2025-11-11T12:31:03-06:00 2024-12-31 990 2024-01-01 581897274 Parkwest Medical Center PARK 8653745329 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 JOSEPH C DOLAN EVP/CFO 8653746872 2025-11-11 1 2024 2025-03-06 01:10:19Z James D VanderSteeg 244 Ft Sanders W Blvd Knoxville TN 37922 473297690 0 X www.covenanthealth.com/parkwest/ X 1990 TN Parkwest Medical Center operates a full-service acute care hospital located in west Knoxville, Tennessee, and a psychiatric hospital in neighboring Blount County, TN with a combined total of 456 beds. It is a member of the Covenant Health system. 20 19 2677 102 -43859 0 850670 1778104 433275215 464514178 127835 296873 3034895 3255794 437288615 469844949 348824 465281 0 0 121397603 131061271 0 0 0 315980497 337348804 437726924 468875356 -438309 969593 292118482 289892165 40284417 41439064 251834065 248453101 X Parkwest 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. 0 0 462140704 465281 450794256 Parkwest Medical Center ("Parkwest") admitted its first patient on December 10, 1973. It became a not-for-profit hospital in 1990 and became part of Covenant Health in 1996. Peninsula, a division of Parkwest Medical Center, ("Peninsula") is the behavioral services division of Parkwest and the region's largest provider of behavioral health services. Peninsula has a 119-bed hospital in Blount County providing mental health services for adolescents and adults. Peninsula also provides outpatient services in four counties. SERVICEWest Knoxville's largest medical center, Parkwest has an organizational culture focused on treating every patient and visitor with courtesy, compassion, and respect. It is best known for excellence in orthopedics, cardiology, surgical and behavioral health. Parkwest and Peninsula served 257,260 patients in 2024. Of these, 237,082 were outpatients and 20,178 were inpatients with an average length-of-stay of 4.54 days. PUTTING PATIENTS FIRSTIn 2024, Parkwest was recognized by U.S. News & World Report as #7 in its list of "Best Hospitals in Tennessee, and the #2 hospital in Knoxville metro area. Parkwest was rated as a "High-Performing" hospital by US News & World Report for COPD, colon cancer surgery, heart attack, heart bypass surgery, heart failure, hip replacement, knee replacement, prostate cancer surgery, and stroke care.BlueCross BlueShield gave the hospital a Blue Distinction Center+ designation for knee replacement and hip surgery, spine surgery, and maternity care, and a Blue Distinction Center designation for bariatric surgery. The Joint Commission has designated the hospital as an Advanced Primary Stroke Center, and Parkwest is a member of Covenant Health's stroke hospital network, which links Covenant Health's member hospitals in providing rapid diagnosis and treatment of stroke. Parkwest was recognized with a GoldPlus Stroke Quality Achievement Award by the American Heart Association/American Stroke Association. Parkwest has earned the GoldPlus Quality Award from the American Heart Association, recognizing consistent compliance with evidence-based quality measures for care of patients experiencing heart attacks, and a Gold award for non-STEMI quality measures.IMPROVING THE COMMUNITY'S QUALITY OF LIFE THROUGH BETTER HEALTHIn 2024 Parkwest provided over $219,000 worth of transportation, which includes payment to Priority Ambulance for patients to receive treatments, and taxi/transportation fares for patients who had been discharged and needed transportation home.In 2024 Parkwest participated in the Greater Knoxville Heart Walk, raising funds and awareness for heart disease. Parkwest also participates in local health fair screenings for area businesses and groups, providing carotid ultrasound screenings and physical therapy ergonomic education, as well as stroke education. In 2024 the employees at Parkwest also raised money for our internal employee chaplain's fund, which helps employees who are experiencing unusual or extraordinary financial needs.As a member of Covenant Health, Parkwest and Peninsula have adopted the "We Honor Veterans" program, recognizing and celebrating patients and employees in our facility who are veterans. When a patient is identified as a veteran they are recognized with a certificate and pinning ceremony. 462140704 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 201 0 1 2677 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 20 19 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Andrew McCreary 8653745329 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 Mitchell Dickson MD Director 0.00 1.00 X 0 0 0 Stephanie Flood Director 0.00 1.00 X 0 964 0 James Gibson Director 0.00 1.00 X 0 0 0 Edgar Gray Director 0.00 1.00 X 0 844 0 Leslye Hartsell Director 0.00 1.00 X 0 1124 0 Donald Hickman Director 0.00 1.00 X 0 675 0 Timothy Matthews Director 0.00 1.00 X 0 657 0 Janice McKinley Director 0.00 1.00 X 0 0 0 Cletus McMahon MD Director 0.00 1.00 X 0 0 0 Dave Miller Director 0.00 1.00 X 0 0 0 Bill Myers Director 0.00 1.00 X 0 0 0 Alvin Nance Director 0.00 1.00 X 0 648 0 Linda Ogle Director 0.00 1.00 X 0 0 0 King Purnell Director/Chair 0.00 1.00 X X 0 935 0 Jorge Sanabria Director 0.00 1.00 X 0 807 0 William Seale Director 0.00 1.00 X 0 1060 0 Cosby Stone Director 0.00 1.00 X 0 1113 0 Joe Sutter Director 0.00 1.00 X 0 881 0 James Tramontana MD Director 0.00 1.00 X 0 1086 0 James D VanderSteeg President & CEO 0.00 50.00 X X 0 2880556 362274 Joseph C Dolan EVP/CFO 0.00 50.00 X 0 861693 105608 Devan C Johnson President & CAO 50.00 0.00 X 0 562166 50375 M Scott Hamilton VP - Financial Services 40.00 10.00 X 251190 0 45231 Jacquelyn A Alt VP - Chief Nursing Officer 50.00 0.00 X 214134 55370 33376 Elizabeth Clary VP - Behavioral Health 50.00 0.00 X 215485 0 29536 Colin McRae VP - Support Services 50.00 0.00 X 156987 0 712 Thomas P Jensen MD Physician - Behavioral 50.00 0.00 X 386561 0 51536 Rajendra T Raman MD Physician - Behavioral 50.00 0.00 X 370445 0 52925 Surendra K Sharma MD Physician - Behavioral 50.00 0.00 X 359753 0 54740 John G Kupfner MD Physician - Behavioral 50.00 0.00 X 358049 0 51337 Shyam P Vuyyuru MD Physician - Behavioral 50.00 0.00 X 344735 0 43916 Michael R Belbeck Jr Fmr Interim Pres & CAO-PWMC/EVP-Hosp Ops 0.00 50.00 X 0 976075 113223 2657339 5346654 994789 176 1 1 0 Radar Healthcare Providers PO Box 1708 Watkinsville GA 30677 Medical staffing Services 2159675 Your Home Team Care LLC 300 N Winston Rd Ste 403 Knoxville TN 37919 Patient Sitters 1683449 Linen King PO Box 701683 Tulsa OK 74170 Laundry Services 1638091 Volunteer Perfusion LLC PO Box 30092 Knoxville TN 37930 Perfusion Services 1547365 Bio Medical Applications of TN PO Box 101518 Atlanta GA 30392 Hemodialysis Services 1386582 57 1035113 727991 15000 475 1778104 Net Patient Services 622110 450273556 450273556 Pharmacy 456110 14236398 427327 13809071 Rental Income - Exempt Affiliate 531120 4224 4224 464514178 256809 256809 3876549 3452075 424474 424474 -43859 468333 40730 666 40064 40064 40064 Cafeteria 722514 2233979 2233979 Gift Shop 459420 469257 469257 Support Services 900099 101626 89149 12477 26458 26458 2831320 469844949 450794256 -43859 17316448 X 46115 46115 419166 419166 937730 937730 106017984 104919647 1098337 3656738 3612927 43811 12146396 11488542 657854 8302423 8117458 184965 42033637 41106517 927120 110747 110747 88477617 88406632 70985 31483 30376 1107 2558521 2169820 388701 8584929 8139678 445251 143134 133924 9210 126739 112489 14250 34966 34966 20127976 19084943 1043033 416900 326417 90483 Medical Supplies 141792634 141792634 Bad Debt 14485533 14485533 Minor Equipment 10599131 10467857 131274 Malpractice Expense 2932544 2932544 4892313 4312519 579794 468875356 462140704 6734652 0 -2338903 -4165133 -119531 -90982 51000204 53371055 6786257 7832642 1404869 1310198 596560176 378447596 226320349 218112580 9065237 13521805 292118482 289892165 31555193 31151601 8729224 10287463 40284417 41439064 X 251834065 248453101 251834065 248453101 292118482 289892165 X 969593 -4350557 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 178438 166341 8412 8412 344779 176928 1510 5101 5101 178438 175019 1908 9604 9604 176928 172338 2681 5596 5596 175019 169498 2840 6163 6163 172338 0.00000 1.00000 0.00000 0 1 1 19708680 19708680 293124511 145144158 147980353 10298471 7296206 3002265 271990273 226007232 45983041 1438241 1438241 218112580 Due to Third Party Payors 3353072 Long-Term Deferred Compensation 1248810 Long-Term Reserve for Workers Comp 968156 Other Long-Term Liabilities 4717425 10287463 X Part V, Line 4: Covenant Health Foundation maintains seven permanent endowment funds to support the mission of Parkwest Medical Center. The principal of these funds will be kept and invested in perpetuity. The revenue generated by these endowments provides for advancements in healthcare services, outpatient therapy scholarships, clinical education and physician leadership training. Part X, Line 2: Excerpt from the consolidated audited financial statements of Covenant Health (Covenant), parent company to Parkwest Medical Center: Covenant and certain of its subsidiaries or controlled entities are exempt from income taxes pursuant to Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes on qualifying activities has been made for these entities in the accompanying consolidated financial statements. However, certain entities and operations are subject to income taxes. Covenant had no unrecognized tax benefits at December 31, 2024 and 2023. As such, no interest or penalties were recognized in the consolidated financial statements related to unrecognized tax benefits. At December 31, 2024 and 2023, tax returns for 2021 through 2024 are subject to examination by the Internal Revenue Service. Covenant has no uncertain tax positions that would require financial statement recognition or disclosure under GAAP at December 31, 2024 and 2023. 1 1 X 1 X 1 X 1 1 1 0 1 1 10705025 10705025 0.02360 50776355 34804323 15972032 0.03520 5334785 3098849 2235936 0.00490 66816165 37903172 28912993 0.06370 473585 473585 0.00100 150183 150183 0.00030 30412134 6600734 23811400 0.05240 74941 74941 0.00020 31110843 6600734 24510109 0.05390 97927008 44503906 53423102 0.11760 319 319 0.00000 30046 30046 0.00010 6857 6857 0.00000 18131 18131 0.00000 2770 2770 0.00000 58123 58123 0.00010 1 14485533 2674029 87164675 98291335 -11126660 X 1 1 2 1 Parkwest Medical Center 9352 Park West Blvd Knoxville TN 37923 www.covenanthealth.com/parkwest/ 00000042 X X X A 2 Peninsula a division of PW Med Ctr 2347 Jones Bend Road Louisville TN 37777 www.covenanthealth.com/peninsula/ 00000042 X Behavioral Hospital A Parkwest Medical Center 0 0 1 X X X X X X X X 23 1 1 1 1 X See Part V, Page 8 X 1 23 1 See Part V, Page 8 0 1 X 200.000000000000 300.000000000000 X X 1 1 X X X 1 X https://www.covenanthealth.com/patients-visitors/financial-assistance/ X https://www.covenanthealth.com/patients-visitors/financial-assistance/ X https://www.covenanthealth.com/patients-visitors/financial-assistance/ X X X X X X 1 X 0 X X X 1 X 0 0 Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: Parkwest Medical Center, - Facility 2: Peninsula, a division of PW Med Ctr. Group A-Facility 1 -- Parkwest Medical Center Part V, Section B, line 5: Facility Group AIn conducting its most recent Community Health Needs Assessment ("CHNA"), Parkwest Medical Center ("Parkwest") partnered with the Knox County Health Department ("KCHD"), University of Tennessee-Social Work Office of Research and Public Service(UT-SWORPS) and the Howard H. Baker Jr. Center for Public Policy. Community hospitals worked collaboratively with the KCHD along with local healthcare providers, governmental agencies, and dozens of community stakeholders. KCHD convened data group meetings with assessment partners to organize and coordinate the qualitative and quantitative data collection efforts. The qualitative data consisted of 11 focus groups, including one in Spanish, and more than 600 residents who participated in surveys, focus groups and interviews. Additionally, with assistance from the Howard H. Baker Jr. Center for Public Policy, this assessment includes an economic component to evaluate the relationship between health and the economy. The report sought to quantify the economic impact of chronic disease in the Knoxville Metropolitan Statistical Area (MSA) compared to other peer cities. Group A-Facility 1 -- Parkwest Medical Center Part V, Section B, line 6a: Part V, Section B, line 6a: Facility Group AThe 2023 Abridged CHNA for Knox County included the hospitals Fort Sanders Regional Medical Center and Parkwest Medical Center, both located within the county served by the health department. Group A-Facility 1 -- Parkwest Medical Center Part V, Section B, line 6b: Part V, Section B, line 6b: Facility Group AThe 2023 assessment was conducted in partnership with the Knox County Health Department, the University of Tennessee - Social Work Office of Research and Public Service, and the Howard H. Baker Jr. Center for Public Policy. Group A-Facility 1 -- Parkwest Medical Center Part V, Section B, line 11: Part V, Section B, line 11: Facility Group AIn conducting the 2023 assessment, Parkwest Medical Center built upon the findings of the previous assessment. The health priorities were considered to be be generational issues that are complicated and slow to change. Of the significant findings from the assessment, Parkwest is focusing its resources on the following:1. Access to Mental Health - Psych consult services are provided for patients in the Emergency Department and for inpatients at Parkwest via tele-video through Peninsula, a Division of Parkwest Medical Center. - Parkwest, with funding support from the Covenant Health Office of Philanthropy, has implemented an Emergency Department Diversion Program. A team of medical and behavioral specialists conducts a behavioral assessment for patients who meet defined criteria, and the treatment plan proposes measures to meet identified needs. An outreach specialist follows up with patients to guide implementation of the plan. - As a member of Covenant Health, we help serve the behavioral needs of our community through Peninsula inpatient and outpatient programs, and as part of Covenant Health's joint venture with East Tennessee Behavioral Health. - ComPASS Support Group: Through Covenant Health, Peninsula provides a monthly support group for those who have lost a family member, friend, or co-worker to suicide. This group provides a safe place of support, understanding and education during the journey of loss following the suicide death of a loved one. - Survivors of Suicide Loss Day: Through Covenant Health, an annual Survivors of Suicide Loss Day is held on the Saturday before Thanksgiving. This national observance is a day to provide support and healing to those affected by suicide. - Knox Area Rescue Ministries: Covenant HomeCare and Peninsula are providing onsite physical and mental health services to clients of Knox Area Rescue Ministries ("KARM"). Clients are predominantly homeless and living in shelters and on the street. Peninsula has an outreach specialist on-site at KARM once a week and is currently expanding services in conjunction with Covenant HomeCare. - Knox Area Mental Health Providers Coalition ("KAMHPC") was formed by members of Covenant Health to improve healthcare coordination for patients in the community. Since its inception the coalition has seen a reduction in hospital