2013-11-12T12:01:42-06:00 2012-12-31 990 2012-01-01 680673354 Roane County Medical Center ROAN 8653746864 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 JOHN T GEPPI 8653746872 2013-11-07 Self-Prepared 2012 2016-02-24 21:20:13Z Roane Medical Center Anthony L Spezia 100 Ft Sanders W Blvd Knoxville TN 37922 34445324 0 X www.roanemedical.com X 2008 TN Roane Medical Center provides acute care hospital services in Harriman, Tennessee, in its new 54-bed hospital facilty opened in February 2013. It is a member of the Covenant Health system. 22 18 360 97 19127 18127 49715 39184 33592270 31894429 4884 343837 368091 -175767 34014960 32101683 0 0 0 0 15310864 15513201 0 0 0 21302923 22148776 36613787 37661977 -2598827 -5560294 6293775 4697986 6577925 6987951 -284150 -2289965 X See Schedule O.Roane Medical Center provides quality healthcare, in alignment with Covenant Health's mission to serve the community by improving the quality of life through better health, regardless of a patient's ability to pay. 0 0 12915028 13141141 Inpatient service is one of the three largest programs at Roane Medical Center. The majority of admissions are for Respiratory and Circulatory diagnosis and are treated in either Intensive Care or Medical Surgical units. The goal is to provide the highest quality diagnostic and treatment services to the patients served. There were 1,694 admissions between January 1 and December 31, 2012, accounting for 6,620 patient days. Patients admitted to Roane Medical Center live in Roane and surrounding counties. Ninety-six percent of the inpatients live in three counties. 13536454 11731810 Outpatient service is the second of the three largest programs with 26,408 visits in 2012. Outpatient services provided are Diagnostic X-ray, Magnetic Resonance Imaging (MRI), Computed Tomography (CT), Nuclear Medicine, Ultrasound/ Vascular Procedures, Mammography, Bone Densitometry, Sleep Studies, Laboratory and Stress Tests. Other outpatient services provided are Cardiac Rehab; Physical, Occupational and Speech Therapies; and Dietary Consultation. Roane Medical Center offers support to many community education efforts such as smoking cessation. The goal for outpatient services is to provide quality diagnostics and treatment to patients according to the physicians' orders. 8722962 5845014 Emergency diagnosis and treatment is the third program service provided to all patients without consideration of their ability to pay. About ten percent of the patients seen in the Emergency Department are admitted for further observation or treatment at Roane Medical Center. The Emergency Department treated 23,575 patients during 2012. The goal for outpatient service is to diagnose, treat or refer patients to the appropriate facility for care efficiently and in a timely manner. 408169 1210759 Roane Medical Center also offers occupational health services. 