Fort Loudoun Medical Center

Nonprofit profile at a glance

EIN
621373691
IRS 990 coverage
2011–2024
Forms available
Form 990 2024
Location
Knoxville, TN, USA
Phone
8653745329
Rating
80
Verdict
STRONG
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$53,821,913
Expenses
$48,048,184
Assets
$27,764,028
Liabilities
$4,509,560

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

28 people listed

Executive titles in this filing

  • James D VanderSteeg (President & CEO)
  • Connie B Martin (President & CAO)

Highest reported compensation

  • James D VanderSteeg (President & CEO): $3,242,830 total reported compensation
  • Joseph C Dolan (EVP/CFO): $967,301 total reported compensation
  • Connie B Martin (President & CAO): $372,585 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Fort Loudoun Medical 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 a patient's ability to pay.

What it reported doing in 2024

Fort Loudoun Medical Center ("Loudoun") has been located in Lenoir City, Tennessee, since 2004, after serving the area from a previous location in Loudon County for many years.SERVICELoudoun is known for quality and safety and has earned accolades for top performance on core measures for inpatient care. The medical center is in the top 10 percent of hospitals nationwide in the prevention of hospital-acquired infections. The medical center is certified by The Joint Commission as an Advanced Primary Stroke Center. As part of Covenant Health's stroke hospital network, Fort Loudoun Medical Center provides rapid diagnosis and treatment of stroke. In 2024 Fort Loudoun received a Gold Plus Quality Achievement Award from the American Heart Association for its commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines.Loudoun was recognized by The Leapfrog Group in the spring and fall of 2024 with "A" grades for patient safety measures. In 2024, the hospital was also recognized with a 5-star overall hospital quality rating by Centers for Medicare and Medicaid Services. The Tennessee Hospital Association awarded Loudoun two Zero Harm Awards in 2024, recognizing zero healthcare-associated infections hospital-wide for CAUTIs (catheter-associated urinary tract infections) and in the Critical Care Unit for CLABSIs (central line-associated bloodstream infections). In 2024 the hospital saw 70,466 patients. Of these, 68,440 were outpatients and 2,026 were inpatients with an average length-of-stay of 4.09 days. PUTTING PATIENTS FIRSTLoudoun Descriptive Highlights - 87,000-square-foot facility, with an adjacent two-story medical office building - 50 beds - State-of-the-art imaging: X-Ray, CT, MRI, nuclear medicine and Low-Dose CT Lung Cancer screening. The hospital's Picture Archiving and Communications System (PACS) allows for digital capture, storage and transmission of medical images. - Emergency department with 12 private suites, open 24/7, 365 days a year - Surgical suites for endoscopy and gastrointestinal procedures; ear, nose and throat; gynecology; ophthalmology; orthopedic; podiatry; pulmonology, and general non-invasive procedures - Women's Imaging department offers mammography, ultrasound and bone density testing - Central registration area - Spacious private and semi-private rooms - Helipad for emergency transportation - Physicians representing various medical specialties provide a growing community with increased access to convenient, local care.IMPROVING THE COMMUNITY'S QUALITY OF LIFE THROUGH BETTER HEALTHThe hospital staff works with community partners such as the school system, local support groups, retirement communities, and senior centers to provide relevant education on topics such as recognizing the signs of a stroke, the importance of having a primary care physician, and other health-related topics. In addition, Loudoun hosts a monthly stroke support group. The medical center also offers a pulmonary rehabilitation program that addresses Chronic Obstructive Pulmonary Disease (COPD) and post-COVID syndrome. As part of improving the quality of life through better health, Loudoun is enhancing access to care through the construction of an advanced medical wing that will house additional patient rooms, an 11-bed Intensive Care/Intermediate Care unit, and respiratory and rehabilitation therapy. The project will also expand Emergency Department capacity to meet the needs of the growing community. Construction was underway throughout 2024, with an anticipated opening later in 2025. In 2024 staffing initiatives such as the implementation of Patient Care support Assistants and recruitment of RNs have improved the efficiency of emergency care for patients. The hospital also established an "Eyes of the Consumer" council composed of staff members, physicians and community members who make recommendations to improve hospital processes, including access to c

Operating model

Revenue model
Earned-program. 98% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 82
  • Transparency & Controls: 67
  • Accountability: 97
  • Sustainability: 55
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 87.7%; rating input score 88
  • Program expense ratio: 97.8%; rating input score 98
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 91.7%; rating input score 92; 24th percentile among comparable filings
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 95%; rating input score 95; 47th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 10.7%; rating input score 74; 74th percentile among comparable filings
  • Total-asset coverage ratio: 0.58; rating input score 22; 22nd percentile among comparable filings
  • Liabilities to assets ratio: 0.16; rating input score 74; 74th percentile among comparable filings
  • Officer compensation ratio: 2.6%; rating input score 44; 44th percentile among comparable filings

Growth

  • Program expense growth: 2.4% per year; rating input score 100; 18th percentile among comparable filings
  • Revenue growth: 3% per year; rating input score 100; 23rd percentile among comparable filings
  • Asset growth: 1.9% per year; rating input score 100; 14th percentile among comparable filings

Details

  • Where the money goes: 87.7% of revenue deployed · 97.8% of spending went to programs
  • Governance: 19 of 20 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $47M in reported program spending
  • Leadership: top reported pay $3.2M · 28 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $4.3M reported
  • Consistency: 32 of 32 current checks pass
  • Schedules: 7 filed schedules · includes grants and executive pay
  • Filing history: 13 filing years from 2011 to 2024
  • Contacts: How to reach this organization
  • Money network: 5 filed money-flow records
  • Related organizations: 29 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 22/100.
  • Moderate — Sustainability: Officer compensation ratio scored 44/100.