2017-02-15T16:16:40-05:00 2016-06-30 383133790 ANDREWS HOOPER PAVLIK PLC 5300 GRATIOT RD SAGINAW MI 486386035 990 2015-07-01 381870664 SAGINAW COOPERATIVE HOSPITALS INC DBA/CMU MEDICAL EDUCATION PARTNERS SAGI 9895836875 1000 HOUGHTON SUITE 800 SAGINAW MI 48602 JD MCBRAYER FINANCE DIRECTOR 9895836875 2017-02-15 true LAURA M EBEL P00184232 9894975300 2017-02-15 2015 2021-01-29 14:40:06Z MARY JO WAGNER MD 1000 HOUGHTON SUITE 800 SAGINAW MI 48602 32063168 false X CMUHEALTH.ORG X 1968 MI TO INTEGRATE MEDICAL EDUCATION, RESEARCH AND SERVICE PRIMARILY FOR THE TRAINING OF MEDICAL RESIDENTS AND OTHER MEDICAL RELATED PERSONNEL. 6 0 362 0 26459 47114 26070730 25166765 13995 13251 7487093 6835364 33598277 32062494 1000000 0 24571696 23950838 0 0 7074407 7325269 31646103 32276107 1952174 -213613 9376580 8899022 2542969 2286112 6833611 6612910 TO INTEGRATE MEDICAL EDUCATION, RESEARCH AND SERVICE PRIMARILY FOR THE TRAINING OF MEDICAL RESIDENTS AND OTHER MEDICAL RELATED PERSONNEL. false false 30481538 1000000 25166765 MEDICAL EDUCATION - TO PROVIDE MEDICAL STUDENTS WITH A DIVERSE LEARNING EXPERIENCE IN THE MEDICAL FIELD AND PROVIDE FURTHER EDUCATION AND TRAINING. 30481538 true false false false false false false false false false true false false true true false true false false false false false false false false false false true false true false false false false false false false false false false false false false true true true false false true 54 0 true 362 true false false false false false false false false false false X 6 0 false false false false true true true true true false false true true true true true true true false false X JD MCBRAYER 9895836875 1000 HOUGHTON SUITE 800 SAGINAW MI 48602 X X ELIZABETH ADERHOLDT SECRETARY 4.00 36.00 X X 0 0 0 EDWARD BRUFF VICE CHAIRMA 4.00 36.00 X X 0 0 0 MICHAEL SCHULTZ MD TRUSTEE 1.00 40.00 X 0 0 0 MICHAEL GEALT PHD TRUSTEE 1.00 40.00 X 0 0 0 RAGHU SARVEPALLI MD TRUSTEE 1.00 40.00 X 0 0 0 GEORGE KIKANO MD CHAIR 4.00 36.00 X X 0 0 0 BARRIE WILKES TREASURER 1.00 40.00 X 0 0 0 TERRANCE LERASH PRIOR EXEC D 40.00 X 237622 0 4747 MARY JO WAGNER MD INTERIM EXEC 40.00 X 177733 0 8799 SAMUEL SHAHEEN PHYSICIAN 40.00 X 649203 0 13847 WAEL SOLH PHYSICIAN 40.00 X 623771 0 12129 MAHER GHANEM PHYSICIAN 40.00 X 437409 0 13848 VASANTH STALIN PHYSICIAN 40.00 X 368946 0 13847 TIMOTHY HACKETT PHYSICIAN 40.00 X 347557 0 13313 2842241 80530 42 false true false JACKSON & COKER LOCUMS PO BOX 277638 ATLANTA GA 30384 MEDICAL SERV 300274 KCG HEALTHCARE PO BOX 585 LAMBERTVILLE MI 48144 RECRUITING SERV 128000 ELSEVIER PO BOX 7247-8455 PHILADELPHIA PA 191708455 JOURNALS 116500 DR SUHASINI GUDIPATI 1015 WASHINGTON AVE SAGINAW MI 48601 IM SERVICES 111675 ROMANOW BUILDING SERVICES 3093 ENTERPRISE DR SAGINAW MI 48603 JANITORIAL 110762 6 47114 47114 MEMBERSHIP DUES & ASSESSMENTS 611710 15492619 15492619 PATIENT SERVICES 621400 9674146 9674146 25166765 13925 13925 674 -674 -674 -674 CONTRACTED SERVICES 900099 6554238 6554238 MISCELLANEOUS SERVICES 900099 281126 281126 6835364 32062494 32002129 13251 1000000 1000000 509434 509434 