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Nonprofiteer
← PARKWEST MEDICAL CENTER

Form 990 for tax year 2023

Filed by PARKWEST MEDICAL CENTER.

Totals

Total revenue
$437,288,615
Total expenses
$437,726,924
Contributions and grants received
$850,670
Grants paid
$348,824
Program service revenue
$433,275,215
Investment income
$127,835
Other revenue
$3,034,895
Total assets, end of year
$292,118,482
Total liabilities, end of year
$40,284,417
Net assets or fund balances, end of year
$251,834,065
Program services expenses (Part IX)
$430,842,884
Management and general expenses
$6,884,040
Fundraising expenses
$0
Program service expenses (Part III)
$430,842,884

Program services were 98.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $190,267

  • 1e · Government grants (contributions)

    $645,403

  • 1f · All other contributions, gifts and grants

    $15,000

  • 2a · Program service revenue: Net Patient Services

    total $420,040,826 · related or exempt $420,040,826

  • 2b · Program service revenue: Pharmacy

    total $13,230,165 · related or exempt $391,850 · excluded $12,838,315

  • 2c · Program service revenue: Rental Income - Exempt Affiliate

    total $4,224 · related or exempt $4,224

  • 3 · Investment income

    total $129,805 · excluded $129,805

  • 6a · Gross rents

    real property $3,840,014

  • 6b · Less rental expenses

    real property $3,373,040

  • 6c · Rental income or loss

    real property $466,974

  • 6d · Net rental income or loss

    total $466,974 · unrelated business -$83,151 · excluded $550,125

  • 7a · Gross sales of assets other than inventory

    other assets $1,000

  • 7b · Less cost or other basis and sales expenses

    other assets $2,970

  • 7c · Gain or loss

    other assets -$1,970

  • 7d · Net gain or loss

    total -$1,970 · excluded -$1,970

  • 11a · Other revenue: Cafeteria

    total $1,899,476 · excluded $1,899,476

  • 11b · Other revenue: Gift Shop

    total $507,222 · excluded $507,222

  • 11c · Other revenue: Support Services

    total $101,581 · related or exempt $85,689 · excluded $15,892

  • 11d · All other revenue

    total $59,642 · excluded $59,642

  • 11e · Other revenue, total

    $2,567,921

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $31,107 · program services $31,107

  • 2 · Grants to domestic individuals

    total $317,717 · program services $317,717

  • 5 · Compensation of officers, directors and key employees

    total $1,013,481 · management and general $1,013,481

  • 7 · Other salaries and wages

    total $99,638,581 · program services $98,492,567 · management and general $1,146,014

  • 8 · Pension plan contributions

    total $2,917,820 · program services $2,894,540 · management and general $23,280

  • 9 · Other employee benefits

    total $10,411,123 · program services $9,787,192 · management and general $623,931

  • 10 · Payroll taxes

    total $7,416,598 · program services $7,229,816 · management and general $186,782

  • 11a · Fees: management

    total $39,311,196 · program services $38,385,094 · management and general $926,102

  • 11b · Fees: legal

    total $102,944 · management and general $102,944

  • 11g · Fees: other

    total $77,512,022 · program services $77,324,245 · management and general $187,777

  • 12 · Advertising and promotion

    total $156,401 · program services $153,329 · management and general $3,072

  • 13 · Office expenses

    total $2,467,229 · program services $2,081,104 · management and general $386,125

  • 16 · Occupancy

    total $8,362,322 · program services $7,859,961 · management and general $502,361

  • 17 · Travel

    total $130,077 · program services $120,152 · management and general $9,925

  • 19 · Conferences, conventions and meetings

    total $95,598 · program services $78,941 · management and general $16,657

  • 20 · Interest

    total $37,296 · program services $37,296

  • 22 · Depreciation, depletion and amortization

    total $21,287,200 · program services $20,254,160 · management and general $1,033,040

