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Opposition of Covenant Health to Tennova FSED 1 Knox County, Knoxville Tennessee CAMPBELL UNION GRAINGER 75 KNOX KNOX KNOX 11W JEFFERSON v 640 ANDERSON Knoxville Knoxville ROANE SEVIER 40 129 LOUDON BLOUNT 2 2 2 Zoom in of

  1. Opposition of Covenant Health to Tennova FSED 1

  2. Knox County, Knoxville Tennessee CAMPBELL UNION GRAINGER 75 KNOX KNOX KNOX 11W JEFFERSON v 640 ANDERSON Knoxville Knoxville ROANE SEVIER 40 129 LOUDON BLOUNT 2 2 2

  3. Zoom in of the ED Locations GRAINGER 37807 Servicing Knox County 37709 37716 KNOX 37721 37938 37754 1. East Tennessee Children’s 11W Hospital 75 37806 37918 2. Fort Sanders Regional JEFFERSON Medical Center 4 37871 3. Parkwest Medical Center 37849 640 37924 ANDERSON 4. Tennova-North 37912 Knoxville Knoxville Hospital 37917 37931 37874 37914 5. Tennova-Turkey Creek v 37921 37915 Hospital 2 1 37902 37916 37909 6. University of Tennessee 5 Medical Center 37923 37932 6 37919 7. Tennova FSED SEVIER 37920 3 40 37934 37922 129 LOUDON BLOUNT 37853 7. Tennova FSED 37772 3 3 3

  4. North Knoxville Medical Center Emergency Department North Knoxville Medical Center 4 4 4

  5. 2019 Historical Utilization by Zip Codes in Knox County for NMC Note: Other Areas are a roll up of ZIP codes 6,276 with 50 or fewer ED encounters 5,004 2,809 2,747 2,064 1,842 1,536 990 783 648 560 552 258 186 165 139 133 131 78 63 56 37918 37849 37938 37912 37917 37721 37921 37754 37914 37924 37920 37931 37806 37919 37915 37909 37923 37932 37922 37928 Other Areas Source: Tennova NKMC Internal Data 5

  6. 2019 Historical Utilization by Zip Codes in Knox County for NMC 6,276 5,004 2,809 2,747 2,064 1,842 1,536 990 783 648 560 552 258 186 165 139 133 131 78 63 56 37918 37849 37938 37912 37917 37721 37921 37754 37914 37924 37920 37931 37806 37919 37915 37909 37923 37932 37922 37928 Other Areas Source: Tennova NKMC Internal Data 6

  7. Heatmap 2019 Historical Utilization by Zip Codes in Knox County for NMC ZIP ED CAMPBELL UNION Code Encounters 37705 37918 6,276 37769 37849 5,004 GRAINGER 37807 37938 2,809 75 37912 2,747 37709 37917 2,064 KNOX KNOX 37716 37721 37721 1,842 37938 37754 11W 37921 1,536 37806 37754 990 37918 JEFFERSON v Tennova-North 37914 783 37871 37849 640 37924 648 ANDERSON 37924 37912 37920 560 Knoxville 37917 37931 552 37931 37874 37914 37921 37915 37806 258 ROANE 37902 37916 37919 186 37909 37923 37932 37915 165 37919 37909 139 37920 SEVIER 40 37923 133 37934 37922 129 37932 78 LOUDON 37853 BLOUNT 37922 63 37772 37928 56 Other Areas 131 7 7 7

  8. Heatmap 2019 Historical Utilization by Zip Codes in Knox County for NMC CAMPBELL 1. East Tennessee Children’s UNION Hospital 37705 37769 2. Fort Sanders Regional GRAINGER 37807 Medical Center 75 37709 3. Parkwest Medical Center KNOX KNOX 4. Tennova-North 37716 37721 37938 37754 11W Knoxville Hospital 37806 37918 5. Tennova-Turkey Creek JEFFERSON v 4 Hospital 37871 37849 640 ANDERSON 37924 6. University of Tennessee 37912 Knoxville Medical Center 37917 37931 37874 37914 37921 37915 7. Tennova FSED 2 ROANE 1 37902 37916 37909 8. Tennova-Physicians 5 37923 37932 6 Regional Medical Center 37919 37920 SEVIER 3 (CLOSED) 40 37934 37922 129 9. Dowell Springs LOUDON Behavioral Health 37853 BLOUNT 7. Tennova FSED 37772 10.Knoxville Center for Behavioral Health 8 8 8

  9. GRAINGER 37807 Urgent Care Centers in Knox County 37709 37716 KNOX 37721 37938 37754 Urgent Care 1. East Tennessee Children’s 11W Hospital 75 37806 37918 2. Fort Sanders Regional JEFFERSON Medical Center 4 37871 3. Parkwest Medical Center 37849 640 37924 ANDERSON 4. Tennova-North 37912 Knoxville Knoxville Hospital 37917 37931 37874 37914 5. Tennova-Turkey Creek v 37921 37915 Hospital 37902 37916 37909 6. University of Tennessee Medical Center 37923 37932 37919 7. Tennova FSED SEVIER 37920 40 8. Tennova-Physicians Regional Medical Center 37934 37922 129 (CLOSED) LOUDON BLOUNT 37853 9. Dowell Springs Behavioral Health 7. Tennova FSED 37772 10.Knoxville Center for Behavioral Health 9 9 9

