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ROANE COUNTY MEDICAL CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ROANE COUNTY MEDICAL CENTER (EIN 68-0673354)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-09
IRS object ID
202123139349301002
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-09T06:56:11-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN680673354EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Roane County Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlROANBusinessNameControlTxt
Phone8653743140PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11420 Centerpoint Blvd Bldg CAddressLine1Txt
CityKnoxvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP379321960ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN T GEPPIPersonNm
Person TitleEVP/CFOPersonTitleTxt
Phone8653746872PhoneNum
Signature2021-10-04SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJOHNPersonFirstNm
Person LastGEPPIPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Roane Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJames D VanderSteegPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1244 Ft Sanders W BlvdAddressLine1Txt
CityKnoxvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37922ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$40,682,479GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://www.roanemedical.com/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2008FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionRoane County Medical Center is a 54-bed full service, acute care hospital located in Harriman, TN. It is a member of the Covenant Health system.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent21VotingMembersIndependentCnt
Total Employee374TotalEmployeeCnt
Total Volunteers56TotalVolunteersCnt
Total Gross UBI$26,143TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$22,629NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$27,640PYContributionsGrantsAmt
CY Contributions Grants$936,549CYContributionsGrantsAmt
PY Program Service Revenue$39,485,023PYProgramServiceRevenueAmt
CY Program Service Revenue$39,234,184CYProgramServiceRevenueAmt
PY Investment Income$1,610PYInvestmentIncomeAmt
CY Investment Income$141,309CYInvestmentIncomeAmt
PY Other Revenue$332,300PYOtherRevenueAmt
CY Other Revenue$228,790CYOtherRevenueAmt
PY Total Revenue$39,846,573PYTotalRevenueAmt
CY Total Revenue$40,540,832CYTotalRevenueAmt
PY Grants And Similar Paid$5,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$100CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$14,067,248PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,949,370CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$25,245,189PYOtherExpensesAmt
CY Other Expenses$26,042,786CYOtherExpensesAmt
PY Total Expenses$39,317,437PYTotalExpensesAmt
CY Total Expenses$40,992,256CYTotalExpensesAmt
PY Revenues Less Expenses$529,136PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$451,424CYRevenuesLessExpensesAmt
Total Assets BOY$55,238,024TotalAssetsBOYAmt
Total Assets EOY$59,625,400TotalAssetsEOYAmt
Total Liabilities BOY$4,461,638TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,300,438TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$50,776,386NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$50,324,962NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionRoane County 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$39,500,270ExpenseAmt
Grant$100GrantAmt
Revenue$39,234,784RevenueAmt
DescRoane County Medical Center doing business as Roane Medical Center ("Roane"), located in Harriman, TN, has been serving the community since 2008 and previously served the community as a county hospital. A new state-of-the-art hospital was built and opened in February 2013.SERVICERoane is a 54-bed hospital offering quality medical, surgical and critical care, emergency services, rehabilitation support, diagnostic imaging, and health education. Roane's dedicated staff provides specialized care in cardiac and pulmonary rehabilitation, women's services, inpatient/outpatient rehabilitation, and sleep services.In 2020, the hospital served 54,032 patients. Of these, 51,341 were outpatients and 2,691 were inpatients with an average length-of-stay of 3.62 days. PUTTING PATIENTS FIRSTRoane is certified by The Joint Commission as an Advanced Primary Stroke Center and is a member of Covenant Health's stroke hospital network, providing rapid diagnosis and treatment of stroke. The hospital is also accredited in magnetic resonance imaging by the American College of Radiology. Roane's cardiac diagnostics and interventional services provide comprehensive heart care to patients in the surrounding community. These services meet evidence-based standards recommended by organizations such as the American Heart Association, American College of Cardiology, Society of Nuclear Medicine and Molecular Imaging, and the American Society of Echocardiography. Roane's emergency room has 15 suites with dedicated rooms for cardiac, major treatment and orthopedic emergencies. It is staffed 24 hours a day by healthcare professionals with advanced training in adult and pediatric emergencies. A helicopter pad makes air medical transport services available when needed. IMPROVING THE COMMUNITY'S QUALITY OF LIFE THROUGH BETTER HEALTHAs an active organizational participant in community outreach programs, Roane offers a pharmacy advocate program for the county to help low-income and underinsured patients to receive prescribed medications at reduced or no cost. Roane also partners with Mid-East Senior Services and UT Extension Services to expand access for seniors to participate in a congregate feeding program, which regularly offers meals at the hospital. Because of COVID-19, many community-focused events were put on hold in 2020. In previous years, hospital staff, including the chief administrative officer and chief nursing officer, offered stroke education through tours and luncheons at the hospital, as well as presentations to churches, schools, fire departments, EMS, and local organizations. COVENANT HEALTH Roane is a member of Covenant Health. Covenant Health is a comprehensive, community-owned health system dedicated to improving the health of the people it serves. 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 comprised of community leaders and medical professionals. With more than 10,000 employees, affiliated physicians and volunteers, Covenant Health is the Knoxville area's largest employer and has been named a Best Employer six times by Forbes. Covenant Health includes nine acute care hospitals in East Tennessee: Methodist Medical Center of Oak Ridge, Fort Sanders Regional Medical Center and Parkwest Medical Center in Knoxville, 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, a behavioral health hospital in Blount County, Tennessee. The health system also includes Covenant Medical Group, which includes more than 200 physicians and advanced practice clinicians in office locations throughout East Tennessee.Affiliated organizations include Thompson Cancer Survival Center, Thompson Oncology Group, Fortress Corporation and Subsidiaries, Covenant HomeCare, and Fort Sanders Perinatal Center. Philanthropic organizations include Fort Sanders Foundation and the 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 for excellence in patient care.Roane, as a member of the Covenant Health system, benefits from the collaboration among all affiliated organizations to promote quality improvement, patient safety and efficient delivery of care for the communities served.Desc
