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Nonprofiteer
← ROANE COUNTY MEDICAL CENTER

Form 990 for tax year 2024

Filed by ROANE COUNTY MEDICAL CENTER.

Totals

Total revenue
$49,871,885
Total expenses
$50,089,740
Contributions and grants received
$21,280
Grants paid
$25
Program service revenue
$49,551,712
Investment income
$4,740
Other revenue
$294,153
Total assets, end of year
$49,148,314
Total liabilities, end of year
$4,143,197
Net assets or fund balances, end of year
$45,005,117
Program services expenses (Part IX)
$48,400,594
Management and general expenses
$1,689,146
Fundraising expenses
$0
Program service expenses (Part III)
$48,400,594

Program services were 96.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $131

  • 1e · Government grants (contributions)

    $20,000

  • 1f · All other contributions, gifts and grants

    $1,149

  • 2a · Program service revenue: Net Patient Revenue

    total $49,521,160 · related or exempt $49,521,160

  • 2b · Program service revenue: Rental Income - Exempt Affiliates

    total $30,552 · related or exempt $30,552

  • 3 · Investment income

    total $2,740 · excluded $2,740

  • 6a · Gross rents

    real property $150,825

  • 6b · Less rental expenses

    real property $117,194

  • 6c · Rental income or loss

    real property $33,631

  • 6d · Net rental income or loss

    total $33,631 · unrelated business $33,770 · excluded -$139

  • 7a · Gross sales of assets other than inventory

    other assets $2,000

  • 7b · Less cost or other basis and sales expenses

    other assets $0

  • 7c · Gain or loss

    other assets $2,000

  • 7d · Net gain or loss

    total $2,000 · excluded $2,000

  • 11a · Other revenue: Cafeteria

    total $169,528 · excluded $169,528

  • 11b · Other revenue: Gift Shop

    total $44,279 · excluded $44,279

  • 11c · Other revenue: Sleep Clinic

    total $34,952 · related or exempt $34,952

  • 11d · All other revenue

    total $11,763 · related or exempt $1,756 · excluded $10,007

  • 11e · Other revenue, total

    $260,522

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $25 · program services $25

  • 5 · Compensation of officers, directors and key employees

    total $196,090 · management and general $196,090

  • 7 · Other salaries and wages

    total $15,867,511 · program services $15,461,344 · management and general $406,167

  • 8 · Pension plan contributions

    total $503,761 · program services $491,605 · management and general $12,156

  • 9 · Other employee benefits

    total $2,484,347 · program services $2,390,667 · management and general $93,680

  • 10 · Payroll taxes

    total $1,142,296 · program services $1,099,492 · management and general $42,804

  • 11a · Fees: management

    total $5,316,517 · program services $5,122,405 · management and general $194,112

  • 11b · Fees: legal

    total $250 · management and general $250

  • 11g · Fees: other

    total $7,945,836 · program services $7,898,320 · management and general $47,516

  • 12 · Advertising and promotion

    total $646 · program services $511 · management and general $135

  • 13 · Office expenses

    total $339,009 · program services $226,967 · management and general $112,042

  • 16 · Occupancy

    total $2,022,603 · program services $1,903,298 · management and general $119,305

  • 17 · Travel

    total $4,576 · program services $4,496 · management and general $80

  • 19 · Conferences, conventions and meetings

    total $16,163 · program services $12,411 · management and general $3,752

  • 20 · Interest

    total $4,747 · program services $4,747

  • 22 · Depreciation, depletion and amortization

    total $2,929,057 · program services $2,855,915 · management and general $73,142

  • 23 · Insurance

    total $51,785 · program services $50,568 · management and general $1,217

  • 24a · Other expenses: UBI Tax

    total $5,000 · management and general $5,000

  • 24b · Other expenses: Bad Debt

    total $4,719,040 · program services $4,719,040

  • 24c · Other expenses: Medical Supplies

    total $4,353,439 · program services $4,353,439

  • 24d · Other expenses: Minor Equipment

    total $1,324,838 · program services $1,306,455 · management and general $18,383

  • 24e · All other expenses

    total $862,204 · program services $498,889 · management and general $363,315

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,550 · end of year $1,550

  • 2 · Savings and temporary cash investments

    beginning of year $1,284 · end of year -$204,831

  • 4 · Accounts receivable

    beginning of year $4,992,902 · end of year $4,931,025

  • 8 · Inventories for sale or use

    beginning of year $381,245 · end of year $308,504

  • 9 · Prepaid expenses and deferred charges

    beginning of year $245,550 · end of year $234,155

  • 10a · Land, buildings and equipment: cost or other basis

    $81,456,613

  • 10b · Land, buildings and equipment: accumulated depreciation

    $38,057,753

  • 10c · Land, buildings and equipment, net

    beginning of year $45,207,939 · end of year $43,398,860

  • 15 · Other assets

    beginning of year $384,461 · end of year $479,051

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,135,532 · end of year $3,325,737

