COVENANT MEDICAL CENTER INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
COVENANT MEDICAL CENTER INC (EIN 38-3369438)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-12
IRS object ID
201701329349303505
Schema version
2015v3.0
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)
Return2017-05-12T13:03:04-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 YARD STREET SUITE 200AddressLine1Txt
CityGRANDVIEW HEIGHTSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43212ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383369438EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COVENANT MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% KEVIN S ALBOSTAInCareOfNm
Business Name ControlCOVEBusinessNameControlTxt
Phone9895836006PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11447 N HarrisonAddressLine1Txt
CitySaginawCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48602ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN ALBOSTAPersonNm
Person TitleVP/CFOPersonTitleTxt
Phone9895832769PhoneNum
Signature2017-05-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDIANE L BEANPreparerPersonNm
PTINP00104972PTIN
Phone6142245678PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Covenant HealthcareBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerEDWARD BRUFFPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11447 N HARRISONAddressLine1Txt
CitySAGINAWCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48602ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$628,087,559GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.covenanthealthcare.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTO PROVIDE DIVERSE MEDICAL CARE TO MEET the health care needs of the 14 counties in east central michigan we serve.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee5407TotalEmployeeCnt
Total Volunteers517TotalVolunteersCnt
Total Gross UBI$197,329TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$140,779NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$551,853PYContributionsGrantsAmt
CY Contributions Grants$1,266,627CYContributionsGrantsAmt
PY Program Service Revenue$562,773,288PYProgramServiceRevenueAmt
CY Program Service Revenue$615,063,632CYProgramServiceRevenueAmt
PY Investment Income$9,792,034PYInvestmentIncomeAmt
CY Investment Income$5,750,269CYInvestmentIncomeAmt
PY Other Revenue$4,934,907PYOtherRevenueAmt
CY Other Revenue$5,428,935CYOtherRevenueAmt
PY Total Revenue$578,052,082PYTotalRevenueAmt
CY Total Revenue$627,509,463CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$300,321,971PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$319,291,172CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$246,448,351PYOtherExpensesAmt
CY Other Expenses$267,884,432CYOtherExpensesAmt
PY Total Expenses$546,770,322PYTotalExpensesAmt
CY Total Expenses$587,175,604CYTotalExpensesAmt
PY Revenues Less Expenses$31,281,760PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$40,333,859CYRevenuesLessExpensesAmt
Total Assets BOY$613,845,921TotalAssetsBOYAmt
Total Assets EOY$634,321,113TotalAssetsEOYAmt
Total Liabilities BOY$305,879,154TotalLiabilitiesBOYAmt
Total Liabilities EOY$320,636,202TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$307,966,767NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$313,684,911NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE DIVERSE MEDICAL CARE TO MEET THE HEALTH CARE NEEDS OF THE 14 COUNTIES IN EAST CENTRAL MICHIGAN WE SERVE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$565,622,164ExpenseAmt
Grant$0GrantAmt
Revenue$615,063,632RevenueAmt
DescONE OF THE LARGEST, MOST COMPREHENSIVE HEALTH CARE FACILITIES NORTH OF METRO DETROIT, COVENANT HEALTHCARE IS PREPARED TO RESPOND TO THE DIVERSE MEDICAL NEEDS OF OUR REGION. WE OFFER A BROAD SPECTRUM OF PROGRAMS AND SERVICES RANGING FROM OBSTETRICS, NEONATAL AND PEDIATRIC CARE, TO ACUTE CARE INCLUDING CARDIOLOGY, ONCOLOGY, SURGERY AND MANY OTHER SERVICES ON THE LEADING EDGE OF MEDICINE. ALL OF OUR PROGRAMS AND SERVICES EXEMPLIFY OUR COMMITMENT TO PROVIDING QUALITY, COMPASSIONATE CARE. AS A MEDICAL FACILITY WITH MORE THAN 600 BEDS AND A COMPLETE RANGE OF MEDICAL SERVICES, COVENANT HEALTHCARE STANDS READY TO MEET THE NEEDS OF THE 14 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 FOR THE FISCAL YEAR 2016: 6,923 WOMEN'S AND CHILDREN'S CASES, 4,079 CARDIOLOGY CASES, 3,825 GENERAL MEDICAL CASES, 2,540 ORTHOPEDIC CARE CASES, AND 2,700 PULMONARY.Desc
Total Program Service Expenses$565,622,164TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
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 SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document216IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee5407EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
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 Members17GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKEVIN S ALBOSTAPersonNm
Phone9895832769PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11447 N HARRISONAddressLine1Txt
CitySAGINAWCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48602ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
LAWRENCE SIMS
chairman4.04.0Yes (X)Yes (X)$0$0$0
GREgGORY LUBBEN
TREASURER4.04.0Yes (X)Yes (X)$1,130$0$0
MORRISON STEVENS SR
BOARD MEMBER4.04.0Yes (X)$0$0$0
SUSAN STEMLER
BOARD MEMBER4.04.0Yes (X)$1,413$0$0
JOHN JOHNSON MD
BOARD MEMBER4.04.0Yes (X)$0$0$0
DAVID MEYER
BOARD MEMBER4.04.0Yes (X)$1,130$0$0
DWIGHT MCNALLY
Secretary4.04.0Yes (X)Yes (X)$646$0$0
JON GARDEY
BOARD MEMBER4.04.0Yes (X)$0$0$0
JOHN SHELTON
BOARD MEMBER4.04.0Yes (X)$1,465$0$0
CULLI DAMUTH
BOARD MEMBER4.04.0Yes (X)$842$0$0
EDWARD BRUFF
CEO/VICE PRESIDENT/Ex Officio50.04.0Yes (X)Yes (X)$1,501,791$0$423,753
gene pickelman
vice Chairman4.04.0Yes (X)Yes (X)$0$0$0
Timothy A Hausbeck
Board Member4.04.0Yes (X)$0$0$0
James R Milroy
Board Member4.04.0Yes (X)$0$0$0
Herbert A Spence III
Board Member4.04.0Yes (X)$0$0$0
TERRY NEIDERSTADT
board member4.04.0Yes (X)$1,397$0$0
MORTON WELDY
board member4.04.0Yes (X)$1,625$0$0
DR JOHN KOSANOVICH
VICE PRESIDENT50.04.0Yes (X)$1,511,635$0$179,300
DANIEL GEORGE
VICE PRESIDENT50.04.0Yes (X)$428,823$0$155,206
TIM WENZEL
VICE PRESIDENT50.04.0Yes (X)$326,639$0$113,007
Dave Nall
Vice President50.04.0Yes (X)$219,450$0$197,091
Beth Charlton
Vice President50.04.0Yes (X)$233,554$0$272,915
KEVIN BIRCHMEIER
Vice President50.04.0Yes (X)$263,289$0$214,789
KEVIN ALBOSTA
Vice President50.04.0Yes (X)$386,248$0$521,964
Michael Schultz
VICE PRESIDENT50.04.0Yes (X)$395,868$0$184,002
Frank Schinco
PHYSICIAN50.00.0$764,694$0$0Yes (X)
Firas Alani
Physician50.00.0$756,716$0$0Yes (X)
Manoj Sharma
Physician50.00.0$773,464$0$0Yes (X)
Brian Debeaubien
Physician50.00.0$754,179$0$0Yes (X)
Peter Walsh
Physician50.00.0$756,490$0$0Yes (X)
CAROL STOLL
FORMER OFFICER0.00.0$216,212$0$17,004Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,298,700TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$2,279,031TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K368IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
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
EPIC SYSTEM CORP
PO BOX 88314MILWAUKEEWI53288IT MTC SUPPORT$3,297,833
DICKINSON WRIGHT PLC
4800 FASHION SQ BLVDSAGINAWMI48604LEGAL SERVICES$3,155,953
EXECUTIVE HEALTH RESOURCES
PO BOX 822688PHILADELPHIAPA19182CONSULTING SERVICES$3,065,973
REHABCARE GROUP
PO BOX 502096ST LOUISMO631502096REHAB SERVICES$2,562,075
FRESENIUS MGT SERVICES
16343 COLLECTION CTRCHICAGOIL60693EQUIP SERVICES$2,005,102
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K98CntrctRcvdGreaterThan100KCnt
Fundraising$0FundraisingAmt
Related Organizations$978,372RelatedOrganizationsAmt
