FORT SANDERS PERINATAL CENTER: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- FORT SANDERS PERINATAL CENTER (EIN 04-3760551)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-13
- IRS object ID
- 202403189349305890
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-13T12:41:46-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043760551 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fort Sanders Perinatal Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FORT | BusinessNameControlTxt |
| Phone | 8653745329 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1420 Centerpoint Blvd Bldg C | AddressLine1Txt |
| City | Knoxville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 379321960 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Joseph C Dolan | PersonNm |
| Person Title | EVP/CFO | PersonTitleTxt |
| Phone | 8653746872 | PhoneNum |
| Signature | 2024-11-13 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | James D VanderSteeg | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 244 Ft Sanders W Blvd | AddressLine1Txt |
| City | Knoxville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37922 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,145,963 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://www.covenanthealth.com/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | Fort Sanders Perinatal Center works closely with the women's services department at Fort Sanders Regional Medical Center providing comprehensive obstetrical services to women, including women with high-risk pregnancies. Fort Sanders Perinatal Center is located in the Fort Sanders community of downtown Knoxville, Tennessee, and is a member of the Covenant Health system. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 21 | VotingMembersIndependentCnt |
| Total Employee | 216 | TotalEmployeeCnt |
| Total Volunteers | 21 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,937,422 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,400,131 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $22,048,887 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $28,342,276 | CYProgramServiceRevenueAmt |
| PY Investment Income | $328,620 | PYInvestmentIncomeAmt |
| CY Investment Income | $403,556 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $24,314,929 | PYTotalRevenueAmt |
| CY Total Revenue | $30,145,963 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $131 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,168,272 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,822,217 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,707,147 | PYOtherExpensesAmt |
| CY Other Expenses | $4,901,723 | CYOtherExpensesAmt |
| PY Total Expenses | $23,875,419 | PYTotalExpensesAmt |
| CY Total Expenses | $28,724,071 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $439,510 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,421,892 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,153,580 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,928,879 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,074,436 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,953,320 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$3,920,856 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$5,024,441 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Fort Sanders Perinatal 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $27,728,621 | ExpenseAmt |
| Grant | $131 | GrantAmt |
| Revenue | $28,342,276 | RevenueAmt |
| Desc | Fort Sanders Perinatal Center (the "Center") provides a full range of quality healthcare services to women in East Tennessee. The Center specializes in providing obstetrical care to women with high risk and complicated pregnancies, as well as routine obstetrical/gynecological services to the area. For the last 25 years, the Center has provided comprehensive high-risk pregnancy services and delivered over 26,000 high-risk babies at Fort Sanders Regional Medical Center ("FSRMC"). The main office is located at FSRMC with additional offices in West Knoxville, Morristown and Sevierville, Tennessee, to ensure access to OB/GYN care and high-risk pregnancy services without the need to travel to downtown Knoxville.The Center partners with East Tennessee Children's Hospital ("ETCH") to provide complete care for women and their babies. Through our collaboration with the neonatologists at ETCH, we can provide emergent care and medical services for infants, including a neonatal intensive care unit, neonatologists and a comprehensive newborn nursery.The Center provides care to those in need regardless of method of payment or ability to pay. During 2023, 45% of the Center's patients were covered by TennCare, Tennessee's Medicaid program, under which costs exceed reimbursement. In 2023, the Center had 115,982 office visits and performed 3,196 deliveries.SERVICEThe Centers' OB/GYN specialists participate with deliveries at FSRMC and receive transports from other hospitals in the area with pregnant patients experiencing a complication requiring a higher level of care.Multiple gestations, advanced maternal age, or pregnancies experiencing problems with the fetus are considered to be high-risk pregnancies. In addition, medical conditions such as diabetes, hypertension, obesity, or other medical or genetic conditions can create complications relating to pregnancy and delivery. The Center physicians use a team approach for all patients that includes a combination of Sonographers, Nurse Practitioners, Genetic Counselors, Diabetes Educators and Perinatologists. Prenatal screening and diagnostic testing is performed to evaluate the health of babies in utero and checks for birth defects. While most babies are born healthy, a small number (1%) are born with major birth defects, and 3 to 4% are born with birth defects that may be caused by genetic, environmental or other factors. Three genetic counselors are available to provide guidance about different screening and diagnostic testing options unique to the mothers' needs. Our genetic counselors have master's degrees in genetic counseling, are licensed by the State of Tennessee Division of Health Related Boards, and are certified by the American Board of Genetic Counseling. They have extensive knowledge in human genetics, genetic disease, patterns of inheritance and birth defects. They also are trained in counseling skills to help deal with critical decision-making and the emotional effects of a genetic disease. High-resolution ultrasounds are performed by a team of sonographers who have experience ranging from 5 to 30 years in obstetric imaging and are certified by the American Registry of Diagnostic Medical Sonographers. This certification is not required for all sonographers, but the team at Fort Sanders Perinatal Center is dedicated to expertise in women's health by maintaining required and elective certifications and staying informed of the latest advances in imaging techniques.In addition, our sonographers have specialized training and certification for early detection of chromosome anomalies and fetal anatomical abnormalities using a procedure known as Fetal Nuchal Translucency/Nasal Bone Assessment. This first trimester ultrasound is performed at approximately 12 weeks of pregnancy. They also are certified to perform Maternal Cervical Assessment to aid in prevention of early delivery and miscarriage that otherwise may not be detected.Our team was the first obstetrical ultrasound department in Knoxville to be accredited by the American Institute of Ultrasound in Medicine ("AIUM") in 1996. This is important because AIUM develops educational guidelines and protocols in imaging for medical professionals that ensures our sonographers and physicians are performing obstetrical ultrasound techniques above and beyond the standard of care. We are currently one of the largest maternal fetal medicine imaging labs in East Tennessee.Many women develop gestational diabetes during pregnancy and require diabetes counseling. This occurs when a hormone made by the placenta keeps the body from using the insulin as it should. Blood sugar (glucose) then builds up in the blood instead of being absorbed by the cells in the body. Diabetes educators employed by the Center help with pregnancies complicated by diabetes or nutritional deficiencies. COVENANT HEALTHFort Sanders Perinatal Center is a member of Covenant Health. Covenant Health is a community-owned, clinically integrated healthcare enterprise dedicated to being the region's premier healthcare network through service, community and innovation. Our mission is to improve the quality of life in our region through better health. 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 multiple times by Forbes. Covenant Health includes nine acute care hospitals in East Tennessee: Fort Sanders Regional Medical Center and Parkwest Medical Center in Knoxville, Methodist Medical Center of Oak Ridge, 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.Fort Sanders Perintal Center, 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. | Desc |
| Total Program Service Expenses | $27,728,621 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 17 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 216 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 21 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Andrew McCreary | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8653745329 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1420 Centerpoint Blvd Bldg C | AddressLine1Txt |
| City | Knoxville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 379321960 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Gerald Boyd | ||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $977 | $0 | ||
| Willard Campbell MD | ||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Michael Casey MD | ||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Ronni Chandler | ||||||||
| Fmr Director (through June 2023) | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Mitchell Dickson MD | ||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $796 | $0 | ||
| Stephanie Flood | ||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $808 | $0 | ||
| James Gibson | ||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,008 | $0 | ||
| Edgar Gray | ||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,054 | $0 | ||
| Leslye Hartsell | ||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,027 | $0 | ||
| Donald Hickman | ||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,498 | $0 | ||
| Timothy Matthews | ||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,196 | $0 | ||
| Janice McKinley | ||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,222 | $0 | ||
| Dave Miller | ||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,044 | $0 | ||
| Bill Myers | ||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Alvin Nance | ||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,044 | $0 | ||
| Linda Ogle | ||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| King Purnell | ||||||||
| Director/Chair | 0.00 | 1.00 | Yes (X) | $0 | $1,630 | $0 | Yes (X) | |
| Jorge Sanabria | ||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,234 | $0 | ||
| William Seale | ||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,321 | $0 | ||
| Cosby Stone | ||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,595 | $0 | ||
| Joe Sutter | ||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,462 | $0 | ||
| James Tramontana MD | ||||||||
| Director | 0.00 | 1.00 | Yes (X) | $0 | $1,196 | $0 | ||
| James D VanderSteeg | ||||||||
| President & CEO | 0.00 | 50.00 | Yes (X) | $0 | $2,762,691 | $352,568 | Yes (X) | |
| John T Geppi | ||||||||
| Fmr EVP/CFO (through June 2023) | 0.00 | 50.00 | $0 | $971,426 | $24,345 | Yes (X) | ||
| Joseph C Dolan | ||||||||
| EVP/CFO | 0.00 | 50.00 | $0 | $358,890 | $38,564 | Yes (X) | ||
| Keith N Altshuler | ||||||||
| President & CAO | 6.00 | 44.00 | $0 | $637,314 | $34,825 | Yes (X) | ||
| Brian J Lett | ||||||||
| VP - Financial Services | 8.00 | 42.00 | $0 | $204,058 | $28,943 | Yes (X) | ||
| Periclis Roussis MD | ||||||||
| Perinatologist | 50.00 | 0.00 | $1,597,751 | $0 | $40,780 | Yes (X) | ||
| Gary W Stephens MD | ||||||||
| Perinatologist | 50.00 | 0.00 | $1,172,063 | $0 | $40,514 | Yes (X) | ||
| Steven A Andrade MD | ||||||||
| High-risk OB/GYN | 50.00 | 0.00 | $1,035,803 | $0 | $53,799 | Yes (X) | ||
| F Robb McKeown III MD | ||||||||
| High-risk OB/GYN | 50.00 | 0.00 | $778,896 | $0 | $47,901 | Yes (X) | ||
| Danielle M Pipkin MD | ||||||||
| High-risk OB/GYN | 50.00 | 0.00 | $771,480 | $0 | $47,901 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,355,993 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,954,491 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $710,140 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 35 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Weatherby Locums Inc | |||||
| PO Box 972633 | Dallas | TX | 723972633 | Medical Services | $581,274 |
| JAC Consulting | |||||
| 4007 Meadowland Dr | Prospect | KY | 40059 | Consulting Services | $240,445 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $131 | RelatedOrganizationsAmt |
| All Other Contributions | $1,400,000 | AllOtherContributionsAmt |
| Noncash Contributions | $131 | NoncashContributionsAmt |
| Total Contributions | $1,400,131 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Revenue | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $28,342,276 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,342,276 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $28,342,276 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $403,556 | TotalRevenueColumnAmt |
| Exclusion | $403,556 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,145,963 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,342,276 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $403,556 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131 | TotalAmt |
| Program Services | $131 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,442,402 | TotalAmt |
| Program Services | $19,855,234 | ProgramServicesAmt |
| Management And General | $587,168 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $953,903 | TotalAmt |
| Program Services | $937,395 | ProgramServicesAmt |
| Management And General | $16,508 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,471,848 | TotalAmt |
| Program Services | $1,471,848 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $954,064 | TotalAmt |
| Program Services | $925,446 | ProgramServicesAmt |
| Management And General | $28,618 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,944 | TotalAmt |
| Management And General | $229,944 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,475,657 | TotalAmt |
| Program Services | $1,428,502 | ProgramServicesAmt |
| Management And General | $47,155 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,621 | TotalAmt |
| Management And General | $4,621 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186,743 | TotalAmt |
| Program Services | $128,927 | ProgramServicesAmt |
| Management And General | $57,816 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $848,704 | TotalAmt |
| Program Services | $846,995 | ProgramServicesAmt |
| Management And General | $1,709 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,215 | TotalAmt |
| Program Services | $35,952 | ProgramServicesAmt |
| Management And General | $263 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,199 | TotalAmt |
| Program Services | $89,199 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $393,778 | TotalAmt |
| Program Services | $393,778 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,371 | TotalAmt |
| Program Services | $262,371 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $539,849 | $539,849 | |
| Bad Debt | $349,164 | $349,164 | |
| Malpractice Expense | $231,000 | $231,000 | |
| Minor Equipment | $196,746 | $195,788 | $958 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,732 | TotalAmt |
| Program Services | $37,042 | ProgramServicesAmt |
| Management And General | $20,690 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,724,071 | TotalAmt |
| Program Services | $27,728,621 | ProgramServicesAmt |
| Management And General | $995,450 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $830 | BOYAmt |
| EOY | $830 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$261,091 | BOYAmt |
| EOY | -$130,155 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $879,580 | BOYAmt |
| EOY | $1,096,486 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,479 | BOYAmt |
| EOY | $101,744 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,818,989 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,268,955 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,651,843 | BOYAmt |
| EOY | $1,550,034 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,763,939 | BOYAmt |
| EOY | $8,309,940 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,153,580 | BOYAmt |
| EOY | $10,928,879 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,303,820 | BOYAmt |
| EOY | $7,631,662 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,770,616 | BOYAmt |
| EOY | $8,321,658 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,074,436 | BOYAmt |
| EOY | $15,953,320 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,920,856 | BOYAmt |
| EOY | -$5,024,441 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,920,856 | BOYAmt |
| EOY | -$5,024,441 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,153,580 | BOYAmt |
| EOY | $10,928,879 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,421,892 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$2,525,477 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,107,544 | OtherCostOrOtherBasisAmt |
| Depreciation | $831,610 | DepreciationAmt |
| Book Value | $275,934 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,711,445 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,437,345 | DepreciationAmt |
| Book Value | $1,274,100 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,550,034 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Long-Term Deferred Compensation | $8,238,722 |
| Operating Lease | $64,014 |
| Prepaid Expenses | $7,204 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $8,309,940 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Operating Lease | $64,014 |
| Long-Term Deferred Compensation | $8,238,722 |
| Due to Affiliates, Net | $18,922 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,321,658 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Excerpt from the consolidated audited financial statements of Covenant Health (Covenant), parent company to Fort Sanders Perinatal: 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, 2023 and 2022. As such, no interest or penalties were recognized in the consolidated financial statements related to unrecognized tax benefits. At December 31, 2023 and 2022, tax returns for 2020 through 2023 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, 2023 and 2022. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| James D VanderSteeg | ||||||||||||||
| President & CEO | $0 | $1,523,002 | $0 | $1,039,500 | $0 | $200,189 | $0 | $322,565 | $0 | $30,003 | $0 | $3,115,259 | $0 | $0 |
| Periclis Roussis MD | ||||||||||||||
| Perinatologist | $1,566,253 | $0 | $20,830 | $0 | $10,668 | $0 | $18,300 | $0 | $22,480 | $0 | $1,638,531 | $0 | $0 | $0 |
| Gary W Stephens MD | ||||||||||||||
| Perinatologist | $1,166,519 | $0 | $0 | $0 | $5,544 | $0 | $18,300 | $0 | $22,214 | $0 | $1,212,577 | $0 | $0 | $0 |
| Steven A Andrade MD | ||||||||||||||
| High-risk OB/GYN | $636,963 | $0 | $398,000 | $0 | $840 | $0 | $18,300 | $0 | $35,499 | $0 | $1,089,602 | $0 | $0 | $0 |
| John T Geppi | ||||||||||||||
| Fmr EVP/CFO (through June 2023) | $0 | $349,550 | $0 | $292,063 | $0 | $329,813 | $0 | $12,200 | $0 | $12,145 | $0 | $995,771 | $0 | $0 |
| F Robb McKeown III MD | ||||||||||||||
| High-risk OB/GYN | $378,964 | $0 | $398,000 | $0 | $1,932 | $0 | $18,300 | $0 | $29,601 | $0 | $826,797 | $0 | $0 | $0 |
| Danielle M Pipkin MD | ||||||||||||||
| High-risk OB/GYN | $372,724 | $0 | $398,000 | $0 | $756 | $0 | $18,300 | $0 | $29,601 | $0 | $819,381 | $0 | $0 | $0 |
| Keith N Altshuler | ||||||||||||||
| President & CAO | $0 | $455,233 | $0 | $113,000 | $0 | $69,081 | $0 | $12,200 | $0 | $22,625 | $0 | $672,139 | $0 | $0 |
| Joseph C Dolan | ||||||||||||||
| EVP/CFO | $0 | $284,875 | $0 | $60,000 | $0 | $14,015 | $0 | $29,667 | $0 | $8,897 | $0 | $397,454 | $0 | $0 |
| Brian J Lett | ||||||||||||||
| VP - Financial Services | $0 | $168,387 | $0 | $17,000 | $0 | $18,671 | $0 | $7,777 | $0 | $21,166 | $0 | $233,001 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Covenant Health, the parent company of Fort Sanders Perinatal 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, Line 4b | Covenant Health maintains a nonqualified deferred compensation ("NQDC") plan intended to support retention of President and CEO, James D. VanderSteeg, and EVP and CFO, Joseph C. Dolan (plan effective 8-1-2023). Employer contributions of $340,032 are reported as deferred compensation on Schedule J, Part II, Column C. Contributions along with 2023 earnings of $92,131 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | Covenant Health is the sole member of Fort Sanders Perinatal Center. |
| Form 990, Part VI, Section A, line 7a | Covenant Health's board of directors also serves as the board of directors for Fort Sanders Perinatal Center. |
| Form 990, Part VI, Section A, line 7b | Governance decisions of Fort Sanders Perinatal 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 Fort Sanders Perinatal, 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 Health's Form 990. The process for Fort Sanders Perinatal'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 Keith Altshuler, 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 for the CAO 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 | Fort Sanders Perinatal 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 XI, line 9: | Transfers of Capital -2,525,477. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Covenant Health | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 621646734 | Supporting organization | TN | 501(c)(3) | Line 12b, II | N/A | 0 | |
| Covenant HomeCare | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 621623114 | Home health services | TN | 501(c)(3) | Line 10 | 0 | Covenant Health | |
| Fort Loudoun Medical Center | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 621373691 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Fort Sanders Regional Medical Center | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 620528340 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Fort Sanders Foundation | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 621748601 | Fundraising and patient outreach | TN | 501(c)(3) | Line 12b, II | 0 | Covenant Health | |
| LeConte Medical Center | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 621114867 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Methodist Medical Center | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 620636239 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Morristown-Hamblen Hospital Association | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 620545814 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| 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 | 0 | Covenant Health | |
| Roane County Medical Center | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 680673354 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Thompson Cancer Survival Center | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 621250943 | Cancer support center | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Thompson Oncology Group | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 621619239 | Oncology services | TN | 501(c)(3) | Line 3 | 0 | Thompson Cancer Survival Center | |
| 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 | 0 | Covenant Health | |
| Cumberland Medical Center | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 620790132 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| Claiborne Medical Center | |||||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 464420358 | Acute care hospital | TN | 501(c)(3) | Line 3 | 0 | Covenant Health | |
| 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 | 0 | Covenant Health | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
| Boulevard ENT-Surgery Center LLC | |||||||||
| 9300 Parkwest Blvd | Knoxville | TN | 379234301 | 921460644 | Surgical services | TN | N/A | 0 | 0 |
| CHUC LLC | |||||||||
| 216 Centerview Drive Ste 100 | Brentwood | TN | 37027 | 621609262 | Physician services | TN | N/A | 0 | 0 |
| Surgery Center of Oak Ridge LLC | |||||||||
| 944 Oak Ridge Tpke Ste 200 | Oak Ridge | TN | 378306960 | 621801416 | Surgical services | TN | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 |
| 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 |
| TenHats LLC | |||||||||
| 1420 Centerpoint Blvd Bldg C | Knoxville | TN | 379321960 | 814563094 | Data storage | TN | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |