SAGINAW COOPERATIVE HOSPITALS INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SAGINAW COOPERATIVE HOSPITALS INC (EIN 38-1870664)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-09
IRS object ID
201801299349301020
Schema version
2016v3.1
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)
Return2018-05-09T09:33:23-04:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

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 Line15300 GRATIOT RDAddressLine1Txt
CitySAGINAWCityNm
State AbbreviationMIStateAbbreviationCd
ZIP486386035ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

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
Phone9895836875PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJD MCBRAYERPersonNm
Person TitleFINANCE DIRECTORPersonTitleTxt
Phone9895836875PhoneNum
Signature2018-05-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAURA M EBELPreparerPersonNm
PTINP00184232PTIN
Phone9894975300PhoneNum
Preparation2018-05-07PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device IdD5642DF4423300A4A94EB47D443012BF6EC3F5D5AtSubmissionCreationDeviceId
At Submission Filing Device IdFD35D3361013BECD5074789C6704DD616CC57F25AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSAMUEL SHAHEENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 HOUGHTON SUITE 800AddressLine1Txt
CitySAGINAWCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48602ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$35,443,641GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressCMUHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1968FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTO INTEGRATE MEDICAL EDUCATION, RESEARCH AND SERVICE PRIMARILY FOR THE TRAINING OF MEDICAL RESIDENTS AND OTHER MEDICAL RELATED PERSONNEL.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee362TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$47,114PYContributionsGrantsAmt
CY Contributions Grants$80,916CYContributionsGrantsAmt
PY Program Service Revenue$25,166,765PYProgramServiceRevenueAmt
CY Program Service Revenue$27,483,775CYProgramServiceRevenueAmt
PY Investment Income$13,251PYInvestmentIncomeAmt
CY Investment Income$28,282CYInvestmentIncomeAmt
PY Other Revenue$6,835,364PYOtherRevenueAmt
CY Other Revenue$7,850,178CYOtherRevenueAmt
PY Total Revenue$32,062,494PYTotalRevenueAmt
CY Total Revenue$35,443,151CYTotalRevenueAmt
PY Grants And Similar Paid$1,000,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$23,950,838PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$27,250,278CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,325,269PYOtherExpensesAmt
CY Other Expenses$7,860,947CYOtherExpensesAmt
PY Total Expenses$32,276,107PYTotalExpensesAmt
CY Total Expenses$35,111,225CYTotalExpensesAmt
PY Revenues Less Expenses-$213,613PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$331,926CYRevenuesLessExpensesAmt
Total Assets BOY$8,899,022TotalAssetsBOYAmt
Total Assets EOY$9,319,432TotalAssetsEOYAmt
Total Liabilities BOY$2,286,112TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,330,270TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,612,910NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,989,162NetAssetsOrFundBalancesEOYAmt
MissionTO INTEGRATE MEDICAL EDUCATION, RESEARCH AND SERVICE PRIMARILY FOR THE TRAINING OF MEDICAL RESIDENTS AND OTHER MEDICAL RELATED PERSONNEL.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$32,221,739ExpenseAmt
Revenue$35,333,953RevenueAmt
DescMEDICAL EDUCATION - TO PROVIDE MEDICAL STUDENTS WITH A DIVERSE LEARNING EXPERIENCE IN THE MEDICAL FIELD AND PROVIDE FURTHER EDUCATION AND TRAINING.Desc
Total Program Service Expenses$32,221,739TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document59IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee362EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
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)
PersonJD MCBRAYERPersonNm
Phone9895836875PhoneNum

