2024-11-13T11:12:39-06:00 2023-12-31 990 2023-01-01 620790132 Cumberland Medical Center CUMB 8653745329 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 Joseph C Dolan EVP/CFO 8653746872 2024-11-13 0 2023 2024-10-15 13:58:12Z James D VanderSteeg 244 Ft Sanders W Blvd Knoxville TN 37922 95040537 0 X www.covenanthealth.com/cumberland/ X 1967 TN Cumberland Medical Center is a 189-bed full service, acute care hospital located in Crossville, TN. It is a member of the Covenant Health system. 22 21 790 66 102063 62644 5504739 13805 86171480 92852827 113494 151542 1278747 1327108 93068460 94345282 10100 775 0 0 42538774 39893939 0 0 0 59373153 61822608 101922027 101717322 -8853567 -7372040 82068813 87160420 15401629 9171095 66667184 77989325 X Cumberland 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 98717290 775 92814832 Cumberland Medical Center ("Cumberland"), an acute-care hospital located on the Cumberland Plateau of Tennessee, has served the Cumberland community since 1950 and joined Covenant Health in 2014.SERVICECumberland offers specialized services not usually found in more rural areas, making health care resources more accessible to local residents. Currently licensed for 189 beds, Cumberland has more than 200 affiliated physicians working with nearly 700 employees and about 65 dedicated volunteers who deliver quality care to patients. Physician specialties include anesthesiology, cardiology, neurology, intensivist/critical care, nephrology, obstetrics, ophthalmology, oncology, orthopedics, pediatrics, radiology, radiation oncology, tele-psychiatry, and urology services.Cumberland served 124,146 patients in 2023. Of these, 119,410 were outpatients and 4,736 were inpatients with an average length-of-stay of 4.23 days.PUTTING PATIENTS FIRSTAdvanced medical and surgical care is provided at Cumberland, including telemetry-monitored beds, intermediate care, and an intensive care unit. Additionally, Cumberland offers an outpatient diagnostics center, same-day surgery unit, cardiac and pulmonary rehab programs, a sleep disorders center, a breast center offering 3D mammography, a cancer center, and hyperbaric and wound care. The hospital also has a 12-bed maternity suite for labor and delivery. As a member of Covenant Health, Cumberland is part of the region's only stroke hospital network, which links Covenant Health's member hospitals in providing access to rapid diagnosis and treatment of stroke. Cumberland holds Advanced Primary Stroke Center certification from The Joint Commission. Cumberland has an in-house cardiac catheterization lab and inpatient dialysis services. A full-service laboratory, medical imaging department, full range of therapy services and cardiopulmonary services department are also available. Cumberland's surgery department includes six main operating rooms, four of which are equipped with high-definition endoscopic video equipment. Cumberland is accredited by The Joint Commission. It has also earned the Commission on Cancer's Accredited Cancer Program designation and is accredited by the American College of Radiology in Radiation Oncology, Positron Emission Tomography (PET) Imaging and Breast Imaging Center of Excellence. IMPROVING THE COMMUNITY'S QUALITY OF LIFE THROUGH BETTER HEALTHEmergency physicians are on duty 24 hours a day, seven days a week, while general and specialty surgeons provide around-the-clock coverage and treatment. A new emergency department was opened in 2016 that has allowed Cumberland to better serve patients with updated equipment and technology, new patient care rooms, and specialty cardiac and trauma rooms.The hospital offers 24/7 interventional cardiology coverage, making it possible to providing emergency cardiac care "close to home" for those on the Cumberland Plateau. 2023 outreach programs included the following: - With patients' consent, Cumberland shared a variety of patient testimonial stories with the community on topics and education related to breast health, diabetes, stroke, active lifestyles, moving more, etc. - Supported a "Hike for Health" 12-week series of walks on local one-mile paved trails.- Held health fairs in Fairfield Glade and with Uplands Village.- Provided free childbirth education classes.