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COVENANT HEALTH: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
COVENANT HEALTH (EIN 62-1646734)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-14
IRS object ID
201903189349300425
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-14T06:47:41-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN621646734EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Covenant HealthBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOVEBusinessNameControlTxt
Phone8653743140PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11420 Centerpoint Blvd Bldg CAddressLine1Txt
CityKnoxvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP379321960ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN T GEPPIPersonNm
Person TitleEVP/CFOPersonTitleTxt
Phone8655315421PhoneNum
Signature2019-10-03SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address168.85.177.4IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-14IPDt
IP Tm07:47:20IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id9FAA1952C08CFF6F9E2CB5A334C8BD7C4DA173D5AtSubmissionCreationDeviceId
At Submission Filing Device Id9FAA1952C08CFF6F9E2CB5A334C8BD7C4DA173D5AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-01-14 16:20:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJames D VanderSteegPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Ft Sanders W BlvdAddressLine1Txt
CityKnoxvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37922ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$199,850,259GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.covenanthealth.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionCovenant Health is the parent organization in a community-owned health care system in East Tenn.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee1266TotalEmployeeCnt
Total Volunteers1367TotalVolunteersCnt
Total Gross UBI$902,126TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$175,724NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$23,075PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$118,562,071PYProgramServiceRevenueAmt
CY Program Service Revenue$127,079,745CYProgramServiceRevenueAmt
PY Investment Income$65,794,421PYInvestmentIncomeAmt
CY Investment Income$66,023,760CYInvestmentIncomeAmt
PY Other Revenue$160,106PYOtherRevenueAmt
CY Other Revenue$146,761CYOtherRevenueAmt
PY Total Revenue$184,539,673PYTotalRevenueAmt
CY Total Revenue$193,250,266CYTotalRevenueAmt
PY Grants And Similar Paid$737,483PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$571,601CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$71,830,744PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$73,341,317CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$328,228CYTotalFundraisingExpenseAmt
PY Other Expenses$56,494,910PYOtherExpensesAmt
CY Other Expenses$92,522,609CYOtherExpensesAmt
PY Total Expenses$129,063,137PYTotalExpensesAmt
CY Total Expenses$166,435,527CYTotalExpensesAmt
PY Revenues Less Expenses$55,476,536PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$26,814,739CYRevenuesLessExpensesAmt
Total Assets BOY$1,562,028,002TotalAssetsBOYAmt
Total Assets EOY$1,386,644,162TotalAssetsEOYAmt
Total Liabilities BOY$889,440,956TotalLiabilitiesBOYAmt
Total Liabilities EOY$884,831,215TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$672,587,046NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$501,812,947NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCovenant Health supports its member hospitals and other organizations (see Schedule A) serve the community by improving the quality of life through better health, regardless of a patient's ability to pay.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$155,158,807ExpenseAmt
Grant$571,601GrantAmt
Revenue$192,098,265RevenueAmt
DescCovenant Health is a comprehensive, community-owned health system dedicated to improving the health of the people it serves. Established in 1996 by the consolidation of Fort Sanders Health System, Knoxville, Tennessee, and MMC HealthCare System in Oak Ridge, Covenant Health is governed by a voluntary board of directors comprised of community leaders and medical professionals. With more than 10,000 employees, affiliated physicians and volunteers, Covenant Health is the Knoxville area's largest employer and has been named by Forbes as a Best Employer four years in a row. Covenant Health includes nine acute care hospitals in East Tennessee; Methodist Medical Center of Oak Ridge, Fort Sanders Regional Medical Center and Parkwest Medical Center in Knoxville, Fort Loudoun Medical Center in Lenoir City, LeConte Medical Center in Sevierville, Morristown-Hamblen Healthcare System in Morristown, Roane Medical Center in Harriman, Claiborne Medical Center in Tazewell and Cumberland Medical Center in Crossville. It also includes Peninsula, a division of Parkwest Medical Center, a behavioral health hospital in Blount County, Tennessee. Affiliated organizations include Thompson Cancer Survival Center, Thompson Oncology Group, Fortress Corporation and Subsidiaries, Covenant HomeCare, and Fort Sanders Perinatal Center. Philanthropic organizations include Fort Sanders Foundation and the Thompson Cancer Survival Center Foundation in Knoxville, Methodist Medical Center Foundation in Oak Ridge, Dr. Robert F. Thomas Foundation in Sevierville, and Morristown-Hamblen Hospital Foundation in Morristown. Funds raised by the foundations provide services, equipment and other resources for excellence in patient care.SERVICECovenant Health's various system-level divisions operationally support and facilitate the health system's not-for-profit mission of improving the region's quality of life through better health. These divisions include information technology, business office and health information management, along with system-wide departments such as human resources, learning and leadership development, and others. Information TechnologyThe Information Technology (IT) division of Covenant Health provides all computing equipment and information management services to Covenant Health's member organizations. During calendar year 2018, IT led an electronic health record (EHR) vendor migration from McKesson to Cerner, impacting clinical applications in eight of Covenant Health's member facilities. An electronic medical record (EMR) vendor migration from NextGen to Cerner also was implemented for 85 Covenant Health physician practices. Information Technology performed a vendor migration for Covenant Health's home health information systems from McKesson to HomeCare HomeBase. Information management systems and related application support services (installations and upgrades, help desk resources) are available on a 24/7 basis. These support services span healthcare functions across core patient-care clinical systems; physician, nursing, and associated ancillary systems (lab, radiology, pharmacy, therapy), as well as supporting business functions comprising patient accounting, materials management, finance, and human resources. Covenant Health IT also provides project management support related to analyzing, understanding and implementing solutions to satisfy regulatory and quality reporting requirements.While Cerner now provides remote hosting of the core clinical applications, Covenant Health IT has primary support for clinical applications and manages a centralized data center (as well as a backup disaster recovery data center) where hardware equipment is housed. This combination of remote-hosted and on-premise infrastructure enables the delivery of