Total Program Service Expenses$39,500,270TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art ContributionYes (1)DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document53IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee374EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Amy DeLongBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8653743140PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11420 Centerpoint Blvd Bldg CAddressLine1Txt
CityKnoxvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP379321960ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Gerald Boyd
Director0.001.00Yes (X)$0$0$0
Willard Campbell MD
Director0.001.00Yes (X)$0$0$0
Michael Casey MD
Director0.001.00Yes (X)$0$0$0
Ronni Chandler
Director0.001.00Yes (X)$0$0$0
Mitchell Dickson MD
Director0.001.00Yes (X)$0$0$0
James Fitzsimmons
Director/Chair0.001.00Yes (X)$0$0$0Yes (X)
James Gibson
Director0.001.00Yes (X)$0$0$0
Edgar Gray
Director0.001.00Yes (X)$0$0$0
Amber Wisner
Director0.001.00Yes (X)$0$0$0
Timothy Matthews
Director0.001.00Yes (X)$0$0$0
Janice McKinley
Director0.001.00Yes (X)$0$0$0
Dave Miller
Director0.001.00Yes (X)$0$0$0
Bill Myers
Director0.001.00Yes (X)$0$0$0
Alvin Nance
Director0.001.00Yes (X)$0$0$0
Linda Ogle
Director0.001.00Yes (X)$0$0$0
King Purnell
Director0.001.00Yes (X)$0$0$0
Jorge Sanabria
Director0.001.00Yes (X)$0$0$0
Cosby Stone
Director0.001.00Yes (X)$0$0$0
Carl Storms
Director0.001.00Yes (X)$0$0$0
Joe Sutter
Director0.001.00Yes (X)$0$0$0
James Tramontana MD
Director0.001.00Yes (X)$0$0$0
James D VanderSteeg
President & CEO0.0050.00Yes (X)$0$1,949,432$220,678Yes (X)
John T Geppi
EVP/CFO0.0050.00$0$1,287,949$29,360Yes (X)
Jason B Pilant
President & CAO50.000.00$0$299,258$37,139Yes (X)
Rick A Carringer
VP - Financial Services20.0030.00$0$239,843$17,661Yes (X)
Brenda F Gray
VP - Chief Nursing Officer50.000.00$151,777$0$8,669Yes (X)
Matthew P Magee
Manager Rehab Services50.000.00$108,402$0$33,416Yes (X)
Elissa G Jolly
Fmr RMC Pres/CAO; Curr LMC Pres/CAO0.0050.00$0$337,070$29,579Yes (X)
Carolyn S Shipley
Fmr RMC VP-CNO; Curr LMC VP-CNO0.0050.00$0$161,444$23,628Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$260,179TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,274,996TotReportableCompRltdOrgAmt
Total Other Compensation$400,130TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Cardinal Health
7000 Cardinal PlaceDublinOH43017Pharmacy Management$2,112,304
Angelica
1105 Lakewood Parkway Ste 210AlpharettaGA30009Linen Services$278,955
Canon Medical Systems USA Inc
PO BOX 775220ChicagoIL60677Maintenance & Support$194,250
Southern Surgical Support
10333 North River TrailKnoxvilleTN37922Surgical Services$167,680
Medstream Anesthesia PLLC
82 Patton Avenue Suite 510AshevilleNC28801Anesthesia Services$141,421
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Related Organizations$9,225RelatedOrganizationsAmt
Government Grants$922,324GovernmentGrantsAmt
All Other Contributions$5,000AllOtherContributionsAmt
Noncash Contributions$7,120NoncashContributionsAmt
Total Contributions$936,549TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue622110$39,098,899$39,098,899
Meaningful Use812900$106,605$106,605
Rental Income - Exempt Affiliates531120$28,680$28,680
FieldValueIRS element (for citing)
Total Program Service Revenue$39,234,184TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,809TotalRevenueColumnAmt
Exclusion$1,809ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$158,269RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$106,547RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$51,722RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$51,722TotalRevenueColumnAmt
Unrelated Business Revenue$26,143UnrelatedBusinessRevenueAmt
Exclusion$25,579ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$174,600OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$35,100OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$139,500OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$139,500TotalRevenueColumnAmt
Exclusion$139,500ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Cafeteria722514$119,828$119,828
Gift Shop453220$37,388$37,388
Maintenance Services811000$8,094$8,094

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,758TotalRevenueColumnAmt
Related Or Exempt Func Income$600RelatedOrExemptFuncIncomeAmt
Exclusion$11,158ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$177,068OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,540,832TotalRevenueColumnAmt
Related Or Exempt Func Income$39,234,784RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$26,143UnrelatedBusinessRevenueAmt
Exclusion$343,356ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$100TotalAmt
Program Services$100ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$160,446TotalAmt
Management And General$160,446ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,760,065TotalAmt
Program Services$11,294,050ProgramServicesAmt
Management And General$466,015ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$365,363TotalAmt
Program Services$354,366ProgramServicesAmt
Management And General$10,997ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,797,090TotalAmt
Program Services$1,704,993ProgramServicesAmt
Management And General$92,097ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$866,406TotalAmt
Program Services$824,003ProgramServicesAmt
Management And General$42,403ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$4,328,489TotalAmt
Program Services$4,188,385ProgramServicesAmt
Management And General$140,104ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,444,004TotalAmt
Program Services$6,352,484ProgramServicesAmt
Management And General$91,520ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$57,732TotalAmt
Program Services$55,136ProgramServicesAmt
Management And General$2,596ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$306,789TotalAmt
Program Services$215,537ProgramServicesAmt
Management And General$91,252ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,501,562TotalAmt
Program Services$1,279,125ProgramServicesAmt
Management And General$222,437ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,538TotalAmt
Program Services$4,011ProgramServicesAmt
Management And General$527ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$10,121TotalAmt
Program Services$10,121ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,678TotalAmt
Program Services$8,678ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,931,122TotalAmt
Program Services$2,858,064ProgramServicesAmt
Management And General$73,058ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$66,497TotalAmt
Program Services$65,430ProgramServicesAmt
Management And General$1,067ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
Unrelated Business Inco$6,600$6,600
Medical Supplies$5,038,368$5,038,368
Bad Debt$4,434,239$4,434,239
Minor Equipment$264,544$25,680$238,864

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$639,503TotalAmt
Program Services$574,316ProgramServicesAmt
Management And General$65,187ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$40,992,256TotalAmt
Program Services$39,500,270ProgramServicesAmt
Management And General$1,491,986ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,550BOYAmt
EOY$1,550EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,683BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,862,515BOYAmt
EOY$3,359,292EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$344,342BOYAmt
EOY$405,271EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$274,265BOYAmt
