COVENANT MEDICAL CENTER INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: COVENANT MEDICAL CENTER INC (EIN 38-3369438)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-15
IRS object ID: 202511359349305386
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-15T10:50:12-05:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	331498605	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3000 TOWN CENTER SUITE 100	AddressLine1Txt
City	SOUTHFIELD	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48075	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	383369438	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COVENANT MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	COVE	BusinessNameControlTxt
Phone	9895836006	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1447 N HARRISON	AddressLine1Txt
City	SAGINAW	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48602	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KEVIN ALBOSTA	PersonNm
Person Title	VP/CFO	PersonTitleTxt
Phone	9895836006	PhoneNum
Signature	2025-05-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DAVID LOWENTHAL	PreparerPersonNm
PTIN	P00378651	PTIN
Phone	2483522500	PhoneNum
Preparation	2025-05-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	COVENANT HEALTHCARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	BETHANY CHARLTON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1447 N HARRISON	AddressLine1Txt
City	SAGINAW	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48602	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$834,474,409	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.COVENANTHEALTHCARE.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1997	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE DIVERSE MEDICAL CARE TO MEET THE HEALTH CARE NEEDS OF THE 14 COUNTIES IN EAST CENTRAL MICHIGAN WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	5249	TotalEmployeeCnt
Total Volunteers	326	TotalVolunteersCnt
Total Gross UBI	$227,181	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$166,231	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,686,321	PYContributionsGrantsAmt
CY Contributions Grants	$3,052,066	CYContributionsGrantsAmt
PY Program Service Revenue	$735,709,020	PYProgramServiceRevenueAmt
CY Program Service Revenue	$804,438,469	CYProgramServiceRevenueAmt
PY Investment Income	$43,604,344	PYInvestmentIncomeAmt
CY Investment Income	$15,516,690	CYInvestmentIncomeAmt
PY Other Revenue	$5,294,814	PYOtherRevenueAmt
CY Other Revenue	$7,566,344	CYOtherRevenueAmt
PY Total Revenue	$793,294,499	PYTotalRevenueAmt
CY Total Revenue	$830,573,569	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$457,146,767	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$473,764,393	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$320,304,818	PYOtherExpensesAmt
CY Other Expenses	$332,338,483	CYOtherExpensesAmt
PY Total Expenses	$777,451,585	PYTotalExpensesAmt
CY Total Expenses	$806,102,876	CYTotalExpensesAmt
PY Revenues Less Expenses	$15,842,914	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$24,470,693	CYRevenuesLessExpensesAmt
Total Assets BOY	$811,272,319	TotalAssetsBOYAmt
Total Assets EOY	$867,284,470	TotalAssetsEOYAmt
Total Liabilities BOY	$308,717,601	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$314,055,777	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$502,554,718	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$553,228,693	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE DIVERSE MEDICAL CARE TO MEET THE HEATLH CARE NEEDS OF THE 14 COUNTIES IN EAST CENTRAL MICHIGAN WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$713,018,106	ExpenseAmt
Revenue	$804,218,878	RevenueAmt
Desc	ONE OF THE LARGEST, MOST COMPREHENSIVE HEALTH CARE FACILITIES NORTH OF METRO DETROIT, COVENANT HEALTHCARE IS PREPARED TO RESPOND TO THE DIVERSE MEDICAL NEEDS OF OUR REGION. WE OFFER A BROAD SPECTRUM OF PROGRAMS AND SERVICES RANGING FROM OBSTETRICS, NEONATAL AND PEDIATRIC CARE, TO ACUTE CARE INCLUDING CARDIOLOGY, ONCOLOGY, SURGERY AND MANY OTHER SERVICES ON THE LEADING EDGE OF MEDICINE. ALL OF OUR PROGRAMS AND SERVICES EXEMPLIFY OUR COMMITMENT TO PROVIDING QUALITY, COMPASSIONATE CARE. AS A MEDICAL FACILITY WITH MORE THAN 600 BEDS AND A COMPLETE RANGE OF MEDICAL SERVICES, COVENANT HEALTHCARE STANDS READY TO MEET THE NEEDS OF THE 14 COUNTIES IN EAST CENTRAL MICHIGAN WE SERVE. WITH MORE THAN 20 INPATIENT AND OUTPATIENT FACILITIES, COVENANT HEALTHCARE OFFERS CONVENIENCE AND EASY ACCESS TO HIGH QUALITY CARE. THE MEDICAL CENTER PROVIDED THE FOLLOWING FOR THE FISCAL YEAR 2024: 5,860 WOMEN'S AND CHILDREN'S CASES, 3,570 CARDIOLOGY CASES, 3,898 GENERAL MEDICAL CASES, 2,641 PULMONARY CASES, 1,850 NEURO CASES, AND 1,795 GI MED CASES.	Desc
Total Program Service Expenses	$713,018,106	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	183	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	5249	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KEVIN S ALBOSTA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9895832769	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1447 N HARRISON	AddressLine1Txt
City	SAGINAW	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48602	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
BETHANY CHARLTON
PRESIDENT	54.00	4.00	Yes (X)	Yes (X)	$850,284	$0	$596,516
JAMES MILROY
CHAIRMAN	4.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
DWIGHT MCNALLY
VICE CHAIRMAN	4.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
JOHN SHELTON
SECRETARY	4.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
JONATHAN GARDEY
TREASURER	4.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
MARK BASSET - PART YEAR
BOARD MEMBER	4.00	4.00	Yes (X)		$0	$0	$0
AMY BUBEN - PART YEAR
BOARD MEMBER	4.00	4.00	Yes (X)		$0	$0	$0
ELLEN CRANE
BOARD MEMBER	4.00	4.00	Yes (X)		$0	$0	$0
PATRICK CURRY
BOARD MEMBER	4.00	4.00	Yes (X)		$0	$0	$0
MICHAEL FIORE MD
BOARD MEMBER/PHYSICIAN	50.00	4.00	Yes (X)		$441,520	$0	$26,491
CRAIG GOSLIN
BOARD MEMBER	4.00	4.00	Yes (X)		$0	$0	$0
TIM HAUSBECK
BOARD MEMBER	4.00	4.00	Yes (X)		$0	$0	$0
RENEE JOHNSTON
BOARD MEMBER	4.00	4.00	Yes (X)		$0	$0	$0
HERB SPENCE
BOARD MEMBER	4.00	4.00	Yes (X)		$0	$0	$0
KEVIN ALBOSTA
VICE PRESIDENT	55.00	4.00		Yes (X)	$569,523	$0	$238,197
KEVIN BIRCHMEIER
VICE PRESIDENT	50.00	4.00		Yes (X)	$472,407	$0	$201,930
FRANK FEAR
VICE PRESIDENT	50.00	4.00		Yes (X)	$313,025	$0	$30,336
PATRICE LANCZAK
VICE PRESIDENT	50.00	4.00		Yes (X)	$302,062	$0	$9,735
DR IRIS MARTEJA
VICE PRESIDENT	50.00	4.00		Yes (X)	$502,224	$0	$18,804
DAVID NALL
VICE PRESIDENT	50.00	4.00		Yes (X)	$280,251	$0	$112,933
DR MICHAEL SULLIVAN
VICE PRESIDENT	50.00	4.00		Yes (X)	$502,350	$0	$26,279
JACKIE TINNIN
VICE PRESIDENT	50.00	4.00		Yes (X)	$230,707	$0	$26,123
ADAM TOMPA
VICE PRESIDENT	50.00	4.00		Yes (X)	$264,535	$0	$24,811
MATTHEW DEIBEL
VICE PRESIDENT	50.00	4.00		Yes (X)	$77,113	$0	$0
BAKRI KAAKEH
PHYSICIAN	40.00	0.00			$2,054,538	$0	$23,340	Yes (X)
MARK ZAKI
PHYSICIAN	40.00	0.00			$1,609,942	$0	$8,977	Yes (X)
JAMES FUGAZZI
PHYSICIAN	40.00	0.00			$1,565,094	$0	$23,340	Yes (X)
GEORGE MALLIARAS
PHYSICIAN	40.00	0.00			$1,551,464	$0	$23,340	Yes (X)
FRANK SCHINCO
PHYSICIAN	40.00	0.00			$1,379,094	$0	$22,710	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,966,133	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,413,862	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	718	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
EPIC SYSTEMS CORPORATION
PO BOX 88314	MILWAUKEE	WI	53288	IT MTC SUPPORT	$4,917,327
HEMA-TEC
23634 WOODWARD AVE	PLEASANT RIDGE	MI	48069	DIALYSIS SERVICES	$2,634,415
PREFERRED MEDICAL MARKETING
15720 BRIXHAM HILL AVE	CHARLOTTE	NC	28277	COLLECTION SERVICES	$2,011,725
ALLIANCE HNI HEALTH CARE
PO BOX 772550	DETRIOT	MI	48277	PET/CT SERVICES	$1,818,968
DICKINSON WRIGHT PLLC
4800 FASHION SQ BLVD	SAGINAW	MI	48604	LEGAL SERVICES	$1,737,517

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	47	CntrctRcvdGreaterThan100KCnt
Related Organizations	$353,322	RelatedOrganizationsAmt
Government Grants	$2,698,744	GovernmentGrantsAmt
Noncash Contributions	$353,322	NoncashContributionsAmt
Total Contributions	$3,052,066	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621990	$786,318,056	$786,098,465	$219,591
