SAGINAW COOPERATIVE HOSPITALS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SAGINAW COOPERATIVE HOSPITALS INC (EIN 38-1870664)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201431359349308263
Schema version
2012v2.3
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)
Timestamp2014-05-15T15:08:27-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ANDREWS HOOPER PAVLIK PLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15300 GRATIOT RDAddressLine1
CitySAGINAWCity
StateMIState
ZIP Code486386035ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN381870664EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAGINAW COOPERATIVE HOSPITALS INCBusinessNameLine1
Business Name Line2DBA/CMU MEDICAL EDUCATION PARTNERSBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSAGINameControl
Phone9895836875Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 HOUGHTON SUITE 800AddressLine1
CitySAGINAWCity
StateMIState
ZIP Code48602ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEBORAH BIGGSName
TitleEXECUTIVE DIRECTORTitle
Phone9895836875Phone
Date Signed2014-05-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLAURA M EBELName
Phone9894975300Phone
Date Prepared2014-05-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDEBORAH BIGGSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11000 HOUGHTON SUITE 800AddressLine1
CitySAGINAWCity
StateMIState
ZIP Code48602ZIPCode
FieldValueIRS element (for citing)
Gross Receipts26782121GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SYNERGYMEDICAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1968YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionTO INTEGRATE MEDICAL EDUCATION, RESEARCH AND SERVICE PRIMARILY FOR THE TRAINING OF MEDICAL RESIDENTS AND OTHER MEDICAL RELATED PERSONNEL.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees317TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year20167060ProgramServiceRevenuePriorYear
Program Service Revenue CY19924288ProgramServiceRevenueCY
Investment Income Prior Year399554InvestmentIncomePriorYear
Investment Income Current Year66223InvestmentIncomeCurrentYear
Other Revenue Prior Year6783700OtherRevenuePriorYear
Other Revenue Current Year6791610OtherRevenueCurrentYear
Total Revenue Prior Year27350314TotalRevenuePriorYear
Total Revenue Current Year26782121TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year20124706SalariesEtcPriorYear
Salaries Etc Current Year20263306SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5791172OtherExpensePriorYear
Other Expenses Current Year6343297OtherExpensesCurrentYear
Total Expenses Prior Year25915878TotalExpensesPriorYear
Total Expenses Current Year26606603TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1434436RevenuesLessExpensesPriorYear
Revenues Less Expenses CY175518RevenuesLessExpensesCY
Total Assets BOY8675741TotalAssetsBOY
Total Assets EOY8174253TotalAssetsEOY
Total Liabilities BOY3330532TotalLiabilitiesBOY
Total Liabilities EOY2511950TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5345209NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5662303NetAssetsOrFundBalancesEOY
Mission DescriptionTO INTEGRATE MEDICAL EDUCATION, RESEARCH AND SERVICE PRIMARILY FOR THE TRAINING OF MEDICAL RESIDENTS AND OTHER MEDICAL RELATED PERSONNEL.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense24546731Expense
Revenue26715898Revenue
DescriptionMEDICAL EDUCATION - TO PROVIDE MEDICAL STUDENTS WITH A DIVERSE LEARNING EXPERIENCE IN THE MEDICAL FIELD AND PROVIDE FURTHER EDUCATION AND TRAINING.Description
Total Program Service Expense24546731TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109641NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees317NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJD MCBRAYERNamePerson
Telephone Number9895836875TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 HOUGHTONAddressLine1
Address Line2SUITE 800AddressLine2
CitySAGINAWCity
StateMIState
ZIP Code48602ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ERNIE YODER MD
CHAIRMAN4.0036.00XX039771916964
DEBORAH BIGGS
EXECUTIVE DI20.0020.00XX020558225380
JOHN GRAHAM
SECRETARY1.0040.00X000
SPENCER MAIDLOW
VICE CHAIRMA1.0040.00X000
JOHN KOSANOVICH MD
TRUSTEE1.0040.00X000
RAGHU SARVEPALLI MD
TRUSTEE1.0040.00X000
DAVID BURDETTE
TREASURER1.0040.00X000
CHRISTINE ROHR DO
CAO40.0037520900X
MARILYN HAUPT
DIRECTOR40.00317806018759X
AZIZ MERCHANT MD
ASST. DIRECT40.00292689033777X
PETER BISTOLARIDES MD
DIRECTOR40.00280378017277X
MARY JO WAGNER MD
DIRECTOR40.00234738051277X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1500820TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs603301TotalReportableCompFrmRltdOrgs
Total Other Compensation163434TotalOtherCompensation
Number Individuals GT100 K32NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MERRITT HAWKINS
POBOX 281943ATLANTAGA30384RECRUITING SRVC604229
GUY BOIKE MD
9967 WHITE PINE CTCLARKSTONMI48348CONTRACT OB142050
JF JANITORIAL
705 S FORDNEXHEMLOCKMI48626JANITORIAL103336
CLINE CLINE & GRIFFIN
503 S SAGINAW STFLINTMI48502LEGAL102460
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEMBERSHIP DUES & ASSESSMENTS6117101547318315473183
PATIENT SERVICES62140044511054451105
FieldValueIRS element (for citing)
Total Program Service Revenue19924288TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column62508TotalRevenueColumn
