Covenant Health Claiborne

What it reported doing in 2024

Claiborne Medical Center ("Claiborne") opened in 1959 and serves the Tri-State area. It is located near the Cumberland Gap, in a rural area where health care is a much-needed service, and more than 23.1 percent of the population is below the poverty line. Claiborne became part of Covenant Health in 2014. Claiborne is also one of the largest employers in Claiborne County, with over 300 employees. Located near the state lines of Kentucky and Virginia, Claiborne serves citizens in Bell County, KY; Lee County, VA; and Claiborne and surrounding counties in East Tennessee.SERVICEClaiborne maintains an ambulance service, which enhances area residents' ability to access health care. Claiborne EMS is the primary 911 service for Claiborne County, and a helicopter pad located next to the hospital makes air medical transport services available when needed. The hospital also operates Claiborne Health and Rehabilitation Center, a long-term care facility offering both short-term rehabilitation and residential care for those who can no longer live independently without assistance. Claiborne Health and Rehabilitation Center is currently rated a 4-star facility by the Centers for Medicare and Medicaid Services (CMS). In 2024 the Center was recognized by both Newsweek and U.S. News and World Report as a "Best Nursing Home."In 2024, the hospital provided care for 35,744 patients. Of these, 34,680 were outpatients and 1,064 were inpatients with an average length-of-stay of 3.49 days.PUTTING PATIENTS FIRSTCurrently licensed for 85 beds, the hospital is best known for its surgical services, cardiac rehabilitation, lymphedema program, nursing home, and emergency medical services. Claiborne is certified by The Joint Commission as an Acute Stroke-Ready hospital and is a member of Covenant Health's stroke hospital network, providing rapid diagnosis and treatment of stroke. Claiborne has two full-time general surgeons and one part-time orthopedic surgeon to provide excellent surgical care for patients.Claiborne offers imaging services that include a full-service clinical laboratory, digital mammography, high-definition MRI scans, CT services, echocardiography, and nuclear medicine. The imaging department is accredited by the American College of Radiology in five areas: CT scan, mammography, MRI, nuclear medicine, and ultrasound. Claiborne received both a new CT scanner and new MRI equipment in 2024.Claiborne was recognized in the spring and fall of 2024 with an "A" grade from The Leapfrog Group for patient safety and quality. The hospital was also recognized with the American Heart Association's Get With the Guidelines-Rural Stroke Bronze quality achievement award. The medical center also was recognized by Becker's Healthcare Review in 2024 for Top Hospitals in Nurse Communication, Doctor Communication, and Cleanliness. Recently Claiborne received three Zero Harm awards from the Tennessee Hospital Association for outstanding achievements in patient safety. The awards celebrate hospitals that reached zero healthcare-associated infections in certain areas over the calendar year.IMPROVING THE COMMUNITY'S QUALITY OF LIFE THROUGH BETTER HEALTH Claiborne completed a Community Health Needs Assessment in 2023 and identified four areas as health priorities in the community. As part of the Claiborne Health Council, Claiborne is working to develop projects to improve mental health, substance abuse disorders, diabetes, and obesity in Claiborne County. Teams have been developed for each focus area, and hospital staff are working on the obesity and diabetes teams. In 2024 these teams partnered with other members of the Claiborne County Health Council to provide community health education. One of the hospital's managers served on a community drug coalition led by Live Free, a local nonprofit that provides alcohol and drug addiction and mental health counseling.Claiborne EMS participated in several community events in 2024, including safety days at Midway and Forge Ridg

Financial Efficiency

• Mission deployment rate: 97%; rating input score 97
• Program expense ratio: 94.3%; rating input score 94
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 95%; rating input score 95; 28th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -2.9%; rating input score 21; 21st percentile among comparable filings
• Total-asset coverage ratio: 0.48; rating input score 15; 15th percentile among comparable filings
• Liabilities to assets ratio: 0.5; rating input score 29; 29th percentile among comparable filings
• Officer compensation ratio: 3.2%; rating input score 66; 66th percentile among comparable filings

Growth

• Program expense growth: 2.6% per year; rating input score 100; 23rd percentile among comparable filings
• Revenue growth: 3.8% per year; rating input score 100; 33rd percentile among comparable filings
• Asset growth: 1.4% per year; rating input score 100; 15th percentile among comparable filings