JOINT VENTURES	621990	$17,296,780	$17,296,780
EDUCATIONAL REVENUE	611710	$823,633	$823,633

Field	Value	IRS element (for citing)
Total Program Service Revenue	$804,438,469	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,030,310	TotalRevenueColumnAmt
Exclusion	$9,030,310	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,016,398	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,016,398	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,016,398	TotalRevenueColumnAmt
Exclusion	$1,016,398	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$10,387,220	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,900,840	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$6,486,380	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,486,380	TotalRevenueColumnAmt
Exclusion	$6,486,380	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA SALES	722210	$2,938,057	$7,590	$2,930,467
SALES PPE	900099	$446,846		$446,846
MEDICAL RECORDS	900099	$225,731		$225,731

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,939,312	TotalRevenueColumnAmt
Exclusion	$2,939,312	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,549,946	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$830,573,569	TotalRevenueColumnAmt
Related Or Exempt Func Income	$804,218,878	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$227,181	UnrelatedBusinessRevenueAmt
Exclusion	$23,075,444	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,650,143	TotalAmt
Management And General	$5,650,143	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$402,365,531	TotalAmt
Program Services	$367,974,645	ProgramServicesAmt
Management And General	$34,390,886	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,306,638	TotalAmt
Program Services	$10,197,050	ProgramServicesAmt
Management And General	$1,109,588	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$31,660,130	TotalAmt
Program Services	$28,553,131	ProgramServicesAmt
Management And General	$3,106,999	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$22,781,951	TotalAmt
Program Services	$21,289,092	ProgramServicesAmt
Management And General	$1,492,859	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,321,147	TotalAmt
Management And General	$1,321,147	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$209,500	TotalAmt
Management And General	$209,500	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$98,000	TotalAmt
Management And General	$98,000	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$58,199,701	TotalAmt
Program Services	$31,014,524	ProgramServicesAmt
Management And General	$27,185,177	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,944,083	TotalAmt
Program Services	$1,944,083	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,936,501	TotalAmt
Program Services	$9,936,501	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$17,470,753	TotalAmt
Program Services	$17,470,753	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,145,704	TotalAmt
Program Services	$13,623,945	ProgramServicesAmt
Management And General	$521,759	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$406,263	TotalAmt
Program Services	$214,271	ProgramServicesAmt
Management And General	$191,992	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$218,973	TotalAmt
Program Services	$174,519	ProgramServicesAmt
Management And General	$44,454	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,518,535	TotalAmt
Program Services	$2,518,535	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$30,320,842	TotalAmt
Program Services	$29,108,008	ProgramServicesAmt
Management And General	$1,212,834	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$9,517,355	TotalAmt
Program Services	$363,603	ProgramServicesAmt
Management And General	$9,153,752	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$156,165,798	$154,196,188	$1,969,610
BAD DEBT EXPENSE	$17,025,367	$17,025,367
COLLECTION FEES	$3,948,135	$3,948,135
DUES AND SUBSCRIPTIONS	$1,259,302	$310,533	$948,769

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,632,524	TotalAmt
Program Services	$3,155,223	ProgramServicesAmt
Management And General	$4,477,301	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$806,102,876	TotalAmt
Program Services	$713,018,106	ProgramServicesAmt
Management And General	$93,084,770	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$18,680,720	BOYAmt
EOY	$32,899,401	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$25,863,097	BOYAmt
EOY	$36,889,065	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$69,242,877	BOYAmt
EOY	$78,814,449	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$16,618,491	BOYAmt
EOY	$18,820,476	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$35,458,607	BOYAmt
EOY	$44,384,409	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$721,795,163	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$522,887,554	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$207,177,234	BOYAmt
EOY	$198,907,609	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$279,874,946	BOYAmt
EOY	$299,979,144	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$70,455,008	BOYAmt
EOY	$65,319,132	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$87,901,339	BOYAmt
EOY	$91,270,785	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$811,272,319	BOYAmt
EOY	$867,284,470	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$103,930,553	BOYAmt
EOY	$116,025,320	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$65,878,838	BOYAmt
EOY	$58,589,075	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$42,516,103	BOYAmt
EOY	$43,722,409	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$96,392,107	BOYAmt
EOY	$95,718,973	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$308,717,601	BOYAmt
EOY	$314,055,777	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$502,554,718	BOYAmt
EOY	$553,228,693	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$502,554,718	BOYAmt
EOY	$553,228,693	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$811,272,319	BOYAmt
EOY	$867,284,470	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$24,470,693	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$26,293,016	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$89,734	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$98,000	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$98,000	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	AN OUTSIDE CONSULTANT WAS ENGAGED IN LOBBYING ACTIVITIES ON BEHALF OF COVENANT MEDICAL CENTER DURING FISCAL YEAR ENDED JUNE 30, 2024.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,345,779	OtherCostOrOtherBasisAmt
Book Value	$13,345,779	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$283,982,083	OtherCostOrOtherBasisAmt
Depreciation	$198,100,571	DepreciationAmt
Book Value	$85,881,512	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,820,662	OtherCostOrOtherBasisAmt
Depreciation	$6,679,425	DepreciationAmt
Book Value	$141,237	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$417,646,639	OtherCostOrOtherBasisAmt
Depreciation	$318,107,558	DepreciationAmt
Book Value	$99,539,081	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$198,907,609	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
COMMON TRUST FUNDS	$14,229,425	F
LIMITED PARTNERSHIPS	$224,336	F
HEDGE FUNDS	$50,499,632	F
OTHER	$365,739	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$65,319,132	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENTS IN UNCONSOLIDATED ENTITIES	$28,224,790
DEFERRED COMP 457(B)	$31,582,782
RIGHT OF USE ASSETS FOR LEASES	$16,188,663
GROSS UP SELF INSURANCE	$7,154,297
OTHER ASSETS	$8,120,253

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$91,270,785	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
POST RETIREMENT HEALTH BENEFITS	$14,614,454
ACCRUED PENSION	$5,898,674
OTHER LONG TERM LIABILITIES	$2,561,112
DEFERRED COMP 457(B)	$31,582,782
SELF INSURANCE CLAIMS LIABILITY	$28,560,782
LEASE OBLIGATIONS	$12,501,169

Field	Value	IRS element (for citing)
Total Liability	$95,718,973	TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA/CARIBBEAN	0	0	PROGRAM SERVICES	SELF INSURANCE	$2,487,417
CENTRAL AMERICA/CARIBBEAN	0	0	INVESTMENTS	INVESTMENTS	$47,616,103

