COVENANT MEDICAL CENTER INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- COVENANT MEDICAL CENTER INC (EIN 38-3369438)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201131369349303403
- Schema version
- 2009v1.7
- 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
- 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 | 2011-05-16T11:30:25-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | 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 | 75 BEATTIE PLACE SUITE 800 | AddressLine1 |
| City | GREENVILLE | City |
| State | SC | State |
| ZIP Code | 29601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | 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) |
|---|---|---|
| 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 | 2011-05-16 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8642425740 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | 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 | 508518835 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| 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 | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 4566 | TotalNbrEmployees |
| Total Nbr Volunteers | 578 | TotalNbrVolunteers |
| Total Gross UBI | 142418 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 79603 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 261606 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 468302311 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 490502978 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -30320666 | InvestmentIncomePriorYear |
| Investment Income Current Year | 12451303 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 16252072 | OtherRevenuePriorYear |
| Other Revenue Current Year | 5302948 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 454233717 | TotalRevenuePriorYear |
| Total Revenue Current Year | 508518835 | 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 | 227180884 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 240138529 | 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 | 242032389 | OtherExpensePriorYear |
| Other Expenses Current Year | 240317391 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 469213273 | TotalExpensesPriorYear |
| Total Expenses Current Year | 480455920 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -14979556 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 28062915 | RevenuesLessExpensesCY |
| Total Assets BOY | 452573649 | TotalAssetsBOY |
| Total Assets EOY | 475168932 | TotalAssetsEOY |
| Total Liabilities BOY | 314669168 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 361145860 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 137904481 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 114023072 | NetAssetsOrFundBalancesEOY |
| 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 | 465150583 | Expense |
| Revenue | 490401143 | Revenue |
| Description | ONE OF THE LARGEST, MOST COMPREHENSIVE HEALTH CARE FACILITIES NORTH OF THE METRO DETRIOT, 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 OBSTERICS, 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: 4,890 CARDIOLOGY CASES, 7,632 WOMEN'S AND CHILDREN'S HEALTH CASES, 2,860 ORTHOPEDIC CARE CASES, AND 2,714 PULMONARY CASES. | Description |
| Total Program Service Expense | 465150583 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| 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 |
| 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 | true | 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 |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 161 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 4566 | 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 |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | 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 | false | 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 |
Form990 Part VII Section A Form990PartVIISectionA (24 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 | ||
| 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 | ||
| Morton Weldy | |||||||
| Secretary | 4.0 | X | 0 | 0 | 0 | ||
| 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 | ||
| Timothy Smith MD | |||||||
| 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 | ||
| Spencer Maidlow | |||||||
| President/CEO | 50.0 | 754531 | 0 | 485679 | X | ||
| Mark Gronda | |||||||
| Vice President/CFO | 50.0 | 429251 | 0 | 228314 | X | ||
| Edward Bruff | |||||||
| Vice President | 50.0 | 476484 | 0 | 177595 | X | ||
| Carol Stoll | |||||||
| Vice President | 50.0 | 263310 | 0 | 138846 | X | ||
| Dr John Kosanovich | |||||||
| Vice President | 50.0 | 401765 | 0 | 106113 | X | ||
| Daniel George | |||||||
| Vice President | 50.0 | 274636 | 0 | 45825 | X | ||
| Tim Wenzel | |||||||
| Vice President | 50.0 | 247852 | 0 | 147907 | X | ||
| Dr Mark Adams | |||||||
| Physician | 50.0 | 2633301 | 0 | 4437 | X | ||
| Dr John McClure | |||||||
| Physician | 50.0 | 806955 | 0 | 6848 | X | ||
| Dr Frank Schinco | |||||||
| Physician | 50.0 | 659868 | 0 | 2937 | X | ||
| Dr Antonio Williams | |||||||
| Physician | 50.0 | 576921 | 0 | 3345 | X | ||
| Dr Firas Alani | |||||||
| 50.0 | 497185 | 0 | 3345 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 8022059 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1351191 | TotalOtherCompensation |