stays, lengths of stays, number of emergency room visits and psychiatric visits for patients studied over a 16-month period. The coalition addresses the need for more streamlined care coordination for those who frequently use mental health resources in our community. - Employee access to mental health resources through SupportLinc. Covenant Health is proud to partner with SupportLinc to offer all employees resources to help their families address and resolve everyday issues and personal concerns such as healthier lifestyles, stress management, family and caregiver concerns, career growth, legal resources and personal finance. Convenient, real-time support is available via phone, web portal or mobile app. 2. Substance Abuse - Peninsula Drug Treatment Program: Parkwest refers patients to the Peninsula Medication Assistance Treatment program for outpatient services related to substance abuse. This program offers specialized medications and intensive therapy to treat substance abuse disorders. - Opioid Light Program: Parkwest's Emergency Department is participating in a Covenant Health system-wide initiative to curb the use of hospital-prescribed opioids. Physicians are prescribing non-opioid drugs when indicated for pain management, during treatment and at hospital discharge.3. Diabetes - Parkwest is partnering with Knoxville Interfaith Health Center ("Interfaith") to support treatment and education for Interfaith patients with diabetes. Interfaith provides affordable health care to working uninsured or underserved individuals in the greater Knoxville area and offers specialty services for persons with diabetes. Parkwest provides financial support for these programs. - Parkwest is a major supporter of the annual Covenant Health Knoxville Marathon. Each year nearly 6000 runners, mostly from the East Tennessee region, participate in race events including a full marathon, half marathon, relay teams, 5K and Kids Run. Promoting physical activity and healthy weight is an important preventative measure to reduce the incidence of diabetes. Each year Parkwest contributes $25,000 in support of the marathon, which is sponsored in partnership with the Knoxville Track Club. - Inpatient Education: Parkwest Medical Center offers diabetes education from clinical staff for inpatients requiring care. - Outpatient Cardiac Rehab Program: - 1:1 Assessment - A registered dietician provides nutrition consults to assess the patient's current dietary habits and recommend realistic changes. - Promotes the Pritikin eating plan https://pritikinicr.com/tag/nutrition/ - Includes up to 10 live cooking demonstrations by a registered dietician - Includes up to 5 nutrition workshops to teach nutritional skills and priorities. - Includes up to 44 medically supervised exercise sessions. Patients with diabetes report pre-exercise and post-exercise glucose levels. - The program makes recommendations to providers to consider medication adjustments to patients' diabetes medications as needed. - The program refers patients to Knox County Health Department for more diabetes education if needed. https://www.knoxcounty.org/health/diabetes_management/diabetes.php4. Tobacco Use - Smoking Cessation: Parkwest offers patient education resources for smoking cessation. - Low-Dose CT scans: Parkwest offers Low-Dose CT lung cancer screenings, which allow eligible patients to receive an annual screening to help identify lung cancer at early stages, when treatment can be more effective. - Outpatient Cardiac Rehab Program: This program refers 100% of nicotine users enrolled in cardiac rehab to cessation resources including: - A respiratory therapist provides a cessation assessment to measure patient's readiness to quit using nicotine/tobacco and to provide resources for cessation. - The TN Quitline offers phone support for tobacco cessation - Tracking progress in daily assessment of the number of nicotine uses - Referring patient to their PCP for discussion of medication therapies to help quit nicotine/tobacco use.5. Lack of Affordable Housing - Parkwest does not have the scope of service or expertise to specifically address affordable housing in our community. However, with our mission to improve the quality of life through better health, we will be supportive of community organizations that are leading affordable housing initiatives. Group A-Facility 1 -- Parkwest Medical Center Part V, Section B, line 16j: All other ways in which the hospital widely publicizes the FAP are discussed in detail in Part VI, Line 3. Part V, line 7a, CHNA website https://www.covenanthealth.com/parkwest/chna/ Part V, line 10a, Implementation Strategy Website https://www.covenanthealth.com/parkwest/chna/ Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: Parkwest Medical Center, - Facility 2: Peninsula, a division of PW Med Ctr. Part V, Line 20d, Presumptive Eligibility Determinations The hospital follows the eligibility procedures as detailed within the FAP and does not make presumptive eligibility determinations. 12 1 - Parkwest Cardiac Diagnostics 9320 Park West Blvd Knoxville TN 37923 Cardiac Diagnostic Services 2 - Thompson Radiation Oncology Services 9711 Sherrill Blvd Knoxville TN 37932 Oncology Radiation Therapy 3 - Thompson PET Services 9711 Sherrill Blvd Knoxville TN 37932 PET Imaging Services 4 - Peninsula Outpatient Center - Knox 1451 Dowell Springs Blvd Knoxville TN 37919 Outpatient Mental Health & Rehabilitation Facility 5 - Hyperbaric Center at Parkwest 9300 Park West Blvd Knoxville TN 37923 Outpatient Wound Care Services 6 - Parkwest Comprehensive Breast Center 9330 Park West BlvdSuite 103 Knoxville TN 37923 Breast Imaging Center 7 - Peninsula Knox Outpatient Pharmacy 1451 Dowell Springs Blvd Knoxville TN 37919 Pharmacy 8 - Therapy Center West 280 Fort Sanders West Blvd 201 Knoxville TN 37922 Physical, Occupational & Speech Therapy 9 - Cardiac & Pulmonary Rehab 220 Fort Sanders West Blvd 205 Knoxville TN 37922 Cardiac & Pulmonary Rehabilitation 10 - Peninsula Outpatient Center - Blount 203 Corporate Place Alcoa TN 37701 Outpatient Mental Health Facility 11 - Peninsula Outpatient Center - Sevier 1104 Foxwood Drive Sevierville TN 37862 Outpatient Mental Health Facility 12 - Peninsula Outpatient Center - Loudon 423 Medical Park Drive Suite 400 Lenoir City TN 37772 Outpatient Mental Health Facility Part I, Line 3c: In addition to the Federal Poverty Guidelines ("FPG"), Parkwest utilizes an asset test as a factor in determining eligibility for free or discounted care. Ten percent (10%) of the patient/guarantor's net assets will be added to income for determination of total annual income. The guidelines for determining assets include, but are not limited to, primary dwelling (and attached land), automobiles, liquid assets, investments, farm land, business property, rental property, farm and/or business equipment including livestock and crops. All real property will be considered at fair market value. The values of both real and personal property will be reduced by any existing liabilities incurred by the applicant in obtaining the assets (net assets) with the exception of primary dwelling. The primary dwelling net asset will be the amount of equity above $100,000. Actual or potential third party liability to the patient, hospital or the guarantor by common law, contract, statute or otherwise, shall be considered an asset and must be listed on the Hospital Financial Assistance application. Part I, Line 6a: Covenant Health, the parent company of Parkwest and other affiliated acute care hospitals, prepares an annual Report to the Community on behalf of the entire system. Part I, Line 7: Amounts on Lines 7a-7c and certain program costs included in Line 7g are from the