EOY$131,515EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$75,002,742LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$26,795,993LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$50,394,569BOYAmt
EOY$48,206,749EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$354,100BOYAmt
EOY$7,521,023EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$55,238,024BOYAmt
EOY$59,625,400EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,809,349BOYAmt
EOY$8,470,132EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$652,289BOYAmt
EOY$830,306EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,461,638BOYAmt
EOY$9,300,438EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$50,776,386BOYAmt
EOY$50,324,962EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$50,776,386BOYAmt
EOY$50,324,962EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$55,238,024BOYAmt
EOY$59,625,400EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$451,424ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,092,049OtherCostOrOtherBasisAmt
Book Value$4,092,049BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$46,062,482OtherCostOrOtherBasisAmt
Depreciation$9,199,964DepreciationAmt
Book Value$36,862,518BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,538OtherCostOrOtherBasisAmt
Depreciation$2,397DepreciationAmt
Book Value$22,141BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,823,673OtherCostOrOtherBasisAmt
Depreciation$17,593,632DepreciationAmt
Book Value$7,230,041BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$48,206,749TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Due from Affiliates, Net$6,908,562
Long-Term Deferred Compensation$14,117
Operating and Finance Leases$411,691
Other Receivables$186,653
FieldValueIRS element (for citing)
Total Book Value Other Assets$7,521,023TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
Deferred Revenue$18,094
Deferred Social Security Tax$253,861
Due to Third Party Payors$127,943
Long-Term Deferred Compensation$14,117
Operating and Finance Leases$409,232
Other Liabilities$7,059
FieldValueIRS element (for citing)
Total Liability$830,306TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationExcerpt from the consolidated audited financial statements of Covenant Health (Covenant), parent company to Roane County Medical Center: 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, 2020 and 2019. As such, no interest or penalties were recognized in the consolidated financial statements related to unrecognized tax benefits. At December 31, 2020 and 2019, tax returns for 2017 through 2020 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, 2020 and 2019.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,910,056TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,110,507DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,799,549NetCommunityBenefitExpnsAmt
Total Expense0.10390TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,174,129TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,010,577DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,163,552NetCommunityBenefitExpnsAmt
Total Expense0.03180TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$44,115TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$47,606DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,128,300TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,168,690DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,963,101NetCommunityBenefitExpnsAmt
Total Expense0.13570TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,537TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$29,537NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$56TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$56NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,078,657TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,078,657NetCommunityBenefitExpnsAmt
Total Expense0.05690TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,607TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,607NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,119,857TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,119,857NetCommunityBenefitExpnsAmt
Total Expense0.05800TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,248,157TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,168,690DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,082,958NetCommunityBenefitExpnsAmt
Total Expense0.19370TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$229TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$229NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,007TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,007NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$93TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$93NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$19NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,348TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,348NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$4,434,239BadDebtExpenseAmt
Bad Debt Expense Attributable$1,622,931BadDebtExpenseAttributableAmt
Reimbursed By Medicare$8,455,269ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$7,573,998CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$881,271MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Roane County Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18045 Roane Medical Center DrAddressLine1Txt
CityHarrimanCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37748ZIPCd
FieldValueIRS element (for citing)
Website Addresshttps://www.roanemedical.comWebsiteAddressTxt
State License00000098StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Roane Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Page 8OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Page 8StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.roanemedical.com/financial-assistance/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.roanemedical.com/financial-assistance/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.roanemedical.com/financial-assistance/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Roane Medical CenterPart V, Section B, Line 5: Roane County Medical Center d/b/a Roane Medical Center ("RMC") conducted its third Community Health Needs Assessment ("CHNA") in 2019. A Steering Committee was formed to guide the assessment process and included the Roane County Health Department, Roane County United Way, Roane Medical Center, Roane County Health Council, and the Roane County Anti-Drug Coalition. Each of these community organizations serve the broader community and, in particular, the low-income, uninsured, and chronically ill. The Steering Committee worked with the University of Tennessee-Knoxville Social Work Office of Research and Public Service ("UT-SWORPS") to devise a Roane County household survey and to host two focus groups of community leaders, each of which represented a part of the overall Roane County public health system. The household survey collected information from nearly 350 Roane County residents. Participation in the survey was diverse and reflected the demographic profile of the county for the attributes of educational level, income, ethnicity and age. The primary research was analyzed and combined with county demographics, mortality, and secondary data for more than 60 health indicators. A Data Team was formed to begin the analysis of the data and determine the most significant findings from the assessment. The Data Team included members of the Steering Committee as well as representatives from the Tennessee Department of Public Health, Office on Aging, UT Extension Office, and several community leaders.
