Roane County Medical Center
Public records show a registered, tax-exempt organization in good standing.
What it says it does
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.
- Income
- $49.9 million
- Spending
- $50.1 million
- Spent on programs
- 97%
- Reserves
- 0.4 months of spending
- Largest source of income
- fees for its services, 99%
- Employees
- 380
- Volunteers
- 57
- Highest pay
- $3.2 million, president & ceo
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Fair: 62 out of 100. Higher than 48% of charities in its peer group (health care, $10m to $100m).
Reserves
4 of 35Spendable reserves would cover 0.4 months of spending.
Debt
20 of 20It owes 8% of what it owns.
Living within its means
8 of 15Spending exceeded income by 0% of income.
Income trend
15 of 15Income rose 7% on the year before.
Spending floor
15 of 1597% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 100 out of 100. Higher than 52% of charities in its peer group (health care, $10m to $100m).
Independent board
25 of 2519 of 20 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $48.4 million spent. 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.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending December 2024.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since September 2009.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.