hospital's cost accounting system, which addresses all patient segments. Other community benefit expenses are at cost from the general ledger. Part I, Line 7g: Subsidized health services includes the difference between the cost of services and the payments received for those services. The cost of providing in-patient and out-patient psych services exceeded the payments received by $4,111,410. The organization has also included $19,699,990 in physician sponsorship fees in total subsidized health services. All subsidized health services included on line 7g are for services that would otherwise be unavailable in the community or be below the community's needs. Part I, Ln 7 Col(f): The Bad Debt expense included on Form 990, Part IX, Line 24a, but subtracted for purposes of calculating the percentage in this column is $14,485,533. Part II, Community Building Activities: Parkwest cares for the whole person and recognizes that improved social and economic conditions may lead to the improved health and well-being of the community. The hospital's community-building activities and those of its parent organization, Covenant Health, address many of the root causes of health problems, such as access to care, tobacco use, and conditions such as diabetes and obesity, and help develop collaborative responses with other community organizations.An allocation of the Parent's community-building expenditures has been made to each member hospital in proportion to the financial contribution of each to the health system. Covenant Health is not a hospital and does not file Schedule H with its Form 990. Contributions in 2024 were made to organizations meeting the community's needs by providing: - The basic needs of life, including temporary shelter, food, clothing, and safety (Ladies of Charity, Seymour Volunteer Fire Department, YWCA Knoxville, Salvation Army, Clinch River Habitat for Humanity) - Youth mentoring, development and after-school programs (Emerald Youth Foundation, Boys and Girls Club, First Tee of Greater Knoxville, Great Smoky Mountain Council) - Business recruitment, education marketing and community initiatives that boost economic development and quality of life (Knoxville Technology Council, Pellissippi State Foundation, Tennessee Wesleyan University, University of Tennessee College of Nursing) - Leadership development programs and workshops (Knoxville Area Urban League, Leadership Knoxville) - Assistance and special programs for at-risk older adults, children and adults with physical or developmental challenges, and children who have experienced abuse, neglect or trauma (Knoxville-Knox County Community Action Committee, Senior Citizens Home Assistance Services, Sertoma Center, Friends of Tennessee's Babies with Special Needs, New Hope Children's Advocacy Center, Street Hope Tennessee, Variety Children's Charity of East Tennessee) - Improve access to health services (East TN Children's Hospital, McNabb Center, Metropolitan Drug Commission, Interfaith Health Center, Knoxville Academy of Medicine, Region II Emergency Medical Services, Renew Clinic) - Programs supporting patients and families (Alzheimer's Tennessee, American Heart Association, Angel Wings Memory Gowns, Cancer Support Community East Tennessee, East TN Veterans Memorial Association, Honor Air Knoxville, Knox County Imagination Library, Random Acts of Flowers, Spark, Survivor Fitness) Part III, Line 2: Bad debt expense on Part III, Line 2 is the amount recorded in the organization's financial statements. Discounts and payments on patient accounts are netted against bad debt. The allowance for bad debt is determined based on management's assessment of factors including the age of the accounts, historical collections data, and industry standards. Part III, Line 3: At regular intervals, the Vice President of Revenue Cycle analyzes all self-pay accounts receivables to identify patients who may have been eligible for charity care during a particular period or year. Because this analysis does not yield a final determination of eligibility due to various factors including but not limited to charity applications still in process, failure of eligible patients to submit their charity application, and applications still under consideration, further analysis of the accounts comprising the self-pay accounts receivable is conducted. The accounts for which a patient was contacted to apply for charity care include an identifier; these charity-identified accounts are then categorized according to status. A ratio of the dollar amounts of those accounts whose charity application is in process or has been approved divided by the total self-pay accounts receivable is computed. This ratio is applied to the bad debt expense total to determine the estimated amount of the bad debt expense attributable to patients eligible for charity care according to the hospital's policy. Part III, Line 4: Note B to the 2024 Audited Consolidated Financial Statements of the Covenant Health system, of which Parkwest is a member, states: Patient accounts receivable are reported net of an estimated allowance for contractual adjustments and an allowance for implicit price concessions. Covenant receives payments for services rendered from federal and state agencies, managed care health plans, commercial insurance companies, employers and patients. Covenant recognizes that revenues and receivables from government agencies are significant to operations, but does not believe there are significant credit risks associated with these government agencies. Covenant does not believe there are any other significant concentrations of revenues from any particular payer that would subject Covenant to any significant credit risks in the collection of accounts receivable. Covenant's policy does not require collateral or other security for patient accounts receivable and Covenant routinely accepts assignment of, or is otherwise entitled to receive, patient benefits payable under health insurance programs, plans or policies. Part III, Line 8: Medicare Shortfall: Parkwest believes that all of the $11.1 million shortfall reported in Line 7 should be considered as community benefit. The IRS Community Benefit Standard includes the provision of care to the elderly and Medicare patients. Medicare shortfalls must be absorbed by the hospital in order to continue treating the elderly in our community. This year, Medicare patients accounted for 21% of total patient days, (20,121 out of 94,035 total). The hospital provides care regardless of this shortfall and thereby relieves the federal government of the burden of paying the full cost for Medicare beneficiaries. Costing Methodology: Parkwest 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: Parkwest utilizes a look-back method to determine amounts generally billed ("AGB") to establish the maximum amount that will be charged to individuals eligible under the financial assistance policy ("FAP") for emergency or other medically necessary care. Self-pay patients of Parkwest automatically receive a 71% discount on charges based on the facility's calculated AGB. Self-pay patients of Peninsula receive a 52% discount. Federal poverty guidelines are utilized in the determination of charity care eligibility. Patients who are unable to pay and have exhausted all sources of payment assistance may qualify for charity care. A sliding scale is used for extending charity care utilizing the income levels reported under the federal poverty guidelines. Patients/guarantors with income that falls below 200% of the federal poverty guidelines receive 100% charity care. Patients/guarantors with income of 201-300% of the federal poverty guidelines receive 90% charity care.For catastrophic