Community Health Systems

Description Why Join Us? Be Valued for What You Bring to the Team - Competitive pay that rewards your hard work Benefits You Can Count On - Medical, dental, vision, and life insurance coverage Work Hard. Recharge Often. - Generous PTO and extended illness benefits Invest in Your Future - 401(k) with company match Grow With Us - Career development, learning opportunities, and advancement pathways We Invest in Your Success - Licensure and certification reimbursement for eligible roles Student Loan Support - Assistance available for eligible roles Your Wins Deserve Recognition - Employee rewards and recognition programs A Team You'll Love Working With - A collaborative, purpose-driven culture making a difference every day Additional Voluntary Benefits - Choose from options such as pet insurance, identity protection, and legal insurance. Great people. Great benefits. Meaningful work. Join us and make an impact. Job Summary The Customer Service Representative is responsible for handling customer inquiries, resolving issues, and providing a positive service experience across multiple communication channels, including phone, email, chat, and in-person interactions. This role requires strong problem-solving skills, professionalism, and attention to detail to ensure timely resolution of customer concerns while maintaining high service standards. Essential Functions Responds to customer inquiries via phone, email, live chat, and written correspondence, ensuring a courteous and professional interaction. Handles inbound calls from both internal and external customers, creating service cases and documenting all interactions accurately. Demonstrates empathy and active listening skills to understand customer concerns and provide appropriate resolutions. Researches and resolves customer complaints, billing issues, and service-related concerns in accordance with company policies and procedures. Accurately updates and maintains customer records and case notes in the system, ensuring complete documentation of issues and resolutions. Works collaboratively with internal departments to escalate and resolve complex issues, ensuring a seamless customer experience. Provides appropriate solutions and alternatives within service timeframes, following up to ensure issue resolution and customer satisfaction. Meets and maintains productivity and service quality standards, ensuring efficiency in handling customer interactions. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications Associate Degree or coursework in Business, Communications, or a related field preferred 1-2 years of experience in customer service, call center, or administrative support required Knowledge, Skills and Abilities Working knowledge of Google Suite, ServiceNow or similar ticketing platform, soft phone software, willingness to learn enterprise wide (ERP) such as Oracle or similar. Strong verbal and written communication skills, ensuring clear and professional interactions. Ability to handle high call volumes and multi-task across different customer service platforms. Strong problem-solving skills with the ability to resolve customer concerns efficiently and effectively. Proficiency in customer service software, CRM systems, and Microsoft Office applications. Ability to remain calm and professional in high-stress situations while de-escalating customer concerns. Strong attention to detail in data entry, documentation, and customer interactions. Ability to work independently and as part of a collaborative team in a fast-paced environment. This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for an employer.

Nephrology Physician Opportunity North Knoxville Medical Center Powell, Tennessee North Knoxville Medical Center is partnering with a well-established, thriving nephrology practice to recruit a Board Certified or Board Eligible Nephrologist to join the team following the retirement of a senior partner. This is an outstanding opportunity to step into a busy practice with a built-in patient base , strong hospital support, and a clear partnership track . Practice Highlights Currently 2 Physicians with a goal to grow to 3 4 Physicians 3 experienced Nurse Practitioners providing strong clinical support Collegial, patient-centered culture with an excellent referral base Coverage includes: 3 hospitals Multiple dialysis clinics 2 office locations Call rotation: 1 in 3 Partnership track available after 1 year Compensation & Benefits Competitive MGMA-guided compensation model with wRVU incentives Relocation allowance 401(k) with up to 4% match + profit sharing Paid health insurance and malpractice coverage Generous vacation time Comprehensive health, dental, and vision benefits PTO included This is a rare chance to join a stable, respected nephrology practice with strong institutional support, excellent earning potential, and an unbeatable East Tennessee lifestyle. About the Hospital Tennova - North Knoxville Medical Center is a 219-bed acute care hospital serving Powell and the greater Knoxville area. The hospital provides 24/7 emergency care, inpatient and outpatient services, diagnostic imaging, and access to oncology and women's imaging services. The facility emphasizes patient comfort, privacy, and efficient care delivery. Community Knoxville is located near the Great Smoky Mountains and offers a blend of small-town charm and metropolitan amenities. The city provides strong employment opportunities, cultural attractions, outdoor recreation, and access to higher education, making it an attractive place to live and work.

