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COVENANT MEDICAL CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COVENANT MEDICAL CENTER INC (EIN 38-3369438)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201421349349307532
Schema version
2012v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-14T17:07:59-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line141 S HIGH ST 1100 HUNTINGTON CTRAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN383369438EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Covenant Medical Center IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MARK E GRONDAInCareOfName
Name ControlCOVENameControl
Phone9895836006Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11447 N HarrisonAddressLine1
Address Line2SuiteAddressLine2
CitySaginawCity
StateMIState
ZIP Code48602ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK E GRONDAName
TitleVICE PRESIDENT/CFOTitle
Date Signed2014-05-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone6142327414Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1COVENANT HEALTHCAREBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonSPENCER MAIDLOWNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11447 N HARRISONAddressLine1
CitySAGINAWCity
StateMIState
ZIP Code48602ZIPCode
FieldValueIRS element (for citing)
Gross Receipts513248493GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.covenanthealthcare.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE DIVERSE MEDICAL CARE TO MEET THE HEALTH CARE NEEDS OF THE 14 COUNTIES IN EAST CENTRAL MICHIGAN WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees4715TotalNbrEmployees
Total Nbr Volunteers385TotalNbrVolunteers
Total Gross UBI153170TotalGrossUBI
Net Unrelated Business Txbl Income104762NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5873350ContributionsGrantsPriorYear
Contributions Grants Current Year2937916ContributionsGrantsCurrentYear
Program Service Revenue Prior Year490471893ProgramServiceRevenuePriorYear
Program Service Revenue CY483843245ProgramServiceRevenueCY
Investment Income Prior Year9284228InvestmentIncomePriorYear
Investment Income Current Year18379563InvestmentIncomeCurrentYear
Other Revenue Prior Year7487821OtherRevenuePriorYear
Other Revenue Current Year7836405OtherRevenueCurrentYear
Total Revenue Prior Year513117292TotalRevenuePriorYear
Total Revenue Current Year512997129TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year269442456SalariesEtcPriorYear
Salaries Etc Current Year266122545SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year218812864OtherExpensePriorYear
Other Expenses Current Year215302133OtherExpensesCurrentYear
Total Expenses Prior Year488255320TotalExpensesPriorYear
Total Expenses Current Year481424678TotalExpensesCurrentYear
Revenues Less Expenses Prior Year24861972RevenuesLessExpensesPriorYear
Revenues Less Expenses CY31572451RevenuesLessExpensesCY
Total Assets BOY529758145TotalAssetsBOY
Total Assets EOY555736306TotalAssetsEOY
Total Liabilities BOY327903598TotalLiabilitiesBOY
Total Liabilities EOY292035317TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY201854547NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY263700989NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE DIVERSE MEDICAL CARE TO MEET THE HEALTH CARE NEEDS OF THE 14 COUNTIES IN EAST CENTRAL MICHIGAN WE SERVE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense461981356Expense
Revenue483843245Revenue
DescriptionONE 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 2013: 6,966 WOMEN'S AND CHILDREN'S CASES, 8,132 CARDIOLOGY CASES, 3,879 GENERAL MEDICAL CASES, 2,599 ORTHOPEDIC CARE CASES, AND 2,511 PULMONARY CASES.Description
Total Program Service Expense461981356TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096254NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees4715NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARK E GRONDANamePerson
Telephone Number9895832769TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11447 N HARRISONAddressLine1
CitySAGINAWCity
StateMIState
ZIP Code48602ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
JOHN SHELTON
BOARD MEMBER4.00.0X1612
CULLI DAMUTH
BOARD MEMBER4.00.0X121700
SPENCER MAIDLOW
PRESIDENT/CEO50.08.0X1973535045833X
Gene Pickelman
Board Member4.00.0X
LAWRENCE SIMS
VICE CHAIRMAN4.00.0XX
GREGORY LUBBEN
TREASURER4.00.0X1612X
MORRISON STEVENS SR
BOARD MEMBER4.00.0X
GARY RUMMEL
BOARD MEMBER4.00.0X
TERRY NEIDERSTADT
CHAIRMAN4.00.0X1677X
MORTON WELDY
SECRETARY4.00.0X1638X
SUSAN STEMLER
BOARD MEMBER4.00.0X1612
JOHN JOHNSON MD
BOARD MEMBER4.00.0X1612
DAVID MEYER
BOARD MEMBER4.00.0X1612
DWIGHT MCNALLY
BOARD MEMBER4.00.0X
MARK GRONDA
VICE PRESIDENT/CFO50.08.05287410196818X
EDWARD BRUFF
VICE PRESIDENT50.04.06383220312890X
CAROL STOLL
VICE PRESIDENT50.04.03300100119983X
DR JOHN KOSANOVICH
VICE PRESIDENT50.04.05154550272770X
DANIEL GEORGE
VICE PRESIDENT50.04.0528331061024X
TIM WENZEL
VICE PRESIDENT50.04.07288480175841X
Stacy Goldsholl
VP/CMG50.00.0611864013048X
DR Anthony DeBari
PHYSICIAN50.00.083648000X
DR Umesh Badami
PHYSICIAN50.00.081233200X
DR Scott Martin
PHYSICIAN50.00.071617200X
Firas Alani
Physician50.00.070634000X
Manoj Sharma
Physician50.00.069755000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org9636572TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1198207TotalOtherCompensation
Number Individuals GT100 K255NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EPIC SYSTEMS CORP
PO BOX 88314MILWAUKEEWI53288IT MTC SUPPORT3213984