- Partnered with the Cumberland County Health Department for a "Community Baby Shower" in support of safe sleep and breastfeeding awareness. - Provided free prostate-specific antigen (PSA) screenings in support of a Men's Health Awareness benefit golf tournament.- Held a Breast Cancer Awareness luncheon and Breast Center open houses in both Fairfield Glade as well as the hospital in Crossville.- Offered additional programs and outreach activities in local middle and high schools. 98717290 1 0 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 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 69 0 1 790 1 1 1 0 0 0 0 0 0 0 0 0 X 22 21 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 Gerald Boyd Director 0.00 1.00 X 0 977 0 Willard Campbell MD Director 0.00 1.00 X 0 0 0 Michael Casey MD Director 0.00 1.00 X 0 0 0 Ronni Chandler Fmr Director (through June 2023) 0.00 1.00 X 0 0 0 Mitchell Dickson MD Director 0.00 1.00 X 0 796 0 Stephanie Flood Director 0.00 1.00 X 0 808 0 James Gibson Director 0.00 1.00 X 0 1008 0 Edgar Gray Director 0.00 1.00 X 0 1054 0 Leslye Hartsell Director 0.00 1.00 X 0 1027 0 Donald Hickman Director 0.00 1.00 X 0 1498 0 Timothy Matthews Director 0.00 1.00 X 0 1196 0 Janice McKinley Director 0.00 1.00 X 0 1222 0 Dave Miller Director 0.00 1.00 X 0 1044 0 Bill Myers Director 0.00 1.00 X 0 0 0 Alvin Nance Director 0.00 1.00 X 0 1044 0 Linda Ogle Director 0.00 1.00 X 0 0 0 King Purnell Director/Chair 0.00 1.00 X X 0 1630 0 Jorge Sanabria Director 0.00 1.00 X 0 1234 0 William Seale Director 0.00 1.00 X 0 1321 0 Cosby Stone Director 0.00 1.00 X 0 1595 0 Joe Sutter Director 0.00 1.00 X 0 1462 0 James Tramontana MD Director 0.00 1.00 X 0 1196 0 James D VanderSteeg President & CEO 0.00 50.00 X X 0 2762691 352568 John T Geppi Fmr EVP/CFO (through June 2023) 0.00 50.00 X 0 971426 24345 Joseph C Dolan EVP/CFO 0.00 50.00 X 0 358890 38564 Randall K Davis President & CAO 50.00 0.00 X 0 353499 30012 April A VonAchen VP - Financial Services 50.00 0.00 X 163749 0 36989 Shana N Wyatt Chief Nursing Officer 50.00 0.00 X 159002 0 33913 Thomas A Allingham MD Physician/Chief of Staff 50.00 0.00 X 510828 0 9882 Ivan L Cordrey Senior Medical Physicist 50.00 0.00 X 204836 0 10411 Jason L Chaston Clinical Nurse III 50.00 0.00 X 159270 0 29018 Bonnie J Mathis Administrative Supervisor 50.00 0.00 X 130671 0 19880 Jacqueline D Payne Shift Leader Clinical Nurse 50.00 0.00 X 130195 0 4318 David V Bunch Fmr President & CAO 0.00 0.00 X 0 188380 10430 Stephen L Mahan Fmr Senior Medical Physicist 0.00 50.00 X 0 205609 36125 1458551 4860607 636455 19 1 1 0 Cardiosolution 4675 Cornell Rd Ste 100 Cincinnati OH 45241 Providers for Cardiac Caths 2988493 Johnson and Gaylon 1130 Atlantic Ave Knoxville TN 37919 Construction Services 906572 Restorix Health 445 Hamilton Avenue Ste 800 White Plains NY 10601 Wound Care Management Fees 656375 Sanderling Renal Services 511 Union St Ste 1800 Nashville TN 37219 Dialysis and Renal Telemedicine 624475 Cloudwave 100 Crowley Dr Marlborough MA 01752 Information Technology Consulting 478052 15 9509 4296 13805 Net Patient Revenue 622110 92814832 92814832 Laboratory 621500 37995 37995 92852827 121592 121592 733223 517955 215268 215268 64068 151200 207250 177300 29950 29950 29950 Wellness Center 713940 609262 609262 Cafeteria 722514 407021 407021 Medical Records 561000 32239 32239 63318 63318 1111840 94345282 92814832 102063 1414582 X 675 675 100 100 393654 393654 32355843 31264392 1091451 432027 426725 5302 4320064 4229861 90203 2392351 2310265 82086 6355197 6215612 139585 726 726 18542811 18452750 90061 150746 145614 5132 431212 280307 150905 2651111 2017005 634106 30331 26825 3506 21575 1951 19624 5249876 5249876 58634 58634 UBI Tax 20000 20000 Medical Supplies 12552190 12552190 Bad Debt 9484300 9484300 Minor Equipment 4411502 4294624 116878 1862397 1705584 156813 101717322 98717290 3000032 0 2964803 1423422 9115515 10894396 1032573 816992 1033510 432484 181881199 118636569 57742480 63244630 9692473 9542572 487459 805924 82068813 87160420 10612106 6170378 3759 0 4785764 3000717 15401629 9171095 X 66667184 77989325 66667184 77989325 82068813 87160420 X -7372040 18694181 X 0 1 X 1 1 1 X 150400 7373 4155 15 161913 149791 609 150400 149520 271 149791 148846 674 149520 147855 991 148846 1.00000 0 0 2601369 2601369 97531710 57368386 40163324 3317171 2197084 1120087 76639582 59071099 17568483 1791367 1791367 63244630 Due to Affiliates, Net 338853 Due to Third Party Payors 384769 