Roane Medical CenterPart V, Section B, Line 6b: Though RMC's CHNA was issued as a stand-alone report, many non-hospital organizations assisted with the report. Research partners provided expertise on survey design, focus group facilitation, data collection, data sources, and analysis. UT-SWORPS was an integral participant, as well as the Roane County Health Department and the Tennessee Department of Public Health (Nashville, TN).Additionally, focus groups were beneficial in discussing and identifying community needs in Roane County. Organizations and individuals participating in the focus groups include:- Local pastor - Roane County Health Department- Leadership Roane County - Mid-East Office on Aging- Michael Dunn Center - Roane Alliance- Free Medical Clinic - Local nurses and physicians- Kingston Rotary Club - Roane County Anti-Drug Coalition- Boys and Girls Club - Regions Bank- Roane County Chamber of Commerce - Roane County Schools- UT Extension Office - Roane County United Way - Roane County Sheriff's Office - Child Advocacy Center - Roane County Health Council
Roane Medical CenterPart V, Section B, Line 11: At the conclusion of the 2019 assessment process, the Data Team identified a top ten list of health priorities and further refined this list into the top 5 most significant health issues. The top five identified community needs (in order of priority) are: Substance Abuse Disorder, Suicides, Health Education for Chronic Diseases, Mental Health Services, and Improving Access to Healthcare.RMC updated its 2019 Implementation Plan based on the identified needs and plans to address all of the identified issues in the following ways:1. Substance Abuse DisorderRoane County Anti-Drug Coalition - RMC will continue to actively participate in the Anti-Drug Coalition and its outreach activities.Opioid Light Protocol - RMC will continue to build upon the successes of its Emergency Department use of Opioid Light. Emergency Department physicians, when possible, are using non-opioid pain medications during treatment and at discharge.In-patient Pain Management Initiative - RMC is teaching in-patients how to better manage pain with alternatives like repositioning, ice packs, and pain scales (1-10).2. SuicidesTelehealth Options for early Screening and Detection - RMC will explore collaborations with Ridgeview Behavioral Health, Mobile Crisis, and Peninsula Behavioral Health on development of telehealth services for Roane County residents at-risk of suicide. - The Roane County Health Council has adopted suicide as a primary topic of focus. As a member of the Health Council, RMC will work with the goals and tactics developed to reduce suicides in Roane County.3. Health Education for Chronic DiseaseDiabetes Education - RMC will continue working with UT Extension Office on its 6-week diabetes program for community members.Community Walking Program - RMC will continue its monthly Friday Fitness program in conjunction with Methodist Medical Center. A monthly hike is open to all interested residents, and hike locations rotate between Roane and Anderson County parks, greenways, and hiking trails. Stroke Education - RMC will regularly provide community education programs on Stroke Signs and Symptoms to emphasize the importance of getting someone to the hospital for better outcomes. Additionally, the Unit Practice Council of Nurses will expand community education outreach to include stroke, organ donation, and advance directives.4. Mental Health ServicesTelehealth Options for Psychiatric Access - RMC will begin investigating Telehealth options for patients with mental health needs. Additionally, training opportunities are being considered for physicians with regard to certain medications to be administered earlier in the Emergency Department psychosis visit.5. Improving Access to HealthcareRound about Roane - RMC was a founding member in the design and implementation of Round about Roane, a community transportation program for seniors. RMC continues to support the program with outreach efforts and referrals to the program.Free Medical Clinic of Oak Ridge - RMC is a partner with the Free Medical Clinic in Roane County. The hospital provides lab and imaging services to the Clinic's patients at no charge.Pharmacy Advocate Program - RMC provides a Pharmacy Advocate who helps both discharging hospital patients and primary care clinic patients who have little or no insurance find programs to assist in maintenance medicines for chronic medical conditions.
Roane Medical CenterPart V, Section B, Line 16j: All other ways in which the hospital widely publicizes the FAP are discussed in detail in Part VI, Line 3.
Part V, Line 7a, CHNA websitehttps://www.roanemedical.com/community-health-needs-assessment/
Part V, Line 10a, Implementation Strategy Websitehttps://www.roanemedical.com/community-health-needs-assessment/
Part V, Line 20d, Presumptive Eligibility DeterminationsThe hospital follows the eligibility procedures as detailed within the FAP and does not make presumptive eligibility determinations.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
1 - RMC Patricia Neal Outpatient Center
8035 Medical Center Drive Ste 120HarrimanTN37748Rehabilitation Therapy Center
2 - RMC Sleep Center
8045 Roane Medical Center DriveHarrimanTN37748Sleep Diagnostic Center
3 - RMC Cardiopulmonary Rehab
8035 Roane Medical Center Dr SteHarrimanTN37748Cardiopulmonary Rehab. Center110

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:In addition to the Federal Poverty Guidelines ("FPG"), RMC utilizes an asset test as a factor in determining eligibility for free or discounted care. Ten percent (10%) of the patient/guarantor's net assets will be added to income for determination of total annual income. The guidelines for determining assets include, but are not limited to, primary dwelling (and attached land), automobiles, liquid assets, investments, farm land, business property, rental property, farm and/or business equipment including livestock and crops. All real property will be considered at fair market value. The values of both real and personal property will be reduced by any existing liabilities incurred by the applicant in obtaining the assets (net assets) with the exception of primary dwelling. The primary dwelling net asset will be the amount of equity above $100,000. Actual or potential third party liability to the patient, hospital or the guarantor by common law, contract, statute or otherwise, shall be considered an asset and must be listed on the Hospital Financial Assistance application.
