Challenge and Hope in a Year Like No Other - 2020 Report to the Community - Covenant Health

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Challenge and Hope in a Year Like No Other - 2020 Report to the Community - Covenant Health
Challenge and Hope
  in a Year Like No Other

                            Report to the Community
Challenge and Hope in a Year Like No Other - 2020 Report to the Community - Covenant Health
From the President and CEO                                                                                                                                          From the Chairman of the Board

    As I look back on 2020, it truly was “a year like no other.” When coronavirus                            As chairman of Covenant Health’s Board of Directors, it is my
    cases increased in our region, we joined our communities in a roller-coaster                             pleasure to extend greetings on behalf of my fellow Board members.
    of challenges, from preparing our staff and facilities to care for COVID
                                                                                                             I have served on the Covenant Health Board since 2010 and
    patients and their families to helping our own employees, many of whom
                                                                                                             have had the privilege of being the chairman for the last three
    faced personal losses and unexpected financial needs.
                                                                                                             years. During this time, I have visited each of our medical centers
    I want to say a very heartfelt “thank you” to our communities, who lifted our                            throughout East Tennessee to meet the leadership teams,
    spirits through prayers, messages of thanks, donations of food and masks,                                physicians and support teams. I left each visit deeply impressed by
    and much more. Your kindness and generosity continue to inspire us and                                   their passion for excellence in all that they do, and their dedication
    remind us of our ongoing mission to improve the quality of life in our region                            to providing the highest quality of care to the over two million
    through better health.                                                                                   patients Covenant Health serves annually.
                                                                                        Jim VanderSteeg                                                                               James J. Fitzsimmons
    As healthcare providers, we learned a great deal during 2020. We have                                    The 2020 COVID-19 pandemic was a true test of Covenant Health’s
    continually improved our patient care processes, learned how to care                                     commitment to serving our communities by providing the highest
    more effectively for COVID-19 patients, and at the end of the year, we launched a robust plan            quality of care under the most challenging circumstances. Our leadership, physicians,
    for distributing vaccines to our employees and to our communities. We have implemented new               caregivers and support teams rose to this challenge at great personal risk to ensure that
    technology such as our “Helen” chat feature and telehealth services to help patients even if they are    each of our patients received excellent care.
    unable to leave their homes.
                                                                                                             Our Board is made up of a talented group of community leaders and physicians who
    Despite the challenges and difficulties related to COVID-19, in 2020 we announced several exciting       donate their time and expertise in service to Covenant Health. I know I speak for all Board
    partnerships, joint ventures and plans for the future:                                                   members when I say that we have a profound dedication to the health system’s not-for-

    • Covenant Health was named Dollywood’s strategic partner for healthcare. Similar to Covenant            profit mission: improving the quality of life in our communities through better health.

      Health, Dollywood is committed to quality. The theme park welcomes about 3 million visitors each       We serve on the Board because we want to be part of an organization that truly makes a

      year, and we are honored to collaborate with Dollywood to enhance guests’ experiences through          difference in the lives of people in our region.

      support of the park’s safety team and other healthcare initiatives.                                    The Board has a great deal of pride in Covenant Health – its leaders, employees, physicians
    • We announced a partnership with Acadia Healthcare to build a new inpatient behavioral hospital         and volunteers, and its Pledge of Excellence in all endeavors. Covenant Health is well
      in Knoxville to help meet our region’s ongoing need for mental health services.                        recognized for achievements in quality and patient safety, for the integrity of our business
    • We announced a partnership with Encompass Health to renovate and expand the services of the            operations, for our financial strength and for reinvesting in facilities and medical resources
      Patricia Neal Rehabilitation Center at Fort Sanders Regional Medical Center and to build a new         in local communities. These achievements have been recognized by Forbes magazine,
      inpatient rehabilitation hospital on the Fort Sanders West campus in west Knoxville.                   which has named Covenant Health to several of its “Best Employer” lists six times. As Board
    • We announced plans for a new outpatient facility in south Knoxville that will include urgent care,     members we proudly affirm the health system’s commitment to continued excellence in
      an outpatient diagnostic center, primary care services and physical rehabilitation.                    patient care and to making Covenant Health the first and best choice. It is truly a privilege to
    • Morristown-Hamblen Healthcare System announced plans to build a free-standing emergency                serve our patients and communities.
      department and outpatient diagnostic center that also will include office space for physicians.
    In 2021 we will celebrate Covenant Health’s 25th anniversary, and I am looking forward to this
    important observance. As I think about our health system’s past and future, I am most grateful for our
    employees and their devotion to our patients, families and communities. In the pages of this report
    you will get a glimpse of this unwavering devotion during “an unprecedented year.” As always, we are     James J. Fitzsimmons
    honored to serve our Tennessee communities and we thank you for trusting us with your care.