Birmingham Musculoskeletal ASC in Birmingham, AL is seeking experienced CRNA's to join our anesthesia team. This location will have 4-Main ORs and 2 Procedural Rooms. Schedule M-F 7a-3p No call/weekends Employment opportunity W2 or 1099 Malpractice Coverage Orthopedic cases Competitive financial package: $220k annually based on 40 hours per week 1099 option available 8 weeks vacation time Comprehensive Benefits Package including 401K CME allowance Please reach out to Brooke Grosse, Anesthesia Recruiter for more details at or . Birmingham, AL Birmingham has been named one of the most affordable cities and is the largest city in Alabama. The city offers a comfortable climate nearly year-round. Birmingham attracts outdoor advocates to play golf, bike, hike and mountain climb. Birmingham also offers a great restaurant and nightlife scene. About the Hospital Grandview Medical Center is a 434-bed tertiary care hospital serving Birmingham and surrounding communities. The hospital provides comprehensive medical and surgical services, including cardiology, oncology, neurology, robotic surgery, women's health, mental health, digestive diseases, geriatrics, rehabilitation, sports medicine, and emergency care. Grandview Medical Center is supported by a large medical staff representing a wide range of specialties and subspecialties. Community The Birmingham metropolitan area sits in the foothills of the Appalachian Mountains and serves a seven-county region with a population of over one million. Birmingham offers a diversified economy, affordable housing, nationally recognized schools, and extensive cultural and recreational amenities. Attractions include the Birmingham Botanical Gardens , Birmingham Zoo , Ruffner Mountain Nature Center , and the Robert Trent Jones Golf Trail .

PRN CRNA Opportunity Bluffton Regional Hospital (Bluffton, IN) Description: Bluffton Regional Hospital is seeking a PRN CRNA to provide weekday coverage (Monday Friday) with no call responsibilities. This flexible, as-needed role offers competitive hourly compensation and the choice of W2 or 1099 employment. All malpractice insurance is provided. Position Highlights: $200/hour PRN rate Flexible scheduling (weekdays only) No call, nights, or weekends W2 or 1099 employment options Malpractice insurance covered Join a supportive team in a community-focused hospital committed to providing high-quality care in northeastern Indiana. Please reach out to Brooke Grosse at call/text at . About the Hospital Bluffton Regional Medical Center is a 40-bed acute care hospital serving Wells County and surrounding areas in northeastern Indiana. A member of Lutheran Health Network , which is owned by subsidiaries of Community Health Systems, the hospital provides inpatient and outpatient care, emergency services, medical and surgical services, diagnostic imaging, rehabilitation, and women's services. Bluffton Regional is accredited by The Joint Commission. Community Bluffton offers a safe, family-oriented environment with strong schools, affordable housing, and nationally recognized parks and recreation programs. Located about 30 minutes south of Fort Wayne , residents benefit from access to cultural, dining, and sports amenities while enjoying a small-town lifestyle. The cost of living is below the national average, making the area attractive for families and professionals alike.

Gadsden Surgery Center, the ultimate Multi-Specialty Ambulatory Surgery Center, is on the lookout for a Certified Registered Nurse Anesthetist (CRNA) to join our team. About Us : Gadsden Surgery Center is not your average workplace we handle it all from Gastroenterology, Orthopedics, General Surgery, ENT, Podiatry, Ophthalmology, and Pain Management. We're all about delivering top-notch patient care while having a blast doing it. Schedule/Shifts: PRN - 8 hours- no weekends, no holiday, no call- just the way you like it! Outpatient Surgery, Orthopedic Anesthesia Team Vibe : Work alongside the dream team of 1 Medical Director Anesthesiologist to 4 CRNAs. 100% of the time you will be directed by the Anesthesiologist. About the Area : Gadsden, Alabama is a lifestyle- only 60 miles outside of Birmingham, and 90 miles outside of Chattanooga. Dive into a charming downtown, kick back by Lake Neely Henry, and explore the Appalachian Mountains. Whether you're into historic districts, family-friendly neighborhoods, or wide-open spaces including acreage or farmland, Gadsden has it all. Qualifications: Current CRNA certification or in the process of obtaining your certification. Must have your AL license-or able to obtain this by your start date. New graduates? Yes! Compensation/Benefits : W2 or 1099 options Malpractice-Paid Joining Gadsden Surgery Center promises to be a professional endeavor marked by excellence. Please contact Brooke Grosse at or for additional information and/or consideration. About the Hospital Gadsden Regional Medical Center is a 346-bed acute care hospital located in Gadsden, Alabama, approximately 60 miles northeast of Birmingham. The hospital offers a broad range of services, including emergency care, cardiology and cardiac surgery, cancer care, women's and children's services, and inpatient and outpatient surgical services across multiple specialties. Gadsden Regional serves as a major healthcare provider for Etowah County and the surrounding region. Community Gadsden is situated along the Coosa River in northeast Alabama and offers outdoor recreation such as fishing, boating, hiking, and golf. Located within a few hours of Birmingham, Atlanta, and Nashville, the city combines natural beauty with historic downtown dining and cultural attractions.