Government Grants$288,255GovernmentGrantsAmt
Noncash Contributions$978,372NoncashContributionsAmt
Total Contributions$1,266,627TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Patient Service Revenue621990$598,989,545$598,989,545$0$0
Joint Ventures621990$11,917,324$11,917,324$0$0
LAB BILLING621500$1,701,978$1,531,780$170,198$0
REBATE INCOME900099$1,435,103$1,435,103$0$0
EDUCATIONAL REVENUE611710$1,019,682$1,019,682$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$615,063,632TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,328,365TotalRevenueColumnAmt
Exclusion$6,328,365ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,048,724RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,048,724RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,048,724TotalRevenueColumnAmt
Exclusion$3,048,724ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$578,096SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$578,096SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$578,096TotalRevenueColumnAmt
Exclusion-$578,096ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Cafeteria Sales722210$2,377,871$0$27,131$2,350,740
MISCELLANEOUS REVENUE900099$2,340$0$0$2,340
FieldValueIRS element (for citing)
Other Revenue Total$2,380,211OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$627,509,463TotalRevenueColumnAmt
Related Or Exempt Func Income$614,893,434RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$197,329UnrelatedBusinessRevenueAmt
Exclusion$11,152,073ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,772,188TotalAmt
Program Services$7,464,887ProgramServicesAmt
Management And General$307,301ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$783,480TotalAmt
Program Services$758,658ProgramServicesAmt
Management And General$24,822ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$242,008,308TotalAmt
Program Services$234,302,199ProgramServicesAmt
Management And General$7,706,109ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,635,961TotalAmt
Program Services$14,635,961ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$38,375,166TotalAmt
Program Services$38,342,779ProgramServicesAmt
Management And General$32,387ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$15,716,069TotalAmt
Program Services$15,318,136ProgramServicesAmt
Management And General$397,933ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,398,358TotalAmt
Program Services$585,160ProgramServicesAmt
Management And General$3,813,198ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$434,232TotalAmt
Program Services$84,228ProgramServicesAmt
Management And General$350,004ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$60,667TotalAmt
Management And General$60,667ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$50,896,974TotalAmt
Program Services$50,896,974ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,131,658TotalAmt
Program Services$2,715,473ProgramServicesAmt
Management And General$416,185ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,303,170TotalAmt
Program Services$6,434,604ProgramServicesAmt
Management And General$868,566ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,085,101TotalAmt
Program Services$8,085,101ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,600,144TotalAmt
Program Services$11,540,912ProgramServicesAmt
Management And General$59,232ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$132,174TotalAmt
Management And General$132,174ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$828,072TotalAmt
Program Services$828,072ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,984,040TotalAmt
Program Services$3,984,040ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$30,792,636TotalAmt
Program Services$30,792,636ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,019,429TotalAmt
Program Services$5,419,429ProgramServicesAmt
Management And General$1,600,000ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical Supplies$116,949,930$116,949,930$0$0
BAD DEBT EXPENSE$13,715,134$13,715,134$0$0
DUES AND SUBSCRIPTIONS$3,080,592$1,196,659$1,883,933$0
Collection Fees$1,156,167$1,156,167$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,315,954TotalAmt
Program Services$415,025ProgramServicesAmt
Management And General$3,900,929ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$587,175,604TotalAmt
Program Services$565,622,164ProgramServicesAmt
Management And General$21,553,440ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$19,909,031BOYAmt
EOY$21,690,946EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$28,110,232BOYAmt
EOY$28,816,615EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$56,991,637BOYAmt
EOY$54,796,492EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,351,282BOYAmt
EOY$13,598,419EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$29,770,134BOYAmt
EOY$36,746,689EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$615,130,892LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$442,279,359LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$180,901,834BOYAmt
EOY$172,851,533EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$204,657,508BOYAmt
EOY$224,351,889EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$62,278,240BOYAmt
EOY$61,344,023EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$17,876,023BOYAmt
EOY$20,124,507EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$613,845,921BOYAmt
EOY$634,321,113EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$64,749,947BOYAmt
EOY$60,315,264EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$105,173,114BOYAmt
EOY$99,913,544EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$135,956,093BOYAmt
EOY$160,407,394EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$305,879,154BOYAmt
EOY$320,636,202EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$307,966,767BOYAmt
EOY$313,684,911EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$307,966,767BOYAmt
EOY$313,684,911EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$613,845,921BOYAmt
EOY$634,321,113EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$40,333,859ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,763,241NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$30,852,474OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Media Advertisements$0MediaAdvertisementsAmt
Mailings MembersfalseMailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Publications Or Broadcast$0PublicationsOrBroadcastAmt
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Grants Other Organizations$0GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$60,667DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Rallies Demonstrations$0RalliesDemonstrationsAmt
Other ActivitiesfalseOtherActivitiesInd
Other Activities$0OtherActivitiesAmt
Total Lobbying Expenditures$60,667TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceLOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationForm 990, Schedule C, Part II-B KHEDER DAVIS WAS ENGAGED IN LOBBYING ACTIVITIES ON BEHALF OF COVENANT MEDICAL CENTER DURING FISCAL YEAR ENDED JUNE 30, 2016.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$8,701,244OtherCostOrOtherBasisAmt
Book Value$8,701,244BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$213,442,645OtherCostOrOtherBasisAmt
Depreciation$170,529,670DepreciationAmt
Book Value$42,912,975BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,860,107OtherCostOrOtherBasisAmt
Depreciation$6,277,006DepreciationAmt
Book Value$583,101BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$386,126,896OtherCostOrOtherBasisAmt
Depreciation$265,472,683DepreciationAmt
Book Value$120,654,213BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Depreciation$0DepreciationAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$172,851,533TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
