COVENANT MEDICAL CENTER INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- COVENANT MEDICAL CENTER INC (EIN 38-3369438)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-13
- IRS object ID
- 201311339349302756
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-13T12:05:00-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 41 S HIGH ST 1100 HUNTINGTON CTR | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383369438 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Covenant Medical Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % MARK E GRONDA | InCareOfName |
| Name Control | COVE | NameControl |
| Phone | 9895836006 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1447 N Harrison | AddressLine1 |
| City | Saginaw | City |
| State | MI | State |
| ZIP Code | 48602 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Mark Gronda | Name |
| Title | VP/CFO | Title |
| Date Signed | 2013-04-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6142327414 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COVENANT HEALTHCARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SPENCER MAIDLOW | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1447 N HARRISON | AddressLine1 |
| City | SAGINAW | City |
| State | MI | State |
| ZIP Code | 48602 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 513117292 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.covenanthealthcare.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE DIVERSE MEDICAL CARE TO MEET THE HEALTH CARE NEEDS OF THE 15 COUNTIES IN EAST CENTRAL MICHIGAN WE SERVE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 4262 | TotalNbrEmployees |
| Total Nbr Volunteers | 450 | TotalNbrVolunteers |
| Total Gross UBI | 171289 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 105842 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 748877 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5873350 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 501219382 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 490471893 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 18257778 | InvestmentIncomePriorYear |
| Investment Income Current Year | 9284228 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 10393951 | OtherRevenuePriorYear |
| Other Revenue Current Year | 7487821 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 530619988 | TotalRevenuePriorYear |
| Total Revenue Current Year | 513117292 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 253706929 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 269442456 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 240915505 | OtherExpensePriorYear |
| Other Expenses Current Year | 218812864 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 494622434 | TotalExpensesPriorYear |
| Total Expenses Current Year | 488255320 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 35997554 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 24861972 | RevenuesLessExpensesCY |
| Total Assets BOY | 511872649 | TotalAssetsBOY |
| Total Assets EOY | 529758145 | TotalAssetsEOY |
| Total Liabilities BOY | 302032218 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 327903598 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 209840431 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 201854547 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE DIVERSE MEDICAL CARE TO MEET THE HEALTH CARE NEEDS OF THE 15 COUNTIES IN EAST CENTRAL MICHIGAN WE SERVE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 474071922 | Expense |
| Revenue | 490471893 | Revenue |
| Description | ONE OF THE LARGEST, MOST COMPREHENSIVE HEALTH CARE FACILITIES NORTH OF METRO DETROIT, COVENANT HEALTHCARE IS PREPARED TO RESPOND TO THE DIVERSE MEDICAL NEEDS OF OUR REGION. WE OFFER A BROAD SPECTRUM OF PROGRAMS AND SERVICES RANGING FROM OBSTETRICS, NEONATAL AND PEDIATRIC CARE, TO ACUTE CARE INCLUDING CARDIOLOGY, ONCOLOGY, SURGERY AND MANY OTHER SERVICES ON THE LEADING EDGE OF MEDICINE. ALL OF OUR PROGRAMS AND SERVICES EXEMPLIFY OUR COMMITMENT TO PROVIDING QUALITY, COMPASSIONATE CARE. AS A MEDICAL FACILITY WITH MORE THAN 600 BEDS AND A COMPLETE RANGE OF MEDICAL SERVICES, COVENANT HEALTHCARE STANDS READY TO MEET THE NEEDS OF THE 15 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 2012: 7,266 WOMEN'S AND CHILDREN'S CASES, 8,220 CARDIOLOGY CASES, 3,967 GENRAL MEDICAL CASES, 2,640 ORTHOPEDIC CARE CASES, AND 2,610 PULMONARY CASES. | Description |
| Total Program Service Expense | 474071922 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 154 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 4262 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARK E GRONDA | NamePerson |
