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COVENANT MEDICAL CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COVENANT MEDICAL CENTER INC (EIN 38-3369438)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-10
IRS object ID
201211319349303061
Schema version
2010v3.7
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)
Timestamp2012-05-10T19:46:42-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Line155 IVAN ALLEN JR BLVD SUITE 1000AddressLine1
CityATLANTACity
StateGAState
ZIP Code30308ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN383369438EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Covenant Medical Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOVENameControl
Phone9895836006Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMark GrondaName
TitleCFOTitle
Phone9895836006Phone
Date Signed2012-05-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone4048748300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts530619988GrossReceipts
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 15 COUNTIES IN EAST CENTRAL MICHIGAN WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees4867TotalNbrEmployees
Total Nbr Volunteers529TotalNbrVolunteers
Total Gross UBI153523TotalGrossUBI
Net Unrelated Business Txbl Income86243NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year261606ContributionsGrantsPriorYear
Contributions Grants Current Year748877ContributionsGrantsCurrentYear
Program Service Revenue Prior Year490502978ProgramServiceRevenuePriorYear
Program Service Revenue CY501219382ProgramServiceRevenueCY
Investment Income Prior Year12451303InvestmentIncomePriorYear
Investment Income Current Year18257778InvestmentIncomeCurrentYear
Other Revenue Prior Year5302948OtherRevenuePriorYear
Other Revenue Current Year10393951OtherRevenueCurrentYear
Total Revenue Prior Year508518835TotalRevenuePriorYear
Total Revenue Current Year530619988TotalRevenueCurrentYear
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 Year240138529SalariesEtcPriorYear
Salaries Etc Current Year253706929SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year240317391OtherExpensePriorYear
Other Expenses Current Year240915505OtherExpensesCurrentYear
Total Expenses Prior Year480455920TotalExpensesPriorYear
Total Expenses Current Year494622434TotalExpensesCurrentYear
Revenues Less Expenses Prior Year28062915RevenuesLessExpensesPriorYear
Revenues Less Expenses CY35997554RevenuesLessExpensesCY
Total Assets BOY475168932TotalAssetsBOY
Total Assets EOY511872649TotalAssetsEOY
Total Liabilities BOY361145860TotalLiabilitiesBOY
Total Liabilities EOY302032218TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY114023072NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY209840431NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE DIVERSE MEDICAL CARE TO MEET THE HEALTH CARE NEEDS OF THE 15 COUNTIES IN EAST CENTRAL MICHIGAN WE SERVE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense482489812Expense
Revenue501107774Revenue
DescriptionONE OF THE LARGEST, MOST COMPREHENSIVE HEALTH CARE FACILITIES NORTH OF THE 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 DURING FISCAL YEAR 2010: 9,670 CARDIOLOGY CASES, 7,203 WOMEN'S AND CHILDREN'S HEALTH CASES, 2,620 ORTHOPEDIC CARE CASES, AND 2,699 PULMONARY CASES.Description
Total Program Service Expense482489812TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 With1096154NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees4867NumberOfEmployees
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
LAWRENCE SIMS
VICE CHAIRMAN4.0X000
GREGORY LUBBEN
TREASURER4.0X000X
MORRISON STEVENS SR
BOARD MEMBER4.0X000
GARY RUMMEL
BOARD MEMBER4.0X000
TERRY NEIDERSTADT
CHAIRMAN4.0X000X
MORTON WELDY
SECRETARY4.0X000X
SUSAN STEMLER
BOARD MEMBER4.0X000
JOHN JOHNSON MD
BOARD MEMBER4.0X000
DAVID MEYER
BOARD MEMBER4.0X000
TIMOTHY SMITH MD
BOARD MEMBER4.0X000
JOHN SHELTON
BOARD MEMBER4.0X000
CULLI DAMUTH
BOARD MEMBER4.0X000
SPENCER MAIDLOW
PRESIDENT/CEO50.08249110573720X
MARK GRONDA
VICE PRESIDENT/CFO50.04570090354793X
EDWARD BRUFF
VICE PRESIDENT50.05222550372678X
CAROL STOLL
VICE PRESIDENT50.02842760280148X
DR JOHN KOSANOVICH
VICE PRESIDENT50.0423217065359X
TIM WENZEL
VICE PRESIDENT50.02645620379854X
DANIEL GEORGE
VICE PRESIDENT50.0282174081753X
DR SCOTT MARTIN
PHYSICIAN50.053372500X
DR JOHN MCCLURE
PHYSICIAN50.091547303582X
DR FRANK SCHINCO
PHYSICIAN50.069344800X
DR ANTONIO WILLIAMS
PHYSICIAN50.055327003344X
DR FIRAS ALANI
PHYSICIAN50.055311700X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6307437TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation2115231TotalOtherCompensation
Number Individuals GT100 K12NumberIndividualsGT100K
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
MILLER CANFIELD PADDOCK STONE
PO DRAWER 640348DETROITMI482640348LEGAL SERVICES976221
OWENS MINOR
12199 COLLECTION CENTER DRIVECHICAGOIL60693EQUIPMENT SERVICE1175558
EXECUTIVE HEALTH RESOURCES
PO BOX 822688PHILADELPHIAPA19182CONSULTING SERVICES1404916
EPIC SYSTEMS CORPORATION
PO BOX 88314MILWAUKEEWI53288IT MTC SUPPORT1915040
REHABCARE GROUP INC
PO BOX 502096ST LOUISMO63150REHAB SERVICES1581792
FieldValueIRS element (for citing)
Number Of Contractors GT100 K91NumberOfContractorsGT100K
Related Organizations748877RelatedOrganizations
Noncash Contributions748877NoncashContributions
Total Contributions748877TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE621999496894389496894389
JOINT VENTURE OPERATIONS62199919012151901215
EDUCATIONAL INCOME61171013076981307698
LAB BILLING62151111160801004472111608
FieldValueIRS element (for citing)
Total Program Service Revenue501219382TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4733283TotalRevenueColumn
Exclusion$4,733,283ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column5913TotalRevenueColumn
Exclusion$5,913ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2349395Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2349395Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2349395TotalRevenueColumn
Exclusion$2,349,395ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities13190639Securities
Other327943Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities13190639Securities
Other327943Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column13518582TotalRevenueColumn
Exclusion$13,518,582ExclusionAmount

