2025-11-12T10:20:18-06:00 2024-12-31 990 2024-01-01 043760551 Fort Sanders Perinatal Center FORT 8653745329 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 Joseph C Dolan EVP/CFO 8653746872 2025-11-12 0 2024 2025-03-06 01:10:19Z James D VanderSteeg 244 Ft Sanders W Blvd Knoxville TN 37922 33341356 0 X https://www.covenanthealth.com/ X 2002 TN 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. 20 19 214 19 0 0 1400131 1400000 28342276 31172128 403556 769228 0 0 30145963 33341356 131 0 0 0 23822217 28144599 0 0 0 4901723 6508291 28724071 34652890 1421892 -1311534 10928879 12712341 15953320 19278520 -5024441 -6566179 X 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. 0 0 33441835 0 31172128 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 2024, 48% of the Center's patients were covered by TennCare, Tennessee's Medicaid program, under which costs exceed reimbursement. In 2024, the Center had over 118,000 office visits and performed 3,365 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 are performed to evaluate the health of babies in utero and to check 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 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. Since 1995, Fort Sanders Perinatal Center's Diabetes Program has been recognized by the American Diabetes Association. We are 1 of 4 programs in Knoxville with this recognition and the only OB program with this designation. 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. Covenant Health provides patient-centered care that inspires clinical and service excellence and strives to be the first and best choice for the communities we serve. 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 composed 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 top employer by Forbes and Becker's Hospital Review. Covenant Health serves a 25-county area and 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. Peninsula provides behavioral health services at an inpatient hospital in Blount County and at outpatient locations in Knox, Blount, Loudon, and Sevier counties. The health system includes Covenant Medical Group, which serves patients at more than 90 office and clinic locations. CMG providers include primary care physicians and specialists in areas such as cardiology, gastroenterology, neurology, surgery, and other medical specialties. Covenant Health employs nearly 450 physicians and advanced practice clinicians throughout East Tennessee. Affiliated organizations include Thompson Cancer Survival Center, Thompson Oncology Group, Fortress Corporation and Subsidiaries, Covenant HomeCare, and Fort Sanders Perinatal Center. Covenant Health also operates Thompson Proton Center and offers innovative services such as Advanced Care at Home. Philanthropic organizations include Covenant Health Foundation and 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 to enhance patient care.Fort Sanders Perinatal Center, as a member of Covenant Health, benefits from collaboration among all affiliated organizations to promote quality, patient safety, and excellence in delivering care. 33441835 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 16 0 1 214 1 0 0 0 0 0 0 0 0 0 0 0 0 X 20 19 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Andrew McCreary 8653745329 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 Mitchell Dickson MD Director 0.00 1.00 X 0 0 0 Stephanie Flood Director 0.00 1.00 X 0 964 0 James Gibson Director 0.00 1.00 X 0 0 0 Edgar Gray Director 0.00 1.00 X 0 844 0 Leslye Hartsell Director 0.00 1.00 X 0 1124 0 Donald Hickman Director 0.00 1.00 X 0 675 0 Timothy Matthews Director 0.00 1.00 X 0 657 0 Janice McKinley Director 0.00 1.00 X 0 0 0 Cletus McMahon MD Director 0.00 1.00 X 0 0 0 Dave Miller Director 0.00 1.00 X 0 0 0 Bill Myers Director 0.00 1.00 X 0 0 0 Alvin Nance Director 0.00 1.00 X 0 648 0 Linda Ogle Director 0.00 1.00 X 0 0 0 King Purnell Director/Chair 0.00 1.00 X X 0 935 0 Jorge Sanabria Director 