[3] In 2002, the Champaign County Board of Review challenged Provena Covenant's tax-exempt status based on debt-collection tactics and the amount of charity care offered.

[4] In a March 18, 2010, judgment by the Illinois Supreme Court (Provena Covenant Medical Center vs. the (Illinois) Department of Revenue), the Court agreed that the Department of Revenue had acted properly in denying charitable and religious property tax exemptions requested by Provena Hospitals.

In the judgment, the Court noted that "a mere 302 of its (Provena Covenant's) 110,000 admissions received reductions in their bills based on charitable considerations."

The court added, "uninsured patients were charged PCMC’s “established” rates, which were more than double the actual costs of care.

In response, Jon Sokolski, Chair of the Board of Provena Covenant Medical Center, said, "We are deeply disappointed that the Illinois Supreme Court has denied the property tax exemption of Provena Covenant Medical Center.