    Jim VanderSteeg

                                                Covenant Health                                                                               2020 Report to the Community
Challenge and Hope in a Year Like No Other - 2020 Report to the Community - Covenant Health
A Year Like No Other                                                                                                                                                                        2020 ANNUAL REPORT TO THE COMMUNITY

    As 2019 drew to a close,
    Covenant Health hospitals
    had much to celebrate.
    Parkwest Medical Center had just
    opened its new Dogwood Tower,
    adding operating rooms, establishing
    a new surgery entrance and patient
    discharge area, and expanding the
    footprint of the hospital. Fort Sanders
    Regional Medical Center was beginning
    a year-long celebration of the hospital’s
    100th anniversary and had completed
    the first phase of a major project: the
    opening of an expanded emergency
    department, with construction                                                                                                 Our communities contributed more
    scheduled to continue on a new                                                                                                than 10,000 masks for patients and
    critical care unit in 2020.                 Covenant Health helps employees take extra precautions such as wearing            visitors during our “10,000 Masks in        The gift of hope arrived just before the holidays in the form of COVID-19 vaccines.
                                                personal protective equipment (PPE) to deliver safe care.                         10 Days” campaign.
      Then came coronavirus. Health
    system administrators and clinical
    leaders began learning about and              In March 2020, Covenant Health         innovative ways to meet the              settings. Covenant Health’s board of
    preparing for a possible influx of          and other Tennessee hospitals            challenges presented by coronavirus.     directors and executive leadership
    COVID-19 patients, and began                temporarily paused some outpatient       When outpatient services and             team acknowledged these challenges
    establishing procedures to assure           services and elective procedures.        elective procedures resumed, we          and expressed gratitude through
    that safe care would continue for all       Administrators and clinical caregivers   had strict screening procedures          COVID relief bonuses and additional
    patients.                                   began meeting regularly, developing      and visitation guidelines in place for   paid time off for employees.
                                                                                         our hospitals, nursing homes and           The year ended with hope on
                                                                                         physician practices.                     the horizon: the arrival of COVID-19
                                                                                           Because of the pause in outpatient     vaccines. By Dec. 31, front-line
                                                                                         services and procedures, many            employees and medical staff at our
                                                                                         employees’ hours were reduced            acute-care facilities had opportunities
                                                                                         for a portion of the year. Covenant      to receive the vaccine, with distribution
                                                                                         Health leaders recognized a need         expanding throughout the system and                                                                         Employees checked
                                                                                                                                                                                                                                              temperatures and
                                                                                         for emergency assistance and             into our communities in 2021.
                                                                                                                                                                                                                                              asked COVID-19
                                                                                         established a COVID relief fund            While it was a difficult and
                                                                                                                                                                                                                                              screening questions of
                                                                                         of $2 million for employees facing       challenging year for healthcare                                                                             everyone who entered
                                                                                         unexpected financial needs.              organizations around the world,                                                                             our facilities.
                                                                                           By the end of 2020, the volume         including Covenant Health, it also was
                                                                                         of COVID-19 patients across our          a year rich in learning and abundant
                                                                                         organizations was at an all-time high.   blessings. In 2021, Covenant Health
                                                                                         COVID-19 created challenges for          will celebrate 25 years as a health
                                                                                         employees in all areas of the health     system. We look forward to that
    Fort Sanders Regional’s sterile processing department reprocessed N95 masks          system, especially front-line workers    celebration, and to continuing our
    for safe reuse.                                                                      delivering patient care in high-risk     care for the people of Tennessee.

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Challenge and Hope in a Year Like No Other - 2020 Report to the Community - Covenant Health
Innovative Care for                                                                                                                                                                          2020 ANNUAL REPORT TO THE COMMUNITY
          Patients and Communities