Exclusion$62,508ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other3715Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other3715Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3715TotalRevenueColumn
Exclusion$3,715ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CONTRACTED SERVICES90009964039806403980
MISCELLANEOUS SERVICES900099387630387630
FieldValueIRS element (for citing)
Total Other Revenue6791610TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column26782121TotalRevenueColumn
Related Or Exempt Function Income26715898RelatedOrExemptFunctionIncome
Exclusion$66,223ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total345724Total
Management And General345724ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16766482Total
Program Services15859698ProgramServices
Management And General906784ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2154906Total
Program Services2038362ProgramServices
Management And General116544ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total996194Total
Program Services903371ProgramServices
Management And General92823ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total76099Total
Program Services71983ProgramServices
Management And General4116ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total39820Total
Management And General39820ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1263115Total
Program Services921427ProgramServices
Management And General341688ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total42526Total
Program Services42526ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total574575Total
Program Services526666ProgramServices
Management And General47909ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total948011Total
Program Services878622ProgramServices
Management And General69389ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total37339Total
Program Services31360ProgramServices
Management And General5979ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total632147Total
Program Services608948ProgramServices
Management And General23199ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total349389Total
Program Services323816ProgramServices
Management And General25573ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total715655Total
Program Services715655ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
RECRUITING636319636319
EDUCATION SUPPLIES & SERV3855083790066502
BAD DEBTS355839355839
FACILITY & EQUIPMENT1192119868320528

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total167744Total
Program Services154450ProgramServices
Management And General13294ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total26606603Total
Program Services24546731ProgramServices
Management And General2059872ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4196273BOY
EOY2970511EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY143164BOY
EOY147879EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1402638BOY
EOY1986898EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY252053BOY
EOY447821EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4337729LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3731363LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY809007BOY
EOY606366EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1436926BOY
EOY1579098EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY435680BOY
EOY435680EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8675741BOY
EOY8174253EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1167808BOY
EOY1641305EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1007807BOY
EOY2437EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1154917BOY
EOY868208EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3330532BOY
EOY2511950EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5325924BOY
EOY5643018EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY19285BOY
EOY19285EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5345209BOY
EOY5662303EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8675741BOY
EOY8174253EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses175518ReconcilationRevenueExpenses
Reconciliation Unrealized Invest141576ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (3 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
COVENANT HEALTHCARE
3833694433truetruetrue$0
ST MARY'S MEDICAL CENTER
3809977303truetruetrue$0
CENTRAL HEALTH ADVANCEMENT SOLUTIONS
4538622325truetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs3TotalNumberOfSupportedOrgs
General ExplanationPART I - LINE 11H CMU MEDICAL EDUCATION PARTNERS SUPPORTS THE LISTED ORGANIZATIONS THROUGH SERVICES PROVIDED TO THEM.GeneralExplanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4337729OtherCostOrOtherBasis
Depreciation3731363Depreciation
Book Value606366BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings606366TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionMEDICAL EDUCATION FUNDING RECEIVABLEDescription
Book Value435680BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets435680TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
EST PROF LIAB UNDER SELF-INSURANCE$557,346
PAYABLE TO CMU$310,862
FieldValueIRS element (for citing)