COMMON TRUST FUNDS$21,416,793F
LIMITED PARTNERSHIPS$10,485,313F
HEDGE FUNDS$29,441,917F
FieldValueIRS element (for citing)
Total Book Value Securities$61,344,023TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
POST RETIREMENT HEALTH BENEFITS$36,728,983
ACCRUED PENSION$88,226,158
OTHER LONG TERM LIABILITIES$35,452,253
FieldValueIRS element (for citing)
Total Liability$160,407,394TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the CaribbeanProgram ServicesSELF INSURANCE$5,616,139
Central America and the CaribbeanInvestmentsINVESTMENTS$26,782,316
FieldValueIRS element (for citing)
Subtotal Spent$32,398,455SubtotalSpentAmt
Total Spent$32,398,455TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served27101PersonsServedCnt
Total Community Benefit Expns$1,984,993TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,984,993NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served36043PersonsServedCnt
Total Community Benefit Expns$115,568,213TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$99,808,007DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,760,206NetCommunityBenefitExpnsAmt
Total Expense0.02750TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served63144PersonsServedCnt
Total Community Benefit Expns$117,553,206TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$99,808,007DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,745,199NetCommunityBenefitExpnsAmt
Total Expense0.03100TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs424ActivitiesOrProgramsCnt
Persons Served33431PersonsServedCnt
Total Community Benefit Expns$205,377TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$205,377NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served44085PersonsServedCnt
Total Community Benefit Expns$11,353,910TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,340,746DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,013,164NetCommunityBenefitExpnsAmt
Total Expense0.01220TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs41ActivitiesOrProgramsCnt
Persons Served75728PersonsServedCnt
Total Community Benefit Expns$51,960TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,960NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs474ActivitiesOrProgramsCnt
Persons Served153244PersonsServedCnt
Total Community Benefit Expns$11,611,247TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,340,746DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,270,501NetCommunityBenefitExpnsAmt
Total Expense0.01270TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs476ActivitiesOrProgramsCnt
Persons Served216388PersonsServedCnt
Total Community Benefit Expns$129,164,453TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$104,148,753DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,015,700NetCommunityBenefitExpnsAmt
Total Expense0.04370TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$2,950TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,950NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served6100PersonsServedCnt
Total Community Benefit Expns$1,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,500NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs22ActivitiesOrProgramsCnt
Persons Served30093PersonsServedCnt
Total Community Benefit Expns$37,070TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$37,070NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served300PersonsServedCnt
Total Community Benefit Expns$245TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$245NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs27ActivitiesOrProgramsCnt
Persons Served36493PersonsServedCnt
Total Community Benefit Expns$41,765TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$41,765NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$13,715,134BadDebtExpenseAmt
Reimbursed By Medicare$220,760,722ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$220,950,693CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$189,971MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
COV HLTH CRE PRTNRS
HEALTH CARE0.50.5
Mackinaw surgery ctr
SURGERY CENTER0.478470.5216
COV LCR MACKINAW FC
RENTAL0.75840.2416
COVENANT POB LLC
RENTAL0.48920.5108
FieldValueIRS element (for citing)
Hospital Facilities4HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDesc
COVENANT MEDICAL CENTER INC (COOPER)
1700 COOPERSAGINAWMI48602WWW.COVENANTHEALTHCARE.COM3143879Yes (X)Yes (X)Yes (X)Yes (X)
COVENANT MEDICAL CENTER INC (HARRISON
21447 N HARRISONSAGINAWMI48602WWW.COVENANTHEALTHCARE.COM3143878Yes (X)Yes (X)Yes (X)Yes (X)
COVENANT MEDICAL CENTER INC (REHAB)
3515 N MICHIGANSAGINAWMI48602WWW.COVENANTHEALTHCARE.COM3143873Yes (X)Yes (X)REHABILITATION UNIT
COVENANT MEDICAL CENTER INC (MICHIGAN
4515 N MICHIGANSAGINAWMI48602WWW.COVENANTHEALTHCARE.COM3143880Yes (X)Yes (X)SKILLED NURSING UNIT

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (4 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndInformation GapsInformationGapsIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctIncome Level CriteriaIncomeLevelCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndProvided Hospital ContactProvidedHospitalContactIndProvided Nonprofit ContactProvidedNonprofitContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Notice DisplayedFAPNoticeDisplayedIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndFAP Notified Upon AdmissionFAPNotifiedUponAdmissionIndFAP Notified Before DischargeFAPNotifiedBeforeDischargeIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndOther Method UsedOtherMethodUsedIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
Covenant medical center INC (COOPER)
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)SEE SCHEDULE H, PART V, SECTION CYes (X)Yes (true)14Yes (true)SEE SCHEDULE H, PART V, SECTION CfalseYes (true)Yes (X)200.300.Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE SCHEDULE H, PART V, SECTION CYes (X)SEE SCHEDULE H, PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
Covenant medical center INC (Harrison
2falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)SEE SCHEDULE H, PART V, SECTION CYes (X)Yes (true)14Yes (true)SEE SCHEDULE H, PART V, SECTION CfalseYes (true)Yes (X)200.300.Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE SCHEDULE H, PART V, SECTION CYes (X)SEE SCHEDULE H, PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
Covenant medical center INC (rehab)
3falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)SEE SCHEDULE H, PART V, SECTION CYes (X)Yes (true)14Yes (true)SEE SCHEDULE H, PART V, SECTION CfalseYes (true)Yes (X)200.300.Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE SCHEDULE H, PART V, SECTION CYes (X)SEE SCHEDULE H, PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
COVENANT MEDICAL CENTER INC (MICHIGAN
4falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)SEE SCHEDULE H, PART V, SECTION CYes (X)Yes (true)14Yes (true)SEE SCHEDULE H, PART V, SECTION CfalseYes (true)Yes (X)200.300.Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE SCHEDULE H, PART V, SECTION CYes (X)SEE SCHEDULE H, PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, LINE 5INPUT FROM COMMUNITY REPRESENTATIVES THE CHNA DATA WAS GATHERED USING THE FOUR MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) ASSESSMENTS: COMMUNITY THEMES AND STRENGTHS, LOCAL PUBLIC HEALTH SYSTEM, COMMUNITY HEALTH STATUS, AND FORCES OF CHANGE. IN AN ATTEMPT TO ACQUIRE BROAD COMMUNITY INPUT REGARDING THE HEALTH CONCERNS OF SAGINAW COUNTY RESIDENTS, INFORMATION WAS GATHERED AT VARIOUS PUBLIC MEETINGS THROUGHOUT THE COUNTY AND FROM AREA AGENCIES USING SURVEYS CONDUCTED.