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$50,103,520	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$50,103,520	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	26912	PersonsServedCnt
Total Community Benefit Expns	$2,041,341	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,041,341	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	84567	PersonsServedCnt
Total Community Benefit Expns	$175,710,423	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$173,670,337	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,040,086	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	111479	PersonsServedCnt
Total Community Benefit Expns	$177,751,764	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$173,670,337	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,081,427	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	235	ActivitiesOrProgramsCnt
Persons Served	15666	PersonsServedCnt
Total Community Benefit Expns	$132,144	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,615	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$130,529	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	29	ActivitiesOrProgramsCnt
Persons Served	79325	PersonsServedCnt
Total Community Benefit Expns	$18,285,127	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,039,413	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,245,714	NetCommunityBenefitExpnsAmt
Total Expense	0.01680	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,365,130	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,448,425	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$916,705	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	270	ActivitiesOrProgramsCnt
Persons Served	94991	PersonsServedCnt
Total Community Benefit Expns	$666,873	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$666,873	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	534	ActivitiesOrProgramsCnt
Persons Served	189982	PersonsServedCnt
Total Community Benefit Expns	$34,449,274	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,489,453	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,959,821	NetCommunityBenefitExpnsAmt
Total Expense	0.01900	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	536	ActivitiesOrProgramsCnt
Persons Served	301461	PersonsServedCnt
Total Community Benefit Expns	$212,201,038	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$193,159,790	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,041,248	NetCommunityBenefitExpnsAmt
Total Expense	0.02420	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$148,218	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$148,218	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$43,450	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$43,450	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	15000	PersonsServedCnt
Total Community Benefit Expns	$632,149	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$632,149	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,997	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,997	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	32	ActivitiesOrProgramsCnt
Persons Served	1153	PersonsServedCnt
Total Community Benefit Expns	$10,966	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,936	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	43	ActivitiesOrProgramsCnt
Persons Served	16153	PersonsServedCnt
Total Community Benefit Expns	$836,780	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$836,750	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$17,025,367	BadDebtExpenseAmt
Reimbursed By Medicare	$110,240,896	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$92,557,919	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$17,682,977	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 COVENANT HEALTH CARE PARTNERS
HEALTH CARE	0.50000	0.50000
2 MACKINAW SURGERY CENTER
SURGERY CENTER	0.47850	0.52160
3 COVENANT LCR MACKINAW FC
RENTAL	0.75840	0.24160
4 COVENANT POB LLC
RENTAL	0.48920	0.51080

Field	Value	IRS element (for citing)
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
COVENANT MEDICAL CENTER INC (COOPER)
1	700 COOPER	SAGINAW	MI	48602	HTTP://WWW.COVENANTHEALTHCARE.COM/MAIN	1060000060	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
COVENANT MEDICAL CENTER INC (HARRISON)
2	1447 N HARRISON	SAGINAW	MI	48602	HTTP://WWW.COVENANTHEALTHCARE.COM/MAIN	1060000034	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
COVENANT MEDICAL CENTER INC (MARY FREE BED)
3	515 N MICHIGAN	SAGINAW	MI	48602	HTTP://WWW.COVENANTHEALTHCARE.COM/MAIN	1060000139	Yes (X)	Yes (X)				REHABILITATION UNIT

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
COVENANT MEDICAL CENTER INC (COOPER)
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	23	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	HTTPS://WWW.COVENANTHEALTHCARE.COM/CH/COMMUNITY-HEALTH-ASSESSMENT	Yes (X)	Yes (1)	23	Yes (1)	HTTPS://WWW.COVENANTHEALTHCARE.COM/CH/COMMUNITY-HEALTH-ASSESSMENT	0	Yes (1)	Yes (X)	200.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTP://WWW.COVENANTHEALTHCARE.COM/MAIN/FINANCIALASSISTANCEPOLICY.ASPX	Yes (X)	HTTP://WWW.COVENANTHEALTHCARE.COM/MAIN/FINANCIALASSISTANCEPOLICY.ASPX	Yes (X)	HTTP://WWW.COVENANTHEALTHCARE.COM/MAIN/FINANCIALASSISTANCEPOLICY.ASPX	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
COVENANT MEDICAL CENTER INC (HARRISON)
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	23	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	HTTPS://WWW.COVENANTHEALTHCARE.COM/CH/COMMUNITY-HEALTH-ASSESSMENT	Yes (X)	Yes (1)	23	Yes (1)	HTTPS://WWW.COVENANTHEALTHCARE.COM/CH/COMMUNITY-HEALTH-ASSESSMENT	0	Yes (1)	Yes (X)	200.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTP://WWW.COVENANTHEALTHCARE.COM/MAIN/FINANCIALASSISTANCEPOLICY.ASPX	Yes (X)	HTTP://WWW.COVENANTHEALTHCARE.COM/MAIN/FINANCIALASSISTANCEPOLICY.ASPX	Yes (X)	HTTP://WWW.COVENANTHEALTHCARE.COM/MAIN/FINANCIALASSISTANCEPOLICY.ASPX	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
COVENANT MEDICAL CENTER INC (MARY FREE B
3	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	23	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	HTTPS://WWW.COVENANTHEALTHCARE.COM/CH/COMMUNITY-HEALTH-ASSESSMENT	Yes (X)	Yes (1)	23	Yes (1)	HTTPS://WWW.COVENANTHEALTHCARE.COM/CH/COMMUNITY-HEALTH-ASSESSMENT	0	Yes (1)	Yes (X)	200.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTP://WWW.COVENANTHEALTHCARE.COM/MAIN/FINANCIALASSISTANCEPOLICY.ASPX	Yes (X)	HTTP://WWW.COVENANTHEALTHCARE.COM/MAIN/FINANCIALASSISTANCEPOLICY.ASPX	Yes (X)	HTTP://WWW.COVENANTHEALTHCARE.COM/MAIN/FINANCIALASSISTANCEPOLICY.ASPX	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
COVENANT MEDICAL CENTER INC (COOPER)	PART V, SECTION B, LINE 5: THE CHNA DATA WAS GATHERED USING THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS. THE MAPP PROCESS USES FOUR ASSESSMENTS TO GATHER DATA AND INFORMATION ABOUT THE COMMUNITY: 1) COMMUNITY HEALTH STATUS, 2) COMMUNITY THEMES AND STRENGTHS, 3) LOCAL PUBLIC HEALTH SYSTEM, AND 4) FORCES OF CHANGE. EACH ASSESSMENT CAPTURED A UNIQUE DATA SET THAT WAS USED TO INFORM THE FINAL STRATEGIC ISSUES PROCESS. THE BWELL SAGINAW PARTNER COALITION ACQUIRED BROAD COMMUNITY INPUT FROM INDIVIDUALS WHO LIVE, WORK, AND/OR ATTEND SCHOOL IN SAGINAW COUNTY, HEALTH CARE CONSUMERS, COMMUNITY LEADERS, HEALTH CARE PROFESSIONALS, AND MULTI-SECTOR REPRESENTATIVES THROUGHOUT THIS PROCESS.- A TOTAL OF 1,577 SURVEYS WERE COMPLETED DEPICTING A REPRESENTATIVE SAMPLE SIZE OF SAGINAW COUNTY'S DEMOGRAPHICS (RACE, ETHNICITY, AND POPULATION DENSITY MAKE UP).- NEW TO THIS CYCLE WAS THE IMPLEMENTATION OF "COMMUNITY CONVERSATIONS" THAT SOUGHT TO COLLECT RESIDENT FEEDBACK ON IMPORTANT HEALTH ISSUES BY FACILITATING CONVERSATIONS WITH SAGINAW'S VULNERABLE POPULATIONS THAT LIKELY WOULD NOT HAVE EASY ACCESS TO THE SURVEY TOOL OR MECHANISMS TO COMPLETE SUCH. THE COMMUNITY CONVERSATIONS WERE PERFORMED AT A HALF A DOZEN LOCATIONS ACROSS SAGINAW, INCLUDING HOMELESS SHELTERS AND FEEDING DISTRIBUTION AND ACCESS SITES.- MORE THAN 300 MEASURES WERE ANALYZED FROM A COMPILATION OF DATA FROM FOUR SEPARATE ASSESSMENTS
COVENANT MEDICAL CENTER INC (COOPER)	PART V, SECTION B, LINE 6A: THE HOSPITAL CONTRIBUTES AND PARTICIPATES IN THE BWELL SAGINAW PARTNER COALITION COMMUNITY HEALTH ASSESSMENT/ COMMUNITY HEALTH IMPROVEMENT (CHA/CHIP) PARTICIPATING WITH ASCENSION ST. MARY'S HOSPITAL.
COVENANT MEDICAL CENTER INC (COOPER)	PART V, SECTION B, LINE 6B: THE HOSPITAL CONTRIBUTES AND PARTICIPATES IN THE BWELL SAGINAW PARTNER COALITION COMMUNITY HEALTH ASSESSMENT/ COMMUNITY HEALTH IMPROVEMENT (CHA/CHIP) PARTICIPATING WITH GREAT LAKES BAY HEALTH CENTERS, SAGINAW COUNTY COMMUNITY MENTAL HEALTH, SAGINAW COUNTY HEALTH DEPARTMENT, SAGINAW ISD, UNITED WAY OF SAGINAW COUNTY, CMU MEDICAL EDUCATION PARTNERS, HEALTHSOURCE SAGINAW, MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES - SAGINAW, MIHIA, SAGINAW COMMUNITY FOUNDATION AND SAGINAW VALLEY STATE UNIVERSITY.
COVENANT MEDICAL CENTER INC (COOPER)	PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH IMPROVEMENT PLAN PROCESS IDENTIFIED THREE AREAS OF NEEDED HEALTH IMPROVEMENT FOR SAGINAW AND SURROUNDING AREAS. THEY ARE AS FOLLOWS: MENTAL HEALTH & SUBSTANCE ABUSE, OBESITY & RELATED CHRONIC DISEASE, AND MATERNAL & CHILD HEALTH.COVENANT'S IMPLEMENTATION PLAN ADDRESSES ALL THREE PRIORITY AREAS BASED ON THE AVAILABILITY OF COMMUNITY RESOURCES, THE PARTNERSHIPS IN PLACE AND THE RESOURCES COVENANT CAN DIRECT TO EACH OF THESE AREAS. THE IMPLEMENTATION PLAN IDENTIFIES COVENANT'S EXISTING AND PLANNED ACTIONS IN EACH CATEGORY. IN ADDITION, COVENANT HAS ELECTED TO INCLUDE A SECTION FOR PALLIATIVE CARE AND FOR OTHER INITIATIVES THAT IMPACT COMMUNITY HEALTH NOT INCLUDED AS ONE OF THE KEY AREAS IDENTIFIED BY THE CHA. THE ACA REQUIRES HOSPITALS TO IDENTIFY WHICH NEEDS, IF ANY, THEY ARE NOT ADDRESSING IN THEIR CURRENT IMPLEMENTATION PLAN AND WHY. COVENANT IS INVOLVED IN ADDRESSING ALL THREE ACTION AREAS TO VARYING DEGREES HOWEVER IT RECOGNIZES THAT IT IS NOT, AND SHOULD NOT, BE THE LEADER IN ALL AREAS BUT THAT WORKING WITH APPROPRIATE PARTNERS IT CAN OPTIMIZE THE USE OF RESOURCES BY AVOIDING DUPLICATION AND FINDING THE MOST EFFECTIVE STRATEGIES AVAILABLE. IN THE FIRST ACTION AREA, COVENANT HEALTHCARE PLAYS MORE OF A SUPPORTIVE ROLE TO OTHER COMMUNITY PARTNERS WHO ARE FOCUSED ON MENTAL HEALTH. EACH OF THE THREE ACTION GROUP AREAS HAS GOALS, OBJECTIVES, AND ACTIONS. IN MANY CASES COVENANT IS WORKING COLLABORATIVELY WITH OTHER COMMUNITY ORGANIZATIONS; IN OTHER CASES, COVENANT IS NOT A DIRECT PARTICIPANT.

Field	Value	IRS element (for citing)
Facility	31	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (31 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - MACKINAW CAMPUS
5400 MACKINAW RD	SAGINAW	MI	48602	HEALTHCARE OFFICE
2 - COOPER 900 - ECC & CENTER FOR THE HEART
900 COOPER AVE	SAGINAW	MI	48602	ER-24 HRS
3 - MICHIGAN CAMPUS
515 N MICHIGAN	SAGINAW	MI	48602	SLEEP LAB, HOME HEALTH
4 - HOUGHTON CAMPUS
1000 HOUGHTON AVE	SAGINAW	MI	48602	LABORATORY
5 - COVENANT POB
800 COOPER AVE	SAGINAW	MI	48602	PHYSICIAN OFFICE
6 - MED EXPRESS BAY CITYBAY PRIMARY CARE
2997 WILDER RD	BAY CITY	MI	48706	URGENT CARE/PHYSICIAN OFFICE
7 - SBIM SAG TWP FAMILY PRACTICE & COVENAN
3875 BAY ROAD 25	SAGINAW	MI	48602	PHYSICIAN OFFICE
8 - IRVING CAMPUS
600 IRVING AVE	SAGINAW	MI	48602	PM&R, OCC HEALTH, EMPLOYEE WELLNESS
9 - COVT BREAST IMAGINGMED EXPRESS PRIMARY
600 N MAIN ST	FRANKENMUTH	MI	48734	URGENT CARE, IMAGING, PMR, PHYSICIAN OFFICE
10 - GRATIOT FAMILY PRACTICE
1910 PINE AVE	ALMA	MI	48801	PHYSICIAN OFFICE
11 - MED EXPRESSBREAST IMAGING
5570 STATE STREET	SAGINAW	MI	48602	URGENT CARE
12 - ORTHOPAEDICS - GRATIOT
5483 GRATIOT	SAGINAW	MI	48638	PHYSICIAN OFFICE
13 - HEMLOCK FAMILY MEDICINEMED EXPRESS PM&R
16440 GRATIOT RD	HEMLOCK	MI	48626	URGENT CARE/PHYSICIAN OFFICE
14 - PHOENIX FAMILY PRACTICE
2429 TRAUTNER DR	SAGINAW	MI	48604	PHYSICIAN OFFICE
15 - SAGINAW VALLEY PRIMARY CAREMED EXPRESS
2970 PIERCE RD	SAGINAW	MI	48604	PHY OFFICE/PRIMARY CARE/URGENT CARE
16 - DR PRICELAB
8767 GRATIOT RD	SAGINAW	MI	48609	PHYSICIAN OFFICE/LAB
17 - COVENANT CARDIOLOGY
4884 BERL DR	SAGINAW	MI	48604	PHYSICIAN OFFICE
18 - SILVERWOOD FAMILY MEDICINE
3037 SILVERWOOD DR	SAGINAW	MI	48602	PHYSICIAN OFFICE
19 - BIRCH RUN PRIMARY CARE
8470 MAIN ST	BIRCH RUN	MI	48415	PHYSICIAN OFFICE
20 - COVENANT NEUROLOGY
4701 TOWNE CENTRE RD STE 301	SAGINAW	MI	48604	PHYSICIAN OFFICE
21 - DR CASTILLO & LAB
6614 DIXIE HWY	BRIDGEPORT TOWNSHIP	MI	48722	PHYSICIAN OFFICE
22 - FREELAND PRIMARY CARE & LAB
7362 MIDLAND RD	FREELAND	MI	48623	PHYSICIAN OFFICE/LAB
23 - COLONY
125 N COLONY	SAGINAW	MI	48638	PRIMARY CARE
24 - VNA DME
6190 HOSPITAL ROAD	CASS CITY	MI	48726	VNA DME
25 - SAGINAW FAMILY PHYSICIANS
835 MIDLAND RD	SAGINAW	MI	48638	PRIMARY CARE
26 - REESE FAMILY MEDICINE
12675 E WASHINGTON RD	REESE	MI	48757	PRIMARY CARE
27 - DR NATOLE
4107 TOWNE CTR STE 301	SAGINAW	MI	48604	PHYSICIAN OFFICE
28 - DR JOHNSON
1430 N CENTER RD	SAGINAW	MI	48602	PHYSICIAN OFFICE
29 - COVENANT OCC HEALTH
1549 WASHINGTON ST	MIDLAND	MI	48640	OCC HEALTH
30 - DR AMANDA SCHAEFER-JOHNSON
3085 HALLMARK ROAD	SAGINAW	MI	48603	NEURO
31 - CARDIO
2750 MAIN STREET	MARLETTE	MI	48453	CARDIO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE BEST AVAILABLE INFORMATION WAS USED TO CALCULATE THE COST IN LINE 7. COST IS BASED ON THE COST TO CHARGE RATIO. MEDICAID COST ON ROW B, CALCULATED USING RATIO OF COST TO CHARGE FROM WORKSHEET 3.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE WAS SUBTRACTED FROM THE TOTAL EXPENSE TO OBTAIN THE PERCENTAGE OF THE COMMUNITY BENEFIT TO TOTAL EXPENSES AMOUNTED TO $17,025,367.THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE AND CURRENT MARKET CONDITIONS. THE RESULTS OF THESE REVIEWS ARE USED TO MAKE ANY MODIFICATIONS TO THE METHODOLOGY FOR ESTIMATING THE PROVISION FOR BAD DEBTS AND ESTABLISHING THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, COVENANT HEALTHCARE FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES.
PART III, LINE 2:	METHODOLOGY USED IN DETERMINING BAD DEBT: THIS FIGURE IS A RESULT OF THE SHIFT FROM BAD DEBT TO FINANCIAL ASSISTANCE DUE TO PRESUMPTIVE CHARITY & THE IMPLEMENTATION OF SELF-PAY DISCOUNTING. ANOTHER CONTRIBUTING FACTOR IS THE EXPANSION OF MEDICAID, THEREFORE DECREASING THE NUMBER OF SELF-PAY ACCOUNTS.
PART III, LINE 4:	THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE AND CURRENT MARKET CONDITIONS. THE RESULTS OF THESE REVIEWS ARE USED TO MAKE ANY MODIFICATIONS TO THE METHODOLOGY FOR ESTIMATING THE PROVISION FOR BAD DEBTS AND ESTABLISHING THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, COVENANT HEALTHCARE FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES. (FOOTNOTE 2, PAGE 10).
PART III, LINE 8:	THE HOSPITAL REPORTED MEDICARE ALLOWABLE COST, AS REPORTED ON THE MEDICARE COST REPORT, ON WORKSHEET H, PART III, SECTION B, LINE 6. THE METHODOLOGY REMOVES NON-ALLOWABLE COST PER MEDICARE RULES AND OFFSETS OTHER OPERATING REVENUE AGAINST COST. PROFESSIONAL PART B COST IS ALSO REMOVED. THE COST OF SUPPORT DEPARTMENTS IS ALLOCATED TO REVENUE PRODUCING DEPARTMENTS USING THE STEP-DOWN METHODOLOGY.
PART III, LINE 9B:	IF AN INDIVIDUAL QUALIFIES FOR FINANCIAL ASSISTANCE THEY WILL NOT BE SENT TO THE COLLECTION AGENCY, PROVIDED THEY IN GOOD FAITH SET UP A WAY TO RESOLVE THEIR BILLS. ONCE SOMEONE IS SENT TO THE COLLECTION AGENCY THEY ARE ALL TREATED THE SAME. TO QUOTE OUR POLICY - 'COVENANT MANAGEMENT HAS POLICIES AND PROCEDURES FOR COLLECTION PRACTICES, THESE INCLUDE ACTIONS THE HOSPITAL MAY TAKE IF THE PATIENT DOES NOT PAY. THESE COLLECTION ACTIONS INCLUDE POTENTIAL REPORTING TO CREDIT AGENCIES. THESE POLICIES TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THEIR GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FINANCIAL ASSISTANCE FROM COVENANT, AND THEIR EFFORTS TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH COVENANT. FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED HOSPITAL BILLS, COVENANT MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT SEND UNPAID BILL TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS'.
PART VI, LINE 2:	COVENANT HEALTHCARE WITH THE SAGINAW COUNTY HEALTH DEPARTMENT, SAGINAW SCHOOLS AND OTHER KEY PLAYERS TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN. DATA FROM NUMEROUS SOURCES ARE UTILIZED TO PROVIDE THE STATISTICAL FOUNDATION FOR THE PLAN. THE METHOD USED TO DEVELOP THE PLAN FOLLOWS THE NATIONAL MODEL KNOWN AS MAPP - MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS. THIS MODEL WAS DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO). THE FOUR MAPP ASSESSMENTS INCLUDED COMMUNITY THEMES AND STRENGTHS, LOCAL PUBLIC HEALTH SYSTEM, COMMUNITY HEALTH ASSESSMENT, AND FORCES OF CHANGE.
PART VI, LINE 3:	COVENANT HEALTHCARE COMMUNICATES OUR CHARITY CARE AND FINANCIAL ASSISTANCE POLICY VIA THE COVENANT WEBSITE, A LETTER TO THE GUARANTOR IF BENEFIT ELIGIBILITY IS NOT ESTABLISHED, OR IN PERSON IF GUARANTOR INDICATES FINANCIAL NEED. LITERATURE ON THIS POLICY IS ALSO AVAILABLE AT REGISTRATION AREAS.
PART VI, LINE 4:	COVENANT HEALTHCARE IS LOCATED IN SAGINAW COUNTY AND CLOSE TO 70% OF INPATIENT DISCHARGES ARE FROM PATIENTS WITHIN THE COUNTY. HOWEVER, COVENANT DOES REACH OUT INTO THE SURROUNDING COUNTIES AND HAS RELATIONSHIPS WITH SEVERAL CRITICAL ACCESS HOSPITALS IN THE REGION. COVENANT CONSIDERS SIX COUNTIES (SAGINAW, BAY, MIDLAND, TUSCOLA, HURON, AND SANILAC) AS ITS PRIMARY MARKET. ANOTHER 14 COUNTIES IN THE REGION ARE CONSIDERED THE SECONDARY SERVICE AREA. COVENANT HEALTHCARE IS LOCATED IN CBSA 40980 SAGINAW-SAGINAW TOWNSHIP NORTH WITHIN SAGINAW COUNTY, MICHIGAN. AS OF THE 2020 CENSUS, SAGINAW COUNTY'S POPULATION WAS 191,166. THERE WERE 85,893 HOUSEHOLDS OUT OF WHICH 27.80% HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 43.51% WERE MARRIED COUPLES LIVING TOGETHER, 14.14% HAD A FEMALE HOUSEHOLDER WITH NO SPOUSE PRESENT, AND 37.61% WERE NON-FAMILIES. IN THE COUNTY THE POPULATION WAS SPREAD OUT WITH 21.47% UNDER THE AGE OF 18, 9.48% FROM 18 TO 24, 23.25% FROM 25 TO 44, 26.63% FROM 45 TO 64, AND 19.16% WHO WERE 65 YEARS OF AGE OR OLDER. THE MEDIAN AGE WAS 41 YEARS. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $49,565, AND THE MEDIAN INCOME FOR A FAMILY WAS $64,094. THE PER CAPITA INCOME FOR THE COUNTY WAS $28,628. ABOUT 12.1% OF FAMILIES AND 17.6% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 25.4% OF THOSE UNDER AGE 18 AND 8.2% OF THOSE AGE 65 OR OVER. THE JOBLESS RATE IN CALENDAR YEAR 2009 WAS 11.1% IN THE CITY OF SAGINAW, 6.5% IN SAGINAW COUNTY COMPARED TO 6.0% FOR THE STATE OF MICHIGAN AS A WHOLE.
PART VI, LINE 5:	COVENANT HEALTHCARE IS ACTIVELY INVOLVED IN COMMUNITY BUILDING INITIATIVES. LEADERSHIP FROM THROUGHOUT THE ORGANIZATION HOLD VOLUNTARY BOARD AND COMMITTEE POSITIONS IN COMMUNITY GROUPS AND ORGANIZATIONS FOCUSED ON IMPROVING THE QUALITY OF LIFE IN THE REGION, PARTICULARLY AROUND ISSUES OF COMMUNITY HEALTH. ADDITIONALLY, THE ORGANIZATION CONDUCTS COMMUNITY OUTREACH AND SCREENING ACTIVITIES IN THE VARIOUS COMMUNITIES IN OUR REGION TO IMPACT HEALTH IN SUCH WAYS AS EARLY DISEASE DETECTION TO TRAUMA PREVENTION. UNDER THE DIRECTION OF A VOLUNTEER COMMUNITY BOARD, COVENANT HEALTHCARE IS AN INTEGRAL PART OF THE COMMUNITIES IT SERVES. THE COVENANT VISION IS TO CONSISTENTLY DELIVER ON A PROMISE OF CARING AND A COMMITMENT TO SERVICE. GUIDED BY A SEPARATE VOLUNTEER BOARD, THE COVENANT HEALTHCARE FOUNDATION ASSISTS THE MEDICAL CENTER IN CARRYING OUT ITS SERVICE MISSION THROUGH THE ACQUISITION OF PHILANTHROPIC FUNDS TO SERVE AS A PRIME RESOURCE IN THE DELIVERY OF CARE TO THOSE COVENANT HEALTHCARE SERVES. THE ORGANIZATION USES ITS SURPLUS FUNDS TO CONDUCT COMMUNITY OUTREACH AND SCREENING ACTIVITIES IN THE VARIOUS COMMUNITIES IN OUR REGION TO IMPACT HEALTH IN SUCH WAYS AS EARLY DISEASE DETECTION TO TRAUMA PREVENTION.
PART VI, LINE 6:	COVENANT MEDICAL CENTER IS A PART OF THE COVENANT HEALTH SYSTEM (DOING BUSINESS AS COVENANT HEALTHCARE). COVENANT HEALTHCARE IS A NON-PROFIT HEALTH SYSTEM THAT OFFERS A BROAD SPECTRUM OF PROGRAMS AND SERVICES RANGING FROM HIGH RISK OBSTETRICS, NEONATAL AND PEDIATRIC INTENSIVE CARE, TO ACUTE CARE INCLUDING A LEVEL II ADULT AND PEDIATRIC TRAUMA CENTER, CARDIOLOGY, ONCOLOGY, ORTHOPEDICS, ROBOTIC SURGERY AND MANY OTHER SERVICES ON THE LEADING EDGE OF MEDICINE. ALL PROGRAMS AND SERVICES EXEMPLIFY THE COVENANT COMMITMENT TO PROVIDING EXTRAORDINARY CARE FOR EVERY GENERATION.AS A MEDICAL FACILITY WITH 643 ACUTE CARE LICENSED BEDS, AND A COMPLETE RANGE OF MEDICAL SERVICES, COVENANT HEALTHCARE STANDS READY TO MEET THE HEALTH CARE NEEDS OF EAST CENTRAL MICHIGAN. WITH MORE THAN 20 INPATIENT AND OUTPATIENT FACILITIES AND A TRAUMA/EMERGENCY DEPARTMENT THAT PROVIDES OVER 90,000 VISITS PER YEAR, COVENANT HEALTHCARE OFFERS CONVENIENCE AND EASY ACCESS TO HIGH QUALITY CARE THROUGHOUT THE REGION.
PART VI, LINE 7, REPORTS FILED WITH STATES	MI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BAKRI KAAKEH
PHYSICIAN	$1,772,837	$0	$281,701	$0	$0	$0	$0	$0	$23,340	$0	$2,077,878	$0	$0	$0
MARK ZAKI
PHYSICIAN	$1,056,670	$0	$553,272	$0	$0	$0	$0	$0	$8,977	$0	$1,618,919	$0	$0	$0
JAMES FUGAZZI
PHYSICIAN	$1,044,304	$0	$520,790	$0	$0	$0	$0	$0	$23,340	$0	$1,588,434	$0	$0	$0
GEORGE MALLIARAS
PHYSICIAN	$1,452,566	$0	$98,898	$0	$0	$0	$0	$0	$23,340	$0	$1,574,804	$0	$0	$0
BETHANY CHARLTON
PRESIDENT	$819,284	$0	$31,000	$0	$0	$0	$536,219	$0	$60,297	$0	$1,446,800	$0	$0	$0
FRANK SCHINCO
PHYSICIAN	$1,011,170	$0	$367,924	$0	$0	$0	$0	$0	$22,710	$0	$1,401,804	$0	$0	$0
KEVIN ALBOSTA
VICE PRESIDENT	$543,693	$0	$25,830	$0	$0	$0	$205,568	$0	$32,629	$0	$807,720	$0	$0	$0
KEVIN BIRCHMEIER
VICE PRESIDENT	$451,040	$0	$21,367	$0	$0	$0	$145,796	$0	$56,134	$0	$674,337	$0	$0	$0
DR MICHAEL SULLIVAN
VICE PRESIDENT	$413,834	$0	$0	$0	$88,516	$0	$0	$0	$26,279	$0	$528,629	$0	$0	$0
DR IRIS MARTEJA
VICE PRESIDENT	$404,376	$0	$0	$0	$97,848	$0	$0	$0	$18,804	$0	$521,028	$0	$0	$0
MICHAEL FIORE MD
BOARD MEMBER/PHYSICIAN	$404,285	$0	$6,769	$0	$30,466	$0	$0	$0	$26,491	$0	$468,011	$0	$0	$0
DAVID NALL
VICE PRESIDENT	$269,613	$0	$10,638	$0	$0	$0	$83,327	$0	$29,606	$0	$393,184	$0	$0	$0
FRANK FEAR
VICE PRESIDENT	$297,969	$0	$15,056	$0	$0	$0	$0	$0	$30,336	$0	$343,361	$0	$0	$0
PATRICE LANCZAK
VICE PRESIDENT	$287,062	$0	$15,000	$0	$0	$0	$0	$0	$9,735	$0	$311,797	$0	$0	$0
ADAM TOMPA
VICE PRESIDENT	$252,035	$0	$12,500	$0	$0	$0	$0	$0	$24,811	$0	$289,346	$0	$0	$0
JACKIE TINNIN
VICE PRESIDENT	$221,972	$0	$8,735	$0	$0	$0	$0	$0	$26,123	$0	$256,830	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	OFFICERS OF COVENANT MEDICAL CENTER GET HEALTH AND SOCIAL CLUB DUES PAID AND ARE INCLUDED AS TAXABLE INCOME.
PART I, LINES 4A-B	PART I LINE 4A: DR. IRIS MARTEJA HAD $97,848 & DR. MICHAEL SULLIVAN HAD $88,516 PAID OUT AS SEPARATION PAY FROM OCTOBER-DECEMBER OF 2023 BASED ON THE RESPECTIVE AGREEMENTS SIGNED OCTOBER 2023. THESE FIGURES WERE INCLUDED IN THEIR TOTAL COMPENSATION. PART I LINE 4B: THE ORGANIZATION MAINTAINS A NONQUALIFIED SUPPLEMENTAL EXECUTIVE PLAN (SERP) FOR CERTAIN OF ITS EXECUTIVES. THE SERP HAS BEEN ESTABLISHED FOR THESE EXECUTIVES BY THE ORGANIZATION, FOLLOWING APPROPRIATE BOARD LEVEL REVIEW IN A MANNER INTENDED TO COMPLY WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS PROVISION UNDER IRC SECTION 4958. SOME OF THE INDIVIDUALS LISTED IN PART VII RECEIVED A TAXABLE SERP PAYMENT IN FY24. ALL PAYMENTS WERE INCLUDED AS TAXABLE INCOME.
PART I, LINE 7	THE BONUSES PAID TO ANY OFFICER LISTED IN SCHEDULE J PART II CAN BE DETERMINED BASED ON WHETHER FOUR ORGANIZATION SUCCESS SHARING TARGETS ARE MET; PATIENT SATISFACTION SCORES, QUALITY METRICS, EMPLOYEE ENGAGEMENT SCORES AND FINANCIAL PERFORMACE BASED ON A CUSTOM OPERATING MARGIN.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
CITY OF SAGINAW HOSP FIN AUTH
A	386004647	2014-04-25	$31,505,000	RETIRE 4/7/2004 BONDS AND NEW CONS	0	0	0
CITY OF SAGINAW HOSP FIN AUTH
B	386004647	2020-04-02	$69,219,495	RETIRE 10/28/10 BOND & 2019 TERM LOAN	0	0	0	786744JFO

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$31,505,000	$31,506,478	$203,513	$10,476,465	$20,826,500	2014	Yes (1)	0	Yes (1)	Yes (1)
B	$4,295,000	$69,219,495	$648,787		$68,570,708	2020	Yes (1)	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	Yes (1)	Yes (1)	0	0	0	0	Yes (1)
B	0	Yes (1)	0	0	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: CITY OF SAGINAW HOSP FIN AUTH DATE THE REBATE COMPUTATION WAS PERFORMED: 04/24/2019
PART II LINE 3 - COLUMN A BOND 2014	$31,506,478 - INCLUDES SALE PROCEEDS OF $31,505,000 PLUS THE DEBT SERVICE RESERVE FUND EARNINGS OF $1,478.
PART II, LINE 3 - COLUMN A BOND 2010 H	$76,458,097 - INCLUDES SALE PROCEEDS OF $76,448,883 PLUS ESCROW ACCOUNT EARNINGS $9,214.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SPENCE BROTHERS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	ENTITY OWNED MORE THAN 35% BY BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$2,044,676	TransactionAmt
Transaction	CONSTRUCTION SERVICES	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE L, PART IV, COLUMN C	FormAndLineReferenceDesc
Explanation	FEES FOR ALL SERVICES ARE AT ARM'S LENGTH MARKET RATES AND ARE CONTRACTED IN ACCORDANCE WITH THE HOSPITAL'S CONFLICT OF INTEREST POLICY.	ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	EQUIP (SUPPORT ORG)	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$353,322	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	COVENANT HEALTHCARE SYSTEM IS THE SOLE CORPORATE MEMER OF COVENANT MEDICAL CENTER INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE CORPORATE MEMBER MAY ELECT ONE OR MORE PERSONS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	THE FOLLOWING ACTIONS MAY BE TAKEN BY THIS CORPORATION AND ITS BOARD OF DIRECTORS ONLY UPON PRIOR WRITTEN APPROVAL OF THE CORPORATE MEMBER: A. ADOPTION, AMENDMENT OR OTHER MODIFICATION OF THE BYLAWS OR ARTICLES OF INCORPORATION OF THIS CORPORATION. B. ANY MERGER, CONSOLIDATION, REORGANIZATION, OR OTHER CHANGE IN THE CORPORATE STRUCTURE OF THIS CORPORATION OR THE CREATION OF ANY CORPORATE SUBSIDIARY THEREOF. C. THE PARTICIPATION OF THE CORPORATION IN ANY PARTNERSHIP, LIMITED PARTNERSHIP, CORPORATION, ASSOCIATION OR OTHER FORM OF JOINT VENTURE OR SHARED SERVICE WITH ANY OTHER PARTY OR ORGANIZATION. D. CREATION, INCURRENCE OR ASSUMPTION OF INDEBTEDNESS, COMMITMENTS, OR ANY CONTRACTUAL OBLIGATIONS WITH RESPECT TO BORROWED MONEY, GUARANTEES, ENDORSEMENTS, LEASES OR OTHER TYPE OF DIRECT CONTINGENT LIABILITIES, IN EXCESS OF $50,000 FOR ANY ONE ITEM. E. CREATION, INCURRENCE OR ASSUMPTION OF ANY MORTGAGE, PLEDGE, SECURITY ENCUMBRANCE, OR OTHER LIEN OF ANY KIND IN ANY PROPERTY OF ASSETS OF THIS CORPORATION. F. ACQUISITION, BY PURCHASE, LEASE, OR ANY OTHER METHOD, OF ANY REAL ESTATE, CAPITAL IMPROVEMENTS, OR EQUIPMENT IN EXCESS OF A VALUE OF $50,000 FOR ANY ONE SUCH ITEM. G. ANY CONTRIBUTIONS OF ENDOWMENT PRINCIPAL. H. ANY CONTRIBUTIONS OR EARNED INCOME, EXCLUSIVE OF CONTRIBUTIONS, IN EXCESS OF FIVE (5%) PERCENT OF SUCH INCOME IN ANY FISCAL YEAR, TO ANY ORGANIZATION OR FOR ANY PURPOSE OTHER THAN COVENANT HEALTHCARE SYSTEM OR THE CORPORATE MEMBER. I. ANY CHANGE IN SERVICES OR PROGRAMS OF THE CORPORATION, INCLUDING THE TERMINATION OF EXISTING SERVICES, THE ADDITION OF NEW SERVICES, OR ANY MAJOR EXPANSION OR CONTRACTION OF EXISTING SERVICES OR PROGRAMS. J. ADOPTION, OR FORMAL AMENDMENT OR MODIFICATION OF THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION. K. ADOPTION, AMENDMENT, OR MODIFICATION OF THE MISSION AND GOALS OF THE CORPORATION, AND ITS LONG RANGE OR SHORT RANGE STRATEGIC PLANS.
