2023-11-13T15:56:34-06:00 2022-12-31 990 2022-01-01 620790132 Cumberland Medical Center CUMB 8653743140 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 Joseph C Dolan EVP/CFO 8653746872 2023-11-08 Joseph Dolan 999009999 1 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z James D VanderSteeg 244 Ft Sanders W Blvd Knoxville TN 37922 93623995 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. 23 22 792 79 156322 118935 7378093 5504739 92913362 86171480 687599 113494 1056608 1278747 102035662 93068460 25070 10100 0 0 40175833 42538774 0 0 0 53426312 59373153 93627215 101922027 8408447 -8853567 90595447 82068813 16074696 15401629 74520751 66667184 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 98125490 10100 86160181 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 125 dedicated volunteers who deliver quality care to patients. Physician specialties include anesthesiology, cardiology, neurology, obstetrics, ophthalmology, oncology, orthopedics, pediatrics, radiology, radiation oncology and urology services.Cumberland served 125,108 patients in 2022. Of these, 120,904 were outpatients and 4,204 were inpatients with an average length-of-stay of 4.73 days.PUTTING PATIENTS FIRSTAdvanced medical and surgical care is provided at Cumberland, including telemetry-monitored beds 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, inpatient dialysis services and an inpatient rehabilitation unit. A full-service laboratory, medical imaging department, physical therapy 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.In 2022, the hospital welcomed 24/7 interventional cardiology coverage, making it possible to provide emergent cardiac care "close to home" for those on the Cumberland Plateau. Outreach programs were adapted to support social distancing to reduce potential spread of COVID-19 in 2022; however, the following milestones were accomplished: - 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, etc., 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 new 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 COVENANT HEALTH Cumberland is a member of Covenant Health. Covenant Health is a comprehensive, community-owned health system dedicated to improving the health of the people it serves. 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 by Forbes. Covenant Health includes nine acute care hospitals in East Tennessee: Methodist Medical Center of Oak Ridge, Fort Sanders Regional Medical Center and Parkwest Medical Center in Knoxville, 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, 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.IMPACT OF COVID-19In March 2020, the outbreak of the coronavirus disease 2019 ("COVID-19") was declared a public health emergency by the Department of Health and Human Services and declared a national pandemic by the World Health Organization. The COVID-19 pandemic had a major impact on the operations of all hospitals and affiliates included within the Covenant Health System. Three years later, although the overall number of hospital admissions due to the virus is significantly lower than the prior two years, COVID-19 continues to be a long-term problem.The stresses on the System which began in 2020 continue to have long-term and far-reaching implications, creating new challenges for every hospital in the System. The rapid rise in costs for supplies and equipment, unprecedented staffing shortages, and lower patient volumes continue to result in financial stress. Elective surgeries and diagnostic procedures have not yet returned to pre-COVID levels. Government subsidies in 2020 and 2021 helped offset the financial losses caused by significant declines in volumes due to cancelled and postponed procedures. In 2021 and 2022, Federal and state grants continued to be used to subsidize the rising costs of retaining staff and providing quality care. These federal and state grants were helpful but the financial pressures of rising costs across the System are ongoing.Early results from our focus groups for the Community Health Needs Assessments indicate that community problems such as substance abuse, mental illness, asthma and other respiratory diseases, and access to health care have gotten worse since COVID-19, thus stressing the health care System even more than usual.Covenant Health has put in place a number of changes to address these challenges. We are aggressively pursuing cost reductions in supplies across our hospitals and with our vendors. Covenant has increased nurse pay and implemented retention bonuses and other incentives to help reduce staff fatigue and turnover. A number of innovations, including a growing use of Tele-health capabilities, have assured that we continue to reach and serve patients in the community. Patient care continues to be our top priority despite the economic pressures. 