| Number Individuals GT100 K | 201 | 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 |
|---|---|---|---|---|---|
| MILLER CANFIELD PADDOCK STONE | |||||
| PO DRAWER 640348 | DETROIT | MI | 482640348 | LEGAL SERVICES | 926272 |
| OWENS MINOR | |||||
| 12199 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | EQUIPMENT SERVICE | 935680 |
| BMA ACUTE UNIT | |||||
| DEPT 771207 PO BOX 77000 | DETROIT | MI | 482771207 | DIALYSIS SERVICES | |
| EPIC SYSTEMS CORPORATION | |||||
| PO BOX 88314 | MILWAUKEE | MI | 532880314 | IT MTC SUPPORT | 1372997 |
| REHABCARE GROUP INC | |||||
| PO BOX 502096 | ST LOUIS | MO | 63150 | REHAB SERVICES | 1726784 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 100 | NumberOfContractorsGT100K |
| Related Organizations | 261606 | RelatedOrganizations |
| Noncash Contributions | 261606 | NoncashContributions |
| Total Contributions | 261606 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 623000 | 480436294 | 480436294 | |
| JOINT VENTURE OPERATIONS | 621110 | 7465528 | 7465528 | |
| EDUCATIONAL INCOME | 900099 | 1582810 | 1582810 | |
| LAB BILLING | 621500 | 1018346 | 916511 | 101835 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 490502978 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3386346 | TotalRevenueColumn |
| Exclusion | $3,386,346 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 324065 | TotalRevenueColumn |
| Exclusion | $324,065 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1738565 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1738565 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1738565 | TotalRevenueColumn |
| Exclusion | $1,738,565 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5704806 | Securities |
| Other | 3036086 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5704806 | Securities |
| Other | 3036086 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8740892 | TotalRevenueColumn |
| Exclusion | $8,740,892 | 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 | 2116973 | 40583 | $2,076,390 |
| MISCELLANEOUS OTHER REVENUE | 900099 | 1447410 | $1,447,410 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3564383 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 508518835 | TotalRevenueColumn |
| Related Or Exempt Function Income | 490401143 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 142418 | UnrelatedBusinessRevenue |
| Exclusion | $17,713,668 | 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 | 2847827 | Total |
| Management And General | 2847827 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175772 | Total |
| Program Services | 175772 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 186338930 | Total |
| Program Services | 180867845 | ProgramServices |
| Management And General | 5471085 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8863326 | Total |
| Program Services | 8863326 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29255099 | Total |
| Program Services | 29227296 | ProgramServices |
| Management And General | 27803 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12657575 | Total |
| Program Services | 12266126 | ProgramServices |
| Management And General | 391449 | 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 | 1334211 | Total |
| Program Services | 105975 | ProgramServices |
| Management And General | 1228236 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 275765 | Total |
| Program Services | 5195 | ProgramServices |
| Management And General | 270570 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56000 | Total |
| Management And General | 56000 | 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 | 47268773 | Total |
| Program Services | 43104168 | ProgramServices |
| Management And General | 4164605 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3081260 | Total |
| Program Services | 3002479 | ProgramServices |
| Management And General | 78781 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97946574 | Total |
| Program Services | 97946574 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7988623 | Total |
| Program Services | 7988623 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 552811 | Total |
| Program Services | 552811 | 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 | 485165 | Total |
| Program Services | 485165 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6848655 | Total |
| Program Services | 6848655 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27950227 | Total |
| Program Services | 27950227 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4996328 | Total |
| Program Services | 4994192 | ProgramServices |
| Management And General | 2136 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBTS | 33161056 | 33161056 | |
| RENTS & LEASES | 3820224 | 3820224 | |
| DUES | 1687416 | 920571 | 766845 |
| COLLECTIONS EXPENSES | 1313323 | 1313323 | |
| MISCELLANEOUS EXPENSES | 1550980 | 1550980 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 480455920 | Total |
| Program Services | 465150583 | ProgramServices |
| Management And General | 15305337 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20004432 | BOY |
| EOY | 15893816 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15140596 | BOY |
| EOY | 21706539 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51711276 | BOY |
| EOY | 52164623 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 199404 | BOY |