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 (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
Medicaid Incentive HIT Funds9231303006097$3,006,097
CAFETERIA SALES7222122124457$2,082,54241915
MISCELLANEOUS REVENUE9000992914002$2,914,002
FieldValueIRS element (for citing)
Total Other Revenue8044556TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column530619988TotalRevenueColumn
Related Or Exempt Function Income501107774RelatedOrExemptFunctionIncome
Unrelated Business Revenue153523UnrelatedBusinessRevenue
Exclusion$28,609,814ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5166709Total
Program Services5058505ProgramServices
Management And General108204ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total192949090Total
Program Services188913070ProgramServices
Management And General4036020ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total12441830Total
Program Services12441830ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total30063138Total
Program Services29990108ProgramServices
Management And General73030ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13086162Total
Program Services12683155ProgramServices
Management And General403007ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1199175Total
Program Services66577ProgramServices
Management And General1132598ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total237260Total
Program Services5718ProgramServices
Management And General231542ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total56000Total
Management And General56000ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total41424514Total
Program Services36608937ProgramServices
Management And General4815577ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3921586Total
Program Services3809753ProgramServices
Management And General111833ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total97531519Total
Program Services97329330ProgramServices
Management And General202189ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5371457Total
Program Services5371457ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total12156210Total
Program Services12156210ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total495831Total
Program Services495831ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total564739Total
Program Services564739ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total5724928Total
Program Services5724928ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total27444594Total
Program Services27444594ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total6781845Total
Program Services6779709ProgramServices
Management And General2136ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBTS3310409533104095
DUES1696748985475711273
COLLECTIONS EXPENSES15933471593347
MISCELLANEOUS EXPENSES16116571362444249213

