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Nonprofiteer
← FORT SANDERS PERINATAL CENTER

Form 990 for tax year 2022

Filed by FORT SANDERS PERINATAL CENTER.

Totals

Total revenue
$24,314,929
Total expenses
$23,875,419
Contributions and grants received
$1,937,422
Grants paid
$0
Program services expenses (Part IX)
$22,843,744
Management and general expenses
$1,031,675
Fundraising expenses
$0
Program service expenses (Part III)
$22,843,744

Program services were 95.7% 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
    $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

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Mitchell Dickson MD

    Director

    Total calculated
    $268
    From this org
    $0
    From related orgs
    $268
    Other
    $0
    Hours/week
    0 + 1 related

  • Stephanie Flood

    Director

    Total calculated
    $849
    From this org
    $0
    From related orgs
    $849
    Other
    $0
    Hours/week
    0 + 1 related

  • James Gibson

    Director

    Total calculated
    $74
    From this org
    $0
    From related orgs
    $74
    Other
    $0
    Hours/week
    0 + 1 related

  • Edgar Gray

    Director

    Total calculated
    $1,432
    From this org
    $0
    From related orgs
    $1,432
    Other
    $0
    Hours/week
    0 + 1 related

  • Leslye Hartsell

    Director

    Total calculated
    $889
    From this org
    $0
    From related orgs
    $889
    Other
    $0
    Hours/week
    0 + 1 related

  • Donald Hickman

    Director

    Total calculated
    $1,538
    From this org
    $0
    From related orgs
    $1,538
    Other
    $0
    Hours/week
    0 + 1 related

  • Timothy Matthews

    Director

    Total calculated
    $906
    From this org
    $0
    From related orgs
    $906
    Other
    $0
    Hours/week
    0 + 1 related

  • Janice McKinley

    Director

    Total calculated
    $1,097
    From this org
    $0
    From related orgs
    $1,097
    Other
    $0
    Hours/week
    0 + 1 related

  • Dave Miller

    Director

    Total calculated
    $1,208
    From this org
    $0
    From related orgs
    $1,208
    Other
    $0
    Hours/week
    0 + 1 related

  • Bill Myers

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Alvin Nance

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Linda Ogle

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • King Purnell

    Director/Chair

    Total calculated
    $1,050
    From this org
    $0
    From related orgs
    $1,050
    Other
    $0
    Hours/week
    0 + 1 related

  • Jorge Sanabria

    Director

    Total calculated
    $1,485
    From this org
    $0
    From related orgs
    $1,485
    Other
    $0
    Hours/week
    0 + 1 related

  • William Seale

    Director

    Total calculated
    $1,251
    From this org
    $0
    From related orgs
    $1,251
    Other
    $0
    Hours/week
    0 + 1 related

  • Cosby Stone

    Director

    Total calculated
    $1,408
    From this org
    $0
    From related orgs
    $1,408
    Other
    $0
    Hours/week
    0 + 1 related

  • Joe Sutter

    Director

    Total calculated
    $979
    From this org
    $0
    From related orgs
    $979
    Other
    $0
    Hours/week
    0 + 1 related

  • James Tramontana MD

    Director

    Total calculated
    $1,208
    From this org
    $0
    From related orgs
    $1,208
    Other
    $0
    Hours/week
    0 + 1 related

  • James D VanderSteeg

    President & CEO

    Total calculated
    $2,662,703
    From this org
    $0
    From related orgs
    $2,346,646
    Other
    $316,057
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,425,507 related
    Bonus
    $0 + $742,500 related
    Other
    $0 + $178,639 related
    Deferred
    $0 + $284,975 related
    Nontaxable benefits
    $0 + $31,082 related
    Filer's total
    $0 + $2,662,703 related

  • John T Geppi

    EVP/CFO

    Total calculated
    $1,133,767
    From this org
    $0
    From related orgs
    $1,099,851
    Other
    $33,916
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $679,719 related
    Bonus
    $0 + $309,084 related
    Other
    $0 + $111,048 related
    Deferred
    $0 + $11,600 related
    Nontaxable benefits
    $0 + $22,316 related
    Filer's total
    $0 + $1,133,767 related

  • Keith N Altshuler

    President & CAO

    Total calculated
    $687,668
    From this org
    $0
    From related orgs
    $653,393
    Other
    $34,275
    Hours/week
    6 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $443,841 related
    Bonus
    $0 + $142,464 related
    Other
    $0 + $67,088 related
    Deferred
    $0 + $11,600 related
    Nontaxable benefits
    $0 + $22,675 related
    Filer's total
    $0 + $687,668 related

  • Brian J Lett

    VP - Financial Services

    Total calculated
    $229,360
    From this org
    $0
    From related orgs
    $198,970
    Other
    $30,390
    Hours/week
    8 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $155,611 related
    Bonus
    $0 + $24,714 related
    Other
    $0 + $18,645 related
    Deferred
    $0 + $7,414 related
    Nontaxable benefits
    $0 + $22,976 related
    Filer's total
    $0 + $229,360 related

  • Periclis Roussis MD

    Perinatologist

    Total calculated
    $1,667,109
    From this org
    $1,627,368
    From related orgs
    $0
    Other
    $39,741
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $1,566,708
    Bonus
    $49,992
    Other
    $10,668
    Deferred
    $17,400
    Nontaxable benefits
    $22,341
    Filer's total
    $1,667,109

  • Gary W Stephens MD

    Perinatologist

    Total calculated
    $1,211,993
    From this org
    $1,172,470
    From related orgs
    $0
    Other
    $39,523
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $1,166,926
    Bonus
    $0
    Other
    $5,544
    Deferred
    $17,400
    Nontaxable benefits
    $22,123
    Filer's total
    $1,211,993

  • Steven A Andrade MD

    High-risk OB/GYN

    Total calculated
    $972,840
    From this org
    $920,917
    From related orgs
    $0
    Other
    $51,923
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $637,161
    Bonus
    $283,000
    Other
    $756
    Deferred
    $17,400
    Nontaxable benefits
    $34,523
    Filer's total
    $972,840

  • F Robb McKeown III MD

    High-risk OB/GYN

    Total calculated
    $711,016
    From this org
    $664,093
    From related orgs
    $0
    Other
    $46,923
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $379,161
    Bonus
    $283,000
    Other
    $1,932
    Deferred
    $17,400
    Nontaxable benefits
    $29,523
    Filer's total
    $711,016

  • Danielle M Pipkin MD

    High-risk OB/GYN

    Total calculated
    $703,840
    From this org
    $656,917
    From related orgs
    $0
    Other
    $46,923
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $373,161
    Bonus
    $283,000
    Other
    $756
    Deferred
    $17,400
    Nontaxable benefits
    $29,523
    Filer's total
    $703,840

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. Employer contributions of $273,375 are reported as deferred compensation on Schedule J, Part II, Column C. Contributions along with 2022 earnings of $70,560 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).

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
2022
Filed
8 November 2023
IRS schema version
2022v5.0
Source object
202333179349311338

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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