computing resources for all Covenant Health clinical/business functions on a 24/7 schedule. Additionally, Covenant Health IT is responsible for management of all PC workstations (desktop, laptop, mobile and cart), all client-to-server internal and external network connectivity, and telephone services and equipment (PBX, handsets, cell phones, pagers) across the company. Key statistics for 2018 include: - In-patient admissions - 69,664 - Total orders using Cerner - 26,705,726 - Total orders managed via pharmacy - 3,541,991 orders - Accounts payable checks - 119,008 - Payroll checks/deposits - 246,389 - PCs supported - 11,296 - Total spam email messages blocked - 9,017,506 - Network access attempts blocked - 1,101,210,463 - Overall telephone usage - 31,574,529 calls - # of Help Desk tickets: 306,896 actions processedBusiness Office Knoxville Business Office Services is the Centralized Business Office (CBO) for Covenant Health, providing accounts receivable management for Fort Sanders Regional Medical Center, Parkwest Medical Center, Fort Loudoun Medical Center, LeConte Medical Center, Methodist Medical Center, Morristown-Hamblen Hospital Association and Roane Medical Center. These services include, but are not limited to, customer service, payment collection, financial posting, refund processing, and insurance billing and follow-up. During 2018, CBO submitted over 1,037,400 insurance claims totaling in excess of $4,238,372,400. Bad debt expense for 2018 was approximately 2.1% of gross revenue, with bad debt recoveries/collections in excess of $13,485,000. The CBO handled over 125,661 incoming phone calls, following-up on over 720,600 open accounts and processed over 3.14 million financial transactions. PUTTING PATIENTS FIRSTHealth Information ManagementThe central Health Information Management (HIM) department encompasses all areas of traditional medical records, including transcription, coding, release of information, a 24/7 call center, central scanning, records preparation, regulatory compliance, clinical documentation improvement, and privacy protection. Services are provided for acute care hospitals, both inpatient and outpatient; home health; physician offices; and behavioral health. The objective of HIM is to provide comprehensive services that are available to all Covenant Health hospitals and facilities on a 24/7 basis. This enables the hospitals and facilities to provide more efficient and timely service at less cost. In 2018, the HIM department transcribed 50.9 million lines, scanned over 10.8 million pages, and coded 1,855,860 records.Desc
Total Program Service Expenses$155,158,807TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document204IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1266EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Amy DeLongBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8653743140PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11420 Centerpoint Blvd Bldg CAddressLine1Txt
CityKnoxvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP379321960ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Gerald Boyd
Director1.000.00Yes (X)$1,237$0$0
Willard Campbell MD
Director1.000.00Yes (X)$0$0$0
Michael Casey MD
Director1.000.00Yes (X)$1,572$0$0
Ronni Chandler
Director1.000.00Yes (X)$0$0$0
Mitchell Dickson MD
Director1.000.00Yes (X)$1,612$0$0
James Fitzsimmons
Director/Chair1.000.00Yes (X)$1,081$0$0Yes (X)
James Gibson
Director1.000.00Yes (X)$1,081$0$0
Eddie Mannis
Former Director (through March 2018)1.000.00Yes (X)$0$0$0
Timothy Matthews
Director1.000.00Yes (X)$1,438$0$0
Larry Mauldin
Director1.000.00Yes (X)$1,429$0$0
Joseph Metcalf MD
Director1.000.00Yes (X)$5,925$8,121$0
Linda Ogle
Director1.000.00Yes (X)$0$0$0
Roger Osborne
Director1.000.00Yes (X)$0$0$0
Cosby Stone
Director1.000.00Yes (X)$0$0$0
Carl Storms
Director1.000.00Yes (X)$1,563$0$0
Richard Swanson
Director1.000.00Yes (X)$0$0$0
David C Verble
Director1.000.00Yes (X)$0$0$0
Amber Wisner
Director1.000.00Yes (X)$1,438$0$0
James D VanderSteeg
President & CEO50.000.00Yes (X)$1,578,890$0$192,255Yes (X)
John T Geppi
EVP/CFO50.000.00$951,309$0$27,744Yes (X)
Anthony L Spezia
CEO - Emeritus40.000.00$606,147$0$15,119Yes (X)
Patricia A Breeding
Integrity Compliance Officer50.000.00$250,217$0$19,376Yes (X)
Barry J Lindeman
Director - Internal Audit50.000.00$104,101$0$20,010Yes (X)
Michael R Belbeck Jr
EVP - Hospital Operations50.000.00$759,315$0$36,146Yes (X)
M Douglas Campbell Jr
General Counsel50.000.00$661,269$0$23,624Yes (X)
Lucas D Johnson Sr
EVP - Physician Enterprises/Amb. Serv.35.0015.00$652,224$0$25,628Yes (X)
Mark W Browne MD
SVP - Chief Medical Officer50.000.00$496,013$0$33,377Yes (X)
William M Ward
SVP - Chief Information Officer50.000.00$405,916$0$35,357Yes (X)
Debra A Welch
SVP - Human Resources50.000.00$401,849$0$26,792Yes (X)
Teresa Giles
SVP - Finance50.000.00$361,342$0$33,318Yes (X)
William C Clabough
SVP - Business Development50.000.00$357,657$0$12,137Yes (X)
Debra R Honey
SVP - Chief Nursing Officer50.000.00$285,985$0$15,873Yes (X)
Neil A Heatherly
President/CAO - Parkwest Med Ctr0.0050.00$546,047$0$33,647Yes (X)
Keith N Altshuler
President/CAO - Fort Sanders Reg0.0050.00$461,521$0$35,377Yes (X)
Jeremy H Biggs
President/CAO - Methodist Med Ctr0.0050.00$425,051$0$14,835Yes (X)
Gordon E Lintz
President/CAO - Morristown-Hamblen0.0050.00$380,192$0$19,723Yes (X)
Amanda G Halford MD
VP - Care Coordination50.000.00$362,347$0$32,634Yes (X)
Janice M McKinley
Former SVP - Quality/Safety/Nursing40.000.00$194,812$0$25,340Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,260,580TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,121TotReportableCompRltdOrgAmt
Total Other Compensation$678,312TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K88IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Morrison Mgmt Specialists Inc
400 Northridge Road Suite 600AtlantaGA30350Cafeteria management & catering$20,626,285
OptumRx
11000 Optum CircleEden PrairieMN55344Pharmacy claims services$15,017,896
Leidos Health Holdings Inc
705 East Main StreetWestfieldIN46074IT Consulting$6,774,192
Cardinal Health
7000 Cardinal PlaceDublinOH43017Pharmacy management$3,665,067
G4S Secure Solutions USA Inc
1395 University BoulevardJupiterFL33458Security$3,574,655
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K94CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Management Fees561000$119,688,516$119,663,520$24,996
Transcription Services900099$5,915,310$5,097,118$818,192
Telephone Services517000$700,299$700,299
Health Information Admin561499$530,638$530,638
Other Program Services621990$244,982$244,982
FieldValueIRS element (for citing)
Total Program Service Revenue$127,079,745TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,672,282TotalRevenueColumnAmt
Related Or Exempt Func Income$65,672,282RelatedOrExemptFuncIncomeAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$101,603TotalRevenueColumnAmt
Related Or Exempt Func Income$101,603RelatedOrExemptFuncIncomeAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$232,128RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$173,190RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$58,938RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$58,938TotalRevenueColumnAmt
Unrelated Business Revenue$58,938UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,445,908SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$2,196,033OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,445,908SecuritiesAmt
Other-$2,196,033OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$249,875TotalRevenueColumnAmt