    Daunting challenges                                                                                                        New Recognition Program                 and honor that person. When a
    resulting from the                                                                                                         for Veteran and Active                  patient has been identified as
    COVID-19 pandemic                                                                                                          Military Patients                       having served, they are offered
    inspired creative solutions.                                                                                                 In November 2020, Covenant            a special pin and certificate
    This year Covenant Health established                                                                                      Health initiated a new program to       thanking them for their service
    several initiatives to make sure our                                                                                       help identify veterans and active       and sacrifice,” she said.
    patients continued to receive safe and                                                                                     military members as part of our           “The first few weeks of this
    compassionate care.                                                                                                        hospitals’ admission process.           initiative proved very meaningful
                                                                                                                                 Clinical social worker                for our staff who are veterans,”
    “Helen” Helps with Medical                                                                                                 Cindy Winterberger, LMSW,               she added. “I think about all the
    Appointments, Answers Patients’                                                                                            has coordinated a military              lives we are going to impact.
    Questions                                                                                                                  recognition program as part of her      People who need and seek
      In 2020 Covenant Health launched                                                                                         responsibilities at Covenant Hospice,   healthcare may receive a special
    “Helen,” a new interactive chat                                                                                            and was integral in introducing         moment of thanks, and that
    assistant to help people navigate                                                                                          the military recognition program        touches my heart. If not for the
    COVID-19 medical care without                                                                                              throughout Covenant Health.             brave men and women who have                Methodist Medical Center volunteer
    having to leave home. Helen guides                                                                                           Winterberger explained, “It creates   stood to defend our nation, where           Murrell Hughett was honored for his
    users through a symptom checker                                                                                            a moment for our staff to thank         would we be?”                               military services during his hospital stay.
    and advises them on next steps for
    care. Helen also connects users with
    nurses who can answer specific care
    questions and schedule telehealth                                                                                          In February 2020,                       team. Covenant Health also will offer
    appointments with a medical provider.                                                                                      Dollywood officials                     health-related activities for guests,
      Users can connect with Helen                                                                                             announced Covenant                      including hand sanitizing stations and
    at and on all                                                                                           Health as the “official                 health tips signage throughout the
    hospital and medical practice websites                                                                                     health system partner of                park. The agreement also extends to
    throughout the Covenant Health                                                                                             Dollywood.” The partnership             Dollywood’s Splash Country
    system.                                                                                                                    focuses on the organizations’ shared      “Our two organizations have much
                                                                                                                               commitments to excellence, strong       in common,” said Jim VanderSteeg,
    Telehealth Grows Rapidly during                                                                                            and vibrant communities, guest          Covenant Health president and CEO.
    Pandemic Year                                                                                                              services and experiences, and to        “Both are known for excellence ... both
      The innovative ability for patients                                                                                      improving the quality of life in the    are committed to our local region and
    to “visit” medical providers remotely                                                                                      region.                                 have a long legacy of service to our
    via phone or computer expanded                                                                                               As part of the multi-year             communities.
    exponentially during 2020, and                                                                                             agreement, Covenant Health                “Covenant Health is the Knoxville
    telehealth services will continue to     treatment.                               Halford, MD, Covenant Health Senior      will work with the award-winning        area’s largest employer and Dollywood
    grow in the future.                        In addition to telehealth              Vice President and Chief Medical         theme park on projects including        is the largest employer in Sevier
                                             care, patients can enroll in             Informatics Officer. “In the face                                                                                            Dollywood President Craig Ross,
      Telehealth sessions allow the                                                                                            upgrades to the park’s baby care        County. Both are committed to
                                                                                                                                                                                                                   left, and Covenant Health CEO Jim
    patient at home to video chat with       MyCovenantHealth, a patient              of the coronavirus pandemic, we          facilities, nursing centers and the     improving the overall quality of life
                                                                                                                                                                                                                   VanderSteeg announce the health
    a medical provider using a mobile        portal offering secure access to         worked diligently to create innovative   well-known Calming Room, as well        in our region through our respective        system’s new partnership with
    device or computer. During the virtual   health information and continuous        solutions that allow our patients to     as sponsorship of Dollywood’s safety    programs and services.”                     Dollywood.
    appointment, the provider can assess     communication with providers.            connect with their care team from the
    the patient, order testing if needed,      “We’re very excited to offer these     comfort of their homes.”
    and prescribe medications and            types of digital services,” said Mandy

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Challenge and Hope in a Year Like No Other - 2020 Report to the Community - Covenant Health
To Our Communities –                                                                                                                                                                        2020 ANNUAL REPORT TO THE COMMUNITY
     THANK YOU for Your Support

    Throughout 2020, Covenant                     Our hospitals and clinics have been
    Health and our member                       the recipients of prayers and letters,
    organizations have been                     food items, mask donations, thank-
    blessed by supportive and uplifting         you gifts and financial contributions
    acts of kindness from our communities.      to our WeCare employee fund
    We cannot begin to express our thanks       from nearly 250 businesses and
    for your support during this challenging    250 individuals throughout East
    year. It means a great deal to know         Tennessee. We are also grateful to
    that people throughout our region are       Covenant Health’s board of directors,
    thinking of our health system and our       physicians and employees for their
    11,000 employees who are dedicated to       gifts and contributions.
    providing excellent care for our patients     You made – and continue to make –
    every day.                                  a difference in our hearts. THANK YOU!                                          Scouts throughout the region sent a thank-you message
                                                                                                                                from the Great Smoky Mountain Council.