illness, exceptions to income and asset limitations may be made on a case-by-case basis. The amount considered for charity will be based upon the evaluation of the patient's/guarantor's ability to pay.Parkwest makes reasonable efforts to determine a patient's eligibility under the facility FAP. All collection activity will be halted if a charity application is received and will remain on hold until a determination is made by Parkwest and communicated in writing to the responsible party. If the charity application is approved, all collection activities taken will be reversed and any amounts paid above the amount required will be refunded. Patients/guarantors who qualify for partial financial assistance are responsible for paying any balance remaining after the charity adjustment and third party payments. Parkwest will not engage in extraordinary collection actions ("ECA") before it makes reasonable efforts to determine whether an individual who has an unpaid bill is eligible for financial assistance. Reasonable efforts to determine whether the individual who has an unpaid bill is eligible for financial assistance include notification to the individual of the FAP, contacting individuals who have submitted incomplete financial assistance applications regarding how to complete the application and allowing a reasonable time period to do so, and reviewing completed applications for financial assistance eligibility.Parkwest does not sell any accounts receivable accounts to outside firms. All accounts remain property of and under the policies set by Parkwest. Parkwest will not defer or deny medically necessary care because of nonpayment for previously provided care whether it was covered or not covered under the charity program. Part VI, Line 2: While the CHNA is a formal means by which the health system assesses the needs of the community, there are many informal networks that give the Covenant Health hospitals a sense of community issues and needs. Parkwest obtains additional community information through the service of its employees with the United Way of Greater Knoxville, local chambers of commerce and Rotary clubs, the Metropolitan Drug Commission, a local alternative high school, the Legacy Parks Foundation, and the Knoxville Area Coalition on Childhood Obesity. Covenant Health, the parent organization, maintains community benefit professionals working year-round to ensure that all hospitals are assessing and addressing the needs of the communities served. Part VI, Line 3: The FAP states that patients who are unable to pay or have exhausted all sources of payment assistance may be considered for charity care. Signage about the policy is posted in highly visible areas of the hospital, such as lobbies and registration areas. Information about the FAP is posted in patient booklets provided to patients during the registration process and communicated via patient billing statements. In addition, the FAP and application are available on the facility website. Parkwest employs full time financial counselors to assist patients in applying for TennCare and screening for eligibility for financial assistance. Office hours and the phone number for the counselors are included on the signage. Wall signs informing patients about available financial assistance state the following: Covenant Health is committed to providing quality health services in a caring environment. It is the expressed philosophy of Covenant Health and its member hospitals that no one should be denied necessary medical care because of the inability to pay. In conjunction with this philosophy, counselors at Parkwest 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 Parkwest Medical Center will provide, at a reduced rate, medically indicated services. A financial counselor is available to assist you with these matters by calling 865-373-1244, Monday through Friday between the hours of 8 a.m.-4:30 p.m. Additional information regarding financial assistance is also available on our website at covenanthealth.com/parkwest/. Signage at the registration areas state the following:It is Parkwest Medical Center's philosophy that no one shall be denied medically necessary services based on an inability to pay. Financial assistance applications for medically necessary services are available during the registration process, through a financial counselor, or on our website at covenanthealth.com/parkwest/. A financial counselor is available to assist you with these matters by calling 865-373-1244, Monday through Friday between the hours of 8 a.m.-4:30 p.m. Part VI, Line 4: Parkwest is located in the west area of Knoxville, Tennessee. Although located in metropolitan Knox County, Parkwest receives many specialty referrals from outlying hospitals and physicians and serves patients from 16 diverse counties, a mix of urban, suburban and rural. According to internal hospital data for 2023, 45.4% of the inpatient and 56.7% of the outpatient cases came from Knox County residents.Parkwest also provides mental health services to the region through its behavioral health division, Peninsula. Peninsula is East Tennessee's leading provider of behavioral healthcare services. Peninsula offers a complete range of mental health and alcohol/drug treatment programs. In addition to outpatient centers in Blount, Knox, Loudon and Sevier counties, care is also offered at Peninsula, a 155-bed inpatient facility which serves on average more than 5,000 patients annually.According to 2024 data from the County Health Ranking report from the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute, the population of Knox County is 494,574. The percent of the population that is 65 years or older constitute 16.6% of the residents. The unemployment rate in 2024 was 2.9%. Knox County residents have the following health indicators that are at or above the national benchmarks: Knox - TN - National Adult Smoking: 17% - 20% - 15% Adult Obesity: 36% - 36% - 34% Drug Overdose Deaths: 71 - 43 - 27 per 100,000 population Teen Birthrate: 17 - 24 - 17 of every 1,000 teenage girls Part VI, Line 5: Parkwest, 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 Parkwest's board. The board is comprised of independent community leaders with diverse educational and professional backgrounds. The board provides governance and oversight of Parkwest.Parkwest 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: Parkwest, 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.Parkwest operates a 456-bed acute care hospital in Knoxville, Tennessee, and provides a full range of inpatient and outpatient hospital services. Parkwest offers a full cardiovascular service line that includes coronary bypass surgery, a structural heart program, and diagnostic and interventional cardiac procedures. Patients may also receive treatment in one of Parkwest's specialty centers, which include: - The Senior Behavioral Center, a 16-bed unit for older psychiatric patients - A Bariatric Surgery Center of Excellence - A Joint Replacement Center - A surgical center that utilizes the latest technology, including robotics, for spine, brain, and ENT surgery.Parkwest also owns and operates Peninsula, a 155-bed psychiatric hospital located in Louisville, Tennessee. Peninsula has outpatient centers in Knox, Blount, Sevier and Loudon Counties. Peninsula is a valuable resource providing support for emergency rooms at the system's nine acute care hospitals. The affiliation makes for an accessible and efficient pathway for patients who require mental health services post-discharge.Parkwest and Peninsula patients benefit from the availability and ease of access to Covenant Health affiliated entities for services not provided by the hospitals themselves. Transfer or referral to such services is expedited and coordinated to help create a seamless continuum of care. Specialized services such as inpatient rehabilitation, 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 diabetes, wound care, and ambulatory infusion centers.The Covenant Health Foundation seeks out community financial support for Parkwest and Peninsula. Funds are used for indigent patient care, medical equipment, outreach programs, services and staff.Through this combination of resources and the collective development, implementation and monitoring of clinical protocols and other improvement initiatives, the affiliated entities of Covenant Health are able to deliver higher quality care in a more efficient manner than could be achieved working independently. 