  • 23 · Insurance

    total $423,528 · program services $332,635 · management and general $90,893

  • 24a · Other expenses: Medical Supplies

    total $138,733,607 · program services $138,733,607

  • 24b · Other expenses: Bad Debt

    total $12,845,942 · program services $12,845,942

  • 24c · Other expenses: Minor Equipment

    total $10,274,767 · program services $10,114,503 · management and general $160,264

  • 24d · Other expenses: Food & Dietary

    total $2,377,138 · program services $2,377,138

  • 24e · All other expenses

    total $1,863,230 · program services $1,391,838 · management and general $471,392

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $8,836 · end of year -$2,338,903

  • 2 · Savings and temporary cash investments

    beginning of year -$3,837,288 · end of year -$119,531

  • 4 · Accounts receivable

    beginning of year $42,503,118 · end of year $51,000,204

  • 8 · Inventories for sale or use

    beginning of year $5,541,347 · end of year $6,786,257

  • 9 · Prepaid expenses and deferred charges

    beginning of year $2,087,107 · end of year $1,404,869

  • 10a · Land, buildings and equipment: cost or other basis

    $584,457,583

  • 10b · Land, buildings and equipment: accumulated depreciation

    $358,137,234

  • 10c · Land, buildings and equipment, net

    beginning of year $249,849,668 · end of year $226,320,349

  • 15 · Other assets

    beginning of year $18,159,078 · end of year $9,065,237

  • 17 · Accounts payable and accrued expenses

    beginning of year $29,672,976 · end of year $31,555,193

  • 25 · Other liabilities

    beginning of year $8,674,149 · end of year $8,729,224

  • 27 · Net assets without donor restrictions

    beginning of year $275,964,741 · end of year $251,834,065

Mission and programs · 2023

Mission

Parkwest Medical Center provides quality healthcare, in alignment with Covenant Health's mission to serve the community by improving the quality of life through better health, regardless of the patient's ability to pay.

Activities or mission (Part I)

Parkwest Medical Center operates a full-service acute care hospital located in west Knoxville, Tennessee, and a psychiatric hospital in neighboring Blount County, TN with a combined total of 456 beds. It is a member of the Covenant Health system.

  • Parkwest Medical Center ("Parkwest") admitted its first patient on December 10, 1973. It became a not-for-profit hospital in 1990 and became part of Covenant Health in 1996. Peninsula, a division of Parkwest Medical Center, ("Peninsula") is the behavioral services division of Parkwest and the region's largest provider of behavioral health services. Peninsula has a 119-bed hospital in Blount County providing mental health services for adolescents and adults. Peninsula also provides outpatient services in four counties. SERVICEWest Knoxville's largest medical center, Parkwest has an organizational culture focused on treating every patient and visitor with courtesy, compassion, and respect. It is best known for excellence in orthopedics, cardiology, surgical and behavioral health. Parkwest and Peninsula served 260,558 patients in 2023. Of these, 240,747 were outpatients and 19,811 were inpatients with an average length-of-stay of 4.44 days. PUTTING PATIENTS FIRSTIn 2023, Parkwest was recognized by U.S. News & World Report as the #8 Best hospital in Tennessee, and the #2 hospital in Knoxville metro area, and rated as a high-performing hospital by US News & World Report for: hip and knee replacements, hip fractures, COPD, colon cancer surgery, heart attack and heart failure measures, heart bypass surgery, abdominal aortic aneurysm repair, and stroke care.BlueCross BlueShield gave the hospital a Blue Distinction Center+ designation for knee replacement and hip surgery, spine surgery, and maternity care, and a Blue Distinction Center designation for bariatric surgery. The Joint Commission has designated the hospital as an Advanced Primary Stroke Center, and Parkwest is a member of Covenant Health's stroke hospital network, which links Covenant Health's member hospitals in providing rapid diagnosis and treatment of stroke. Parkwest was recognized with a GoldPlus Stroke Quality Achievement Award by the American Heart Association/American Stroke Association. Parkwest has earned the GoldPlus Quality Award from the American Heart Association, recognizing consistent compliance with evidence-based quality measures for care of patients experiencing heart attacks, and a Gold award for non-STEMI quality measures.IMPROVING THE COMMUNITY'S QUALITY OF LIFE THROUGH BETTER HEALTHIn 2023 Parkwest provided over $221,000 worth of transportation, which includes payment to Priority Ambulance for patients to receive treatments, and taxi/transportation fares for patients who had been discharged and needed transportation home.In 2023 Parkwest participated in the Greater Knoxville Heart Walk, raising funds and awareness for heart disease. Parkwest also participates in local health fair screenings for area businesses and groups, providing carotid ultrasound screenings and physical therapy ergonomic education, as well as stroke education. In 2023 the employees at Parkwest also raised money for our internal employee chaplain's fund, which helps employees who are experiencing unusual or extraordinary financial needs.As a member of Covenant Health, Parkwest and Peninsula have adopted the "We Honor Veterans" program, recognizing and celebrating patients and employees in our facility who are veterans. When a patient is identified as a veteran they are recognized with a certificate and pinning ceremony.

