2025-11-12T10:13:55-06:00 2024-12-31 990 2024-01-01 621623114 Covenant HomeCare COVE 8653745329 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 Joseph C Dolan EVP/CFO 8653746872 2025-11-12 0 2024 2025-03-06 01:10:19Z James D VanderSteeg 244 Ft Sanders W Blvd Knoxville TN 37922 25365135 0 X www.covenanthealth.com/homecare-hospice X 1995 TN Covenant HomeCare provides home care services to help patients maintain their independence and stay at home. It is a member of Covenant Health system. 20 19 260 98 0 0 315119 300122 22464549 25064547 21304 466 0 0 22800972 25365135 350 100 0 0 17783161 19944442 0 0 0 5482021 6047959 23265532 25992501 -464560 -627366 3413244 3349511 5402977 5568621 -1989733 -2219110 X Covenant HomeCare provides quality healthcare, in alignment with Covenant Health's mission to serve the community by improving the quality of life through better health, regardless of the patient's ability to pay. 0 0 23183603 100 25064547 Covenant HomeCare provides services and treatment for patients who need to receive care in a home environment. Services consist of nursing, physical therapy, occupational therapy, speech therapy, social services and care given by certified nursing assistants. Patients include those covered by Medicare, TennCare and commercial insurance, as well as self-pay patients. No patient is denied care because of an inability to pay. Applications for financial assistance are provided to patients who need them, and financial counselors are available to assist with the application process. Covenant HomeCare serves a 17-county region in East Tennessee. Covenant HomeCare served 4,858 patients in 2024 in the course of 81,096 patient visits.KARM Transitional Care was created through a partnership between Covenant HomeCare and Knox Area Rescue Ministries to provide a safe place for individuals experiencing homelessness to continue healing after a hospital stay. The goal is to improve patient outcomes through supervised continuity of care, ultimately reducing the patient's risk of developing subsequent illnesses or infections requiring additional hospital treatment. Funded by the Covenant Health Foundation (formerly Fort Sanders Foundation), this service helps fulfill Covenant Health's mission of improving the quality of life through better health in the communities we serve. Covenant HomeCare treated 35 patients in 2024. Covenant HomeCare provides hospice services which include patient care and family support in the home environment during the patient's end stages of life. Services are provided to patients whose physicians have diagnosed them with a terminal medical condition that is expected to result in death within six months of being taken under care. The objective is to allow these patients to die at home with dignity. Services provided in the home consist of nursing care, therapy, spiritual services and social services. Hospice services are provided to patients covered by Medicare, TennCare and commercial insurance, as well as self-pay patients. No patient is denied care due to an inability to pay. Applications for financial assistance are provided to patients if needed, and financial counselors are available to assist with the application process. Covenant HomeCare served 1,572 hospice patients and made 24,511 visits in 2024.Covenant HomeCare and Hospice is proud to be a Level 5 Partner (the top tier) of We Honor Veterans. This program of the National Hospice and Palliative Care Organization (NHPCO), in collaboration with the Department of Veterans Affairs (VA), invites hospices, state hospice organizations, hospice-veteran partnerships and VA facilities to join a pioneering initiative focused on respectful inquiry, compassionate listening and grateful acknowledgment. By recognizing the unique needs of America's veterans and their families, community providers, in partnership with VA staff, learn how to accompany and guide them through their life stories toward a more peaceful ending.Palliative care is a medical specialty focusing on management of symptoms in patients with acute, chronic or life-threatening illness, regardless of the diagnosis. These symptoms might include, but are not limited to, pain, nausea, shortness of breath, fluid retention, etc. Palliative care strives to help patients better understand their treatment options and customizes treatments to meet individual needs. The goal is to promote the highest quality of life for patients and their families. Palliative care can be delivered any time during a patient's illness, including while receiving hospital care, and can be provided in conjunction with all other medical treatments. The Palliative Care team provided 9,423 visits in 2024. COVENANT HEALTHCovenant HomeCare is a member of Covenant Health. Covenant Health is a community-owned, clinically integrated healthcare enterprise dedicated to being the region's premier healthcare network through service, community, and innovation. Our mission is to improve the quality of life