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Nonprofiteer
← FORT SANDERS REGIONAL MEDICAL CENTER

Form 990 for tax year 2022

Filed by FORT SANDERS REGIONAL MEDICAL CENTER.

Totals

Total revenue
$378,161,897
Total expenses
$396,190,451
Contributions and grants received
$5,949,207
Grants paid
$66,529
Program services expenses (Part IX)
$385,585,926
Management and general expenses
$10,604,525
Fundraising expenses
$0
Program service expenses (Part III)
$385,585,926

Program services were 97.3% 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
    44 + 6 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
    $198,970
    From related orgs
    $0
    Other
    $30,390
    Hours/week
    42 + 8 related

    Schedule J breakdown matched by us

    Base
    $155,611
    Bonus
    $24,714
    Other
    $18,645
    Deferred
    $7,414
    Nontaxable benefits
    $22,976
    Filer's total
    $229,360
  • Lynda J Watts

    Fmr VP - CNO (through Dec 2022)

    Total calculated
    $316,660
    From this org
    $292,042
    From related orgs
    $0
    Other
    $24,618
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $85,048
    Bonus
    $43,075
    Other
    $163,919
    Deferred
    $10,477
    Nontaxable benefits
    $14,141
    Filer's total
    $316,660
  • Christopher S Hall

    VP - Support Services

    Total calculated
    $244,971
    From this org
    $226,768
    From related orgs
    $0
    Other
    $18,203
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $170,159
    Bonus
    $33,825
    Other
    $22,784
    Deferred
    $8,111
    Nontaxable benefits
    $10,092
    Filer's total
    $244,971
  • Joseph M Bowling

    Medical Physicist

    Total calculated
    $266,963
    From this org
    $220,726
    From related orgs
    $0
    Other
    $46,237
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $219,288
    Bonus
    $1,220
    Other
    $218
    Deferred
    $13,535
    Nontaxable benefits
    $32,702
    Filer's total
    $266,963
  • Michael P Sisi

    Neuroscience Unit Shift Leader

    Total calculated
    $209,803
    From this org
    $207,854
    From related orgs
    $0
    Other
    $1,949
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $189,032
    Bonus
    $16,091
    Other
    $2,731
    Deferred
    $0
    Nontaxable benefits
    $1,949
    Filer's total
    $209,803
  • Shellie L Shock

    Administrative Supervisor

    Total calculated
    $206,571
    From this org
    $166,706
    From related orgs
    $0
    Other
    $39,865
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $164,930
    Bonus
    $1,720
    Other
    $56
    Deferred
    $8,664
    Nontaxable benefits
    $31,201
    Filer's total
    $206,571
  • Pamela M Turner

    Clinical Specialist Pharmacist

    Total calculated
    $183,877
    From this org
    $156,785
    From related orgs
    $0
    Other
    $27,092
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $148,729
    Bonus
    $1,220
    Other
    $6,836
    Deferred
    $9,329
    Nontaxable benefits
    $17,763
    Filer's total
    $183,877
  • Linda E Yoder

    Director Surgical Services

    Total calculated
    $184,702
    From this org
    $156,360
    From related orgs
    $0
    Other
    $28,342
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $153,028
    Bonus
    $1,220
    Other
    $2,112
    Deferred
    $9,308
    Nontaxable benefits
    $19,034
    Filer's total
    $184,702

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

  • 1a · Tax indemnification and gross-up payments
  • 1a · Personal services (maid, chauffeur, chef)
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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 1a
Tax gross-up payments related to deferred compensation and reimbursement of fees for personal services for legal and financial planning are provided to certain executives and managers. Amounts are included in taxable compensation.
Part I, Line 3
Covenant Health, the parent company of Fort Sanders Regional Medical 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, Lines 4a-b
Lynda Watts, Former VP Chief Nursing Officer, received a severance payment of $115,183 durring 2022. The amount is included in taxable compensation. Her termination date was December 16, 2022. 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
202323179349305442

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