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Nonprofiteer
← ROANE COUNTY MEDICAL CENTER

Form 990 for tax year 2022

Filed by ROANE COUNTY MEDICAL CENTER.

Totals

Total revenue
$48,955,047
Total expenses
$47,403,641
Contributions and grants received
$871,313
Grants paid
$1,650
Program services expenses (Part IX)
$45,585,355
Management and general expenses
$1,818,286
Fundraising expenses
$0
Program service expenses (Part III)
$45,585,355

Program services were 96.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Gerald Boyd

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Willard Campbell MD

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Michael Casey MD

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Ronni Chandler

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Mitchell Dickson MD

    Director

    Total calculated
    $268
    From this org
    $0
    From related orgs
    $268
    Other
    $0
    Hours/week
    0 + 1 related

  • Stephanie Flood

    Director

    Total calculated
    $849
    From this org
    $0
    From related orgs
    $849
    Other
    $0
    Hours/week
    0 + 1 related

  • James Gibson

    Director

    Total calculated
    $74
    From this org
    $0
    From related orgs
    $74
    Other
    $0
    Hours/week
    0 + 1 related

  • Edgar Gray

    Director

    Total calculated
    $1,432
    From this org
    $0
    From related orgs
    $1,432
    Other
    $0
    Hours/week
    0 + 1 related

  • Leslye Hartsell

    Director

    Total calculated
    $889
    From this org
    $0
    From related orgs
    $889
    Other
    $0
    Hours/week
    0 + 1 related

  • Donald Hickman

    Director

    Total calculated
    $1,538
    From this org
    $0
    From related orgs
    $1,538
    Other
    $0
    Hours/week
    0 + 1 related

  • Timothy Matthews

    Director

    Total calculated
    $906
    From this org
    $0
    From related orgs
    $906
    Other
    $0
    Hours/week
    0 + 1 related

  • Janice McKinley

    Director

    Total calculated
    $1,097
    From this org
    $0
    From related orgs
    $1,097
    Other
    $0
    Hours/week
    0 + 1 related

  • Dave Miller

    Director

    Total calculated
    $1,208
    From this org
    $0
    From related orgs
    $1,208
    Other
    $0
    Hours/week
    0 + 1 related

  • Bill Myers

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Alvin Nance

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Linda Ogle

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • King Purnell

    Director/Chair

    Total calculated
    $1,050
    From this org
    $0
    From related orgs
    $1,050
    Other
    $0
    Hours/week
    0 + 1 related

  • Jorge Sanabria

    Director

    Total calculated
    $1,485
    From this org
    $0
    From related orgs
    $1,485
    Other
    $0
    Hours/week
    0 + 1 related

  • William Seale

    Director

    Total calculated
    $1,251
    From this org
    $0
    From related orgs
    $1,251
    Other
    $0
    Hours/week
    0 + 1 related

  • Cosby Stone

    Director

    Total calculated
    $1,408
    From this org
    $0
    From related orgs
    $1,408
    Other
    $0
    Hours/week
    0 + 1 related

  • Joe Sutter

    Director

    Total calculated
    $979
    From this org
    $0
    From related orgs
    $979
    Other
    $0
    Hours/week
    0 + 1 related

  • James Tramontana MD

    Director

    Total calculated
    $1,208
    From this org
    $0
    From related orgs
    $1,208
    Other
    $0
    Hours/week
    0 + 1 related

  • James D VanderSteeg

    President & CEO

    Total calculated
    $2,662,703
    From this org
    $0
    From related orgs
    $2,346,646
    Other
    $316,057
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,425,507 related
    Bonus
    $0 + $742,500 related
    Other
    $0 + $178,639 related
    Deferred
    $0 + $284,975 related
    Nontaxable benefits
    $0 + $31,082 related
    Filer's total
    $0 + $2,662,703 related

  • John T Geppi

    EVP/CFO

    Total calculated
    $1,133,767
    From this org
    $0
    From related orgs
    $1,099,851
    Other
    $33,916
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $679,719 related
    Bonus
    $0 + $309,084 related
    Other
    $0 + $111,048 related
    Deferred
    $0 + $11,600 related
    Nontaxable benefits
    $0 + $22,316 related
    Filer's total
    $0 + $1,133,767 related

