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        <CUSIPNumber>57586DBF9</CUSIPNumber>
        <DateIssued>2007-10-30</DateIssued>
        <IssuePrice>12891500</IssuePrice>
        <DescriptionOfPurpose>ACQUISITION OF YOUVILLE PLACE ASSETS, REFUND MA HEFA SERIES 2002 BONDS</DescriptionOfPurpose>
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      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>COVENANT HEALTH SYSTEMS, INC. IS THE SOLE MEMBER OF YOUVILLE PLACE AND AS SUCH HAS CERTAIN RESERVED RIGHTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>COVENANT HEALTH SYSTEMS, INC. IS THE SOLE MEMBER OF YOUVILLE PLACE AND AS SUCH HAS CERTAIN RESERVED RIGHTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>COVENANT HEALTH SYSTEMS, INC. IS THE SOLE MEMBER OF YOUVILLE PLACE AND AS SUCH HAS CERTAIN RESERVED RIGHTS TO APPROVE CERTAIN DECISIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE FORM 990 IS REVIEWED IN DETAIL BY THE GOVERNING BODY PRIOR TO BEING FILED WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <Explanation>THE ORGANIZATION HAS FORMAL CORPORATE INTEGRITY POLICIES MANAGED BY THE ON-SITE FACILITIES CORPORATE INTEGRITY OFFICER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <Explanation>EVERY 2 TO 3 YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH SYSTEMS' BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SURVEY SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003, THE COMPENSATION COMMITTEE HAS ENGAGED MERCER HUMAN RESOUCES CONSULTING TO CONDUCT THE ANALYSIS. OBJECTIVES ARE TO ASSESS THE COMPOSITENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS OF THE SENIOR LEADERSHIP TEAM; DEVELOP MARKET BASED COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF THERE ARE ANY, ARE COMPETITIVE AND REASONABLE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>ALL POLICIES AND FORM 990'S ARE MAINTAINED AT THE FACILITY AND AVAILABLE TO THE PUBLIC FOR INSPECTION UPON REQUEST.</Explanation>
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          <City>LEXINGTON</City>
          <State>MA</State>
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        <PrimaryActivities>CATHOLIC HEALTHCARE MINISTRY</PrimaryActivities>
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