Exclusion$249,875ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$4,318,593GrossSalesOfInventoryAmt
Cost Of Goods Sold$4,230,770CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$87,823TotalRevenueColumnAmt
Related Or Exempt Func Income$87,823RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$193,250,266TotalRevenueColumnAmt
Related Or Exempt Func Income$192,098,265RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$902,126UnrelatedBusinessRevenueAmt
Exclusion$249,875ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$571,601TotalAmt
Program Services$571,601ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,635,648TotalAmt
Program Services$8,046,950ProgramServicesAmt
Management And General$588,698ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$52,150,807TotalAmt
Program Services$47,569,506ProgramServicesAmt
Management And General$4,320,876ManagementAndGeneralAmt
Fundraising$260,425FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,420,848TotalAmt
Program Services$2,227,031ProgramServicesAmt
Management And General$193,817ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,413,576TotalAmt
Program Services$4,980,245ProgramServicesAmt
Management And General$433,331ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,720,438TotalAmt
Program Services$4,347,505ProgramServicesAmt
Management And General$372,933ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$501,912TotalAmt
Program Services$143,726ProgramServicesAmt
Management And General$358,186ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$284,000TotalAmt
Management And General$284,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,788,895TotalAmt
Program Services$3,063,229ProgramServicesAmt
Management And General$721,796ManagementAndGeneralAmt
Fundraising$3,870FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,154,606TotalAmt
Program Services$116,811ProgramServicesAmt
Management And General$2,031,547ManagementAndGeneralAmt
Fundraising$6,248FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,425,505TotalAmt
Program Services$1,354,401ProgramServicesAmt
Management And General$67,210ManagementAndGeneralAmt
Fundraising$3,894FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$44,908,971TotalAmt
Program Services$44,908,971ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,491,603TotalAmt
Program Services$1,204,784ProgramServicesAmt
Management And General$268,460ManagementAndGeneralAmt
Fundraising$18,359FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$277,478TotalAmt
Program Services$239,542ProgramServicesAmt
Management And General$35,034ManagementAndGeneralAmt
Fundraising$2,902FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$842,884TotalAmt
Program Services$496,418ProgramServicesAmt
Management And General$338,087ManagementAndGeneralAmt
Fundraising$8,379FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$17,131,459TotalAmt
Program Services$17,131,459ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$767,101TotalAmt
Program Services$362,851ProgramServicesAmt
Management And General$404,250ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$639,253TotalAmt
Program Services$396,818ProgramServicesAmt
Management And General$242,435ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
Unrelated Business Inco$20,017$20,017
Minor Equipment$15,931,963$26,622$15,883,959$21,382
Subscriptions$1,412,980$145,914$1,266,221$845
Dues and Licenses$779,475$22,078$755,473$1,924

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$164,507TotalAmt
Program Services$91,306ProgramServicesAmt
Management And General$73,201ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$166,435,527TotalAmt
Program Services$155,158,807ProgramServicesAmt
Management And General$10,948,492ManagementAndGeneralAmt
Fundraising$328,228FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,000BOYAmt
EOY$2,001EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$42,898,790BOYAmt
EOY$43,310,379EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$518,141BOYAmt
EOY$623,854EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,449,247BOYAmt
EOY$6,740,703EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$75,445,864LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$30,103,868LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$91,376,778BOYAmt
EOY$45,341,996EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,358,646,999BOYAmt
EOY$1,207,621,277EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$15,450,731BOYAmt
EOY$34,027,762EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$44,685,316BOYAmt
EOY$48,976,190EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,562,028,002BOYAmt
EOY$1,386,644,162EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$56,120,083BOYAmt
EOY$68,173,620EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$803,870,967BOYAmt
EOY$787,348,813EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,449,906BOYAmt
EOY$29,308,782EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$889,440,956BOYAmt
EOY$884,831,215EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$672,587,046BOYAmt
EOY$501,812,947EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$672,587,046BOYAmt
EOY$501,812,947EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,562,028,002BOYAmt
EOY$1,386,644,162EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$26,814,739ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$99,994,132NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$97,594,706OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations13SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (13 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
Claiborne Medical Center
46442035830$4,961,341$0
Covenant Homecare
621623114100$726,527$0
Cumberland Medical Center
62079013230$0$0
Fort Loudoun Medical Ctr
62137369130$1,819,134$0
Fort Sanders Perinatal Ctr
04376055130$1,549,787$0
Fort Sanders Regional Med Ctr
62052834030$39,421,175$0
LeConte Medical Ctr
62111486730$0$0
Methodist Medical Center
62063623930$11,820,216$0
Morristown Hamblen Healthcare System
62054581430$3,667,167$0
Parkwest Medical Center
58189727430$25,451,108$0
Roane County Medical Center
68067335430$1,981,122$0
Thompson Cancer Survival Center
62125094330$2,446,276$0
Thompson Oncology Group
62161923930$7,284,821$0
FieldValueIRS element (for citing)
Supported Organizations Total13SupportedOrganizationsTotalCnt
Support Sum$101,128,674SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing Doc0ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported OrgYes (1)SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (1)MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 12(g)(IV)Covenant Health is operated or controlled in connection with all of the listed supported organizations, and its articles of organization require that it be operated to support or benefit these organizations. These organizations are referred to in the articles by group and are not named individually. All of the identified organizations are governed by a board of directors with 100% overlap of board membership. Part I, Line 12(g)(v): Covenant Health operates to serve the interests of its member hospitals and the other nonprofit health organizations named in Schedule A, Part I (the "Supported Organizations"). The organizations's activities have been discussed in detail on Schedule O in response to Form 990, Part III, Lines 4a thru 4d. Covenant Health may also pay expenses on behalf of, provide operating cash to, or make a grant to one of its Supported Organizations. See Schedule R, Part V for information about transfers to controlled organizations.