                                                                                                                                                                                            Employees appreciated the many “messages from the
                                                                                                                                                                                            heart” that we received.

                                                                                                                                Words of thanks made a difficult new path easier.

    Healthcare workers are always heroes - but especially during 2020.

                                                                                                                                                                                            Area churches gifted our employees with meals and snacks
                                                                                                                                                                                            for the body and prayers for the soul.
                                                                                                                                Employees at Patricia Neal Rehabilitation Center received
                                                                                                                                gift bags and celebrated in socially distanced fashion.
                                                                                         Many businesses and organizations
    Harriman Middle School expressed thanks to Roane Medical Center employees.           contributed meals, snacks, and
                                                                                         “sweet thank-yous” to our employees.

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Challenge and Hope in a Year Like No Other - 2020 Report to the Community - Covenant Health
Expansion and Joint Ventures                                                                                                                                                                   2020 ANNUAL REPORT TO THE COMMUNITY
                    on the Horizon

     Covenant Health                                                                                                                for behavioral health services in
    announced several joint                                                                                                         Knoxville and surrounding counties.
    ventures and expansion                                                                                                          Construction began in late 2020
    projects in 2020. These projects                                                                                                on a state-of-the-art 90-bed
    will enhance the health system’s                                                                                                psychiatric hospital at the corner
    transition from a network of hospitals                                                                                          of Old Weisgarber Road and Dowell
    to a comprehensive healthcare                                                                                                   Springs Blvd. in West Knoxville.
                                                                                                                                                                             Artist’s rendering of East Tennessee Behavioral Health, Covenant Health’s joint
    delivery system, bringing the most                                                                                              Slated to open in 2021, the new
                                                                                                                                                                             venture with Acadia Healthcare, Inc., to provide additional inpatient behavioral
    needed services to our communities:                                                                                             hospital will have a total capacity of   health services for the community.
    • In February 2020, Fort Sanders                                                                                                138 beds to meet projected future
      Regional Medical Center opened                                                                                                demand for inpatient services.
      a new emergency department,                                                                                                   Treatment will be provided for
      doubling capacity and adding                                                                                                  adults, seniors and adolescents
      diagnostic and imaging services to                                                                                            who struggle with acute symptoms                    Morristown-Hamblen West
      the ED to create faster and more                                                                                              of mental health disorders such as
      efficient services for patients and                                                                                           anxiety, depression, bipolar disorder,
      staff. The project continued in 2020                                                                                          posttraumatic stress disorder (PTSD)
                                                                                                                                                                             A new outpatient facility in south Knoxville will include urgent care, physician
      with phase 2, the construction of a                                                                                           and substance use disorders.                 XXXX
                                                                                                                                                                             offices, a diagnostic center and physical rehabilitation services.
      new and expanded critical care unit,                                                                                          “The shortage of resources for
      which opened in first quarter 2021.                                                                                           mental health is a national problem
    • In July 2020, Encompass Health                                                                                                that we also face here in East
      Corp. (NYSE: EHC) and Covenant                                                                                                Tennessee,” said Jim VanderSteeg,
      Health announced a joint venture                                                                                              Covenant Health president and
      to own and operate Covenant                                                                                                   CEO. “Covenant Health and Acadia
                                               Knoxville Mayor Indya Kincannon and Knox County Mayor Glenn Jacobs (above,
      Health’s Patricia Neal Rehabilitation                                                                                         Healthcare intend to substantially
                                               far right) joined Covenant Health representatives as Fort Sanders Regional
      Center at Fort Sanders Regional                                                                                               fill that gap by providing treatment
                                               opened a new emergency department. The hospital also built a new critical care
      Medical Center. The project              unit featuring larger rooms, innovative technology and patient/family amenities.     options for patients and increasing
                                                                                                                                                                             Morristown-Hamblen West will include a free-standing emergency department,
      includes modernization of the                                                                                                 access to much-needed high
                                                                                                                                                                             diagnostic center and physician offices.
      Center and conversion to a 22-bed                                                                                             quality care.”
      “hospital-in-hospital” structure.                                                                                           • In fall 2020, Covenant Health              “South Knoxville is rapidly becoming        System plans to build a $37 million
                                                                                                                                    announced plans for a $20                  a destination community,” said Jim          outpatient facility. The proposed
      The joint venture also includes a
                                                                                                                                    million outpatient facility in             VanderSteeg. “This new project will         50,000-square-foot facility will
      new 51-bed, free-standing inpatient
                                                                                                                                    south Knoxville. Construction is           provide needed health services              include a free-standing emergency
      rehabilitation hospital to be built
                                                                                                                                    anticipated to begin in the first          in a convenient location that is            department and diagnostic center
      on the Fort Sanders West campus.
                                                                                                                                    quarter of 2021.                           easily accessible for people in
                                                                                                                                                                                                                           as well as physician offices, and will
      Both facilities will serve patients                                                                                                                                      South Knoxville and Seymour.” The
      recovering from debilitating                                                                                                  The proposed facility has more than                                                    be known as Morristown-Hamblen
                                                                                                                                                                               facility also will have ready access
      illnesses and injuries including                                                                                              36,000 square feet and will include an                                                 West. Construction will begin in
                                                                                                                                                                               to Covenant Health’s network
      strokes and other neurological           Covenant Health and Encompass Health Corp. plan to build a new inpatient             urgent care area with extended hours,                                                  2021 and the facility is scheduled to
                                               rehabilitation hospital at Fort Sanders West.                                                                                   of services when patients need
      disorders, brain injuries, spinal cord                                                                                        a clinic for primary care and other                                                    open in 2022.
                                                                                                                                                                               medical care.
      injuries, amputations and complex         The two joint venture investments         • In August 2020, Covenant Health         medical subspecialties, a diagnostic
      orthopedic conditions.                    total more than $50 million, and            and Acadia Healthcare, Inc.             center with laboratory and imaging       • At the end of 2020, Covenant Health
                                                both projects are expected to be            (NASDAQ-ACHC) formed a joint            services, and areas for physical           announced that member hospital
                                                completed in 2022.                          venture to address the growing need     rehabilitation and education.              Morristown-Hamblen Healthcare

