2023-08-25T12:40:14-05:00 2022-12-31 363990892 Capin Crouse LLP 345 Massachusetts Avenue Suite 300 Indianapolis IN 46204 990 2022-01-01 383533998 Covenant Community Care Inc COVE 3135540485 559 W Grand Blvd Detroit MI 48216 Anna Chavez Chief Financial Officer 3135540485 2023-08-25 1 Anna Chavez 999009999 0 Sara Tibbott P01486965 5055022746 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Joslyn Pettway 559 W Grand Blvd Detroit MI 48216 16698124 0 X www.covenantcommunitycare.org X 2000 MI The mission of Covenant Community Care is to show and share the love of God, as seen in the good news of Jesus Christ, by providing integrated, affordable, and quality health care to those who need it most. 11 10 201 15 0 0 8259666 7409397 8679038 9271471 17176 11508 -2569 3948 16953311 16696324 53252 93982 0 0 10372108 10716628 0 0 127362 3619513 3863534 14044873 14674144 2908438 2022180 9897914 13399475 804054 2407738 9093860 10991737 X The mission of Covenant Community Care is to show and share the love of God, as seen in the good news of Jesus Christ, by providing integrated, affordable, and quality health care to those who need it most. 0 0 7609273 6175949 In 2022, Covenant Community Care (Covenant) served 18,194 patients through 58,983 visits across our five sites. Covenant's mission states care and concern for "those who need it most" in our communities. This includes the poor, uninsured and underinsured, and others who have been marginalized in society. It also includes our neighbors and people in our region who are seeking compassionate healthcare providers. Our patient population can present challenges that make medical compliance and follow-up, attainment of health goals, and accessing services difficult. Social determinants of health play a major role in the lives of our patients including job situations, home environments, food access, and other factors. We continue to (1) look for ways to sustain and build new partnerships with mental health agencies and other social service organizations, and (2) sustain and develop programs to help us improve how we carry out our mission. 2820212 2534512 Covenant offers oral health services at two clinical sites and through a mobile, school-based dental team. Covenant Michigan and Covenant Moross offer a full array of oral health services with state-of-the-art equipment including dental exams, x-rays, cleanings, fillings, sealants, root canals, extractions, crowns, fluoride treatments, scaling and root planning, dentures & partial dentures, and some orthodontics work. The school-based team currently cares for students at 64 Headstart locations, 13 Detroit Public Schools Community District (DPSCD) schools, and 5 non-DPSCD schools. The Team also takes dental services to community-based organizations when they are not working in schools, including the Pope Francis Center, an agency focused on providing meals, supportive services, crisis response, and housing assistance to Detroit community members in need, especially those experiencing homelessness. 686054 561010 Covenant's behavioral health counselors provide care to patients, including substance use services. Our primary medical and behavioral health care services are provided through an integrated delivery model. The integration of behavioral health screenings into every patient encounter at Covenant improves service delivery and outcomes in several ways. We identify behavioral health needs earlier in their progression, allowing for early intervention by our Behavioral Health Counselor, by proactively screening our patients. We also believe that by making behavioral health screening a routine practice, it helps to remove the stigma often associated with receiving behavioral health services. 203924 93982 Covenant has integrated enabling services into our organization to address health care access and utilization barriers. We provide transportation to and from our clinical locations via Lyft (scheduled by our front desk staff). Covenant has a contract with Telelanguage for the provision of foreign language translation and interpretation for our non-English speaking patients. We also have bilingual staff members at our Michigan Avenue facility located in Southwest Detroit, the area with Detroit's largest Hispanic and Latino populations where one in five households have limited English proficiency. Clinic materials (registration forms, sliding fee discount schedules, informational flyers, and signage) are produced in both English and Spanish. We continue to use infographics, when possible, to communicate more effectively with people who have lower levels of literacy. 203924 93982 11319463 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 15 0 1 201 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X Anna Chavez 3135540485 559 W Grand Blvd Detroit MI 48216 Dorlester Sharp Chairman of the Board (part year) 4.00 X X 0 0 0 Julia Smith Vice Chairman (part year)/Chairman 4.00 X X 0 0 0 Mitzi Cardona Director (part year) / Vice Chairman 4.00 X X 0 0 0 Catherine Wenz Secretary 2.00 X X 12650 0 0 Mark Lubienski Treasurer 4.00 X X 0 0 0 Graciela Villalobos Director 2.00 X 0 0 0 Samuel Spruill Director 2.00 X 0 0 0 Semmeal Thomas Director 2.00 X 0 0 0 Dr William Krieg Director 2.00 X 0 0 0 Prince Williams Director 2.00 X 0 0 0 Ester Gallegos Director 2.00 X 0 0 0 Nancyann Turner Director 2.00 X 0 0 0 Joslyn Pettway Chief Executive Officer 40.00 X 167496 0 13686 Anna Chavez Chief Financial Officer 40.00 X 105436 0 16903 Dr Marisa Abbo Medical Director 40.00 X 184607 0 13686 Dr Scott Stryd Chief Medical Officer 40.00 X 189570 0 18275 Dr Kai Palm Medical Director 40.00 X 173865 0 15726 Dr Jeffrey Ghioto Medical Director 40.00 X 171392 0 15726 Dr Lynn Quinn Chief Dental Officer 40.00 X 171028 0 1600 1176044 0 95602 20 0 1 0 Henry Schein DEPT CH 10560 Palatine IL 60055 Medical, Dental & PVP Supplies 554415 Rockford Construction Co 601 First Street NW Grand Rapids MI 49504 Construction Services 402852 Athenahealth Inc 311 Arsenal St Watertown MA 02472 EMR Services 305515 BPI Information Systems 23399 Commerce Dr Suite B-7 Farmington Hills MI 48335 IT Services 281893 Ghafari Associates LLC 17101 Michigan Ave Dearborn MI 48126 Construction Services 241989 13 7133749 275648 166170 7409397 Patients Fees 621400 9271471 9271471 9271471 13308 13308 3948 0 3948 3948 3948 1800 -1800 -1800 -1800 16696324 9271471 0 15456 62000 62000 31982 31982 318423 318423 8741727 6939170 1710533 92024 998648 766078 219843 12727 657830 488565 161149 8116 13929 6873 7056 41748 41748 96529 47902 40037 8590 285860 153043 131202 1615 732264 392038 336089 4137 1131863 974976 156887 173018 157003 16015 103113 15738 87375 Patient Treatment 1284095 1284095 Other Events 1115 962 153 14674144 11319463 3227319 127362 346706 323350 6231859 7470821 1521188 1332627 457835 329757 21568 574082 6917894 4591680 1318758 2326214 0 1042624 9897914 13399475 711998 1272345 92056 0 1135393 804054 2407738 X 7538985 9481990 1554875 1509747 9093860 10991737 9897914 13399475 2022180 -124303 0 X 0 1 X 1 1 1 X 5089173 5717532 8256606 8259666 7409397 34732374 8359902 7938844 7289395 8679038 9271471 41538650 13449075 13656376 15546001 16938704 16680868 76271024 4427 5504 869 1735 260 12795 0 4427 5504 869 1735 260 12795 76258229 33962 34031 19285 20725 16857 124860 33962 34031 19285 20725 16857 124860 13483037 13690407 15565286 16959429 16697725 76395884 0.99820 0.99780 0.00160 0.00180 X Schedule A, Part III: The organization is a public charity under section 509(a)(2) and completes Schedule A (Form 990), Part III. The organization has analyzed Schedule A (Form 990), Part II and established that it meets the 33 1/3% public support requirements under sections 509(a)(1) and 170(b)(1)(A)(vi), thus it qualifies to use the first listed special rule for Schedule B (Form 990) reporting. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 276000 276000 2982302 2444336 537966 1408556 1294267 114289 995857 676875 318982 1255179 176202 1078977 2326214 Operating lease right-of-use assets 1042624 1042624 Operating lease liability 1135393 1135393 16696324 0 16696324 0 16696324 14674144 0 14674144 0 14674144 1 Brilliant Detroit 5675 Larkins St Detroit MI 48210 473446334 501(c)(3) 30000 0 To fund a community health worker City Covenant Church 13624 Stout St Detroit MI 48223 352369948 501(c)(3) 15000 0 To fund Food for Thought project - Provide food to local residents Cody Rouge Community Action Alliance 19321 W Chicago St 105 Detroit MI 48228 271841875 501(c)(3) 15000 0 Art Therapy for emotional, psychological & social well-being of Detroit-area teens 3 0 Transportation 784 24146 Cost Transportation Services Medical Testing 3 3375 Cost Colonoscopy Assistance Interpretation Services 149 3831 Cost Interpretation Services Supplies 150 630 Cost Supplies Part I, Line 2: Covenant monitors the use of the grant funds by receiving progress reports from the sub grantee and a final report after funds are expended. Covenant provides on-demand transportation assistance to Covenant patients while remaining financially responsible. Covenant has a policy in place to ensure that patients utilize Lyft or other modes of transport within the covered zip codes and within the limitations of the service. Covenant also provides medical testing assistance to any uninsured patient who is referred by a Covenant medical provider and interpreting services by patient request. Supplies are stored at our administrative office and then distributed to clients experiencing homelessness who are served by Covenant's Outreach Team. The items are essential to basic health and are distributed based on individual need, which is assessed through conversations with the client. Supplies are distributed on the street and at local community organizations. X X 0 0 0 0 0 0 0 1 0 Dr Scott Stryd Chief Medical Officer 183226 0 6344 0 0 0 0 0 19491 0 209061 0 0 0 Dr Marisa Abbo Medical Director 181259 0 3348 0 0 0 0 0 14902 0 199509 0 0 0 Dr Kai Palm Medical Director 167390 0 6232 0 243 0 0 0 17184 0 191049 0 0 0 Dr Jeffrey Ghioto Medical Director 167195 0 3752 0 445 0 0 0 17388 0 188780 0 0 0 Joslyn Pettway Chief Executive Officer 166766 0 600 0 130 0 0 0 14845 0 182341 0 0 0 Dr Lynn Quinn Chief Dental Officer 167219 0 3809 0 0 0 0 0 2816 0 173844 0 0 0 Part I, Line 7 The board approved nonfixed payments in the form of discretionary bonuses. X 41 166170 Purchase Price 0 0 1 0 Part I, Column (b): The number of contributions represent the number of contributions received, not the number of items donated. Form 990, Part VI, Section A, line 1a The Executive Committee is composed of the Chairman of the Board, Vice-Chairman, Secretary, Treasurer and up to two other members of the Board who shall be appointed by the Board of Directors from time to time. The committee is authorized to review and give preliminary consideration for the purpose of making recommendations to the Board. In addition, the Executive Committee is empowered to take any action the Board of Directors authorizes or directs it to take on behalf of the Corporation. Form 990, Part VI, Section B, line 11b Form 990 is prepared by an independent CPA firm and reviewed in detail by the Chief Financial Officer. The reviewed Form 990 is then provided to the board of directors prior to filing with the IRS. Form 990, Part VI, Section B, line 12c The organization requires all officers and board members to sign annual conflict of interest statements. The Compliance Officer is responsible for reviewing the signed statements and ensuring that interested persons are in compliance with the conflict of interest policy. If an issue were to arise during the course of the board meeting, the board member with a conflict would excuse himself or herself from the decision making process and the board would vote on whether or not the transaction is in the best interest of the organization. Form 990, Part VI, Section B, line 15 Line 15a - The Board of Directors determines compensation for the Chief Executive Officer. The Executive Committee of the Board prepares a recommendation that considers an evaluation of the CEO's performance, as well as compensation survey data from community health organizations or related industries. The Board's decision is documented by memo and retained with the organization's payroll and HR files. Line 15b - The Chief Executive Officer determines compensation rates for all other officers. The MPCA salary survey is used for comparability data. The approved compensation is documented by memo and retained with the organization's payroll and HR files. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy and financial statements are available upon request.