1 Knoxville Medical Missions Foundation 1932 Historic Ferry Way Knoxville TN 37922 300197352 501c(3) 0 28537 Cost Pharmacy supplies General support American Heart Association PO Box 5027 Boone IA 50950 135613797 501c(3) 12000 0 General support 2 0 Patient transportation, gas cards 161 94832 Pharmaceuticals for outpatients 2131 80614 Mental health support 51 4101 Rent & utilities 94 64525 Patient assistance 102 26158 Scholarships 33 148936 Part I, Line 2: Grant funds are provided to charitable organizations for the purpose of enhancing and promoting health care and improving quality of life in the community. The organization has guidelines in place to review the eligibility of grantees, and all grants require written documentation and appropriate levels of approval. The organization also provides other post-hospital care assistance to eligible individuals. Funds are generally not tracked after being granted as the original eligibility and selection criteria have been met. Scholarship assistance is both merit-based and needs-based, and funds are contingent upon ongoing satisfactory academic progress. X X 1 1 0 1 0 0 0 0 0 0 0 James D VanderSteeg President & CEO 0 1578849 0 1078259 0 223448 0 335103 0 27171 0 3242830 0 0 Michael R Belbeck Jr Fmr Interim Pres & CAO-PWMC/EVP-Hosp 0 611315 0 252000 0 112760 0 77618 0 35605 0 1089298 0 0 Joseph C Dolan EVP/CFO 0 697828 0 138667 0 25198 0 72802 0 32806 0 967301 0 0 Devan C Johnson President & CAO 0 411094 0 95000 0 56072 0 13200 0 37175 0 612541 0 0 Thomas P Jensen MD Physician - Behavioral 358125 0 27375 0 1061 0 19800 0 31736 0 438097 0 0 0 Rajendra T Raman MD Physician - Behavioral 354693 0 11000 0 4752 0 19800 0 33125 0 423370 0 0 0 Surendra K Sharma MD Physician - Behavioral 348001 0 7000 0 4752 0 19800 0 34940 0 414493 0 0 0 John G Kupfner MD Physician - Behavioral 356804 0 0 0 1245 0 19800 0 31537 0 409386 0 0 0 Shyam P Vuyyuru MD Physician - Behavioral 332983 0 7000 0 4752 0 19800 0 24116 0 388651 0 0 0 Jacquelyn A Alt VP - Chief Nursing Officer 163910 29820 32500 0 17724 25550 5193 5193 19262 3728 238589 64291 0 0 M Scott Hamilton VP - Financial Services 202796 0 32000 0 16394 0 9794 0 35437 0 296421 0 0 0 Elizabeth Clary VP - Behavioral Health 144331 0 24000 0 47154 0 8615 0 20921 0 245021 0 0 0 Colin McRae VP - Support Services 146154 0 10000 0 833 0 0 0 712 0 157699 0 0 0 Part I, Line 1a Tax gross-up payments related to deferred compensation and reimbursement of fees for personal services for legal and financial planning are provided to certain executives and managers. Amounts are included in taxable compensation. Part I, Line 3 Covenant Health, the parent company of Parkwest Medical Center, used the following methods in establishing the compensation of President/CEO, James D. VanderSteeg: compensation committee, independent compensation consultant, written employment contract, compensation survey or study, and approval by the board or compensation committee. Additional detail is provided in response to Form 990, Part VI, Section B, Lines 15a and 15b within Schedule O. Part I, Line 4b Covenant Health maintains a nonqualified deferred compensation ("NQDC") plan intended to support retention of President and CEO, James D. VanderSteeg, EVP and CFO, Joseph C. Dolan, and EVP of Hospital Operations, Michael R. Belbeck. Employer contributions of $321,903 for James D. VanderSteeg, $72,802 for Joseph C. Dolan, and $64,418 for Michael R. Belbeck are reported as deferred compensation on Schedule J, Part II, Column C. Contributions along with 2024 earnings of $114,551 for James D. VanderSteeg, $4,468 for Joseph C. Dolan, and $8,912 for Michael R. Belbeck are subject to a substantial risk of forfeiture. Amounts are combined with other compensation and considered for reasonableness. Compensation procedures are discussed in detail in Schedule O (Form 990, Part VI, Section B, Line 15a). Please note that the amounts included in Part II, Column C as contributions to the NQDC plan for James D. VanderSteeg and other executive leaders are deferred but NOT received during the filing year. We report compensation in both the year earned and the year paid, as required by IRS guidelines; however, wages appear overstated due to dual reporting of compensation earned in one year and distributed in a subsequent year. COVENANT HEALTH Parkwest is a member of Covenant Health. Covenant Health is a community-owned, clinically integrated healthcare enterprise dedicated to being the region's premier healthcare network through service, community, and innovation. Our mission is to improve the quality of life in our region through better health. Covenant Health provides patient-centered care that inspires clinical and service excellence and strives to be the first and best choice for the communities we serve. Established in 1996 by the consolidation of Fort Sanders Health System, Knoxville, Tennessee, and MMC HealthCare System in Oak Ridge, Covenant Health is governed by a voluntary board of directors composed of community leaders and medical professionals. With more than 11,000 employees, affiliated physicians and volunteers, Covenant Health is the Knoxville area's largest employer and has been named a top employer by Forbes and Becker's Hospital Review. Covenant Health serves a 25-county area and includes nine acute care hospitals in East Tennessee: Fort Sanders Regional Medical Center and Parkwest Medical Center in Knoxville, Methodist Medical Center of Oak Ridge, Fort Loudoun Medical Center in Lenoir City, LeConte Medical Center in Sevierville, Morristown-Hamblen Healthcare System in Morristown, Roane Medical Center in Harriman, Claiborne Medical Center in Tazewell and Cumberland Medical Center in Crossville. It also includes Peninsula, a division of Parkwest Medical Center. Peninsula provides behavioral health services at an inpatient hospital in Blount County and at outpatient locations in Knox, Blount, Loudon, and Sevier counties. The health system includes Covenant Medical Group, which serves patients at more than 90 office and clinic locations. CMG providers include primary care physicians and specialists in areas such as cardiology, gastroenterology, neurology, surgery, and other medical specialties. Covenant Health employs nearly 450 physicians and advanced practice clinicians throughout East Tennessee. Affiliated organizations include Thompson Cancer Survival Center, Thompson Oncology Group, Fortress Corporation and Subsidiaries, Covenant HomeCare, and Fort Sanders Perinatal Center. Covenant Health also operates Thompson Proton Center and offers innovative services such as Advanced Care at Home. Philanthropic organizations include Covenant Health Foundation and Thompson Cancer Survival Center Foundation in Knoxville, Methodist Medical Center Foundation in Oak Ridge, Dr. Robert F. Thomas Foundation in Sevierville, and Morristown-Hamblen Hospital Foundation in Morristown. Funds raised by the