  • 25 · Other liabilities

    beginning of year $997,078 · end of year $817,460

  • 27 · Net assets without donor restrictions

    beginning of year $47,082,321 · end of year $45,005,117

Mission and programs · 2024

Mission

Roane 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.

Activities or mission (Part I)

Roane 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.

  • Roane County Medical Center, doing business as Roane Medical Center ("Roane"), located in Harriman, Tennessee, joined Covenant Health in 2008 after previously serving the community as a county hospital. The hospital relocated from downtown Harriman to a growing area of the community when a new state-of-the-art medical center was built and opened in February 2013. SERVICERoane Medical Center 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 2024 the hospital saw 66,173 patients. Of these, 63,387 were outpatients and 2,786 were inpatients with an average length-of-stay of 3.68 days. PUTTING PATIENTS FIRSTAs a member of Covenant Health, Roane is part of the region's only stroke hospital network, which links Covenant Health's member hospitals in providing access to rapid diagnosis and treatment of stroke. Roane holds Advanced Primary Stroke Center certification from The Joint Commission. In 2024, Roane received the American Heart Association's Get With The Guidelines - Stroke Gold Plus quality achievement award for its commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines that ultimately lead to more lives saved and reduced disability. The hospital also holds five American College of Radiology accreditations in breast ultrasound, CT, mammography, MRI and nuclear medicine. 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 partners with Mid-East Senior Services and UT Extension Services to expand access for seniors to participate in a congregate feeding program. The program regularly offers meals at the hospital for senior adults. Roane has had an active Patient/Family Partnership Council since 2017. The group meets regularly to identify any service concerns that might benefit from a collaborative hospital/community approach. Current members include a surgery RN, a chaplain (and former Information Technology professional), the Director of Health Services/NCM/Therapy at the local Michael Dunn Center (which provides services and support for adults and children with developmental disabilities), a cardiac rehab RN, a chaplain and retired director of the Michael Dunn Center, a chaplain and minister at Kingston United Methodist Church, a nuclear medicine technician, and the hospital's patient experience manager, who is also an RN. The group's latest project is a focus group for patient experience in the Emergency Department. Roane currently has 30 community volunteer chaplains who meet monthly and are on-call for pastoral needs for patients, families, or employees. About half the volunteer chaplains currently pastor churches, while the other half are retired and/or lay leaders in their congregations. In 2024, the hospital earned its sixth consecutive 'A' hospital safety grade from The Leapfrog Group. The Leapfrog Group collects and reports data related to safety, quality, and other aspects of hospital performance. Leapfrog assigns safety grades based on over 30 measures of errors, accidents, injuries and infections, as well as the systems hospitals have in place to prevent them. The Tennessee Hospital Association has awarded Roane Medical Center three Zero Harm Awards, a new initiative recognizing outstanding achievements in patient safety across Tennessee hospitals. Roane also earned a 5-star Overall Quality Rating from the Centers for Medicare and Medicaid Services. It is one of five hospitals in the state to earn a 5-star rating, and the second consecutive year the hospital has received this rating. The CMS uses publicly reported data to determine the Overall Hospital Quality Star Rating on a scale of one to five. To do so, the organization looks at 46 hospital quality measures that are broken into five areas: mortality, safety of care, readmission, patient experience, and timely and effective care. Roane was recognized by Newsweek as one of "America's Best-in-State Hospitals." Out of 700 hospitals nationwide, it was one of 15 hospitals in Tennessee to earn this accolade.

