COVENANT HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: COVENANT HEALTH (EIN 62-1646734)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-12
IRS object ID: 201313169349304206
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-12T12:50:34-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	621646734	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Covenant Health	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	COVE	NameControl
Phone	8653746864	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1420 Centerpoint Blvd Bldg C	AddressLine1
City	Knoxville	City
State	TN	State
ZIP Code	379321960	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JOHN T GEPPI	Name
Title	EVP/CFO	Title
Phone	8655315421	Phone
Date Signed	2013-11-07	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Self-prepared	Name

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Anthony L Spezia	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	100 Ft Sanders W Blvd	AddressLine1
City	Knoxville	City
State	TN	State
ZIP Code	37922	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	137333935	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.covenanthealth.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1996	YearFormation
State Legal Domicile	TN	StateLegalDomicile
Activity Or Mission Description	Covenant Health is the parent organization in a community-owned health care system in East Tenn.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	22	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	18	NbrIndependentVotingMembers
Total Nbr Employees	1002	TotalNbrEmployees
Total Nbr Volunteers	612	TotalNbrVolunteers
Total Gross UBI	889542	TotalGrossUBI
Net Unrelated Business Txbl Income	35384	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	264991	ContributionsGrantsPriorYear
Contributions Grants Current Year	236671	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	78068540	ProgramServiceRevenuePriorYear
Program Service Revenue CY	87284340	ProgramServiceRevenueCY
Investment Income Prior Year	53992813	InvestmentIncomePriorYear
Investment Income Current Year	34197630	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1112707	OtherRevenuePriorYear
Other Revenue Current Year	298132	OtherRevenueCurrentYear
Total Revenue Prior Year	133439051	TotalRevenuePriorYear
Total Revenue Current Year	122016773	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	608694	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	902017	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	49879632	SalariesEtcPriorYear
Salaries Etc Current Year	55635785	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	48226142	OtherExpensePriorYear
Other Expenses Current Year	45578589	OtherExpensesCurrentYear
Total Expenses Prior Year	98714468	TotalExpensesPriorYear
Total Expenses Current Year	102116391	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	34724583	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	19900382	RevenuesLessExpensesCY
Total Assets BOY	1099528246	TotalAssetsBOY
Total Assets EOY	1117847303	TotalAssetsEOY
Total Liabilities BOY	805301841	TotalLiabilitiesBOY
Total Liabilities EOY	801215199	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	294226405	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	316632104	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	Covenant Health operates exclusively as a supporting organization within the meaning of Internal Revenue Code section 509(a)(3). Its mission, which is shared by its member hospitals and other organizations (see Schedule A), is to serve the community by improving the quality of life through better health, regardless of a patient's ability to pay.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	29749540	Expense
Revenue	29749540	Revenue
Description	Information Technology. See Schedule O for additional details.Information Technology: Expenses - $29,749,540; Revenue - $29,749,540.The Information Technology (IT) division of Covenant Health provides all computing equipment and information management related services to Covenant Health facilities. Information management systems and related application support (install, upgrade, help desk) services are available on a 24/7 basis spanning healthcare functions across core patient-care clinical systems, physician, nursing, and associated ancillary systems (lab, radiology, pharmacy, therapy), as well as the supporting business functions encompassing patient accounting, materials management, finance, and human resources. IT also manages a centralized data center (and a backup disaster recovery data center) where the hardware equipment is housed to deliver the computing resources for all clinical/business functions on a 24/7 schedule. Additionally, IT is responsible for management of all PC workstations (desktop, laptop, mobile cart), all client to server internal and external network connectivity, as well as telephone services and telephone equipment (PBX, handsets, cell phones, pagers) across the company. It also facilitates project management activities related to meeting regulatory and quality reporting requirements. Key statistics for the year include: Payroll checks/deposits - 262,774 Pharmacy medication mgmt. system - 2,124,642 orders Total spam messages blocked - 16,478,852 Network virus attempts blocked - 99,957,240 PCs supported - 9,108 Overall telephone usage - 35,080,367 calls Pathway scheduling application - 624,991 appointments Accounts payable checks - 100,932 Server instances - 800 Storage terabytes - 493 Live IP addresses - 15,552 Help Desk calls - 160,096 *PACS studies - 593,051	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	10333197	Expense
Revenue	10333197	Revenue
Description	Business Office. See Schedule O for additional details.Business Office: Expenses - $10,333,197; Revenue - $10,333,197.Knoxville Business Office Services is the CBO (Centralized Business Office) 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, and Morristown-Hamblen Hospital Association. These services include, but are not limited to, customer service, payment collection, financial posting, refund processing, and insurance billing and follow-up.During 2012, CBO submitted over 923,000 insurance claims totaling in excess of $3,489,000,000. Bad debt expense for 2012 was approximately 3.24% of gross revenue with bad debt recoveries/collections in excess of $9,800,000. The CBO handled over 124,000 incoming phone calls, following-up on over 453,000 open accounts and processed over 3.3 million financial transactions.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	6901071	Expense
Revenue	6901071	Revenue
Description	Human Resources. See Schedule O for additional details.Human Resources: Expenses - $6,901,071; Revenue - $6,901,071.Corporate Human Resources at Covenant Health provides high quality centralized sourcing and staffing services to all Covenant Health entities, standardized benefit design and administration, exempt and non-exempt salary system design and delivery, human resources information system administration, employee relations and retention, clinical and non-clinical skill development, leadership and management development, cultural change, leadership succession and continuity, and security. Additionally, Human Resources is responsible for system-wide programs, policies and procedures; regulatory and legal compliance affecting all areas of Human Resources Administration; and contemporary, cost-effective systems and processes to meet organizational strategies, goals and tactics.Through Human Resources, staffing (employment) services assisted in hiring 1,842 employees during 2012. All new hires participated in various classroom orientation programs and on-line onboarding processes at the start of employment. Employment Services receives, on average, 1,071 applications per month. Through its Learning and Leadership Development (LLD) division, Human Resources provided over 300,903 training hours including both e-learning and classroom-based courses. LLD also manages a framework of over 50 identified leadership competencies. LLD offers more than 100 clinical nursing courses from both in-house and vendor sourcing. It also manages a host of clinical training opportunities including everything from CPR to Advanced Neurological and Neonatal Intensive Care courses.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	44557742	Expense
Grants	902017	Grants
Revenue	63267630	Revenue
Description	In addition to the services previously mentioned, support provided by Covenant Health to its member facilities takes on many other forms, some examples of which are: * Executive leadership, strategic planning, and other planning both at the System and organizational level; * Financial, management and advisory services; * Third party reporting; * Integrity compliance program; * Real estate management; * Risk management; * Internal audit; * Asset and liability related treasury management functions; * Procurement; * Clinical quality improvement; * Marketing; and * External reporting.Other services and activities conducted by Covenant Health directly benefit patients and members of the communities served by the Supported Organizations. Some services are aimed at improving the operational efficiency of and the quality of care provided by the Supported Organizations, such as the service of providing sterile packs. Covenant Health Sterile Solutions is the only operation of its kind in the Knoxville area and produces its own surgical sterile packs and distributes them to Supported Organizations. The use of custom built Sterile Packs helps reduce surgical pack supply costs, reduce inventory levels, and helps minimize waste in keeping with the organization's green initiatives. Along with those achievements, sterile packs also help reduce setup time, leaving more time for treating patients and with fewer items to open, there is also a reduced risk of contamination. Another service that Covenant Health has recently centralized is Medical Transcription. Medical Transcription is an allied health profession, which deals in the process of converting voice-recorded reports, as dictated by physicians or other healthcare professionals, into text format. Other programs have community benefit as their main goal. One example is Covenant Health Senior Services, which assists older adults who are 50 or older in their effort to lead healthier, more independent lives.Most Health Information Management support functions have been centralized within Covenant Health including coding, linking of patient visit information to help with continuity of care, release of information, chart analysis, and optical scanning of documents. The department provides essential services related to improving the quality of patient records and verification of information to support accurate billing.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	44557742	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	902017	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	63267630	TotalOfOtherProgramServiceRev
Total Program Service Expense	91541550	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	1	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	641	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1002	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	CA	NameOfForeignCountry
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	22	NbrVotingGoverningBodyMembers
Number Independent Voting Members	18	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	1	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Nancy Beck	NamePerson
Telephone Number	8653746864	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1420 Centerpoint Blvd Bldg C	AddressLine1
City	Knoxville	City
State	TN	State
ZIP Code	379321960	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Anthony L Spezia
President & CEO	50.00	0.00	X	X	1526847	0	230374
Gerald Boyd
Director	1.00	0.00	X		679	0	0
Dr Richard Brinner
Director	1.00	0.00	X		1291	0	0
Dr Mitchell Dickson
Director	1.00	0.00	X		1914	0	0
Pamela P Fansler
Director	1.00	0.00	X		0	0	0
James Fitzsimmons
Director	1.00	0.00	X		1742	0	0
Kimberly Greene
Director	1.00	0.00	X		937	0	0
Wayne Heatherly
Director	1.00	0.00	X		752	0	0
Jim Johnson Jr
Director	1.00	0.00	X		1642	0	0
Karla Lane
Director	1.00	0.00	X		924	0	0
Eddie Mannis
Director	1.00	0.00	X		0	0	0
Larry Mauldin
Chairman	1.00	0.00	X		834	0	0
Dr Joseph Metcalf
Director	3.00	0.00	X		15603	0	0
George Miller
Director	1.00	0.00	X		978	0	0
Alvin Nance
Director	1.00	0.00	X		966	0	0
Linda Ogle
Director	1.00	0.00	X		0	0	0
Mitchell Steenrod
Director	1.00	0.00	X		805	0	0
Carl Storms
Director	1.00	0.00	X		1641	0	0
Joseph E Sutter
Director	1.00	0.00	X		1313	0	0
Richard Swanson
Director	1.00	0.00	X		0	0	0
Joe Ben Turner
Director	1.00	0.00	X		783	0	0
David C Verble
Director	1.00	0.00	X		958	0	0
John T Geppi
EVP/CFO	50.00	0.00		X	673095	0	27138
James D Vandersteeg
EVP-Hospital Operations	50.00	0.00			709162	0	33870	X
William M Ward
SVP-Chief Information Officer	50.00	0.00			350997	0	33160	X
Lawrence C Kleinman
EVP-Human Resources	50.00	0.00			398236	0	19019	X
Janice McKinley
SVP-Quality, Safety, & Nursing	50.00	0.00			262307	0	17334	X
Larry R Lassiter
President/CAO - Parkwest Med Ctr	1.00	50.00			424641	0	30962		X
Michael R Belbeck Jr
President/CAO - Methodist	1.00	50.00			386592	0	34819		X
Keith N Altshuler
President/CAO - Fort Sanders Reg	1.00	50.00			349933	0	30339		X
Gordon E Lintz
President/CAO - Morristown	1.00	50.00			308323	0	19145		X
James D Gann
President/CAO (retired)- Roane	1.00	50.00			254570	0	27489		X
Richard L Clark
Former HCE	0.00	0.00			273826	0	9800			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5952291	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	513449	TotalOtherCompensation
Number Individuals GT100 K	52	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Morrison Mgmt Specialists Inc
PO Box 102289	Atlanta	GA	303682289	Cafeteria Management	18951962
Relay Health
5995 Windward Parkway	Alpharetta	GA	30005	Software Maintenance	3025742
Executive Health Resources
15 Campus Blvd Ste 200	Newton Square	PA	19073	Review Services	2823631
Dell Marketing LP
2300 W Plano Pkwy Treas Dept Bl	Plano	TX	75075	Professional Service Fees	2784045
Quest Diagnostics
PO Box 749409	Los Angeles	CA	900749409	Patient Diagnostic Lab Services	2653061