REHABCARE GROUP
PO BOX 502096ST LOUISMO631502096REHAB SERVICES2396865
EXECUTIVE HEALTH RESOURCES
PO BOX 822688PHILADELPHIAPA19182CONSULTING SERVICES1680487
OWENS MINOR
12199 COLLECTION CENTER DRIVECHICAGOIL60693EQUIPMENT SERVICE1505956
DICKINSON WRIGHT PLC
4800 FASHION SQ BLVDSAGINAWMI48604LEGAL SERVICES1092602
FieldValueIRS element (for citing)
Number Of Contractors GT100 K105NumberOfContractorsGT100K
Fundraising Events0FundraisingEvents
Related Organizations305135RelatedOrganizations
Government Grants2632781GovernmentGrants
Noncash Contributions305135NoncashContributions
Total Contributions2937916TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
PATIENT SERVICE REVENUE6219904751949384751949380$0
JOINT VENTURE OPERATIONS621990635034263503420$0
EDUCATIONAL REVENUE6117109709819709810$0
LAB BILLINGS62150013269841194286132698$0
FieldValueIRS element (for citing)
Total Program Service Revenue483843245TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5202405TotalRevenueColumn
Exclusion$5,202,405ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2461560Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2461560Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2461560TotalRevenueColumn
Exclusion$2,461,560ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities12986248Securities
Other60454Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other251364Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities12986248Securities
Other-190910Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column13177158TotalRevenueColumn
Exclusion$13,177,158ExclusionAmount
FieldValueIRS element (for citing)
Fundraising Direct Expenses0FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
CAFETERIA SALES7222112238891020472$2,218,419
MISCELLANEOUS REVENUE921110313595400$3,135,954
FieldValueIRS element (for citing)
Total Other Revenue5374845TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column512997129TotalRevenueColumn
Related Or Exempt Function Income483710547RelatedOrExemptFunctionIncome
Unrelated Business Revenue153170UnrelatedBusinessRevenue
Exclusion$26,195,496ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total7982204Total
Program Services7982204ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total476983Total
Program Services476983ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total202099762Total
Program Services192991701ProgramServices
Management And General9108061ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total13031302Total
Program Services13031302ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total28995577Total
Program Services28964276ProgramServices
Management And General31301ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13536717Total
Program Services12999730ProgramServices
Management And General536987ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1646134Total
Program Services713ProgramServices
Management And General1645421ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total249725Total
Program Services2559ProgramServices
Management And General247166ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total81667Total
Program Services0ProgramServices
Management And General81667ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total637478Total
Program Services0ProgramServices
Management And General637478ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total38895635Total
Program Services34215512ProgramServices
Management And General4680123ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2702465Total
Program Services2614085ProgramServices
Management And General88380ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6619463Total
Program Services6619463ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7819522Total
Program Services7819522ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total14227003Total
Program Services14166542ProgramServices
Management And General60461ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total184245Total
Program Services180044ProgramServices
Management And General4201ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total698983Total
Program Services53589ProgramServices
Management And General645394ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total4671569Total
Program Services4671569ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total28734965Total
Program Services28734965ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total6015924Total
Program Services6013788ProgramServices
Management And General2136ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES9348602593437583484420
DUES191060910950268155830
COLLECTION EXPENSES1711251171125100
SUPPLIER DISTRIBUTION FEES1435046143504600

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3574424Total
Program Services2763903ProgramServices
Management And General810521ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total481424678Total
Program Services461981356ProgramServices
Management And General19443322ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11996573BOY
EOY23249803EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY14201872BOY
EOY19045871EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY51064258BOY
EOY45677689EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY167094BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY11433538BOY
EOY12387573EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY34857467BOY
