COVENANT HEALTH SYSTEMS, INC.

services in the nature of membership in a multi-institutional health care system, including hospitals, outpatient health care providers, nursing homes, congregate housing facilities and adult day health care programs; and services in the areas of health care administration, management, finance, reimbursement, mission effectiveness, ethics, education, information resources, materials management, risk management, human resources, marketing, public relations and planning provided to members of such system