foundations provide services, equipment and other resources to enhance patient care. Parkwest, as a member of Covenant Health, benefits from collaboration among all affiliated organizations to promote quality, patient safety, and excellence in delivering care. Form 990, Part III, Line 4a Supporting Mental Health Peninsula, a division of Parkwest Medical Center ("Peninsula") is the behavioral services division of Parkwest and provides a variety of inpatient and outpatient services for children, adolescents and adults. Peninsula's 119-bed inpatient hospital is located in Blount County, with outpatient centers in Knox, Blount, Loudon and Sevier Counties. Peninsula also offers care specifically designed for seniors with co-existing psychiatric and medical conditions at the Senior Behavioral Center located at Parkwest. Peninsula has helped thousands of people recover from disorders and dependencies, and lead healthy, positive and productive lives. In addition to inpatient and outpatient services that require payment, Peninsula offers several no-cost programs for community members. ComPASS (Communicating the Pain as Suicide Survivors) ComPASS is an ongoing community support group for those who have lost a family member, friend or coworker to suicide. The group provides a safe environment for survivors to share feelings and experiences, affirms suicide bereavement, educates survivors in healthy coping and healing strategies and provides opportunities to learn from other survivors. Peninsula hosted its 6th Annual Survivors of Suicide Loss Day in 2024 to provide resources and support for those affected by suicide. Independent Living Program The Independent Living Program provides emergency financial assistance to persons diagnosed with a mental illness. An application providing financial information is required and must be assessed and approved by the program coordinator. Peer Support Academies Peninsula's Peer Support Academies are centers that offer peer support for hundreds of individuals in Blount, Knox and Sevier counties. Men and women age 18 and older who have a mental illness are eligible to apply to participate in the program, which is offered free of charge. Peer Support Academies provide socialization opportunities, education and support groups to enhance wellness for adults who struggle with addiction, dependency and other mental and behavioral issues. The academies are staffed by peer support specialists who are certified by the State of Tennessee. Recovery Link Recovery Link is designed to bridge the gap between addiction and recovery by connecting people who suffer from addiction to treatment programs. The program serves East Tennessee residents and will assist anyone, free of charge, in finding the treatment program that is right for them. Support Groups Peninsula offers several types of support groups which are open to the community. Most support groups meet at the Peninsula Lighthouse campus at 1451 Dowell Springs Blvd. in Knoxville. Women in Treatment Women in Treatment is appropriate for uninsured women age 18-64 who suffer from addiction. The intensive outpatient program focuses on women's issues in recovery and co-occurring disorders. Priority placement is given to pregnant injecting drug abusers, pregnant substance abusers and injecting drug users. Artclamation! One in four people in East Tennessee suffers from a mental health illness. However, there is a significant gap in funding for programs to serve these individuals compared to other diseases and diagnoses. Artsclamation! is Peninsula's only fundraiser and helps to fill some of the gaps in sources for funding. The annual fine art sale for the community showcases works by regional artists in a variety of mediums. Artwork created by Peninsula clients is also available at Artsclamation! Proceeds from past events have funded garden courtyards for adult patients, vans for transporting clients in outpatient programs, play areas for hospitalized children, therapeutic games and activity supplies. The 2024 event was held in December. Form 990, Part VI, Section A, line 6 Covenant Health is the sole member of Parkwest Medical Center. Form 990, Part VI, Section A, line 7a Covenant Health's board of directors also serves as the board of directors for Parkwest Medical Center. Form 990, Part VI, Section A, line 7b Governance decisions of Parkwest Medical Center are subject to approval of the sole member, Covenant Health. Form 990, Part VI, Section B, line 11b The Covenant Health board of directors has delegated to its Finance Committee the full power and authority of the board to receive, review, approve, authorize the filing of, address and resolve audit or review issues, and otherwise take all action required or appropriate relative to IRS Forms 990 and other applicable tax filings. Prior to filing Form 990, management reviews with the committee the returns, discusses any material variations in the Form 990 as compared to those to be filed by the organization's affiliates, and answers any questions. At the conclusion of review and discussion, the Finance Committee approves the Form 990. Form 990, Part VI, Section B, line 12c Board members, officers and employees are required to adhere to rules and policies regarding conflicts of interest. Covenant Health makes available a board-approved Code of Conduct to all employees. The Code covers among other subjects, conflicts of interest, and requires disclosure and resolution of employee conflicts of interest. Additionally, officers, employed physicians, and highly compensated employees are required to complete and sign an annual conflict of interest disclosure statement. Board members' conflicts of interests are addressed in the corporate bylaws, and board members are required to complete and sign a conflict of interest questionnaire on an annual basis. The Integrity-Compliance Office maintains records that contain conflict of interest information obtained from board members, officers and employees. These records are available to be queried prior to engaging in business transactions. The Chief Compliance Officer reviews conflict of interest data. Based on this information, the officer determines what conflicts of interest exist at that point in time. Between times when surveys are collected, board members are expected to disclose any new conflicts that have arisen that affect pending board decisions. Officers and other employees are expected to report conflicts to the Chief Compliance Officer as they arise. Depending on the nature of the conflict and the circumstances surrounding the conflict and transaction, the Chief Compliance Officer, senior leadership, or the board of directors may review the conflict of interest. When appropriate, these 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 Chief Compliance Officer in conjunction with the Covenant Health Executive Leadership Team determines how to appropriately manage the conflict. In any conflict involving a board member, such member is expected to recuse himself or herself from voting on matters related to the conflict. Form 990, Part VI, Section B, line 15 Form 990, Part VI, Section B, Line 15a: Overall compensation policies for Parkwest Medical Center, Covenant Health (Parent Company), and affiliates are set by the Covenant Health Chief Executive Officer (CEO) in consultation with appropriate Executive Vice Presidents and the Senior Vice President-Human Resources, after review by and discussion with the executive compensation consultant ("the Consultant") to ensure that total compensation for each executive is reasonable and within a fair market value range. The Covenant Health CEO is compensated by Covenant Health, and a detailed description of