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total494622434Total
Program Services482489812ProgramServices
Management And General12132622ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY15893816BOY
EOY11654133EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY21706539BOY
EOY17867409EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY52164623BOY
EOY49787579EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY189850BOY
EOY175836EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6848736BOY
EOY11989340EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY10453736BOY
EOY24450598EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis516025083LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec344721709LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY174722242BOY
EOY171303374EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY128223223BOY
EOY164094180EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY50368446BOY
EOY59499726EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY14597721BOY
EOY1050474EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY475168932BOY
EOY511872649EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY52969909BOY
EOY54692727EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY121693641BOY
EOY115294352EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY186482310BOY
EOY132045139EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY361145860BOY
EOY302032218EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY114023072BOY
EOY209840431EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY114023072BOY
EOY209840431EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY475168932BOY
EOY511872649EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses35997554ReconcilationRevenueExpenses
Reconcilation Other Changes59819805ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$56,000DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB56000TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITYIdentifier
Return ReferenceSCHEDULE C, PART II-BReturnReference
ExplanationKHEDER DAVIS ENGAGED IN LOBBYING ACTIVITIES ON BEHALF OF COVENANT MEDICAL CENTER DURING FISCAL YEAR ENDED JUNE 30, 2011.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis14213939OtherCostOrOtherBasis
Book Value14213939BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis141469258OtherCostOrOtherBasis
Depreciation99257985Depreciation
Book Value42211273BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis63022560OtherCostOrOtherBasis
Depreciation50360272Depreciation
Book Value12662288BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis297319326OtherCostOrOtherBasis
Depreciation195103452Depreciation
Book Value102215874BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings171303374TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
LIMITED PARTNERSHIPS14407640F
HEDGE FUNDS35283359F
JOINT VENTURES9808727C
FieldValueIRS element (for citing)
Total Of Book Value Securities59499726TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION$77,638,307
ACCRUED POST RETIREMENT BENEFITS$32,158,156
OTHER LIABILITIES$22,248,676
FieldValueIRS element (for citing)
Total Of Amounts132045139TotalOfAmounts

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpenditures
Central America and the Caribbean00Program ServicesSELF INSURANCE200376
Central America and the Caribbean00InvestmentsINVESTMENTS27537250
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent27737626SubtotalAmountSpent
Total Amount Spent27737626TotalAmountSpent
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)
Persons Served20572PersonsServed
Total Community Benefit Expense3642521TotalCommunityBenefitExpense
Direct Offsetting Revenue799347DirectOffsettingRevenue
Net Community Benefit Expense2843174NetCommunityBenefitExpense
Percent Of Total Expense0.00620PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served28210PersonsServed
Total Community Benefit Expense90445578TotalCommunityBenefitExpense
Direct Offsetting Revenue71966408DirectOffsettingRevenue
Net Community Benefit Expense18479170NetCommunityBenefitExpense
Percent Of Total Expense0.04000PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served48782PersonsServed
Total Community Benefit Expense94088099TotalCommunityBenefitExpense
Direct Offsetting Revenue72765755DirectOffsettingRevenue
Net Community Benefit Expense21322344NetCommunityBenefitExpense
Percent Of Total Expense0.04620PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense922417TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense922417NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense8746151TotalCommunityBenefitExpense
Direct Offsetting Revenue4009791DirectOffsettingRevenue
Net Community Benefit Expense4736360NetCommunityBenefitExpense
Percent Of Total Expense0.01030PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense9668568TotalCommunityBenefitExpense
Direct Offsetting Revenue4009791DirectOffsettingRevenue
Net Community Benefit Expense5658777NetCommunityBenefitExpense
Percent Of Total Expense0.01230PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served48782PersonsServed
Total Community Benefit Expense103756667TotalCommunityBenefitExpense
Direct Offsetting Revenue76775546DirectOffsettingRevenue
Net Community Benefit Expense26981121NetCommunityBenefitExpense
Percent Of Total Expense0.05850PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$10,631,317BadDebtExpenseAmount
Amount Attributable To2800000AmountAttributableTo
Amount Reimbursed By Medicare179860624AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare167838865CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall12021759MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
COV HLTH CRE PRTNRS
HEALTH CARE0.500000.000000.50000
MACKINAW SURGERY
SURGERY CENTER0.512500.000000.48750
GFP REALTY LLC
RENTAL0.400000.000000.60000
COV HLCR MACKINAW FC
RENTAL0.820000.000000.18000
COV POB LLC
RENTAL0.375000.000000.50000
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/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalOtherOther
COVENANT MEDICAL CENTER INC (HARRISON)
11447 N HARRISONSAGINAWMI48602XXX
COVENANT MEDICAL CENTER INC (COOPER)
2700 COOPERSAGINAWMI48602XXX
COVENANT MEDICAL CENTER INC (MICHIGAN)
3515 N MICHIGANSAGINAWMI48602X
COVENANT MEDICAL CENTER INC (REHAB)
41441 N HARRISONSAGINAWMI48602XREHAB CENTER

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

Hospital Facility NumberHospitalFacilityNumber
COVENANT MEDICAL CENTER INC (HARRISON)
1
COVENANT MEDICAL CENTER INC (COOPER)
2
COVENANT MEDICAL CENTER INC (MICHIGAN)
3
COVENANT MEDICAL CENTER INC (REHAB)
4