Long-Term Deferred Compensation 144266 Operating and Finance Leases 89892 Security Deposits 2042937 3000717 X Part V, Line 4: Cumberland Medical Center maintains three endowment funds for the purpose of supporting education of essential healthcare positions and provision of healthcare to children in need. The principal amount will be maintained in perpetuity and only the annual income generated will determine the number and amounts of expenditures each year. Part X, Line 2: Excerpt from the consolidated audited financial statements of Covenant Health (Covenant), parent company to Cumberland 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, 2023 and 2022. As such, no interest or penalties were recognized in the consolidated financial statements related to unrecognized tax benefits. At December 31, 2023 and 2022, tax returns for 2020 through 2023 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, 2023 and 2022. 1 1 X 1 X 1 X 1 1 1 0 1 1 2423901 8230 2415671 0.02620 12105469 9368335 2737134 0.02970 14529370 9376565 5152805 0.05590 13826 13826 0.00010 315 315 0.00000 4575656 4575656 0.04960 9953 9953 0.00010 4599750 4599750 0.04980 19129120 9376565 9752555 0.10570 343 343 0.00000 4228 4228 0.00000 510 510 0.00000 2718 2718 0.00000 464 464 0.00000 8263 8263 0.00000 1 9484300 1413161 22269771 24548560 -2278789 X 1 1 1 1 Cumberland Medical Center Inc 421 South Main St Crossville TN 38555 www.covenanthealth.com/cumberland/ 00000020 X X X Cumberland Medical Center 1 0 0 1 X X X X X X X X 22 1 0 1 1 X See Part V, Page 8 X 1 22 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 Cumberland Medical Center Part V, Section B, Line 5: Cumberland Medical Center ("Cumberland") conducted its fourth Community Health Needs Assessment ("CHNA") in 2022. A Steering Committee was formed to guide the assessment process and included staff from the Cumberland County Health Department, United Fund, Cumberland Medical Center, Crossville City Human Resources, Cumberland County Emergency Medical Services, Cumberland County Human Resources Department, Crossville Fire Department, Hilltoppers, Crossville City Manager, Cumberland Heights, Cumberland County Coordinated School Health, Cumberland Prevention Coalition, Uplands Village and Fairfield Glade Resident Services. Each of these community organizations serve the broader community and, in particular, the low-income, uninsured and chronically ill. The Steering Committee worked with the University of Tennessee-Knoxville Social Work Office of Research and Public Service ("UT-SWORPS") to devise a Cumberland County household survey and to host four focus groups of community leaders, each of which represented a part of the overall Cumberland County public health system. The household survey collected information from 469 Cumberland County residents. Participation in the survey was diverse and reflected the demographic profile of the county for the attributes of educational level, income, ethnicity and age. The primary research was analyzed and combined with county demographics, mortality, and secondary data for more than 60 health indicators. A Data Team was formed to analyze the data and determine the most significant findings from the assessment. The Data Team included Steering Committee members as well as representatives from the University of Tennessee/TN State University Extension Service, Coordinated School Health, Fair Park Senior Center, Chamber of Commerce, Crossville City Parks and Recreation. Cumberland Medical Center Part V, Section B, Line 6b: Though Cumberland's CHNA was issued as a stand-alone report, many non-hospital organizations assisted throughout the process. Research partners provided expertise on survey design, focus group facilitation, data collection, data sources, and analysis. UT-SWORPS was an integral contributor, as well as the Cumberland County Health Department and the Tennessee Department of Public Health (Nashville, TN).Additionally, focus groups were beneficial in discussing and identifying community needs in Cumberland County. Organizations and individuals participating in the focus groups included: -Crossville Fire Dept. -Cumberland Medical Ctr.