EOY32165816EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis565312183LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec398304711LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY172276910BOY
EOY167007472EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY163264782BOY
EOY197432699EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY60600341BOY
EOY48754086EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9895310BOY
EOY10015297EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY529758145BOY
EOY555736306EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY56804616BOY
EOY60092209EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY110235232BOY
EOY104630836EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY160863750BOY
EOY127312272EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY327903598BOY
EOY292035317EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY201854547BOY
EOY263700989EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY201854547BOY
EOY263700989EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY529758145BOY
EOY555736306EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses31572451ReconcilationRevenueExpenses
Reconcilation Other Changes30273991ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Media Advertisements$0MediaAdvertisementsAmount
Mailings MembersfalseMailingsMembers
Mailings Members$0MailingsMembersAmount
Publications Or BroadcastfalsePublicationsOrBroadcast
Publications Or Broadcast$0PublicationsOrBroadcastAmount
Grants Other OrganizationsfalseGrantsOtherOrganizations
Grants Other Organizations$0GrantsOtherOrganizationsAmount
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$81,667DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Rallies Demonstrations$0RalliesDemonstrationsAmount
Other ActivitiesfalseOtherActivities
Other Activities$0OtherActivitiesAmount
Total Lobbying Expenditures IIB81667TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSCH C PART II-BIdentifier
Return ReferenceLOBBYING ACTIVITYReturnReference
ExplanationKHEDER DAVIS WAS ENGAGED IN LOBBYING ACTIVITIES ON BEHALF OF COVENANT MEDICAL CENTER DURING FISCAL YEAR ENDED JUNE 30, 2013.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7451993OtherCostOrOtherBasis
Book Value7451993BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis203101610OtherCostOrOtherBasis
Depreciation155405611Depreciation
Book Value47695999BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6874473OtherCostOrOtherBasis
Depreciation5984755Depreciation
Book Value889718BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis347884107OtherCostOrOtherBasis
Depreciation236914345Depreciation
Book Value110969762BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings167007472TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
LIMITED PARTNERSHIPS17124833F
HEDGE FUNDS31629253F
FieldValueIRS element (for citing)
Total Of Book Value Securities48754086TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
POST RETIREMENT BENEFITS$31,409,778
ACCRUED PENSION$64,695,969
OTHER LONG TERM LIABILITIES$31,206,525
FieldValueIRS element (for citing)
Total Of Amounts127312272TotalOfAmounts

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpenditures
Central America and the CaribbeanProgram ServicesSELF INSURANCE367454
Central America and the CaribbeanInvestmentsINVESTMENTS28571111
FieldValueIRS element (for citing)
Subtotal Amount Spent28938565SubtotalAmountSpent
Total Amount Spent28938565TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served22413PersonsServed
Total Community Benefit Expense2980512TotalCommunityBenefitExpense
Direct Offsetting Revenue71020DirectOffsettingRevenue
Net Community Benefit Expense2909492NetCommunityBenefitExpense
Percent Of Total Expense0.00600PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served32238PersonsServed
Total Community Benefit Expense84336964TotalCommunityBenefitExpense
Direct Offsetting Revenue76023962DirectOffsettingRevenue
Net Community Benefit Expense8313002NetCommunityBenefitExpense
Percent Of Total Expense0.01730PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served54651PersonsServed
Total Community Benefit Expense87317476TotalCommunityBenefitExpense
Direct Offsetting Revenue76094982DirectOffsettingRevenue
Net Community Benefit Expense11222494NetCommunityBenefitExpense
Percent Of Total Expense0.02330PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs4863NumberOfActivitiesOrPrograms
Persons Served54472PersonsServed
Total Community Benefit Expense1490009TotalCommunityBenefitExpense
Net Community Benefit Expense1490009NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served40013PersonsServed
Total Community Benefit Expense9903463TotalCommunityBenefitExpense
Direct Offsetting Revenue4549977DirectOffsettingRevenue
Net Community Benefit Expense5353486NetCommunityBenefitExpense
Percent Of Total Expense0.01110PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs36NumberOfActivitiesOrPrograms
Persons Served480PersonsServed
Total Community Benefit Expense11075TotalCommunityBenefitExpense
Net Community Benefit Expense11075NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs4904NumberOfActivitiesOrPrograms
Persons Served94965PersonsServed
Total Community Benefit Expense11404547TotalCommunityBenefitExpense
Direct Offsetting Revenue4549977DirectOffsettingRevenue
Net Community Benefit Expense6854570NetCommunityBenefitExpense
Percent Of Total Expense0.01420PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs4906NumberOfActivitiesOrPrograms
Persons Served149616PersonsServed