| Telephone Number | 9895832769 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1447 N HARRISON | AddressLine1 |
| City | SAGINAW | City |
| State | MI | State |
| ZIP Code | 48602 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| LAWRENCE SIMS | |||||||
| VICE CHAIRMAN | 4.0 | X | 0 | 0 | 0 | ||
| GREGORY LUBBEN | |||||||
| TREASURER | 4.0 | X | 0 | 0 | 0 | X | |
| MORRISON STEVENS SR | |||||||
| BOARD MEMBER | 4.0 | X | 0 | 0 | 0 | ||
| GARY RUMMEL | |||||||
| BOARD MEMBER | 4.0 | X | 0 | 0 | 0 | ||
| TERRY NEIDERSTADT | |||||||
| CHAIRMAN | 4.0 | X | 0 | 0 | 0 | X | |
| MORTON WELDY | |||||||
| SECRETARY | 4.0 | X | 0 | 0 | 0 | X | |
| SUSAN STEMLER | |||||||
| BOARD MEMBER | 4.0 | X | 0 | 0 | 0 | ||
| JOHN JOHNSON MD | |||||||
| BOARD MEMBER | 4.0 | X | 0 | 0 | 0 | ||
| DAVID MEYER | |||||||
| BOARD MEMBER | 4.0 | X | 0 | 0 | 0 | ||
| DWIGHT MCNALLY | |||||||
| BOARD MEMBER | 4.0 | X | 0 | 0 | 0 | ||
| JOHN SHELTON | |||||||
| BOARD MEMBER | 4.0 | X | 0 | 0 | 0 | ||
| CULLI DAMUTH | |||||||
| BOARD MEMBER | 4.0 | X | 0 | 0 | 0 | ||
| Gene Pickelman | |||||||
| Board Member | 4.0 | X | 0 | 0 | 0 | ||
| SPENCER MAIDLOW | |||||||
| PRESIDENT/CEO | 50.0 | 2358911 | 0 | 255992 | X | ||
| MARK GRONDA | |||||||
| VICE PRESIDENT/CFO | 50.0 | 871574 | 0 | 108117 | X | ||
| EDWARD BRUFF | |||||||
| VICE PRESIDENT | 50.0 | 981516 | 0 | 167059 | X | ||
| CAROL STOLL | |||||||
| VICE PRESIDENT | 50.0 | 410229 | 0 | 74315 | X | ||
| DR JOHN KOSANOVICH | |||||||
| VICE PRESIDENT | 50.0 | 846400 | 0 | 135963 | X | ||
| DANIEL GEORGE | |||||||
| VICE PRESIDENT | 50.0 | 283408 | 0 | 55662 | X | ||
| TIM WENZEL | |||||||
| VICE PRESIDENT | 50.0 | 258872 | 0 | 150454 | X | ||
| DR Anthony DeBari | |||||||
| PHYSICIAN | 50.0 | 928559 | 0 | 0 | X | ||
| DR Umesh Badami | |||||||
| PHYSICIAN | 50.0 | 711338 | 0 | 0 | X | ||
| DR Brian DeBeaubien | |||||||
| PHYSICIAN | 50.0 | 693433 | 0 | 0 | X | ||
| DR Frank Schinco | |||||||
| PHYSICIAN | 50.0 | 662893 | 0 | 0 | X | ||
| DR Scott Martin | |||||||
| PHYSICIAN | 50.0 | 644083 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 9651216 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 947562 | TotalOtherCompensation |
| Number Individuals GT100 K | 235 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| EPIC Systems Corp | |||||
| PO Box 88314 | MILWAUKEE | WI | 53288 | IT MTC SUPPORT | 1662127 |
| Owens Minor | |||||
| 12199 Collection Center Drive | CHICAGO | IL | 60693 | EQUIPMENT SERVICE | 1132426 |
| Miller Canfield Paddock Stone | |||||
| PO Drawer 640348 | DETROIT | MI | 48264 | LEGAL SERVICES | 871391 |
| Executive Health Resources | |||||
| PO Box 822688 | PHILADELPHIA | PA | 19182 | CONSULTING SERVICES | 856096 |
| Ernst and Young | |||||
| PO Box 640382 | PITTSBURGH | PA | 15264 | CONSULTING/AUDIT SVC | 796705 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 49 | NumberOfContractorsGT100K |
| Related Organizations | 285281 | RelatedOrganizations |
| Government Grants | 5588069 | GovernmentGrants |
| Noncash Contributions | 285281 | NoncashContributions |
| Total Contributions | 5873350 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621990 | 481561544 | 481561544 | |
| JOINT VENTURES OPERATIONS | 621990 | 6287726 | 6287726 | |
| EDUCATIONAL INCOME | 611710 | 1282097 | 1282097 | |
| LAB BILLING | 621500 | 1340526 | 1206473 | 134053 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 490471893 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5043398 | TotalRevenueColumn |
| Exclusion | $5,043,398 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2514727 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2514727 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2514727 | TotalRevenueColumn |
| Exclusion | $2,514,727 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4069180 | Securities |
| Other | 171650 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4069180 | Securities |
| Other | 171650 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4240830 | TotalRevenueColumn |
| Exclusion | $4,240,830 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| CAFETERIA SALES | 722210 | 2265123 | 37236 | $2,227,887 |
| MISCELLANEOUS REVENUE | 900099 | 2707971 | $2,707,971 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4973094 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 513117292 | TotalRevenueColumn |
| Related Or Exempt Function Income | 490337840 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 171289 | UnrelatedBusinessRevenue |