Part I, Line 6a:Covenant Health, the parent company of RMC and other affiliated acute care hospitals, prepares an annual Report to the Community on behalf of the entire system.
Part I, Line 7:Amounts on Lines 7a-7c and certain program costs included on Line 7g are from the hospital's cost accounting system, which addresses all patient segments. Other community benefit expenses are at cost from the general ledger.
Part I, Line 7g:Subsidized health services includes the difference between the cost of services and the payments for those services. The organization has included $2,078,657 in physician sponsorship fees in total subsidized health services. All subsidized health services included on line 7g are for services that would otherwise be unavailable in the community or be below the community's needs.
Part I, Ln 7 Col(f):The Bad Debt expense included on Form 990, Part IX, Line 24a, but subtracted for purposes of calculating the percentage in this column is $4,434,239.
Part II, Community Building Activities:RMC cares for the whole person and recognizes that improved social and economic conditions may lead to the improved health and well-being of the community. The hospital's community building activities and those of its parent organization, Covenant Health, address many of the root causes of health problems, such as poverty and homelessness, and help find solutions to alleviate the symptoms.An allocation of the Parent's community building expenditures has been made to each member hospital in proportion to the financial contribution of each to the health system. Covenant Health is not a hospital and does not file Schedule H with its Form 990. Contributions in 2020 were made to organizations meeting the community's needs by providing: - The basic needs of life including temporary shelter, food and clothing (Catholic Charities and Ladies of Charity) - Youth mentoring, development and after-school programs (Emerald Youth Foundation, Boys and Girls Club, Knox Education Foundation and Young Life) - Business recruitment and marketing initiatives that boost economic development (Legacy Parks Foundation and Pellissippi State Foundation) - Leadership development programs and workshops (Knoxville Area Urban League) - Assistance and special programs for at risk older adults, people with physical and mental challenges, and abused and neglected children (Senior Citizens Home Assist and Sertoma Center, Inc.) - Improve access to health services (East TN Children's Hospital, Interfaith Health Clinic, Knoxville Academy of Medicine, and Metropolitan Drug Commission) - Programs supporting patients and their families (Alzheimer's Tennessee, American Cancer Society, American Heart Association, Angel Wings Memory Gowns, and Random Acts of Flowers)
Part III, Line 2:Bad debt expense on Part III, Line 2 is the amount recorded in the organization's financial statements. Discounts and payments on patient accounts are netted against bad debt. The allowance for bad debt is determined based on management's assessment of factors including the age of the accounts, historical collections data, and industry standards.
Part III, Line 3:At regular intervals, the Vice President of Revenue Cycle analyzes all self-pay accounts receivables to identify patients who may have been eligible for charity care during a particular period or year. Because this analysis does not yield a final determination of eligibility due to various factors including but not limited to charity applications still in process, failure of eligible patients to submit their charity application, and applications still under consideration, further analysis of the accounts comprising the self-pay accounts receivable is conducted. The accounts for which a patient was contacted to apply for charity care include an identifier; these charity-identified accounts are then categorized according to status. A ratio of the dollar amounts of those accounts whose charity application is in process or has been approved divided by the total self-pay accounts receivable is computed. This ratio is applied to the bad debt expense total to determine the estimated amount of the bad debt expense attributable to patients eligible for charity care according to the hospital's policy.
Part III, Line 4:Note B to the 2020 Audited Consolidated Financial Statements of the Covenant Health system, of which RMC is a member, states: Patient accounts receivable are reported net of an estimated allowance for contractual adjustments and an allowance for implicit price concessions. Covenant's policy does not require collateral or other security for patient accounts receivable and Covenant routinely accepts assignment of, or is otherwise entitled to receive, patient benefits payable under health insurance programs, plans or policies.
Part III, Line 8:Costing Methodology: RMC used a combination of sources in calculating Medicare allowable costs on Part III, Line 6 including its cost accounting system, general ledger accounting system, and facility-specific analyses and calculations.