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	78	NumberOfContractorsGT100K
Related Organizations	236671	RelatedOrganizations
Noncash Contributions	98448	NoncashContributions
Total Contributions	236671	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Management Fees	561000	76300230	76300230
Transcription Services	561499	5442170	4779458	662712
Telephone Services	517000	5053263	4921617	131646
Community Outreach	621990	419975	414909		$5,066
Managed Care Services	541900	68702		68702

Field	Value	IRS element (for citing)
Total Program Service Revenue	87284340	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	23307261	TotalRevenueColumn
Related Or Exempt Function Income	23307261	RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	473163	TotalRevenueColumn
Related Or Exempt Function Income	473163	RelatedOrExemptFunctionIncome

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	364101	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	120769	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	243332	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	243332	TotalRevenueColumn
Unrelated Business Revenue	26482	UnrelatedBusinessRevenue
Exclusion	$216,850	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	11118314	Securities
Other	11078353	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	11760201	Securities
Other	19260	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-641887	Securities
Other	11059093	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	10417206	TotalRevenueColumn
Exclusion	$10,417,206	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	3471732	GrossSalesOfInventory
Cost Of Goods Sold	3416932	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	54800	TotalRevenueColumn
Related Or Exempt Function Income	54800	RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	122016773	TotalRevenueColumn
Related Or Exempt Function Income	110251438	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	889542	UnrelatedBusinessRevenue
Exclusion	$10,639,122	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	829143	Total
Program Services	829143	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	72874	Total
Program Services	72874	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4173801	Total
Program Services	3613425	ProgramServices
Management And General	560376	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	39198105	Total
Program Services	34181141	ProgramServices
Management And General	5016964	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2427239	Total
Program Services	2118494	ProgramServices
Management And General	308745	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6651448	Total
Program Services	5806147	ProgramServices
Management And General	845301	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3185192	Total
Program Services	2780036	ProgramServices
Management And General	405156	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1619562	Total
Program Services	741252	ProgramServices
Management And General	878310	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	70000	Total
Management And General	70000	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	15500	Total
Program Services	15500	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2132465	Total
Program Services	1656996	ProgramServices
Management And General	475469	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	666697	Total
Program Services	666697	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6439915	Total
Program Services	6271216	ProgramServices
Management And General	168699	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	11236268	Total
Program Services	11236268	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1566007	Total
Program Services	1510449	ProgramServices
Management And General	55558	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	277772	Total
Program Services	262850	ProgramServices
Management And General	14922	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	585227	Total
Program Services	275798	ProgramServices
Management And General	309429	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	15074982	Total
Program Services	15074982	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3265392	Total
Program Services	2748483	ProgramServices
Management And General	516909	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	564240	Total
Program Services	275568	ProgramServices
Management And General	288672	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
Unrelated Business Inco	10500	10500
Subscriptions	1036559	242727	793832
Dues and Licenses	738930	201334	537596
Meals and Entertainment	59148	19899	39249

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	219425	Total
Program Services	33554	ProgramServices
Management And General	185871	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	102116391	Total
Program Services	91541550	ProgramServices
Management And General	10574841	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1800	BOY
EOY	1700	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	24331691	BOY
EOY	27363582	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	482400	BOY
EOY	548178	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6689469	BOY
EOY	7341137	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	118958834	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	18244313	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	55941942	BOY
EOY	100714521	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	844634509	BOY
EOY	858118766	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	18622469	BOY
EOY	16214264	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	148823966	BOY
EOY	107545155	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1099528246	BOY
EOY	1117847303	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	54619201	BOY
EOY	41977092	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	45455991	BOY
EOY	46058912	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	677079609	BOY
EOY	686157441	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	28147040	BOY
EOY	27021754	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	805301841	BOY
EOY	801215199	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	294226405	BOY
EOY	316632104	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	294226405	BOY
EOY	316632104	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1099528246	BOY
EOY	1117847303	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	19900382	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	38977080	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-36471763	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	X	SupportingOrganization509a3
Supporting Org509a3 Type2	X	SupportingOrg509a3Type2
Certification Checkbox	X	CertificationCheckbox
Contrib By Controlling Individual	0	ContribByControllingIndividual
Contribution By Related Party	0	ContributionByRelatedParty
Contrib By35 Controlled Entity	0	ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (11 entries)