Northwest Healthcare is seeking a Board Eligible/Board Certified Interventional Cardiologist to join our thriving cardiology team at Northwest Medical Center in beautiful Tucson, Arizona. This is a full-time, hospital-employed position within a physician-driven team committed to clinical excellence and patient-centered care. Key Facts About the Role: Hospital-employed, full-time position (no locums or part-time) Join an established, collaborative group of 8 physicians and 1 advanced practice provider Well-supported by independent community providers and an established referral base of 100+ employed physicians High procedural volume across interventional cardiology, including high-complexity PCI and structural interventions STEMI call coverage required, currently on a 1:3 rotation, shifting to 1:4 1:5 with additional hires, supported by CTS backup Resident and medical student teaching opportunities available Research opportunities available for physicians with academic or investigative interests Office space conveniently located adjacent to the hospital Physician outreach and marketing support provided to help establish and grow your practice Northwest Medical Center Cardiac Program Highlights Full spectrum of cardiovascular care, including diagnostic and interventional catheterizations, pacemaker/ICD implantation, and advanced structural procedures such as TAVR Accredited Chest Pain Center with Primary PCI, ensuring rapid, high-quality care for acute coronary events Arizona Cardiac Receiving Center designation, reflecting adherence to state cardiac care protocols Multiple interventional labs , including hybrid suite and newly renovated cath lab , supporting high procedural volume and complex cases Dedicated cardiovascular ICU with specialized nursing and support staff for post-surgical and high-acuity patients Strong procedural support team enabling efficient workflow and robust case exposure Qualifications: Completion of an Interventional Cardiology Fellowship Board Certified or Board Eligible in Cardiology with residency and fellowship training completed in the United States New graduates welcome to apply No visa sponsorship available at this location Competitive Benefits Package May Include: Generous base compensation with bonus incentives Commencement bonus Fellowship stipend (if applicable) Relocation assistance Medical loan repayment allowance Malpractice coverage Comprehensive health benefits with 401(k) Annual CME allowance with dedicated CME days Referral bonuses At Northwest Healthcare, we are committed to advancing heart care , supporting our physicians, and making a lasting difference in the health of Southern Arizona. Contact for more information! About the Hospital Northwest Medical Center is a 287-bed acute care hospital serving northwest Tucson and surrounding communities. The hospital provides comprehensive inpatient and outpatient services, including emergency care, surgical services, cardiology, women's health, diagnostic imaging, rehabilitation services, and specialty care. As a long-standing healthcare provider in southern Arizona, Northwest Medical Center plays a central role in delivering coordinated care across the region in collaboration with affiliated hospitals, urgent care centers, surgery centers, and physician practices. Community Northwest Tucson and the nearby Oro Valley offer a high quality of life with more than 300 days of sunshine annually , access to the Sonoran Desert, and abundant outdoor recreation, including hiking, biking, and golf. The area features cultural events, shopping districts, higher education institutions such as The University of Arizona , and a diverse culinary scene. Strong schools, affordable housing, and a growing economy make the region attractive for families and professionals.