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Challenge and Hope in a Year Like No Other - 2020 Report to the Community - Covenant Health
Covenant Health Delivers                                                                                                                                                                                                   2020

            Award-Winning Care
                                                                                                                                     PHILANTHROPY:                              goodwill,                                      ANNUAL REPORT
                                                                                                                                                                                                                              TO THE COMMUNITY
                                                                                                                                                                 the love of humankind

     Covenant Health has                                                                                                  No other year has shown                                                               • More than 3,000 patients and
     received regional and                                                                                                us the goodwill of our                                                                 employees facing unexpected
     national accolades for                                                                                               community like 2020.                                                                   financial crises received
     excellence in quality,                                                                                               Nearly 5,000 individuals, businesses,                                                  emergency assistance with
     patient safety and                                                                                                   foundations and organizations                                                          housing, transportation, food,
     advanced medical care.                                                                                               generously supported Covenant                                                          utilities, medical supplies and
     Among many others,                                                                                                   Health in 2020. Their donations, which                                                 funeral expenses. Covenant
     our 2020 recognitions                                                                                                benefit the patients served by our                                                     Health employees and physicians
     included:                                                                                                            hospitals and programs, totaled over                                                   contributed over $670,000 to the
                                                                                                                          $2.6 million. We are truly grateful.                                                   annual WeCare employee giving
     American College of Radiology                                                                                          Covenant Health’s Office of                                                          campaign to support these needs
     Center of Excellence for Breast                                                                                      Philanthropy coordinated fundraising                                                   and other health system programs.
     Imaging                                                                                                              efforts across the health system                                                      • Almost $60,000 in contributions
     Cumberland Medical Center                                                                                            through six foundations in 2020:                                                       provided patients completing
     Morristown-Hamblen Healthcare                                                                                                                                                                               treatment at Peninsula Hospital
                                                                                                                          • Fort Sanders Foundation (serving
      System                                                                                                                                                                                                     with an adequate supply of
                                                                                                                            the needs of Fort Sanders Regional,
                                                                                                                            Fort Loudoun, Parkwest, Roane,             Generous donors, led by Clayton           medications to maintain health
     Best Employer, Forbes Magazine                                                                                                                                    Homes, supported the renovation           until insurance could be arranged
                                                                                                                            and Cumberland medical centers;
     Covenant Health (sixth time)                                                                                                                                      and modernization of Patricia Neal        for medication maintenance.
                                                                                                                            Covenant HomeCare/Hospice;
                                                                                                                                                                       Rehabilitation Center’s independent
                                            Stroke care excellence designations      To see more of the awards and          Peninsula, and Patricia Neal               living apartment, which provides         • Nurse navigators at Thompson
     BEST for Babies designation from       from The Joint Commission and          recognitions received by our member      Rehabilitation Center)                     a home-like place for patients and        Cancer Survival Center provided
     Tennessee Hospital Association and     the American Heart and Stroke          organizations, visit CovenantHealth.                                                caregivers to practice new skills
                                                                                                                          • Methodist Medical Center                                                             21,985 patient counseling sessions
     Tennessee Center for Patient Safety    Association’s Get With The             com/accolades.                                                                      before leaving the Center.
                                                                                                                            Foundation                                                                           to more than 1,300 patients facing
     Morristown-Hamblen Healthcare          Guidelines® programs
                                                                                                                                                                                                                 a cancer diagnosis. Donations fund
      System                                All acute-care hospitals in Covenant                                          • Morristown-Hamblen Hospital
                                                                                                                                                                         Your generous donations are             the important work of the Center’s
                                             Health’s Stroke Hospital Network                                               Foundation
                                                                                                                                                                       benefiting patients and their families    navigators, who guide patients
     Cardiology recognitions from the                                                                                     • Thompson Cancer Survival Center
                                                                                                                                                                       across our region:                        through financial and insurance
     American Heart Association’s Get                                                                                       Foundation                                                                           processes, medical questions and