98125490 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 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 41 0 1 792 1 1 1 0 0 0 0 0 0 0 0 0 X 23 22 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Amy DeLong 8653743140 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 Gerald Boyd Director 0.00 1.00 X 0 0 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 Director 0.00 1.00 X 0 0 0 Mitchell Dickson MD Director 0.00 1.00 X 0 268 0 Stephanie Flood Director 0.00 1.00 X 0 849 0 James Gibson Director 0.00 1.00 X 0 74 0 Edgar Gray Director 0.00 1.00 X 0 1432 0 Leslye Hartsell Director 0.00 1.00 X 0 889 0 Donald Hickman Director 0.00 1.00 X 0 1538 0 Timothy Matthews Director 0.00 1.00 X 0 906 0 Janice McKinley Director 0.00 1.00 X 0 1097 0 Dave Miller Director 0.00 1.00 X 0 1208 0 Bill Myers Director 0.00 1.00 X 0 0 0 Alvin Nance Director 0.00 1.00 X 0 0 0 Linda Ogle Director 0.00 1.00 X 0 0 0 King Purnell Director/Chair 0.00 1.00 X X 0 1050 0 Jorge Sanabria Director 0.00 1.00 X 0 1485 0 William Seale Director 0.00 1.00 X 0 1251 0 Cosby Stone Director 0.00 1.00 X 0 1408 0 Joe Sutter Director 0.00 1.00 X 0 979 0 James Tramontana MD Director 0.00 1.00 X 0 1208 0 James D VanderSteeg President & CEO 0.00 50.00 X X 0 2346646 316057 John T Geppi EVP/CFO 0.00 50.00 X 0 1099851 33916 David V Bunch Fmr Pres & CAO (through Aug 2022) 50.00 0.00 X 0 436865 23935 April A VonAchen VP - Financial Services 50.00 0.00 X 169061 0 35200 Randall K Davis President & CAO 50.00 0.00 X 0 83961 0 Shana N Wyatt Chief Nursing Officer 50.00 0.00 X 155388 0 32826 Thomas A Allingham MD Physician/Chief of Staff 50.00 0.00 X 498005 0 10102 Ivan L Cordrey Senior Medical Physicist 50.00 0.00 X 194702 0 6234 Robert S Cunningham Clinical Nurse III 50.00 0.00 X 164177 0 44 Jason L Chaston Clinical Nurse II 50.00 0.00 X 162820 0 28170 Bonnie J Mathis Administrative Supervisor 50.00 0.00 X 157281 0 26693 1501434 3982965 513177 22 0 1 0 Cardiosolution 4675 Cornell Rd Ste 100 Cincinnati OH 45241 Providers for Cardiac Caths 1407581 Restorix Health 445 Hamilton Avenue Suite 800 White Plains NY 10601 Wound Care Management Fees 761309 Sanderling Renal Services 511 Union Street Ste 1800 Nashville TN 37219 Dialysis and Renal Telemedicine 528999 Shared Medical Services 209 Limestone Pass Cottage Grove WI 53527 Imaging Services 451160 Park Place International LLC 8401 Chagrin Road Suite 68 Chagrin Falls OH 44023 Cloud Based Server Storage 371294 11 11400 5438029 55310 5504739 Net Patient Revenue 622110 86135193 86135193 Laboratory 621500 36287 36287 86171480 26499 26499 782009 529429 252580 252580 120035 132545 113101 26106 86995 86995 86995 Wellness Center 713940 536344 536344 Cafeteria 722514 387153 387153 Medical Records 561000 36452 36452 66218 24988 41230 1026167 93068460 86160181 156322 1247218 X 10100 10100 392475 392475 35830321 34400008 1430313 461601 451639 9962 3598321 3503837 94484 2256056 2162238 93818 1948648 1880598 68050 20811474 20237062 574412 150656 124951 25705 345659 185728 159931 1395323 1377775 17548 2669000 1920157 748843 43027 38312 4715 55458 36124 19334 15 15 5385032 5385032 161505 157994 3511 Unrelated Business Inco 31000 31000 Medical Supplies 13272335 13272335 Bad Debt 8866763 8866763 Minor Equipment 2386783 2319356 67427 1850475 1795467 55008 101922027 98125490 3796536 0 2963616 2964803 9520309 9115515 940359 1032573 1141982 1033510 171031490 113289010 59599330 57742480 10082209 9692473 6347642 487459 90595447 82068813 14125695 10612106 3759 1949001 4785764 16074696 15401629 X 74520751 66667184 74520751 66667184 90595447 82068813 X -8853567 1000000 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 149791 609 150400 149520 271 149791 148846 674 149520 147855 991 148846 143094 4000 761 147855 1.00000 0 0 2601369 2601369 90666885 50225887 40440998 3317171 2067884 1249287 72247513 60995239 11252274 2198552 2198552 57742480 Due to Affiliates, Net 3345312 Due to Third Party Payors 824857 Long-Term Deferred Compensation 103858 Long-Term Reserve for Workers Comp 262281 Operating and Finance Leases 239793 Security Deposits 9663 4785764 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, 2022 and 2021. As such, no interest or penalties were recognized in the consolidated financial statements related to unrecognized tax benefits. At December 31, 2022 and 2021, tax returns for 2019 through 2022 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, 2022 and 2021. 