408169 1210759 35582613 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 24 0 1 360 1 1 1 0 0 0 0 0 0 0 0 0 X 22 18 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 0 X X Nancy Beck 8653746864 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 Anthony L Spezia 0.00 50.00 X X 0 1526847 230374 Gerald Boyd 0.00 1.00 X 0 679 0 Dr Richard Brinner 0.00 1.00 X 0 1291 0 Dr Mitchell Dickson 0.00 1.00 X 0 1914 0 Pamela P Fansler 0.00 1.00 X 0 0 0 James Fitzsimmons 0.00 1.00 X 0 1742 0 Kimberly Greene 0.00 1.00 X 0 937 0 Wayne Heatherly 0.00 1.00 X 0 752 0 Jim Johnson Jr 0.00 1.00 X 0 1642 0 Karla Lane 0.00 1.00 X 0 924 0 Eddie Mannis 0.00 1.00 X 0 0 0 Larry Mauldin 0.00 1.00 X 0 834 0 Dr Joseph Metcalf 0.00 3.00 X 0 15603 0 George Miller 0.00 1.00 X 0 978 0 Alvin Nance 0.00 1.00 X 0 966 0 Linda Ogle 0.00 1.00 X 0 0 0 Mitchell Steenrod 0.00 1.00 X 0 805 0 Carl Storms 0.00 1.00 X 0 1641 0 Joseph E Sutter 0.00 1.00 X 0 1313 0 Richard Swanson 0.00 1.00 X 0 0 0 Joe Ben Turner 0.00 1.00 X 0 783 0 David C Verble 0.00 1.00 X 0 958 0 John T Geppi 0.00 50.00 X 0 673095 27138 James Gann retired 50.00 0.00 X 0 254570 27489 Janice Bardill 55.00 0.00 X 98425 0 6728 Gaye G Jolly 50.00 X 0 206440 19717 Jules Mugemuzi MD 40.00 0.00 X 215674 0 9044 Irina Schiopescu MD 40.00 0.00 X 209450 0 14539 Brian Hofung MD 40.00 X 189443 0 14170 Diane L Petrilla MD 40.00 X 187976 0 7432 900968 2694714 356631 4 0 1 0 Complete Rx 3100 South Gessner Ste 640 Houston TX 77063 Pharmacy Management 2080685 McFarland Medical 1114 W 1st North Street Morristown TN 378144550 DME Billing 760424 Toshiba America Medical System PO Box 91605 Chicago IL 60693 Maintenance Contracts 229818 CPSI PO Box 850309 Mobile AL 366850309 System Maintenance/ Stmt Processing 184880 Angelica Textile Services PO Box 535122 Atlanta GA 303535122 Linen Service 155143 10 10680 17418 11086 9250 39184 Medical Services 622110 31884029 31884029 Rental Inc - Affiliate 531120 10400 10400 31894429 2062 2062 73724 138903 -65179 -65179 -65179 1429163 1087388 341775 341775 341775 754456 1117350 -362894 19127 -382021 Food Services 722212 181294 181294 Gift Shop 453220 28437 28437 Cardiac Rehab Fitness 622110 28223 28223 14352 6072 8280 252306 32101683 31928724 19127 114648 105153 105153 12064683 11275949 788734 399574 374643 24931 2048704 1885065 163639 895087 831397 63690 3481899 3274360 207539 17376 17376 4992 4992 3082811 2809052 273759 100340 93200 7140 1659155 1378262 280893 738478 690848 47630 10292 9102 1190 11851 11076 775 5578 5578 1525279 1525279 113361 113361 Bad Debts 4314474 4314474 Charity Care Expense 3048745 3048745 Hospital Supplies 2910286 2908480 1806 Sponsorship Expense 569701 569701 554158 464041 90117 37661977 35582613 2079364 0 1485 1485 807256 918855 1209577 1455772 321461 354960 149453 79252 17360452 15670085 3802713 1690367 1830 197295 6293775 4697986 5629046 6202915 0 53400 948879 731636 6577925 6987951 X -284150 -2289965 -284150 -2289965 6293775 4697986 X -5560294 302 3554177 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 952149 1336 950813 468966 395996 72970 15939337 15272753 666584 1690367 Due to Third Party Payors 603498 Due to Affiliates, Net 119607 457(b) Long-term Liability 8531 731636 X Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: Note B to the consolidated audited financial statements of Covenant Health, parent company to Roane Medical 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." 1 1 X 1 X 1 X 1 1 1 0 1 1 1220733 498030 722703 0.02170 5028874 3037671 1991203 0.05970 0 0 6249607 3535701 2713906 0.08140 932 0 932 0.00000 74 0 74 0.00000 611806 11086 600720 0.01800 0 0 8723 0 8723 0.00030 621535 11086 610449 0.01830 6871142 3546787 3324355 0.09970 1619 0 1619 0.00000 2262 0 2262 0.00010 881 0 881 0.00000 0 0 88 0 88 0.00000 0 0 0 0 0 0 0 0 4850 4850 0.00010 0 4314474 583605 8841000 9671288 -830288 X 1 1 1 None 1 1 Roane Medical Center