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities27NumberOfOtherFacilities

Other Facilities OtherFacilities (27 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
IRVING CAMPUS
600 IRVINGSAGINAWMI48602PM&R, OCC HLTH, EMPLOYEE WELLNESS
HOUGHTON CAMPUS
1000 HOUGHTONSAGINAWMI48602LABORATORY
DR CASTILLO
6614 DIXIE HWYBRIDGEPORT TOWNSHIPMI48722PHYSICIAN OFFICE
MED EXPRESS BAY CITY
2997 WILDER RDBAY CITYMI48706URGENT CARE
MED EXPRESSBREAST IMAGING
5570 STATE STREETSAGINAWMI48602URGENT CARE
CONDO
800 COOPERSAGINAWMI48602PHYSICIAN OFFICE
COVENANT BREAST IMAGING
600 N MAINFRANKENMUTHMI48734URGENT CARE, IMAGING & PM&R
DR EASTONLAB
8767 GRATIOTSAGINAWMI48609PHYSICIAN OFFICE
DR R WILLIAMS
3215 HALLMARK CTSAGINAWMI48602PHYSICIAN OFFICE
VNA
500 S HAMILTONSAGINAWMI48602HOME CARE
SIBM
3875 BAY ROADSAGINAW TOWNSHIPMI48602PHYSICIAN OFFICE
REGIONAL IMAGING CENTER
4717 NORTH GARFIELDAUBURNMI48611IMAGING
VNA CARTWRIGHT CENTER
3443 HOSPITAL RDSAGINAWMI48602HOME HEALTH
SAGINAW TOWNSHIP FAMILY PRACTICE
3875 BAY ROADSAGINAWMI48602PHYSICIAN OFFICE
DR CONSTAN & DR NUSRAT
3037 SILVERWOODSAGINAWMI48602PHYSICIAN OFFICE
DR NAHATA
3350 SHATTUCKSAGINAWMI48602PHYSICIAN OFFICE
MACKINAW CAMPUS
5400 MACKINAWSAGINAW TOWNSHIPMI48602HEALTHCARE OFFICE
ECC
900 COOPER AVESAGINAWMI48602ER-24 HOURS
DR JOHNSON
1430 N CENTERSAGINAWMI48638PHYSICIAN OFFICE
DR A LAFLEUR
3400 N CENTERSAGINAWMI48603PHYSICIAN OFFICE
DR PRESCOTT
335 E HOUGHTONWEST BRANCHMI48661PHYSICIAN OFFICE
DR GRIMSHAW
8470 MAIN STBIRCH RUNMI48415PHYSICIAN OFFICE
COVENANT CARDIOLOGY
318 W WRIGHTSHEPARDMI48883PHYSICIAN OFFICE, CARDIOLOGY
SAGINAW VALLEY PRIMARY CARE
2970 PIERCESAGINAWMI48604PHYSICIAN OFFICE, PRIMARY CARE FACILITY
DR NINAN
4705 TOWNE CENTRESAGINAWMI48604PHYSICIAN OFFICE
DR DE BEAUBIEN
4701 TOWNE CENTRESAGINAWMI48604PHYSICIAN OFFICE
SEBEWAING PRIMARY CARE
616 UNIONVILLESEBEWAINGMI48759PHYSICIAN OFFICE

