SAGINAW COOPERATIVE HOSPITALS INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
SAGINAW COOPERATIVE HOSPITALS INC (EIN 38-1870664)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-04-21
IRS object ID
202321119349300407
Schema version
2021v4.0
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)
Return2023-04-21T09:06:03-04:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN383133790PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ANDREWS HOOPER PAVLIK PLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15915 EASTMAN AVE STE 100AddressLine1Txt
CityMIDLANDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP486406824ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN381870664EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAGINAW COOPERATIVE HOSPITALS INCBusinessNameLine1Txt
Business Name Line2DBA/CMU MEDICAL EDUCATION PARTNERSBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSAGIBusinessNameControlTxt
Phone9895586431PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 HOUGHTON SUITE 800AddressLine1Txt
CitySAGINAWCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48602ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSAMUEL SHAHEEN MDPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone9895836875PhoneNum
Signature2023-03-25SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSAMUELPersonFirstNm
Person LastSHAHEEN MDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKELLIE M BOSPreparerPersonNm
PTINP00448161PTIN
Phone9898357721PhoneNum
Preparation2023-03-25PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSAMUEL SHAHEEN MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 HOUGHTON SUITE 800AddressLine1Txt
CitySAGINAWCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48602ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$54,785,613GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressCMUHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1968FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTHE PURPOSE OF THE CORPORATION IS TO INTEGRATE MEDICAL EDUCATION, RESEARCH, AND PROFESSIONAL SERVICES FOR THE TRAINING OF MEDICAL LEARNERS (RESIDENTS, STUDENTS, AND HEALTHCARE PERSONNEL).ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee520TotalEmployeeCnt
Total Volunteers4TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$5,673,468PYContributionsGrantsAmt
CY Contributions Grants$153,601CYContributionsGrantsAmt
PY Program Service Revenue$36,286,557PYProgramServiceRevenueAmt
CY Program Service Revenue$39,542,841CYProgramServiceRevenueAmt
PY Investment Income$57,749PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$14,048,167PYOtherRevenueAmt
CY Other Revenue$15,089,171CYOtherRevenueAmt
PY Total Revenue$56,065,941PYTotalRevenueAmt
CY Total Revenue$54,785,613CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$41,342,678PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$47,998,069CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,661,045PYOtherExpensesAmt
CY Other Expenses$8,997,800CYOtherExpensesAmt
PY Total Expenses$50,003,723PYTotalExpensesAmt
CY Total Expenses$56,995,869CYTotalExpensesAmt
PY Revenues Less Expenses$6,062,218PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,210,256CYRevenuesLessExpensesAmt
Total Assets BOY$19,522,403TotalAssetsBOYAmt
Total Assets EOY$18,190,737TotalAssetsEOYAmt
Total Liabilities BOY$8,369,602TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,901,612TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$11,152,801NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,289,125NetAssetsOrFundBalancesEOYAmt
MissionTHE PURPOSE OF THE CORPORATION IS TO INTEGRATE MEDICAL EDUCATION, RESEARCH, AND PROFESSIONAL SERVICES FOR THE TRAINING OF MEDICAL LEARNERS (RESIDENTS, STUDENTS, AND HEALTHCARE PERSONNEL).MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$52,958,989ExpenseAmt
Revenue$54,632,012RevenueAmt
DescMEDICAL EDUCATION - TO PROVIDE MEDICAL LEARNERS AND RESIDENTS WITH A DIVERSE LEARNING EXPERIENCE IN THE MEDICAL FIELD AND PROVIDE FURTHER EDUCATION AND TRAINING.Desc
Total Program Service Expenses$52,958,989TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document58IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee520EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRYAN MARLETTEPersonNm
Phone9895586431PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 HOUGHTONAddressLine1Txt
Address Line2SUITE 800AddressLine2Txt
CitySAGINAWCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48602ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
MAHER GHANEM
PHYSICIAN40.00Yes (X)$840,974$0$27,486
SAMUEL SHAHEEN MD
PRESIDENT &40.00$662,500$0$29,870Yes (X)
WAEL SOLH
PHYSICIAN40.00Yes (X)$570,708$0$29,360
CHET MORRISON
PHYSICIAN40.00Yes (X)$402,478$0$31,397
TIMOTHY HACKETT
PHYSICIAN40.00Yes (X)$408,512$0$25,349
YONG YOON
PHYSICIAN40.00Yes (X)$409,000$0$17,927
BETH CHARLTON
TRUSTEE1.00$0$0$040.00Yes (X)
JOANN CRARY
TRUSTEE1.00$0$0$0Yes (X)
ROBERT DAVIES
TRUSTEE1.00$0$0$040.00Yes (X)
BRENDA COUGHLIN MD
TRUSTEE1.00$0$0$0Yes (X)
DOUGLAS APPLE MD
TRUSTEE1.00$0$0$040.00Yes (X)
GEORGE KIKANO MD
CHAIRMAN4.00$0$0$0Yes (X)36.00Yes (X)
MICHAEL SULLIVAN MD
TRUSTEE1.00$0$0$040.00Yes (X)
STEPHANIE DUGGAN MD
SECRETARY4.00$0$0$0Yes (X)36.00Yes (X)
J DON SHEETS
TRUSTEE1.00$0$0$0Yes (X)
MICHAEL WEBSTER
TRUSTEE1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,294,172TotalReportableCompFromOrgAmt
Total Other Compensation$161,389TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K79IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CLEAN TEAMBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 513AddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43697ZIPCd
FieldValueIRS element (for citing)
ServicesCLEANING SERVICServicesDesc
Compensation$176,633CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$153,601AllOtherContributionsAmt
Total Contributions$153,601TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEMBERSHIP DUES & ASSESSMENTS611710$21,712,133$21,712,133
PATIENT SERVICES621400$17,830,708$17,830,708
FieldValueIRS element (for citing)
Total Program Service Revenue$39,542,841TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACTED SERVICES900099$14,936,764$14,936,764
MISCELLANEOUS SERVICES900099$152,407$152,407
FieldValueIRS element (for citing)
Other Revenue Total$15,089,171OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,785,613TotalRevenueColumnAmt
Related Or Exempt Func Income$54,632,012RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$662,500TotalAmt
Management And General$662,500ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$39,572,964TotalAmt
Program Services$38,025,506ProgramServicesAmt
Management And General$1,547,458ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,440,119TotalAmt
Program Services$4,739,152ProgramServicesAmt
Management And General$700,967ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,322,486TotalAmt
Program Services$2,085,468ProgramServicesAmt
Management And General$237,018ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$61,486TotalAmt
Program Services$58,984ProgramServicesAmt
Management And General$2,502ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$48,577TotalAmt
Management And General$48,577ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,315,273TotalAmt
Program Services$1,215,234ProgramServicesAmt
Management And General$100,039ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$93,509TotalAmt
Program Services$61,444ProgramServicesAmt
Management And General$32,065ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,542,408TotalAmt
Program Services$1,473,926ProgramServicesAmt
Management And General$68,482ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$16,552TotalAmt
Program Services$14,871ProgramServicesAmt
Management And General$1,681ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$583,317TotalAmt
Program Services$564,359ProgramServicesAmt
Management And General$18,958ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$400,804TotalAmt
Program Services$144,232ProgramServicesAmt
Management And General$256,572ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,377,054TotalAmt
Program Services$1,277,543ProgramServicesAmt
Management And General$99,511ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CLINICAL SUPPLIES$926,970$926,734$236
GRANT PROJECT EXPENSES$488,133$488,133
BAD DEBTS$478,462$478,462
EDUCATIONAL SUPPLIES & SV$445,187$406,576$38,611

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,220,068TotalAmt
Program Services$998,365ProgramServicesAmt
Management And General$221,703ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$56,995,869TotalAmt
Program Services$52,958,989ProgramServicesAmt
Management And General$4,036,880ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,762,648BOYAmt