    Expenses $430,842,884 · Grants $348,824 · Revenue $420,522,589

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Gerald Boyd

    Director

    Total calculated
    $977
    From this org
    $0
    From related orgs
    $977
    Other
    $0
    Hours/week
    0 + 1 related

  • Willard Campbell MD

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Michael Casey MD

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Ronni Chandler

    Fmr Director (through June 2023)

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Mitchell Dickson MD

    Director

    Total calculated
    $796
    From this org
    $0
    From related orgs
    $796
    Other
    $0
    Hours/week
    0 + 1 related

  • Stephanie Flood

    Director

    Total calculated
    $808
    From this org
    $0
    From related orgs
    $808
    Other
    $0
    Hours/week
    0 + 1 related

  • James Gibson

    Director

    Total calculated
    $1,008
    From this org
    $0
    From related orgs
    $1,008
    Other
    $0
    Hours/week
    0 + 1 related

  • Edgar Gray

    Director

    Total calculated
    $1,054
    From this org
    $0
    From related orgs
    $1,054
    Other
    $0
    Hours/week
    0 + 1 related

  • Leslye Hartsell

    Director

    Total calculated
    $1,027
    From this org
    $0
    From related orgs
    $1,027
    Other
    $0
    Hours/week
    0 + 1 related

  • Donald Hickman

    Director

    Total calculated
    $1,498
    From this org
    $0
    From related orgs
    $1,498
    Other
    $0
    Hours/week
    0 + 1 related

  • Timothy Matthews

    Director

    Total calculated
    $1,196
    From this org
    $0
    From related orgs
    $1,196
    Other
    $0
    Hours/week
    0 + 1 related

  • Janice McKinley

    Director

    Total calculated
    $1,222
    From this org
    $0
    From related orgs
    $1,222
    Other
    $0
    Hours/week
    0 + 1 related

  • Dave Miller

    Director

    Total calculated
    $1,044
    From this org
    $0
    From related orgs
    $1,044
    Other
    $0
    Hours/week
    0 + 1 related

  • Bill Myers

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Alvin Nance

    Director

    Total calculated
    $1,044
    From this org
    $0
    From related orgs
    $1,044
    Other
    $0
    Hours/week
    0 + 1 related

  • Linda Ogle

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • King Purnell

    Director/Chair

    Total calculated
    $1,630
    From this org
    $0
    From related orgs
    $1,630
    Other
    $0
    Hours/week
    0 + 1 related

  • Jorge Sanabria

    Director

    Total calculated
    $1,234
    From this org
    $0
    From related orgs
    $1,234
    Other
    $0
    Hours/week
    0 + 1 related

  • William Seale

    Director

    Total calculated
    $1,321
    From this org
    $0
    From related orgs
    $1,321
    Other
    $0
    Hours/week
    0 + 1 related