Schedule H, Part V, Lines 6A and 6BCHNA hospital facilities and Organizations THE HOSPITAL CONTRIBUTES AND PARTICIPATES IN THE SAGINAW COUNTY ROAD MAP TO HEALTH (CHNA) PARTICIPATING WITH SAGINAW COUNTY DEPARTMENT OF PUBLIC HEALTH, ST MARY'S OF MICHIGAN, HEALTH DELIVERY, INC, SAGINAW INTERMEDIATE SCHOOL DISTRICT, SAGINAW COUNTY COMMUNITY MENTAL HEALTH AUTHORITY, AND ALIGNMENT SAGINAW.
PART V, SECTION B, LINE 7ATHE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING WEBSITE URL: HTTP://WWW.COVENANTHEALTHCARE.COM/MAIN/COMMUNITYINVOLVEMENT.ASPX PART V, SECTION B, LINE 10A THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY MAY BE FOUND AT THE FOLLOWING WEBSITE URL: http://www.covenanthealthcare.com/Main/Home.aspx
SCHEDULE H, PART V, LINE 11The Community Health Improvement Plan process identified 6 areas of needed health improvement for Saginaw and surrounding areas. They are as follows: Infant Mortality, Chronic Disease, Obesity, Behavioral Health, Emerging Models of Health Services Delivery, and Health & Social Equity. COVENANT'S IMPLEMENTATION PLAN ADDRESSES ALL SIX PRIORITY AREAS IN VARYING DEGREES BASED ON THE AVAILABILITY OF COMMUNITY RESOURCES, THE PARTNERSHIPS IN PLACE AND THE RESOURCES COVENANT CAN DIRECT TO EACH OF THESE AREAS. THE ACA REQUIRES HOSPITALS TO IDENTIFY WHICH NEEDS, IF ANY, THEY ARE NOT ADDRESSING IN THEIR CURRENT IMPLEMENTATION PLAN AND WHY. COVENANT IS INVOLVED IN ADDRESSING ALL SIX ACTION AREAS TO VARYING DEGREES HOWEVER IT RECOGNIZES THAT IT IS NOT, AND SHOULD NOT, BE THE LEADER IN ALL AREAS BUT THAT WORKING WITH APPROPRIATE PARTNERS IT CAN OPTIMIZE THE USE OF RESOURCES BY AVOIDING DUPLICATION AND FINDING THE MOST EFFECTIVE STRATEGIES AVAILABLE. IN THE LAST ACTION AREA, COVENANT HEALTHCARE PLAYS MORE OF A SUPPORTIVE ROLE TO OTHER COMMUNITY PARTNERS WHO ARE FOCUSED ON BEHAVIORAL HEALTH. SCHEDULE H, PART V, LINES 16A & 16B THE FINANCIAL ASSISTANCE POLICY AND FAP APPLICATION CAN BE FOUND AT THE FOLLOWING URL: HTTP://WWW.COVENANTHEALTHCARE.COM/MAIN/FINANCIALASSISTANCEPOLICY.ASPX
SCHEDULE H, PART V, LINE 22DThe hospital facility used the Medicare rates when calculating the maximum amounts that can be charged. While Medicare rates were used in the calculation, the amounts charged were at Medicare rates plus a percentage, to be consistent with the SOM Medicaid expansion policy. The maximum payment overall is based on Medicare plus a percentage, this is calculated on a facility basis not a per claim basis. We are confident that the vast majority, if not all accounts fall within the Medicare rates. Having said this, the amounts charged for emergency and necessary medical services to patients who are eligible for Financial Assistance under this Policy will not be more than the amount generally billed to individuals with insurance covering the same care.
FieldValueIRS element (for citing)
Facility34FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (34 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
IRVING CAMPUS
600 IRVING AVESAGINAWMI48602PM&R, OCC HEALTH, EMPLOYEE WELLNESS
HOUGHTON CAMPUS
1000 HOUGHTON AVESAGINAWMI48602LABORATORY
DR CASTILLO & LAB
6614 DIXIE HWYBRIDGEPORT TOWNSHIPMI48722PHYSICIAN OFFICE
MED EXPRESS BAY CITYBAY PRIMARY CARE
2997 WILDER RDBAY CITYMI48706URGENT CARE/PHYSICIAN OFFICE
MED EXPRESSBREAST IMAGING
5570 STATE STREETSAGINAWMI48602URGENT CARE
COVENANT POB
800 COOPER AVESAGINAWMI48602PHYSICIAN OFFICE
COVT BREAST IMAGINGMED EXPRESSPRIMARY
600 N MAIN STFRANKENMUTHMI48734URGENT CARE, IMAGING, PMR, PHYSICAIN OFFICE
DR EASTONLAB
8767 GRATIOT RDSAGINAWMI48609PHYSICIAN OFFICE/LAB
VNA
500 S HAMILTONSAGINAWMI48602HOME CARE
HEMLOCK FAMILY MEDICINEMED EXPRESS PM&R
16440 GRATIOT RDHEMLOCKMI48626URGENT CARE/PHYSICIAN OFFICE
FREELAND PRIMARY CARE & LAB
7362 MIDLAND RDFREELANDMI48623PHYSICIAN OFFICE/LAB
SBIM
3875 BAY ROAD 2SSAGINAWMI48602PHYSICIAN OFFICE
VNA CARTWRIGHT CENTER
3443 HOSPITAL RDSAGINAWMI48602HOME HEALTH
SAGINAW TWP FAMILY PRACTICE
3875 BAY RDSAGINAWMI48602PHYSICIAN OFFICE
SILVERWOOD FAMILY MEDICINE
3037 SILVERWOOD DRSAGINAWMI48602PHYSICIAN OFFICE
COVENANT PHYSIATRY
3350 SHATTUCK RDSAGINAWMI48602PHYSICIAN OFFICE
MACKINAW CAMPUS
5400 MACKINAW RDSAGINAWMI48602HEALTHCARE OFFICE
ECC
900 COOPER AVESAGINAWMI48602ER-24 HRS
DR JOHNSON
1430 N CENTER RDSAGINAWMI48602PHYSICIAN OFFICE
GRATIOT FAMILY PRACTICE
1910 PINE AVEALMAMI48801PHYSICIAN OFFICE
COVENANT OCC HEALTH
1549 WASHINGTON STMIDLANDMI48640OCC HEALTH
CENTER FOR THE HEART
4884 BERL DRSAGINAWMI48604PHYSICIAN OFFICE
WEST BRANCH PRIMARY CARE
335 E HOUGHTON AVEWEST BRANCHMI48661PHYSICIAN OFFICE
BIRCH RUN PRIMARY CARE
8470 MAIN STBIRCH RUNMI48415PHYSICIAN OFFICE
SAGINAW VALLEY PRIMARY CAREMED EXPRESS
2970 PIERCE RDSAGINAWMI48604PHY OFFICE/PRIMARY CARE/URgent CARE
DR BEAUBIEN
4701 TOWNE CENTRE RDSAGINAWMI48604PHYSICIAN OFFICE
SEBEWAING PRIMARY CARE
616 UNIONVILLE RDSEBEWAINGMI48759PHYSICIAN OFFICE
COLONY
125 N COLONYSAGINAWMI48638PRIMARY CARE
SAGINAW FAMILY PHYSICIANS
835 MIDLAND ROADSAGINAWMI48638PRIMARY CARE
CARDIO
2750 MAIN STREETMARLETTEMI48453CARDIO
ORTHO - DR DEBARI
3875 BAY ROADSAGINAWMI48603ORTHO
DR AMANDA SCHAEFER-JOHNSON
3085 HALLMARK ROADSAGINAWMI48603NEURO
VNA DME
6190 HOSPITAL ROADCASS CITYMI48726VNA DME
DR GILL
1320 N MICHIGAN 7SAGINAWMI48602GI