EINEIN	Type Of OrganizationTypeOfOrganization	Listed In Governing DocListedInGoverningDoc	Supported Organization NotifiedSupportedOrganizationNotified	Organized In USOrganizedInUS	AmountAmount
Fort Loudoun Medical Ctr
621373691	3	0	1	1	$0
Fort Sanders Perinatal Ctr
043760551	3	0	1	1	$0
Fort Sanders Regional Med Ctr
620528340	3	0	1	1	$0
LeConte Medical Ctr
621114867	3	0	1	1	$0
Methodist Medical Ctr
620636239	3	0	1	1	$0
Parkwest Medical Ctr
581897274	3	0	1	1	$0
Roane County Medical Ctr
680673354	3	0	1	1	$0
Thompson Cancer Survival Ctr
621250943	3	0	1	1	$0
Covenant Homecare
621623114	9	0	1	1	$0
Thompson Oncology Group
621619239	3	0	1	1	$0
Morristown-Hamblen Healthcare System
620545814	3	0	1	1	$0

Field	Value	IRS element (for citing)
Total Number Of Supported Orgs	11	TotalNumberOfSupportedOrgs
Sum Of Amounts	0	SumOfAmounts
General Explanation	Schedule A, Part IV, Supplemental Information: Explanation for Part I, Line 11(h)(iv): Covenant Health is operated or controlled in connection with all of its listed supported organizations, and its articles of organization require that it be operated to support or benefit these organizations. All of the above described organizations are governed by a board of directors with 100% overlap of board membership. Explanation for Part I, Line 11(h)(vii): Covenant Health operates to serve the interests of its member hospitals and the other non-profit health organizations named in Schedule A, Part I (the "Supported Organizations"). The organization'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.	GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	1	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Mailings Members	$10	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$9,610	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$96,381	OtherActivitiesAmount
Total Lobbying Expenditures IIB	106001	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
Explanation	Covenant Health indirectly conducts lobbying activities through various membership organizations. A portion of membership dues paid is included in the amount on Line 1i.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9427981	OtherCostOrOtherBasis
Book Value	9427981	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18149919	OtherCostOrOtherBasis
Depreciation	2570368	Depreciation
Book Value	15579551	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1236240	OtherCostOrOtherBasis
Depreciation	1054426	Depreciation
Book Value	181814	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18886866	OtherCostOrOtherBasis
Depreciation	14619519	Depreciation
Book Value	4267347	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	71257828	OtherCostOrOtherBasis
Book Value	71257828	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	100714521	TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescription	Book ValueBookValue
Accrued Interest Receivable	5989241
Assets Limited as to Use	1553852
Bond Issuance Costs, Net	10859628
Deferred Compensation	3986092
Due from Affiliates, Net	84707986
Long Term Deposit	304481
Other Receivables	143875

Field	Value	IRS element (for citing)
Total Book Value Other Assets	107545155	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
Long-Term ASO Agreement	$2,867,796
Long-Term Deferred Compensation	$5,784,976
Long-Term Reserve for Malpractice	$17,330,447
Long-Term Reserve for Workers Comp	$1,038,535

Field	Value	IRS element (for citing)
Total Of Amounts	27021754	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	Description of Uncertain Tax Positions Under FIN 48:	Identifier
Return Reference	Part X, Line 2:	ReturnReference
Explanation	Part X, Line 2: Note B to the consolidated audited financial statements of Covenant Health reads in part: "Income taxes: 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 which are accounted for in accordance with Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) 740, Income Taxes (See Note G)." Note G to the consolidated audited financial statements of Covenant Health, reads in part: "Covenant had no unrecognized tax benefits at December 31, 2012 and 2011. As such, no interest or penalties were recognized in the Consolidated Statements of Operations related to unrecognized tax benefits. At December 31, 2012, tax returns for 2009 through 2012 are subject to examination by the Internal Revenue Service. Covenant has no uncertain tax positions that would require financial statement recognition or disclosure under generally accepted accounting principles at December 31, 2012 or 2011."	Explanation

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (34 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
American Cancer Society
871 Weisgarber Road	Knoxville	TN	37909	131788491	501(c)(3)	10000	Support for 2012 Hope Gala
American Heart Association
4708 Papermill Road	Knoxville	TN	37909	135613797	501(c)(3)	25000	Sponsorship of 2012 Heart Walk and 2013 Gala
Great Smoky Mtn Council Boy Scouts of America
PO Box 51885	Knoxville	TN	37950	620476811	501(c)(3)	7000	Support for 2012 Friends of Scouting Campaign
Cancer Support Community Inc
2230 Sutherland Avenue	Knoxville	TN	37919	581846210	501(c)(3)	15000	Support for 2013 Cancer Support
Catholic Charities of East TN Inc
3009 Lake Brook Blvd	Knoxville	TN	37909	621377551	501(c)(3)	43000	Support of HUD housing and sponsorship of fundraisers
Congressional Medal of Honor Society Convention
11400 Parkside Drive Ste 200	Knoxville	TN	37934	453413985	501(c)(3)	25000	Support of 2014 Convention
(no name)
							Support of 2012 Legacy Dinner
East TN Economic Development Agency
10215 Technology Drive Ste 202	Knoxville	TN	37932	621158958	501(c)(3)	70000	General support
East TN Children's Hospital
PO Box 15016	Knoxville	TN	37901	626002604	501(c)(3)	5990	Support of 2012 Center Stage EventGeneral support
Fort Sanders Foundation
280 Ft Sanders West Blvd Ste 202	Knoxville	TN	37922	621748601	501(c)(3)	10000	Fundraisers benefiting Patricia Neal Rehab. Center, Peninsula, & the Hope Center
(no name)
							Support for Marblegate fundraiser
Honor Air Knoxville
7536 Taggart Lane	Knoxville	TN	37938	262825063	501(c)(3)	20000	General support
(no name)
							General support fundraiser - Southern Summer Nights
Interfaith Health Clinic
315 Gill Avenue	Knoxville	TN	37917	581947641	501(c)(3)	62000	General support for Interfaith Health Clinic
(no name)
							Support of 2012 Walk to Cure Diabetes
Knoxville Academy of Medicine Foundation
115 Surburban Road	Knoxville	TN	37923	621458199	501(c)(3)	17500	Knoxville Area Project Access - medical care for the needy
Knoxville Community Development Corp
901 N Broadway	Knoxville	TN	379213550	626001582	501(c)(3)	62500	Support for 2012 Fund Case Mgmt Services for At Risk Residents
Knoxville Medical Mission Foundation
1932 Historic Ferry Way	Knoxville	TN	37922	300197352	501(c)(3)	10000	General support
Knoxville News Sentinel Charities Inc
2332 News Sentinel Drive	Knoxville	TN	37921	510141541	501(c)(3)	25000	General support fundraiser - Knoxville Sentinel Open Tournament
Knoxville Symphony Orchestra
100 S Gay St Ste 302	Knoxville	TN	37901	626008097	501(c)(3)	8090	General support
Knoxville Track Club
PO Box 32035	Knoxville	TN	37930	620731345	501(c)(3)	50000	General support; Covenant Health Marathon
Komen Knoxville Race for Cure
9724 Kingston Pike Ste 705	Knoxville	TN	37922	751835298	501(c)(3)	12000	Race sponsor for organization supporting breast cancer research and awareness
(no name)
							General support
Innovation Valley Inc
17 Market Square Ste 201	Knoxville	TN	37902	262087582	501(c)(3)	60000	General support
Morristown Hamblen Hospital Foundation
PO Box 1178	Morristown	TN	37816	621697090	501(c)(3)	9050	General support fundraising
Roane State Community College Foundation
276 Patton Lane	Harriman	TN	37748	581413034	501(c)(3)	150000	Allied Health & Technolgy Building Pledge
Robert F Thomas Foundation
PO Box 4395	Sevierville	TN	37864	581537582	501(c)(3)	7000	Fundraisers to benefit Leconte Medical Center
Sacred Heart Church
711 South Northshore Drive	Knoxville	TN	37919	620572260	501(c)(3)	8000	Hope for Haiti medical outreach; general support for fundraising
Thompson Cancer Survival Center Foundation
1915 White Avenue	Knoxville	TN	37916	582130450	501(c)(3)	7000	2012 Buddy's Race for a Cure
(no name)
							2012 Rugby Park Sponsorship
(no name)
							General support
Variety Children's Charity of East TN
7132 Regal Lane	Knoxville	TN	37918	331025696	501(c)(3)	20000	General support
W C Two
2351 Dandridge Avenue	Knoxville	TN	37915	621845117	501(c)(3)	10000	General support
Boys & Girls Club of the TN Valley
220 Carrick Street Ste 318	Knoxville	TN	37921	620475743	501(c)(3)	7411	Drug screenings

