Covenant Health Executive and Leadership Team

October, 2026

Leadership Overview

Covenant Health has 10 executives leading key functions including strategy, financial oversight, information technology, and clinical operations.

Committed to excellence in patient care, Covenant Health delivers comprehensive behavioral, oncology, and rehabilitation services across Tennessee. This organization prioritizes community health through integrated physician practices and specialized home care programs.

Leadership Roles at Covenant Health

  • President & Chief Executive Officer - Jim VanderSteeg
  • Chief Financial Officer - Scott Hamilton
  • Group Covenant Medical Vice President & Chief Financial Officer - Timothy Riley
  • Cumberland Medical Center Vice President & Chief Financial Officer - April VonAchen
  • Executive Vice President & Chief Financial Officer - John Geppi
  • Vice President, Financial Operations & Chief Financial Officer, Methodist Medical Center & Roane Medical Center - Catherine Bunch
  • Chief Information Officer - Uday Madasu
  • Chief of Staff - Andrew Maclellan
  • Senior Vice President and Chief Information Officer, Covenant Health - Tiffany Cross
  • Senior Vice President and Chief Information Officer - Karen Bowling
  • Jim VanderSteeg - President & Chief Executive Officer

    Jim VanderSteeg, the President & Chief Executive Officer at Covenant Health, directs the overarching strategic vision for this not-for-profit healthcare system. VanderSteeg manages the integration of behavioral, oncology, and rehabilitation services to ensure high-quality patient outcomes across the Tennessee region. By aligning physician practices with community programs, the President & Chief Executive Officer fosters a culture of clinical excellence and operational efficiency. This leadership role involves constant collaboration with the Board to expand the reach of home care services. Through rigorous oversight of organizational performance, Jim VanderSteeg drives sustainable growth and maintains the mission of providing accessible medical care. The President & Chief Executive Officer ultimately secures the long-term viability of the network by balancing fiscal responsibility with the delivery of compassionate, patient-centered health solutions throughout the entire service area.
    Jim VanderSteeg

    Scott Hamilton - Chief Financial Officer

    Scott Hamilton, the Chief Financial Officer at Covenant Health, manages the fiscal health and capital allocation strategies for the entire organization. Hamilton oversees the budgeting processes for oncology and rehabilitation departments, ensuring resources align with clinical priorities. By monitoring revenue cycles and cost-containment initiatives, the Chief Financial Officer optimizes the financial performance of physician practices. This role requires frequent interaction with executive leadership to evaluate investment opportunities in community health programs. Scott Hamilton drives financial transparency and accountability across all regional operations. Through the implementation of robust accounting controls, the Chief Financial Officer mitigates risk and supports the expansion of home care services. Hamilton maintains the economic stability necessary for the system to continue providing essential medical support to the Tennessee population while upholding the highest standards of fiscal integrity.

    Timothy Riley - Group Covenant Medical Vice President & Chief Financial Officer

    Timothy Riley, the Group Covenant Medical Vice President & Chief Financial Officer at Covenant Health, manages the financial operations specifically for the medical group division. Riley oversees the revenue management and expense control for physician practices, ensuring these units remain profitable and efficient. By analyzing clinical performance metrics, the Group Covenant Medical Vice President & Chief Financial Officer identifies opportunities to reduce operational costs while maintaining high standards of care. This role involves collaborating with department heads to allocate budgets for specialized medical equipment and staffing. Timothy Riley drives financial planning for the medical group, supporting the broader organizational goal of expanding access to oncology and rehabilitation services. The Group Covenant Medical Vice President & Chief Financial Officer ensures that financial strategies support the delivery of high-quality patient care across the Tennessee network, ultimately contributing to the overall fiscal health of the system.
    Timothy Riley

    April VonAchen - Cumberland Medical Center Vice President & Chief Financial Officer

    April VonAchen, the Cumberland Medical Center Vice President & Chief Financial Officer at Covenant Health, manages the financial operations for the Cumberland facility. VonAchen oversees the budgeting, billing, and financial reporting for this specific medical center, ensuring alignment with the broader organizational goals. By monitoring the financial health of oncology and rehabilitation services at the center, the Cumberland Medical Center Vice President & Chief Financial Officer optimizes resource utilization. This role involves working closely with local leadership to improve the efficiency of physician practices and community programs. April VonAchen drives financial performance by implementing cost-saving measures and revenue-enhancing strategies. The Cumberland Medical Center Vice President & Chief Financial Officer ensures that the facility maintains the necessary capital to provide high-quality care to the local population. VonAchen supports the overall mission of the system through disciplined financial management and strategic planning.
    April VonAchen

    John Geppi - Executive Vice President & Chief Financial Officer

    John Geppi, the Executive Vice President & Chief Financial Officer at Covenant Health, directs the comprehensive financial strategy and capital planning for the entire organization. Geppi oversees the treasury, accounting, and financial planning functions, ensuring the system maintains a strong balance sheet. By evaluating the financial viability of new community programs and physician practices, the Executive Vice President & Chief Financial Officer supports the long-term growth of the network. This role involves working with the Board to set financial targets and monitor performance against strategic objectives. John Geppi drives fiscal discipline across all departments, including oncology and home care services. The Executive Vice President & Chief Financial Officer ensures that the organization has the necessary resources to invest in high-quality patient care. Geppi maintains a focus on long-term sustainability and financial health to support the mission of the system.