8045 Roane Medical Center Dr Harriman TN 37748

www.roanemedical.com X X X Roane Medical Center 1 1 1 200.000000000000 1 300.000000000000 1 X X X 1 1 X X 1 0 1 X 0 0 7 RMC Equipment and Supply

314 Devonia Street Harriman TN 37748

Durable Medical Equipment Store RMC Patricia Neal Outpatient Center

2497 S Roane Street Suite 100 Harriman TN 37748

Rehabilitation Therapy Center RMC Patricia Neal Outpatient Center

900 Waterford Street Suite 102 Kingston TN 37763

Rehabilitation Therapy Center RMC Sleep Lab

307 Devonia Street Harriman TN 37748

Sleep Diagnostic Center RMC Cardiopulmonary Rehab

415 Devonia Street Harriman TN 37748

Cardiopulmonary Rehab. Center RMC Industrial Medicine

814 North Kentucky Street Kingston TN 37763

Industrial Medicine/ Occupational Therapy RMC Women's Center

307 Devonia Street Harriman TN 37748

Women's Imaging & Diagnostic Services Part I, Line 6a: Covenant Health, the parent company of Roane 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: Community benefit expense amounts on Lines 7a-7c were determined using Worksheets 1 and 3 contained in the IRS instructions to Schedule H. Other community benefit expenses are at cost from the general ledger. Part I, Line 7g: The organization has included $592,815 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 $ 4314474. Part II: Roane 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, and finding solutions to alleviate the symptoms.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. In 2012 contributions were made to organizations meeting the community's needs by providing: *Affordable, permanent housing and case management services to foster self-sufficiency - Knoxville's Community Development Corporation (KCDC) *Residential and foster care for children, special education services, and support services to reunite families and keep them together - Holston Home for Children *The basic needs of life including temporary shelter, food and clothing - Catholic Charities, Family Promise, Ladies of Charity, and others *Youth mentoring and development and after-school programs - Emerald Youth Foundation and Boy Scouts of America *Business recruitment and marketing initiatives that boost economic development - East Tennessee Economic Development Agency (ETEDA) and Innovation Valley *Leadership development programs and workshops - Leadership Knoxville *Assistance and special programs for at risk, physically challenged, abused and neglected children - Variety of Eastern Tennessee (local chapter of Variety-The Children's Charity) Part III, Line 4: Part III, Line 2: Bad debt expense on Line 2 is the amount recorded in the organization's financial statements. Discounts and payments on patient accounts are netted against bad debt.Part III, Line 3: The amount reported on Line 3 was estimated by multiplying self-pay bad debt by the percentage of the population living below the poverty level on a county-by-county basis. It is our belief that the amount of bad debt on Line 3 should be included as community benefit. As a tax-exempt hospital, we must provide necessary services regardless of the patient's ability to pay for the service provided. As a not-for-profit, patient care is provided to all, regardless of ability to pay for that care. Making quality patient care available to all in our community, regardless of economic means, qualifies bad debts as a community benefit.Part III, Line 4: Note B to the 2012 Audited Consolidated Financial Statements of the Covenant Health system, of which Roane 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. 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." Part III, Line 8: Costing Methodology: Roane 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.Community Benefit: Roane Medical Center believes that all of the $800,000+ Medicare shortfall on Line 7 should be considered as community benefit. The IRS Community Benefit Standard includes the provision of care to the elderly and Medicare patients. Medicare shortfalls must be absorbed by the hospital in order to continue treating the elderly in our community. This past cost report year, Medicare patient days accounted for 48 percent of total patient days (3,416 out of 7,007 total). The hospital provides care regardless of this shortfall and thereby relieves the federal government of the burden of paying the full cost for Medicare beneficiaries. Part III, Line 9b: Self-pay patients automatically receive a minimum 33% 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. Roane Medical Center Part V, Section B, Line 14g: Please see the explanation to Part VI, Line 3. Roane Medical Center Part V, Section B, Line 20d: Please see the explanation to Part III, Line 9b. Part VI, Line 2: Covenant Health, on behalf of its affiliated hospitals, is engaged in conducting community health needs assessments. Covenant has chosen to complete the assessment process in partnership with the local health department, free health clinics, community based health councils, United Way and chambers of commerce.The assessment is utilizing a variety of data collection methods to ensure that at risk populations have a voice in the process. Qualitative research is being conducted using focus groups of community leaders, key informant interviews, and household surveys of 500-600 per county. In working with area health departments, a variety of health statistics have been gathered including demographics, social-cultural indicators, morbidity and mortality data, health rankings, KIDS COUNT