Part IV, Section A, Line 1:Supported organizations are designated by class. Articles of Amendment to the Charter of Covenant Health, adopted on June 7, 2004, state that the corporation will "promote and support the interests and purposes of each of the nonprofit corporations for which the Corporation's board of directors serves as the board of directors".
Part IV, Section A, Line 6:Covenant Health makes charitable contributions to organizations for community building activities as these activities seek to address many of the root causes of health problems such as poverty and homelessness. The activities supported include affordable housing, temporary help with food and shelter, initiatives to boost economic development, leadership development, education, youth mentoring, and programs for at-risk individuals.

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings MembersYes (1)MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$62,247DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$76,569OtherActivitiesAmt
Total Lobbying Expenditures$138,816TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationCovenant Health government relations staff and senior leadership spend time in contact with Federal and state government officials on matters that directly impact hospitals and health care reform. Covenant Health engaged a third-party professional firm during 2018 for government relations and general strategy. Additionally, Covenant Health pays membership dues to professional organizations such as Tennessee Hospital Association and American Hospital Association. A portion of the dues is designated for lobbying activities by these organizations.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,604,770OtherCostOrOtherBasisAmt
Book Value$9,604,770BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,172,541OtherCostOrOtherBasisAmt
Depreciation$7,783,218DepreciationAmt
Book Value$15,389,323BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,253,692OtherCostOrOtherBasisAmt
Depreciation$1,207,636DepreciationAmt
Book Value$46,056BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,862,041OtherCostOrOtherBasisAmt
Depreciation$21,113,014DepreciationAmt
Book Value$2,749,027BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,552,820OtherCostOrOtherBasisAmt
Book Value$17,552,820BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$45,341,996TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Long-Term Deferred Compensation$7,258,928
Long-Term Reserve for Malpractice$21,433,574
Other Long-Term Liabilities$616,280
FieldValueIRS element (for citing)
Total Liability$29,308,782TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationExcerpt from the consolidated audited financial statements of Covenant Health (Covenant): Covenant and certain of its subsidiaries or controlled entities are exempt from income taxes pursuant to Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes on qualifying activities has been made for these entities in the accompanying consolidated financial statements. However, certain entities and operations are subject to income taxes. Covenant had no unrecognized tax benefits at December 31, 2018. As such, no interest or penalties were recognized in the consolidated financial statements related to unrecognized tax benefits. At December 31, 2018, tax returns for 2015 through 2018 are subject to examination by the Internal Revenue Service. Covenant has no uncertain tax positions that would require financial statement recognition or disclosure under GAAP at December 31, 2018.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
American Heart Association
4708 Papermill RoadKnoxvilleTN37909135613797501(c)(3)$15,000Funds for heart disease awareness
East TN Economic Development Agency
10215 Technology Drive Ste 202KnoxvilleTN37932621158958501(c)(3)$35,000General support
Catholic Charities of East TN
119 Dameron AvenueKnoxvilleTN37917621377551501(c)(3)$20,000General support
Dogwood Arts Festival Inc
123 D Jackson AveKnoxvilleTN37902626074113501(c)(3)$20,000Support for the fitness activities of the Dogwood Arts Festival
Boys & Girls Club of the TN Valley
967 Irwin StKnoxvilleTN37917620475743501(c)(3)$30,400Health screenings & general support
Morristown-Hamblen Hospital Foundation
1420 Centerpoint BlvdBldgCKnoxvilleTN379321960621697090501(c)(3)$5,750Fundraisers benefiting Morristown-Hamblen Healthcare System
Fort Sanders Foundation
1420 Centerpoint BlvdBldgCKnoxvilleTN379321960621748601501(c)(3)$10,000Fundraisers benefiting Patricia Neal Rehab. Center, Peninsula, and the Hope Center
Junior Achievement of East Tennessee
2135 N Charles G Sevier BlvdClintonTN37716620810145501(c)(3)$20,000General support
Honor Air Knoxville
7536 Taggart LaneKnoxvilleTN37938262825063501(c)(3)$20,000Support for flights for veterans to visit Washington, D.C. war memorials
Knoxville Area Urban League
1514 E Fifth AveKnoxvilleTN37917620797293501(c)(3)$12,000Support to provide shoes and school supplies
Knoxville Academy of Medicine Foundation
115 Suburban RoadKnoxvilleTN37923621458199501(c)(3)$11,000General supportGeneral support fundraising
Robert F Thomas Foundation
PO Box 4395SeviervilleTN37864581537582501(c)(3)$7,000Fundraisers to benefit LeConte Medical Center
Thompson Cancer Survival Center Foundation
1420 Centerpoint BlvdBldgCKnoxvilleTN379321960582130450501(c)(3)$7,000Fundraisers to benefit Thompson Cancer Survival Center
United Way of Greater Knoxville
1301 Hannah AveKnoxvilleTN37921620475748501(c)(3)$85,000Support for the Interfaith Health Clinic
Variety Children's Charity of East TN
7132 Regal LaneKnoxvilleTN37918331025696501(c)(3)$20,000Support of programs for special needs children
Williams Creek Youth Foundation
2351 Dandridge AvenueKnoxvilleTN37915621845117501(c)(3)$10,000General support
St Mary's Legacy Clinic
805 S Northshore DriveKnoxvilleTN379197551462331706501(c)(3)$20,000General support
Random Acts of Flowers
3500 Workman Rd Ste 101BKnoxvilleTN37917263006360501(c)(3)$6,000General support
Emergency Medical Service Region II
PO Box 75GatlinburgTN37738463698443501(c)(3)$8,100General support