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	27	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	Scholarships to employees of related facilities	TypeOfGrant
Number Of Recipients	41	NumberOfRecipients
Amount Of Cash Grant	72874	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: Eligibility and selection criteria for charitable contributions from Covenant Health are determined by a review of a written proposal or similar documentation submitted by the requesting organization. Intended use of funds must be stated or evident in the proposal/documentation. Recipient organizations generally verify use of funds in one or more of the following ways: event publicity, follow-up reports or newsletters, sponsor recognition at a program or event, itemized receipts, year-end summaries.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Discretionary Spending Account	X	DiscretionarySpendingAccount
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Anthony L Spezia
President & CEO	941953	0	379600	0	205294	0	213800	0	16574	0	1757221	0	0	0
John T Geppi
EVP/CFO	421940	0	171991	0	79164	0	9800	0	17338	0	700233	0	0	0
James D Vandersteeg
EVP-Hospital Operations	463378	0	182553	0	63231	0	9800	0	24070	0	743032	0	0	0
William M Ward
SVP-Chief Information Officer	236135	0	72268	0	42594	0	9800	0	23360	0	384157	0	0	0
Lawrence C Kleinman
EVP-Human Resources	296364	0	75000	0	26872	0	8385	0	10634	0	417255	0	0	0
Janice McKinley
SVP-Quality, Safety, & Nursing	192578	0	48994	0	20735	0	8722	0	8612	0	279641	0	0	0
Larry R Lassiter
President/CAO - Parkwest Med Ctr	290786	0	89677	0	44178	0	9800	0	21162	0	455603	0	0	0
Michael R Belbeck Jr
President/CAO - Methodist	281367	0	58400	0	46825	0	9800	0	25019	0	421411	0	0	0
Keith N Altshuler
President/CAO - Fort Sanders Reg	256759	0	53791	0	39383	0	9800	0	20539	0	380272	0	0	0
Gordon E Lintz
President/CAO - Morristown	199460	0	56734	0	52129	0	9800	0	9345	0	327468	0	0	0
James D Gann
President/CAO (retired)- Roane	8196	0	23709	0	222665	0	7310	0	20179	0	282059	0	0	0
Richard L Clark
Former HCE	0	0	0	0	273826	0	9800	0	0	0	283626	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

Part I, Line 1a

Part I, Line 1a: Tax gross-up payments are provided to certain executives and managers. Additionally, moving expenses are provided to certain executives and managers in connection with relocation. These benefits are treated as taxable compensation to the recipients. Officers and Board members attending official Board retreats are offered a discretionary spending allowance that may be used for incidental spending and/or companion travel. The allowance is treated as taxable compensation to the recipient. In addition, Board members receive tax indemnification payments related to reportable compensation from the spending allowances, which are also treated as taxable compensation.

Part I, Lines 4a-b

Part I, Lines 4a-b: Severance payments were provided to the following individuals: James Gann - $106,389, Richard Clark - $271,170. Anthony Spezia was a participant in two nonqualified deferred compensation plans, which will be referred to as Plan A and Plan B. In 2011 Mr. Spezia vested in Plan A, and the accumulated balance as of August 1, 2011 was included in his 2011 taxable income. An Amendment to Plan A was adopted effective August 1, 2011 which terminated further accruals (contributions) to the plan. However, the Amendment does allow the accrual of interest on undistributed amounts which will be subject to risk of forfeiture until such time as indicated in the Amendment. Interest earned by Plan A in 2012 amounted to $71,781.22 and is not required to be reported in Part II, as Mr. Spezia is not substantially vested in earnings accumulated after July 31, 2011. Plan B was established in 2011. Employer contributions to Plan B during 2012 totaled $204,000, which is reported in Column C of Schedule J, Part II. Interest earned by Plan B during 2012 of $17,909.59 is not required to be reported in compensation in Part II, as Mr. Spezia is not substantially vested in Plan B.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Health Educ & Housing Facil Brd of Knox Co
A	621220275	499523UUO	2006-12-20	46245448	See Part VI.	0	0	0
Health Educ & Housing Facil Brd of Knox Co
B	621220275	499523VR6	2011-03-24	103700000	See Part VI.	0	0	0
Health Educ & Housing Facil Brd of Knox Co
C	621220275	noneavail	2011-09-15	135500000	See Part VI.	0	0	0
Health Educ & Housing Facil Brd of Knox Co
D	621220275	noneavail	2011-09-15	125000000	See Part VI.	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount RetiredAmountRetired	Amount UnspentAmountUnspent
A	23755001	46245448	17872725	506941	21983506	2010	0	1	1	1
B		103700000				2006	1	0	1	1	122000000
C		135500000			64712322		1	0	0	1	35500000	35287678
D		125000000				2010	1	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	1
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	1
D	0	0	0	0	0.00000	0.00000	0.00000	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Written Proc To Monitor ReqsWrittenProcToMonitorReqs	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue
A	1	0	1
B	0	1	1	1	0	0
C	0	1	1	1	0	0
D	0	1	1	1	0	0

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1
C	1
D	1

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Explanation	As there are five bond issues to be presented on Schedule K, there is an additonal Schedule K included. Schedule K, Part I, Column F Bond Issues - description of purpose: Bond Issue A, date of issue 12/20/2006 - These capital appreciation bonds were initially related to a larger bond issue, subsequently refinanced as noted below, the majority of which were used to build a replacement hospital and cancer treatment center in Sevier County and to make numerous renovations and improvements at all the member hospitals. A portion of the capital appreciation bonds were used for the refunding of bonds issued December 12, 2002. Bond Issue B, date of issue 3/24/2011 - These bonds were issued for the partial refunding of bonds issued December 12, 2002. Bond Issue C, date of issue 9/15/2011 - $35,500,000 relates to the conversion of a portion of the bonds issued December 20, 2006. All other proceeds are designated to build a replacement hospital in Roane County and for various facility and equipment improvements and additions at other facilities. Bond Issue D, date of issue 9/15/2011 - These bonds relate to the conversion of a portion of bonds issued December 20, 2006. Schedule K - Second Form Bond Issue A, date of issue 12/13/2012 - These bonds were issued to refund capital appreciation bonds and capital interest bonds issued December 12, 2002.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Health Educ & Housing Facil Brd of Knox Co	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	621220275	IssuerEIN
CUSIP Number	499527BM0	CUSIPNumber
Date Issued	2012-12-13	DateIssued
Issue Price	161291013	IssuePrice
Description Of Purpose	See Part VI.	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount Bond Defeased	159999519	AmountBondDefeased
Total Proceeds	161291013	TotalProceeds
Issuance Costs From Proceeds	1291494	IssuanceCostsFromProceeds
Year Of Subst Completion	2006	YearOfSubstCompletion
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiled
Rebate Not Due Yet	1	RebateNotDueYet
Exception To Rebate	0	ExceptionToRebate
No Rebate Due	0	NoRebateDue
Variable Rate Issue	1	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Written Proc To Monitor Reqs	1	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	1	ProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	First Tennessee Bank	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	Independent contractor	Relationship
Amount Of Transaction	202132	AmountOfTransaction
Description Of Transaction	Investment management and loan closing fees	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	53	NumberOfContributions
Noncash Contribs Rptd F990	22141	NoncashContribsRptdF990
Method Of Determining Revenues	Retail value,expert	MethodOfDeterminingRevenues