| EOY | 189850 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7902728 | BOY |
| EOY | 6848736 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11380444 | BOY |
| EOY | 10453736 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 492306077 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 317583835 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 184431711 | BOY |
| EOY | 174722242 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87721448 | BOY |
| EOY | 128223223 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30629636 | BOY |
| EOY | 50368446 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43451974 | BOY |
| EOY | 14597721 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 452573649 | BOY |
| EOY | 475168932 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52778494 | BOY |
| EOY | 52969909 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 123523764 | BOY |
| EOY | 121693641 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 138366910 | BOY |
| EOY | 186482310 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 314669168 | BOY |
| EOY | 361145860 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 137904481 | BOY |
| EOY | 114023072 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 137904481 | BOY |
| EOY | 114023072 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 452573649 | BOY |
| EOY | 475168932 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $56,000 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 56000 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING ACTIVITY | Identifier |
| Return Reference | FORM 990, SCH C, PART II-B | ReturnReference |
| Explanation | KHEDER DAVIS ENGAGED IN LOBBYING ACTIVITIES ON BEHALF OF COVENANT MEDICAL CENTER DURING FISCAL YEAR ENDED JUNE 30, 2010. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14210648 | OtherCostOrOtherBasis |
| Book Value | 14210648 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 141469257 | OtherCostOrOtherBasis |
| Depreciation | 101223822 | Depreciation |
| Book Value | 40245435 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 63022559 | OtherCostOrOtherBasis |
| Depreciation | 41406829 | Depreciation |
| Book Value | 21615730 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 272929792 | OtherCostOrOtherBasis |
| Depreciation | 174460218 | Depreciation |
| Book Value | 98469574 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 673821 | OtherCostOrOtherBasis |
| Depreciation | 492966 | Depreciation |
| Book Value | 180855 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 174722242 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| LIMITED PARTNERSHIPS | 9585187 | F |
| HEDGE FUNDS | 27318030 | F |
| JOINT VENTURES | 13465229 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 50368446 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PENSION | $132,851,223 |
| ACCRUED POST RETIREMENT BNFTS | $33,247,868 |
| OTHER LIABILITIES | $20,383,219 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 186482310 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART X-FIN 48/ASC 740 | Identifier |
| Return Reference | DISCLOSURE FROM AUDITED FINANCIAL STATEMENTS OF COVENANT HEALTHCARE | ReturnReference |
| Explanation | IN 2008, COVENANT HEALTHCARE ADOPTED FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATION 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES (FIN 48), (CODIFIED IN ASC 740, INCOME TAXES) AND ACCORDINGLY, REVIEWED ALL SIGNIFICANT TAX POSITIONS, EVALUATED POTENTIAL EXPOSURE, AND DETERMINED THAT NO ADJUSTMENTS WERE NECESSARY AS A RESULT OF THE IMPLEMENTATION. | Explanation |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)
| RegionRegion | Number Of OfficesNumberOfOffices | Number Of EmployeesNumberOfEmployees | Type Of Activities ConductedTypeOfActivitiesConducted | Specific Services ProvidedSpecificServicesProvided | Total ExpendituresTotalExpenditures |
|---|---|---|---|---|---|
| Central America and the Caribbean | 0 | 0 | Program Services | SELF INSURANCE | 264549 |
| Central America and the Caribbean | 0 | 0 | Investments |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Total Amount Spent | 264549 | TotalAmountSpent |
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 | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3476704 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 551461 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2925295 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00650 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 77743693 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 72792242 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4951451 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01110 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 81220397 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 73343703 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7876746 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01760 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 520574 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 520574 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11525576 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4410787 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7114789 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01590 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12046150 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4410787 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7635363 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01710 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 93266547 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 77754490 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15512109 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03470 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $10,812,045 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 178267984 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 170231136 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 8036848 | MedicareSurplusOrShortfall |