the compensation process is included on Covenant Health's 990. The process for Parkwest Medical Center's CEO is included in response to Part VI, Section B, line 15b. Form 990, Part VI, Section B, Line 15b: Base salary and annual bonus opportunities for Devan Johnson, President and Chief Administrative Officer, are set by the Covenant Health CEO in consultation with appropriate Executive Vice Presidents and the Senior Vice President-Human Resources, after review by and discussion with the executive compensation consultant ("the Consultant") to ensure that total compensation is reasonable and within a fair market value range. Salary ranges are based upon the recommendations of the Consultant made after comparison with similar jobs in similar size health systems across the nation. Bonuses are recommended by the CEO and reviewed with the Committee conditioned upon receipt of a written opinion from the Consultant that total compensation for the executive is reasonable and consistent with fair market value. Base salary for the CAO is initially targeted at the 25th percentile and may vary according to market conditions, performance, tenure, experience, special skills or qualifications, recruitment and retention challenges, and other relevant factors. Annual bonuses are designed to award 0-35% of base salary based upon system performance and accomplishment of certain targets established by the CEO. Base salaries and annual bonus opportunities for other officers and key employees are based on targets established by historical compensation consultant data and the Covenant Health Compensation department. Salary ranges are based upon comparison with similar jobs in similar size health systems across the nation. Base salaries and bonuses are approved by Executive Leadership predicated upon performance, and are reasonable and consistent with fair market value. Base salaries are initially targeted at midpoint and may vary according to market conditions, performance, tenure, experience, special skills or qualifications, recruitment and retention challenges, and other relevant factors. Annual bonuses are designed to award 0 - 20% of base salary based upon system performance and accomplishment of certain targets established by Executive Leadership. Form 990, Part VI, Section C, line 19 Parkwest Medical Center files a Joint Annual Report containing financial information with the Tennessee Department of Health. Per its tax exempt bond provisions, Covenant Health, the parent company of the organization, is required to file quarterly and annual consolidated and obligated group financial statements and other documentation with various bond insurers and other agencies, including the Electronic Municipal Market Access (EMMA) service of the Municipal Securities Rulemaking Board (MSRB). Any member of such a repository has access to these financial statements. The organization's governing documents and conflict of interest policy are not made publicly available. Form 990, Part IX, line 11g Other Purchased Services: Program service expenses 21,446,476. Management and general expenses 70,985. Fundraising expenses 0. Total expenses 21,517,461. Intercompany Purchased Services: Program service expenses 6,379,537. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,379,537. Sponsorship Fees: Program service expenses 19,999,990. Management and general expenses 0. Fundraising expenses 0. Total expenses 19,999,990. Temporary Staffing: Program service expenses 22,800,700. Management and general expenses 0. Fundraising expenses 0. Total expenses 22,800,700. Physician Fees: Program service expenses 17,779,929. Management and general expenses 0. Fundraising expenses 0. Total expenses 17,779,929. Form 990, Part XI, line 9: Transfers of Capital -4,350,557. Covenant Health 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621646734 Supporting organization TN 501(c)(3) Line 12b, II N/A 0 Claiborne Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 464420358 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Covenant HomeCare 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621623114 Home health services TN 501(c)(3) Line 10 Covenant Health 0 Cumberland Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 620790132 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Fort Loudoun Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621373691 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Fort Sanders Regional Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 620528340 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Covenant Health Foundation 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621748601 Fundraising and patient outreach TN 501(c)(3) Line 12b, II Covenant Health 0 Fort Sanders Perinatal Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 043760551 High risk obstetrical services TN 501(c)(3) Line 3 Fort Sanders Regional Medical Center 0 LeConte Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621114867 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Methodist Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 620636239 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Morristown-Hamblen Hospital Association 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 620545814 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Roane County Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 680673354 Acute care hospital TN 501(c)(3) Line 3 Covenant Health 0 Thompson Cancer Survival Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621250943 Cancer support center TN 501(c)(3) Line 3 Covenant Health 0 Thompson Oncology Group 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621619239 Oncology services TN 501(c)(3) Line 3 Thompson Cancer Survival Center 0 Thompson Cancer Survival Center Foundation 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 582130450 Fundraising and patient outreach TN 501(c)(3) Line 12b, II Covenant Health 0 The Dr Robert F Thomas Foundation Inc 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 581537582 Fundraising and patient outreach TN 501(c)(3) Line 12a, I Covenant Health 0 Covenant-AmSurg ASC Ventures LLC 1A Burton Hills Blvd Nashville TN 37215 884134388 Management company TN N/A 0 0 Covenant-KEC ASC Ventures LLC 1A Burton Hills Blvd Nashville TN 37215 920539400 Management company TN N/A 0 0 TEC North LLC 1A Burton Hills Blvd Nashville TN 37215 201871076 Physician services TN N/A 0 0 The Endoscopy Center of Knoxville LLC 1A Burton Hills Blvd Nashville TN 37215 621512837 Physician services TN N/A 0 0 Boulevard ENT-Surgery Center 9300 Parkwest Blvd Knoxville TN 379234301 921460644 Surgical services TN N/A 0 0 CHUC LLC 216 Centerview Drive Ste 100 Brentwood TN 37027 621609262 Physician services TN N/A 0 0 Surgery Center of Oak Ridge LLC 944 Oak Ridge Tpke Ste 200 Oak Ridge TN 378306960 621801416 Surgical services TN N/A 0 0 D1 Blount LLC 244 Fort Sanders West Blvd Knoxville TN 37922 991820445 Fitness center TN N/A 0 0 Fortress Corporation 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621308885 Management company TN N/A C 0 Covenant Medical Group Inc 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621282917 Physician practice management TN N/A C 1 Knoxville Heart Group 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 271528941 Cardiology medical practice TN N/A C 0 East TN Cardiovascular Surgery Group Inc 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621018541 Cardiovascular surgical practice TN N/A C 0 TenHats LLC 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 814563094 Data storage TN N/A C 0 1 1 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 Covenant Medical Group Inc A 707670 FMV Covenant Health Foundation C 1035113 FMV