    Catherine Bunch - Vice President, Financial Operations & Chief Financial Officer, Methodist Medical Center & Roane Medical Center

    Catherine Bunch, the Vice President, Financial Operations & Chief Financial Officer, Methodist Medical Center & Roane Medical Center at Covenant Health, manages the financial performance of these two specific medical centers. Bunch oversees the financial planning, revenue cycle management, and operational budgeting for both facilities. By analyzing the costs associated with oncology and rehabilitation services, the Vice President, Financial Operations & Chief Financial Officer, Methodist Medical Center & Roane Medical Center identifies opportunities to improve operational efficiency. This role involves collaborating with facility leadership to ensure that physician practices and community programs are financially sustainable. Catherine Bunch drives financial accountability and transparency across the centers. The Vice President, Financial Operations & Chief Financial Officer, Methodist Medical Center & Roane Medical Center ensures that resources are allocated effectively to support high-quality patient care. Bunch maintains a focus on fiscal health to support the mission of the organization.

    Uday Madasu - Chief Information Officer

    Uday Madasu, the Chief Information Officer at Covenant Health, architects the digital infrastructure supporting clinical and administrative workflows. Madasu directs the deployment of secure health information systems that facilitate seamless data exchange between physician practices and rehabilitation centers. By modernizing the technological framework, the Chief Information Officer enhances the delivery of oncology and behavioral health services. This leadership position involves coordinating with other C-suite members to integrate advanced analytics into patient care models. Uday Madasu drives innovation by implementing scalable software solutions that improve operational efficiency across the Tennessee network. The Chief Information Officer ensures data privacy and regulatory compliance while supporting the digital transformation of home care programs. Madasu maintains a focus on technological reliability to empower medical staff with real-time access to critical patient information.
    Uday Madasu

    Andrew Maclellan - Chief of Staff

    Andrew Maclellan, the Chief of Staff at Covenant Health, coordinates executive communications and facilitates the execution of strategic initiatives across the organization. Maclellan manages the flow of information between the leadership team and various clinical departments, including oncology and rehabilitation. By streamlining internal processes, the Chief of Staff ensures alignment with the mission of providing high-quality community health services. This role involves organizing high-level meetings and tracking the progress of key organizational goals. Andrew Maclellan drives operational cohesion by resolving complex administrative challenges that impact physician practices. The Chief of Staff supports the President & Chief Executive Officer in maintaining organizational focus on long-term growth and patient care standards. Through diligent management of executive priorities, Maclellan fosters a collaborative environment that enables the system to deliver consistent, reliable medical care throughout the Tennessee region.

    Tiffany Cross - Senior Vice President and Chief Information Officer, Covenant Health

    Tiffany Cross, the Senior Vice President and Chief Information Officer, Covenant Health at Covenant Health, leads the enterprise-wide strategy for information technology and cybersecurity. Cross directs the implementation of electronic health records and digital tools that support behavioral and home care services. By overseeing the IT department, the Senior Vice President and Chief Information Officer, Covenant Health ensures that all clinical systems remain operational and secure. This role involves managing large-scale technology projects that improve the connectivity of physician practices across the state. Tiffany Cross drives the adoption of emerging technologies to enhance patient engagement and clinical outcomes. The Senior Vice President and Chief Information Officer, Covenant Health collaborates with other executives to align IT investments with the long-term mission of the organization. Cross maintains a focus on building a resilient digital foundation that supports the evolving needs of the healthcare system.

    Karen Bowling - Senior Vice President and Chief Information Officer

    Karen Bowling, the Senior Vice President and Chief Information Officer at Covenant Health, manages the strategic integration of health informatics and digital health platforms. Bowling directs the development of data-driven solutions that improve the coordination of behavioral and rehabilitation services. By overseeing the IT infrastructure, the Senior Vice President and Chief Information Officer ensures that clinical teams have access to accurate and timely patient information. This role involves leading cross-functional teams to implement advanced software that supports physician practices and community programs. Karen Bowling drives the digital strategy to enhance the patient experience and streamline administrative workflows. The Senior Vice President and Chief Information Officer collaborates with the executive team to prioritize technology investments that align with the mission of the organization. Bowling maintains a focus on innovation to ensure the system remains at the forefront of healthcare technology.
    Karen Bowling

    Explore Leadership Teams in Hospitals & Physicians Clinics

    Frequently Asked Questions Regarding Covenant Health Top Executives and Leadership Team

    Who leads Covenant Health?
    Covenant Health is led by Jim VanderSteeg (President & Chief Executive Officer), along with executives such as Scott Hamilton (Chief Financial Officer) and Timothy Riley (Group Covenant Medical Vice President & Chief Financial Officer).
    Who is part of Covenant Health’s executive team?
    The executive team of Covenant Health includes leaders such as Jim VanderSteeg (President & Chief Executive Officer), Scott Hamilton (Chief Financial Officer), Timothy Riley (Group Covenant Medical Vice President & Chief Financial Officer) and other senior executives.
    How many executives does Covenant Health have?
    Covenant Health has 10 executives leading key business areas.
    What roles are included in Covenant Health’s leadership team?
    The leadership team of Covenant Health includes roles such as President & Chief Executive Officer, Chief Financial Officer, Group Covenant Medical Vice President & Chief Financial Officer, Cumberland Medical Center Vice President & Chief Financial Officer, Executive Vice President & Chief Financial Officer.