Books And Publications BooksAndPublications

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	175	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	32567	NoncashContribsRptdF990
Method Of Determining Revenues	Various	MethodOfDeterminingRevenues

Collectibles Collectibles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	520	NoncashContribsRptdF990
Method Of Determining Revenues	Comparables	MethodOfDeterminingRevenues

Food Inventory FoodInventory

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	3	NumberOfContributions
Noncash Contribs Rptd F990	1556	NoncashContribsRptdF990
Method Of Determining Revenues	Retail value	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	Gift cards/certificates/tickets	84	32104	Retail or face value
X	Various	19	9385	Various

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Organization Mission Statement	Form 990, Part III, Line 1	In 1996, Fort Sanders Health System and MMC Healthcare System of Oak Ridge consolidated to form Covenant Health, with a mission of serving its communities by improving the quality of life through better health. Covenant Health is a nationally recognized top health system in many areas: patient care, quality performance, cost, integration, information technology, finances, ethics and innovation. To meet the challenges and implications of healthcare reform, Covenant Health has committed to these imperatives: * Serving the community as a not-for-profit health system. * Leading in quality and service. * Outstanding governance and leadership. * An engaged work force with the right skill sets. * Being the practice environment of choice for physicians. * Reinvesting in communities, providing programs, services, technologies and facilities that improve local healthcare services and patient care. Covenant Health has invested more than a billion dollars in its communities since 2000 - a commitment no other healthcare organization has approached. Covenant Health has opened new hospitals, expanded services, and brought cutting-edge medical technology to the region. * Meeting the challenges of the healthcare environment through effective strategic planning and wise use of resources. * Providing excellent care to every patient, every time. This commitment to excellence will help the system accomplish its mission of improving the quality of life through better health. In order to deliver on the promise of excellence in today's healthcare environment, preparation is critical. Covenant Health's Board of Directors ("the Board") is committed to advancing its understanding of health care. The Board is continually learning about hospitals' operational challenges and how the current environment affects physicians and their practices. The healthcare universe is constantly shifting. The Board members are volunteers, but have a passion for Covenant Health's mission, and a desire to expand its knowledge in preparation for leading the organization. Dedication to a shared goal is essential. Very few community endeavors are as important as making high-quality health care available to its citizens. Our patients and their families are at vulnerable points in their lives, and the Board believes it is a privilege to meet their healthcare needs. Experience is a valuable asset. Covenant Health has a legacy of delivering high-quality care, which will help to weather the storms of change, including transitioning to value-based reimbursement. COVENANT HEALTH MEMBER ORGANIZATIONS AND SERVICES Covenant Health Board members and administrative leaders serve their communities through strategic planning and successful operation of these member organizations: Hospitals and Other Healthcare Providers: Covenant Homecare and Hospice Fort Loudoun Medical Center Fort Sanders Perinatal Center Fort Sanders Regional Medical Center LeConte Medical Center Methodist Medical Center of Oak Ridge Morristown-Hamblen Healthcare System Parkwest Medical Center Peninsula Hospital, a Division of Parkwest Medical Center Roane County Medical Center Thompson Cancer Survival Center Thompson Oncology Group Knoxville Heart Group Outpatient and Specialty Care Departments, and Joint Ventures: Fort Sanders West Diagnostic Center Fort Sanders West Outpatient Surgery Center Patricia Neal Rehabilitation Center Peninsula Outpatient Centers Fort Sanders Sevier Nursing Home Foundations: Fort Sanders Foundation Methodist Medical Center Foundation Morristown-Hamblen Hospital Foundation Thompson Cancer Survival Center Foundation BRINGING QUALITY CARE TO LOCAL COMMUNITIES Covenant Health delivers quality care, with services designed to meet the specific needs of people in the communities it serves. Seven acute care hospitals located in Knoxville and surrounding areas comprise the foundation of the health system. The hospitals offer comprehensive care, including emergency care, specialty services, and a full range of diagnostics and treatment, provided by board-certified medical staffs. Three Covenant Health hospitals - Fort Sanders Regional, Methodist, and Parkwest Medical Centers, were named among the top 10 hospitals in Tennessee in 2013 by U.S. News and World Report, recognizing excellence in both overall and specialty care. Several hospitals have been recognized for clinical accomplishments by VHA, Inc., a cooperative of non-profit healthcare organizations. In 2013, the community celebrated the opening of the new 50-bed Roane County Medical Center in Harriman. The new hospital brings expanded medical services and sophisticated technology to the people of Roane County. In addition to comprehensive hospital services, Covenant Health provides: * Innovative cancer care and technologies to deliver radiation therapy and other cancer treatment in Knox, Sevier, Anderson and Hamblen counties. * Nationally recognized care for patients suffering from physical disabilities, stroke and traumatic brain injury at Fort Sanders Regional Medical Center's Patricia Neal Rehabilitation Center. * Affiliated physician clinics throughout the region which offers convenient access to primary and specialty care. * Rehabilitation services including physical therapy, speech therapy, sports medicine, and specialized therapy such as hand therapy and vestibular (balance) rehabilitation. RACING AGAINST TIME AND DISTANCE IN STROKE CARE With Fort Sanders Regional Medical Center's "tele-stroke" robot, East Tennessee stroke patients can benefit from early consultation with the hospital's stroke experts - regardless of where patients are located across the region. Fort Sanders Regional Medical Center ("Fort Sanders") introduced robots to the region in 2012. The InTouch R7 robot is a mobile communications platform that enables stroke patients to receive consults from Fort Sanders' neurologists via its video screen "face." The robot allows neurologist's availability to patients in outlying areas 24 hours a day. Covenant Health stationed its first two robots in the emergency departments at Parkwest Medical Center in Knoxville and LeConte Medical Center in Sevierville. The telestroke network allows physicians in surrounding hospitals to use live Web video streaming to consult with Fort Sanders Stroke Center neurologists as soon as a patient arrives at the community hospital. The neurologist can remotely review patient information and examine and talk with the patient, family members and local clinicians to help determine the best course of treatment, all at the patient's bedside. A STROKE CENTER OF EXCELLENCE Fort Sanders is a Stroke Center of Excellence, and the only facility in the region to hold both a Comprehensive Stroke Center certification from the Joint Commission and three separate stroke accreditations from the Commission on the Accreditation of Rehabilitation Facilities. Fort Sanders has a team of experts available to treat patients 24 hours a day, seven days a week. The stroke team includes emergency room physicians, neurologists, neurosurgeons, neurointerventional radiologists, nurses and therapists who quickly diagnose patients and use the most technically advanced methods available to remove clots, repair broken arteries that cause strokes, and restore blood flow to the brain.
		TAVR - CHARTING NEW DIRECTIONS IN HEART CARE In 2012, Parkwest Medical Center ("Parkwest") performed its first transcatheter aortic valve replacement (TAVR) procedure. Parkwest is the first hospital in the area to offer TAVR as a minimally invasive procedure to help men and women with the progressive, life-threatening condition known as aortic stenosis. Within the first year, the TAVR team of physicians from Parkwest and Fort Sanders Regional Medical Centers performed surgery for nearly 60 people who were deemed inoperable for traditional open-heart surgery. The patients received new heart valves via a catheter tube inserted either into the femoral artery or through the rib cage. Recovery is markedly shorter than traditional open-heart surgery. In most cases the patients were discharged from the hospital within three to six days. An important aspect of TAVR is its multi-disciplinary approach. The TAVR team includes physicians specializing in cardiovascular and cardiothoracic surgery, interventional cardiology, and cardiac anesthesiology, as well as nurses and technicians with specialized training. The operating room used for TAVR procedures at Parkwest is also multi-disciplinary in design. The $2.6 million hybrid operating room combines the resources of a cardiac catheterization lab and an operating room, including the imaging equipment needed for minimally invasive procedures. ACHIEVING QUALITY THROUGH PARTNERSHIPS WITH PHYSICIANS Overall, Covenant Health's desire for alignment is driven by the need to fully evolve as a healthcare system. In pursuing its goal of outstanding quality and seamless continuum of care, Covenant Medical Management, Inc. (CMM), a for-profit entity in the Covenant Health system, has developed models with physicians that include both employment and joint ventures. CMM provides practice management services and support to over 120 primary care and specialty physicians in more than 60 practices in East Tennessee. CMM recently added Southern Medical Group and Family Care Specialists to its employed physician groups that include: * Cardiology Associates of East Tennessee * Crossville Medical Group * Fort Sanders Women's Specialists * Tennessee Brain and Spine CMM also acquired a new, separate