-Crossville Medical Group -Fairfield Glade Hiking Club-Crossville Parks & Recreation Dept. -Fairfield Glade Resident Services-Cumberland Co. Chamber of Commerce -First Bank-Cumberland Co. Health Dept. -Kids on the Rise-Cumberland Co. Housing Authority -Lake Tansi Recreation-Cumberland Co. Human Resources -Patient Family Advisory Council-Cumberland Co. School Health Coordinator -Uplands Village-Cumberland Co. Schools -Young Pharmacy-Wyndridge Health and Rehabilitation Ctr.-Cumberland Co. United Fund-Cumberland Heights and Prevention Coalition Cumberland Medical Center Part V, Section B, Line 11: For 2022, the Steering Committee elected to use the same secondary health indicators that were used in the 2019 assessment. The indicators were updated to include the most current data points available. Additionally, COVID-19 statistics were included that did not exist in 2019. Updated demographics, leading causes of death, community survey results, focus group analysis and secondary data for dozens of health indicators was used by the Data Team to determine the most significant health priorities for the 2022 health assessment cycle.The Data Team used a methodology to determine whether the 2019 CHNA significant issues should be continued, modified or replaced. New issues that may have emerged since the 2019 CHNA also were discussed for potential inclusion. Largely due to COVID-19, the Data Team consensus was to continue the five health priorities of the 2019 CHNA. Data Team members felt each priority area of the 2019 assessment had worsened. Communities were faced with increased uncertainty and stress, many community resources were paused, and healthcare organizations were pushed to a breaking point. Overall, the demand for health and human resources far outweighed the supply. CMC updated its 2022 Implementation Plan based on the identified needs and plans to address four of the five identified issues in the following ways: 1. Substance Abuse DisordersCumberland Prevention Coalition: - Cumberland Medical Center is staying on the forefront of the latest trends affecting community (such as vaping) by supporting Cumberland Prevention Coalition with hospital resources as opportunities arise.Opioid Light Protocol: - Cumberland Medical Center has adopted the Covenant Health protocol to reduce the amount of narcotics prescribed in our Emergency Department. Narcotics are reserved for acute pain, and other non-narcotic methods of pain control are offered to patients with more chronic pain. Patient Education: - Cumberland Medical Center teaches inpatients how to better manage pain with alternatives like repositioning, ice packs and pain scales (1-10). 2. Mental Health Access Covenant Health: - As a member of Covenant Health, Cumberland Medical Center will advocate and support the system's behavioral health services, such as its partnership with Acadia Healthcare, to assist area residents. In 2021, Cumberland Medical Center's Emergency Department implemented telehealth for psychiatric evaluations, which has improved the timeliness of administering medication and the ability to transport to psychiatric facilities. Inpatient Education: - Cumberland Medical Center Case Management helps educate patients and families with resources available for those struggling with addiction. Mobile Crisis Services: - Cumberland Medical Center works with local and statewide agencies like Tennessee Department of Mental Health & Substance Abuse Service's Mobile Crisis Services.3. Health Education for Chronic Disease Conditions "Breast Cancer Awareness" Events: - Cumberland Medical Center offers annual Breast Cancer Awareness education for the community to hear guest speakers and receive educational information in support of annual mammogram screenings. Cancer Navigators: - Cumberland Medical Center has two nurse navigators serving in the Breast and Cancer Centers to provide education to patients going through cancer treatment. Community Baby Shower: - Cumberland Medical Center participates in a community wide baby shower in partnership with the Tennessee Health Department - Cumberland County. Here, expectant mothers are provided key information about their child's upcoming birth as well as vital community resource information to help those who are economically disadvantaged with resources such as the Women, Infant, and Children (WIC) offered through the Health Department. Diabetes: - Cumberland Diabetes Center, a member of Covenant Medical Group, helps patients locally with diabetes prevention and care as well