| Exclusion | $16,734,813 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6958472 | Total |
| Program Services | 6958472 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 493689 | Total |
| Program Services | 493689 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 206978769 | Total |
| Program Services | 199630582 | ProgramServices |
| Management And General | 7348187 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11980655 | Total |
| Program Services | 11980655 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29593646 | Total |
| Program Services | 29557490 | ProgramServices |
| Management And General | 36156 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13437225 | Total |
| Program Services | 13356413 | ProgramServices |
| Management And General | 80812 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1153372 | Total |
| Program Services | 56360 | ProgramServices |
| Management And General | 1097012 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 204929 | Total |
| Program Services | 6150 | ProgramServices |
| Management And General | 198779 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77900 | Total |
| Management And General | 77900 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39204732 | Total |
| Program Services | 35698523 | ProgramServices |
| Management And General | 3506209 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3553153 | Total |
| Program Services | 3484184 | ProgramServices |
| Management And General | 68969 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6882719 | Total |
| Program Services | 6772963 | ProgramServices |
| Management And General | 109756 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6115001 | Total |
| Program Services | 6115001 | ProgramServices |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14805559 | Total |
| Program Services | 14774493 | ProgramServices |
| Management And General | 31066 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 466282 | Total |
| Program Services | 466282 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 708214 | Total |
| Program Services | 74628 | ProgramServices |
| Management And General | 633586 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5103480 | Total |
| Program Services | 5103480 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29107115 | Total |
| Program Services | 29107115 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8974908 | Total |
| Program Services | 8972772 | ProgramServices |
| Management And General | 2136 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL EXPENSES | 95895623 | 95895623 | |
| Dues | 1700340 | 1115785 | 584555 |
| Collection Expenses | 1688392 | 1688392 | |
| Supplier Distribution Fees | 1015998 | 1015998 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2155147 | Total |
| Program Services | 1746872 | ProgramServices |
| Management And General | 408275 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 488255320 | Total |
| Program Services | 474071922 | ProgramServices |
| Management And General | 14183398 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11654133 | BOY |
| EOY | 11996573 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17867409 | BOY |
| EOY | 14201872 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49787579 | BOY |
| EOY | 51064258 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 175836 | BOY |
| EOY | 167094 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11989340 | BOY |
| EOY | 11433538 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24450598 | BOY |
| EOY | 34857467 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 546069469 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 373792559 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 171303374 | BOY |
| EOY | 172276910 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 164094180 | BOY |
| EOY | 163264782 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59499726 | BOY |
| EOY | 60600341 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1050474 | BOY |
| EOY | 9895310 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 511872649 | BOY |
| EOY | 529758145 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54692727 | BOY |
| EOY | 56804616 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115294352 | BOY |
| EOY | 110235232 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 132045139 | BOY |
| EOY | 160863750 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 302032218 | BOY |
| EOY | 327903598 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 209840431 | BOY |