EOY$3,723,972EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,937,955BOYAmt
EOY$883,094EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,127,081BOYAmt
EOY$3,050,822EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$908,234BOYAmt
EOY$1,050,863EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,998,731LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,217,824LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,318,748BOYAmt
EOY$1,780,907EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,454,197BOYAmt
EOY$7,687,539EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,540BOYAmt
EOY$13,540EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$19,522,403BOYAmt
EOY$18,190,737EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,897,135BOYAmt
EOY$5,662,635EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$300,921BOYAmt
EOY$30,847EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,171,546BOYAmt
EOY$4,208,130EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,369,602BOYAmt
EOY$9,901,612EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,152,801BOYAmt
EOY$8,289,125EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,152,801BOYAmt
EOY$8,289,125EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,522,403BOYAmt
EOY$18,190,737EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,210,256ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$653,420NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations3SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (3 entries)

Business Name Line2SupportedOrganizationName/BusinessNameLine2TxtEINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
COVENANT HEALTHCARE
COVENANT HEALTHCARE3833694433Yes (true)$0$0
ASCENSION ST MARY'S
ASCENSION ST MARY'S3809977303Yes (true)$0$0
CENTRAL HEALTH ADVANCEMENT SOLUTIONS
CENTRAL HEALTH ADVANCEMENT SOLUTIONS4538622325Yes (true)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total3SupportedOrganizationsTotalCnt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (true)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationPART I - LINE 12G CMU MEDICAL EDUCATION PARTNERS SUPPORTS THE LISTED ORGANIZATIONS THROUGH SERVICES PROVIDED TO THEM.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,998,731OtherCostOrOtherBasisAmt
Depreciation$5,217,824DepreciationAmt
Book Value$1,780,907BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,780,907TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
AMOUNTS DUE 457(B) PLAN PARTICIPANTS$3,443,337
MIDOCS PROGRAM$564,793
EST PROF LIAB UNDER SELF-INSURANCE$200,000
FieldValueIRS element (for citing)
Total Liability$4,208,130TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$54,872,209TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$653,420NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$740,016DonatedServicesAndUseFcltsAmt
Revenue Not Reported$86,596RevenueNotReportedAmt
Revenue Subtotal$54,785,613RevenueSubtotalAmt
Total Revenue Per Form990$54,785,613TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$57,735,885TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$740,016DonatedServicesUseFcltsAmt
Expenses Not Reported$740,016ExpensesNotReportedAmt
Expenses Subtotal$56,995,869ExpensesSubtotalAmt
Total Expenses Per Form990$56,995,869TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmt
MAHER GHANEM
PHYSICIAN$500,000$340,974$11,400$16,086$868,460
SAMUEL SHAHEEN MD
PRESIDENT & CEO$650,000$12,500$11,600$18,270$692,370
WAEL SOLH
PHYSICIAN$525,000$45,708$11,400$17,960$600,068
CHET MORRISON
PHYSICIAN$400,000$16,099$15,298$433,875$2,478
TIMOTHY HACKETT
PHYSICIAN$400,000$8,512$11,280$14,069$433,861
YONG YOON
PHYSICIAN$409,000$11,400$6,527$426,927

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 6THE CORPORATION IS ORGANIZED ON A NONSTOCK MEMBERSHIP BASIS.
FORM 990, PAGE 6, PART VI, LINE 7ABASED ON THE BY-LAWS, THE BOARD MEMBERS CONSIST OF TEN INDIVIDUALS: 6 OF WHICH CONSIST OF THE PRESIDENT AND CEO OF COVENANT, A PHYSICIAN APPOINTED BY COVENANT, PRESIDENT AND CEO OF ASCENSION ST. MARY'S, A PHYSICIAN APPOINTED BY ASCENSION ST. MARY'S, DEAN OF COLLEGE OF MEDICINE OF CENTRAL MICHIGAN UNIVERSITY AND A CMU EMPLOYEE APPOINTED BY THE DEAN OF THE COLLEGE OF MEDICINE. THE 4 REMAINING BOARD MEMBERS ARE SELECTED FROM MEMBERS OF THE COMMUNITY THAT ARE NOT FROM ANY SPECIFIC ORGANIZATION. IN ADDITION, THE PRESIDENT AND CEO, CFO, COO AND CAO ARE INVITED TO ATTEND THE MEETINGS AS NON-VOTING MEMBERS.