in our region through better health. Covenant Health provides patient-centered care that inspires clinical and service excellence and strives to be the first and best choice for the communities we serve. Established in 1996 by the consolidation of Fort Sanders Health System, Knoxville, Tennessee, and MMC HealthCare System in Oak Ridge, Covenant Health is governed by a voluntary board of directors composed of community leaders and medical professionals. With more than 11,000 employees, affiliated physicians and volunteers, Covenant Health is the Knoxville area's largest employer and has been named a top employer by Forbes and Becker's Hospital Review. Covenant Health serves a 25-county area and includes nine acute care hospitals in East Tennessee: Fort Sanders Regional Medical Center and Parkwest Medical Center in Knoxville, Methodist Medical Center of Oak Ridge, Fort Loudoun Medical Center in Lenoir City, LeConte Medical Center in Sevierville, Morristown-Hamblen Healthcare System in Morristown, Roane Medical Center in Harriman, Claiborne Medical Center in Tazewell and Cumberland Medical Center in Crossville. It also includes Peninsula, a division of Parkwest Medical Center. Peninsula provides behavioral health services at an inpatient hospital in Blount County and at outpatient locations in Knox, Blount, Loudon, and Sevier counties. The health system includes Covenant Medical Group, which serves patients at more than 90 office and clinic locations. CMG providers include primary care physicians and specialists in areas such as cardiology, gastroenterology, neurology, surgery, and other medical specialties. Covenant Health employs nearly 450 physicians and advanced practice clinicians throughout East Tennessee. Affiliated organizations include Thompson Cancer Survival Center, Thompson Oncology Group, Fortress Corporation and Subsidiaries, Covenant HomeCare, and Fort Sanders Perinatal Center. Covenant Health also operates Thompson Proton Center and offers innovative services such as Advanced Care at Home. Philanthropic organizations include Covenant Health Foundation and Thompson Cancer Survival Center Foundation in Knoxville, Methodist Medical Center Foundation in Oak Ridge, Dr. Robert F. Thomas Foundation in Sevierville, and Morristown-Hamblen Hospital Foundation in Morristown. Funds raised by the foundations provide services, equipment and other resources to enhance patient care.Covenant HomeCare, as a member of Covenant Health, benefits from collaboration among all affiliated organizations to promote quality, patient safety, and excellence in delivering care. 23183603 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 36 0 1 260 1 0 0 0 0 0 0 0 0 0 0 0 0 X 20 19 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Andrew McCreary 8653745329 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 Mitchell Dickson MD Director 0.00 1.00 X 0 0 0 Stephanie Flood Director 0.00 1.00 X 0 964 0 James Gibson Director 0.00 1.00 X 0 0 0 Edgar Gray Director 0.00 1.00 X 0 844 0 Leslye Hartsell Director 0.00 1.00 X 0 1124 0 Donald Hickman Director 0.00 1.00 X 0 675 0 Timothy Matthews Director 0.00 1.00 X 0 657 0 Janice McKinley Director 0.00 1.00 X 0 0 0 Cletus McMahon MD Director 0.00 1.00 X 0 0 0 Dave Miller Director 0.00 1.00 X 0 0 0 Bill Myers Director 0.00 1.00 X 0 0 0 Alvin Nance Director 0.00 1.00 X 0 648 0 Linda Ogle Director 0.00 1.00 X 0 0 0 King Purnell Director/Chair 0.00 1.00 X X 0 935 0 Jorge Sanabria Director 0.00 1.00 X 0 807 0 William Seale Director 0.00 1.00 X 0 1060 0 Cosby Stone Director 0.00 1.00 X 0 1113 0 Joe Sutter Director 0.00 1.00 X 0 881 0 James Tramontana MD Director 0.00 1.00 X 0 1086 0 James D VanderSteeg President & CEO 0.00 50.00 X X 0 2880556 362274 Joseph C Dolan EVP/CFO 0.00 50.00 X 0 861693 105608 Mitzi F Anderson VP - Financial Services 8.00 42.00 X 0 170366 28824 John L Huskey President & CAO 50.00 0.00 X 298321 0 45044 Erin E Kipp Medical Director 50.00 0.00 X 302550 0 32861 Gina W Hollenbeck Director HomeCare Hospice 50.00 0.00 X 121982 0 34737 Mary Seal Rehab Therapy Asst 50.00 0.00 X 111793 0 17131 Stephen J Sexton Occupational Therapist 50.00 0.00 X 109774 0 38621 Sandra G Jones Physical Therapist 50.00 0.00 X 108765 0 17811 1053185 3923409 682911 13 0 1 0 Homecare Homebase LLC 6688 North Central Expressway Ste Dallas TX 75206 Software Maintenance 310785 Diversicare of Oak Ridge 1621 Galleria Blvd Brentwood TN 37027 Nursing Home Services 178589 2 300122 300122 Net Patient Revenue 621610 24987821 24987821 Rental Income - Exempt Affiliate 531120 76726 76726 25064547 466 466 25365135 25064547 0 466 100 100 343365 343365 14962814 13883652 1079162 542293 489983 52310 3013463 2770164 243299 1082507 984799 97708 1087472 981493 105979 101 101 1035308 1035308 2326 1525 801 307403 124216 183187 153273 18786 134487 962630 925870 36760 11266 4201 7065 15730 15730 258063 258063 31713 8662 23051 Medical Supplies 886790 886790 Bad Debt 729850 729850 Minor Equipment 413828 15594 398234 Business Dues and Licen 48575 5381 43194 103631 43335 60296 25992501 23183603 2808898 0 -25525 -102545 2007981 1876672 46620 53242 29159 60745 6636727 6006280 646504 630447 708505 830950 3413244 3349511 3223212 5182675 913333 -323525 1266432 709471 5402977 5568621 X -1989733 -2219110 -1989733 -2219110 3413244 3349511 X -627366 397989 X 0 1 X 1 1 1 X 695142 185617 883792 315119 300122 2379792 17888344 17650281 19900171 22464549 25064547 102967892 23 9 14 46 18583509 17835907 20783977 22779668 25364669 105347730 0 0 0 105347730 18700 20147 3543 21304 466 64160 18700 20147 3543 21304 466 64160 18602209 17856054 20787520 22800972 25365135 105411890 0.99940 0.99920 0.00060 0.00080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 50027 597 -597 50027 1.00000 0 1 1 145290 145290 2534472 2299556 234916 3956965 3706724 250241 630447 Due from Affiliates, Net 128916 Long-Term Deferred Compensation 509991 Operating and Finance Leases 192043 830950 Long-Term Deferred Compensation 509991 Operating and Finance Leases 199480 709471 X Part X, Line 2: Excerpt from the consolidated audited financial statements of Covenant Health (Covenant), parent company to Covenant HomeCare: Covenant and certain of its subsidiaries or controlled entities are exempt from income taxes pursuant to Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes on qualifying activities has been made for these entities in the accompanying consolidated financial statements. However, certain entities and operations are subject to income taxes. Covenant had no unrecognized tax benefits at December 31, 2024 and 2023. As such, no interest or penalties were recognized in the consolidated financial statements related to unrecognized tax benefits. At December 31, 2024 and 2023, tax returns for 2021 through 2024 are subject to examination by the Internal Revenue Service. Covenant has no uncertain tax positions that would require financial statement recognition or disclosure under GAAP at December 31, 2024 and 2023. X X 1 1 0 1 0 0 0 0 0 0 0 James D VanderSteeg President & CEO 0 1578849 0 1078259 0 223448 0 335103 0 27171 0 3242830 0 0 Joseph C Dolan EVP/CFO 0 697828 0 138667 0 25198 0 72802 0 32806 0 967301 0 0 John L Huskey President & CAO 215589 0 55000 0 27732 0 10681 0 34363 0 343365 0 0 0 Erin E Kipp Medical Director 276457 0 25000 0 1093 0 18400 0 14461 0 335411 0 0 0 Mitzi F Anderson VP - Financial Services 0 113601 0 19000 0 37765 0 5941 0 22883 0 199190 0 0 Gina W Hollenbeck Director HomeCare Hospice 111809 0 0 0 10173 0 7071 0 27666 0 156719 0 0 0 Part I, Line 1a Tax gross-up payments related to deferred compensation and reimbursement of fees for personal services for legal and financial planning are provided to certain executives and managers. Amounts are included in taxable compensation. Part I, Line 3 Covenant Health, the parent company of Covenant HomeCare, used the following methods in establishing the compensation of President/CEO, James D. VanderSteeg: compensation committee, independent compensation consultant, written employment contract, compensation survey or study, and approval by the board or compensation committee. Additional detail is provided in response to Form 990, Part VI, Section B, Lines 15a and 15b within Schedule O. Part I, Line 4b Covenant Health maintains a nonqualified deferred compensation ("NQDC") plan intended to support retention of President and CEO, James D. VanderSteeg, and EVP and CFO, Joseph C. Dolan. Employer contributions of $321,903 for James D. VanderSteeg and $72,802 for Joseph C. Dolan are reported as deferred compensation on Schedule J, Part II, Column C. Contributions along with 2024 earnings of $114,551 for James D. VanderSteeg and $4,468 for Joseph C. Dolan are subject to a substantial risk of forfeiture. Amounts are combined with other compensation and considered for reasonableness. Compensation procedures are discussed in detail in Schedule O (Form 990, Part VI, Section B, Line 15a). Please note that the amounts included in Part II, Column C as contributions to the NQDC plan for James D. VanderSteeg and other executive leaders are deferred but NOT received during the filing year. We report compensation in both the year earned and the year paid, as required by IRS guidelines; however, wages appear overstated due to dual reporting of compensation earned in one year and distributed in a subsequent year. Form 990, Part VI, Section A, line 6 Covenant Health is the sole member of Covenant HomeCare. Form 990, Part VI, Section A, line 7a Covenant Health's board of directors also serves as the board of directors for Covenant HomeCare. Form 990, Part VI, Section A, line 7b Governance decisions of Covenant HomeCare are subject to approval of the sole member, Covenant Health. Form 990, Part VI, Section B, line 11b The Covenant Health board of directors has delegated to its Finance Committee the full power and authority of the board to receive, review, approve, authorize the filing of, address and resolve audit or review issues, and otherwise