1 1 X 1 X 1 X 1 1 1 0 1 1 2887242 4279 2882963 0.03100 9985203 8054515 1930688 0.02070 12872445 8058794 4813651 0.05170 28868 28868 0.00030 94 94 0.00000 4962065 4962065 0.05330 11400 11400 0.00010 5002427 5002427 0.05370 17874872 8058794 9816078 0.10540 4107 4107 0.00000 810 810 0.00000 38 38 0.00000 4955 4955 0.00000 1 8866763 1064012 23063348 23651102 -587754 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, Cumberland County Emergency Medical Services, Cumberland County government, 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: - Cumberland County Health Department - Cumberland County United Fund- Cumberland County Schools - Crossville Fire Department- Cumberland County School Health Coordinator - Kids on the Rise - Cumberland Heights and Prevention Coalition - First Bank - Wyndridge Health and Rehabilitation Center - Young Pharmacy- Patient Family Advisory Council- Cumberland County Human Resources - Lake Tansi Recreation - Crossville Medical Group- Cumberland County Housing Authority - Uplands Village - Fairfield Glade Resident Services Cumberland Medical Center Part V, Section B, Line 11: At the conclusion of the 2022 assessment process, 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 have worsened. Communities were faced with increased uncertainty and stress, many resources were paused and healthcare organizations were pushed to the breaking point. Overall, the demand for health and human resources far outweighed the supply. The 2022 most significant health priorities for Cumberland County are as follows: Substance Abuse Disorder, Mental Health Access, Health Education for Chronic Diseases, Adverse Childhood Experiences and Insufficient Number of Primary Care, Specialist and Dental Providers. Cumberland 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 is staying on the forefront of the latest trends affecting the community (such as vaping) by supporting Cumberland Prevention Coalition with hospital resources as opportunities arise. Opioid Light Protocol - Cumberland has adopted the Covenant Health protocol to reduce the amount of narcotics prescribed in the 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 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 will advocate and support the system's behavioral health services, such as its partnership with Acadia Healthcare, to assist area residents. In 2021, Cumberland'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 Case Management helps educate patients and families with resources available for those struggling with addiction. Mobile Crisis Services - Cumberland 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 ConditionsBreast Cancer Awareness Events - Cumberland 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 has two nurse navigators serving in the Breast and Cancer Centers to provide education to patients going through cancer treatment. Community Baby Shower - Cumberland participates in a community wide baby shower in partnership with the Tennessee Health Department - Cumberland County. 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 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 and Uplands Village. 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 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 are outside the scope of care provided by Cumberland 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 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 has embraced 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. 8 1 - CMC Outpatient Imaging 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 Specialty Surgery & Endoscopy Ctr 116 Brown Ave Crossville TN 38555 Outpatient Endoscopy Center 4 - CMC Hyperbaric Medicine & Wound Ctr 124 Hayes St Crossville TN 38555 Wound and Hyperbaric Treatment 5 - CMC Physical Medicine & Rehabilitation 118 Brown Ave Suite 104 Crossville TN 38555 Physical Therapy and Occupational Therapy 6 - CMC at Fairfield Glade 130 Stonehenge Dr Crossville TN 38555 Wellness, Physical Therapy, X-ray and Mammography 7 - Sleep Disorder Center 49 Cleveland St Suite 200 Crossville TN 38555 Sleep Study Center 8 - Cumberland Physicians Group 133 Hayes St Crossville TN 38555 General and Specialty Physicians 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 $4,962,065 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 $8,866,763. 