     With The Guidelines® program for                                                                                                                                  • Covenant Homecare clinicians
                                                                                                                          • Claiborne Healthcare Foundation                                                      procedures, and the challenges
     excellence in cardiac care                                                                                                                                          provide medical care, medication
     Fort Sanders Regional Medical Center            Our Pledge of Excellence                                               (serving Claiborne Medical Center
                                                                                                                            and Claiborne County’s health
                                                                                                                                                                         management and case
                                                                                                                                                                                                                 of daily life during their medical
     Methodist Medical Center                                                                                                                                            management to individuals at a
     Parkwest Medical Center                                                                                                                                             new onsite treatment facility at
                                                                                                                          • Dr. Robert F. Thomas Foundation              Knox Area Rescue Ministry (KARM),          Covenant Health is grateful
     “Most Wired” designations for                                                                                          (serving LeConte Medical Center              preventing hundreds of emergency         for the leadership of our
     effective use of computer technology                                                                                   and Sevier County’s health needs)            room visits and hospitalizations.        foundations’ volunteer board
     Covenant Health – Acute category                               The patient always comes first                                                                       This program was supported with          members who share their time,
     Covenant Medical Group –                                                                                                                                            $178,000 of your donations in 2020.      talent, and wisdom to improve
                                                                                                                            The work of these foundations,
      Ambulatory category                                            Excellence in everything I do                        guided by volunteer boards of                • Almost 200 pulmonary
                                                                                                                                                                                                                  the health of our communities.
                                                                                                                                                                                                                  Thank you for your service!
                                                                                                                          directors, is made possible by                 rehabilitation patients without
     Best Maternity Hospital, Newsweek                           We will be the first and best choice                     community support. Almost $5 million           insurance coverage or ability to pay
                                                                           for our patients                               was distributed by our foundations             received outpatient therapy in 2020
     Cumberland Medical Center                                                                                            in 2020 to support Covenant Health             through support from a Will Rogers
     LeConte Medical Center                                                                                               hospitals and programs.                        Institute grant.

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Challenge and Hope in a Year Like No Other - 2020 Report to the Community - Covenant Health
About Covenant Health                                                                                                                            2020 ANNUAL REPORT TO THE COMMUNITY

                                     COUNTIES IN

                                    SERVICE AREA                             DEPARTMENTS                                            Our board members and administrative leaders serve our communities

                                                                                                                                    through strategic planning and successful operation of these Covenant
                                                                                                                                    Health member organizations:

                                                                                                                                    Hospitals                                    Physician Services

                                                                                                                                    Claiborne Medical Center
                                                                                                                                    Cumberland Medical Center
                                                                                                                                                                                 Covenant Medical Group, Inc.

                                                                                                                                                                                 Covenant Health also partners in joint ventures with
                                                                                                              PROVIDERS             Fort Loudoun Medical Center                  physicians who perform surgeries and provide other
                                                                                                                                    Fort Sanders Regional Medical Center         medical services.
                                                                                                                                    LeConte Medical Center

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                                                                                                                   JOINT VENTURES
                                                                                                                                    Methodist Medical Center of Oak Ridge
                                                                                                                                    Morristown-Hamblen Healthcare System
                                                                                                                                    Parkwest Medical Center
                                                                                                                                                                                 Other Programs and Services
                                                                                                                                                                                 Covenant Staffing Services
     CENTERS                                                                                                                        Peninsula Hospital                           Fort Sanders Health and Fitness Center

                                                                                                                                    Roane Medical Center                         Fortress Corporation

                                                                                                                                                                                 Tennessee Wesleyan University
                                                                                                                   BEHAVIORAL       Outpatient and Specialty Care
                                                                                                                                                                                   – Fort Sanders Nursing
                                                                                                                                    Covenant and Methodist Therapy Centers
       JOINT                                                                                                                        Covenant Breast Centers