  • Jason B Pilant

    President & CAO

    Total calculated
    $384,613
    From this org
    $0
    From related orgs
    $343,669
    Other
    $40,944
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $217,828 related
    Bonus
    $0 + $74,128 related
    Other
    $0 + $51,713 related
    Deferred
    $0 + $11,600 related
    Nontaxable benefits
    $0 + $29,344 related
    Filer's total
    $0 + $384,613 related

  • Rick A Carringer

    Fmr VP - Fin Svcs (through Mar 2022)

    Total calculated
    $309,781
    From this org
    $0
    From related orgs
    $280,698
    Other
    $29,083
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $212,745 related
    Bonus
    $0 + $38,950 related
    Other
    $0 + $29,003 related
    Deferred
    $0 + $18,432 related
    Nontaxable benefits
    $0 + $10,651 related
    Filer's total
    $0 + $309,781 related

  • Catherine M Bunch

    VP - Financial Services

    Total calculated
    $157,335
    From this org
    $0
    From related orgs
    $151,800
    Other
    $5,535
    Hours/week
    20 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $135,899 related
    Bonus
    $0 + $10,000 related
    Other
    $0 + $5,901 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $5,535 related
    Filer's total
    $0 + $157,335 related

  • Brenda F Gray

    VP - Chief Nursing Officer

    Total calculated
    $191,142
    From this org
    $183,868
    From related orgs
    $0
    Other
    $7,274
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $135,453
    Bonus
    $27,973
    Other
    $20,442
    Deferred
    $6,396
    Nontaxable benefits
    $878
    Filer's total
    $191,142

  • Matthew P Magee

    Manager Rehab Services

    Total calculated
    $153,701
    From this org
    $117,611
    From related orgs
    $0
    Other
    $36,090
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $111,183
    Bonus
    $1,720
    Other
    $4,708
    Deferred
    $6,974
    Nontaxable benefits
    $29,116
    Filer's total
    $153,701

  • Ayn M Brockman

    Clinical Nurse - IV CCU

    Total calculated
    $130,714
    From this org
    $105,517
    From related orgs
    $0
    Other
    $25,197
    Hours/week
    50

  • Laura K Jennings Rish

    Clinical Nurse

    Total calculated
    $107,771
    From this org
    $102,179
    From related orgs
    $0
    Other
    $5,592
    Hours/week
    50

  • Elissa G Jolly

    Fmr RMC Pres/CAO; Curr LMC Pres/CAO

    Total calculated
    $247,777
    From this org
    $0
    From related orgs
    $230,362
    Other
    $17,415
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $48,903 related
    Bonus
    $0 + $85,952 related
    Other
    $0 + $95,507 related
    Deferred
    $0 + $11,600 related
    Nontaxable benefits
    $0 + $5,815 related
    Filer's total
    $0 + $247,777 related

  • Carolyn S Shipley

    Fmr RMC VP-CNO; Curr LMC VP-CNO

    Total calculated
    $207,104
    From this org
    $0
    From related orgs
    $180,550
    Other
    $26,554
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $86,866 related
    Bonus
    $0 + $28,505 related
    Other
    $0 + $65,179 related
    Deferred
    $0 + $6,509 related
    Nontaxable benefits
    $0 + $20,045 related
    Filer's total
    $0 + $207,104 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 — 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
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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, Lines 4a-b
Carolyn Shipley, Former VP Chief Nursing Officer, received a severance payment of $55,384 during 2022. The amount is included in taxable compensation. Her termination date was August 22, 2022. Covenant Health maintains a nonqualified deferred compensation ("NQDC") plan intended to support retention of President and CEO, James D. VanderSteeg. Employer contributions of $273,375 are reported as deferred compensation on Schedule J, Part II, Column C. Contributions along with 2022 earnings of $70,560 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).

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.

Provenance

Return type
form_990
Tax year
2022
Filed
8 November 2023
IRS schema version
2022v5.0
Source object
202333189349301553

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