Total Community Benefit Expense98722023TotalCommunityBenefitExpense
Direct Offsetting Revenue80644959DirectOffsettingRevenue
Net Community Benefit Expense18077064NetCommunityBenefitExpense
Percent Of Total Expense0.03750PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$10,896,508BadDebtExpenseAmount
Amount Attributable To5454360AmountAttributableTo
Amount Reimbursed By Medicare188941329AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare187240643CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1700686MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
COV HLTH CRE PRTNRS
HEALTH CARE0.500000.50000
MACKINAW SURGERY
SURGERY CENTER0.497500.50250
COV HLCR MACKINAW FC
RENTAL0.820000.18000
COV POB LLC
RENTAL0.375000.50000
FieldValueIRS element (for citing)
Number Of Hospital Facilities4NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (4 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeWebsite AddressWebsiteAddressLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursOtherOther
COVENANT MEDICAL CENTER INC (COOPER)
1700 COOPERSAGINAWMI48602WWW.COVENANTHEALTHCARE.COMXXXX
COVENANT MEDICAL CENTER INC (HARRISON
21447 N HARRISONSAGINAWMI48602WWW.COVENANTHEALTHCARE.COMXXXX
COVENANT MEDICAL CENTER INC (REHAB)
3515 N MICHIGAN AVESAGINAWMI48602WWW.COVENANTHEALTHCARE.COMXXREHABILITATION UNIT
COVENANT MEDICAL CENTER INC (MICHIGAN
4515 N MICHIGAN AVESAGINAWMI48602WWW.COVENANTHEALTHCARE.COMXXSKILLED NURSING UNIT

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (4 entries)

Hospital Facility NumberHospitalFacilityNumberCHNA ConductedCHNAConductedCommunity DefinitionCommunityDefinitionCommunity DemographicsCommunityDemographicsExisting ResourcesExistingResourcesHow Data ObtainedHowDataObtainedCommunity Health NeedsCommunityHealthNeedsOther Health IssuesOtherHealthIssuesIdentifying ProcessIdentifyingProcessConsulting ProcessConsultingProcessInformation GapsInformationGapsNeeds Assessment ConductedNeedsAssessmentConductedTake Into AccountTakeIntoAccountOther FacilitiesOtherFacilitiesOwn WebsiteOwnWebsiteOn RequestOnRequestAdopt Implement StrategyAdoptImplementStrategyExecute Implement StrategyExecuteImplementStrategyDevelop Community PlanDevelopCommunityPlanParticipate Community PlanParticipateCommunityPlanInclude Operational PlansIncludeOperationalPlansAdopt BudgetAdoptBudgetPrioritize Health NeedsPrioritizeHealthNeedsPrioritize ServicesPrioritizeServicesAll Needs AddressedAllNeedsAddressedOrganization Incur Excise TaxOrganizationIncurExciseTaxEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteProvided On AdmissionProvidedOnAdmissionActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
COVENANT MEDICAL CENTER INC (COOPER)
1trueXXXXXXXXX10truetrueXXXXXXXXXXtruefalsetruetrue200.true300.trueXXXtruetrueXXtruefalseXXXXtrueXfalsefalse
COVENANT MEDICAL CENTER INC (HARRISON
2trueXXXXXXXXX10truetrueXXXXXXXXXXtruefalsetruetrue200.true300.trueXXXtruetrueXXtruefalseXXXXtrueXfalsefalse
COVENANT MEDICAL CENTER INC (REHAB)
3trueXXXXXXXXX10truetrueXXXXXXXXXXtruefalsetruetrue200.true300.trueXXXtruetrueXXtruefalseXXXXtrueXfalsefalse
COVENANT MEDICAL CENTER INC (MICHIGAN
4trueXXXXXXXXX10truetrueXXXXXXXXXXtruefalsetruetrue200.true300.trueXXXtruetrueXXtruefalseXXXXtrueXfalsefalse

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities28NumberOfOtherFacilities

Other Facilities OtherFacilities (28 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
IRVING CAMPUS
600 IRVING AVESAGINAWMI48602PM&R, OCC HEALTH, EMPLOYEE WELLNESS
HOUGHTON CAMPUS
1000 HOUGHTON AVESAGINAWMI48602LABORATORY
DR CASTILLO
6614 DIXIE HWYBRIDEGEPORT TOWNSHIPMI48722PHYSICIAN OFFICE
MED EXPRESS BAY CITYBAY PRIMARY CARE
2997 WILDER RDBAY CITYMI48706URGENT CARE/PHYSICIAN OFFICE
MED EXPRESSBREAST IMAGING
5570 STATE STREETSAGINAWMI48602URGENT CARE
COVENANT POB
800 COOPER AVESAGINAWMI48602PHYSICIAN OFFICE
COVENANT BREAST IMAGINGMED EXPRESSPRIM
600 N MAIN STFRANKENMUTHMI48734URGENT CARE, IMAGING & PMR & /PHYSICIAN OFFICE
DR EASTONLAB
8767 GRATIOT RDSAGINAWMI48609PHYSICIAN OFFICE/LAB
VNA
500 S HAMILTON STSAGINAWMI48602HOME CARE
HEMLOCK FAMILY MEDICINEMED EXPRESS
16440 GRATIOT RDHEMLOCKMI48626URGENT CARE/PHYSICIAN OFFICE
VASSAR PRIMARY CARE
201 W HURON AVEVASSARMI48768PHYSICIAN OFFICE
FREELAND PRIMARY CARE
7362 MIDLAND RDFREELANDMI48623PHYSICIAN OFFICE/LAB
SIBM
3875 BAY ROAD 2SSAGINAWMI48602PHYSICIAN OFFICE
VNA CARTWRIGHT CENTER
3443 HOSPITAL RDSAGINAWMI48602HOME HEALTH
SAGINAW TWP FAMILY PRACTICE
3875 BAY RDSAGINAWMI48602PHYSICIAN OFFICE
SILVERWOOD FAMILY MEDICINE
3037 SILVERWOOD DRSAGINAWMI48602PHYSICIAN OFFICE
COVENANT PHYSIATRY
3350 SHATTUCK RDSAGINAWMI48602PHYSICIAN OFFICE
MACKINAW CAMPUS
5400 MACKINAW RDSAGINAWMI48602HEALTHCARE OFFICE
ECC
900 COOPER AVESAGINAWMI48602ER-24 HRS
DR JOHNSON
1430 N CENTER RDSAGINAWMI48602PHYSICIAN OFFICE
GRATIOT FAMILY PRACTICE
1910 PINE AVEALMAMI48801PHYSICIAN OFFICE
COVENANT OCC HEALTH
1549 WASHINGTON STMIDLANDMI48640OCC HEALTH
CENTER FOR THE HEART
4884 BERL DRSAGINAWMI48604PHYSICIAN OFFICE
WEST BRANCH PRIMARY CARE
335 E HOUGHTON AVEWEST BRANCHMI48661PHYSICIAN OFFICE
BIRCH RUN PRIMARY CARE
8470 MAIN STBIRCH RUNMI48415PHYSICIAN OFFICE
SAGINAW VALLEY PRIMARY CAREMED EXPRESS
2970 PIERCE RDSAGINAWMI48604PHY OFFICE/PRIMARY CARE/ URGENT CARE
DR DE BEAUBIEN
4701 TOWNE CENTRE RDSAGINAWMI48604PHYSICIAN OFFICE
SEBEWAING PRIMARY CARE
616 UNIONVILLE RDSEBEWAINGMI48759PHYSICIAN OFFICE

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE H, PART I, LINE 7THE 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.