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 (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
EDWARD BRUFF
VICE CHAIRMA4.0036.00Yes (X)Yes (X)$0$0$0
MICHAEL SCHULTZ MD
TRUSTEE1.0040.00Yes (X)$0$0$0
MICHAEL GEALT PHD
TRUSTEE1.0040.00Yes (X)$0$0$0
RAGHU SARVEPALLI MD
TRUSTEE1.0040.00Yes (X)$0$0$0
GEORGE KIKANO MD
CHAIR4.0036.00Yes (X)Yes (X)$0$0$0
CHRISTOPHER PALAZZOLO
TRUSTEE4.0040.00Yes (X)$0$0$0
SAMUEL SHAHEEN
EXECUTIVE DI40.00Yes (X)$647,305$0$14,047
BARRIE WILKES
TREASURER1.0040.00Yes (X)$0$0$0
WAHL SOLH
PHYSICIAN40.00$622,218$0$13,882Yes (X)
VASANTH STALIN
PHYSICIAN40.00$393,483$0$17,587Yes (X)
YONG YOON
PHYSICIAN40.00$382,738$0$13,512Yes (X)
MARY JO WAGNER MD
PHYSICIAN40.00$371,860$0$15,047Yes (X)
TIMOTHY HACKETT
PHYSICIAN40.00$362,557$0$13,513Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,780,161TotalReportableCompFromOrgAmt
Total Other Compensation$87,588TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K47IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SAN JOAQUIN GENERAL
500 WEST HOSPITAL RDFRENCH CAMPCA95231EDUCATIONAL SER$209,446
GRAND RAPIDS MEDICAL EDUCATION
1000 MONROE NWGRAND RAPIDSMI49503EDUCATIONAL SER$152,499
KCG HEALTHCARE
PO BOX 585LAMBERTVILLEMI48144RECRUITING SERV$136,000
HEALTHSOURCE SAGINAW
3340 HOSPITAL RDSAGINAWMI48603SERVICES$130,178
CREIGHTON UNIVERSITY
2500 CALIFORNIA PLAZAOMAHANE68178EDUCATIONAL SER$102,150
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
All Other Contributions$80,916AllOtherContributionsAmt
Total Contributions$80,916TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEMBERSHIP DUES & ASSESSMENTS611710$16,075,308$16,075,308
PATIENT SERVICES621400$11,408,467$11,408,467
FieldValueIRS element (for citing)
Total Program Service Revenue$27,483,775TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,772TotalRevenueColumnAmt
Exclusion$28,772ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$490OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$490OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$490TotalRevenueColumnAmt
Exclusion-$490ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACTED SERVICES900099$7,351,681$7,351,681
MISCELLANEOUS SERVICES900099$498,497$498,497
FieldValueIRS element (for citing)
Other Revenue Total$7,850,178OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,443,151TotalRevenueColumnAmt
Related Or Exempt Func Income$35,333,953RelatedOrExemptFuncIncomeAmt
Exclusion$28,282ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$650,000TotalAmt
Management And General$650,000ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$22,174,783TotalAmt
Program Services$20,765,984ProgramServicesAmt
Management And General$1,408,799ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,448,241TotalAmt
Program Services$3,229,169ProgramServicesAmt
Management And General$219,072ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$977,254TotalAmt
Program Services$922,963ProgramServicesAmt
Management And General$54,291ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$48,302TotalAmt
Program Services$45,233ProgramServicesAmt
Management And General$3,069ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$40,120TotalAmt
Management And General$40,120ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,082,184TotalAmt
Program Services$1,735,060ProgramServicesAmt
Management And General$347,124ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$83,442TotalAmt
Program Services$66,414ProgramServicesAmt
Management And General$17,028ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$971,106TotalAmt
Program Services$941,204ProgramServicesAmt
Management And General$29,902ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$703,286TotalAmt
Program Services$639,850ProgramServicesAmt
Management And General$63,436ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$23,605TotalAmt
Program Services$19,324ProgramServicesAmt
Management And General$4,281ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$721,349TotalAmt
Program Services$712,525ProgramServicesAmt
Management And General$8,824ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$319,926TotalAmt
Program Services$291,069ProgramServicesAmt
Management And General$28,857ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$654,430TotalAmt
Program Services$654,430ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
GRANT PROJECT EXPENSES$556,443$556,443
EDUCATION SUPPLIES & SERV$544,723$530,667$14,056
BAD DEBTS$473,505$473,505
RECRUITING$453,859$453,859

