Fort Sanders Regional Medical Center

Enrollment entity

Provider / enrollment organization Enrollment PAC 9537066428 Enrollment ID O20080820000229

Linked facilitiesFacilities

StatesStates

9 parties: 2 organizations · 7 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Yasheta Ross	9739621335	Individual	Corporate Officer; Operational/Managerial Control; ADP of the SNF	100
Carl S Orthoefer	7113005133	Individual	Operational/Managerial Control; ADP of the SNF	—
Covenant Health	2264345263	Organization	5% or Greater Direct Ownership Interest	100
Rick Carringer	4587737887	Individual	Corporate Officer	100
Tabitha M Culbertson	1759752389	Individual	Corporate Officer	100
Amy Delong	0749629749	Individual	Corporate Officer	100
Joseph Christopher Dolan	2264842095	Individual	Corporate Officer	100
James Vandersteeg	5597673343	Individual	Corporate Officer	100
Newstat Pllc	8426575945	Organization	ADP of the SNF	—

Yasheta RossPAC 9739621335
Individual100Corporate Officer; Operational/Managerial Control
Carl S OrthoeferPAC 7113005133
IndividualOperational/Managerial Control; ADP of the SNF
Covenant HealthPAC 2264345263
Organization1005% or Greater Direct Ownership Interest
Rick CarringerPAC 4587737887
Individual100Corporate Officer
Tabitha M CulbertsonPAC 1759752389
Individual100Corporate Officer
Amy DelongPAC 0749629749
Individual100Corporate Officer
Joseph Christopher DolanPAC 2264842095
Individual100Corporate Officer
James VandersteegPAC 5597673343
Individual100Corporate Officer
Newstat PllcPAC 8426575945
OrganizationADP of the SNF

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Fort Sanders Tcu Fort Sanders Regional Medical Center 18 residents		Other disclo…	5.18	Ovr★★★★★Stf★☆☆☆☆Ins★★★★★QM★★★★★	18

Fort Sanders Tcu
Fort Sanders Regional Medical Center
Other disclosed role18 res5.18 HPRD
Overall 5Staffing Staff 1

Related CMS associates

Name match to Fort Sanders Regional Medical Center in FEC filings. Similar names may appear—confirm on FEC.gov.