SCHEDULE H, PART III, LINE 4FOOTNOTE TO AUDITED FINANCIAL STATEMENTS OF DEBT DEBT EXPENSETHE 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).
SCHEDULE H, PART III, LINE 8THE 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.
SCHEDULE H, PART III, LINE 9BAPPLICATION OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIALASSISTANCE IT IS NOT OUR POLICY TO PURSUE COLLECTION AGAINST PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. IN CERTAIN CASES, IT MAY NOT BE EASILY DETERMINED WHETHER OR NOT A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE; HOWEVER, IF AFTER COLLECTION PRACTICES HAVE BEGUN IT LATER BECOMES KNOWN THAT A PATIENT QUALIFIES, THE COLLECTION EFFORTS CEASE.
SCHEDULE H, PART V, LINE 3INPUT FROM COMMUNITY REPRESENTATIVESTHE CHNA DATA WAS GATHERED USING THE FOUR MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) ASSESSMENTS: COMMUNITY THEMES AND STRENGTHS, LOCAL PUBLIC HEALTH SYSTEM, COMMUNITY HEALTH STATUS, AND FORCES OF CHANGE. IN AN ATTEMPT TO ACQUIRE BROAD COMMUNITY INPUT REGARDING THE HEALTH CONCERNS OF SAGINAW COUNTY RESIDENTS, INFORMATION WAS GATHERED AT VARIOUS PUBLIC MEETINGS THROUGHOUT THE COUNTY AND FROM AREA AGENCIES USING SURVEYS CONDUCTED.
SCHEDULE H, PART V, LINE 4CHNA HOSPITAL FACILITIESTHE HOSPITAL CONTRIBUTES AND PARTICIPATES IN THE SAGINAW COUNTY ROAD MAP TO HEALTH (CHNA) PARTICIPATING WITH SAGINAW COUNTY DEPARTMENT OF PUBLIC HEALTH, ST MARY'S OF MICHIGAN, HEALTH DELIVERY, INC, SAGINAW INTERMEDIATE SCHOOL DISTRICT, SAGINAW COUNTY COMMUNITY MENTAL HEALTH AUTHORITY, AND ALIGNMENT SAGINAW. SCHEDULE H, PART V, LINE 20D THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS THE NET OF STANDARD CHARGES LESS APPLICABLE FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI, LINE 2NEEDS ASSESSMENTCOVENANT HEALTHCARE IS A STEERING COMMITTEE MEMBER IN THE SAGINAW COUNTY HEALTH IMPROVEMENT PLAN IN 2009 WHICH COVERS 2010 THROUGH 2015. THE STEERING COMMITTEE AGENCIES ARE SAGINAW COUNTY DEPARTMENT OF PUBLIC HEALTH, COVENANT HEALTHCARE, ST MARY'S OF MICHIGAN, HEALTH DELIVERY INCORPORATED, SAGINAW INTERMEDIATE SCHOOL DISTRICT, SAGINAW COUNTY COMMUNITY MENTAL HEALTH AUTHORITY, AND ALIGNMENT SAGINAW. THE SAGINAW COUNTY DEPARTMENT OF PUBLIC HEALTH, IN PARTNERSHIP WITH THE PREVENTION RESEARCH CENTER OF MICHIGAN, CREATED AND CONDUCTED AN ELECTRONIC SURVEY TO ASSESS THE COUNTY'S LOCAL PUBLIC HEALTH SYSTEM. THE SURVEY FOCUSED ON THE LOCAL PUBLIC HEALTH SYSTEM DEFINED AS ALL ENTITIES THAT CONTRIBUTE TO THE DELIVERY OF PUBLIC HEALTH SERVICES WITHIN A COMMUNITY. THIS SYSTEM INCLUDES ALL PUBLIC, PRIVATE, AND VOLUNTARY ENTITIES, AS WELL AS INDIVIDUALS AND INFORMAL ASSOCIATIONS. THE SURVEY USED THE TEN (10) ESSENTIAL PUBLIC HEALTH SERVICES, DEVELOPED BY CDC AND NACCHO, AS THE FUNDAMENTAL FRAMEWORK FOR ASSESSING THE LOCAL PUBLIC HEALTH SYSTEM. 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 CENTER FOR DISEASE CONTROL (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.