as other metabolic associated conditions. Health Fairs: - Cumberland Medical Center has annual health education and screening fairs across the community. Events are held at places upon request such as: Crossville Ceramics, Inc., Cumberland County Schools, Fair Park Senior Center, Fairfield Glade, Uplands Village, etc. Patient Education: - Signs and Symptoms on Stroke and Heart Attack are provided to every inpatient upon discharge. Additional education is specifically tailored to the patient based on their personalized plan of care. Support Groups & Continuity of Care Meetings: - Cumberland Medical Center holds various support groups for caregivers and patients with health areas of focus such as Breast Cancer, Chronic Obstructive Pulmonary Disease (COPD), Diabetes, and Sleep. - The hospital leads Continuity of Care meetings for key health care professionals within the community who represent industries such as nursing home and home health. This provides an opportunity to exchange knowledge for updates that better improve quality and transition of care within community. 4. Adverse Childhood Experiences (ACEs) - ACEs is outside the scope of care provided by Cumberland Medical Center because it is an assessment performed in a physician office setting as part of the patient's overall health management. The hospital can be supportive as opportunities that bridge various community partners and awareness arise locally. 5. Recruit more primary care, specialist and dental providers - Cumberland Medical Center will continue recruitment efforts for primary and specialty physicians as well as assist specialists like dentists, who can help further serve in meeting the community needs. - The hospital will cultivate relationships with Covenant Health specialists not available on the Cumberland Plateau. - Cumberland Medical Center will embrace advancements for Virtual Care (telehealth) utilization, such as Cumberland Medical Center's implementation of Tele-ICU in 2021, to help expand care available to patients locally. Cumberland 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/cumberland/chna/ Part V, Line 10a, Implementation Strategy Website https://www.covenanthealth.com/cumberland/chna/ 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. 9 1 - CMC Diagnostic Center 28 Hayes St Crossville TN 38555 Medical Imaging and PET Scan 2 - CMC Cancer Center 421 South Main St Crossville TN 38555 Oncology Radiation Therapy 3 - CMC Hyperbaric Medicine & Wound Ctr 124 Hayes St Crossville TN 38555 Wound and Hyperbaric Treatment 4 - Therapy Center - Crossville 118 Brown Ave Suite 104 Crossville TN 38555 Physical Therapy and Occupational Therapy 5 - CMC OP Imaging at Fairfield Glade 133 Stonehenge Drive Crossville TN 38558 Physical Therapy, X-ray, Mammography 6 - Sleep Disorder Center 49 Cleveland St Suite 200 Crossville TN 38555 Sleep Study Center 7 - CMC Specialty Surgery Center 116 Brown Ave Suite 103 Crossville TN 38555 Outpatient Endoscopy Center 8 - Cumberland Physicians Group 133 Hayes St Crossville TN 38555 General and Specialty Physicians 9 - Therapy Center-Fairfield Glade 130 Stonehenge Dr Crossville TN 38558 Physical Therapy, X-ray, Mammography Part I, Line 3c: In addition to the Federal Poverty Guidelines ("FPG"), Cumberland 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 Cumberland 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 on 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 total includes $4,575,656 in physician sponsorship fees. 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.The physician offices include family, internal medicine, OB/GYN, surgeons, and other specialty physicians. Although patients with Medicare or commercial insurance coverage are provided services, these physician offices were established to provide services for patients without insurance coverage or with Tenncare/Medicaid. 