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7THE BEST AVAILABLE INFORMATION WAS USED TO CALCULATE THE COST IN LINE 7. COST IS BASED ON THE COST TO CHARGE RATIO. MEDICAID COST ON ROW B, CALCULATED USING RATIO OF COST TO CHARGE FROM WORKSHEET 3. Schedule H, part I, line 7, column F bad debt expense was subtracted from the total expense to obtain the percentage of the community benefit to total expenses amounted to $13,715,134. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE AND CURRENT MARKET CONDITIONS. THE RESULTS OF THESE REVIEWS ARE USED TO MAKE ANY MODIFICATIONS TO THE METHODOLOGY FOR ESTIMATING THE PROVISION FOR BAD DEBTS AND ESTABLISHING THE 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. SCHEDULE H, PART III, LINES 2 AND 3 METHODOLOGY USED IN DETERMINING BAD DEBT THIS FIGURE IS A RESULT OF THE SHIFT FROM BAD DEBT TO FINANCIAL ASSISTANCE DUE TO PRESUMPTIVE CHARITY & THE IMPLEMENTATION OF SELF-PAY DISCOUNTING. ANOTHER CONTRIBUTING FACTOR IS THE EXPANSION OF MEDICAID, THEREFORE DECREASING THE NUMBER OF SELF-PAY ACCOUNTS. FOOTNOTE TO AUDITED FINANCIAL STATEMENTS SCHEDULE H, PART III, LINE 4 THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE AND CURRENT MARKET CONDITIONS. THE RESULTS OF THESE REVIEWS ARE USED TO MAKE ANY MODIFICATIONS TO THE METHODOLOGY FOR ESTIMATING THE PROVISION FOR BAD DEBTS AND ESTABLISHING THE 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. (FOOTNOTE 2, PAGE 10).
SCHEDULE H, PART III, LINE 8THE HOSPITAL REPORTED MEDICARE ALLOWABLE COST, AS REPORTED ON THE MEDICARE COST REPORT, ON WORKSHEET H, PART III, SECTION B, LINE 6. THE METHODOLOGY REMOVES NON-ALLOWABLE COST PER MEDICARE RULES AND OFFSETS OTHER OPERATING REVENUE AGAINST COST. PROFESSIONAL PART B COST IS ALSO REMOVED. THE COST OF SUPPORT DEPARTMENTS IS ALLOCATED TO REVENUE PRODUCING DEPARTMENTS USING THE STEP-DOWN METHODOLOGY. SCHEDULE H, PART III, LINE 9B APPLICATION OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL ASSISTANCE IF AN INDIVIDUAL QUALIFIES FOR FINANCIAL ASSISTANCE THEY WILL NOT BE SENT TO THE COLLECTION AGENCY, PROVIDED THEY IN GOOD FAITH SET UP A WAY TO RESOLVE THEIR BILLS. ONCE SOMEONE IS SENT TO THE COLLECTION AGENCY THEY ARE ALL TREATED THE SAME. TO QUOTE OUR POLICY - 'COVENANT MANAGEMENT HAS POLICIES AND PROCEDURES FOR COLLECTION PRACTICES, THESE INCLUDE ACTIONS THE HOSPITAL MAY TAKE IF THE PATIENT DOES NOT PAY. THESE COLLECTION ACTIONS INCLUDE POTENTIAL REPORTING TO CREDIT AGENCIES. THESE POLICIES TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THEIR GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FINANCIAL ASSISTANCE FROM COVENANT, AND THEIR EFFORTS TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH COVENANT. FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED HOSPITAL BILLS, COVENANT MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT SEND UNPAID BILL TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS'.
NEEDS ASSESSMENTSCHEDULE H, PART VI, LINE 2 COVENANT HEALTHCARE WITH THE SAGINAW COUNTY HEALTH DEPARTMENT, SAGINAW SCHOOLS AND OTHER KEY PLAYERS TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN. DATA FROM NUMEROUS SOURCES ARE UTILIZED TO PROVIDE THE STATISTICAL FOUNDATION FOR THE PLAN. THE METHOD USED TO DEVELOP THE PLAN FOLLOWS THE NATIONAL MODEL KNOWN AS MAPP - MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS. THIS MODEL WAS DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO). THE FOUR MAPP ASSESSMENTS INCLUDED COMMUNITY THEMES AND STRENGTHS, LOCAL PUBLIC HEALTH SYSTEM, COMMUNITY HEALTH ASSESSMENT, AND FORCES OF CHANGE.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCESCHEDULE H, PART VI, LINE 3 COVENANT HEALTHCARE 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. LITERATURE ON THIS POLICY IS ALSO AVAILABLE AT REGISTRATION AREAS.
COMMUNITY INFORMATIONSCHEDULE H, PART VI, LINE 4 COVENANT HEALTHCARE IS LOCATED IN SAGINAW COUNTY AND CLOSE TO 90% OF INPATIENT DISCHARGES ARE FROM PATIENT WITHIN THE COUNTY. HOWEVER, COVENANT DOES REACH OUT INTO THE SURROUNDING COUNTIES AND HAS RELATIONSHIPS WITH SEVERAL CRITICAL ACCESS HOSPITALS IN THE REGION. COVENANT CONSIDERS SIX COUNTIES (SAGINAW, BAY, MIDLAND, TUSCOLA, HURON, AND SANILAC) AS ITS PRIMARY MARKET. ANOTHER 14 COUNTIES IN THE REGION ARE CONSIDERED THE SECONDARY SERVICE AREA. COVENANT HEALTHCARE IS LOCATED IN CBSA 40980 SAGINAW-SAGINAW TOWNSHIP NORTH WITHIN SAGINAW COUNTY, MICHIGAN. AS OF THE 2010 CENSUS, SAGINAW COUNTY'S POPULATION WAS 200,169. THERE WERE 80,430 HOUSEHOLDS OUT OF WHICH 32.70% HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 50.20% WERE MARRIED COUPLES LIVING TOGETHER, 15.40% HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT, AND 30.60% WERE NON-FAMILIES. IN THE COUNTY THE POPULATION WAS SPREAD OUT WITH 26.60% UNDER THE AGE OF 18, 9.00% FROM 18 TO 24, 27.60% FROM 25 TO 44, 23.20% FROM 45 TO 64, AND 13.50% WHO WERE 65 YEARS OF AGE OR OLDER. THE MEDIAN AGE WAS 36 YEARS. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $38,637, AND THE MEDIAN INCOME FOR A FAMILY WAS $46,494. THE PER CAPITA INCOME FOR THE COUNTY WAS $19,438. ABOUT 11.00% OF FAMILIES AND 13.90% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 20.70% OF THOSE UNDER AGE 18 AND 9.50% OF THOSE AGE 65 OR OVER. THE JOBLESS RATE IN CALENDAR YEAR 2009 WAS 20.8% IN THE CITY OF SAGINAW, 12.5% IN SAGINAW COUNTY COMPARED TO 13.6% FOR THE STATE OF MICHIGAN AS A WHOLE.