SCHEDULE H, PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCECOVENANT 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.
SCHEDULE H, PART VI, LINE 4COMMUNITY INFORMATIONCOVENANT HEALTHCARE IS LOCATED IN SAGINAW COUNTY AND CLOSE TO 90% 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 IT'S PRIMARY MARKET. 14 COUNTIES IN THE REGION ARE CONSIDERED THE TOTAL SERVICE AREA. COVENANT HEALTHCARE IS LOCATED IN CBSA 40980 SAGINAW-SAGINAW TOWNSHIP NORTH WITHIN SAGINAW COUNTY, MICHIGAN. AS OF THE 2010 CENSUS, SAGINAW COUNTY'S POPULATION WAS 200,169. THERE WERE 80,430 HOUSEHOLDS OUT OF WHICH 32.70% HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 50.20% WERE MARRIED COUPLES LIVING TOGETHER, 15.40% HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT, AND 30.60% WERE NON-FAMILIES. IN THE COUNTY, THE POPULATION WAS SPREAD OUT WITH 26.60% UNDER THE AGE OF 18, 9.00% FROM 18 TO 24, 27.60% FROM 25 TO 44, 23.20% FROM 45 TO 64, AND 13.50% WHO WERE 65 YEARS OF AGE OR OLDER. THE MEDIAN AGE WAS 36 YEARS. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $38,637, AND THE MEDIAN INCOME FOR A FAMILY WAS $46,494. THE PER CAPITA INCOME FOR THE COUNTY WAS $19,438. ABOUT 11.00% OF FAMILIES AND 13.90% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 20.70% OF THOSE UNDER THE AGE 18 AND 9.50% OF THOSE AGE 65 OR OVER. THE JOBLESS RATE IN CALENDAR YEAR 2009 WAS 20.8% IN THE CITY OF SAGINAW, 12.5% IN SAGINAW COUNTY COMPARED TO 13.6% FOR THE STATE OF MICHIGAN AS A WHOLE.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTHCOVENANT HEALTHCARE IS ACTIVELY INVOLVED IN COMMUNITY BUILDING INITIATIVES. LEADERSHIP FROM THROUGHOUT THE ORGANIZATION HOLDS 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 TO EARLY DISEASE DETECTION TO TRAUMA PREVENTION. UNDER 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 SERVICES.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEMCOVENANT 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 623 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 85,000 VISITS PER YEAR, COVENANT HEALTHCARE OFFERS CONVENIENCE AND EASY ACCESS TO HIGH QUALITY CARE THROUGHOUT THE REGION. SCHEDULE H, PART VI, LINE 7, STATE FILING STATE FILING OF COMMUNITY BENEFIT REPORT MICHIGAN

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SPENCER MAIDLOW
PRESIDENT/CEO738616024711209878070328210130120201936804570910
MARK GRONDA
VICE PRESIDENT/CFO40095201277890001835260132920725559000
EDWARD BRUFF
VICE PRESIDENT470546014724602053002995980132920951212000
CAROL STOLL
VICE PRESIDENT245890078540055800113671063120449993000
DR JOHN KOSANOVICH
VICE PRESIDENT380650012410001070502595190132510788225000
DANIEL GEORGE
VICE PRESIDENT243064076316020895106102400058935501414320
TIM WENZEL
VICE PRESIDENT22393906739204375170162549013292090468901110040
DR Anthony DeBari
PHYSICIAN7361870979710232200000836480000
DR Umesh Badami
PHYSICIAN66738101426290232200000812332000
DR Scott Martin
PHYSICIAN5387520176880054000000716172000
Stacy Goldsholl
VP/CMG387464022440000000130480624912000
Firas Alani
Physician651633054167054000000706340000
Manoj Sharma
Physician59516101011470124200000697550000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Supplemental Compensation InformationSOCIAL CLUB AND HEALTH CLUB DUESSCHEDULE J, PART I, LINE 1A OFFICERS OF COVENANT MEDICAL CENTER GET HEALTH AND SOCIAL CLUB DUES PAID AND INCLUDED AS TAXABLE INCOME.