Part III, Line 9b:RMC utilizes a look-back method to determine amounts generally billed ("AGB") to establish the maximum amount that will be charged to individuals eligible under the financial assistance policy ("FAP") for emergency or other medically necessary care. Self-pay patients automatically receive a 67% discount on charges based on the facility's calculated AGB. Federal poverty guidelines are utilized in the determination of charity care eligibility. Patients who are unable to pay and have exhausted all sources of payment assistance may qualify for charity care. A sliding scale is used for extending charity care utilizing the income levels reported under the federal poverty guidelines. Patients/guarantors with income that falls below 200% of the federal poverty guidelines receive 100% charity care. Patients/guarantors with income of 201-300% of the federal poverty guidelines receive 90% charity care. For catastrophic illness, exceptions to income and asset limitations may be made on a case-by-case basis. The amount considered for charity will be based upon the evaluation of the patient's/guarantor's ability to pay.RMC makes reasonable efforts to determine a patient's eligibility under the facility FAP. All collection activity will be halted if a charity application is received and will remain on hold until a determination is made by RMC and communicated in writing to the responsible party. If the charity application is approved, all collection activities taken will be reversed and any amounts paid above the amount required will be refunded. Patients/guarantors who qualify for partial financial assistance are responsible for paying any balance remaining after the charity adjustment and third party payments. RMC will not engage in extraordinary collection actions ("ECA") before it makes reasonable efforts to determine whether an individual who has an unpaid bill is eligible for financial assistance. Reasonable efforts to determine whether the individual who has an unpaid bill is eligible for financial assistance include notification to the individual of the financial assistance policy, contacting individuals who have submitted incomplete financial assistance applications regarding how to complete the application, and allowing a reasonable time period to do so, and reviewing completed applications for financial assistance eligibility. RMC does not sell any accounts receivable accounts to outside firms. All accounts remain property of and under the policies set by RMC. RMC will not defer or deny medically necessary care because of nonpayment for previously provided care whether it was covered or not covered under the charity program.
Part VI, Line 2:While the CHNA is a formal means by which the health system assesses the needs of the community, there are many informal networks that give the Covenant Health hospitals a sense of community issues and needs. RMC obtains additional community information through the service of its employees with the Roane County Chamber of Commerce, Roane County Health Council, local Rotary Clubs, and Roane ElderWatch, and by partnering with the local justice system to combat prescription drug abuse. Covenant Health, the parent organization, maintains community benefit professionals working year-round to ensure that all hospitals are assessing and addressing the needs of the communities served.
Part VI, Line 3:The FAP states that patients who are unable to pay or have exhausted all sources of payment assistance may be considered for charity care. Signage about the policy is posted in highly visible areas of the hospital, such as lobbies and registration areas. Information about the FAP is posted in patient booklets provided to patients during the registration process and communicated via patient billing statements. In addition, the FAP and application are available on the facility website. RMC employs full time financial counselors to assist patients in applying for TennCare and screening for eligibility for financial assistance. Office hours and the phone number for the counselors are included on the signage. Wall signs informing patients about available financial assistance state the following: Covenant Health is committed to providing quality health services in a caring environment. It is the expressed philosophy of Covenant Health and its member hospitals that no one should be denied necessary medical care because of the inability to pay. In conjunction with this philosophy, counselors at Roane Medical Center are available to assist you with your financial needs. If you are an uninsured person with no public or private source of payment for medical services Roane Medical Center will provide, at a reduced rate, medically indicated services. A financial counselor is available to assist you with these matters by calling 865-316-2303, Monday through Friday between the hours of 8:00 a.m.-4:30 p.m. Additional information regarding financial assistance is also available on our website at www.roanemedical.com.Signage at the registration areas state the following:It is Roane Medical Center's philosophy that no one shall be denied medically necessary services based on an inability to pay. Financial assistance applications for medically necessary services are available during the registration process, through a financial counselor, or on our website at RoaneMedical.com. A financial counselor is available to assist you with these matters by calling 865-316-2303, Monday through Friday between the hours of 8 a.m.-4:30 p.m.
Part VI, Line 4:Roane County is the primary market area for RMC. It is the only hospital in the county, which is in close proximity to the metropolitan Knoxville area. Although RMC serves patients from multiple counties, 78% of its inpatients and outpatient encounters come from Roane County.The following statistics are taken from the 2020 County Ranking Data from the Robert Wood Johnson Foundation. The population is 53,140, indicating very little change since the 2013 assessment. The population of Roane County is predominantly female (51.2%) and Caucasian (92.6%). The median household income is $54,400. The percentage of county residents over the age of 65 is 22.8%, and 18.8% of the population are under the age of 18. Nearly 13% of the adult population are uninsured as are 4% of children. The unemployment rate is 4.1% for 2020. The dominant labor force is from the manufacturing sector (20.3%).In support of the significant findings from the 2019 CHNA, the following data points support the conclusions of the 2019 assessment:Substance Abuse Disorder - With a county population of 53,036, there are 15,819 patients receiving opioids for pain. - There were 1,423 opioid prescriptions written for every 1,000 adults in Roane County. - 88% of the survey respondents identified substance abuse as the number one health problem in Roane County.Suicides - Roane County has a suicide rate of 33.9 per 100,000 population. This rate is twice the rate of state average of 17.3 per 100,000, and is one of the highest rates in the state. - Suicide has been in the top ten leading causes of death in Roane County for the past 10 years.Health Education for Chronic Diseases - The leading causes of death in Roane county over the past decade include, in rank order, heart disease and cancer (tied for #1), respiratory disease, accidents, stroke, Alzheimer's disease, diabetes, flu, and pneumonia. Most all of these are to a large degree preventable. - Access to community health education programming is lacking in Roane County.Mental Health Services - The Mental health provider ratio in Roane County is one provider per 2,210 residents. The State of Tennessee overall ratio is one provider per 700 residents. - Community leaders, when ranking the top health priorities, had substance abuse and mental health tied for first place.Improving Access to Healthcare - Transportation continues to be a barrier for many people trying to access health services. Existing services are focused on the senior population. - There is a lack of mental health providers in the county. - Many residents are under-insured, most having health insurance with high deductibles.