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$184,667TotalAmt
Program Services$184,040ProgramServicesAmt
Management And General$627ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$35,111,225TotalAmt
Program Services$32,221,739ProgramServicesAmt
Management And General$2,889,486ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,432,850BOYAmt
EOY$3,540,114EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$153,875BOYAmt
EOY$128,518EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,990,022BOYAmt
EOY$2,023,441EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$755,624BOYAmt
EOY$643,582EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,633,996LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,862,467LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,423,709BOYAmt
EOY$1,771,529EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$624,247BOYAmt
EOY$693,553EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$518,695BOYAmt
EOY$518,695EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,899,022BOYAmt
EOY$9,319,432EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,027,304BOYAmt
EOY$1,983,814EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$9,959BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$248,849BOYAmt
EOY$346,456EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,286,112BOYAmt
EOY$2,330,270EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,593,625BOYAmt
EOY$6,989,162EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$19,285BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,612,910BOYAmt
EOY$6,989,162EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,899,022BOYAmt
EOY$9,319,432EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$331,926ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$44,326NetUnrlzdGainsLossesInvstAmt
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
ST MARY'S MEDICAL CENTER
ST MARY'S MEDICAL CENTER3809977303Yes (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 11H CMU MEDICAL EDUCATION PARTNERS SUPPORTS THE LISTED ORGANIZATIONS THROUGH SERVICES PROVIDED TO THEM.ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,633,996OtherCostOrOtherBasisAmt
Depreciation$3,862,467DepreciationAmt
Book Value$1,771,529BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,771,529TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescMEDICAL EDUCATION FUNDING RECEIVABLEDesc
Book Value$518,695BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$518,695TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
PAYABLE TO CMU$270,556
EST PROF LIAB UNDER SELF-INSURANCE$75,900
FieldValueIRS element (for citing)
Total Liability$346,456TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$36,088,083TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$44,326NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$600,606DonatedServicesAndUseFcltsAmt
Revenue Not Reported$644,932RevenueNotReportedAmt
Revenue Subtotal$35,443,151RevenueSubtotalAmt
Total Revenue Per Form990$35,443,151TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$35,711,831TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$600,606DonatedServicesUseFcltsAmt
Expenses Not Reported$600,606ExpensesNotReportedAmt
Expenses Subtotal$35,111,225ExpensesSubtotalAmt
Total Expenses Per Form990$35,111,225TotalExpensesPerForm990Amt

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 OrgBaseCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
SAMUEL SHAHEEN
EXECUTIVE DIRECTOR$605,305$42,000$10,800$3,247$661,352
WAHL SOLH
PHYSICIAN$586,218$36,000$10,800$3,082$636,100
VASANTH STALIN
PHYSICIAN$371,819$21,664$10,800$6,787$411,070
YONG YOON
PHYSICIAN$346,738$36,000$10,800$2,712$396,250
MARY JO WAGNER MD
PHYSICIAN$329,901$41,959$10,800$4,247$386,907
TIMOTHY HACKETT
PHYSICIAN$344,557$18,000$10,800$2,713$376,070

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 SIX INDIVIDUALS: PRESIDENT AND CEO OF COVENANT, A PHYSICIAN APPOINTED BY COVENANT, PRESIDENT AND CEO OF ST. MARY'S, A PHYSICIAN APPOINTED BY 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. IN ADDITION, THE EXECUTIVE DIRECTOR, DIRECTOR OF FINANCE AND DIRECTOR OF MEDICAL EDUCATION ARE INVITED TO ATTEND THE MEETINGS AS A NON-VOTING MEMBER.
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 EXECUTIVE DIRECTOR 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 EXECUTIVE DIRECTOR, 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 ST. MARY'S MEDICAL CENTER, 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.

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 OrganizationControlledOrganizationInd
COVENANT HEALTHCARE
1447 NORTH HARRISONSAGINAWMI48602383369443HOSPITALMI501C33N/Afalse
ST MARY'S MEDICAL CENTER
800 S WASHINGTON AVESAGINAWMI48601380997730HOSPITALMI501C33N/Afalse
CMU
WARRINER HALLMT PLEASANTMI48859386004447EDUCATIONMI501C32N/Afalse
CENTRAL HEALTH ADVANCEMENT SOLUTION
WARRINER HALLMT PLEASANTMI48859453862232EDUCATIONMI501C35N/AYes (true)
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 OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
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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