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 $9,484,300. Part II, Community Building Activities: Cumberland 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 2023 were made to organizations meeting the community's needs by providing: - The basic needs of life including temporary shelter, food, clothing, and safety (Community Coalition Against Human Trafficking, Ladies of Charity, Seymour Volunteer Fire Department, Variety Children's Charity of East Tennessee, YWCA Knoxville) - Youth mentoring, development and after-school programs (Emerald Youth Foundation, Boys and Girls Club, Knox Education Foundation, First Tee of Greater Knoxville, Great Smoky Mountain Council, Young Life Knoxville) - Business recruitment, education and marketing initiatives that boost economic development and quality of life (Foothills Land Conservancy, Great Smoky Mountains Institute at Tremont, Knoxville Technology Council, Maryville College, Pellissippi State Foundation) - Leadership development programs and workshops (Knoxville Area Urban League, Leadership Knoxville) - Assistance and special programs for at-risk older adults, people with physical and mental challenges, and abused and neglected children (Knoxville-Knox County Community Action Committee, Senior Citizens Home Assistance Services, Sertoma Center) - Improve access to health services (East TN Children's Hospital, McNabb Center, Metropolitan Drug Commission, Interfaith Health Clinic, Knoxville Academy of Medicine, Region II Emergency Medical Services, Renew Clinic) - Programs supporting patients and their families (Alzheimer's Tennessee, American Cancer Society, American Heart Association, Cancer Support Community East Tennessee, East TN Veterans Memorial Association, Honor Air Knoxville, Knox County Imagination Library, Random Acts of Flowers, Spark) 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: 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. Cumberland uses the most recent data available from the U.S. Department of Agriculture Economic Research Service. Part III, Line 4: Note B to the 2023 Audited Consolidated Financial Statements of the Covenant Health system, of which Cumberland 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: Cumberland believes that all of the $2,278,789 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 34% of total patient days (7,266 out of 21,684 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: Cumberland 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: Cumberland 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 automatically receive a 71% discount on charges based on the facility's calculated AGB. 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.Cumberland 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 Cumberland 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. Cumberland 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 financial assistance policy, 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.Cumberland does not sell any accounts receivable accounts to outside firms. All accounts remain property of and under the policies set by Cumberland. Cumberland 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. Cumberland obtains additional community information through the service of its employees with the Chamber of Commerce, the local Health Council, Rotary Clubs, and local not-for-profit boards. 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. Cumberland 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 Cumberland 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 Cumberland Medical Center will provide, at a reduced rate, medically indicated services. A financial counselor is available to assist you with these matters by calling 931-459-7281, Monday through Friday between the hours of 8 a.m.-5 p.m. Additional information regarding financial assistance is also available on our website at CMCHealthcare.org. Signage at the registration areas state the following:It is Cumberland 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 CMCHealthcare.org. A financial counselor is available to assist you with these matters by calling 931-459-7281, Monday through Friday between the hours of 8 a.m.