corporation, East Tennessee Cardiovascular Surgery Group, in 2012. Prior to joining the Covenant Health system, the surgeons in this practice served as the primary cardiac surgeons for Fort Sanders Regional, Methodist, and Parkwest Medical Centers and worked in the system's Valve Centers and TAVR program. BEHAVIORAL HEALTH - A COMMITMENT TO ESSENTIAL SERVICES In 2012, Peninsula, a division of Parkwest Medical Center, faced an unprecedented challenge: Lakeshore, a state-funded mental health institute, would be closing its doors for good, and the majority of patients would funnel into Peninsula Hospital. The closing was a strategic move by the state Department of Mental Health to follow the national trend of moving behavioral health toward community-based care and away from state-funded care. With a multi-professional team made up of experienced people from across the continuum of mental health care, Peninsula laid out a plan to accommodate the influx of hospital admissions, reduce costs, and improve the quality of care for mental health patients. The team was challenged by not only having more patients, but patients with serious and complex mental disorders. Changes in staffing and processes helped create a smooth admission process and improvement of service. On average, Peninsula serves about a dozen more inpatients per day since Lakeshore closed. Even with the additional volume, Peninsula has been able to increase its customer satisfaction score and maintain or improve its performance in safety quality measures. Many of the changes which resulted in taking the patients from Lakeshore translated to better service. For example, a process was developed to assess and enroll the patients in CoverRX, the state-funded program for prescription coverage. Patients have benefited by increased collaborative efforts within the community such as regular meetings with a community providers group including representatives from local law enforcement, hospital emergency departments, mobile crisis, and a state mental health facility. The group works on the continuum of services for behavioral health patients in the area. Peninsula participates in the Crisis Intervention Training (CIT) for officers from the surrounding areas' police and sheriff's offices. The training facilitates understanding about mental illness, and when that happens, patients benefit. A partnership with the State of Tennessee brought improvements to the community based care of mental health patients, such as transportation and medications. As a result, more outpatients are keeping their first appointments, and there are a lower number of readmissions. In addition to the 155-bed inpatient psychiatric hospital in Blount County, Peninsula also has outpatient facilities in Knox, Blount, Loudon and Sevier counties. SETTING THE STANDARD FOR TECHNOLOGY The recently enacted American Recovery and Reinvestment Act includes incentives and penalties designed to accelerate our nation's adoption and "meaningful use" of electronic health records, ("EHRs"). The implementation of meaningful use initiatives is changing the way healthcare is delivered not only at Covenant Health, but also across Tennessee, and throughout the U.S. With widespread adoption, EHRs can: * make a patient's current health information available in a single, secure, shared record, * provide real-time decision support designed to hardwire best practices and reduce care variability, * reduce paperwork, duplicate testing and other inefficiencies. Meaningful Use provides the technology infrastructure and electronic applications to connect care settings, reduce costs, improve efficiency and standardize quality. From 2015 forward, for every year that meaningful use requirements are not met, providers will receive penalties in the form of reduced reimbursement. At Covenant Health, interdisciplinary and multidisciplinary operational teams have been involved in developing and implementing applications and processes related to the main components of Meaningful Use: * E-prescription writing, and computerized patient order entry, * Interoperability, or exchanging key clinical information among providers and patients, * Automated quality reporting. Through Meaningful Use initiatives Covenant Health will transform the way it delivers care by improving patient outcomes, clinical quality, patient safety and organizational effectiveness. Covenant Health has installed a record number of applications related to Meaningful Use. Seven initiatives ranging from admission databases and medication reconciliation (important for patient safety) to computerized patient order entry and physician practice management software took place in 2012 and continued in 2013. The successful installation of multiple applications in a one-year period is unprecedented in the IT world. Quality assurance processes are in place to ensure delivery of the best applications and processes for patient care, clinical quality, and patient safety.
		"MOST WIRED" Hospitals & Health Networks magazine, the journal of the American Hospital Association, has named Covenant Health among the nation's Most Wired healthcare organizations in the 15th annual Most Wired Survey and Benchmarking Study. It is the 10th time that Covenant Health has been named to the Most Wired list. Although Covenant has been named among the nation's Most Wired many times, the health systems that made the list in recent years have had to meet the demands of a more stringent analytic structure. The Most Wired survey includes questions about IT initiatives that support Meaningful Use requirements. It measures IT achievements in four focus sections: infrastructure, business and administrative management, clinical quality and safety (hospital inpatient/outpatient) and clinical integration (ambulatory/physician/community). Participating organizations must meet specific criteria for each section in order to be named "Most Wired." Most Wired surveys were completed by 659 healthcare organizations representing 1,713 hospitals, or roughly 30 percent of all U.S. hospitals. PHILANTHROPY TURNS CHALLENGE INTO OPPORTUNITY The Covenant Health Office of Philanthropy coordinates the philanthropic contributions of individuals and businesses throughout East Tennessee and beyond in support of health care in the region. Fund raising efforts are led by volunteer boards and staff at four foundations: Fort Sanders Foundation, Methodist Medical Center Foundation, Morristown-Hamblen Hospital Foundation, and Thompson Cancer Survival Center Foundation. When Fort Sanders Health Systems created its first fund raising office, Fort Sanders Foundation, in the mid-1970s to raise funds to support Fort Sanders Regional Medical Center, it was a progressive move for a health care provider. Fund raising was not a need, but more in the category of "nice to have." This status has changed in today's era of healthcare reform. Financial resources have tightened and hospitals look to the community for charitable contributions that are now very much in the "need to have" category if they are to continue to meet the healthcare needs of the people of East Tennessee. During the past year these foundations received contributions of approximately $3.7 million to help provide new equipment and facilities at the hospitals, staff training and patient care programs. While the Office of Philanthropy staff coordinates community events and fund raisers, local community leadership and involvement is critical to fund raising success. In an effort to expand the cadre of informed volunteer leaders in the community, the Office of Philanthropy launched a new education program this year, Covenant Answers: A Healthcare Leadership Academy. Inaugural Academy participants included representatives from the boards of Covenant Health, and Fort Sanders and TCSC foundations. Future Leadership Academy classes will include business and community representatives from throughout Covenant Health's service area. Over a five-month period, class members attended half-day sessions at five Covenant hospitals, which included behind-the-scenes tours and hands-on access to the latest technologies and treatments. Participants discussed the challenges of the current health care environment with Covenant physicians and clinicians, heard firsthand from patients whose recovery hinged on the excellent care provided at our hospitals, and even tried their hands at using adaptive rehab equipment and maneuvering a surgical robot. IMPROVING HEALTH BEYOND HOSPITAL WALLS One of the greatest challenges facing a healthcare organization is not only caring for the patients and families who receive direct services, but making a positive impact in the health of the surrounding community. That is the mission of Covenant Health: reaching beyond hospital walls to improve the quality of life through better health. In all the communities Covenant Health serves, local initiatives and partnerships create opportunities to interact with people of all ages and encourage healthier lifestyles. * In Knoxville more than 7,000 people participated in the annual Covenant Health Knoxville Marathon, which attracted local runners and hand cyclists, as well as competitors from throughout the U.S. and other countries. * The Covenant Health Biggest Winner Weight Loss Challenge is a friendly competition that encourages East Tennesseans to get off the couch and get moving for a fit and healthy lifestyle. Team members train together for five months, with the goal of crossing the finish line in Covenant Health Knoxville Marathon events. Participants challenge other East Tennesseans to start a health journey that will change their lives for the better. * Some of the funds raised through the Covenant Health Knoxville Marathon were contributed to The Patricia Neal Rehabilitation Center's Innovative Recreation Cooperative, a collaboration of groups and individuals who help disabled persons enjoy leisure and recreation activities such as water skiing and cycling. * The Covenant Kids Run attracted over 1,000 children who participated in a "marathon" of activities over a period of several weeks, culminating in a run to Neyland Stadium on the day before the Covenant Health Knoxville Marathon. * Covenant Health was the fitness sponsor of the Dogwood Arts Festival, held annually in April. Fitness activities included several outdoor walks, "Bikes and Blooms" bike rides on local Dogwood trails, and a Dogwood Mile run and Kids Race held in downtown Knoxville. * Covenant HomeCare Hospice helps children grieving the loss of a loved one through Katerpillar Kids Camp, offered with the support of Variety-The Children's Charity. The camp is staffed by health system volunteers and helps children in grades 1-12 express their feelings in a supportive environment while enjoying camp activities. * Morristown-Hamblen's Wellness of Women is dedicated to improving the lives of area women and their families. The program sponsors events such as an annual Girls Night Out, which offers free health screenings and encourages women to have fun while learning to stay healthy. UNCOMPENSATED CARE One of the most tangible expressions of the charitable purpose of Covenant Health is providing care to people in need. As a not-for-profit system, Covenant Health provides medically necessary services to people with limited resources. Covenant Health actively participates in the state's TennCare program, and collaborates with other area providers to identify and support efforts to make community healthcare resources available for those in need. The Community Benefit totals for uncompensated care are included on the Forms 990 for the individual Covenant Health hospitals.