Certified Registered Nurse Anesthetist (CRNA) Flowers Hospital is seeking a Certified Registered Nurse Anesthetist (CRNA) to join our anesthesia team. This is an excellent opportunity for both experienced providers and new graduates looking for a supportive environment with competitive compensation and flexible scheduling. Position Highlights: Location: Flowers Hospital - Dothan, Alabama Schedule: Flexible scheduling (40 hours/week) or PRN Compensation: Starting at $215,000+ annually (based on experience) 1099 Option: $150/hour with malpractice coverage Relocation Assistance Available Loan Reimbursement: $75k s tudent loan assistance for 3 years Student Stipend Program: Available during the last 18 months of program. 8 weeks vacation time Annual CME: $2k for W-2 CV Additional Pay Procedures Covered As a CRNA at Flowers Hospital, you will provide anesthesia services for a wide range of cases, including: General Surgery Orthopedic Surgery Urology Cardiothoracic & Vascular Surgery Requirements: Graduate of an accredited Nurse Anesthesia Program - Doctoral level Active RN and CRNA licensure in the state of Alabama (or eligibility to obtain) NBCRNA Certification required BLS, ACLS, and PALS certification New graduates are welcome to apply Why Flowers Hospital? Flowers Hospital is a 235-bed facility serving Dothan and the tri-state area of south Alabama, southwest Georgia, and northwest Florida . With 1,300+ healthcare professionals , we are committed to delivering exceptional patient care and outcomes . Join Our Team! If you're a motivated and compassionate physician looking for a rewarding hospitalist career, we invite you to apply. Join our dedicated team and make a meaningful impact on patient care. Contact: Brooke Grosse Anesthesia Recruiter Community Health Systems Franklin, TN 37067 Call, text, or email Apply today and take the next step in your CRNA career at Flowers Hospital! About the Hospital Flowers Hospital is a 235-bed acute care regional medical center located in Dothan, Alabama, serving patients across the Wiregrass region of southeast Alabama, southwest Georgia, and northwest Florida. The hospital provides comprehensive services, including 24-hour emergency care, intensive care, inpatient and outpatient surgery, diagnostic services, behavioral health, physical therapy and sports medicine, women's services, maternity care, and nutritional counseling. Flowers Hospital has a long-standing role as a regional referral center and is supported by a broad medical staff representing multiple specialties. Community Dothan is located near the Alabama-Florida-Georgia border and is one of the most progressive cities in the Wiregrass region. The community offers a mild climate, affordable housing, low property taxes, and access to healthcare, education, shopping, and cultural amenities. Local attractions include the Dothan Area Botanical Gardens , outdoor recreation, and a growing regional economy.

Join Mountain View Regional Medical Center as a PRN CRNA Overview: Mountain View Regional Medical Center is seeking dedicated and collaborative CRNAs to join our team. Work independently to the top of your license in a collegial environment that prioritizes inter-professional collaboration for optimal patient care. Our team comprises 17 CRNAs and 5 anesthesiologists committed to professional growth and development. Compensation and Benefits: -W-2 or 1099 Rate $200/hour Role and Responsibilities: - Work with excellent surgeons and a top-notch OR team in a supportive environment that values CRNAs - Opportunity for OB and Cardiac only practice - Practice independently and work to the top of your license Why Join Us? - Experience a collaborative and supportive work environment with a strong emphasis on professional growth and development - Benefit from a work culture that values CRNAs and supports professional development - mentorship for new employees to upskill and learn regional blocks and lines. Requirements: - NBCRNA Certification (or in the process of certification) - Valid New Mexico license - Current ACLS and PALS certifications - No subspecialty required About Las Cruces, NM: Las Cruces offers an exceptional quality of life with 350 days of sunshine yearly. Residents enjoy a variety of outdoor activities and vibrant cultural experiences, including: - Proximity to mountains for skiing, hiking, and mountain biking - Nearby reservoirs for boating and fishing - Renowned sites for bouldering and rock climbing - An exciting culinary scene featuring farm-to-table restaurants - Family-friendly resorts and an excellent retirement community - Local wineries and desert golf courses - Historic national monuments and cultural attractions Las Cruces is conveniently located just 45 minutes from an international airport and a metropolitan area, making it easy to travel and explore. Application: To apply for this exciting opportunity to advance your career and enjoy a fulfilling lifestyle in Las Cruces, NM, please submit your CV to Brooke Grosse at for additional information and/or consideration. About the Hospital MountainView Regional Medical Center is a 168-bed acute care hospital located in Las Cruces, New Mexico. Accredited by The Joint Commission, the hospital provides 24-hour emergency care, cardiac services, women's health, intensive care, inpatient and outpatient surgery, rehabilitation services, wound care, diagnostic imaging, pain management, and diabetes education programs. Community Las Cruces is a growing community in southern New Mexico, surrounded by mountains and desert landscapes. Residents enjoy outdoor recreation, including hiking, skiing, boating, and water sports, as well as mild seasonal weather. Located near major highways and approximately 45 minutes from El Paso International Airport , Las Cruces offers convenient travel access, good schools, and a growing business base.