-5 p.m. Part VI, Line 4: Cumberland County, Tennessee is located on the Cumberland Plateau and is home to the cities of Crossville, Crab Orchard and Pleasant Hill. Cumberland is a rural county located approximately 60 miles from the metropolitan Knoxville area. Cumberland County is the primary market for Cumberland Medical Center, the only hospital in the county. In 2023, 50% of the patient encounters (inpatient and outpatient) came from Cumberland County, the focus of the health assessment. The following statistics are taken from the 2023 County Health Rankings report of the Robert Wood Johnson Foundation. The population of Cumberland County is 62,451 people. Persons 65 years and over account for 32.1% of the population. The uninsured rate for adults is 15% and 5% for children. The unemployment rate was at 4.8% in 2023. Education, health and social assistance make up 17.6% (2021) of the workforce and is the largest employer category in Cumberland County. In 2023, the median household income was $52,000.In support of the significant findings from the 2022 CHNA, the following data points support the conclusions of the 2022 assessment:Health Education for Chronic DiseasesOf the top 10 leading causes of death in Cumberland County, 9 are largely preventable: diseases of the heart, cancers, respiratory diseases, COVID-19, accidents, stroke, diabetes, flu and pneumonia and hypertension and renal disease.Substance Abuse Disorder- In a county with a population of 60,520 residents, 12,880 patients are receiving opioids for pain. This represents a decrease of 23% since the 2019 assessments.- In Cumberland County there were 900 prescriptions written for every 1000 residents. This represents a decrease of 34% since 2019.- Alcohol was involved in 23% of driving deaths in 2021. This represents a 30% decrease since 2019.- Sixty three percent of the survey respondents listed adult substance abuse (drugs and alcohol) as the number one health issue in Cumberland County.- Poverty and youth substance abuse (alcohol and drugs) was identified as the second and third most important health issue in Cumberland County.Mental Health Access- Residents were more dissatisfied with efforts to address mental health access than any other issue in the community survey.- In Cumberland County there is a ratio 2,800 residents per each mental health provider. The Tennessee statewide ratio is 700:1.Healthcare Providers for Specialty Services- Due to a very low wage index rating in the Cumberland service area, reimbursements are lower. Physician recruitment and retention are significant challenges.- In 2019, the wage index for several areas in Tennessee, including Cumberland County, was increased, which should help with specialty recruitment. Part VI, Line 5: Cumberland, 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 Cumberland's board. The board is comprised of independent community leaders with diverse educational and professional backgrounds. The board provides governance and oversight of Cumberland.Cumberland 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: Cumberland, 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.Cumberland patients benefit from the availability of and ease of access to Covenant Health affiliated entities for services not provided by the hospital itself. Transfer or referral to such services is expedited and coordinated to help create a seamless continuum of care. A full range of community mental health and psychiatric hospital services are available within the system that help support the hospital's emergency room as well as provide an accessible and efficient pathway for those patients who require such services post discharge. Other specialized services such as inpatient rehabilitation, cardiac care, cancer treatment, home health and hospice services are provided by affiliated entities. 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.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. X 1 1 1 1 0 0 0 0 0 0 0 James D VanderSteeg President & CEO 0 1523002 0 1039500 0 200189 0 322565 0 30003 0 3115259 0 0 John T Geppi Fmr EVP/CFO (through June 2023) 0 349550 0 292063 0 329813 0 12200 0 12145 0 995771 0 0 Thomas A Allingham MD Physician/Chief of Staff 488260 0 0 0 22568 0 9150 0 732 0 520710 0 0 0 Joseph C Dolan EVP/CFO 0 284875 0 60000 0 14015 0 29667 0 8897 0 397454 0 0 Randall K Davis President & CAO 0 307160 0 40000 0 6339 0 0 0 30012 0 383511 0 0 Stephen L Mahan Fmr Senior Medical Physicist 0 205147 0 0 0 462 0 3142 0 32983 0 241734 0 0 Ivan L Cordrey Senior Medical Physicist 204032 0 0 0 804 0 5830 0 4581 0 215247 0 0 0 April A VonAchen VP - Financial Services 133261 0 21000 0 9488 0 5120 0 31869 0 200738 0 0 0 David V Bunch Fmr President & CAO 0 0 0 0 0 188380 0 3210 0 7220 0 198810 0 0 Shana N Wyatt Chief Nursing Officer 123723 0 21000 0 14279 0 4656 0 29257 0 192915 0 0 0 Jason L Chaston Clinical Nurse III 156104 0 0 0 3166 0 0 0 29018 0 188288 0 0 0 Bonnie J Mathis Administrative