take all action required or appropriate relative to IRS Forms 990 and other applicable tax filings. Prior to filing Form 990, management reviews with the committee the returns, discusses any material variations in the Form 990 as compared to those to be filed by the organization's affiliates, and answers any questions. At the conclusion of review and discussion, the Finance Committee approves the Form 990. Form 990, Part VI, Section B, line 12c Board members, officers, and employees are required to adhere to rules and policies regarding conflicts of interest. Covenant Health makes available a board-approved Code of Conduct to all employees. The Code covers among other subjects, conflicts of interest, and requires disclosure and resolution of employee conflicts of interest. Additionally, officers, employed physicians, and highly compensated employees are required to complete and sign an annual conflict of interest disclosure statement. Board members' conflicts of interests are addressed in the corporate bylaws, and board members are required to complete and sign a conflict of interest questionnaire on an annual basis. The Integrity-Compliance Office maintains records that contain conflict of interest information obtained from board members, officers, and employees. These records are available to be queried prior to engaging in business transactions. The Chief Compliance Officer reviews conflict of interest data. Based on this information, the officer determines what conflicts of interest exist at that point in time. Between times when surveys are collected, board members are expected to disclose any new conflicts that have arisen that affect pending board decisions. Officers and other employees are expected to report conflicts to the Chief Compliance Officer as they arise. Depending on the nature of the conflict and the circumstances surrounding the conflict and transaction, the Chief Compliance Officer, senior leadership, or the board of directors may review the conflict of interest. When appropriate, these parties may also consult legal counsel. Restrictions imposed on persons with a conflict of interest are determined on a case by case basis. For Covenant Health employees, the Chief Compliance Officer in conjunction with the Covenant Health Executive Leadership Team determines how to appropriately manage the conflict. In any conflict involving a board member, such member is expected to recuse himself or herself from voting on matters related to the conflict. Form 990, Part VI, Section B, line 15 Form 990, Part VI, Section B, Line 15a: Overall compensation policies for Covenant HomeCare, Covenant Health (Parent Company), and affiliates are set by the Covenant Health Chief Executive Officer (CEO) in consultation with appropriate Executive Vice Presidents and the Senior Vice President-Human Resources, after review by and discussion with the executive compensation consultant ("the Consultant") to ensure that total compensation for each executive is reasonable and within a fair market value range. The Covenant Health CEO is compensated by Covenant Health, and a detailed description of the compensation process is included on Covenant Health's Form 990. The process for Covenant HomeCare's CEO is included in response to Part VI, Section B, line 15b. Form 990, Part VI, Section B, Line 15b: Base salary and annual bonus opportunities for John Huskey, President and Chief Administrative Officer, are set by the Covenant Health CEO in consultation with appropriate Executive Vice Presidents and the Senior Vice President-Human Resources, after review by and discussion with the executive compensation consultant ("the Consultant") to ensure that total compensation is reasonable and within a fair market value range. Salary ranges 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 reviewed with the Committee conditioned upon receipt of a written opinion from the Consultant that total compensation for the executive is reasonable and consistent with fair market value. Base salary for the CAO is initially targeted at the 25th percentile and may vary according to market conditions, performance, tenure, experience, special skills or qualifications, recruitment and retention challenges, and other relevant factors. Annual bonuses are designed to award 0-35% of base salary based upon system performance and accomplishment of certain targets established by the CEO. Base salaries and annual bonus opportunities for other officers and key employees are based on targets established by historical compensation consultant data and the Covenant Health Compensation department. Salary ranges are based upon comparison with similar jobs in similar size health systems across the nation. Base salaries and bonuses are approved by Executive Leadership predicated upon performance, and are reasonable and consistent with fair market value. Base salaries are initially targeted at midpoint and may vary according to market conditions, performance, tenure, experience, special