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 poverty and homelessness, and help find solutions to alleviate the symptoms.An allocation of the Parent's community building expenditures has been made to each member hospital in proportion to the financial contribution of each to the health system. Covenant Health is not a hospital and does not file Schedule H with its Form 990. Contributions in 2022 were made to organizations meeting the community's needs by providing: - The basic needs of life including temporary shelter, food and clothing (Ladies of Charity, City Shepherds, Safe Families for Children East TN and Second Harvest Food Bank) - Youth mentoring, development and after-school programs (Emerald Youth Foundation, Boys and Girls Club, Knox Education Foundation, First Tee of Greater Knoxville and Great Smoky Mountain Council) - Business recruitment and marketing initiatives that boost economic development (Knoxville Technology Council, Knoxville Zoological Garden and Pellissippi State Foundation) - Leadership development programs and workshops (Knoxville Area Urban League and Leadership Knoxville) - Assistance and special programs for at risk older adults, people with physical and mental challenges, and abused and neglected children (Senior Citizens Home Assist and Sertoma Center) - Improve access to health services (East TN Children's Hospital, Helen Ross McNabb Center, Interfaith Health Clinic, Knoxville Academy of Medicine, and Region II Emergency Medical Services) - Programs supporting patients and their families (Air Force Association, Alzheimer's Tennessee, American Cancer Society, American Heart Association, Angel Wings Memory Gowns, East TN Kidney Foundation, East TN Veteran Memorial Association, Juvenile Diabetes Research Foundation and Leukemia & Lymphoma Society, Wreaths Across America) 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 2022 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'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 $587,754 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 (7,790 out of 22,589 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 67% 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 2022, 78.9% of the patient encounters (inpatient and outpatient) came from Cumberland County, the focus of the health assessment. The following statistics are taken from the 2022 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 31.2% of the population. The uninsured rate for adults is 15% and 4% for children. The unemployment rate is steadily improving and was at 3.6% in 2022. Education, health and social assistance make up 17.6% (2021) of the workforce and is the largest employer category in Cumberland County. In 2022, the median household income was $49,423.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. 1 Fairfield Glade Community Club PO Box 2000 Crossville TN 38558 710425507 501(c)(4) 10000 0 Sponsorship 0 1 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. 1 1 0 0 0 0 0 0 0 James D VanderSteeg President & CEO 0 1425507 0 742500 0 178639 0 284975 0 31082 0 2662703 0 0 John T Geppi EVP/CFO 0 679719 0 309084 0 111048 0 11600 0 22316 0 1133767 0 0 Thomas A Allingham MD Physician/Chief of Staff 477867 0 200 0 19938 0 9150 0 952 0 508107 0 0 0 David V Bunch Fmr Pres & CAO (through Aug 2022) 0 178018 0 96132 0 162715 0 3783 0 20152 0 460800 0 0 April A VonAchen VP - Financial Services 129459 0 29763 0 9839 0 5120 0 30080 0 204261 0 0 0 Ivan L Cordrey Senior Medical Physicist 192701 0 1220 0 781 0 5830 0 404 0 200936 0 0 0 Jason L Chaston Clinical Nurse II 160354 0 2440 0 26 0 0 0 28170 0 190990 0 0 0 Shana N Wyatt Chief Nursing Officer 121248 0 24759 0 9381 0 4656 0 28170 0 188214 0 0 0 Bonnie J Mathis Administrative Supervisor 154455 0 2740 0 86 0 0 0 26693 0 183974 0 0 0 Robert S Cunningham Clinical Nurse III 163079 0 1098 0 0 0 0 0 44 0 164221 0 0 0 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 $120,200 during 2022. 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. Employer contributions of $273,375 are reported as deferred compensation on Schedule J, Part II, Column C. Contributions along with 2022 earnings of $70,560 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). Franklin Aaron Wyatt Family member of Shana White - Chief Nursing Officer 77659 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 2022 for services rendered to the organization. 0 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 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 Other Purchased Services: Program service expenses 15,282,594. Management and general expenses 574,412. Fundraising expenses 0. Total expenses 15,857,006. Sponsorship Fees: Program service expenses 4,954,468. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,954,468. Form 990, Part XI, line 9: Transfers of Capital 1,000,000. Cumberland Physician Group LLC 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 371539508 Physician services TN 0 45250 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 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 VortexT Analytics 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 475296949 Computer programming services 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 440057 FMV