Supervisor 130564 0 0 0 107 0 0 0 19880 0 150551 0 0 0 Part I, Line 1a Tax gross-up payments related to deferred compensation are provided to certain executives and managers. Amounts are included in taxable compensation. Part I, Line 3 Covenant Health, the parent company of Cumberland 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, Lines 4a-b David Bunch, Former President/CAO of Cumberland Medical Center, received a severance payment $190,416 during 2023. The amount is included in taxable compensation. His termination date was August 5, 2022. Covenant Health maintains a nonqualified deferred compensation ("NQDC") plan intended to support retention of President and CEO, James D. VanderSteeg, and EVP and CFO, Joseph C. Dolan (plan effective 8-1-2023). Employer contributions of $340,032 are reported as deferred compensation on Schedule J, Part II, Column C. Contributions along with 2023 earnings of $92,131 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. Franklin Aaron Wyatt Family member of Shana White - Chief Nursing Officer 66678 Key employee Shana Wyatt, has a family relationship with Franklin Aaron White, an employee of Cumberland Medical Center. Amount represents fair market value compensation paid during 2023 for services rendered to the organization. 0 Form 990, Part III, Line 4a COVENANT HEALTH Cumberland Medical Center 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. 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 comprised 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 Best Employer multiple times by Forbes. Covenant Health 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, a behavioral health hospital in Blount County, Tennessee. The health system also includes Covenant Medical Group, which includes more than 200 physicians and advanced practice clinicians in office locations throughout East Tennessee. Affiliated organizations include Thompson Cancer Survival Center, Thompson Oncology Group, Fortress Corporation and Subsidiaries, Covenant HomeCare, and Fort Sanders Perinatal Center. Philanthropic organizations include Fort Sanders Foundation and the 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 for excellence in patient care. Cumberland 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. Form 990, Part VI, Section A, line 6 Covenant Health is the sole member of Cumberland Medical Center. Form 990, Part VI, Section A, line 7a Covenant Health's Board of Directors also serves as the Board of Directors for Cumberland Medical Center. Form 990, Part VI, Section A, line 7b Governance decisions of Cumberland 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 distributes 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 parties 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 Covenant Health Executive Leadership 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 Cumberland 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's Health's 990. The process for Cumberland 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 Randall Davis, 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 Cumberland 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 Intercompany Purchased Services: Program service expenses 444,085. Management and general expenses 0. Fundraising expenses 0. Total expenses 444,085. Other Purchased Services: Program service expenses 13,429,856. Management and general expenses 90,061. Fundraising expenses 0. Total expenses 13,519,917. Sponsorship Fees: Program service expenses 4,578,809. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,578,809. Form 990, Part XI, line 9: Transfers of Capital 18,694,181. Cumberland Physician Group LLC 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 371539508 Physician services TN 0 50661 Cumberland Medical Center 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 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 Fort Sanders 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 Parkwest Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 581897274 Acute care hospital and behavioral health services 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 LLC 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 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 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 1 1 Covenant Medical Group Inc A 430553 FMV