PROMOTION OF COMMUNITY HEALTHSCHEDULE H, PART VI, LINE 5 COVENANT HEALTHCARE IS ACTIVELY INVOLVED IN COMMUNITY BUILDING INITIATIVES. LEADERSHIP FROM THROUGHOUT THE ORGANIZATION HOLD VOLUNTARY BOARD AND COMMITTEE POSITIONS IN COMMUNITY GROUPS AND ORGANIZATIONS FOCUSED ON IMPROVING THE QUALITY OF LIFE IN THE REGION, PARTICULARLY AROUND ISSUES OF COMMUNITY HEALTH. ADDITIONALLY, THE ORGANIZATION CONDUCTS COMMUNITY OUTREACH AND SCREENING ACTIVITIES IN THE VARIOUS COMMUNITIES IN OUR REGION TO IMPACT HEALTH IN SUCH WAYS AS EARLY DISEASE DETECTION TO TRAUMA PREVENTION. UNDER THE DIRECTION OF A VOLUNTEER COMMUNITY BOARD, COVENANT HEALTHCARE IS AN INTEGRAL PART OF THE COMMUNITIES IT SERVES. THE COVENANT VISION IS TO CONSISTENTLY DELIVER ON A PROMISE OF CARING AND A COMMITMENT TO SERVICE. GUIDED BY A SEPARATE VOLUNTEER BOARD, THE COVENANT HEALTHCARE FOUNDATION ASSISTS THE MEDICAL CENTER IN CARRYING OUT ITS SERVICE MISSION THROUGH THE ACQUISITION OF PHILANTHROPIC FUNDS TO SERVE AS A PRIME RESOURCE IN THE DELIVERY OF CARE TO THOSE COVENANT HEALTHCARE SERVES. THE ORGANIZATION USES ITS SURPLUS FUNDS TO CONDUCT COMMUNITY OUTREACH AND SCREENING ACTIVITIES IN THE VARIOUS COMMUNITIES IN OUR REGION TO IMPACT HEALTH IN SUCH WAYS AS EARLY DISEASE DETECTION TO TRAUMA PREVENTION.
AFFILIATED HEALTH CARE SYSTEMSCHEDULE H, PART VI, LINE 6 COVENANT MEDICAL CENTER IS A PART OF THE COVENANT HEALTH SYSTEM (DOING BUSINESS AS COVENANT HEALTHCARE). COVENANT HEALTHCARE IS A NON-PROFIT HEALTH SYSTEM THAT OFFERS A BROAD SPECTRUM OF PROGRAMS AND SERVICES RANGING FROM HIGH RISK OBSTETRICS, NEONATAL AND PEDIATRIC INTENSIVE CARE, TO ACUTE CARE INCLUDING A LEVEL II ADULT AND PEDIATRIC TRAUMA CENTER, CARDIOLOGY, ONCOLOGY, ORTHOPEDICS, ROBOTIC SURGERY AND MANY OTHER SERVICES ON THE LEADING EDGE OF MEDICINE. ALL PROGRAMS AND SERVICES EXEMPLIFY THE COVENANT COMMITMENT TO PROVIDING EXTRAORDINARY CARE FOR EVERY GENERATION. AS A MEDICAL FACILITY WITH 643 ACUTE CARE LICENSED BEDS, AND A COMPLETE RANGE OF MEDICAL SERVICES, COVENANT HEALTHCARE STANDS READY TO MEET THE HEALTH CARE NEEDS OF EAST CENTRAL MICHIGAN. WITH MORE THAN 20 INPATIENT AND OUTPATIENT FACILITIES AND A TRAUMA/EMERGENCY DEPARTMENT THAT PROVIDES OVER 90,000 VISITS PER YEAR, COVENANT HEALTHCARE OFFERS CONVENIENCE AND EASY ACCESS TO HIGH QUALITY CARE THROUGHOUT THE REGION.
STATE FILING OF COMMUNITY BENEFIT REPORTSCHEDULE H, PART VI, LINE 7, STATE FILING MICHIGAN

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
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 (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR JOHN KOSANOVICH
VICE PRESIDENT$465,559$0$81,586$0$964,490$0$159,569$0$19,731$0$1,690,935$0$771,647$0
DANIEL GEORGE
VICE PRESIDENT$337,415$0$61,380$0$30,028$0$155,206$0$0$0$584,029$0$15,468$0
TIM WENZEL
VICE PRESIDENT$265,908$0$41,021$0$19,710$0$88,443$0$24,564$0$439,646$0$15,725$0
Frank Schinco
PHYSICIAN$741,517$0$23,177$0$0$0$0$0$0$0$764,694$0$0$0
Firas Alani
Physician$401,713$0$355,003$0$0$0$0$0$0$0$756,716$0$0$0
Manoj Sharma
Physician$538,535$0$234,929$0$0$0$0$0$0$0$773,464$0$0$0
Brian Debeaubien
Physician$754,179$0$0$0$0$0$0$0$0$0$754,179$0$0$0
Dave Nall
Vice President$191,226$0$27,600$0$624$0$175,320$0$21,771$0$416,541$0$0$0
Beth Charlton
Vice President$199,200$0$30,450$0$3,904$0$250,851$0$22,064$0$506,469$0$0$0
KEVIN BIRCHMEIER
Vice President$227,697$0$31,795$0$3,797$0$192,267$0$22,522$0$478,078$0$0$0
KEVIN ALBOSTA
Vice President$337,760$0$47,100$0$1,388$0$497,698$0$24,266$0$908,212$0$0$0
Peter Walsh
Physician$756,490$0$0$0$0$0$0$0$0$0$756,490$0$0$0
Michael Schultz
VICE PRESIDENT$338,200$0$57,668$0$0$0$183,160$0$842$0$579,870$0$0$0
EDWARD BRUFF
CEO/VICE PRESIDENT/Ex Officio$683,960$0$106,505$0$711,326$0$399,609$0$24,144$0$1,925,544$0$694,849$0
CAROL STOLL
FORMER OFFICER$144,677$0$39,087$0$32,448$0$9,151$0$7,853$0$233,216$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Supplemental Compensation InformationSOCIAL CLUB AND HEALTH CLUB DUES SCHEDULE J, PART I, LINE 1A OFFICERS OF COVENANT MEDICAL CENTER GET HEALTH AND SOCIAL CLUB DUES PAID AND ARE INCLUDED AS TAXABLE INCOME.