Change Center
2013 Harriet Tubman StKnoxvilleTN37919383991050501(c)(3)$125,000Support of Youth at Risk program
FieldValueIRS element (for citing)
Total501c3 Org20Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationGrant funds are provided to charitable organizations for the purpose of enhancing and promoting health care in the local community. The organization has guidelines in place to review the eligibility of grantees, and all grants require written documentation and appropriate levels of approval. When an organization is approved for a charitable contribution from Covenant Health, a letter specifying how funds must be used to support the organization's request is sent to the organization. Recipient organizations verify use of funds in one or more of the following ways: follow-up reports or newsletters, sponsor acknowledgement at a program or event or on their charity's website, itemized receipts, or year-end summaries.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
James D VanderSteeg
President & CEO$1,023,861$0$420,000$0$135,029$0$169,408$0$22,847$0$1,771,145$0$0$0
John T Geppi
EVP/CFO$605,182$0$251,100$0$95,027$0$10,800$0$16,944$0$979,053$0$0$0
Anthony L Spezia
CEO - Emeritus$49,155$0$0$0$556,992$0$10,800$0$4,319$0$621,266$0$0$0
Patricia A Breeding
Integrity Compliance Officer$170,272$0$37,000$0$42,945$0$9,495$0$9,881$0$269,593$0$0$0
Michael R Belbeck Jr
EVP - Hospital Operations$487,387$0$202,500$0$69,428$0$10,800$0$25,346$0$795,461$0$0$0
M Douglas Campbell Jr
General Counsel$434,463$0$182,250$0$44,556$0$9,000$0$14,624$0$684,893$0$0$0
Lucas D Johnson Sr
EVP - Physician Enterprises/Amb. Ser$417,505$0$175,567$0$59,152$0$10,800$0$14,828$0$677,852$0$0$0
Mark W Browne MD
SVP - Chief Medical Officer$360,932$0$86,534$0$48,547$0$10,800$0$22,577$0$529,390$0$0$0
William M Ward
SVP - Chief Information Officer$283,401$0$70,557$0$51,958$0$10,800$0$24,557$0$441,273$0$0$0
Debra A Welch
SVP - Human Resources$289,505$0$68,467$0$43,877$0$10,800$0$15,992$0$428,641$0$0$0
Teresa Giles
SVP - Finance$246,960$0$72,000$0$42,382$0$10,800$0$22,518$0$394,660$0$0$0
William C Clabough
SVP - Business Development$245,731$0$70,000$0$41,926$0$10,800$0$1,337$0$369,794$0$0$0
Debra R Honey
SVP - Chief Nursing Officer$255,175$0$10,000$0$20,810$0$0$0$15,873$0$301,858$0$0$0
Neil A Heatherly
President/CAO - Parkwest Med Ctr$409,171$0$102,000$0$34,876$0$10,800$0$22,847$0$579,694$0$0$0
Keith N Altshuler
President/CAO - Fort Sanders Reg$350,654$0$65,100$0$45,767$0$10,800$0$24,577$0$496,898$0$0$0
Jeremy H Biggs
President/CAO - Methodist Med Ctr$300,090$0$76,500$0$48,461$0$0$0$14,835$0$439,886$0$0$0
Gordon E Lintz
President/CAO - Morristown-Hamblen$257,257$0$62,100$0$60,835$0$10,800$0$8,923$0$399,915$0$0$0
Amanda G Halford MD
VP - Care Coordination$265,573$0$57,120$0$39,654$0$10,800$0$21,834$0$394,981$0$0$0
Janice M McKinley
Former SVP - Quality/Safety/Nursing$112,313$0$61,370$0$21,129$0$10,800$0$14,540$0$220,152$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aOfficers and board members attending official board retreats are offered a discretionary spending allowance that may be used for incidental spending and/or companion travel. Amounts are included in taxable compensation. In addition, board members receive tax indemnification payments related to reportable compensation from the spending allowances, which are also included in taxable compensation. 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 4bCovenant Health maintains a nonqualified deferred compensation ("NQDC") plan intended to support retention of President and CEO, James D. VanderSteeg. Employer contributions of $158,608 are reported as deferred compensation on Schedule J, Part II, Column C. Contributions along with 2018 earnings of $19,018 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). Anthony L. Spezia retired as President and CEO in 2016 after serving Covenant Health for twenty years. Mr. Spezia was named CEO-Emeritus and continued serving the organization through early 2018 as a consultant. During 2018, Mr. Spezia received distributions from two NQDC plans resulting from contributions and associated earnings on contributions. Amounts vested in 2018 total $476,126 and are included in other reportable compensation on Schedule J, Part II, Column B(iii).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Health Educ & Housing Facil Brd of Knox Co
A621220275499527BM02012-12-13$161,291,013See Part VI.000
Health Educ & Housing Facil Brd of Knox Co
B6212202752014-03-17$101,740,000See Part VI.000
Health Educ & Housing Facil Brd of Knox Co
C6212202752014-07-30$38,665,750See Part VI.000
Health Educ & Housing Facil Brd of Knox Co
D6212202752016-11-01$74,000,000See Part VI.000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$37,875,000$161,291,013$1,291,494$159,999,5192006Yes (1)0Yes (1)Yes (1)
B$2,910,000$101,740,000$101,740,0002006Yes (1)0Yes (1)Yes (1)
C$7,764,000$38,665,750$38,665,7502006Yes (1)0Yes (1)Yes (1)
D$74,000,000$74,000,0002006Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceCBondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Concerning UBI0.00010PrivateBusConcerningUBIPct
Total Private Business Use0.00010TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)0Yes (1)000Yes (1)
B00Yes (1)0Yes (1)000Yes (1)
C00Yes (1)0Yes (1)000Yes (1)
D00Yes (1)0Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I,Bond Issues - description of purpose: The Series 2012A and 2012B Bonds described on Line A of Part 1 were issued to refund capital appreciation bonds and capital interest bonds issued on December 12, 2002. The Series 2011A and 2011B Bonds described on Line B of Part 1 were issued for the conversion of bonds issued on March 24, 2011 which had partially refunded bonds issued on December 12, 2002. The 2014A Bonds described on Line C of Part 1 was a refinancing of Cumberland Medical Center (CMC) debt which was acquired through the acquisition of CMC on February 1, 2014. The Series 2016B Bonds described on Line D of Part 1 refunded auction rate securities issued December 12, 2002.