Part VI, Line 5:RMC, in conjunction with its parent company, Covenant Health, uses any available surplus of receipts over disbursements to expand and modernize the facility and to support the education of healthcare professionals, both of which serve to improve patient care and serve the unmet needs of the community. Covenant Health's Board of Directors serves as RMC's board. The board is comprised of independent community leaders with diverse educational and professional backgrounds. The board sets policies and provides oversight of RMC. RMC maintains an open medical staff, with privileges available to all qualified physicians. Additionally, the hospital operates an active and accessible emergency department that accepts all patients regardless of ability to pay.
Part VI, Line 6:RMC, as a member of the Covenant Health system, benefits from the collaboration among all affiliated organizations to promote quality improvement, patient safety and efficient delivery of care for the communities served.As a system, Covenant assures that business processes are in place at each facility to measure and report quality; to increase the role of compliance; and to integrate risk management, utilization review, peer review, mandatory reporting and quality improvement into one cohesive function. In this way, the system is able to use analytic tools to help identify any systemic inability to satisfy the various requirements on the part of the facilities.RMC's patients benefit from the availability of and ease of access to Covenant Health affiliated entities for services not provided by the hospital itself. Transfer or referral to such services is expedited and coordinated to help create a seamless continuum of care. A full range of community mental health and psychiatric hospital services are available within the system that help support the hospital's emergency room as well as provide an accessible and efficient pathway for those patients who require such services post discharge. Other specialized services such as inpatient rehabilitation, cardiac care, cancer treatment, home health and hospice services are provided by affiliated entities. The Covenant Health system also enhances the patient's access to care through the provision of outpatient services in a variety of settings located throughout the service area. These include a diabetes center, wound care center, pulmonary rehabilitation programs and ambulatory infusion centers.Through this combination of resources and the collective development, implementation and monitoring of clinical protocols and other improvement initiatives, the affiliated entities of Covenant Health are able to deliver higher quality care in a more efficient manner than could be achieved working independently.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
James D VanderSteeg
President & CEO$0$1,241,611$0$552,000$0$155,821$0$194,950$0$25,728$0$2,170,110$0$0
John T Geppi
EVP/CFO$0$664,082$0$527,612$0$96,255$0$11,200$0$18,160$0$1,317,309$0$0
Jason B Pilant
President & CAO$0$200,879$0$58,000$0$40,379$0$10,276$0$26,863$0$336,397$0$0
Rick A Carringer
VP - Financial Services$0$184,153$0$35,000$0$20,690$0$8,701$0$8,960$0$257,504$0$0
Brenda F Gray
VP - Chief Nursing Officer$129,701$0$11,500$0$10,576$0$7,823$0$846$0$160,446$0$0$0
Elissa G Jolly
Fmr RMC Pres/CAO; Curr LMC Pres/CAO$0$236,116$0$52,866$0$48,088$0$11,200$0$18,379$0$366,649$0$0
Carolyn S Shipley
Fmr RMC VP-CNO; Curr LMC VP-CNO$0$131,333$0$17,000$0$13,111$0$5,929$0$17,699$0$185,072$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aTax gross-up payments related to deferred compensation are provided to certain executives and managers. Amounts are included in taxable compensation.
Part I, Line 3Covenant Health, the parent company of Roane County 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, Line 4bCovenant Health maintains a nonqualified deferred compensation ("NQDC") plan intended to support retention of President and CEO, James D. VanderSteeg. Employer contributions of $183,750 are reported as deferred compensation on Schedule J, Part II, Column C. Contributions along with 2020 earnings of $41,291 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).

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$400NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4aIMPACT OF COVID-19 In March 2020, the outbreak of the coronavirus disease 2019 ("COVID-19") was declared a public health emergency published by the Department of Health and Human Services and declared a national pandemic by the World Health Organization. The COVID-19 pandemic has had a major impact on the operations of all hospitals and affiliates included within the Covenant Health System. Anticipating a surge in COVID-19 cases, the State of Tennessee ordered all elective surgeries and diagnostic procedures be cancelled or postponed. Throughout the Covenant Health System, all non-urgent surgeries, elective ambulatory visits, and diagnostic tests were placed on hold. Physical therapy clinics also began restricting patients. As fears of the pandemic rose, non-COVID patient volumes were down significantly in the hospitals. Decreased volumes created a temporary need to reduce employee hours. Covenant Health, as one of the largest employers in the region, recognized that a large reduction in force would have a negative impact not only on the individual employees but also an aggregate impact to the local economy. To the extent possible, many employees were redeployed into jobs that were needed to help screen patients and keep facilities functioning under new protocols. Working environments were changed to accommodate social distancing, and employee schedules were adjusted when schools turned to virtual learning. Beginning with the onset of the pandemic in the U.S., hospitals and clinics were forced to quickly respond with new procedures to prevent the spread of the virus. COVID units were established at each hospital. In many cases, the costs of Personal Protective Equipment ("PPE") increased by over ten times the costs prior to COVID. Government support, including the Coronavirus Aid, Relief, and Economic Security Act ("CARES Act"), provided essential funding to hospitals and other healthcare entities. CARES Act Provider Relief Funds and applicable state grants (included as government grants in Form 990, Part VIII) helped offset costs including the following: establishing a COVID unit at the hospitals, providing face shields for all patient-facing employees, adding screeners at all points of entry, adding COVID testing as an additional screen for patients exhibiting symptoms, subsidizing increased costs of PPE and lab supplies, and, eventually, coordinating and administering the COVID vaccine to employees and throughout the community. Federal and State funding was also utilized to cover numerous routine operating expenses at the beginning of the pandemic that could not be covered by reduced operating revenue caused by significant declines in volumes due to cancelled and postponed procedures. In addition, Covenant Health and its affiliates took advantage of the deferral of the employer portion of social security in 2020 (to be repaid in 2021 and 2022), freeing up cash needed to pay for increased COVID related expenses. From July to December 2020, the hospitals were challenged with an increased surge of COVID-19 cases within East Tennessee, which increased patient loads to almost maximum capacity. Knox County, Tennessee was labeled a coronavirus hot spot while all available hospital staff were working diligently to save lives and help reduce the spread of the virus in the community. Hospitals were adding beds and working to secure the needed equipment to serve COVID patients. Employment costs continued to rise as hospitals dealt with staff fatigue and turnover. The impacts of COVID-19 stretch well beyond 2020 as hospitals continue to deal with the challenges of the pandemic and its lasting impact on healthcare professionals. While it was a difficult and challenging year for healthcare organizations around the world, including Covenant Health, it was also a year rich in learning and abundant blessings. A strong balance sheet and innovative ways to meet the challenges presented by the coronavirus, coupled with generosity from the community meant that each of our hospitals could continue to deliver award-winning care throughout the East Tennessee community.
