knoxville campus and at Covenant Health organizations. The collaboration has been in place for more than 10 years. This past Spring of 2012, more than 70 nursing students graduated from TWC. In summer 2012 the program launched an online RN-to-BSN degree designed especially for professional nurses who want to earn a baccalaureate degree while still continuing their nursing responsibilities. In addition to the TWC partnership, Covenant Health provides clinical training opportunities for students in health career programs at other area universities, community colleges and post-secondary schools, and has affiliation agreements with more than 100 schools across the country. COMMUNITY LEADERS PLAY KEY ROLES IN FOUNDATIONS' EVENTS AND PROGRAMS The Covenant Health Office of Philanthropy coordinates the philanthropic contributions of individuals and businesses throughout East Tennessee and beyond. Fund raising efforts are coordinated by four foundations: Fort Sanders Foundation, Methodist Medical Center Foundation, Morristown-Hamblen Hospital Foundation, and Thompson Cancer Survival Center Foundation. During the past year these foundations received contributions of about $4 million to help provide new equipment and facilities at the hospitals, staff training, and provide assistance to patients. While the Foundations coordinate community events and fund raisers, local community involvement is critical to the success of the events. CARING FOR THOSE UNABLE TO PAY One of the most tangible expressions of the charitable purpose of Covenant Health is providing care to people in need. As a tax-exempt 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. 2011 Summary of Community Benefit Totals for Uncompensated Care* Charity Care. . . . . . . . . . . . . . .$44 million TennCare . . . . . . . . . . . . . . . . $52 million Medicare . . . . . . . . . . . . . . . . . $60 million Total Uncompensated Care. . $156 million *Care which costs more to provide than reimbursements from state and national programs cover. Covenant Health provides community benefit that far exceeds the value of its tax-exempt status.
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. LeConte Medical 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 employee handbook to all employees. The handbook 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 LeConte Medical 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 2011 Form 990 of Covenant Health, EIN 62-1646734, parent company to LeConte Medical Center. Part VI, Section B, Line 15b: The base salary and annual bonus opportunities for Ellen Wilhoit, President/CAO, 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 insure that total compensation is reasonable and within a fair market value range. Salary ranges for each executive position 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 for the President/CAO is reasonable and consistent with fair market value. Base salaries are initially targeted at midpoint and vary 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. The base salary and annual bonus opportunities for Rick Carringer, 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 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 vary 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 the Electronic Municipal Market Access, EMMA, web site. Any member of such a repository has access to these financial statements. In addition, LeConte Medical 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, Line 9 and Part VIIAnthony L. Spezia Covenant Health 100 Ft. 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: LeConte Medical Center 742 Middle Creek Road Sevierville, TN 37862
Form 990, Part VII, Section A, Column BThe President/CEO, EVP/CFO, and Board of Directors serve Covenant Health, EIN 62-1646734, parent company of an integrated health care delivery system, of which LeConte Medical Center is a member, as a whole. The hours these individuals devoted to the system in 2011 are reported on Covenant Health's Form 990, Part VII.
Changes in Net Assets or Fund Balances:Form 990, Part XI, line 5:Adjustment for credit memo 10,000. Total to Form 990, Part XI, Line 5: 10,000.

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 Ctr 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 W Blvd Ste 100KnoxvilleTN37922621748601Fundraising and Patient OutreachTN501(c)(3)Line 11a, I0Covenant Health
Fort Sanders Perinatal Center
501 19th St Ste 304KnoxvilleTN37916043760551High risk obstetrical servicesTN501(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
412 Devonia StHarrimanTN37748680673354Acute care hospitalTN501(c)(3)Line 30Covenant Health
Thompson Cancer Survival Center
1915 White AveKnoxvilleTN37916621250943Cancer treatment facilityTN501(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 and 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 Association

Form990 Schedule R Part III Form990ScheduleRPartIII (7 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 RidgeTN37830621667358Outpatient medical facilityTNN/A
Fort Sanders West OP Surgery Ctr LLC
210 Ft Sanders W Blvd Ste 106KnoxvilleTN37922621366907Outpatient surgery centerTNN/A
Fort Sanders West Associates
280 Fort Sanders West Blvd Ste 214KnoxvilleTN37922621384171Building ownershipTNN/A
Associates of the Meridian Health OP Surgery Ctr LLC
908 W 4th North StMorristownTN37814861167487Outpatient surgery centerTNN/A
Tellico Senior Living LLC
PO Box 308CaryvilleTN37714364353505Retirement villageTNN/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 EntityTypeOfEntity
Fortress Corporation
280 Fort Sanders West Blvd Suite 21KnoxvilleTN37922621308885Management companyTNN/AC
KASC Acquisition Company Inc
1420 Centerpoint BlvdBldg CKnoxvilleTN37932263400984Real estate holdingsTNN/AC
Covenant Medical Management Inc
280 Fort Sanders West Blvd Suite 20KnoxvilleTN37922621282917Physician practice managementTNN/AC
Knoxville Heart Group
1819 Clinch Ave Ste 108KnoxvilleTN37916271528941Cardiology medical practiceTNN/AC
Morristown-Hamblen Health Services Inc
908 W 4th StMorristownTN37814621588521Inactive - dissolved 2/5/2011TNN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
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Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
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Sharing Of Paid Employees1SharingOfPaidEmployees
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Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
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Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Covenant Medical ManagementBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeATransactionType
Amount Involved15750AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination