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Nonprofiteer
← FORT SANDERS PERINATAL CENTER

Form 990 for tax year 2023

Filed by FORT SANDERS PERINATAL CENTER.

Totals

Total revenue
$30,145,963
Total expenses
$28,724,071
Contributions and grants received
$1,400,131
Grants paid
$131
Program services expenses (Part IX)
$27,728,621
Management and general expenses
$995,450
Fundraising expenses
$0
Program service expenses (Part III)
$27,728,621

Program services were 96.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Gerald Boyd

    Director

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

  • Willard Campbell MD

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Michael Casey MD

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Ronni Chandler

    Fmr Director (through June 2023)

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Mitchell Dickson MD

    Director

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

  • Stephanie Flood

    Director

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

  • James Gibson

    Director

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

  • Edgar Gray

    Director

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

  • Leslye Hartsell

    Director

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

  • Donald Hickman

    Director

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

  • Timothy Matthews

    Director

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

  • Janice McKinley

    Director

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

  • Dave Miller

    Director

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

  • Bill Myers

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Alvin Nance

    Director

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

  • Linda Ogle

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • King Purnell

    Director/Chair

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

  • Jorge Sanabria

    Director

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

  • William Seale

    Director

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

  • Cosby Stone

    Director

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

  • Joe Sutter

    Director

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

  • James Tramontana MD

    Director

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

  • James D VanderSteeg

    President & CEO

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

    Schedule J breakdown matched by us

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

  • John T Geppi

    Fmr EVP/CFO (through June 2023)

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

    Schedule J breakdown matched by us

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

  • Joseph C Dolan

    EVP/CFO

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

    Schedule J breakdown matched by us

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

  • Keith N Altshuler

    President & CAO

    Total calculated
    $672,139
    From this org
    $0
    From related orgs
    $637,314
    Other
    $34,825
    Hours/week
    6 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $455,233 related
    Bonus
    $0 + $113,000 related
    Other
    $0 + $69,081 related
    Deferred
    $0 + $12,200 related
    Nontaxable benefits
    $0 + $22,625 related
    Filer's total
    $0 + $672,139 related

  • Brian J Lett

    VP - Financial Services

    Total calculated
    $233,001
    From this org
    $0
    From related orgs
    $204,058
    Other
    $28,943
    Hours/week
    8 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $168,387 related
    Bonus
    $0 + $17,000 related
    Other
    $0 + $18,671 related
    Deferred
    $0 + $7,777 related
    Nontaxable benefits
    $0 + $21,166 related
    Filer's total
    $0 + $233,001 related

  • Periclis Roussis MD

    Perinatologist

    Total calculated
    $1,638,531
    From this org
    $1,597,751
    From related orgs
    $0
    Other
    $40,780
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $1,566,253
    Bonus
    $20,830
    Other
    $10,668
    Deferred
    $18,300
    Nontaxable benefits
    $22,480
    Filer's total
    $1,638,531

  • Gary W Stephens MD

    Perinatologist

    Total calculated
    $1,212,577
    From this org
    $1,172,063
    From related orgs
    $0
    Other
    $40,514
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $1,166,519
    Bonus
    $0
    Other
    $5,544
    Deferred
    $18,300
    Nontaxable benefits
    $22,214
    Filer's total
    $1,212,577

  • Steven A Andrade MD

    High-risk OB/GYN

    Total calculated
    $1,089,602
    From this org
    $1,035,803
    From related orgs
    $0
    Other
    $53,799
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $636,963
    Bonus
    $398,000
    Other
    $840
    Deferred
    $18,300
    Nontaxable benefits
    $35,499
    Filer's total
    $1,089,602

  • F Robb McKeown III MD

    High-risk OB/GYN

    Total calculated
    $826,797
    From this org
    $778,896
    From related orgs
    $0
    Other
    $47,901
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $378,964
    Bonus
    $398,000
    Other
    $1,932
    Deferred
    $18,300
    Nontaxable benefits
    $29,601
    Filer's total
    $826,797

  • Danielle M Pipkin MD

    High-risk OB/GYN

    Total calculated
    $819,381
    From this org
    $771,480
    From related orgs
    $0
    Other
    $47,901
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $372,724
    Bonus
    $398,000
    Other
    $756
    Deferred
    $18,300
    Nontaxable benefits
    $29,601
    Filer's total
    $819,381

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

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

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

The filer's explanations (Part III)

Part I, Line 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.

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

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

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

Provenance

Return type
form_990
Tax year
2023
Filed
13 November 2024
IRS schema version
2023v5.1
Source object
202403189349305890

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