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      <Desc>Covenant Community Care uses a patient-centered medical home service delivery model. We offer comprehensive primary medical, dental, and behavioral health care for people of all ages, regardless of their ability to pay. Our six clinical sites are spread across Metro Detroit in an effort to make our services accessible to a population with significant financial, health, and transportation challenges. Chronic conditions such as diabetes, hypertension, depression, asthma, heart disease, HIV, and many others are managed by a multi-disciplinary team of providers, nurses, patient advocates, and volunteers. All sites also have a Behavioral Health Counselor that functions to integrate the mental health services and lifestyle education needed by each patient to identify and help remedy obstacles to compliance, working in close association with community mental health agencies. Covenant's sixth site is a school-based clinic that provides critical health services year-round to the children and families of a Northwest Detroit school and the surrounding community. In 2016, Covenant served 13,572 medical patients through 38,973 visits across our six sites. Of these patients, 27% were without health insurance, creating great obstacles to healthy living and the management of chronic diseases. Our commitment to seek out, heal and strengthen "those who need it most" ensures that our percentage of uninsured patients remains substantial as we continue to grow. This can present a challenge as the sometimes transient and under-resourced characteristics of this group make medical compliance and follow-up, attainment of health goals, and access to services challenging goals. For this reason, we are always looking for new partners, like community mental health agencies and other social service organizations, and developing programs, such as our Homeless Outreach Team, to help us improve how we fulfill our mission of "showing and sharing the love of God, as seen in the good news of Jesus Christ, by providing integrated, affordable, and quality health care to those who need it most." Covenant continued to have positive growth in quality measures this past year. We had increases in our coronary artery disease (88%), colorectal (37%), HIV (100%), depression (60%), and asthma (97%) screening rates.</Desc>
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        <Desc>Covenant Community Care offers oral health services at all clinical sites and also through a mobile, school-based dental team. In 2016, we served 8,524 dental patients through 22,628 visits. According to Covenant's Chief Dental Officer Dr. Lynn Eickholt, Covenant clinics provide the same level of quality as private practice dentist offices. This approach to quality remains the same regardless of a patient's ability to pay for services. For example, Dr. Eickholt estimates that Covenant clinics are some of the only clinics in Detroit that are focused on preserving teeth despite the cost. Oftentimes, low-income Detroiters who do not have access to a community health center are not given options to save their teeth due to cost and must simply accept extractions indicated by the fact that over 25% of the Covenant's target population is dealing with six or more extractions. Covenant Michigan and Covenant Moross offer a full array of oral health services with state-of-the-art equipment including dental exams, x-rays, cleanings, fillings, sealants, root canals, extractions, crowns, fluoride treatments, scaling and root planning, dentures &amp; partial dentures, and some orthodontics work. The Covenant School-Based Dental Team (SBDT) provides dental care to children aged 0-18 at Head Start, elementary, middle and high schools across Detroit as well as Covenant Newton, a school-based clinic in Northwest Detroit. The SBDT provides dental cleanings, x-rays, fluoride, sealants, and exams. If needed, students receive referrals for any additional care.</Desc>
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        <Desc>Covenant has a licensed chauffer to provide transportation assistance for patients to and from our clinics. Patients are informed of this service while scheduling their appointments and, if needed, arrangements are made at that time. All of our services are provided on a bilingual basis, in English and Spanish. Covenant has bilingual staff members at each of our sites and also provides translation services to support patient/provider/staff interactions. All forms, patient satisfaction surveys, educational materials, signage, waiting room reading material, and other administrative materials are produced in Spanish and English. In 2016, Covenant staff facilitated 168 patient education visits and had 11.4 full time equivalent staff members dedicated to enabling services. Our Homeless Outreach team provides care to about 50 people per week where they are (under highway overpasses, in broken down trailers, in abandoned buildings, and in hidden urban encampments), works with them to navigate the present day healthcare system, and dispels the obstacles of anxiety, fear and mistrust. The goal is to meet and treat people on the street, build relationship, eventually get them into our clinics to see Covenant providers in order to establish a primary care relationship, and simultaneously work with partners including a podiatrist, wound-care specialist, and an ophthalmologist in order to care for more acute need. In 2016, Covenant launched the MI Care Team, a pilot health-home program, that provides patients with a specialized care team to overcome barriers to a healthier life. Our Nurse Care Manager and patient advocate/community health worker offer routine check-ins, assistance with health goal development, consistent support and encouragement, and even home visits if that's what it takes.</Desc>
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        <Desc>Covenant Community Care's mental health counselors provided care to 2,525 patients through 5,489 visits in 2016. Our primary medical and behavioral health care services are provided through an integrated delivery model. To accomplish this, all patients are required to complete a one-page "Today's Visit" tool that identifies recent symptoms of depression. All of our medical providers receive training to ensure that they are able to effectively identify and successfully refer patients who need behavioral health consultations. The integration of behavioral health screenings into every patient encounter at Covenant improves service delivery and outcomes in several ways. By proactively screening our patients, we identify behavioral health needs earlier in their progression, allowing for early intervention by our Behavioral Health Counselor. We also believe that by making behavioral health screening a routine practice, it helps to remove the stigma often associated with receiving behavioral health services. The training provided to our medical providers and support staff enables our employees to effectively assess when a full behavioral consultation is warranted. This is important, because through this practice, our staff can act as a safety net to catch patients who may need a consultation even if they do not self-identify as needing behavioral health care on the Today's Visit tool.</Desc>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>15000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>15000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>407401</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>143022</DepreciationAmt>
        <BookValueAmt>264379</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3248187</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1932255</DepreciationAmt>
        <BookValueAmt>1315932</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>642205</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>409074</DepreciationAmt>
        <BookValueAmt>233131</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>176931</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>135668</DepreciationAmt>
        <BookValueAmt>41263</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1869705</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>13430164</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>457151</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>26851</OtherRevenueAmt>
      <RevenueNotReportedAmt>484002</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>12946162</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>12946162</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>12745256</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>457151</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>26851</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>484002</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>12261254</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>12261254</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The financial statement effects of a tax position taken or expected to be taken are recognized in the financial statements when it is more likely than not, based on the technical merits, that the position will be sustained upon examination. Interest and penalties, if any, are included in expenses in the statements of activities. As of December 31, 2016, the Organization had no uncertain tax positions that qualify for recognition or disclosure in the financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Direct fundraising event expenses reported on Part VIII, Line 8b 26,851.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Direct fundraising event expenses reported on Part VIII, Line 8b 26,851.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>Courage to Care</Event1Nm>
        <GrossReceiptsEvent1Amt>58072</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>58072</CharitableContriEvent1Amt>
        <FoodAndBeverageEvent1Amt>6200</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>150</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>6613</OtherDirectExpensesEvent1Amt>
        <Event2Nm>Golf Outing</Event2Nm>
        <GrossReceiptsEvent2Amt>21820</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>12893</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>8927</GrossRevenueEvent2Amt>
        <CashPrizesEvent2Amt>438</CashPrizesEvent2Amt>
        <NonCashPrizesEvent2Amt>100</NonCashPrizesEvent2Amt>
        <RentFacilityCostsEvent2Amt>12275</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>32</FoodAndBeverageEvent2Amt>
        <OtherDirectExpensesEvent2Amt>1043</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>79892</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>70965</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>8927</GrossRevenueTotalEventsAmt>
        <CashPrizesTotalEventsAmt>438</CashPrizesTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>100</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>12275</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>6232</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>150</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>7656</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>26851</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-17924</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Paul Propson</PersonNm>
        <TitleTxt>Chief Executive Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>142836</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20720</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>178556</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Lynn Quinn</PersonNm>
        <TitleTxt>Chief Dental Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>145646</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1400</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3016</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>150062</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Scott Stryd</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>157422</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>480</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20332</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>178234</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Marisa Abbo</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>153851</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>520</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20332</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>174703</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee consists of the Chairman of the Board, Vice-Chairman, Secretary, Treasurer and up to two other members of the Board who shall be appointed by the Board of Directors from time to time. The Executive Committee shall have and exercise the authority of the Board of Directors in the management of routine operation of the Corporation within the scope of established policy and general plans.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is prepared by an independent CPA firm and reviewed in detail by the Chief Financial Officer. The reviewed Form 990 is then provided to the board prior to filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The finance team monitors all transactions entered into by the organization and the board reviews the conflict of interest policy annually. Both officers and board members sign annual statements. Any potential conflicts of interest are brought to the board for review and approval. If an issue were to arise during the course of a board meeting, the board member with a conflict would excuse himself or herself from the decision making process and the board would vote on whether or not the transaction is in the best interest of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation of the CEO is determined by the Executive Committee and reviewed by the Board of Directors. The Executive Committee uses the MPCA Salary Survey for comparability data every year. This process is documented by memo and the decision is documented in the board minutes. The CEO determines compensation rates for all other Officers. The MPCA Salary Survey is used for comparability data. The approved compensation is documented by memo and retained with the organization's payroll and HR files.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, conflict of interest policy, and financial statements are all available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's Audit Committee assumes responsibility for oversight of the audit of its financial statements and selection of its independent accountant. This process has not changed since the prior year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>