Schedule K, Part I, Entity 2Bond Issues - description of purpose: The Series 2016A Bonds described on Line A of Part I were issued to refund capital appreciation bonds issued December 20, 2006 and auction rate securities issued December 12, 2002. All other proceeds were designated for expansion projects at Fort Sanders Regional Medical Center and Parkwest Medical Center and for various facility and equipment improvements and additions at other facilities. Part III.5 - Private business use percentage on new projects is not yet available. The Series 2011C Second Amended & Restated Bonds issued on May 2, 2017 described on Line B of Part 1 refunded bonds issued September 15, 2011. The Series 2006B1-B3 Third Supplemental Bonds described on Line C of Part 1 were issued on August 10, 2018 and relate to the conversion of a portion of the variable rate bonds originally issued on December 20, 2006.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Health Educ & Housing Facil Brd of Knox Co
A621220275499527CH02016-11-10$207,742,114See Part VI.000
Health Educ & Housing Facil Brd of Knox Co
B62122027549952MCE42017-05-02$135,500,000See Part VI.000
Health Educ & Housing Facil Brd of Knox Co
C6212202752018-08-10$125,000,000See Part VI.000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndSubstantial CompletionSubstantialCompletionYr
A$210,501,542$953,741$20,762,499$86,786,236$101,999,066Yes (1)00Yes (1)
B$135,500,000$135,500,000Yes (1)0Yes (1)Yes (1)2013
C$125,000,000$125,000,000Yes (1)0Yes (1)Yes (1)2010

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePct
A00Yes (1)Yes (1)000Yes (1)
B00Yes (1)Yes (1)000Yes (1)0.000100.00010
C00Yes (1)Yes (1)000Yes (1)0.000100.00010

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)000000Yes (1)
B00Yes (1)0Yes (1)000Yes (1)
C00Yes (1)0Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4aIMPROVING OUR COMMUNITIES' QUALITY OF LIFE THROUGH BETTER HEALTH In addition to the services previously mentioned, Covenant Health facilitates patient healthcare operations across the health system through a variety of support services. Examples include: - Executive leadership, strategic planning, and other planning at both system and organizational levels - Financial, management and advisory services - Third-party reporting - Integrity compliance program - Real estate management - Risk management - Internal audit - Asset and liability-related management functions - Procurement - Clinical quality improvement - Marketing and public relations - Covenant Health Call Center physician referral and information center - Rapid Access Center available 24/7 to facilitate patient transfers to Covenant Health hospitals - Human resources - Centralized management of plant engineering and construction - External reporting Other system-wide support services directly benefit patients and community members who receive care at Covenant Health's member organizations. These services enhance operational efficiency and quality of care. An example is the production of sterile packs. Covenant Health Sterile Solutions produces surgical sterile packs for distribution to Covenant Health's supported organizations. The use of custom-built sterile packs helps reduce surgical pack supply costs, reduce inventory levels, and minimize waste in keeping with the organization's green initiatives. Sterile packs also help reduce set-up time, leaving more time for treating patients, and with fewer items to open, reducing the risk of contamination. Other centralized services are provided by Covenant Health's Human Resources division. This division is responsible for system-wide programs, policies and procedures, regulatory and legal compliance, and assists with the hiring process for all system employees. Other services include standardized benefit design and administration, employee relations and retention, clinical and non-clinical skill development, and leadership development, succession and continuity. Through its Learning and Leadership Development (LLD) department, Human Resources provides both e-learning and classroom-based courses. LLD offers more than 100 clinical nursing courses from both in-house and vendor sourcing. It also manages a host of clinical training opportunities, ranging from CPR to advanced neurological and neonatal intensive care courses.
Form 990, Part VI, Section A, line 4In 2018, the Covenant Health system-wide bylaws were amended to provide that new directors who have not previously served on the board will be elected to an initial one-year term instead of three years (the previous standard). Amendments also grant authority to the compensation committee to negotiate and approve the CEO's compensation. The bylaws were also amended to authorize the board to establish special board committees which may be terminated by resolution of the board. The chairman of the board may establish special board committees to advise executive leadership, other board committees or the full board. Committees may be composed of elected or ex-officio board members. Also in 2018, Covenant Health adopted system-wide medical staff bylaws. The bylaws created two new committees: System Quality Committee and System Credentials and Clinical Standard Committee. The System Quality Committee consists of licensed physician voting board members, other appointed voting board members, Covenant Health's CEO, and the chiefs of staff of Covenant Health system hospitals. The committee shall review quality of patient care, perform other duties assigned in the system-wide medical staff documents, receive and review proposed amendments to the medical staff documents and make recommendations to the board, initiate quality-related investigations, and act as a Quality Improvement Committee as defined under Tennessee law. The System Credentials and Clinical Standard Committee consists of licensed physician voting board members and other appointed board members. Covenant Health's VP of Hospital Operations, Chief Medical Officer, and Chief Nursing Officer shall also serve as non-voting members of the committee. The committee shall develop and implement system-wide clinical standards, perform other duties as outlined in the medical staff documents, make determinations regarding routine credentialing matters and medial staff appointments/terminations, and act as a Quality Improvement Committee as defined under Tennessee law. Other 2018 amendments to the governing documents were not considered significant.
Form 990, Part VI, Section B, line 11bThe Covenant Health board of directors has delegated to its Finance Committee the full power and authority of the board to receive, review, approve, authorize the filing of, address and resolve audit or review issues, and otherwise take all action required or appropriate relative to IRS Forms 990 and other applicable tax filings. Prior to filing Form 990, management reviews with the committee the returns, discusses any material variations in the Form 990 as compared to those to be filed by the organization's affiliates, and answers any questions. At the conclusion of review and discussion, the Finance Committee approves the Form 990.
Form 990, Part VI, Section B, line 12cBoard members, officers and employees are required to adhere to rules and policies regarding conflicts of interest. Covenant Health distributes a board-approved Code of Conduct to all employees. The Code covers among other subjects, conflicts of interest. Additionally, managers are required to complete and sign a bi-annual management certification that addresses conflicts of interest. Board members' conflicts of interests are addressed in the corporate bylaws, and board members are required to complete and sign a conflict of interest questionnaire on an annual basis. The Integrity Compliance Office maintains records that contain conflict of interest information obtained from board members, officers, and key employees. These records are available to be queried prior to engaging in business transactions. The Chief Compliance Officer initially reviews all conflict of interest data. Based on this information, the officer determines what conflicts of interest exist at that point in time. Between times when surveys are collected, board members are expected to disclose any new conflicts that have arisen that affect pending board decisions. Officers and other employees are expected to report conflicts to the Chief Compliance Officer as they arise. Depending on the nature of the conflict and the circumstances surrounding the conflict and transaction, the Chief Compliance Officer, senior leadership, or the board of directors may review the conflict of interest. When appropriate, these parties may also consult legal counsel. Restrictions imposed on persons with a conflict of interest are determined on a case by case basis. For Covenant Health employees, the Chief Compliance Officer in conjunction with Covenant Health Executive Leadership determines how to appropriately manage the conflict. In any conflict involving a board member, such member is expected to recuse himself or herself from voting on matters related to the conflict.
Form 990, Part VI, Section B, line 15Form 990, Part VI, Section B, Line 15a: Annual compensation for Covenant Health's President and Chief Executive Officer ("CEO"), James D. VanderSteeg, is determined by the Compensation Committee of the Covenant Health Board of Directors, ("the Committee") which is composed of independent members of the board and chaired by the chairman of the board. The Committee is guided in its decision-making process by an independent, nationally recognized executive compensation consultant experienced in advising nonprofit hospital boards (the "Consultant") whose services include: (1) providing pay comparisons with market comparables; (2) recommending salary ranges and annual base salary adjustments; (3) designing incentive compensation and deferred compensation components of the CEO's total compensation package; (4) reviewing benefits and perquisites; and (5) certifying as to the reasonableness of total annual compensation. The Consultant analyzes and makes recommendations with respect to the CEO's total compensation package through analysis of CEO compensation data for comparable nonprofit health systems in the United States. The systems selected for comparison are similar to Covenant Health in revenue, total assets, number of hospitals, full time employees and services provided. Covenant Health's current compensation methodology includes setting base salary around the 50th percentile of the market. Base salaries for individual executives will vary based on market conditions, performance, tenure, experience, special skills or qualifications, recruitment and retention challenges, and other relevant factors. In addition, annual incentive compensation may be awarded upon achievement of goals established by the Committee at the beginning of each fiscal year which reflect quality of care, patient safety and service excellence in addition to financial performance and other measures. Incentive opportunity levels will be positioned at or slightly above median or average levels in the market. Annual incentive opportunity ranges from 0-50% of base salary depending upon the CEO's performance. Overall, total compensation levels (all forms of cash compensation and benefits) will be positioned up to or around the 75th percentile of the market, based on individual and organizational performance. As a part of its CEO performance evaluation process, on behalf of the Committee, an independent consultant asks each member of the board of directors to submit a written evaluation of the CEO's performance using an evaluation form prepared by an independent audit firm. This information is collected, collated, and reported to the Committee by the audit firm; results are "blinded" so that individual board members are not identified. The blinded results are shared with the CEO as part of the evaluation process. Any increase in base salary, award of annual incentive, or changes in overall compensation methodology are made by the Committee after discussion with and advice of the Consultant and conditioned upon the Consultant's determination that such decisions result in total annual compensation that is reasonable and within a fair market value range. Once the annual performance evaluation is completed, the chairman meets with the CEO and shares the Committee and board's evaluation of his prior year's performance. He also informs him of the Committee's actions with respect to any annual incentive award for the prior year and any base salary adjustment for the upcoming year. The performance goals for the upcoming year are determined by executive leadership and communicated to and adopted by the board at a board meeting. The annual performance of the CEO is documented adequately and concurrently with the compensation committee's determination. Written and/or electronic records of the compensation committee include, when prepared, the date all relevant actions were taken; terms of the approved compensation; the members of the compensation committee who were present during debate or discussion of the matter and the vote of each member of the compensation committee; the comparability data obtained and relied upon by the compensation committee (including from whom and when obtained, as outlined above); and actions taken with respect to any compensation committee member with a conflict of interest in the matter under consideration (consistent with board conflict of interest policies). The foregoing documentation is prepared before the later of the next meeting of the compensation committee or 60 days after the meeting of the compensation committee approving the matter, and approved by the compensation committee as reasonable, accurate and complete within a reasonable time period thereafter. Form 990, Part VI, Section B, Line 15b: Base salaries and annual bonus opportunities for other officers and key employees are set by the Covenant Health Chief Executive Officer (CEO) in consultation with Senior Vice President-Human Resources, subject to approval of the Compensation Committee of the Covenant Health Board of Directors ("the Committee"), after review by and discussion with the executive compensation consultant ("the Consultant") to ensure that total compensation for each executive is reasonable and within a fair market value range. Salary ranges for each executive position are based upon the recommendations of the Consultant made after comparison with similar jobs in similar size health systems across the nation. Bonuses are recommended by the CEO and approved by the Committee conditioned upon receipt of a written opinion from the Consultant that total compensation for each Key Executive is reasonable and consistent with fair market value. Base salaries are initially targeted at midpoint and vary according to market conditions, performance, tenure, experience, special skills or qualifications, recruitment and retention challenges, and other relevant factors. Annual bonuses are designed to award 0 - 45% for the Executive Vice Presidents (EVP), and 0 - 35% for the Senior Vice Presidents (SVP) and Chief Administrative Officers (CAO) of base salary based upon system performance and accomplishment of certain targets established by the CEO.
Form 990, Part VI, Section C, line 19Per its tax exempt bond provisions, Covenant Health is required to file quarterly and annual consolidated and obligated group financial statements and other documentation with various bond insurers and other agencies, including the Electronic Municipal Market Access (EMMA) service of the Municipal Securities Rulemaking Board (MSRB). Any member of such a repository has access to these financial statements. The organization's governing documents and conflict of interest policy are not made publicly available.