    Expenses $48,400,594 · Grants $25 · Revenue $49,588,420

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Mitchell Dickson MD

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Stephanie Flood

    Director

    Total calculated
    $964
    From this org
    $0
    From related orgs
    $964
    Other
    $0
    Hours/week
    0 + 1 related

  • James Gibson

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Edgar Gray

    Director

    Total calculated
    $844
    From this org
    $0
    From related orgs
    $844
    Other
    $0
    Hours/week
    0 + 1 related

  • Leslye Hartsell

    Director

    Total calculated
    $1,124
    From this org
    $0
    From related orgs
    $1,124
    Other
    $0
    Hours/week
    0 + 1 related

  • Donald Hickman

    Director

    Total calculated
    $675
    From this org
    $0
    From related orgs
    $675
    Other
    $0
    Hours/week
    0 + 1 related

  • Timothy Matthews

    Director

    Total calculated
    $657
    From this org
    $0
    From related orgs
    $657
    Other
    $0
    Hours/week
    0 + 1 related

  • Janice McKinley

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Cletus McMahon MD

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Dave Miller

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Bill Myers

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Alvin Nance

    Director

    Total calculated
    $648
    From this org
    $0
    From related orgs
    $648
    Other
    $0
    Hours/week
    0 + 1 related

  • Linda Ogle

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • King Purnell

    Director/Chair

    Total calculated
    $935
    From this org
    $0
    From related orgs
    $935
    Other
    $0
    Hours/week
    0 + 1 related

  • Jorge Sanabria

    Director

    Total calculated
    $807
    From this org
    $0
    From related orgs
    $807
    Other
    $0
    Hours/week
    0 + 1 related

  • William Seale

    Director

    Total calculated
    $1,060
    From this org
    $0
    From related orgs
    $1,060
    Other
    $0
    Hours/week
    0 + 1 related

  • Cosby Stone

    Director

    Total calculated
    $1,113
    From this org
    $0
    From related orgs
    $1,113
    Other
    $0
    Hours/week
    0 + 1 related

  • Joe Sutter

    Director

    Total calculated
    $881
    From this org
    $0
    From related orgs
    $881
    Other
    $0
    Hours/week
    0 + 1 related

  • James Tramontana MD

    Director

    Total calculated
    $1,086
    From this org
    $0
    From related orgs
    $1,086
    Other
    $0
    Hours/week
    0 + 1 related

  • James D VanderSteeg

    President & CEO

    Total calculated
    $3,242,830
    From this org
    $0
    From related orgs
    $2,880,556
    Other
    $362,274
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,578,849 related
    Bonus
    $0 + $1,078,259 related
    Other
    $0 + $223,448 related
    Deferred
    $0 + $335,103 related
    Nontaxable benefits
    $0 + $27,171 related
    Filer's total
    $0 + $3,242,830 related

  • Joseph C Dolan

    EVP/CFO

    Total calculated
    $967,301
    From this org
    $0
    From related orgs
    $861,693
    Other
    $105,608
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $697,828 related
    Bonus
    $0 + $138,667 related
    Other
    $0 + $25,198 related
    Deferred
    $0 + $72,802 related
    Nontaxable benefits
    $0 + $32,806 related
    Filer's total
    $0 + $967,301 related

  • Jason B Pilant

    President & CAO

    Total calculated
    $390,069
    From this org
    $0
    From related orgs
    $343,539
    Other
    $46,530
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $231,274 related
    Bonus
    $0 + $60,000 related
    Other
    $0 + $52,265 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $33,330 related
    Filer's total
    $0 + $390,069 related

  • Catherine M Bunch

    Fmr VP - Fin Svcs(through Sept 2024)

    Total calculated
    $280,696
    From this org
    $0
    From related orgs
    $238,684
    Other
    $42,012
    Hours/week
    20 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $184,966 related
    Bonus
    $0 + $28,000 related
    Other
    $0 + $25,718 related
    Deferred
    $0 + $9,749 related
    Nontaxable benefits
    $0 + $32,263 related
    Filer's total
    $0 + $280,696 related

  • April A Vonachen

    VP - Financial Services

    Total calculated
    $209,290
    From this org
    $0
    From related orgs
    $169,527
    Other
    $39,763
    Hours/week
    20 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $142,665 related
    Bonus
    $0 + $15,000 related
    Other
    $0 + $11,862 related
    Deferred
    $0 + $4,984 related
    Nontaxable benefits
    $0 + $34,779 related
    Filer's total
    $0 + $209,290 related