0.00 1.00 X 0 807 0 William Seale Director 0.00 1.00 X 0 1060 0 Cosby Stone Director 0.00 1.00 X 0 1113 0 Joe Sutter Director 0.00 1.00 X 0 881 0 James Tramontana MD Director 0.00 1.00 X 0 1086 0 James D VanderSteeg President & CEO 0.00 50.00 X X 0 2880556 362274 Joseph C Dolan EVP/CFO 0.00 50.00 X 0 861693 105608 Keith N Altshuler President & CAO 6.00 44.00 X 0 659599 36837 Brian J Lett VP - Financial Services 8.00 42.00 X 0 213776 31552 Periclis Roussis MD Perinatologist 50.00 0.00 X 1826650 0 44063 Steven A Andrade MD High-risk OB/GYN 50.00 0.00 X 1237646 0 57474 Gary W Stephens MD Perinatologist 50.00 0.00 X 1226466 0 44248 Richard L Love MD High-risk OB/GYN 50.00 0.00 X 769253 0 40414 F Robb McKeown III MD High-risk OB/GYN 50.00 0.00 X 677199 0 51576 5737214 4626418 774046 40 0 1 0 Weatherby Locums Inc PO Box 972633 Dallas TX 723972633 Medical Services 1548408 JAC Consulting 4007 Meadowland Dr Prospect KY 40059 Consulting Services 342562 MPLT Healthcare LLC PO Box 737086 Dallas TX 753737086 Physician Services 117936 3 1400000 1400000 Net Patient Revenue 622110 31172128 31172128 31172128 769228 769228 33341356 31172128 0 769228 23833110 23218731 614379 1399135 1382398 16737 1852501 1773753 78748 1059853 1031692 28161 236411 236411 2752042 2659526 92516 2957 2957 210344 137910 72434 966075 964288 1787 38142 37914 228 106693 106392 301 438829 438829 140119 140119 Bad Debt 585314 585314 Medical Supplies 544336 544336 Malpractice Expense 233180 233180 Minor Equipment 165250 163927 1323 88599 23526 65073 34652890 33441835 1211055 0 830 830 -130155 -230468 1096486 1340395 101744 59148 6326955 4707687 1550034 1619268 8309940 9923168 10928879 12712341 7631662 9351612 8321658 9926908 15953320 19278520 X -5024441 -6566179 -5024441 -6566179 10928879 12712341 X -1311534 -230204 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1107544 905888 201656 5219411 3801799 1417612 1619268 Long-Term Deferred Compensation 9851952 Operating and Finance Leases 64014 Prepaid Expenses 7202 9923168 Operating and Finance Leases 64014 Long-Term Deferred Compensation 9851952 Due to Affiliates, Net 10942 9926908 X Part X, Line 2: 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, 2024 and 2023. As such, no interest or penalties were recognized in the consolidated financial statements related to unrecognized tax benefits. At December 31, 2024 and 2023, tax returns for 2021 through 2024 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, 2024 and 2023. 0 1 0 0 0 0 0 0 0 James D VanderSteeg President & CEO 0 1578849 0 1078259 0 223448 0 335103 0 27171 0 3242830 0 0 Periclis Roussis MD Perinatologist 1565982 0 250000 0 10668 0 19800 0 24263 0 1870713 0 0 0 Steven A Andrade MD High-risk OB/GYN 636806 0 600000 0 840 0 19800 0 37674 0 1295120 0 0 0 Gary W Stephens MD Perinatologist 1165798 0 50000 0 10668 0 19800 0 24448 0 1270714 0 0 0 Joseph C Dolan EVP/CFO 0 697828 0 138667 0 25198 0 72802 0 32806 0 967301 0 0 Richard L Love MD High-risk OB/GYN 360641 0 405000 0 3612 0 19800 0 20614 0 809667 0 0 0 F Robb McKeown III MD High-risk OB/GYN 373460 0 295800 0 7939 0 19800 0 31776 0 728775 0 0 0 Keith N Altshuler President & CAO 0 469937 0 95000 0 94662 0 13200 0 23637 0 696436 0 0 Brian J Lett VP - Financial Services 0 174599 0 20000 0 19177 0 7984 0 23568 0 245328 0 0 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. Employer contributions of $321,903 for James D. VanderSteeg and $72,802 for Joseph C. Dolan are reported as deferred compensation on Schedule J, Part II, Column C. Contributions along with 2024 earnings of $114,551 for James D. VanderSteeg and $4,468 for Joseph C. Dolan 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. 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 makes available 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 the Covenant Health Executive Leadership Team 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 -230,204. 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