                                                                                                                                    Covenant HomeCare and Hospice
                                                                                                                                    Covenant Joint Centers                       Claiborne Healthcare Foundation

                                                                                                              ADVANCED              Covenant Sleep Centers                       Dr. Robert F. Thomas Foundation
                                                                                                               STROKE               Claiborne Health and Rehabilitation Center   Fort Sanders Foundation
                                                                                                               CENTERS              Fort Sanders West Diagnostic Center          Methodist Medical Center Foundation

           CENTERS                                                                                                                  LeConte Health and Rehabilitation Center     Morristown-Hamblen Hospital Foundation

                                                                                                                                    Morristown Regional Diagnostic Center        Thompson Cancer Survival Center Foundation
                                                                                                 COMPREHENSIVE                      Patricia Neal Rehabilitation Center
                                                                                                 STROKE CENTER

                          CANCER AND                                                                                                Peninsula Outpatient Centers

                       INFUSION CENTERS                                                                                             Thompson Cancer Survival Centers

                                          SURGERY CENTERS


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Challenge and Hope in a Year Like No Other - 2020 Report to the Community - Covenant Health
Covenant Health
                                                                                                                                                                                                           Community Contributions
                                     by the Numbers

       Covenant Health is                       PATIENT CARE SUMMARY                           2020
     proud to have earned an
                                            Admissions (excludes nursing home)                69,216                                              Caring for Those in Need
     “A+” rating with stable
     outlook from Fitch and                         Inpatient Surgeries                       14,345
                                                                                                                  Charity Care
     an “A” stable rating from                     Outpatient Surgeries                       32,133
                                                                                                                  2020 .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . $69,186,000
     Standard & Poors (S&P).
                                                            ED Visits                         278,950
     The highest among                                                                                            2016-2020  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . $317,042,000
     the region’s healthcare                         Outpatient Visits                       1,042,502

     organizations, these                          Physician Office Visits                    602,978             Uncompensated Care
     ratings reflect both                                                                                         (Care which costs more to provide than reimbursements
     agencies’ confidence               FINANCIAL SUMMARY – FY 2020 (IN 000'S)                 2020               from state and national programs cover)
     in Covenant Health’s                         Total Operating Revenue                    1,470,127            2020 .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . $187,326,000
     financial strength.
                                                          Total Assets                       2,986,649            2016-2020  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . $868,644,000
                                                         Total Liabilities                   1,274,916
                                                                                                                  Subsidized Care
                                                           Net Assets                        1,711,733
                                                                                                                  (Clinical services provided to meet
                                                                                                                  community needs despite financial loss)

                                                                                                                  2020 .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . $48,498,101

                           Welcoming New Physicians                                                               2016-2020  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . $221,098,307

                                  BY THE NUMBERS
                                                                                                                                                                                                                                      Investing in Our People and Our Communities
         1,500              Physicians affiliated with Covenant Health          Covenant Health welcomed
                                                                                                                                                                                                                           Contributions to Community Organizations
                                                                                    31 newly employed
           50+                         Physician specialties                        physicians in 2020,                                                                                                                    Donations to health-related organizations; community needs and outreach
                                                                                 expanding the availability                                                                                                                programs; programs for children, youth and education; economic/community
           150        Physicians associated with Covenant Medical Group
                                                                                 of medical services in the                                                                                                                leadership development; and arts, recreation and quality of life
           90               Physician assistants and nurse practitioners            counties we serve.
                                                                                                                                                                                                                           2020 .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . $406,110

         Medical Specialties: 10            New Physicians: 31                       Counties Served: 7                                                                                                                    2016-2020  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . $2,701,145

                Cardiology                           8                       Anderson, Claiborne, Knox, Hamblen
                                                                                                                                                                                                                           Health Professionals’ Education
             General Surgery                         2                                Knox, Anderson
             Vascular Surgery                        1                                Knox, Anderson                                                                                                                       2020 .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . $1,388,195

          Hematology/Oncology                        4                             Blount, Knox, Hamblen                                                                                                                   2016-2020  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . $9,870,703

             Neurohospitalist                        3                                     Knox
                                                                                                                                                                                                                           Employees, Salaries and Benefits
         Obstetrics/Gynecology                       4                          Knox, Cumberland, Anderson
                                                                                                                                                                                                                           Number of employees as of 12/2020: 10,683
                 Gyn/Onc                             1                                     Knox
           Orthopedic Surgery                        1                                     Knox                                                                                                                            2020 .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . $725,833,964
               Primary Care                          5                             Anderson, Knox, Roane                                                                                                                   2016-2020  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . $3,340,146,435

                 Urology                             2                               Knox, Cumberland
                                                                                                                                                                                                                           Real Property Taxes – All Counties, including Knox County

                                                                                                                                                                                                                           2020 .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . $3,900,218
                                                                                                                                                                                                                           2016-2020  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . $19,196,384

14                                                                                                                                                                                                                                                                                                                                                                                                                                                                15
Challenge and Hope in a Year Like No Other - 2020 Report to the Community - Covenant Health
2020 Covenant Health Board of Directors
                   Gerald Boyd                                 Edgar Gray                            King Purnell
       VP, Strategic Business Development           Stewart Lumber Company (Retired)           Chairman, Knoxville Board
        Nuclear and Environmental Group                        Morristown                           Capstar Bank
            Technical Services Division
                                                             Amber Krupacs
           Huntington Ingalls Industries                                                             Jorge Sanabria
                                                    Executive Vice President and CFO,
                    Oak Ridge                                                                       Owner/President
                                                          Clayton Homes, Inc.
                                                                                                      Expoquip, Inc.
             Willard Campbell, M.D.                             Maryville
           General/Vascular Surgeon,                                                                 Cosby Stone
                                                           Timothy Matthews
            Parkwest Medical Center                                                       Chairman, Cosby Harrison Company,
                                                           President and CEO,
                                                                                         Global Media and Information Services
              Michael Casey, M.D.                           Jewelry Television
              Orthopedic Surgeon,
      Fort Sanders Regional Medical Center                 Janice McKinley                             Carl Storms
                                               Senior Vice President and Chief Nursing      President, Concrete Materials, Inc.
                Ronni Chandler
                                                           Officer (Retired)                             (Retired)
        Executive Director, Project GRAD
                                                          Covenant Health                               Morristown
             Mitch Dickson, M.D.
                                                                Dave Miller                         Joseph E. Sutter
       Anesthesiologist, Parkwest Medical
                                                          First Tennessee Bank,                  Colonel, USAF (Retired)
                                                          East Region President
                Jay Fitzsimmons                                                                 James Tramontana, M.D.
         President, James J & Associates                    Bill Myers                                 Radiologist,
                      Vonore                     President and Managing Member                   Chief of Radiology Dept.
                                               Wagner, Myers and Sanger, PC (Retired)            and President of Group
                 James Gibson                                                                   Methodist Medical Center
             Chairman of the Board,                       Alvin Nance
     Accurus Aerospace Corporation (Retired) CEO of Development, LHP Development
                  Irving, Texas
                                                          Linda Ogle
                                                     Properties Owner and
                                               Sevier County Community Leader

               Covenant Health
               Executive Leaders
                      Jim VanderSteeg                                 Randy Denton, M.D.            F. Robert McKeown, M.D.
            President and Chief Executive Officer               Internal Medicine and Pediatric              OB/GYN
                                                                            Physician           Fort Sanders Women’s Specialists
                       Mike Belbeck
                                                                     Roane Medical Center        Fort Sanders Regional Medical
            Executive Vice President, Operations
                        John Geppi                                      Erik Geibig, M.D.
                                                                                                       Robert Santee, M.D.
                Executive Vice President and                          Emergency Medicine
                   Chief Financial Officer                       Fort Loudoun Medical Center
                                                                                                     LeConte Medical Center
                       Luke Johnson                                    Todd Justice, M.D.
                  Executive Vice President,                               Cardiologist                 Timothy Wilson, M.D.
          Physician Enterprise/Ambulatory Services                    Parkway Cardiology                  Plastic Surgeon
                                                                   Methodist Medical Center         Parkwest Medical Center
                      Doug Campbell
                      General Counsel

16                                                                                                                                 17
Our Mission
                                We serve the community by
                                improving the quality of life through
                                better health.

                                Our Vision
                                Covenant Health is committed to being
                                the region’s premier healthcare network
                                by providing patient-centered care that
                                inspires clinical and service excellence,
                                making us the first and best choice for
                                our patients, employees, physicians,
                                employers, volunteers and community.

                                Our Values
                                In service to God and community,
                                we value:
                                • Integrity
                                • Quality
                                • Service
                                • Caring
                                • Developing People
                                • Using Resources Wisely


     Covenant Health complies with applicable Federal civil rights laws and does not discriminate
                  on the basis of race, color, national origin, age, disability, or sex.
     Covenant Health cumple con las leyes federales de derechos civiles aplicables y no discrimina
                por motivos de raza, color, nacionalidad, edad, discapacidad o sexo.

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