| Costing Methodology Used | CostingMethodologyUsed | |
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (22 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | OtherOther | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|---|---|
| COVENANT MEDICAL CENTER INC (HARRISON) | ||||||||
| 1447 N HARRISON | SAGINAW | MI | 48602 | X | X | X | HOSPITAL | |
| COVENANT MEDICAL CENTER INC (COOPER) | ||||||||
| 700 COOPER | SAGINAW | MI | 48602 | X | X | X | HOSPITAL | |
| COVENANT MEDICAL CENTER INC (MICHIGAN) | ||||||||
| 515 N MICHIGAN | SAGINAW | MI | 48602 | X | HOSPITAL | |||
| HOSPITAL | ||||||||
| 1441 N HARRISON | SAGINAW | MI | 48602 | X | HOSPITAL | |||
| MACKINAW CAMPUS | ||||||||
| 5400 MACKINAW | SAGINAW TOWNSHIP | MI | 48602 | X | HOSPITAL | |||
| ECC | ||||||||
| 900 COOPER AVE | SAGINAW | MI | 48602 | EMERGENCY | X | |||
| IRVING CAMPUS | ||||||||
| 600 IRVING | SAGINAW | MI | 48602 | PM&R, OCCUPATIONAL HEALTH, 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 RD | 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 | ||||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | COVENANT USES FPG TO DETERMINE ELIGIBILITY. | IncomeBasedCriteria |
| Annual Community Benefit Expln | Covenant's Community Benefit Report is made available at covenanthealthcare.com | AnnualCommunityBenefitExpln |
| Costing Method Used | THE BEST AVAILABLE INFORMATION WAS USED TO CALCULATE THE COST IN LINE 7. COST IS BASED ON THE COST-TO-CHARGE RATIO. | CostingMethodUsed |
| Subsidized Health Services Expln | NOT APPLICABLE | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | Bad debt expense reported on form 990, but subtracted for purposes of calculating the ratio of cost-to-charge is $33,161,000. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | 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 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. | BadDebtFootnote |
| Shortfall As Community Benefit | MEDICARE COST IS FROM MEDICARE COST REPORT. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | 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 EFFORT CEASE. | DebtCollectionPolicy |
| Number Of Facility Type Expln | OUTPATIENT MAY INCLUDE URGENT CARE, IMAGING, LABORATORY, THERAPY, AND PHYSICIAN OFFICES. | NumberOfFacilityTypeExpln |
| Needs Assessment | 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. | NeedsAssessment |
| Patient Education Assistance | 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. | PatientEducationAssistance |
| Community Information | 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. | CommunityInformation |
| Community Building Activities | 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 WAS AS EARLY DISEASE DETECTION TO TRAUMA PREVENTION. | CommunityBuildingActivities |
| Other Information | PART VI, LINE 6 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. | OtherInformation |
| Affiliated Health Care System | PART VI, LINE 7 COVENANT MEDICAL CENTER, INC. IS NOT A PART OF AN AFFILIATED HEALTH SYSTEM. | AffiliatedHealthCareSystem |
| Reports Filed With States | MI | ReportsFiledWithStates |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| 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 Related OrgsCompReportPrior990RelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Spencer Maidlow | |||||||||||||
| 601058 | 0 | 126222 | 0 | 27251 | 0 | 482309 | 0 | 3370 | 0 | 1240210 | 0 | 0 | |
| Mark Gronda | |||||||||||||
| 348506 | 0 | 70216 | 0 | 10529 | 0 | 221549 | 0 | 6765 | 0 | 657565 | 0 | 0 | 0 |
| Edward Bruff | |||||||||||||
| 379777 | 0 | 78694 | 0 | 18013 | 0 | 171998 | 0 | 5597 | 0 | 654079 | 0 | 0 | 0 |
| Carol Stoll | |||||||||||||
| 209712 | 0 | 45101 | 0 | 8497 | 0 | 134556 | 0 | 4290 | 0 | 402156 | 0 | 0 | 0 |
| Dr John Kosanovich | |||||||||||||
| 322621 | 0 | 72257 | 0 | 6887 | 0 | 101147 | 0 | 4966 | 0 | 507878 | 0 | 0 | 0 |
| Daniel George | |||||||||||||
| 217488 | 0 | 42357 | 0 | 14791 | 0 | 45417 | 0 | 408 | 0 | 320461 | 0 | 0 | 0 |
| Tim Wenzel | |||||||||||||
| 201016 | 0 | 42428 | 0 | 4408 | 0 | 141554 | 0 | 6353 | 0 | 395759 | 0 | 0 | 0 |
| Dr Mark Adams | |||||||||||||
| 986276 | 0 | 1176935 | 0 | 470090 | 0 | 0 | 4437 | 0 | 2637738 | 0 | 0 | 0 | |
| Dr John McClure | |||||||||||||
| 813800 | 0 | 0 | 0 | -6845 | 0 | 0 | 0 | 6848 | 0 | 813803 | 0 | 0 | 0 |
| Dr Frank Schinco | |||||||||||||
| 662805 | 0 | 0 | 0 | -2937 | 0 | 0 | 0 | 2937 | 0 | 662805 | 0 | 0 | 0 |
| Dr Antonio Williams | |||||||||||||
| 580266 | 0 | 0 | 0 | -3345 | 0 | 0 | 0 | 3345 | 0 | 580266 | 0 | 0 | 0 |
| Dr Firas Alani | |||||||||||||