20326518 19668673 657845 2137632 2068450 69182 977254 922963 54291 57279 55425 1854 32911 32911 2280349 1933225 347124 74821 74821 729987 705040 24947 677247 639306 37941 24051 19770 4281 680727 671903 8824 258827 244327 14500 689829 689829 EDUCATION SUPPLIES & SERV 528254 514198 14056 GRANT PROJECT EXPENSES 470511 470511 BAD DEBTS 354937 354937 RECRUITING 284431 284431 181108 163729 17379 32276107 30481538 1794569 0 4696245 3432850 144116 153875 1700735 1990022 779515 755624 5302061 3878352 925198 1423709 612076 624247 518695 518695 9376580 8899022 1930389 2027304 72744 9959 539836 248849 2542969 2286112 X 6814326 6593625 19285 19285 6833611 6612910 9376580 8899022 -213613 -7088 X false true X true false X X X 3 COVENANT HEALTHCARE COVENANT HEALTHCARE 383369443 3 true 0 0 ST MARY'S MEDICAL CENTER ST MARY'S MEDICAL CENTER 380997730 3 true 0 0 CENTRAL HEALTH ADVANCEMENT SOLUTIONS CENTRAL HEALTH ADVANCEMENT SOLUTIONS 453862232 5 true 0 0 3 0 true false false false false false false false false false false false false false false true false SUPPLEMENTAL INFORMATION PART I - LINE 11H CMU MEDICAL EDUCATION PARTNERS SUPPORTS THE LISTED ORGANIZATIONS THROUGH SERVICES PROVIDED TO THEM. 5302061 3878352 1423709 1423709 MEDICAL EDUCATION FUNDING RECEIVABLE 518695 518695 EST PROF LIAB UNDER SELF-INSURANCE 163892 PAYABLE TO CMU 84957 248849 32656012 -7088 600606 593518 32062494 32062494 32876713 600606 600606 32276107 32276107 true CENTRAL MICHIGAN UNIVERSITY 1200 S FRANKLIN ST MT PLEASANT MI 48859 386004447 501C3 1000000 FMV MEDICAL EDUCATION 1 X X X X X false false false false false false false false false TERRANCE LERASH PRIOR EXEC DIRECTOR 213622 24000 4747 242369 MARY JO WAGNER MD INTERIM EXECDIRECTOR 166725 11008 7175 1624 186532 SAMUEL SHAHEEN PHYSICIAN 613203 36000 10600 3247 663050 WAEL SOLH PHYSICIAN 587771 36000 10600 1529 635900 MAHER GHANEM PHYSICIAN 401409 36000 10600 3248 451257 VASANTH STALIN PHYSICIAN 347562 21384 10600 3247 382793 TIMOTHY HACKETT PHYSICIAN 329557 18000 10600 2713 360870 FORM 990 ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 6 THE CORPORATION IS ORGANIZED ON A NONSTOCK MEMBERSHIP BASIS. FORM 990, PAGE 6, PART VI, LINE 7A BASED ON THE BY-LAWS, THE BOARD MEMBERS CONSIST OF SIX INDIVIDUALS: PRESIDENT AND CEO OF COVENANT, A PHYSICIAN APPOINTED BY COVENANT, PRESIDENT AND CEO OF ST. MARY'S, A PHYSICIAN APPOINTED BY ST. MARY'S, DEAN OF COLLEGE OF MEDICINE OF CENTRAL MICHIGAN UNIVERSITY AND A CMU EMPLOYEE APPOINTED BY THE DEAN OF THE COLLEGE OF MEDICINE. IN ADDITION, THE EXECUTIVE DIRECTOR, DIRECTOR OF FINANCE AND DIRECTOR OF MEDICAL EDUCATION ARE INVITED TO ATTEND THE MEETINGS AS A NON-VOTING MEMBER. FORM 990, PAGE 6, PART VI, LINE 7B THE FOLLOWING RIGHTS AND RESPONSIBILITIES ARE RESERVED TO THE MEMBERS: A. TO APPROVE THE STATEMENT OF PHILOSOPHY AND MISSION OF THE CORPORATION, B. TO APPROVE THE ADOPTION OF ANY STRATEGIC PLAN OF THE CORPORATION OR ANY MAJOR CHANGE IN THE PROGRAMS OR SERVICES OF THE CORPORATION, C. TO SELECT A QUALIFIED AUDIT FIRM FOR THE CORPORATION, D. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS AND EXPENDITURES OF THE CORPORATION, E. TO APPROVE ANY INDEBTEDNESS OF THE CORPORATION, F. TO APPROVE THE ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, G. TO APPROVE ANY AMENDMENT OF THE ARTICLES OF INCORPORATION OF THE CORPORATION, H. TO APPROVE ANY AMENDMENT OF THE BYLAWS OF THE CORPORATION, I. TO APPROVE THE MERGER, CONSOLIDATION, DISSOLUTION, SALE OR OTHER TRANSFER OF SUBSTANTIALLY ALL ASSETS OF THE CORPORATION, AND J. TO APPROVE THE PURCHASE, SALE, TRANSFER OR OTHER ENCUMBRANCE OF ASSETS OF THE CORPORATION. FORM 990, PAGE 6, PART VI, LINE 11B THE BOARD OF DIRECTORS REVIEWS AND PROVIDES FINAL APPROVAL OF THE FORM 990. FORM 990, PAGE 6, PART VI, LINE 12C ALL MEMBERS OF THE BOARD ARE REQUIRED TO COMPLETE AND SIGN THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. THE FORM IS THEN REVIEWED FOR ANY POSSIBLE CONFLICTS OF INTEREST. FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION FOR THE EXECUTIVE DIRECTOR IS DETERMINED BY A COMPENSATION COMMITTEE COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS. DATA FROM THE MGMA AND VARIOUS OTHER NATIONAL SALARY SURVEYS ARE USED TO DETERMINE THE SALARY OF THE EXECUTIVE DIRECTOR, WHICH IS THEN TAKEN TO THE ENTIRE MEMBERSHIP OF THE BOARD OF DIRECTORS FOR APPROVAL. FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII NO TRUSTEES OR OFFICERS RECEIVE PAY FOR THE PURPOSE OF SERVING ON THE BOARD. THEY ARE CONSIDERED TO WORK 1 HOUR PER WEEK ON BOARD-RELATED MATTERS. ALL INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY EITHER THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A FULL-TIME POSITION. THOSE PERSONS ARE ESTIMATED TO WORK AN AVERAGE OF 40 HOURS PER WEEK RELATED TO THEIR FULL-TIME POSITION. WE WERE UNABLE TO PRESENT THE COMPENSATION PAID BY ALL RELATED ORGANIZATIONS DUE TO THE FACT THE COMPENSATION INFORMATION WAS NOT PROVIDED REASONABLE EFFORTS WERE TAKEN TO OBTAIN THE COMPENSATION INFORMATION FROM ST. MARY'S MEDICAL CENTER, COVENANT HEALTHCARE, AND CENTRAL MICHIGAN UNIVERSITY BUT THESE EFFORTS WERE UNSUCCESSFUL. AS PREVIOUSLY DISCLOSED, THE COMPENSATION PAID BY THESE RELATED ORGANIZATIONS ARE BEING PAID TO THE INDIVIDUALS FOR SERVICES PROVIDED TO THE RELATED ORGANIZATIONS AS EMPLOYEES OF THESE ORGANIZATIONS. NO COMPENSATION IS BEING PAID TO THESE INDIVIDUALS FOR SERVICES PROVIDED TO THE ORGANIZATION AS BOARD MEMBERS. COVENANT HEALTHCARE 1447 NORTH HARRISON SAGINAW MI 48602 383369443 HOSPITAL MI 501C3 3 N/A false ST MARY'S MEDICAL CENTER 800 S WASHINGTON AVE SAGINAW MI 48601 380997730 HOSPITAL MI 501C3 3 N/A false CMU WARRINER HALL MT PLEASANT MI 48859 386004447 EDUCATION MI 501C3 2 N/A false CENTRAL HEALTH ADVANCEMENT SOLUTION WARRINER HALL MT PLEASANT MI 48859 453862232 EDUCATION MI 501C3 5 N/A true false true false false false false false false false false false false false false true true true false false CENTRAL MICHIGAN UNIVERSITY B 1000000 COST CENTRAL MICHIGAN UNIVERSITY P 1410389 CONTRACT SALARY & BENEFIT CENTRAL MICHIGAN UNIVERSITY Q 2000560 CONTRACT COVENANT HEALTHCARE Q 1351821 COST ST MARY'S MEDICAL CENTER Q 723343 COST