  • Brenda F Gray

    VP - Chief Nursing Officer

    Total calculated
    $196,090
    From this org
    $188,177
    From related orgs
    $0
    Other
    $7,913
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $144,019
    Bonus
    $23,000
    Other
    $21,158
    Deferred
    $6,983
    Nontaxable benefits
    $930
    Filer's total
    $196,090

  • Ashleigh M Sexton

    Clinical Nurse

    Total calculated
    $157,559
    From this org
    $129,334
    From related orgs
    $0
    Other
    $28,225
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $119,320
    Bonus
    $10,000
    Other
    $14
    Deferred
    $0
    Nontaxable benefits
    $28,225
    Filer's total
    $157,559

  • Matthew P Magee

    Manager Rehab Services

    Total calculated
    $159,142
    From this org
    $119,102
    From related orgs
    $0
    Other
    $40,040
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $113,528
    Bonus
    $500
    Other
    $5,074
    Deferred
    $7,640
    Nontaxable benefits
    $32,400
    Filer's total
    $159,142

  • Jessica C Stinnett

    Clinical Nurse

    Total calculated
    $144,039
    From this org
    $116,368
    From related orgs
    $0
    Other
    $27,671
    Hours/week
    50

  • Alexandria N Moore

    Clinical Nurse

    Total calculated
    $136,110
    From this org
    $116,137
    From related orgs
    $0
    Other
    $19,973
    Hours/week
    50

  • Amanda M Makely

    Nurse Manager

    Total calculated
    $123,429
    From this org
    $109,713
    From related orgs
    $0
    Other
    $13,716
    Hours/week
    50

  • Rick A Carringer

    Fmr VP - Financial Services

    Total calculated
    $341,887
    From this org
    $0
    From related orgs
    $319,152
    Other
    $22,735
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $243,403 related
    Bonus
    $0 + $39,000 related
    Other
    $0 + $36,749 related
    Deferred
    $0 + $11,191 related
    Nontaxable benefits
    $0 + $11,544 related
    Filer's total
    $0 + $341,887 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Tax indemnification and gross-up payments
  • 1a · Personal services (maid, chauffeur, chef)
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 1a
Tax gross-up payments related to deferred compensation and reimbursement of fees for personal services for legal and financial planning are provided to certain executives and managers. Amounts are included in taxable compensation.
Part I, Line 3
Covenant 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 4b
Covenant Health maintains a nonqualified deferred compensation ("NQDC") plan intended to support retention of President and CEO, James D. VanderSteeg, and EVP and CFO, Joseph C. Dolan. Employer contributions of $321,903 for James D. VanderSteeg and $72,802 for Joseph C. Dolan are reported as deferred compensation on Schedule J, Part II, Column C. Contributions along with 2024 earnings of $114,551 for James D. VanderSteeg and $4,468 for Joseph C. Dolan are subject to a substantial risk of forfeiture. Amounts are combined with other compensation and considered for reasonableness. Compensation procedures are discussed in detail in Schedule O (Form 990, Part VI, Section B, Line 15a). Please note that the amounts included in Part II, Column C as contributions to the NQDC plan for James D. VanderSteeg and other executive leaders are deferred but NOT received during the filing year. We report compensation in both the year earned and the year paid, as required by IRS guidelines; however, wages appear overstated due to dual reporting of compensation earned in one year and distributed in a subsequent year.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • Covenant-AmSurg ASC Ventures LLC

    Management company · TN

  • Covenant-KEC ASC Ventures LLC

    Management company · TN

  • TEC North LLC

    Physician services · TN

  • The Endoscopy Center of Knoxville LLC

    Physician services · TN

  • Boulevard ENT-Surgery Center LLC

    Surgical services · TN

  • CHUC LLC

    Physician services · TN

  • Surgery Center of Oak Ridge LLC

    Surgical services · TN

  • D1 Blount LLC

    Fitness center · TN

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Fortress Corporation

    C · Management company · TN

  • Covenant Medical Group Inc

    C · Physician practice management · TN · controlled entity

  • Knoxville Heart Group

    C · Cardiology medical practice · TN

  • East TN Cardiovascular Surgery Group Inc

    C · Cardiovascular surgical practice · TN

  • TenHats LLC

    C · Data storage · TN

Provenance

Return type
form_990
Tax year
2024
Filed
12 November 2025
IRS schema version
2024v5.2
Source object
202503169349302135

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