data, health professional needs per population, and behavioral risk factor data.Upon completion of data collection, a community based data synthesis team will begin to meet, discuss, and prioritize the significant findings. Each hospital will proceed with the assessment's significant findings and translate that into an action plan to address the identified needs. Part VI, Line 3: Part VI, Line 3: Roane 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 given to patients admitting to the facility.The following sign is posted in the main entrance at the 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, the staff of Roane Medical Center is 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, Roane 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 865.316.2313, Monday through Friday between the hours of 8 a.m. and 4:00 p.m.Signs are also posted at each registration desk stating: Financial Assistance: It is Roane 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 865.316.2313. The Financial Counselor is available Monday - Friday, 8 a.m. - 4:00 p.m.Roane Medical Center employs a full time financial counselor that will meet with each uninsured patient, if assistance is needed. In addition, Roane 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. Part VI, Line 4: Roane County is the primary market area for Roane Medical Center, a nonprofit hospital which is affiliated with Covenant Health. It is the only hospital in the county, which is in close proximity to the metropolitan Knoxville area. According to internal hospital data for 2011, just under 83% of the inpatient discharges were Roane County residents.The following statistics are taken from 2010 data of the U.S. Census Bureau. The 54,181 person population of Roane County is predominantly female (51%) and Caucasian (94.6%). The median household income is $43,129. The percentage of county residents over the age of 65 is 19.2%, and roughly 21% of the population is under the age of 18. Nearly 15% of the population has incomes below the poverty level, and the unemployment rate is 8.0%. The dominant labor force is from the manufacturing sector (20.3%).According to the 2013 County Health Rankings Report recently released study by the Robert Wood Johnson Foundation/ University of Wisconsin Population Health Institute, Roane County residents have the following health indicators that are above the national benchmarks: Roane - TN - National Adult Smoking: 16% - 23% - 13% Adult Obesity: 35% - 32% - 25% Teen Birthrate: 47 - 50 - 22 of every 1,000 teenage girls Poor or Fair Health: 24% - 19% - 10% Physical Inactivity: 35% - 30% - 21% Part VI, Line 5: Roane Medical Center ("RMC"), 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 invested $76 million to build the new Roane Medical Center hospital facility, which opened in February 2013. The medical center campus includes a 145,000 square foot, state-of-the-art hospital and a 26,000 square foot professional office building. 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. The new medical center campus has new and innovative technologies including new computer systems and hardware for transition to electronic medical records. Covenant Health's Board of Directors serves as Roane Medical Center's board. It is comprised of independent community leaders with diverse educational and professional backgrounds. The board sets policies and provides oversight of RMC.Roane Medical Center 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: Roane Medical Center, as a member of the Covenant Health system, benefits from the collaboration among all affiliated organizations to promote quality improvement, patient safety and efficient delivery of care for the communities served.As a system, Covenant assures that business processes are in place at each facility to measure and report quality, to increase the role of compliance, and to integrate risk management, utilization review, peer review, mandatory reporting and quality improvement into one cohesive function. In this way, the system is able to use analytic tools to help identify any systemic inability to satisfy the various requirements on the part of the facilities.Roane Medical Center's patients benefit from the availability 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. The Covenant Health system also enhances the patient's access to care through the provision of outpatient services in a variety of settings located throughout the service area. These include a diabetes center, wound care center, bariatric surgery center, pulmonary rehabilitation programs and ambulatory infusion centers. X 1 1 1 1 0 0 0 0 0 0 0 Anthony L Spezia 0 941953 0 379600 0 205294 0 213800 0 16574 0 1757221 0 0 John T Geppi 0 421940 0 171991 0 79164 0 9800 0 17338 0 700233 0 0 James Gann retired 0 8196 0 23709 0 222665 0 7310 0 20179 0 282059 0 0 Gaye G Jolly 0 144173 0 30685 0 31582 0 7763 0 11954 0 226157 0 0 Jules Mugemuzi MD 193510 0 0 0 22164 0 9044 0 0 0 224718 0 0 0 Irina Schiopescu MD 209273 0 0 0 177 0 11829 0 2710 0 223989 0 0 0 Brian Hofung MD 189284 0 0 0 159 0 11460 0 2710 0 203613 0 0 0 Diane L Petrilla MD 186529 0 0 0 1447 0 0 0 7432 0 195408 0 0 0 Part I, Line 1a Cell phone allowances were provided to certain physicians. Part I, Line 3 Covenant Health, the parent company of Roane 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. Part I, Lines 4a-b Part I, Line 4a: James Gann's reportable compensation includes $106,389 for severance. Part I, Line 4b: Anthony 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 2011 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. Organization Mission Statement Form 990, Part III, Line 1 In 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 11 Covenant Health is a large, integrated health system which files twelve Forms 990. Roane County Medical Center is one of those 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 12c Board 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 15 Form 990, Part VI, Section B, Line 15a: Overall compensation policies for Roane 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 2012 Form 990 of Covenant Health, EIN 62-1646734, parent company of Roane Medical Center. Form 990, Part VI, Section B, Line 15b: Base salary and annual bonus opportunities for Gaye Jolly, 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 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. The same processes were used in determining compensation paid to James Gann, retired President/CAO. Base salary and annual bonus opportunities for Janice Bardill, 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 19 Form 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, website. Any member of such a repository has access to these financial statements. In addition, Roane 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 Anthony 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 James Gann 126 Indigo Bunting Rd. Harriman, TN 37748 Janice Bardill 235 Woodland Dr. Harriman, TN 37748 All other persons listed in Part VII, Section A may be contacted at the organization's address, which is: Roane Medical Center 8045 Roane Medical Center Dr. Harriman, TN 37748 Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Forgiveness of Affiliate Debt 3,551,595. Transfer of funds from external sources 2,582. Form 990, Part XII, Line 2c: The Finance Committee of the Board of Directors assumes responsiblity for oversight of the audit of the consolidated financial statements and selection of an independent accountant. Covenant Health 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621646734 Supporting organization TN 501(c)(3) Line 11b, II N/A 0 Fort Sanders Regional Medical Center 1901 W Clinch Avenue Knoxville TN 37916 620528340 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Parkwest Medical Center 9352 Parkwest Blvd Knoxville TN 37923 581897274 Acute care hospital & behavioral health services TN 501(c)(3) Line 3 Covenant Health 0 LeConte Medical Center 742 Middle Creek Road Sevierville TN 37862 621114867 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Fort Loudoun Medical Center 550 Fort Loudoun Medical Ctr Dr Lenoir City TN 37772 621373691 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Thompson Cancer Survival Center 1915 White Avenue Knoxville TN 37916 621250943 Cancer treatment facility TN 501(c)(3) Line 3 Covenant Health 0 Covenant Homecare 3001 Lake Brook Blvd Suite 101 Knoxville TN 37909 621623114 Home health services TN 501(c)(3) Line 9 Covenant Health 0 Fort Sanders Perinatal Center 501 19th Street Suite 304 Knoxville TN 37916 043760551 High risk obstetrical services TN 501(c)(3) Line 3 Covenant Health 0 Thompson Cancer Survival Center Foundation 1915 White Avenue Knoxville TN 37916 582130450 Fundraising and patient outreach TN 501(c)(3) Line 11a, I Thompson Cancer Survival Center 0 Morristown Regional Cancer Center LLC 908 W 4th North St Morristown TN 37814 200916364 Cancer treatment facility TN 501(c)(3) Line 3 Morristown-Hamblen Hospital Association 0 Methodist Medical Center 990 Oak Ridge Turnpike Oak Ridge TN 37830 620636239 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Morristown-Hamblen Hospital Assoc dba M-H Healthcare System 908 W 4th North St Morristown TN 37814 620545814 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Thompson Oncology Group 1915 White Avenue Knoxville TN 37916 621619239 Oncology services TN 501(c)(3) Line 3 Covenant Health 0 Fort Sanders Foundation 280 Ft Sanders West Blvd Ste 202 Knoxville TN 37922 621748601 Fundraising and patient outreach TN 501(c)(3) Line 11b, II Covenant Health 0 Endoscopy Center of Oak Ridge LLC 988 Oak Ridge Turnpike Ste 220 Oak Ridge TN 37830 621667358 Outpatient medical facility TN N/A Fort Sanders West OP Surgery Ctr LLC 210 Fort Sanders West Blvd Ste 106 Knoxville TN 37922 621366907 Outpatient surgery Center TN N/A Fort Sanders West Associates 280 Fort Sanders West Blvd Ste 214 Knoxville TN 37922 621384171 Building ownership TN N/A Assoc of the Meridian Health OP Surgery Ctr LLC 908 W 4th North St Morristown TN 37814 861167487 Outpatient surgery Center TN N/A KOSC Properties LLC 260 Fort Sanders West Blvd Ste 200 Knoxville TN 37922 262444076 Building ownership TN N/A Knoxville Orthopaedic Surgery Center LLC 260 Fort Sanders West Blvd Ste 200 Knoxville TN 37922 262437385 Orthopaedic surgery TN N/A Fortress Corporation 280 Fort Sanders West Blvd Ste 214 Knoxville TN 37922 621308885 Management company TN N/A C 0 Covenant Medical Management 1400 Centerpoint Blvd Bldg A Suite Knoxville TN 37932 621282917 Physician practice management TN N/A C 0 KASC Acquisition Company Inc 1420 Centerpoint Blvd Bldg C Knoxville TN 37932 263400984 Real estate holdings TN N/A C 0 Knoxville Heart Group 1819 Clinch Avenue Suite 108 Knoxville TN 37916 271528941 Cardiology medical practice TN N/A C 0 East TN Cardiovascular Surgery Group Inc 9125 Cross Park Drive Ste 200 Knoxville TN 37923 621018541 Cardiovascular surgery practice TN N/A C 0 0 0 0 0 1 0 1 0 0 1 0 0 1 1 1 1 1 0 1