Form 990, Part XI, line 9:Capital Contribution from Subsidiaries 15,809,257. Capital Contributions to Subsidiaries -109,754,408. Book/Tax Diff in Income (Loss) from Partnerships & Trusts -4,159,974. Transfers from Non-Affiliates 510,419.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Covenant Ventures LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11420 Centerpoint Blvd Bldg CAddressLine1Txt
CityKnoxvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP379321960ZIPCd
FieldValueIRS element (for citing)
EIN300913192EIN
Primary ActivitiesDevelop healthcare softwarePrimaryActivitiesTxt
Legal Domicile StateTNLegalDomicileStateCd
Total Income-$2,196,258TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Covenant HealthBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Claiborne Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960464420358Acute care hospitalTN501(c)(3)Line 3Covenant HealthYes (1)
Covenant Homecare
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621623114Home health servicesTN501(c)(3)Line 10Covenant HealthYes (1)
Cumberland Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960620790132Acute care hospitalTN501(c)(3)Line 3Covenant HealthYes (1)
Fort Loudoun Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621373691Acute care hospitalTN501(c)(3)Line 3Covenant HealthYes (1)
Fort Sanders Regional Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960620528340Acute care hospitalTN501(c)(3)Line 3Covenant HealthYes (1)
Fort Sanders Foundation
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621748601Fundraising and patient outreachTN501(c)(3)Line 12b, IICovenant HealthYes (1)
Fort Sanders Perinatal Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960043760551High risk obstetrical servicesTN501(c)(3)Line 3Fort Sanders Regional Medical CenterYes (1)
LeConte Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621114867Acute care hospitalTN501(c)(3)Line 3Covenant HealthYes (1)
Methodist Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960620636239Acute care hospitalTN501(c)(3)Line 3Covenant HealthYes (1)
Morristown-Hamblen Hospital Association
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960620545814Acute care hospitalTN501(c)(3)Line 3Covenant HealthYes (1)
Parkwest Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960581897274Acute care hospital and behavioral health servicesTN501(c)(3)Line 3Covenant HealthYes (1)
Roane County Medical Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960680673354Acute care hospitalTN501(c)(3)Line 3Covenant HealthYes (1)
Thompson Cancer Survival Center
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621250943Cancer support centerTN501(c)(3)Line 3Covenant HealthYes (1)
Thompson Oncology Group
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621619239Oncology servicesTN501(c)(3)Line 3Thompson Cancer Survival CenterYes (1)
Thompson Cancer Survival Center Foundation
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960582130450Fundraising and patient outreachTN501(c)(3)Line 12b, IICovenant HealthYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Fort Sanders West OP Surgery Center LLC
1420 Centerpoint Blvd Bldg CKnoxvilleTN37932621366907Outpatient surgery centerTNFortress CorpRelated-$624,307$592,6600Yes (1)0.87000
Fort Sanders West Associates
280 Fort Sanders West Blvd Ste 214KnoxvilleTN37922621384171Building ownershipTNFortress CorpRelated-$28,682$361,2190Yes (1)0.87540
KOSC Properties LLC
256 Fort Sanders West Blvd Ste 200KnoxvilleTN37922262444076Building ownershipTNFortress CorpRelated$41,538$2,640,8170Yes (1)0.25000
Knoxville Orthopaedic Surgery Center LLC
256 Fort Sanders West Blvd Ste 200KnoxvilleTN37922262437385Orthodopaedic surgeryTNFortress CorpRelated$44,687$1,060,4130Yes (1)0.25000
KOC 260 Bldg LLC
260 Fort Sanders West BlvdKnoxvilleTN37922465228440Land and building ownershipTNFortress CorpRelated$62,483$1,833,3600Yes (1)0.25000
Knoxville Health Care Center LP
POBox 1398MurfreesboroTN371331398621019281Rehabilitation centerTNFortress CorpRelated-$15,259$1,612,7750Yes (1)0.25000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
Fortress Corporation
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621308885Management companyTNCovenant HealthC$15,096,454$45,367,6111.00000Yes (1)
Covenant Medical Group Inc
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621282917Physician practice managementTNFortress CorpC$134,351,972$32,289,4851.00000Yes (1)
Knoxville Heart Group
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960271528941Cardiology medical practiceTNCovenant Medical GroupC$10,873,773$1,081,2261.00000Yes (1)
East TN Cardiovascular Surgery Group Inc
1420 Centerpoint Blvd Bldg CKnoxvilleTN379321960621018541Cardiovascular surgical practiceTNCovenant Medical GroupC$9,129,645$2,141,5981.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (1)DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (68 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Fort Sanders Regional Medical Center
L$29,229,921FMV
Fort Sanders Regional Medical Center
O$68,521FMV
Fort Sanders Regional Medical Center
P$12,822,619Cost
Fort Sanders Regional Medical Center
Q$183,575,334Cost
Fort Sanders Regional Medical Center
S$166,469,570Cash
Parkwest Medical Center
L$30,922,906FMV
Parkwest Medical Center
P$14,292,050Cost
Parkwest Medical Center
Q$205,957,396Cost
Parkwest Medical Center
S$188,665,598Cash
Parkwest Medical Center
O$69,535FMV
Cumberland Medical Center
L$3,989,613FMV
Cumberland Medical Center
O$362,097FMV
Cumberland Medical Center
P$65,410Cost
Cumberland Medical Center
Q$7,843,231Cost
Cumberland Medical Center
S$11,737,822Cash
Methodist Medical Center
L$15,864,422FMV
Methodist Medical Center
O$70,798FMV
Methodist Medical Center
P$7,923,773Cost
Methodist Medical Center
Q$85,918,801Cost
Methodist Medical Center
S$77,624,156Cash
Morristown-Hamblen Hospital Association
L$9,327,440FMV
Morristown-Hamblen Hospital Association
O$59,258FMV
Morristown-Hamblen Hospital Association
P$4,240,967Cost
Morristown-Hamblen Hospital Association
Q$59,780,577Cost
Morristown-Hamblen Hospital Association
S$54,485,859Cash
Roane County Medical Center
L$4,017,943FMV
Roane County Medical Center
O$58,427FMV
Roane County Medical Center
P$1,484,687Cost
Roane County Medical Center
Q$34,208,249Cost
Roane County Medical Center
S$31,323,908Cash
Fort Loudoun Medical Center
L$3,698,579FMV
Fort Loudoun Medical Center
O$55,699FMV
Fort Loudoun Medical Center
P$1,414,607Cost
Fort Loudoun Medical Center
Q$22,749,822Cost
Fort Loudoun Medical Center
S$20,267,598Cash
Claiborne Medical Center
L$1,624,453FMV
Claiborne Medical Center
O$262,162FMV
Claiborne Medical Center
P$707,261Cost
Claiborne Medical Center
Q$8,422,464Cost
Thompson Cancer Survival Center
L$1,573,824FMV
Thompson Cancer Survival Center
Q$2,654,258Cost
Thompson Cancer Survival Center
S$1,116,063Cash
Thompson Oncology Group
L$1,573,824FMV
Thompson Oncology Group
Q$1,844,984Cost
Thompson Oncology Group
S$2,436,218Cash
Covenant Homecare
L$1,256,424FMV
Covenant Homecare
K$76,726FMV
Covenant Homecare
Q$14,159,313Cost
Covenant Homecare
S$12,854,980Cash
Fort Sanders Perinatal Center
Q$10,325,265Cost
Fort Sanders Perinatal Center
S$10,325,743Cash
Knoxville Heart Group
L$195,316FMV
Knoxville Heart Group
Q$1,715,034Cost
Knoxville Heart Group
R$1,413,752Cash
East TN Cardiovascular Surgical Group
Q$5,349,827Cost
Fortress Corporation
K$434,646FMV
Fortress Corporation
L$1,007,376FMV
Fortress Corporation
Q$5,025,570Cost
Covenant Medical Group
A$232,128FMV
Covenant Medical Group
L$12,426,101FMV
Covenant Medical Group
Q$84,478,064Cost
Fort Sanders Foundation
O$475,753FMV
Fort Sanders West OP Surgery Center
Q$1,252,701Cost
LeConte Medical Center
L$9,997,670FMV
LeConte Medical Center
O$82,929FMV
Leconte Medical Center
P$2,838,415Cost
LeConte Medical Center
Q$87,374,737Cost
LeConte Medical Center
S$79,770,096Cash