	Form 990, Part VI, Section B, line 11	Part VI, Section B, Line 11: Covenant Health is a large integrated health system which files twelve Forms 990. Annually, at the September Finance Committee meeting, one of the twelve 990s is selected (a different entity each year) for distribution to each member of the Committee. Management then reviews in detail each of the Form 990 schedules and describes variances between entities, if any. The remaining eleven Forms are made available for review by any committee member. The same presentation is made to the Covenant Health Board of Directors at the October meeting. All twelve Forms 990 are then made available to all Board members for their review throughout the month of October.
	Form 990, Part VI, Section B, line 12c	Board 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 an annual management certification that addresses conflicts of interest. Board members' conflicts of interests are dealt with 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 employees. These records are available to be queried prior to engaging in business transactions. The Integrity 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. As well, managers and other employees are expected to report conflicts to the Integrity Compliance Officer as they arise. Depending on the nature of the conflict and the circumstances surrounding the conflict and transaction, the Integrity Compliance Officer, Senior Leadership, or the Board of Directors may review the conflict of interest. Where appropriate these bodies 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 Integrity Compliance Officer in conjunction with Executive Leadership determines how to appropriately handle the conflict. In any conflict involving a Board member, such member is expected to excuse himself or herself from voting on matters that give rise to the conflict.
	Form 990, Part VI, Section B, line 15	Form 990, Part VI, Section B, Line 15a: Annual compensation for Covenant Health's President and Chief Executive Officer("CEO"), Anthony L. Spezia, 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 ("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 size, revenue, total assets, number of full time employees and services provided. Covenant Health's current compensation methodology includes setting base salary at or near the midpoint recommended by the consultant based on the CEO's experience and market conditions. In addition, annual incentive bonus compensation may be awarded upon achievement of established targets. Bonus opportunity ranges from 35-50% of base salary depending upon the executive's performance. The CEO also earns forfeitable, deferred compensation, the amount of which depends upon the amount of any annual bonus awarded. As a part of its CEO performance evaluation process, the Committee 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; however, results are "blinded" so that individual board members are not identified. The collated results are shared with the CEO as part of the evaluation process. Any increase in base salary, award of annual bonus, 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 and at least one other member of the Committee meet with the CEO and share the Committee and board's evaluation of his prior year's performance, communicate his performance goals for the upcoming year, and inform him of the Committee's actions with respect to any annual bonus award for the prior year and any base salary adjustment for the upcoming year. Minutes of the actions of the Committee are recorded and kept on file. In addition, all determinations of the Committee with respect to the CEO's compensation are reported to and ratified by the full board of directors. Form 990, Part VI, Section B, Line 15b: Base salaries and annual bonus opportunities for Key Executives (1) are set by the Covenant Health CEO or Executive 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 insure 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 the individual's experience, market conditions and competition. Annual bonuses are designed to award 0 - 45% for the Executive Vice President ("EVP"), and 0 - 35% for the Senior Vice President ("SVP") and Chief Administrative Officer ("CAO") of base salary based upon system performance and accomplishment of certain targets established by the CEO. (1) KEY EXECUTIVES: Covenant Health employees: John T. Geppi, EVP-Chief Financial Officer James D. Vandersteeg, EVP-Hospital Operations Lawrence C. Kleinman, EVP-Human Resources William M. Ward, SVP-Chief Information Officer Janice McKinley, SVP-Quality, Safety & Nursing Operations Related organization employees compensated by Covenant Health: Keith Altshuler, President & CAO of Fort Sanders Regional Medical Ctr. Michael R. Belbeck, Jr., President & CAO of Methodist Medical Center Larry R. Lassiter, President & CAO of Parkwest Medical Center Ellen F. Wilhoit, President & CAO of LeConte Medical Center Jeffrey Feike, President & CAO of Fort Loudoun Medical Center James Gann, President & CAO (retired) of Roane Medical Center Gordon Lintz, President & CAO of Morristown-Hamblen Healthcare System Gaye Jolly, President & CAO of Roane Medical Center
	Form 990, Part VI, Section C, line 19	Form 990, Part VI, Section C, Line 19: Per its tax exempt bond provisions, Covenant Health, is required to file quarterly and annual consolidated and obligated group financial statements in addition to other documentation, with various bond insurers and other agencies, including the Electronic Municipal Market Access, EMMA, website. Any member of such a repository has access to these financial statements.
Contact Addresses for Highest Compensated Employees:	Form 990, Part VI, Line 9	Covenant Health compensates the Presidents and CAOs of its member hospitals in its role as a supporting organization. Their contact addresses are provided below. Michael R. Belbeck, Jr. Methodist Medical Center 990 Oak Ridge Turnpike Oak Ridge, TN 37830 Larry R. Lassiter Parkwest Medical Center 9352 Park West Boulevard Knoxville, TN 37923 Keith Altshuler Fort Sanders Regional Medical Center & Fort Sanders Perinatal Center 1901 Clinch Avenue Knoxville, TN 37916 Gordon Lintz Morristown-Hamblen Healthcare System 908 West Fourth North Morristown, TN 37814 James Gann 126 Indigo Bunting Rd. Harriman, TN 37748 Richard Clark 3102 Hampton Circle Morristown, TN 37814 All other persons listed in Part VII, Section A may be contacted at the organization's address.
Changes in Net Assets or Fund Balances:	Form 990, Part XI, line 9:	Book/Tax Diff in Income(Loss) from Partnerships/Trusts -131,978. Return of capital from subsidiaries 859,924. Capital contributed to subsidiaries -37,383,522. Change in 457(b) unrealized gain/loss 183,813.
	Form 990, Part XII, Line 2c:	The Finance Committee of the Board of Directors assumes responsibility for oversight of the audit of the consolidated financial statements and selection of an independent accountant.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Fort Sanders Regional Medical Center
1901 W Clinch Avenue	Knoxville	TN	37916	620528340	Acute care hospital	TN	501(c)(3)	Line 3	Covenant Health	0
Parkwest Medical Center
9352 Park West Boulevard	Knoxville	TN	37923	581897274	Acute care hospital & behavioral health services	TN	501(c)(3)	Line 3	Covenant Health	0
Methodist Medical Center
990 Oak Ridge Turnpike	Oak Ridge	TN	37830	620636239	Acute care hospital	TN	501(c)(3)	Line 3	Covenant Health	0
LeConte Medical Center
742 Middle Creek Road	Sevierville	TN	37862	621114867	Acute care hospital	TN	501(c)(3)	Line 3	Covenant Health	0
Roane County Medical Center dba Roane Medical Center
8045 Roane Medical Center Dr	Harriman	TN	37748	680673354	Acute care hospital	TN	501(c)(3)	Line 3	Covenant Health	0
Fort Loudoun Medical Center
550 Fort Loudoun Medical Ctr Dr	Lenoir City	TN	37772	621373691	Acute care hospital	TN	501(c)(3)	Line 3	Covenant Health	0
Thompson Cancer Survival Center
1915 White Avenue	Knoxville	TN	37916	621250943	Cancer treatment facility	TN	501(c)(3)	Line 3	Covenant Health	0
Thompson Oncology Group
1915 White Avenue	Knoxville	TN	37916	621619239	Oncology services	TN	501(c)(3)	Line 3	Covenant Health	0
Fort Sanders Foundation
280 Fort Sanders West Blvd Ste 202	Knoxville	TN	37922	621748601	Fundraising and patient outreach	TN	501(c)(3)	Line 11b, II	Covenant Health	0
Covenant Homecare
3001 Lake Brook Blvd Ste 101	Knoxville	TN	37909	621623114	Home health services	TN	501(c)(3)	Line 9	Covenant Health	0
Fort Sanders Perinatal Center
501 19th St Ste 304	Knoxville	TN	37916	043760551	High risk obstetrical services	TN	501(c)(3)	Line 3	Covenant Health	1
Morristown-Hamblen Hospital Assoc dba M-H Healthcare System
908 W 4th North St	Morristown	TN	37814	620545814	Acute care hospital	TN	501(c)(3)	Line 3	Covenant Health	0
Thompson Cancer Survival Center Foundation
1915 White Avenue	Knoxville	TN	37916	582130450	Fundraising and patient outreach	TN	501(c)(3)	Line 11a, I	Thompson Cancer Survival Center	0
Morristown Regional Cancer Center LLC
908 W 4th North St	Morristown	TN	37814	200916364	Cancer treatment facility	TN	501(c)(3)	Line 3	Morristown-Hamblen Hospital Association	0