Form990 Schedule H Part VI Form990ScheduleHPartVI (5 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE H, PART I, LINE 3CCOVENANT USES FPG TO DETERMINE ELIGIBILITY.
SCHEDULE H, PART I, LINE 6ACOVENANT'S COMMUNITY BENEFIT REPORT IS MADE AVAILABLE AT COVENANTHEALTHCARE.COM.
SCHEDULE H, PART I, LINE 7, COLUMN (F)BAD DEBT EXPENSE REPORTED ON FORM 990, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE RATIO OF COST-TO-CHARGE IS $33,104,095.
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.
SCHEDULE H, PART III, LINE 4FOOTNOTE 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 HEALTHCARE COVERAGE, AND OTHER COLLECTIONS INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCES AND CURRENT MARKET CONDITIONS. THE RESULT OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE 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. COSTING METHODOLOGY: BAD DEBT FROM AUDITED FINANCIAL STATEMENTS TIMES RCC ON WORKSHEET 2. SCHEDULE H, PART III, LINE 8 MEDICARE COST IS FROM MEDICARE COST REPORT. 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. CHARGES FOR MEDICAL CARE SCHEDULE H, PART V, LINE 19 THE HOSPITAL BILLS UNINSURED PATIENT GROSS CHARGES LESS ANY APPLICABLE FINANCIAL ASSISTANCE. GROSS CHARGES TO PATIENT SCHEDULE H, PART V, LINE 21 THE HOSPITAL CHARGES THE UNINSURED PATIENT GROSS CHARGES LESS ANY APPLICABLE FINANCIAL ASSISTANCE. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 COVENANT HEALTHCARE WITH THE SAGINAW COUNTY HEALTH DEPARTMENT, SAGINAW SCHOOLS AND OTHER KEY PLAYERS TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN. DATA FROM NUMEROUS SOURCES ARE UTILIZED TO PROVIDE THE STATISTICAL FOUNDATION FOR THE PLAN. THE METHOD USED TO DEVELOP THE PLAN FOLLOWS THE NATIONAL MODEL KNOWN AS MAPP - MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS. THIS MODEL WAS DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO). THE FOUR MAPP ASSESSMENTS INCLUDED COMMUNITY THEMES AND STRENGTHS, LOCAL PUBLIC HEALTH SYSTEM, COMMUNITY HEALTH ASSESSMENT, AND FORCES OF CHANGE. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 COVENANT 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. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 COVENANT HEALTHCARE IS LOCATED IN SAGINAW COUNTY AND CLOSE TO 90% OF INPATIENT DISCHARGES ARE FROM PATIENT 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 CONDUCTS COMMUNITY OUTREACH AND SCREENING ACTIVITIES IN THE VARIOUS COMMUNITIES IN OUR REGION TO IMPACT HEALTH IN SUCH WAYS AS EARLY DISEASE DETECTION TO TRAUMA PREVENTION. UNDER THE DIRECTION OF A VOLUNTEER COMMUNITY BOARD, COVENANT HEALTHCARE IS AN INTEGRAL PART OF THE COMMUNITIES IT SERVES. THE COVENANT VISION IS TO CONSISTENTLY DELIVER ON A PROMISE OF CARING AND A COMMITMENT TO SERVICE. GUIDED BY A SEPARATE VOLUNTEER BOARD, THE COVENANT HEALTHCARE FOUNDATION ASSISTS THE MEDICAL CENTER IN CARRYING OUT ITS SERVICE MISSION THROUGH THE ACQUISITION OF PHILANTHROPIC FUNDS TO SERVE AS A PRIME RESOURCE IN THE DELIVERY OF CARE TO THOSE COVENANT HEALTHCARE SERVES. THE ORGANIZATION USES ITS SURPLUS FUNDS TO CONDUCT COMMUNITY OUTREACH AND SCREENING ACTIVITIES IN THE VARIOUS COMMUNITIES IN OUR REGION TO IMPACT HEALTH IN SUCH WAYS AS EARLY DISEASE DETECTION TO TRAUMA PREVENTION. 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 MICHIGAN

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (12 entries)

Base 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
6046990168296051916055817701554301398631000
MARK GRONDA
29952609696306052003327310220620811802000
EDWARD BRUFF
335593010492608173603546380180400894933000
CAROL STOLL
1730570587820524370272169079790564424000
DR JOHN KOSANOVICH
2865080879650487440476380177210488576000
TIM WENZEL
16674305014304767603603140195400644416000
DR SCOTT MARTIN
478326054913048600000533725000
DR JOHN MCCLURE
42894600048652700035820919055000
DR FRANK SCHINCO
6575600327400314800000693448000
DR ANTONIO WILLIAMS
55267000060000033440556614000
DR FIRAS ALANI
496646055931054000000553117000
DANIEL GEORGE
190932059300031942081753000363927000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL EXECUTIVE RETIREMENT PLANIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 4BReturnReference
ExplanationTHE 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 - $271,775 MARK GRONDA - $4,805 EDWARD BRUFF - $119,059 JOHN KOSANOVICH - $47,638 TIM WENZEL - $112,979 DANIEL GEORGE - $81,753Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF SAGINAW HOSP FIN AUTH
386004647786744GX42004-04-0739343085RETIRE 8/15/1991 BONDSfalsefalsefalse
CITY OF SAGINAW HOSP FIN AUTH
386004647786744HJ42010-10-2876448883RETIRE 7/7/99 AND 7/12/00 BONDSfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCredit EnhancementCreditEnhancement
399836093743500497736351048492023truefalsetruetrue
764580970423626760252572030truefalsetruetrue0