skills or qualifications, recruitment and retention challenges, and other relevant factors. Annual bonuses are designed to award 0 - 20% of base salary based upon system performance and accomplishment of certain targets established by Executive Leadership. Form 990, Part VI, Section C, line 19 Covenant HomeCare files a Joint Annual Report containing financial information with the Tennessee Department of Health. Per its tax-exempt bond provisions, Covenant Health, the parent company of the organization, is required to file quarterly and annual consolidated and obligated group financial statements and other documentation with various bond insurers and other agencies, including the Electronic Municipal Market Access (EMMA) service of the Municipal Securities Rulemaking Board (MSRB). Any member of such a repository has access to these financial statements. The organization's governing documents and conflict of interest policy are not made publicly available. Form 990, Part XI, line 9: Transfers of Capital 397,989. Covenant Health 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621646734 Supporting organization TN 501(C)(3) Line 12b, II N/A 0 Fort Loudoun Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621373691 Acute care hospital TN 501(C)(3) Line 3 Covenant Health 0 Fort Sanders Regional Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 620528340 Acute care hospital TN 501(C)(3) Line 3 Covenant Health 0 Covenant Health Foundation 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621748601 Fundraising and patient outreach TN 501(C)(3) Line 12b, II Covenant Health 0 Fort Sanders Perinatal Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 043760551 High risk obstetrical services TN 501(C)(3) Line 3 Fort Sanders Regional Medical Center 0 LeConte Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621114867 Acute care hospital TN 501(C)(3) Line 3 Covenant Health 0 Methodist Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 620636239 Acute care hospital TN 501(C)(3) Line 3 Covenant Health 0 Morristown-Hamblen Hospital Association 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 620545814 Acute care hospital TN 501(C)(3) Line 3 Covenant Health 0 Parkwest Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 581897274 Acute care hospital and behavioral health services TN 501(C)(3) Line 3 Covenant Health 0 Roane County Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 680673354 Acute care hospital TN 501(C)(3) Line 3 Covenant Health 0 Thompson Cancer Survival Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621250943 Cancer support center TN 501(C)(3) Line 3 Covenant Health 0 Thompson Oncology Group 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621619239 Oncology services TN 501(C)(3) Line 3 Thompson Cancer Survival Center 0 Thompson Cancer Survival Center Foundation 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 582130450 Fundraising and patient outreach TN 501(C)(3) Line 12b, II Covenant Health 0 Cumberland Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 620790132 Acute care hospital TN 501(C)(3) Line 3 Covenant Health 0 Claiborne Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 464420358 Acute care hospital TN 501(C)(3) Line 3 Covenant Health 0 The Dr Robert F Thomas Foundation Inc 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 581537582 Fundraising and patient outreach TN 501(C)(3) Line 12a, I Covenant Health 0 Covenant-AmSurg ASC Ventures LLC 1A Burton Hills Blvd Nashville TN 37215 884134388 Management company TN N/A 0 0 Covenant-KEC ASC Ventures LLC 1A Burton Hills Blvd Nashville TN 37215 920539400 Management company TN N/A 0 0 TEC North LLC 1A Burton Hills Blvd Nashville TN 37215 201871076 Physician services TN N/A 0 0 The Endoscopy Center of Knoxville LLC 1A Burton Hills Blvd Nashville TN 37215 621512837 Physician services TN N/A 0 0 Boulevard ENT-Surgery CenterLLC 9300 Parkwest Blvd Knoxville TN 37923 921460644 Surgical services TN N/A 0 0 CHUC LLC 216 Centerview Drive Ste 100 Brentwood TN 37027 621609262 Physician services TN N/A 0 0 Surgery Center of Oak Ridge LLC 944 Oak Ridge Tpke Ste 200 Oak Ridge TN 37830 621801416 Surgical services TN N/A 0 0 D1 Blount LLC 244 Fort Sanders West Blvd Knoxville TN 37922 991820445 Fitness center TN N/A 0 0 Fortress Corporation 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621308885 Management company TN N/A C 0 Covenant Medical Group Inc 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621282917 Physician practice management TN N/A C 0 Knoxville Heart Group 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 271528941 Cardiology medical practice TN N/A C 0 East TN Cardiovascular Surgery Group Inc 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 621018541 Cardiovascular surgical practice TN N/A C 0 TenHats LLC 1420 Centerpoint Blvd Bldg C Knoxville TN 379321960 814563094 Data storage TN N/A C 0 0 0 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 Covenant Health Foundation C 300122 FMV