Covenant Health Roane

What it reported doing in 2024

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

Financial Efficiency

• Mission deployment rate: 97%; rating input score 97
• Program expense ratio: 96.6%; rating input score 97
• 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: Limited
• 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: -0.4%; rating input score 29; 29th percentile among comparable filings
• Total-asset coverage ratio: 0.98; rating input score 35; 35th percentile among comparable filings
• Liabilities to assets ratio: 0.08; rating input score 76; 76th percentile among comparable filings
• Officer compensation ratio: 3.1%; rating input score 67; 67th percentile among comparable filings

Growth

• Program expense growth: 0.4% per year; rating input score 100; 12th percentile among comparable filings
• Revenue growth: 2.4% per year; rating input score 100; 21st percentile among comparable filings
• Asset growth: 5.6% per year; rating input score 100; 40th percentile among comparable filings