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
LEHMAN BROS SFI
truefalsefalsetrue32.truefalsetrue
(no name)
falsefalsefalsefalsefalsefalse

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierINVESTMENT AMOUNTS INCLUDED IN PROCEEDSIdentifier
Return ReferenceSCHEDULE K, PART II, LINE 3ReturnReference
ExplanationCOLUMN A BOND 2004G -$39,983,609 - INCLUDES SALE PROCEEDS OF $39,343,085 PLUS DEBT SERVICE RESERVE FUND EARNINGS OF $640,524.37. COLUMN B BOND 2010H -$76,458,097 - INCLUDES SALE PROCEEDS OF $76,448,883 PLUS ESCROW ACCOUNT EARNINGS $9,213.83. $39,983,609 - INCLUDES SALE PROCEEDS OF $39,343,085 PLUS DEBT SERVICE RESERVE FUND EARNINGS OF $640,524.37.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
STEPHANIE RUMMEL
FAMILY OF BOARD MEMBER110000REPORTABLE COMP TO A FAMILY MBfalse
MARY PICKELMAN
FAMILY OF BOARD MEMBER66676REPORTABLE COMP TO A FAMILY MBfalse
DR JAMIE ROSS
FAMILY OF BOARD MEMBER255018REPORTABLE COMP TO A FAMILY MBfalse
CAROL STOLL
VICE PRESIDENT164677COMPANY CARS AND REPAIRSfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierFEES FOR SERVICESIdentifier
Return ReferenceSCHEDULE L, PART IV, COLUMN CReturnReference
ExplanationFEES 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

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 (SUPPORT ORG)Description
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990748877NoncashContribsRptdF990
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)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
ExplanationDESCRIPTION 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; H.APPROVAL OF THE ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS AND FINANCIAL GUIDELINES OF THE HOSPITAL; I.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; J.APPROVAL OF ALL SECURED BORROWINGS OF THE HOSPITAL, OTHER THAN BORROWINGS SECURED FROM THE SOLE MEMBER; K.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; L.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; M.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; N.APPROVAL OF THE ESTABLISHMENT OF ANY SUBSIDIARIES OR AFFILIATES OF THE HOSPITAL; O.APPROVAL OF THE ADOPTION, REVOCATION OR ABANDONMENT OF ANY PLAN OF DISSOLUTION OF THE HOSPITAL, OR ANY SUBSIDIARY OR AFFILIATE OF THE HOSPITAL; P.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 Q.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 2010. 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 UNREALIZED GAIN/LOSS - $14,891,410 PENSION ADJUSTMENT - $45,127,788 NET FOUNDATION TRANSFER - ($199,393) TOTAL $59,819,805Explanation

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 LLC
1447 N HARRISONSAGINAWMI48602INACTIVEMI00NA382640101

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
COVENANT HEALTHCARE FOUNDATION
1447 N HARRISONSAGINAWMI48602382572154SUPPORTMI501(C)(3)11cCHS
VISITING NURSE SPECIAL SERVICES
502 S HAMILTONSAGINAWMI48602382762248NURSE VISITSMI501(C)(3)9CHS
COVENANT HEALTHCARE SYSTEM
1447 N HARRISONSAGINAWMI48602383369443HEALTHCAREMI501(C)(3)11ANA

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MACKINAW SURG CTRBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15400 MACKINAWAddressLine1
CitySAGINAWCity
StateMIState
ZIP Code48604ZIPCode
FieldValueIRS element (for citing)
EIN205257296EIN
Primary ActivitySURGICAL CTRPrimaryActivity
Legal Domicile StateMILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income379123ShareOfTotalIncome
Share Of EOY Assets1742716ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$0CodeVAmount
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.50000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
COVENANT DEVELOPMENT CORP
1447 N HARRISONSAGINAWMI48602382640101HEALTH SERVICESMINAC CORP
COVENANT MEDICAL CTR OFFICE CONDO ASSN
1447 N HARRISONSAGINAWMI48602371477767CONDOMINIUMMINAC Corp000.51000
COVENANT HLTH MACKINAW FCLTY CONDO ASSOC
1447 N HARRISONSAGINAWMI48602453327179CONDOMINIUMMINAC Corp8380741528181.00000
COVENANT SERVICES CORP
1447 N HarrisonSaginawMI48602HEALTHCAREMINAC Corp
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 FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
COVENANT HEALTHCARE FOUNDATION
M778877
COVENANT HEALTHCARE FOUNDATION
N1115053
COVENANT HEALTHCARE FOUNDATION
P1202239