Total Of Amounts868208TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt26923697TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments141576NetUnrealizedGainsInvestments
Revenue Not Rptd F990141576RevenueNotRptdF990
Revenue Subtotal26782121RevenueSubtotal
Total Revenue Per Form99026782121TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt26606603TotExpensesEtcAuditedFinclStmt
Expenses Subtotal26606603ExpensesSubtotal
Total Expenses Per Form99026606603TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg
ERNIE YODER MD
CHAIRMAN397719497511989414683
DEBORAH BIGGS
EXECUTIVE DIRECTOR2055821085414526230962
CHRISTINE ROHR DO
CAO375209375209
MARILYN HAUPT
DIRECTOR3157973365652009130005759
AZIZ MERCHANT MD
ASST DIRECTOR2924153264662741650017277
PETER BISTOLARIDES MD
DIRECTOR279069297655130917277
MARY JO WAGNER MD
DIRECTOR2342812860154573400017277

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ADDITIONAL INFORMATIONFORM 990ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6THE CORPORATION IS ORGANIZED ON A NONSTOCK MEMBERSHIP BASIS.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ABASED ON THE BY-LAWS, THE BOARD MEMBERS CONSIST OF SIX INDIVIDUALS: PRESIDENT AND CEO OF COVENANT, A PHYSICIAN APPOINTED BY COVENANT, PRESIDENT AND CEO OF ST. MARY'S, A PHYSICIAN APPOINTED BY ST. MARY'S, DEAN OF COLLEGE OF MEDICINE OF CENTRAL MICHIGAN UNIVERSITY AND OTHER CMU EMPLOYEE APPOINTED BY THE DEAN OF THE COLLEGE OF MEDICINE. IN ADDITION, THE EXECUTIVE DIRECTOR, DIRECTOR OF FINANCE AND DIRECTOR OF MEDICAL EDUCATION ARE INVITED TO ATTEND THE MEETINGS AS A NON-VOTING MEMBER.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BTHE FOLLOWING RIGHTS AND RESPONSIBILITIES ARE RESERVED TO THE MEMBERS: A. TO APPROVE THE STATEMENT OF PHILOSOPHY AND MISSION OF THE CORPORATION, B. TO APPROVE THE ADOPTION OF ANY STRATEGIC PLAN OF THE CORPORATION OR ANY MAJOR CHANGE IN THE PROGRAMS OR SERVICES OF THE CORPORATION, C. TO SELECT A QUALIFIED AUDIT FIRM FOR THE CORPORATION, D. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS AND EXPENDITURES OF THE CORPORATION, E. TO APPROVE ANY INDEBTEDNESS OF THE CORPORATION, F. TO APPROVE THE ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, G. TO APPROVE ANY AMENDMENT OF THE ARTICLES OF INCORPORATION OF THE CORPORATION, H. TO APPROVE ANY AMENDMENT OF THE BYLAWS OF THE CORPORATION, I. TO APPROVE THE MERGER, CONSOLIDATION, DISSOLUTION, SALE OR OTHER TRANSFER OF SUBSTANTIALLY ALL ASSETS OF THE CORPORATION, AND J. TO APPROVE THE PURCHASE, SALE, TRANSFER OR OTHER ENCUMBRANCE OF ASSETS OF THE CORPORATION.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE BOARD OF DIRECTORS REVIEWS AND PROVIDES FINAL APPROVAL OF THE FORM 990.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CALL MEMBERS OF THE BOARD ARE REQUIRED TO COMPLETE AND SIGN THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. THE FORM IS THEN REVIEWED FOR ANY POSSIBLE CONFLICTS OF INTEREST.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION FOR THE CEO IS DETERMINED BY A COMPENSATION COMMITTEE COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS. DATA FROM THE MGMA AND VARIOUS OTHER NATIONAL SALARY SURVEYS ARE USED TO DETERMINE THE SALARY OF THE CEO, WHICH IS THEN TAKEN TO THE ENTIRE MEMBERSHIP OF THE BOARD OF DIRECTORS FOR APPROVAL.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BCOMPENSATION FOR ALL OTHER OFFICERS AND KEY EMPLOYEES IS BASED ON VARIOUS MARKET SURVEYS. COMPENSATION IS REVIEWED ANNUALLY AND TAKEN TO THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS FOR APPROVAL.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST.
ADDITIONAL INFORMATIONFORM 990, PART VIINO TRUSTEEES OR OFFICERS RECEIVE PAY FOR THE PURPOSE OF SERVING ON THE BOARD. THEY ARE CONSIDERED TO WORK 1 HOUR PER WEEK ON BOARD-RELATED MATTERS. ALL INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY EITHER THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A FULL-TIME POSITION. THOSE PERSONS ARE ESTIMATED TO WORK AN AVERAGE OF 40 HOURS PER WEEK RELATED TO THEIR FULL-TIME POSITION. WE WERE UNABLE TO PRESENT THE COMPENSATION PAID BY ALL RELATED ORGANIZATIONS DUE TO THE FACT THE COMPENSATION INFORMATION WAS NOT PROVIDED REASONABLE EFFORTS WERE TAKEN TO OBTAIN THE COMPENSATION INFORMATION FROM ST. MARY'S MEDICAL CENTER AND COVENANT HEALTHCARE BUT THESE EFFORTS WERE UNSUCCESSFUL. AS PREVIOUSLY DISCLOSED, THE COMPENSATION PAID BY THESE RELATED ORGANIZATIONS ARE BEING PAID TO THE INDIVIDUALS FOR SERVICES PROVIDED TO THE RELATED ORGANIZATIONS AS EMPLOYEES OF THESE ORGANIZATIONS. NO COMPENSATION IS BEING PAID TO THESE INDIVIDUALS FOR SERVICES PROVIDED TO THE ORGANIZATION AS BOARD MEMBERS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
COVENANT HEALTHCARE
1447 NORTH HARRISONSAGINAWMI48602383369443HOSPITALMI501C33N/Afalse
ST MARY'S MEDICAL CENTER
800 S WASHINGTON AVESAGINAWMI48601380997730HOSPITALMI501C33N/Afalse
CMU
WARRINER HALLMT PLEASANTMI48859386004447EDUCATIONMI501C32N/Afalse
CENTRAL HEALTH ADVANCEMENT SOLUTION
WARRINER HALLMT PLEASANTMI48859453862232EDUCATIONMI501C35N/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COVENANT HEALTHCARE
K578974CONTRACT
CENTRAL MICHIGAN UNIVERSITY
P2133349CONTRACT SALARY BENEFIT
CENTRAL MICHIGAN UNIVERSITY
Q194882CONTRACT

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.