  10. ED Locations and Urgent Cares GRAINGER 37807 Servicing Knox County 37709 37716 KNOX 37721 37938 37754 Urgent Care 1. East Tennessee Children’s 11W Hospital 75 37806 37918 2. Fort Sanders Regional JEFFERSON Medical Center 4 37871 3. Parkwest Medical Center 37849 640 37924 ANDERSON 4. Tennova-North 37912 Knoxville Knoxville Hospital 37917 37931 37874 37914 5. Tennova-Turkey Creek v 37921 37915 Hospital 2 1 37902 37916 37909 6. University of Tennessee 5 Medical Center 37923 37932 6 37919 7. Tennova FSED SEVIER 37920 3 40 8. Tennova-Physicians Regional Medical Center 37934 37922 129 (CLOSED) LOUDON BLOUNT 37853 9. Dowell Springs Behavioral Health 7. Tennova FSED 37772 10.Knoxville Center for Behavioral Health 10 10 10

  11. Zoom in of the ED Locations GRAINGER 37807 Servicing Knox County 37709 37716 KNOX 37721 37938 37754 1. East Tennessee Children’s 11W Hospital 75 37806 37918 2. Fort Sanders Regional JEFFERSON Medical Center 4 37871 3. Parkwest Medical Center 37849 640 37924 ANDERSON 8 4. Tennova-North 37912 Knoxville Knoxville Hospital 37917 37931 37874 37914 5. Tennova-Turkey Creek v 37921 37915 Hospital 2 1 37902 37916 37909 6. University of Tennessee 5 Medical Center 37923 37932 6 37919 7. Tennova FSED SEVIER 37920 3 40 8. Tennova-Physicians Regional Medical Center 37934 37922 129 (CLOSED) LOUDON BLOUNT 37853 7. Tennova FSED 37772 11 11 11

  12. Fort Sanders ED Expansion – March 2020 BEFORE 18,000 Sq. Ft. 28 rooms AFTER 43,600 Sq. Ft. 53 rooms OTHER ENHANCEMENTS  Dedicated entrances for public and ambulance  Waiting room for 80  Dedicated space for mental health patients 12

  13. Fort Sanders & Parkwest ED Metrics ED Door to Physician Median Wait Time Parkwest 19 minutes PWMC Medical 27 minutes Center Fort Sanders 21 minutes FSRMC Regional 28 minutes Medical Center EMS Median Wait Times Parkwest 13 minutes PWMC Medical 20 minutes Center Fort Sanders 14 minutes FSRMC Regional 30 minutes Medical Center 4 th Quarter 2019 2 nd Quarter 2020 13

  14. Fort Sanders and Parkwest Emergency Department Utilization Rooms Visits (2019) Visits/RM 28 51,578 1,843 Fort Sanders Regional Medical Center 53 51,578 978 Parkwest Medical 39 48,347 1,240 Center 28 51,578 1,843 FSRMC 53 (3/20) 51,578 978 FSRMC 39 48,347 1,240 PWMC 14

  15. GRAINGER 37807 New Mental Health Hospitals 37709 37716 KNOX 37721 37938 37754 1. East Tennessee Children’s 11W Hospital 75 37806 37918 2. Fort Sanders Regional JEFFERSON Medical Center 4 37871 3. Parkwest Medical Center 37849 640 37924 ANDERSON 4. Tennova-North Knoxville 37912 Knoxville Hospital 37917 37931 37874 37914 10 5. Tennova-Turkey Creek v 37921 37915 Hospital 2 1 9 37902 37916 37909 6. University of Tennessee 5 Medical Center 37923 37932 6 37919 7. Tennova FSED SEVIER 37920 3 40 8. Tennova-Physicians Regional Medical Center 37934 37922 129 (CLOSED) LOUDON BLOUNT 37853 9. Dowell Springs Behavioral Health 7. Tennova FSED 37772 10.Knoxville Center for Behavioral Health 15 15 15

  16. Zoom in of the ED Locations GRAINGER 37807 Servicing Knox County 37709 37716 KNOX 37721 37938 37754 1. East Tennessee Children’s 11W Hospital 75 37806 37918 2. Fort Sanders Regional JEFFERSON Medical Center 4 37871 3. Parkwest Medical Center 37849 640 37924 ANDERSON 8 4. Tennova-North 37912 Knoxville Knoxville Hospital 37917 37931 37874 37914 5. Tennova-Turkey Creek v 37921 37915 Hospital 2 1 37902 37916 37909 6. University of Tennessee 5 Medical Center 37923 37932 6 37919 7. Tennova FSED SEVIER 37920 3 40 8. Tennova-Physicians Regional Medical Center 37934 37922 129 (CLOSED) LOUDON BLOUNT 37853 7. Tennova FSED 37772 16 16 16

  17. A Freestanding Emergency Department Not an Alternative 17

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