| 500530 | 0 | 0 | 0 | -3345 | 0 | 0 | 0 | 3345 | 0 | 500530 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| HEALTH OR SOCIAL CLUB DUES | SCH J, PART I | SOCIAL CLUB DUES OF $ 2,700 ARE PAID FOR MR. MAIDLOW AND ARE INCLUDED IN HIS TAXABLE INCOME. |
| SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN | SCH J, PART I, LINE 4B | THE ORGANIZTION 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 APPPROPRIATE BOARD LEVEL REVIEW IN A MANNER INTENDED TO COMPLY WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS PROVISION UNDER IRC SECTIO 4958. SPENCER MAIDLOW 339,693 MARK GRONDA 70,700 EDWARD BRUFF 86,283 JOHN KOSANOVICH 91.999 DANIEL GEORGE 38,971 TIM WENZEL 38,351 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF SAGINAW HOSP FIN AUTH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 386004647 | IssuerEIN |
| CUSIP Number | 786744EX4 | CUSIPNumber |
| Date Issued | 2004-04-07 | DateIssued |
| Issue Price | 39343085 | IssuePrice |
| Description Of Purpose | RETIRE 8/15/1991 BONDS | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 39978744 | TotalProceeds |
| Amount In Reserve Fund | 3743500 | AmountInReserveFund |
| Issuance Costs From Proceeds | 494736 | IssuanceCostsFromProceeds |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | true | BondCounselRoutinelyEngaged |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | true | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | true | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEHMAN BROS SFI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of GIC | 32. | TermOfGIC |
| Regulatory Safe Harbor Satisfied | true | RegulatorySafeHarborSatisfied |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | true | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| GARY RUMMELL DAUGHTER | |||
| EMPLOYEE OF ORGANIZATION | 25359 | FAMILY MEMBER OF BOARD MEMBER | false |
| CULLI DAMUTH SPOUSE | |||
| EMPLOYEE OF ORGANIZATION | 90000 | FAMILY MEMBER OF BOARD MEMBER | false |
| JOHN JOHNSON DAUGHTER | |||
| EMPLOYEE OF ORGANIZATION | 60413 | FAMILY MEMBER OF BOARD MEMBER | false |
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 | 261606 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COST/FMV (NEW) | 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 (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| SUPPLEMENTAL INFORMATION | Form 990, Part VI, Line 6 COVENANT HEALTHCARE SYSTEM IS THE SOLE CORPORATE MEMBER OF COVENANT MEDICAL CENTER. FORM 990, PART VI, LINE 7A THE CORPORATE MEMBER COVENANT HEALTHCARE SYSTEM MAY ELECT MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, LINE 11 MANAGEMENT PRESENTS AND REVIEWS THE 990 WITH THE BOARD FOR ITS APPROVAL PRIOR TO FILING: THIS GENERALLY TAKES PLACE AT THE APRIL MEETING OF THE BOARD. ONCE APPROVED BY THE BOARD, THE FINAL 990 IS ULTIMATELY FILED WITH THE IRS. 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. FORM 990, PART VI, LINE 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 2008. 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. |
| FORM 990, PART X, BALANCE SHEET | CERTAIN LINE ITEMS FOR THE BEGINNING BALANCES HAVE BEEN RESTATED BASED ON THE FY2010 FINAL CONSOLIDATED AUDIT OF COVENANT HEALTHCARE SYSTEM, IN WHICH COVENANT MEDICAL CENTER IS PART THEREOF. |
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 |
|---|---|---|---|---|---|---|---|---|
| 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 |
Form990 Schedule R Part II Form990ScheduleRPartII (4 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 |
|---|---|---|---|---|---|---|---|---|---|
| COVENANT HEALTHCARE FOUNDATION | |||||||||
| 1447 N HARRISON | SAGINAW | MI | 48602 | 382572154 | SUPPORT | MI | 501(C)(3) | 11C | CHS |
| VISITING NURSE SPECIAL SERVICES | |||||||||
| 502 S HAMILTON | SAGINAW | MI | 48602 | 382762248 | NURSE VISITS | MI | 501(C)(3) | 9 | CHS |
| COVENANT SERVICES CORPORATION | |||||||||
| 1447 N HARRISON | SAGINAW | MI | 48602 | HEALTHCARE | MI | 501(C)(3) | 11C | CHS | |
| COVENANT HEALTHCARE SYSTEM | |||||||||
| 1447 N HARRISON | SAGINAW | MI | 48602 | 383369443 | HEALTHCARE | MI | 501(C)(3) | 11A | NA |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MACKINAW SURG CTR | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5400 MACKINAW | AddressLine1 |
| City | SAGINAW | City |
| State | MI | State |
| ZIP Code | 48604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205257296 | EIN |
| Primary Activity | SURGICAL CTR | PrimaryActivity |
| Legal Domicile State | MI | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 320722 | ShareOfTotalIncome |
| Share Of EOY Assets | 1451094 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| General Or Managing Partner | false | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 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 | CHS | 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 HEALTHCARE MACKINAW CONDO | |||||||||||
| 1447 N HARRISON | SAGINAW | MI | 48602 | 382909555 | CONDOMINIUM | MI | NA | C CORP | 943173 | 203855 | 1.00000 |
| 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 | true | 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 (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| COVENANT HEALTHCARE FOUNDATION | |
| C | 261606 |
| COVENANT HEALTHCARE FOUNDATION | |
| M | 2445923 |
| COVENANT HEALTHCARE FOUNDATION | |
| N | 507158 |
| COVENANT HEALTHCARE FOUNDATION | |
| P | 2405079 |