SUPPLEMENTAL EXECUTIVE RETIREMENT PLANSCHEDULE J, PART I, LINE 4B THE ORGANIZATION MAINTAINS A NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) FOR CERTAIN OF ITS EXECUTIVES. THE SERP HAS BEEN ESTABLISHED FOR THESE EXECUTIVES BY THE ORGANIZATION, FOLLOWING APPROPRIATE BOARD LEVEL REVIEW IN A MANNER INTENDED TO COMPLY WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS PROVISION UNDER IRC SECTION 4958. THE FOLLOWING SERP AMOUNTS ARE CURRENTLY TAXABLE TO THE INDIVIDUALS LISTED AND HAVE BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B(III): EDWARD BRUFF - $684,594 JOHN KOSANOVICH - $939,173

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF SAGINAW HOSP FIN AUTH
A386004647786744hj42010-10-28$76,448,883RETIRE 7/7/99 AND 7/12/00 BONDSfalsefalsefalse
CITY OF SAGINAW HOSP FIN AUTH
B3860046472014-04-25$31,505,000RETIRE 4/7/2004 BONDS AND NEW CONSfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$10,900,000$0$76,458,097$9,214$0$0$423,626$0$0$0$76,034,471$02010Yes (true)falseYes (true)Yes (true)
B$5,460,000$0$31,506,478$1,478$0$0$203,513$0$0$10,476,465$20,826,500$02014Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdPrivate Bus Use By OthersPrivateBusUseByOthersPctOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0
B0falsefalsefalsefalsefalsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
0
BfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceINVESTMENT AMOUNTS INCLUDED IN PROCEEDSFormAndLineReferenceDesc
ExplanationSCHEDULE K, PART II, LINE 3 COLUMN A BOND 2010 H - $76,458,097 - INCLUDES SALE PROCEEDS OF $76,448,883 PLUS ESCROW ACCOUNT EARNINGS $9,214. COLUMN B BOND 2014 - $31,506,478 - INCLUDES SALE PROCEEDS OF $31,505,000 PLUS THE DEBT SERVICE RESERVE FUND EARNINGS OF $1,478. Part IV, Line 2a - REBATE CALCULATION THE REBATE CALCULATION WILL BE CONDUCTED IN MAY 2017.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Dr Jamie Ross
FAMILY OF BOARD MEMBER$336,928REPORTABLE COMPENSATIONfalse
Dr T Damuth
FAMILY OF BOARD MEMBER$446,552REPORTABLE COMPENSATIONfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceBUSINESS TRANSACTIONSFormAndLineReferenceDesc
ExplanationForm 990, Schedule L, Part IV, Column C FEES FOR ALL SERVICES ARE AT ARM'S LENGTH MARKET RATES AND ARE CONTRACTED IN ACCORDANCE WITH THE HOSPITAL'S CONFLICT OF INTEREST POLICY.ExplanationTxt

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescEQUIP (SUPPORT ORG)Desc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$978,372NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Description of Classes of Members or stockholdersForm 990, Part VI, Line 6 COVENANT HEALTHCARE SYSTEM IS THE SOLE CORPORATE MEMBER OF COVENANT MEDICAL CENTER COVENANT.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, LINE 7A THE CORPORATE MEMBER COVENANT HEALTHCARE SYSTEM MAY ELECT MEMBERS OF THE GOVERNING BODY.
DESCRIPTION OF DECISIONS SUBJECT TO APPROVAL BY MEMBERS,STOCKHOLDERS OR OTHER PERSONS FORM 990, PART VI, LINE 7B POWERS RESERVED BY THE SOLE MEMBER. THE FOLLOWING POWERS SHALL BE RESERVED FROM THE HOSPITAL, AND/OR SHALL REQUIRE THE AFFIRMATIVE ACTION OF THE SOLE MEMBER (ACTING THROUGH ITS BOARD OF DIRECTORS) IN ORDER TO BE EFFECTIVE: A. ALL MATTERS REQUIRING ACTION BY THE MEMBER OF A NONPROFIT CORPORATION UNDER THE LAWS OF THE STATE OF MICHIGAN; B. THE ELECTION OF THE BOARD OF DIRECTORS OF THE HOSPITAL; C. APPROVAL OF THE HOSPITAL BOARD'S SELECTION, OR VOTE TO TERMINATE THE PRESIDENT/CEO OF THE CORPORATION; D. APPROVAL OF THE INITIAL ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; E. APPROVAL OF THE AMENDMENT OF THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; F. APPROVAL OF THE STATEMENT OF MISSION, VISION, VALUES, ROLES AND GOALS OF THE HOSPITAL, TOGETHER WITH ANY AMENDMENTS THERE TO; G. APPROVAL OF THE ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS AND FINANCIAL GUIDELINES OF THE HOSPITAL; H. APPROVAL OF UNBUDGETED CAPITAL EXPENDITURES BY THE HOSPITAL IN EXCESS OF AN ANNUAL AGGREGATE PERCENTAGE OF THE TOTAL CAPITAL EXPENDITURE BUDGET FOR THE HOSPITAL AS ESTABLISHED FROM TIME TO TIME BY RESOLUTION OF THE SOLE MEMBER; I. APPROVAL OF ALL SECURED BORROWINGS OF THE HOSPITAL, OTHER THAN BORROWINGS SECURED FROM THE SOLE MEMBER; J. APPROVAL OF ALL UNSECURED BORROWINGS OF THE HOSPITAL, OTHER THAN FROM THE SOLE MEMBER, IN AN AMOUNT IN EXCESS OF $750,000 OR IN EXCESS OF AN ANNUAL AGGREGATE PERCENTAGE OF THE TOTAL ASSETS OF THE HOSPITAL AS ESTABLISHED FROM TIME TO TIME BY RESOLUTION OF THE SOLE MEMBER; K. APPROVAL OF THE GUARANTEE BY THE HOSPITAL OF THE INDEBTEDNESS OF ANOTHER IN AN AMOUNT IN EXCESS OF A PERCENTAGE OF THE TOTAL ASSETS OF THE HOSPITAL AS ESTABLISHED FROM TIME TO TIME BY RESOLUTION OF THE SOLE MEMBER; L. APPROVAL OF THE SALE, ALIENATION, EXCHANGE, LEASE OR OTHER DISPOSITION OF ASSETS OF THE HOSPITAL IN AN UNBUDGETED AMOUNT IN EXCESS OF AN ANNUAL AGGREGATE PERCENTAGE OF THE TOTAL ASSETS OF THE HOSPITAL AS ESTABLISHED FROM TIME TO TIME BY RESOLUTION OF THE SOLE MEMBER; M. APPROVAL OF THE ESTABLISHMENT OF ANY SUBSIDIARIES OR AFFILIATES OF THE HOSPITAL; N. APPROVAL OF THE ADOPTION, REVOCATION OR ABANDONMENT OF ANY PLAN OF DISSOLUTION OF THE HOSPITAL, OR ANY SUBSIDIARY OR AFFILIATE OF THE HOSPITAL; O. APPROVAL OF THE ADOPTION, REVOCATION OR ABANDONMENT OF ANY PLAN OF MERGER, CONSOLIDATION, SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS AND/OR PROPERTY OF THE HOSPITAL OR ANY SUBSIDIARY OR AFFILIATE OF THE HOSPITAL, OR ANY OTHER PLAN OF MAJOR CORPORATE CHANGE ADOPTED BY THE HOSPITAL OR ANY SUBSIDIARY OR AFFILIATE OF THE HOSPITAL; AND P. APPROVAL OF THE SELECTION OF AUDITORS BY THE HOSPITAL.
PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, LINE 11B MANAGEMENT PRESENTS AND REVIEWS THE 990 WITH THE BOARD FOR ITS APPROVAL PRIOR TO FILING. THE BOARD IS PROVIDED FINAL COPIES FOR REVIEW VIA THE INTERNET, ONCE APPROVED BY THE BOARD, THE FINAL 990 IS ULTIMATELY FILED WITH THE IRS.
Monitoring and enforcement of compliance with conflict of interest policyFORM 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 MEMBERS MAKE A DETERMINATION OF WHETHER A CONFLICT EXISTS. ANY PERSON WITH A POTENTIAL CONFLICT CAN MAKE A PRESENTATION TO THE BOARD OR COMMITTEE ON THE PROPOSED TRANSACTION, BUT MUST RECUSE HIMSELF FROM DELIBERATION AND VOTING ON THE PROPOSED TRANSACTION OR ARRANGEMENT. THE BOARD OR COMMITTEE SHALL EXPLORE WHETHER A MORE ADVANTAGEOUS TRANSACTION OR AGREEMENT WITH REASONABLE EFFORTS CAN BE ENTERED INTO WITH A PERSON OR ENTITY THAT DOES NOT HAVE A CONFLICT OF INTEREST. IF NO REASONABLE ALTERNATIVE EXISTS, THE BOARD OR COMMITTEE SHALL DECIDE WHETHER SUCH TRANSACTION IS IN THE BEST INTERESTS OF THE ORGANIZATION AND IS FAIR AND REASONABLE BEFORE MAKING ITS DECISION ON WHETHER OR NOT TO ENTER INTO THE TRANSACTION. IF THE BOARD HAS REASONABLE CAUSE TO BELIEVE THAT AN OFFICER, DIRECTOR, KEY EMPLOYEE, OR TRUSTEE FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTERESTS, IT SHALL INFORM THE OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE OF THE BASIS FOR SUCH BELIEF AND AFFORD SAID PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. CORRECTIVE ACTION WILL BE TAKEN IF IT IS DETERMINED THAT A CONFLICT THAT WAS NOT DISCLOSED DOES EXIST.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USEDFORM 990, PART VI, LINES 15A AND 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 IS CONDUCTED ANNUALLY.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FIN STMTS GENFORM 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.
REPORTABLE COMPENSATION FROM THE ORGANIZATIONFORM 990, PART VII, SECTION A, COLUMN (D) A 1099-MISC WAS ISSUED BY COVENANT MEDICAL CENTER TO THE FOLLOWING MEMBERS OF THE BOARD OF DIRECTORS: Greggory Lubben - $1,130 Susan Stemler - $1,413 David Meyer - $1,130 Dwight McNally - $646 John Shelton - $1,465 Culli Damuth - $842 Terry Neiderstadt - $1,397 Morton Weldy - $1,625 Other changes in net assets FORM 990, PART XI, LINE 9 Minimum Pension Liability Adjustment - ($30,852,474)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEINEIN
COVENANT MEDICAL OFFICE II LLC
1447 N HARRISONSAGINAWMI48602INACTIVEMI$0$0NA
COVENANT MACKINAW OFFICE LLC
1447 N HARRISONSAGINAWMI48602INACTIVEMI$0$0NA
J&F HOLDINGS
1447 N HARRISONSAGINAWMI48602INACTIVEMI$0$0NA382640101

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
COVENANT HEALTHCARE FOUNDATION
1447 N HARRISONSAGINAWMI48602382572154SUPPORTMI501(c)(3)7CHSYes (true)
VISITING NURSE SPECIAL SERVICES
502 S HAMILTONSAGINAWMI48602382762248NURSE VISITSMI501(c)(3)9CHSYes (true)
COVENANT HEALTHCARE SYSTEM
1447 N HARRISONSAGINAWMI48602383369443HEALTHCAREMI501(c)(3)11 Type IINAfalse
VISITING NURSE ASSOCIATION OF SAGINAW
500 S HAMILTONSAGINAWMI48602454929618HOME CAREMI501(c)(3)3CHSYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MACKINAW SRGRY CTRBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111221 ROEAddressLine1Txt
CityLEAWOODCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66211ZIPCd
FieldValueIRS element (for citing)
EIN205257296EIN
Primary ActivitiesRENTALPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CMCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Share Of Total Income$640,439ShareOfTotalIncomeAmt
Share Of EOY Assets$1,803,848ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership0.46189OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
COVENANT DEVELOPMENT CORP
1447 N HARRISONSAGINAWMI48602382640101HEALTH SERVICESMICHSC Corp$0$00.00000Yes (true)
COVENANT MEDICAL CTR OFFICE CONDO ASSN
1447 N HARRISONSAGINAWMI48602371477767CONDOMINIUMMINAC Corp$44,326$262,9080.98740Yes (true)
COVENANT HEALTHCARE MACKINAW CONDO
1447 N HARRISONSAGINAWMI48602382909555CONDOMINIUMMINAC Corp$640,439$1,803,8480.46189Yes (true)
COVENANT SERVICES CORP
1447 N HARRISONSAGINAWMI48602000000000HEALTHCAREMICHSC Corp$0$00.00000Yes (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 OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (true)DivRelatedOrganizationInd
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 OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
COVENANT HEALTHCARE FOUNDATION
c$978,372FMV
COVENANT HEALTHCARE FOUNDATION
o$524,928FMV
COVENANT HEALTHCARE FOUNDATION
q$461,196FMV

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