Form 990, Part VI, Section A, line 6Covenant Health is the sole member of Roane County Medical Center.
Form 990, Part VI, Section A, line 7aCovenant Health's board of directors also serves as the board of directors for Roane County Medical Center.
Form 990, Part VI, Section A, line 7bGovernance decisions of Roane County Medical Center are subject to approval of the sole member, Covenant Health.
Form 990, Part VI, Section B, line 11bThe 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 12cBoard members, officers, and employees are required to adhere to rules and policies regarding conflicts of interest. Covenant Health distributes 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 Covenant Health Executive Leadership 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 15Form 990, Part VI, Section B, Line 15a: Overall compensation policies for Roane County Medical Center, Covenant Health (Parent Company), and affiliates are set by the Compensation Committee of the board of directors ("the Committee"), which is comprised of independent members of the board. The Committee is guided in its decision-making process by an independent, nationally-recognized executive compensation consultant experienced in advising nonprofit hospital boards. 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 Roane County Medical Center's CEO is included in response to Part VI, Section B, line 15b. Part VI, Section B, Line 15b: Base salary and annual bonus opportunities for Jason Pilant, President and Chief Administrative Officer, are set by the Covenant Health CEO in consultation with the Senior Vice President-Human Resources, subject to approval of the Compensation Committee of the Covenant Health board of directors ("the Committee"), 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 approved by 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 is 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 0-35% 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 19Roane County Medical 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 IX, line 11gOther fees for Services: Program service expenses 3,479,395. Management and general expenses 91,520. Fundraising expenses 0. Total expenses 3,570,915. Intercompany Purchased Services: Program service expenses 783,876. Management and general expenses 0. Fundraising expenses 0. Total expenses 783,876. Sponsorship Fees: Program service expenses 2,089,213. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,089,213.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Covenant Health
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621646734Supporting organizationTN501(c)(3)Line 12b, IIN/A0
Claiborne Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960464420358Acute care hospitalTN501(c)(3)Line 30Covenant Health
Covenant HomeCare
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621623114Home health servicesTN501(c)(3)Line 100Covenant Health
Cumberland Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960620790132Acute care hospitalTN501(c)(3)Line 30Covenant Health
Fort Loudoun Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621373691Acute care hospitalTN501(c)(3)Line 30Covenant Health
Fort Sanders Regional Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960620528340Acute care hospitalTN501(c)(3)Line 30Covenant Health
Fort Sanders Foundation
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621748601Fundraising and patient outreachTN501(c)(3)Line 12b, II0Covenant Health
Fort Sanders Perinatal Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960043760551High risk obstetrical servicesTN501(c)(3)Line 30Fort Sanders Regional Medical Center
LeConte Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621114867Acute care hospitalTN501(c)(3)Line 30Covenant Health
Methodist Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960620636239Acute care hospitalTN501(c)(3)Line 30Covenant Health
Parkwest Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960581897274Acute care hospital and behavioral health servicesTN501(c)(3)Line 30Covenant Health
Thompson Cancer Survival Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621250943Cancer support centerTN501(c)(3)Line 30Covenant Health
Thompson Oncology Group
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621619239Oncology servicesTN501(c)(3)Line 30Thompson Cancer Survival Center
Thompson Cancer Survival Center Foundation
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960582130450Fundraising and patient outreachTN501(c)(3)Line 12b, II0Covenant Health
Morristown-Hamblen Hospital Association
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960620545814Acute care hospitalTN501(c)(3)Line 30Covenant Health

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Fort Sanders West Associates
280 Fort Sanders West Blvd Ste 214KnoxvilleTN37922621384171Building ownershipTNN/A00
Smith & Hammaker Enterprises LLC
550 Fort Summit WayKnoxvilleTN37915270122252Rental real estateTNN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Fortress Corporation
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621308885Management companyTNN/AC0
Covenant Medical Group Inc
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621282917Physician practice managementTNN/ACYes (1)
Knoxville Heart Group
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960271528941Cardiology medical practiceTNN/AC0
East TN Cardiovascular Surgery Group Inc
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621018541Cardiovascular surgical practiceTNN/AC0
VortexT Analytics Inc
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960475296949Computer programming servicesTNN/AC0
SH Data Centers LLC
550 Fort Summit WayKnoxvilleTN37915814563094Data storageTNN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Covenant Medical Group IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeATransactionTypeTxt
Involved$158,269InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt