2022-11-14T17:37:13-06:00 2021-12-31 363990892 Capin Crouse LLP 345 Massachusetts Avenue Suite 300 Indianapolis IN 46204 990 2021-01-01 383533998 Covenant Community Care Inc COVE 3135540485 559 W Grand Blvd Detroit MI 48216 Anna Chavez Chief Financial Officer 3135540485 2022-11-14 1 Anna Chavez 999009999 Sara Tibbott P01486965 5055022746 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z Joslyn Pettway 559 W Grand Blvd Detroit MI 48216 16959429 0 X www.covenantcommunitycare.org X 2000 MI The mission of Covenant Community Care is to show and share the love of God, as seen in the good news of Jesus Christ, by providing integrated, affordable, and quality health care to those who need it most. 11 11 205 50 0 0 8256606 8259666 7289395 8679038 -345667 17176 3989 -2569 15204323 16953311 32681 53252 0 0 9862537 10372108 0 0 166944 4499899 3619513 14395117 14044873 809206 2908438 7173381 9897914 987959 804054 6185422 9093860 X The mission of Covenant Community Care is to show and share the love of God, as seen in the good news of Jesus Christ, by providing integrated, affordable, and quality health care to those who need it most. 0 0 7413839 13500 6036130 In 2021, Covenant served 17,309 patients through 57,011 visits across our six sites. Covenant's mission states care and concern for "those who need it most" in our communities. This includes the poor, the uninsured, and the marginalized. It also includes our neighbors and people in our region who are seeking compassionate healthcare providers. Many patients schedule appointments because of a word-of-mouth referral from a friend or family member. Our patient population can present challenges that make medical compliance and follow-up, attainment of health goals, and accessing services difficult. Social determinants of health play a major role in the lives of our patients including job situations, home environments, food access, and other factors. We continue to (1) look for ways to sustain and build new partnerships with mental health agencies and other social service organizations, and (2) sustain and develop programs to help us improve how we carry out our mission. In 2021, Covenant's Centering Pregnancy (CP) Team helped expecting mothers deliver healthy babies and provide them with the tools they need to continue to be great parents. The CP model replaces traditional one-on-one prenatal visits with group visits and brings 12-18 women who are due at the same time together for care and support. Following prenatal check-ups, Covenant's team leads group sessions with topics such as signs and symptoms of pregnancy, back pain, relaxation & self-care, post-partum depression, domestic violence, labor, birth control, breast feeding, pediatric care, and diet. 2499027 1999690 Covenant Community Care offers oral health services at two clinical sites and through a mobile, school-based dental team. According to Covenant's Chief Dental Officer Dr. Lynn Quinn, Covenant clinics provide the same level of quality as private practice dentist offices. This approach to quality remains the same regardless of a patient's ability to pay for services. For example, Dr. Quinn estimates that Covenant clinics are some of the only clinics in Detroit that are focused on preserving teeth despite the cost. Oftentimes, low-income Detroiters who do not have access to a community health center are not given options to save their teeth due to cost and must simply accept extractions indicated by the fact that over 25% of the Covenant's target population is dealing with six or more extractions. Covenant Michigan and Covenant Moross offer a full array of oral health services with state-of-the-art equipment including dental exams, x-rays, cleanings, fillings, sealants, root canals, extractions, crowns, fluoride treatments, scaling and root planning, dentures & partial dentures, and some orthodontics work. In 2021, the school-based team was awarded a contract with Detroit Public Schools Community District to provide services. 763436 643218 Covenant Community Care's behavioral health counselors provide care to Covenant patients, including substance use services. Our primary medical and behavioral health care services are provided through an integrated delivery model. All medical providers receive training to ensure that they can effectively identify and successfully refer patients who need behavioral health consultations. The integration of behavioral health screenings into every patient encounter at Covenant improves service delivery and outcomes in several ways. By proactively screening our patients, we identify behavioral health needs earlier in their progression, allowing for early intervention by our Behavioral Health Counselor. We also believe that by making behavioral health screening a routine practice, it helps to remove the stigma often associated with receiving behavioral health services. Covenant opened the doors of its Recovery Center in 2017. The Center is an outpatient substance use treatment clinic housed inside our Michigan Ave. Health Center. It offers a safe and loving space for outpatient substance use services including addiction medicine, medication assisted treatment, individual counseling, weekly therapy groups, support groups and case management. 265749 39752 Our Homeless Outreach team provides care to about 50 people per week where they are located (under highway overpasses, in broken down trailers, in abandoned buildings, and in hidden urban encampments). The goal is to meet and treat people on the street, build relationships, eventually get them into our clinics to see Covenant providers to establish a primary care relationship, and simultaneously work with partners to address more acute needs.Covenant has a partnership with ride-sharing company Lyft to provide transportation assistance for patients to and from our clinics. Patients are informed of this service while scheduling their appointments and, if needed, arrangements are made at that time. All services are provided on a bilingual basis, in English and Spanish. Covenant has bilingual staff members at each of our sites and provides translation services to support patient/provider/staff interactions. All forms, patient satisfaction surveys, educational materials, signage, waiting room reading material, and other administrative materials are produced in Spanish and English. 265749 39752 10942051 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 20 0 1 205 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X Anna Chavez 3135540485 559 W Grand Blvd Detroit MI 48216 Dorlester Sharp Chairman of the Board 4.00 X X 0 0 0 Julia Smith Vice Chairman 4.00 X X 0 0 0 Mark Lubienski Treasurer 4.00 X X 0 0 0 Turkessa Baldridge Secretary (part year) 4.00 X X 0 0 0 Graciela Villalobos Director 2.00 X 0 0 0 Mitzi Cardona Director 2.00 X 0 0 0 Samuel Spruill Director 2.00 X 0 0 0 Semmeal Thomas Director 2.00 X 0 0 0 Dr William Krieg Director 2.00 X 0 0 0 Prince Williams Director 2.00 X 0 0 0 Ester Gallegos Director 2.00 X 0 0 0 Nancyann Turner Director 2.00 X 0 0 0 Mary Jane Lubinski Director (part year) 2.00 X 0 0 0 Joslyn Pettway Chief Executive Officer 40.00 X 177490 0 13043 Anna Chavez Chief Financial Officer 40.00 X 106596 0 16886 Dr Marisa Abbo Medical Director 40.00 X 179941 0 13668 Dr Scott Stryd Chief Medical Officer 40.00 X 183224 0 18321 Dr Kai Palm Medical Director 40.00 X 165916 0 17658 Dr Jeffrey Ghioto Medical Director 40.00 X 166930 0 15468 Dr Lynn Quinn Chief Dental Officer 40.00 X 166733 0 1571 1146830 0 96615 20 0 1 0 Henry Schein DEPT CH 10560 Palatine IL 60055 Medical, Dental & PVP Supplies 406947 Athenahealth Inc 311 Arsenal St Watertown MA 02472 EMR Services 306699 BPI Information Systems 23399 Commerce Dr Suite B-7 Farmington Hills MI 48335 Contracted IT Support 192156 Prosthetic Specialties Dental Laboratory 30691 Utica Road Roseville MI 48066 Dental Lab Fees 107195 Entech Medical Staffing PO Box 776419 Chicago IL 60677 Temporary Staffing Services 100175 5 8098 7696793 554775 129666 8259666 Patients Fees 621400 8494037 8494037 Consulting Fees 621400 185001 185001 8679038 17176 17176 3549 0 3549 3549 3549 0 8098 6118 -6118 -6118 16953311 8679038 0 14607 13500 13500 39752 39752 315848 315848 8491944 6839960 1528405 123579 941408 723305 200075 18028 622908 462974 148395 11539 14738 11950 2788 43545 43545 101157 47745 47078 6334 293939 184878 106676 2385 631087 379505 246686 4896 924541 724879 199662 152313 136256 16057 92334 15617 76717 Patient Treatment 1361730 1361730 Other events 4129 3946 183 14044873 10942051 2935878 166944 204235 346706 4058052 6231859 858309 1521188 875972 457835 18159 21568 5837650 4518892 1158654 1318758 7173381 9897914 816010 711998 171949 92056 987959 804054 X 4343388 7538985 1842034 1554875 6185422 9093860 7173381 9897914 2908438 0 X 0 1 X 1 1 1 X 6492608 5089173 5717532 8256606 8259666 33815585 7820302 8359902 7938844 7289395 8679038 40087481 14312910 13449075 13656376 15546001 16938704 73903066 8425 4427 5504 869 1735 20960 0 8425 4427 5504 869 1735 20960 73882106 24247 33962 34031 19285 20725 132250 24247 33962 34031 19285 20725 132250 6000 3180 9180 14343157 13486217 13690407 15565286 16959429 74044496 0.99780 0.99650 0.00180 0.00190 X Schedule A, Part III: The organization is a public charity under section 509(a)(2) and completes Schedule A (Form 990), Part III. The organization has analyzed Schedule A (Form 990), Part II and established that it meets the 33 1/3% public support requirements under sections 509(a)(1) and 170(b)(1)(A)(vi), thus it qualifies to use the first listed special rule for Schedule B (Form 990) reporting. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 276000 276000 2976557 2604721 371836 1174173 1057759 116414 862466 856412 6054 548454 548454 1318758 16959429 6118 6118 16953311 0 16953311 14050991 6118 6118 14044873 0 14044873 Part XI, Line 2d - Other Adjustments: Fundraising Event Expenses 6,118. Part XII, Line 2d - Other Adjustments: Fundraising Event Expenses 6,118. 1 Helping Operations for People Empowerment 6125 Beechwood Detroit MI 48210 205208686 501(c)(3) 13500 0 COVID-19 Vaccine Outreach 1 0 Transportation 813 27000 Medical Testing 7 8925 Interpretation Services 82 2238 Supplies 100 1589 Cost Supplies Part I, Line 2: Covenant provided a community-based vaccination grant award to help reach and administer COVID-19 vaccines to vulnerable populations by emphasizing available resources and helping patients overcome barriers that they may be facing. Covenant monitored the use of the funds by collaborating with the sub grantee (HOPE) to submit progress reports to the primary grantor (MPCA). Covenant provides on-demand transportation assistance to Covenant patients while remaining financially responsible. Covenant has a policy in place to ensure that patients utilize Lyft or other modes of transport within the covered zip codes and within the limitations of the service. Covenant also provides medical testing assistance to any uninsured patient who is referred by a Covenant medical provider and interpreting services by patient request. Supplies are stored at our administrative office and then distributed to clients experiencing homelessness who are served by Covenant's Outreach Team. The items are essential to basic health and are distributed based on individual need, which is assessed through conversations with the client. Supplies are distributed on the street and at local community organizations. X X 0 0 0 0 0 0 0 1 0 Dr Scott Stryd Chief Medical Officer 179739 0 3485 0 0 0 0 0 19557 0 202781 0 0 0 Dr Marisa Abbo Medical Director 176831 0 3110 0 0 0 0 0 14904 0 194845 0 0 0 Joslyn Pettway Chief Executive Officer 161853 0 15500 0 137 0 0 0 13786 0 191276 0 0 0 Dr Kai Palm Medical Director 162477 0 3230 0 209 0 0 0 18717 0 184633 0 0 0 Dr Jeffrey Ghioto Medical Director 163552 0 2960 0 418 0 0 0 16547 0 183477 0 0 0 Dr Lynn Quinn Chief Dental Officer 161978 0 4755 0 0 0 0 0 2787 0 169520 0 0 0 Part I, Line 7 The board approved nonfixed payments in the form of discretionary bonuses. X 85 129666 Purchase Price 0 0 1 0 Part I, Column (b): The number of contributions represent the number of contributions received, not the number of items donated. Form 990, Part VI, Section A, line 1a The Executive Committee is composed of the Chairman of the Board, Vice-Chairman, Secretary, Treasurer and up to two other members of the Board who shall be appointed by the Board of Directors from time to time. The committee is authorized to review and give preliminary consideration for the purpose of making recommendations to the Board. In addition, the Executive Committee is empowered to take any action the Board of Directors authorizes or directs it to take on behalf of the Corporation. Form 990, Part VI, Section B, line 11b Form 990 is prepared by an independent CPA firm and reviewed in detail by the Chief Financial Officer. The reviewed Form 990 is then provided to the board of directors prior to filing with the IRS. Form 990, Part VI, Section B, line 12c The organization requires all officers and board members to sign annual conflict of interest statements. The Compliance Officer is responsible for reviewing the signed statements and ensuring that interested persons are in compliance with the conflict of interest policy. If an issue were to arise during the course of the board meeting, the board member with a conflict would excuse himself or herself from the decision making process and the board would vote on whether or not the transaction is in the best interest of the organization. Form 990, Part VI, Section B, line 15 Line 15a - Compensation of the Chief Executive Officer is reviewed and approved by the Treasurer and Board Chair. The organization uses the MPCA salary survey for comparability data every year. This process is documented by memo. Line 15b - The Chief Executive Officer determines compensation rates for all other officers. The MPCA salary survey is used for comparability data. The approved compensation is documented by memo and retained with the organization's payroll and HR files. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy and financial statements are available upon request.