  • Cosby Stone

    Director

    Total calculated
    $1,595
    From this org
    $0
    From related orgs
    $1,595
    Other
    $0
    Hours/week
    0 + 1 related

  • Joe Sutter

    Director

    Total calculated
    $1,462
    From this org
    $0
    From related orgs
    $1,462
    Other
    $0
    Hours/week
    0 + 1 related

  • James Tramontana MD

    Director

    Total calculated
    $1,196
    From this org
    $0
    From related orgs
    $1,196
    Other
    $0
    Hours/week
    0 + 1 related

  • James D VanderSteeg

    President & CEO

    Total calculated
    $3,115,259
    From this org
    $0
    From related orgs
    $2,762,691
    Other
    $352,568
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,523,002 related
    Bonus
    $0 + $1,039,500 related
    Other
    $0 + $200,189 related
    Deferred
    $0 + $322,565 related
    Nontaxable benefits
    $0 + $30,003 related
    Filer's total
    $0 + $3,115,259 related

  • John T Geppi

    Fmr EVP/CFO (through June 2023)

    Total calculated
    $995,771
    From this org
    $0
    From related orgs
    $971,426
    Other
    $24,345
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $349,550 related
    Bonus
    $0 + $292,063 related
    Other
    $0 + $329,813 related
    Deferred
    $0 + $12,200 related
    Nontaxable benefits
    $0 + $12,145 related
    Filer's total
    $0 + $995,771 related

  • Joseph C Dolan

    EVP/CFO

    Total calculated
    $397,454
    From this org
    $0
    From related orgs
    $358,890
    Other
    $38,564
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $284,875 related
    Bonus
    $0 + $60,000 related
    Other
    $0 + $14,015 related
    Deferred
    $0 + $29,667 related
    Nontaxable benefits
    $0 + $8,897 related
    Filer's total
    $0 + $397,454 related

  • Devan C Johnson

    President & CAO

    Total calculated
    $460,181
    From this org
    $0
    From related orgs
    $429,885
    Other
    $30,296
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $366,124 related
    Bonus
    $0 + $40,000 related
    Other
    $0 + $23,761 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $30,296 related
    Filer's total
    $0 + $460,181 related

  • M Scott Hamilton

    VP - Financial Services

    Total calculated
    $288,486
    From this org
    $245,750
    From related orgs
    $0
    Other
    $42,736
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $196,897
    Bonus
    $34,000
    Other
    $14,853
    Deferred
    $9,788
    Nontaxable benefits
    $32,948
    Filer's total
    $288,486

  • Michael Cavacos

    Fmr VP - CNO (through Dec 2023)

    Total calculated
    $278,465
    From this org
    $257,567
    From related orgs
    $0
    Other
    $20,898
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $200,328
    Bonus
    $33,000
    Other
    $24,239
    Deferred
    $11,009
    Nontaxable benefits
    $9,889
    Filer's total
    $278,465

  • Elizabeth Clary

    VP - Behavioral Health

    Total calculated
    $240,411
    From this org
    $212,701
    From related orgs
    $0
    Other
    $27,710
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $140,563
    Bonus
    $25,000
    Other
    $47,138
    Deferred
    $8,611
    Nontaxable benefits
    $19,099
    Filer's total
    $240,411

  • W Jason Draper

    Fmr VP - Supp Svcs(through Mar 2023)

    Total calculated
    $206,119
    From this org
    $189,411
    From related orgs
    $0
    Other
    $16,708
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $43,842
    Bonus
    $14,000
    Other
    $131,569
    Deferred
    $8,263
    Nontaxable benefits
    $8,445
    Filer's total
    $206,119

  • Rajendra T Raman MD

    Physician - Behavioral

    Total calculated
    $422,193
    From this org
    $373,237
    From related orgs
    $0
    Other
    $48,956
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $359,485
    Bonus
    $9,000
    Other
    $4,752
    Deferred
    $18,300
    Nontaxable benefits
    $30,656
    Filer's total
    $422,193