FORM 990, PART VI, SECTION B, LINE 11B	MANAGEMENT PRESENTS AND REVIEWS THE 990 WITH THE BOARD FOR ITS APPROVAL PRIOR TO FILING. THE BOARD IS PROVIDED FINAL COPIES FOR REVIEW VIA THE INTERNET. ONCE APPROVED BY THE BOARD, THE FINAL 990 IS ULTIMATELY FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST DISCLOSURE STATEMENT TO ITS OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES. EACH PERSON COVERED BY THE POLICY IS REQUIRED TO SUBMIT AND AFFIRM IN WRITING TO THE CHAIRMAN OF THE BOARD AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT LISTING ALL FINANCIAL INTERESTS, FAMILY AND BUSINESS RELATIONSHIPS, AND POTENTIAL CONFLICTS OF INTEREST AND PROVIDE UPDATES TO THIS AS NECESSARY. IN ADDITION, SUCH PERSONS HAVE AN OBLIGATION TO DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE BOARD AND MEMBERS OF THE COMMITTEES WITH BOARD DELEGATED POWERS. POTENTIAL CONFLICTS THAT ARE IDENTIFIED ARE BROUGHT TO THE ATTENTION OF THE CHAIRMAN AND VICE CHAIRMAN OF THE BOARD. THE CHAIRMAN OF THE BOARD IS REQUIRED TO BE AWARE OF SUCH POTENTIAL CONFLICTS SO AS TO BE ABLE TO DETERMINE THE PROPER COURSE OF ACTION SHOULD A MATTER INVOLVING SUCH SITUATION ARISE THAT WOULD REQUIRE ACTION. AFTER DISCLOSURE OF A POTENTIAL CONFLICT TO THE BOARD OR COMMITTEE, SUCH PERSON IS EXCUSED AND ALL OTHER REMAINING BOARD OR COMMITTEE MEMBERS MAKE A DETERMINATION OF WHETHER A CONFLICT EXISTS. ANY PERSON WITH A POTENTIAL CONFLICT CAN MAKE A PRESENTATION TO THE BOARD OR COMMITTEE ON THE PROPOSED TRANSACTION, BUT MUST RECUSE HIMSELF FROM DELIBERATION AND VOTING ON THE PROPOSED TRANSACTION OR ARRANGEMENT. THE BOARD OR COMMITTEE SHALL EXPLORE WHETHER A MORE ADVANTAGEOUS TRANSACTION OR AGREEMENT WITH REASONABLE EFFORTS CAN BE ENTERED INTO WITH A PERSON OR ENTITY THAT DOES NOT HAVE A CONLIFCT OF INTEREST. IF NO REASONABLE ALTERNATIVE EXISTS, THE BOARD OR COMMITTEE SHALL DECIDE WHETHER SUCH TRANSACTION IS IN THE BEST INTERESTS OF THE ORGANIZATION AND IS FAIR AND REASONABLE BEFORE MAKING ITS DECISION ON WHETHER OR NOT TO ENTER INTO THE TRANSACTION. IF THE BOARD HAS REASONABLE CAUSE TO BELIEVE THAT AN OFFICER, DIRECTOR, KEY EMPLOYEE, OR TRUSTEE FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTERESTS, IT SHALL INFORM THE OFFICER, DIRECTOR, TRUSTEE OR KEY EMPLOYEE OF THE BASIS FOR SUCH BELIEF AND AFFORD SAID PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. CORRECTIVE ACTION WILL BE TAKEN IF IT IS DETERMINED THAT A CONLFICT THAT WAS NOT DISCLOSED DOES EXIST.
FORM 990, PART VI, SECTION B, LINE 15	EXECUTIVE SALARY RANGES ARE ESTABLISHED THROUGH IN DEPTH EXTERNAL MARKET STUDIES AND APPROVED BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS AND APPROVES COMPENSATION CHANGES FOR VICE PRESIDENTS, AS RECOMMENDED BY THE CEO. THE COMPENSATION COMMITTEE RECOMMENDS ANNUALLY TO THE BOARD OF DIRECTORS A PERFORMANCE RATING AND COMPENSATION CHANGES FOR THE CEO. THE BOARD OF DIRECTORS ACTS ON ALL RECOMMENDATIONS FROM THE COMPENSATION COMMITTEE. THIS PROCESS IS CONDUCTED ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS ORGANIZING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.
PART VI, LINE 16B:	THERE IS NO SEPARATE APPLICABLE WRITTEN POLICY, BUT COVENANT MANAGES ITS TAX-EXEMPT STATUS VERY CLOSELY. COVENANT MAINTAINS A STRICT COMPLIANCE TEAM THAT CAREFULLY MONITORS AND ASSESSES POTENTIAL JOINT VENTURE ARRANGEMENTS FOR ANY COMPLICATIONS OR ISSUES. ONCE APPROVED BY OUR COMPLIANCE TEAM THE PROPOSAL MUST THEN BE FORMALLY DISCUSSED AND APPROVED BY THE EXECUTIVE TEAM. ANY POTENTIAL ISSUES THAT MAY IMPACT THE TAX-EXEMPT STATUS ARE DISCUSSED AND IF THERE IS ANY MERIT TO THE CONCERN THEN COVENANT'S PARTICIPATION WOULD NOT BE APPROVED. FURTHERMORE, ANY SUCH PARTICIPATIONS WOULD THEN BE CHARGED TO THE BOARD OF DIRECTORS, WHO CHARGED WITH GOVERNANCE, WOULD ENSURE THAT COVENANT IS PROPERLY PROTECTED, AND ANY JOINT VENTURE WOULD NOT POSE ANY RISK TO COVENANT'S STATUS.
FORM 990, PART XI, LINE 9:	MINIMUM PENSION LIABILITY ADJUSTMENT -544,253. TRANSFER FROM AFFILATED ENTITY 454,519.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Direct Controlling NADirectControllingNACd	EINEIN
COVENANT MEDICAL OFFICE II LLC
1447 N HARRISON	SAGINAW	MI	48602	INACTIVE	MI	$0	$0	N/A
COVENANT MACKINAW OFFICE LLC
1447 N HARRISON	SAGINAW	MI	48602	INACTIVE	MI	$0	$0	N/A
J&F HOLDINGS
1447 N HARRISON	SAGINAW	MI	48602	INACTIVE	MI	$0	$0	N/A	382640101

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
COVENANT HEALTHCARE FOUNDATION
1447 N HARRISON	SAGINAW	MI	48602	382572154	SUPPORT	MI	501(C)(3)	7	COVENANT HEALTHCARE SYSTEM	Yes (1)
COVENANT HEALTHCARE SYSTEM
1447 N HARRISON	SAGINAW	MI	48602	383369443	HEALTHCARE	MI	501(C)(3)	11B-TYPE II		0	N/A
VISITING NURSE ASSOCIATION OF SAGINAW
500 S HAMILTON	SAGINAW	MI	48602	454929618	HOME CARE	MI	501(C)(3)	3	COVENANT HEALTHCARE SYSTEM	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MACKINAW SURGERY CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11221 ROE	AddressLine1Txt
City	LEAWOOD	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66211	ZIPCd

Field	Value	IRS element (for citing)
EIN	205257296	EIN
Primary Activities	RENTAL	PrimaryActivitiesTxt
Legal Domicile State	MI	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	COVENANT MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$637,596	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,660,510	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	Yes (1)	GeneralOrManagingPartnerInd
Ownership	0.55090	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
COVENANT DEVELOPMENT CORPORATION
1447 N HARRISON	SAGINAW	MI	48602	382640101	HEALTH SERVICES	MI	N/A	C	Yes (1)
COVENANT MEDICAL CENTER OFFICE CONDO ASSOCIATION
1447 N HARRISON	SAGINAW	MI	48602	371477767	CONDOMINIUM	MI		C	Yes (1)	COVENANT MEDICAL CENTER	$3,355	$385,705	0.98740
COVENANT HEALTHCARE MACKINAW FACILITY CONDO ASSOCIATION
1447 N HARRISON	SAGINAW	MI	48602	453327179	CONDOMINIUM	MI		C	Yes (1)	COVENANT MEDICAL CENTER	-$252,100	$458,344	0.75420
COVENANT SERVICES CORP
1447 N HARRISON	SAGINAW	MI	48602		HEALTHCARE	MI	N/A	C	Yes (1)
COVENANT MEDICAL CTR PROFESSIONAL OFFICE BUILDING CONDOMINIUM
1447 N HARRISON	SAGINAW	MI	48602	382909555	HEALTH SERVICES	MI		C	Yes (1)	COVENANT MEDICAL CENTER	$86	$102,926	0.67000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	Yes (1)	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COVENANT HEALTHCARE FOUNDATION
C	$353,222	FMV
COVENANT HEALTHCARE FOUNDATION
O	$227,715	FMV
COVENANT HEALTHCARE FOUNDATION
Q	$609,782	FMV