| EOY | 201854547 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 209840431 | BOY |
| EOY | 201854547 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 511872649 | BOY |
| EOY | 529758145 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 24861972 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -32847856 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $77,900 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 77900 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING ACTIVITY | Identifier |
| Return Reference | SCH C PART II-B | ReturnReference |
| Explanation | Kheder Davis WAS ENGAGED IN LOBBYING ACTIVITIES ON BEHALF OF COVENANT MEDICAL CENTER DURING FISCAL YEAR ENDED JUNE 30, 2012. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7618547 | OtherCostOrOtherBasis |
| Book Value | 7618547 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 141469257 | OtherCostOrOtherBasis |
| Depreciation | 102758386 | Depreciation |
| Book Value | 38710871 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 69897032 | OtherCostOrOtherBasis |
| Depreciation | 53570140 | Depreciation |
| Book Value | 16326892 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 327084633 | OtherCostOrOtherBasis |
| Depreciation | 217464033 | Depreciation |
| Book Value | 109620600 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 172276910 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Limited Partnerships | 14845025 | F |
| Hedge Funds | 33062243 | F |
| Joint Ventures | 12693073 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 60600341 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Accrued Pension | $94,734,697 |
| Accrued Post Retirement Benefits | $33,144,797 |
| Other Liabilities | $32,984,256 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 160863750 | TotalOfAmounts |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)
| RegionRegion | Type Of Activities ConductedTypeOfActivitiesConducted | Specific Services ProvidedSpecificServicesProvided | Total ExpendituresTotalExpenditures |
|---|---|---|---|
| Central America and the Caribbean | Program Services | SELF INSURANCE | 296133 |
| Central America and the Caribbean | Investments | INVESTMENTS | 28155351 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Amount Spent | 28451484 | SubtotalAmountSpent |
| Total Amount Spent | 28451484 | TotalAmountSpent |
| Transfer To Foreign Corp | true | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | true | OwnForeignCorp |
| Passive Foreign Invest Co | false | PassiveForeignInvestCo |
| Foreign Partnership | false | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 22749 | PersonsServed |
| Total Community Benefit Expense | 3151384 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 442004 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2709380 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00550 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 27499 | PersonsServed |
| Total Community Benefit Expense | 87689328 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 70008686 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17680642 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03620 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 50248 | PersonsServed |
| Total Community Benefit Expense | 90840712 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 70450690 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 20390022 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04170 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1500867 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1500867 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00310 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11066896 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3433047 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7633849 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01560 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12567763 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3433047 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9134716 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01870 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 50248 | PersonsServed |