SUPPLEMENTAL EXECUTIVE RETIREMENT PLANSCHEDULE J, PART I, LINE 4BTHE ORGANIZATION MAINTAINS A NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT 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. SPENCER MAIDLOW - $21,371 MARK GRONDA - $172,076 EDWARD BRUFF - $288,148 CAROL STOLL - $102,221 JOHN KOSANOVICH - $249,344 DANIEL GEORGE - $52,124 TIM WENZEL - $151,099 THE FOLLOWING SERP AMOUNTS ARE CURRENTLY TAXABLE TO THE INDIVIDUALS LISTED AND HAVE BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B(III): SPENCER MAIDLOW - $951,340 DANIEL GEORGE - $208,951 TIM WENZEL - $437,517

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF SAGINAW HOSP FIN AUTH
A386004647786744GX42004-04-0739343085RETIRE 8/15/1991 BONDSfalsefalsefalse
CITY OF SAGINAW HOSP FIN AUTH
B386004647786744HJ42010-10-2876448883RETIRE 7/7/99 AND 7/12/00 BONDSfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A0039985810374395264054204947360003510484902004truefalsetruetrue
B00764580970004236260007603447102010truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers
A0
B0

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsRebate Not Due YetRebateNotDueYet
0
AtruefalsefalsetrueLEHMAN BROS SFI32.truefalsetrue
0
Bfalsefalsefalsefalse0falsetruetrue

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierINVESTMENT AMOUNTS INCLUDED IN PROCEEDSIdentifier
Return Reference0ReturnReference
ExplanationSCHEDULE K, PART II, LINE 3 COLUMN A BOND 2004G - $39,985,810 - INCLUDES SALE PROCEEDS OF $39,343,095 PLUS THE DEBT SERVICE RESERVE FUND EARNINGS OF $642,715. COLUMN B BOND 2010 H - $76,458,097 - INCLUDES SALE PROCEEDS OF $76,448,883 PLUS ESCROW ACCOUNT EARNINGS $9,214.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
DR JAMIE ROSS
FAMILY OF BOARD MEMBER323125REPORTABLE COMPENSATIONfalse
DR T DAMUTH
FAMILY OF BOARD MEMBER110240REPORTABLE COMPENSATIONfalse
MARY PICKELMAN
FAMILY OF BOARD MEMBER43618REPORTABLE COMPENSATIONfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSCH L PART IV, COL CIdentifier
Return ReferenceFEES FOR SERVICESReturnReference
ExplanationFEES FOR ALL SERVICES ARE AT ARM'S LENGTH MARKET RATES AND ARE CONTRACTED IN ACCORDANCE WITH THE HOSPITAL'S CONFLICT OF INTEREST POLICYExplanation

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionEQUIP. (SUPPORTING ORG)Description
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990305135NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSIdentifier
Return ReferenceForm 990, Part VI, Line 6ReturnReference
ExplanationCOVENANT HEALTHCARE SYSTEM IS THE SOLE CORPORATE MEMBER OF COVENANT MEDICAL CENTER COVENANT. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A THE CORPORATE MEMBER COVENANT HEALTHCARE SYSTEM MAY ELECT MEMBERS OF THE GOVERNING BODY. DESCRIPTION OF DECISIONS SUBJECT TO APPROVAL BY MEMBERS, STOCKHOLDERS OR OTHER PERSONS. FORM 990, PART VI, LINE 7B POWERS RESERVED BY THE SOLE MEMBER. THE FOLLOWING POWERS SHALL BE RESERVED FROM THE HOSPITAL, AND/OR SHALL REQUIRE THE AFFIRMATIVE ACTION OF THE SOLE MEMBER (ACTING THROUGH ITS BOARD OF DIRECTORS) IN ORDER TO BE EFFECTIVE: A. ALL MATTERS REQUIRING ACTION BY THE MEMBER OF A NONPROFIT CORPORATION UNDER THE LAWS OF THE STATE OF MICHIGAN; B. THE ELECTION OF THE BOARD OF DIRECTORS OF THE HOSPITAL; C. APPROVAL OF THE HOSPITAL BOARD'S SELECTION, OR VOTE TO TERMINATE THE PRESIDENT/CEO OF THE CORPORATION; D. APPROVAL OF THE INITIAL ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; E. APPROVAL OF THE AMENDMENT OF THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; F. APPROVAL OF THE STATEMENT OF MISSION, VISION, VALUES, ROLES AND GOALS OF THE HOSPITAL, TOGETHER WITH ANY AMENDMENTS THERETO; G. APPROVAL OF THE ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS AND FINANCIAL GUIDELINES OF THE HOSPITAL; H. APPROVAL OF UNBUDGETED CAPITAL EXPENDITURES BY THE HOSPITAL IN EXCESS OF AN ANNUAL AGGREGATE PERCENTAGE OF THE TOTAL CAPITAL EXPENDITURE BUDGET FOR THE HOSPITAL AS ESTABLISHED FROM TIME TO TIME BY RESOLUTION OF THE SOLE MEMBER; I. APPROVAL OF ALL SECURED BORROWINGS OF THE HOSPITAL, OTHER THAN BORROWINGS SECURED FROM THE SOLE MEMBER; J. APPROVAL OF ALL UNSECURED BORROWINGS OF THE HOSPITAL, OTHER THAN FROM THE SOLE MEMBER, IN AN AMOUNT IN EXCESS OF $750,000 OR IN EXCESS OF AN ANNUAL AGGREGATE PERCENTAGE OF THE TOTAL ASSETS OF THE HOSPITAL AS ESTABLISHED FROM TIME TO TIME BY RESOLUTION OF THE SOLE MEMBER; K. APPROVAL OF THE GUARANTEE BY THE HOSPITAL OF THE INDEBTEDNESS OF ANOTHER IN AN AMOUNT IN EXCESS OF A PERCENTAGE OF THE TOTAL ASSETS OF THE HOSPITAL AS ESTABLISHED FROM TIME TO TIME BY RESOLUTION OF THE SOLE MEMBER; L. APPROVAL OF THE SALE, ALIENATION, EXCHANGE, LEASE OR OTHER DISPOSITION OF ASSETS OF THE HOSPITAL IN AN UNBUDGETED AMOUNT IN EXCESS OF AN ANNUAL AGGREGATE PERCENTAGE OF THE TOTAL ASSETS OF THE HOSPITAL AS ESTABLISHED FROM TIME TO TIME BY RESOLUTION OF THE SOLE MEMBER; M. APPROVAL OF THE ESTABLISHMENT OF ANY SUBSIDIARIES OR AFFILIATES OF THE HOSPITAL; N. APPROVAL OF THE ADOPTION, REVOCATION OR ABANDONMENT OF ANY PLAN OF DISSOLUTION OF THE HOSPITAL, OR ANY SUBSIDIARY OR AFFILIATE OF THE HOSPITAL; O. APPROVAL OF THE ADOPTION, REVOCATION OR ABANDONMENT OF ANY PLAN OF MERGER, CONSOLIDATION, SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS AND/OR PROPERTY OF THE HOSPITAL OR ANY SUBSIDIARY OR AFFILIATE OF THE HOSPITAL, OR ANY OTHER PLAN OF MAJOR CORPORATE CHANGE ADOPTED BY THE HOSPITAL OR ANY SUBSIDIARY OR AFFILIATE OF THE HOSPITAL; AND P. APPROVAL OF THE SELECTION OF AUDITORS BY THE HOSPITAL. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, 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. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST DISCLOSURE STATEMENTS TO ITS OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES. EACH PERSON COVERED BY THE POLICY IS REQUIRED TO SUBMIT AND AFFIRM IN WRITING TO THE CHIEF EXECUTIVE OFFICER 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 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 CONFLICT 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 CONFLICT THAT WAS NOT DISCLOSED DOES EXIST. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, LINES 15A & 15B 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. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FIN STMTS GEN PUBLIC FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. REPORTABLE COMPENSATION FROM THE ORGANIZATION FORM 990, PART VII, SECTION A, COLUMN (D) A 1099-MISC WAS ISSUED BY COVENANT MEDICAL CENTER TO THE FOLLOWING MEMBERS OF THE BOARD OF DIRECTORS: JOHN SHELTON, CULLI DAMUTH, GREGORY LUBBEN, TERRY NIEDERSTADT, MORTON WELDY, SUSAN STEMLER, JOHN JOHNSON, AND DAVID MEYER. RECONCILIATION OF NET ASSETS FORM 990, PART XI, LINE 9 CHANGE IN UNREALIZED APPRECIATION IN FV OF INVESTMENTS - $5,308,901 PENSION OBLIGATION ADJUSTMENT - $25,413,765 TRANSFER TO VISITING NURSE ASSOCIATION - ($448,675) TOTAL - $30,273,991Explanation

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1EINEIN
COVENANT MEDICAL OFFICE II LLC
1447 N HARRISONSAGINAWMI48602INACTIVEMI00NA
COVENANT MACKINAW OFFICE LLC
1447 N HARRISONSAGINAWMI48602INACTIVEMI00NA
J&F HOLDINGS
1447 N HARRISONSAGINAWMI48602INACTIVEMI00NA382640101

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
COVENANT HEALTHCARE FOUNDATION
1447 N HARRISONSAGINAWMI48602382572154SUPPORTMI501(c)(3)11 TYPE IIICHStrue
VISITING NURSE SPECIAL SERVICES
502 S HAMILTONSAGINAWMI48602382762248NURSE VISITSMI501(c)(3)9CHStrue
COVENANT HEALTHCARE SYSTEM
1447 N HARRISONSAGINAWMI48602383369443HEALTHCAREMI501(c)(3)11 TYPE IINAfalse
VISITING NURSE ASSOCIATION OF SAGINAW
500 S HAMILTONSAGINAWMI48602454929618HOME CAREMI501(C)(3)3CHStrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
COVENANT DEVELOPMENT CORPORATION
1447 N HARRISONSAGINAWMI48602382640101HEALTH SERVICESMICHSC Corptrue
COVENANT MEDICAL CTR OFFICE CONDO ASSOCI
1447 N HARRISONSAGINAWMI48602371477767CONDOMINIUMMINAC Corptrue000.98740
COVENANT HLTH MACKINAW FACTY CONDO ASSOC
1447 N HARRISONSAGINAWMI48602453327179CONDOMINIUMMINAC Corptrue2362753362730.81480
COVENANT SERVICES CORP
1447 N HARRISONSAGINAWMI48602HEALTHCAREMICHSC Corptrue
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COVENANT HEALTHCARE FOUNDATION
C305135FMV
COVENANT HEALTHCARE FOUNDATION
O460944FMV
COVENANT HEALTHCARE FOUNDATION
Q985935FMV
VISITING NURSE ASSOCIATION
R448675FMV