Physicians Regional Medical Center Collier Blvd is seeking an experienced Nurse Practitioner (NP) or Physician Assistant (PA) to join our growing orthopedic team in beautiful Naples, Florida. This is an excellent opportunity to work in a collaborative, outpatient-focused practice alongside two experienced Orthopedic Surgeons specializing in General Orthopedics. The ideal candidate has orthopedic experience, prefers a 100% outpatient practice, and values patient-centered care and teamwork. Position Highlights Outpatient practice based on the Collier hospital campus and adjacent medical office building Collaborate with two Orthopedic Surgeons specializing in General Orthopedics Evaluate and manage orthopedic patients across the continuum of care Conduct follow-up visits and provide pre- and post-operative care Educate patients and families on treatment plans and recovery Coordinate patient care with the multidisciplinary orthopedic team No call coverage required Monday Friday daytime schedule, promoting an excellent work-life balance Qualifications Board Certified Nurse Practitioner or Physician Assistant; two (2) or more years of experience in an NP or PA role preferred. Previous clinical experience in orthopedic care preferred Strong clinical assessment, communication, and patient management skills Ability to work independently while collaborating effectively with physicians and the care team Comprehensive Financial Package May Include Competitive salary Health, dental, and vision insurance 401(k) with employer match About the Hospital Physicians Regional Healthcare System - Collier Boulevard, a 130-bed hospital, is one of two hospital campuses that make up Physicians Regional Healthcare System in Naples, Florida. The Collier Boulevard campus provides inpatient and outpatient medical services and works in coordination with the Pine Ridge campus to deliver comprehensive healthcare services to residents and visitors throughout Southwest Florida. Together, the two campuses expand access to care and offer complementary services across the Naples region. Community Naples is one of the fastest-growing communities in Southwest Florida and is known for its Gulf Coast beaches, world-class dining, shopping, cultural amenities, and extensive golf offerings. Residents enjoy access to the Everglades, arts and cultural events, and a lifestyle that blends small-town charm with metropolitan conveniences.

Tennova Healthcare is seeking an experienced Gastroenterology Physician Assistant to join our growing team in Jefferson City, Tennessee . This hospital-employed opportunity offers a collaborative practice environment, a balanced mix of outpatient and inpatient care, and a predictable weekday schedule that supports an excellent work-life balance. Position Highlights Hospital-employed position Mix of outpatient clinic and inpatient rounding No after-hours call responsibilities Monday Friday schedule with daytime hours only Join a supportive team dedicated to delivering exceptional gastrointestinal care Prior Physician Assistant experience required Gastroenterology experience is strongly preferred Comprehensive Compensation & Benefits Tennova Healthcare offers a competitive compensation package that may include: Competitive guaranteed salary Commencement bonus Relocation assistance Student loan repayment assistance Paid CME with dedicated CME allowance Generous paid vacation Comprehensive health, dental, and vision insurance 401(k) retirement savings plan If you're an experienced Physician Assistant seeking a rewarding opportunity in gastroenterology with a respected healthcare system, we'd love to hear from you. Join Tennova Healthcare and make a meaningful impact while enjoying a supportive team environment and an outstanding quality of life in East Tennessee.

