Fort Sanders Perinatal Center

What it reported doing in 2024

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

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 96.5%; rating input score 97
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd 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: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 95%; rating input score 95; 28th 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: -3.9%; rating input score 19; 19th percentile among comparable filings
• Total-asset coverage ratio: 0.37; rating input score 10; 10th percentile among comparable filings
• Liabilities to assets ratio: 1.52; rating input score 2; 2nd percentile among comparable filings
• Officer compensation ratio: 18.8%; rating input score 5; 5th percentile among comparable filings

Growth

• Program expense growth: 10.8% per year; rating input score 100; 73rd percentile among comparable filings
• Revenue growth: 8.8% per year; rating input score 100; 69th percentile among comparable filings
• Asset growth: 0.2% per year; rating input score 100; 11th percentile among comparable filings