| Total Community Benefit Expense | 103408475 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 73883737 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 29524738 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06040 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2770342 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2770342 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00570 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 8592 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 8592 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 62176 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 62176 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1314 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1314 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 83527 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 83527 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 7886 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 7886 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2848 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2848 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2936685 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2936685 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00600 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $11,033,984 | BadDebtExpenseAmount |
| Amount Attributable To | 1294548 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 189394888 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 189471344 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -76456 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| cov hlth cre prtnrs | |||
| HEALTH CARE | 0.50000 | 0.00000 | 0.50000 |
| MACKINAW SURGERY | |||
| SURGERY CENTER | 0.49750 | 0.00000 | 0.50250 |
| Cov HLCR Mackinaw FC | |||
| RENTAL | 0.82000 | 0.00000 | 0.18000 |
| Cov POB LLC | |||
| RENTAL | 0.37500 | 0.00000 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 4 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (4 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|---|
| COVENANT MEDICAL CENTER INC (HARRISON) | |||||||||
| 1 | 1447 N HARRISON | SAGINAW | MI | 48602 | X | X | X | X | |
| COVENANT MEDICAL CENTER INC (COOPER) | |||||||||
| 2 | 700 COOPER | SAGINAW | MI | 48602 | X | X | X | X | |
| COVENANT MEDICAL CENTER INC (REHAB) | |||||||||
| 3 | 515 N MICHIGAN | SAGINAW | MI | 48602 | X | X | Rehabilitation Unit | ||
| COVENANT MEDICAL CENTER INC (MICHIGAN) | |||||||||
| 4 | 515 N MICHIGAN | SAGINAW | MI | 48602 | X | X | Skilled Nursing Unit | ||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (4 entries)
| Hospital Facility NumberHospitalFacilityNumber | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Medicaid MedicareMedicaidMedicare | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Available On RequestAvailableOnRequest | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COVENANT MEDICAL CENTER INC (HARRISON) | ||||||||||||||||||
| 1 | true | true | 200. | true | 300. | true | X | X | X | true | true | X | true | false | true | X | false | false |
| COVENANT MEDICAL CENTER INC (COOPER) | ||||||||||||||||||
| 2 | true | true | 200. | true | 300. | true | X | X | X | true | true | X | true | false | true | X | false | false |
| COVENANT MEDICAL CENTER INC (REHAB) | ||||||||||||||||||
| 3 | true | true | 200. | true | 300. | true | X | X | X | true | true | X | true | false | true | X | false | false |
| COVENANT MEDICAL CENTER INC (MICHIGAN) | ||||||||||||||||||
| 4 | true | true | 200. | true | 300. | true | X | X | X | true | true | X | true | false | true | X | false | false |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 27 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (27 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| IRVING CAMPUS | ||||
| 600 IRVING | SAGINAW | MI | 48602 | PM&R, OCC HLTH, EMPLOYEE WELLNESS |
| HOUGHTON CAMPUS | ||||
| 1000 HOUGHTON | SAGINAW | MI | 48602 | LABORATORY |
| DR CASTILLO | ||||
| 6614 DIXIE HWY | BRIDGEPORT TOWNSHIP | MI | 48722 | PHYSICIAN OFFICE |
| MED EXPRESS BAY CITY | ||||
| 2997 WILDER RD | BAY CITY | MI | 48706 | URGENT CARE |
| MED EXPRESSBREAST IMAGING | ||||
| 5570 STATE STREET | SAGINAW | MI | 48602 | URGENT CARE |
| CONDO | ||||
| 800 COOPER | SAGINAW | MI | 48602 | PHYSICIAN OFFICE |
| COVENANT BREAST IMAGING | ||||
| 600 N MAIN | FRANKENMUTH | MI | 48734 | URGENT CARE, IMAGING & PM&R |
| DR EASTONLAB | ||||
| 8767 GRATIOT | SAGINAW | MI | 48609 | PHYSICIAN OFFICE |
| DR R WILLIAMS | ||||
| 3215 HALLMARK CT | SAGINAW | MI | 48602 | PHYSICIAN OFFICE |
| VNA | ||||
| 500 S HAMILTON | SAGINAW | MI | 48602 | HOME CARE |
| SIBM | ||||
| 3875 BAY ROAD | SAGINAW TOWNSHIP | MI | 48602 | PHYSICIAN OFFICE |
| REGIONAL IMAGING CENTER | ||||
| 4717 NORTH GARFIELD | AUBURN | MI | 48611 | IMAGING |
| VNA CARTWRIGHT CENTER | ||||
| 3443 HOSPITAL RD | SAGINAW | MI | 48602 | HOME HEALTH |
