Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Tennessee · Ranked 94 of 1033 by CEO pay.

Parkwest Medical Center

James D VanderSteeg, President & CEO. Fiscal year ending 2024-12.

$3.2M
CEO total compensation
Form 990 Part VII, columns D+E+F
3.51%
of expenses spent on charity care
Schedule H Part I line 7a
5.7%
CEO pay as a share of all charity care

Most of the reported compensation ($2,880,556 of $3,242,830) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$1,644,947,635
Total expenses
$1,608,665,412
Net assets
$858,610,950
Employees
9,990
Hospitals covered
10 facilities across 9 filings
Charity care, net
$56,508,204
Bad debt
$90,716,794
Medicare surplus (shortfall), as filed
($5,719,220)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$2,880,556
Other compensation, including deferred pay and nontaxable benefits (col. F)
$362,274
CEO total compensation (D+E+F)
$3,242,830 to James D VanderSteeg

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Parkwest Medical Center, EIN 58-1897274, fiscal year ending 2024-12, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$210.2M Of which charity care to patients who could not pay (line 7a)$56.5M (27%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($90.7M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

§3Filings in this system

Filing entityEINFY endRevenueCharity care% of expensesFiling
Parkwest Medical Center58-18972742024-12$469.8M$10.7M2.36%990
Fort Sanders Regional Medical Center62-05283402024-12$423.2M$16.3M3.96%990
Methodist Medical Center62-06362392024-12$184.4M$7.7M4.26%990
Morristown-Hamblen Hospital Association62-05458142024-12$161.2M$6.0M4.79%990
Leconte Medical Center62-11148672024-12$160.4M$6.5M5.34%990
Cumberland Medical Center62-07901322024-12$105.2M$2.7M2.76%990
Fort Loudoun Medical Center62-13736912024-12$53.8M$1.9M4.01%990
Roane County Medical Center68-06733542024-12$49.9M$2.9M6.38%990
Claiborne Medical Center46-44203582024-12$37.0M$1.7M4.82%990

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Parkwest Medical Center: CEO pay $3.2M, charity care 3.51% of expenses