FORM 990, PAGE 6, PART VI, LINE 7BTHE FOLLOWING RIGHTS AND RESPONSIBILITIES ARE RESERVED TO THE MEMBERS: A. TO APPROVE THE STATEMENT OF PHILOSOPHY AND MISSION OF THE CORPORATION, B. TO APPROVE THE ADOPTION OF ANY STRATEGIC PLAN OF THE CORPORATION OR ANY MAJOR CHANGE IN THE PROGRAMS OR SERVICES OF THE CORPORATION, C. TO SELECT A QUALIFIED AUDIT FIRM FOR THE CORPORATION, D. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS AND EXPENDITURES OF THE CORPORATION, E. TO APPROVE ANY INDEBTEDNESS OF THE CORPORATION, F. TO APPROVE THE ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, G. TO APPROVE ANY AMENDMENT OF THE ARTICLES OF INCORPORATION OF THE CORPORATION, H. TO APPROVE ANY AMENDMENT OF THE BYLAWS OF THE CORPORATION, I. TO APPROVE THE MERGER, CONSOLIDATION, DISSOLUTION, SALE OR OTHER TRANSFER OF SUBSTANTIALLY ALL ASSETS OF THE CORPORATION, AND J. TO APPROVE THE PURCHASE, SALE, TRANSFER OR OTHER ENCUMBRANCE OF ASSETS OF THE CORPORATION.
FORM 990, PAGE 6, PART VI, LINE 11BTHE BOARD OF DIRECTORS REVIEWS AND PROVIDES FINAL APPROVAL OF THE FORM 990.
FORM 990, PAGE 6, PART VI, LINE 12CALL MEMBERS OF THE BOARD ARE REQUIRED TO COMPLETE AND SIGN THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. THE FORM IS THEN REVIEWED FOR ANY POSSIBLE CONFLICTS OF INTEREST.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION FOR THE PRESIDENT AND CEO IS DETERMINED BY A COMPENSATION COMMITTEE COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS. DATA FROM THE MGMA AND VARIOUS OTHER NATIONAL SALARY SURVEYS ARE USED TO DETERMINE THE SALARY OF THE PRESIDENT AND CEO, WHICH IS THEN TAKEN TO THE ENTIRE MEMBERSHIP OF THE BOARD OF DIRECTORS FOR APPROVAL.
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VIINO TRUSTEES OR OFFICERS RECEIVE PAY FOR THE PURPOSE OF SERVING ON THE BOARD. THEY ARE CONSIDERED TO WORK 1 HOUR PER WEEK ON BOARD-RELATED MATTERS. ALL INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY EITHER THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A FULL-TIME POSITION. THOSE PERSONS ARE ESTIMATED TO WORK AN AVERAGE OF 40 HOURS PER WEEK RELATED TO THEIR FULL-TIME POSITION. WE WERE UNABLE TO PRESENT THE COMPENSATION PAID BY ALL RELATED ORGANIZATIONS DUE TO THE FACT THE COMPENSATION INFORMATION WAS NOT PROVIDED. REASONABLE EFFORTS WERE TAKEN TO OBTAIN THE COMPENSATION INFORMATION FROM ASCENSION ST. MARY'S, COVENANT HEALTHCARE, AND CENTRAL MICHIGAN UNIVERSITY BUT THESE EFFORTS WERE UNSUCCESSFUL. AS PREVIOUSLY DISCLOSED, THE COMPENSATION PAID BY THESE RELATED ORGANIZATIONS ARE BEING PAID TO THE INDIVIDUALS FOR SERVICES PROVIDED TO THE RELATED ORGANIZATIONS AS EMPLOYEES OF THESE ORGANIZATIONS. NO COMPENSATION IS BEING PAID TO THESE INDIVIDUALS FOR SERVICES PROVIDED TO THE ORGANIZATION AS BOARD MEMBERS. THE FOLLOWING BOARD MEMBERS ARE PAID BY A RELATED ORGANIZATION: GEORGE KIKANO, MD ROBERT DAVIES BETH CHARLTON MICHAEL SULLIVAN, MD STEPHANIE DUGGAN, MD DOUGLAS APPLE, MD

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
COVENANT HEALTHCARE
1447 NORTH HARRISONSAGINAWMI48602383369443HOSPITALMI501C33N/Afalse
ASCENSION ST MARY'S
800 S WASHINGTON AVESAGINAWMI48601380997730HOSPITALMI501C33N/Afalse
CMU
WARRINER HALLMT PLEASANTMI48859386004447EDUCATIONMI501C32N/Afalse
CENTRAL HEALTH ADVANCEMENT SOLUTION
WARRINER HALLMT PLEASANTMI48859453862232EDUCATIONMI501C35falseCMU
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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