| SAGINAW TOWNSHIP FAMILY PRACTICE | ||||
| 3875 BAY ROAD | SAGINAW | MI | 48602 | PHYSICIAN OFFICE |
| DR CONSTAN & DR NUSRAT | ||||
| 3037 SILVERWOOD | SAGINAW | MI | 48602 | PHYSICIAN OFFICE |
| DR NAHATA | ||||
| 3350 SHATTUCK | SAGINAW | MI | 48602 | PHYSICIAN OFFICE |
| MACKIAW CAMPUS | ||||
| 5400 MACKINAW | SAGINAW TOWNSHIP | MI | 48602 | HEALTHCARE OFFICE |
| ECC | ||||
| 900 COOPER AVE | SAGINAW | MI | 48602 | ER-24 HOURS |
| DR JOHNSON | ||||
| 1430 N CENTER | SAGINAW | MI | 48602 | PHYSICIAN OFFICE |
| DR A LAFLEUR | ||||
| 3400 N CENTER | SAGINAW | MI | 48603 | Physician Office |
| DR PRESCOTT | ||||
| 335 E HOUGHTON | WEST BRANCH | MI | 48661 | PHYSICIAN OFFICE |
| DR GRIMSHAW | ||||
| 8470 MAIN ST | BIRCH RUN | MI | 48415 | PHYSICIAN OFFICE |
| COVENANT CARDIOLOGY | ||||
| 318 W WRIGHT | SHEPARD | MI | 48883 | PHYSICIAN OFFICE, CARDIOLOGY |
| SAGINAW VALLEY PROMARY CARE | ||||
| 2970 PIERCE | SAGINAW | MI | 48604 | PHYSICIAN OFFICE, PRIMARY CARE FACILITY |
| DR NINAN | ||||
| 4705 TOWNE CENTRE | SAGINAW | MI | 48604 | PHYSICIAN OFFICE |
| DR DE BEAUBIEN | ||||
| 4701 TOWNE CENTRE | SAGINAW | MI | 48604 | PHYSICIAN OFFICE |
| SEBEWAING PRIMARY CARE | ||||
| 616 UNIONVILLE | SEBEWAING | MI | 48759 | PHYSICIAN OFFICE |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE H, PART I, LINE 7, COLUMN (F) | Identifier |
| Explanation | BAD DEBT EXPENSE REPORTED ON FORM 990, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE RATIO OF COST-TO-CHARGE IS $34,308,799. SCHEDULE H, PART I, LINE 7 THE BEST AVAILABLE INFORMATION WAS USED TO CALCULATE THE COST IN LINE 7. COST IS BASED ON THE COST-TO-CHARGE RATIO. Medicaid cost on row (b.) calculated using ratio of cost to charge from worksheet 3. SCHEDULE H, PART II Covenant HealthCare is actively involved in community building initiatives. Leadership from throughout the organization hold voluntary board and committee positions in the community groups or organizations focused on improving the quality of life in the region, particularly around issues of community health. Additionally, the organization conducts community outreach and screening activities in the various communities in our region to impact health in such ways as early disease detection to trauma prevention. Includes $106,000 in estimated wages for volunteer hours. SCHEDULE H, PART III, LINE 4 FOOTNOTE TO AUDITED FINANCIAL STATEMENTS: The provision for bad debts is based upon management's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indications. The results of these reviews are used to make any modifications to the methodology for estimating the provisions 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. Bad Debt Cost Methodology: Bad debt cost on line 2 is calculated using the ratio-of-cost to charge methodology on worksheet 2. Estimated portion of bad debt cost which represents patients eligible for Covenant's financial assistance policy: Covenant estimates that bad debt includes charges of $4.3M and cost of $1.3M related to patients that would qualify for the financial assistance policy. SCHEDULE H, PART III, LINE 8 The hospital reported Medicare allowable cost, as reported on the Medicare cost report, on Worksheet H, Part III, Section B, line 6. The methodology removes non-allowable cost per Medicare rules and offsets other operating revenue against cost. Professional Part B cost is also removed. The cost of support departments is allocated to revenue producing departments using the step-down methodology. The Medicare shortfall of cost over payment should be considered a community benefit because Covenant Medical Center is providing care to these patients with full knowledge that Medicare payments may not cover the cost of providing care to these patients. SCHEDULE H, PART III, LINE 9B 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 19D 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. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 Covenant 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. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 Covenant HealthCare communicates our charity care and financial assistance policy via the Covenant website, a letter to the guarantor if benefit eligibility is not established, or in person if guarantor indicates financial need. Literature on this policy is also available at registration areas. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 COVENANT 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 ITS PRIMARY MARKET. ANOTHER 14 COUNTIES IN THE REGION ARE CONSIDERED THE SECONDARY SERVICE AREA. COVENANT HEALTHCARE IS LOCATED IN CBSA 40980 SAGINAW-SAGINAW TOWNSHIP NORTH WITHIN SAGINAW COUNTY, MICHIGAN. AS OF THE 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 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. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 Covenant Healthcare is actively involved in community building initiatives. Leadership from throughout the organization hold voluntary board and committee positions in community groups and organizations focused on improving the quality of life in the region, particularly around issues of community health. Additionally, the organization conduct 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. AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6 COVENANT MEDICAL CENTER, INC. IS NOT A PART OF AN AFFILIATED HEALTH SYSTEM. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 MICHIGAN | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SPENCER MAIDLOW | |||||||||||||
| 691702 | 0 | 163944 | 0 | 1503265 | 0 | 239758 | 0 | 16234 | 0 | 2614903 | 0 | 350749 | 0 |
| MARK GRONDA | |||||||||||||
| 352663 | 0 | 86931 | 0 | 431980 | 0 | 88295 | 0 | 19822 | 0 | 979691 | 0 | 81285 | 0 |
| EDWARD BRUFF | |||||||||||||
| 416985 | 0 | 98531 | 0 | 466000 | 0 | 147866 | 0 | 19193 | 0 | 1148575 | 0 | 95388 | 0 |
| CAROL STOLL | |||||||||||||
| 226791 | 0 | 53760 | 0 | 129678 | 0 | 64972 | 0 | 9343 | 0 | 484544 | 0 | 27022 | 0 |
| DR JOHN KOSANOVICH | |||||||||||||
| 345134 | 0 | 85250 | 0 | 416016 | 0 | 117550 | 0 | 18413 | 0 | 982363 | 0 | 101705 | 0 |
| DANIEL GEORGE | |||||||||||||
| 220655 | 0 | 52859 | 0 | 9894 | 0 | 55662 | 0 | 0 | 0 | 339070 | 0 | 0 | 0 |
| TIM WENZEL | |||||||||||||
| 204232 | 0 | 46131 | 0 | 8509 | 0 | 130103 | 20351 | 0 | 409326 | 0 | 0 | 0 | |
| DR Anthony DeBari | |||||||||||||
| 732999 | 0 | 192020 | 0 | 3540 | 0 | 0 | 0 | 0 | 0 | 928559 | 0 | 0 | 0 |
| DR Umesh Badami | |||||||||||||
| 663898 | 0 | 44264 | 0 | 3176 | 0 | 0 | 0 | 0 | 0 | 711338 | 0 | 0 | 0 |
| DR Brian DeBeaubien | |||||||||||||
| 664893 | 0 | 27460 | 0 | 1080 | 0 | 0 | 0 | 0 | 0 | 693433 | 0 | 0 | 0 |
| DR Frank Schinco | |||||||||||||
| 658062 | 0 | 0 | 0 | 4831 | 0 | 0 | 0 | 0 | 0 | 662893 | 0 | 0 | 0 |
| DR Scott Martin | |||||||||||||
| 495961 | 0 | 147636 | 0 | 486 | 0 | 0 | 0 | 0 | 0 | 644083 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN | Identifier |
| Return Reference | SCHEDULE J, PART I, LINE 4B | ReturnReference |
| Explanation | THE 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 - $185,317 MARK GRONDA - $269 EDWARD BRUFF - $93,846 DANIEL GEORGE - $49,512 TIM WENZEL - $79,243 JOHN KOSANOVICH - $108,950 The following SERP amounts are currently taxable to the individuals listed and have been included in Sch J Part II column B(iii): SPENCER MAIDLOW - $1,472,247 MARK GRONDA - $420,026 EDWARD BRUFF - $437,517 JOHN KOSANOVICH - $409,081 Carol Stoll - $127,654 | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| CITY OF SAGINAW HOSP FIN AUTH | |||||||
| 386004647 | 786744GX4 | 2004-04-07 | 39343085 | RETIRE 8/15/1991 BONDS | false | false | false |
| CITY OF SAGINAW HOSP FIN AUTH | |||||||
| 386004647 | 786744HJ4 | 2010-10-28 | 76448883 | RETIRE 7/7/99 AND 7/12/00 BONDS | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 39984061 | 3743952 | 640524 | 0 | 494736 | 0 | 0 | 0 | 35104849 | 0 | 2004 | true | false | true | true |
| 0 | 0 | 76458097 | 0 | 0 | 0 | 423626 | 0 | 0 | 0 | 76034471 | 0 | 2010 | true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers |
|---|
| 0 |
| 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||
| true | false | false | true | LEHMAN BROS SFI | 32. | true | false | false |
| 0 | ||||||||
| false | false | false | false | 0 | false | false | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | INVESTMENT AMOUNTS INCLUDED IN PROCEEDS | Identifier |
| Return Reference | SCHEDULE K, PART II, LINE 3 | ReturnReference |
| Explanation | COLUMN A BOND 2004G - $39,984,061 - INCLUDES SALE PROCEEDS OF $39,343,085 PLUS DEBT SERVICE RESERVE FUND EARNINGS OF $640,976.45. COLUMN B BOND 2010 H - $76,458,097 - INCLUDES SALE PROCEEDS OF $76,448,883 PLUS ESCROW ACCOUNT EARNINGS $9,213.83. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| MARY PICKELMAN | |||
| FAMILY OF BOARD MEMBER | 64997 | REPORTABLE COMPENSATION | false |
| DR JAMIE ROSS | |||
| FAMILY OF BOARD MEMBER | 318692 | REPORTABLE COMPENSATION | false |
| Dr T Damuth | |||
| FAMILY OF BOARD MEMBER | 110000 | REPORTABLE COMPENSATION | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FEES FOR SERVICES | Identifier |
| Return Reference | SCHEDULE L, PART IV, COLUMN C | ReturnReference |