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA
Endoscopy Center of Oak Ridge LLC
988 Oak Ridge Turnpike Ste 200	Oak Ridge	TN	37830	621667358	Outpatient medical facility	TN	N/A
Fort Sanders West OP Surgery Ctr LLC
210 Fort Sanders West Blvd Ste 106	Knoxville	TN	37922	621366907	Outpatient surgery center	TN	N/A
Fort Sanders West Associates
280 Fort Sanders West Blvd Ste 214	Knoxville	TN	37922	621384171	Building ownership	TN	N/A
Assoc of the Meridian Health Outpatient Surgery Ctr LLC
908 W 4th North St	Morristown	TN	37814	861167487	Outpatient surgery center	TN	N/A
KOSC Properties LLC
260 Fort Sanders West Blvd Ste 200	Knoxville	TN	37922	262444076	Building ownership	TN	N/A
Knoxville Orthopaedic Surgery Center LLC
260 Fort Sanders West Blvd Ste 200	Knoxville	TN	37922	262437385	Orthodopaedic surgery	TN	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg
Fortress Corporation
280 Ft Sanders West Blvd Suite 214	Knoxville	TN	37922	621308885	Management company	TN	N/A	C	1
KASC Acquisition Company Inc
1420 Centerpoint Blvd Bldg C	Knoxville	TN	37932	263400984	Real estate holdings	TN	N/A	C	0
Covenant Medical Management Inc
1400 Centerpoint Blvd Bldg A Ste 10	Knoxville	TN	37932	621282917	Physician practice management	TN	N/A	C	1
Knoxville Heart Group
1819 Clinch Avenue Suite 108	Knoxville	TN	37916	271528941	Cardiology medical practice	TN	N/A	C	0
East TN Cardiovascular Surgery Group Inc
9125 Cross Park Drive Ste 200	Knoxville	TN	37923	621018541	Cardiovascular surgical practice	TN	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	1	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	1	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (73 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Fort Sanders Regional Medical Center
G	1001873	FMV
Fort Sanders Regional Medical Center
L	21519456	FMV
Fort Sanders Regional Medical Center
O	334177	FMV
Fort Sanders Regional Medical Center
Q	39741877	Cost
Fort Sanders Regional Medical Center
S	236151	Cash
Parkwest Medical Center
G	5256960	FMV
Parkwest Medical Center
L	21912541	FMV
Parkwest Medical Center
O	456901	FMV
Parkwest Medical Center
P	186596374	Cost
Parkwest Medical Center
Q	131391665	Cost
Parkwest Medical Center
R	1717621	Cash
Parkwest Medical Center
S	6501327	Cash
Methodist Medical Center
G	1276220	FMV
Methodist Medical Center
L	13001996	FMV
Methodist Medical Center
O	289578	FMV
Methodist Medical Center
P	76761098	Cost
Methodist Medical Center
Q	62113962	Cost
Methodist Medical Center
S	1649047	Cash
Morristown-Hamblen Hospital Association
G	1817266	FMV
Morristown-Hamblen Hospital Association
L	6374557	FMV
Morristown-Hamblen Hospital Association
O	457841	FMV
Morristown-Hamblen Hospital Association
P	50213075	Cost
Morristown-Hamblen Hospital Association
Q	45060456	Cost
Morristown-Hamblen Hospital Association
R	50276653	Cash
LeConte Medical Center
G	480748	FMV
LeConte Medical Center
L	5238718	FMV
LeConte Medical Center
O	228608	FMV
LeConte Medical Center
P	41174517	Cost
LeConte Medical Center
Q	33187207	Cost
LeConte Medical Center
S	659832	Cash
Roane County Medical Center
G	424500	FMV
Roane County Medical Center
L	1212089	FMV
Roane County Medical Center
O	381613	FMV
Roane County Medical Center
P	2009401	Cost
Roane County Medical Center
Q	8274934	Cost
Roane County Medical Center
R	450450	Cash
Fort Loudoun Medical Center
G	94438	FMV
Fort Loudoun Medical Center
L	2942589	FMV
Fort Loudoun Medical Center
O	234362	FMV
Fort Loudoun Medical Center
P	15383161	Cost
Fort Loudoun Medical Center
Q	13033520	Cost
Fort Loudoun Medical Center
S	73288	Cash
Thompson Cancer Survival Center
G	61208	FMV
Thompson Cancer Survival Center
L	1770358	FMV
Thompson Cancer Survival Center
O	296441	FMV
Thompson Cancer Survival Center
P	14904365	Cost
Thompson Cancer Survival Center
Q	6758426	Cost
Thompson Cancer Survival Center
R	84857	Cash
Thompson Oncology Group
L	425076	FMV
Thompson Oncology Group
P	8409765	Cost
Thompson Oncology Group
Q	15357622	Cost
Thompson Oncology Group
R	105900	Cash
Covenant Homecare
G	120999	FMV
Covenant Homecare
L	1120843	FMV
Covenant Homecare
K	69213	FMV
Covenant Homecare
P	10391530	Cost
Covenant Homecare
Q	9877428	Cost
Fort Sanders Perinatal Center
P	8822784	Cost
Fort Sanders Perinatal Center
Q	7308961	Cost
Surgery Endoscopy Ctr of Morristown
Q	203373	Cost
Knoxville Heart Group
L	200330	FMV
Knoxville Heart Group
P	2497394	Cost
Knoxville Heart Group
Q	4523330	Cost
Fort Sanders West OP Surgery Center
Q	72677	Cost
Fort Sanders Foundation
O	184840	FMV
Fortress Corporation
K	374919	FMV
Fortress Corporation
L	362132	FMV
Fortress Corporation
Q	546879	FMV
Covenant Medical Management
G	79067	FMV
Covenant Medical Management
Q	28757575	Cost
Covenant Homecare
A	2710	Cost
Covenant Medical Management
A	8331	Cost
Fortress Corporation
A	241	Cost