Non-Invasive Cardiologist - Established, High-Demand Practice - Natchez, MS Merit Health Natchez, the region s trusted leader in advanced cardiovascular care, is seeking a Board Certified/Board Eligible Non-Interventional Cardiologist to join a thriving, well-established cardiology program serving a multi-county referral base across Mississippi and Louisiana. This is a rare opportunity to walk into an established, high-demand practice with strong institutional support and a clear growth strategy. Why This Opportunity Stands Out Step into an established cardiology service line with a robust referral network and significant regional demand. Flexible Candidate Profile Open to 2026/2027 Cardiology Fellows Welcoming experienced Cardiologists J-1 waiver support available for 2027 candidates Must be American Board Eligible or Board Certified Compensation & Benefits We offer a highly competitive recruitment package designed to support both your career and lifestyle: Competitive base salary with strong earning potential Fellowship stipend (for physicians still in training) Relocation assistance Comprehensive benefits package CME allowance, dues, and subscriptions Licensing and board certification fee support Here, you can build a meaningful practice while enjoying the quality of life that larger metro areas often can t provide. Kristy Tigner at or About the Hospital Merit Health Natchez is a 179-bed licensed acute care hospital in Natchez, Mississippi, serving southwest Mississippi and the surrounding region. The hospital provides emergency care, inpatient and outpatient services, surgical care, diagnostic imaging, heart and vascular services, women's health, rehabilitation, and outpatient clinics. Accredited by The Joint Commission, Merit Health Natchez delivers quality, community-focused care close to home. Community Natchez, Mississippi is a historic riverfront community overlooking the Mississippi River, known for its preserved antebellum homes, vibrant festivals and rich Southern heritage. As one of the oldest cities on the river, Natchez blends history with small-town charm. Residents enjoy scenic views, local arts and music, outdoor recreation and a relaxed lifestyle, with convenient access to Louisiana and regional hubs.

Interventional Cardiologist - Thriving Practice on the Mississippi River - Natchez, MS Merit Health Natchez, the region s trusted leader in advanced cardiovascular care, is seeking a Board Certified/Board Eligible Interventional Cardiologist to join a thriving, well-established cardiology program serving a multi-county referral base across Mississippi and Louisiana. This is a rare opportunity to walk into an established, high-demand practice with strong institutional support and a clear growth strategy. Why This Opportunity Stands Out Step into an established cardiology service line with a robust referral network and significant regional demand. Program Expansion & Growth Vision Interventional procedures are currently performed at Merit Health River Region in Vicksburg, with strategic plans underway to develop a cath lab in Natchez - offering you the opportunity to help shape and grow the program locally. Flexible Candidate Profile Open to 2026/2027 Interventional Cardiology Fellows Welcoming experienced Interventional Cardiologists J-1 waiver support available for 2027 candidates Must be American Board Eligible or Board Certified Compensation & Benefits We offer a highly competitive recruitment package designed to support both your career and lifestyle: Competitive base salary with strong earning potential Fellowship stipend (for physicians still in training) Relocation assistance Comprehensive benefits package CME allowance, dues, and subscriptions Licensing and board certification fee support Kristy Tigner at About the Hospital Merit Health Natchez is a 179-bed licensed acute care hospital in Natchez, Mississippi, serving southwest Mississippi and the surrounding region. The hospital provides emergency care, inpatient and outpatient services, surgical care, diagnostic imaging, heart and vascular services, women's health, rehabilitation, and outpatient clinics. Accredited by The Joint Commission, Merit Health Natchez delivers quality, community-focused care close to home. Community Natchez, Mississippi is a historic riverfront community overlooking the Mississippi River, known for its preserved antebellum homes, vibrant festivals and rich Southern heritage. As one of the oldest cities on the river, Natchez blends history with small-town charm. Residents enjoy scenic views, local arts and music, outdoor recreation and a relaxed lifestyle, with convenient access to Louisiana and regional hubs.

Job Description Lake Granbury Medical Center is seeking a Board Eligible/Board Certified Family Medicine Physician to join an established outpatient clinic in Glen Rose, Texas. Position Highlights: Hospital employed position Practice name is Lakeside Physicians 100% outpatient primary care, no OB available 4 day work week available Clinic has a strong community reputation with a loyal patient base Experience with APP supervision is a huge plus! Access to a full range of specialists within the healthcare systems Robust onboarding and outreach support with strong clinical staff High-volume patient panel Office space available Share phone-only call schedule Must be board-certified or board-eligible and have completed U.S. residency training No visa support is available at this location Texas has no state income tax - keep more of what you earn! Comprehensive Compensation & Benefits Package May Include: Generous base salary plus bonus incentives Relocation assistance and commencement bonus Residency stipend for qualifying candidates Full malpractice coverage Comprehensive health benefits package including 401(k) Paid CME time with annual allowance Paid time off (PTO)