| Explanation | FEES FOR ALL SERVICES ARE AT ARM'S LENGTH MARKET RATES AND ARE CONTRACTED IN ACCORDANCE WITH THE HOSPITAL'S CONFLICT OF INTEREST POLICY. | Explanation |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArt | |
| Art Historical Treasures | ArtHistoricalTreasures | |
| Art Fractional Interest | ArtFractionalInterest | |
| Books And Publications | BooksAndPublications | |
| Clothing And Household Goods | ClothingAndHouseholdGoods | |
| Cars And Other Vehicles | CarsAndOtherVehicles | |
| Boats And Planes | BoatsAndPlanes | |
| Intellectual Property | IntellectualProperty | |
| Securities Publicly Traded | SecuritiesPubliclyTraded | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStock | |
| Securities Prtnrshp Trust Intrsts | SecuritiesPrtnrshpTrustIntrsts | |
| Securities Miscellaneous | SecuritiesMiscellaneous | |
| Qualified Contrib Hist Struct | QualifiedContribHistStruct | |
| Qualified Contrib Other | QualifiedContribOther | |
| Real Estate Residential | RealEstateResidential | |
| Real Estate Commercial | RealEstateCommercial | |
| Real Estate Other | RealEstateOther | |
| Collectibles | Collectibles | |
| Food Inventory | FoodInventory | |
| Drugs And Medical Supplies | DrugsAndMedicalSupplies | |
| Taxidermy | Taxidermy | |
| Historical Artifacts | HistoricalArtifacts | |
| Scientific Specimens | ScientificSpecimens | |
| Archaeological Artifacts | ArchaeologicalArtifacts |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | EQUIP (SUPPORT ORG) | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 285281 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Explanation | DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART IV, LINE 6 COVENANT HEALTHCARE SYSTEM IS THE SOLE CORPORATE MEMBER OF COVENANT MEDICAL CENTER. 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 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 WAS LAST UNDERTAKEN IN 2011. 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. AVERAGE HOURS DEVOTED PER WEEK TO RELATED ORGANIZATIONS FORM 990, PART VII SPENCER MAIDLOW: COVENANT HEALTHCARE SYSTEM - 4 HOURS, COVENANT HEALTHCARE FOUNDATION - 4 HOURS MARK GRONDA: COVENANT HEALTHCARE SYSTEM - 4 HOURS, COVENANT HEALTHCARE FOUNDATION - 4 HOURS EDWARD BRUFF: COVENANT HEALTHCARE SYSTEM - 4 HOURS CAROL STOLL: COVENANT HEALTHCARE SYSTEM - 4 HOURS DR. JOHN KOSANOVICH: COVENANT HEALTHCARE SYSTEM - 4 HOURS DANIEL GEORGE: COVENANT HEALTHCARE SYSTEM - 4 HOURS TIM WENZEL: COVENANT HEALTHCARE SYSTEM - 4 HOURS RECONCILIATION OF NET ASSETS FORM 990, PART XI, LINE 5 Change in unrealized investments (6,233,404) Pension obligation adjustment (26,981,117) Net Assets Released 135,214 Other 241,117 Prior Year Net Asset Adjustment (9,666) TOTAL ($32,847,856) | Explanation |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | EINEIN |
|---|---|---|---|---|---|---|---|---|---|
| COVENANT MEDICAL OFFICE II LLC | |||||||||
| 1447 N HARRISON | SAGINAW | MI | 48602 | INACTIVE | MI | 0 | 0 | NA | |
| COVENANT MACKINAW OFFICE LLC | |||||||||
| 1447 N HARRISON | SAGINAW | MI | 48602 | INACTIVE | MI | 0 | 0 | NA | |
| J & F HOLDINGS LLC | |||||||||
| 1447 N HARRISON | SAGINAW | MI | 48602 | INACTIVE | MI | 0 | 0 | NA | 382640101 |
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COVENANT HEALTHCARE FOUNDATION | |||||||||||
| 1447 N HARRISON | SAGINAW | MI | 48602 | 382572154 | SUPPORT | MI | 501(C)(3) | 11 Type III | CHS | true | |
| VISITING NURSE SPECIAL SERVICES | |||||||||||
| 502 S HAMILTON | SAGINAW | MI | 48602 | 382762248 | NURSE VISITS | MI | 501(C)(3) | 9 | CHS | true | |
| COVENANT HEALTHCARE SYSTEM | |||||||||||
| 1447 N HARRISON | SAGINAW | MI | 48602 | 383369443 | HEALTHCARE | MI | 501(C)(3) | 11 Type II | false | N/A | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COVENANT DEVELOPMENT CORP | |||||||||||
| 1447 N HARRISON | SAGINAW | MI | 48602 | 382640101 | HEALTH SERVICES | MI | NA | C CORP | |||
| COVENANT MEDICAL CTR OFFICE CONDO ASSN | |||||||||||
| 1447 N HARRISON | SAGINAW | MI | 48602 | 371477767 | CONDOMINIUM | MI | NA | C Corp | 0 | 0 | 0.51000 |
| COVENANT HLTH MACKINAW FCLTY CONDO ASSOC | |||||||||||
| 1447 N HARRISON | SAGINAW | MI | 48602 | 453327179 | CONDOMINIUM | MI | NA | C Corp | 168011 | -249039 | 1.00000 |
| COVENANT SERVICES CORP | |||||||||||
| 1447 N Harrison | Saginaw | MI | 48602 | HEALTHCARE | MI | NA | C Corp | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| COVENANT HEALTHCARE FOUNDATION | ||
| C | 285281 | FMV |
| COVENANT HEALTHCARE FOUNDATION | ||
| N | 450272 | FMV |
| COVENANT HEALTHCARE FOUNDATION | ||
| P | 171124 | FMV |