  • John G Kupfner MD

    Physician - Behavioral

    Total calculated
    $420,864
    From this org
    $370,692
    From related orgs
    $0
    Other
    $50,172
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $362,131
    Bonus
    $7,750
    Other
    $811
    Deferred
    $18,300
    Nontaxable benefits
    $31,872
    Filer's total
    $420,864

  • Shyam P Vuyyuru MD

    Physician - Behavioral

    Total calculated
    $401,724
    From this org
    $360,886
    From related orgs
    $0
    Other
    $40,838
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $349,134
    Bonus
    $7,000
    Other
    $4,752
    Deferred
    $18,300
    Nontaxable benefits
    $22,538
    Filer's total
    $401,724

  • Surendra K Sharma MD

    Physician - Behavioral

    Total calculated
    $407,093
    From this org
    $356,715
    From related orgs
    $0
    Other
    $50,378
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $344,963
    Bonus
    $7,000
    Other
    $4,752
    Deferred
    $18,300
    Nontaxable benefits
    $32,078
    Filer's total
    $407,093

  • Thomas P Jensen MD

    Physician - Behavioral

    Total calculated
    $376,583
    From this org
    $328,705
    From related orgs
    $0
    Other
    $47,878
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $280,876
    Bonus
    $47,109
    Other
    $720
    Deferred
    $18,300
    Nontaxable benefits
    $29,578
    Filer's total
    $376,583

  • Michael R Belbeck Jr

    Fmr Interim Pres/CAO-PW/EVP-Hosp Ops

    Total calculated
    $1,046,251
    From this org
    $0
    From related orgs
    $939,140
    Other
    $107,111
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $587,930 related
    Bonus
    $0 + $239,587 related
    Other
    $0 + $111,623 related
    Deferred
    $0 + $74,059 related
    Nontaxable benefits
    $0 + $33,052 related
    Filer's total
    $0 + $1,046,251 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Tax indemnification and gross-up payments
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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 Parkwest Medical Center, used the following methods in establishing the compensation of President/CEO, James D. VanderSteeg: compensation committee, independent compensation consultant, written employment contract, compensation survey or study, and approval by the board or compensation committee. Additional detail is provided in response to Form 990, Part VI, Section B, Lines 15a and 15b within Schedule O.
Part I, Lines 4a-b
W. Jason Draper, Former VP Support Services, received a severance payment of $81,908 during 2023. The amount is included in taxable compensation. His termination date was March 24, 2023. Covenant Health maintains a nonqualified deferred compensation ("NQDC") plan intended to support retention of President and CEO, James D. VanderSteeg, EVP and CFO, Joseph C. Dolan (plan effective 8-1-2023), and EVP of Hospital Operations, Michael R. Belbeck. Employer contributions of $401,891 are reported as deferred compensation on Schedule J, Part II, Column C. Contributions along with 2023 earnings of $97,177 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • Covenant-AmSurg ASC Ventures LLC

    Management company · TN

  • Covenant-KEC ASC Ventures LLC

    Management company · TN

  • TEC North LLC

    Physician services · TN

  • The Endoscopy Center of Knoxville LLC

    Physician services · TN

  • Boulevard ENT-Surgery Center

    Surgical services · TN

  • CHUC LLC

    Physician services · TN

  • Surgery Center of Oak Ridge LLC

    Surgical services · TN

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Fortress Corporation

    C · Management company · TN

  • Covenant Medical Group Inc

    C · Physician practice management · TN · controlled entity

  • Knoxville Heart Group

    C · Cardiology medical practice · TN

  • East TN Cardiovascular Surgery Group Inc

    C · Cardiovascular surgical practice · TN

  • TenHats LLC

    C · Data storage · TN

Provenance

Return type
form_990
Tax year
2023
Filed
13 November 2024
IRS schema version
2023v5.1
Source object
202433189349304513

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