SAGINAW COOPERATIVE HOSPITALS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SAGINAW COOPERATIVE HOSPITALS INC (EIN 38-1870664)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201331359349302473
Schema version
2011v1.5
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)
Timestamp2013-05-15T09:21:54-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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 Signed2013-05-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLAURA M EBELName
Phone9894975300Phone
Date Prepared2013-05-11DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts27350314GrossReceipts
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 Employees312TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19131508ProgramServiceRevenuePriorYear
Program Service Revenue CY20167060ProgramServiceRevenueCY
Investment Income Prior Year61714InvestmentIncomePriorYear
Investment Income Current Year399554InvestmentIncomeCurrentYear
Other Revenue Prior Year5654683OtherRevenuePriorYear
Other Revenue Current Year6783700OtherRevenueCurrentYear
Total Revenue Prior Year24847905TotalRevenuePriorYear
Total Revenue Current Year27350314TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year19294832SalariesEtcPriorYear
Salaries Etc Current Year20124706SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6033410OtherExpensePriorYear
Other Expenses Current Year5791172OtherExpensesCurrentYear
Total Expenses Prior Year25328242TotalExpensesPriorYear
Total Expenses Current Year25915878TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-480337RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1434436RevenuesLessExpensesCY
Total Assets BOY11683633TotalAssetsBOY
Total Assets EOY8675741TotalAssetsEOY
Total Liabilities BOY11247229TotalLiabilitiesBOY
Total Liabilities EOY3330532TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY436404NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5345209NetAssetsOrFundBalancesEOY
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
Expense23017065Expense
Revenue26950760Revenue
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 Expense23017065TotalProgramServiceExpense
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 With109694NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees312NumberOfEmployees
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 (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
SPENCER MAIDLOW
VICE CHAIRMA1.00X02358911255992
JOHN KOSANOVICH MD
TRUSTEE1.00X0846400135963
JOHN GRAHAM
SECRETARY1.00X084590030433
RAGHU SARVEPALLI MD
TRUSTEE1.00X045210029749
ERNIE YODER MD
CHAIRMAN1.00X03864400X
DEBORAH BIGGS
EXECUTIVE DI50.00X02112960X
CHRISTINE ROHR DO
CAO40.00264173046068X
TERRANCE LERASH
PRES./CEO40.00232524041029X
DAVID BURDETTE
TREASURER1.0002125400X
ALI IBRAHIM MD
DIRECTOR40.00291179013033X
MARILYN HAUPT
DIRECTOR40.00277220013318X
PETER BISTOLARIDES MD
DIRECTOR40.00273045025353X
AZIZ MERCHANT MD
ASST. DIRECT40.00256422029252X
MARY JO WAGNER MD
DIRECTOR40.00229238047360X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1823801TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5313587TotalReportableCompFrmRltdOrgs
Total Other Compensation667550TotalOtherCompensation
Number Individuals GT100 K32NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CLINE CLINE & GRIFFIN
503 S SAGINAW STFLINTMI48502LEGAL216799
GUY BOIKE MD
9967 WHITE PINE CTCLARKSTONMI48348CONTRACT OB140462
JF JANITORIAL
705 S FORDNEXHEMLOCKMI48626JANITORIAL125603
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEMBERSHIP DUES & ASSESSMENTS6117101620278516202785
PATIENT SERVICES62140039642753964275
FieldValueIRS element (for citing)
Total Program Service Revenue20167060TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column395207TotalRevenueColumn
Exclusion$395,207ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other4347Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other4347Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4347TotalRevenueColumn
Exclusion$4,347ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CONTRACTED SERVICES90009965209326520932
MISCELLANEOUS SERVICES900099262768262768
FieldValueIRS element (for citing)
Total Other Revenue6783700TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column27350314TotalRevenueColumn
Related Or Exempt Function Income26950760RelatedOrExemptFunctionIncome
Exclusion$399,554ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total942394Total
Program Services519387ProgramServices
Management And General423007ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16083368Total
Program Services14445377ProgramServices
Management And General1637991ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2157508Total
Program Services1937779ProgramServices
Management And General219729ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total941436Total
Program Services841003ProgramServices
Management And General100433ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total33035Total
Management And General33035ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total35328Total
Management And General35328ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1109169Total
Program Services922245ProgramServices
Management And General186924ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total131747Total
Program Services131747ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total529032Total
Program Services494073ProgramServices
Management And General34959ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total971186Total
Program Services853622ProgramServices
Management And General117564ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total39109Total
Program Services32731ProgramServices
Management And General6378ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total652701Total
Program Services625264ProgramServices
Management And General27437ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total375541Total
Program Services330081ProgramServices
Management And General45460ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total645433Total
Program Services645433ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
EDUCATION SUPPLIES & SERV3856743791726502
BAD DEBTS334384334384
FACILITY & EQUIPMENT19678017564421136
RECRUITING162454162454

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total189599Total
Program Services186669ProgramServices
Management And General2930ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25915878Total
Program Services23017065ProgramServices
Management And General2898813ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2846432BOY
EOY4196273EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY138490BOY
EOY143164EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1741291BOY
EOY1402638EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY463865BOY
EOY252053EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4316450LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3507443LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY930552BOY
EOY809007EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1491217BOY
EOY1436926EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4071786BOY
EOY435680EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11683633BOY
EOY8675741EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1855801BOY
EOY1167808EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY857835BOY
EOY1007807EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8533593BOY
EOY1154917EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11247229BOY
EOY3330532EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY417119BOY
EOY5325924EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY19285BOY
EOY19285EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY436404BOY
EOY5345209EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11683633BOY
EOY8675741EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1434436ReconcilationRevenueExpenses
Reconcilation Other Changes3474369ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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

Name Name

FieldValueIRS element (for citing)
Business Name Line1COVENANT HEALTHCAREBusinessNameLine1
FieldValueIRS element (for citing)
EIN383369443EIN
Type Of Organization3TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
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

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4316450OtherCostOrOtherBasis
Depreciation3507443Depreciation
Book Value809007BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings809007TotalOfBookValueLandBuildings

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 (4 entries)

DescriptionDescriptionAmountAmount
EST PROF LIAB UNDER SELF-INSURANCE$723,362
PAYABLE TO CMU$431,555
PAYABLE TO HOSPITALS
NOTES PAYABLE TO HOSPITALS
FieldValueIRS element (for citing)
Total Of Amounts1154917TotalOfAmounts
Total Revenue27350314TotalRevenue
Total Expenses25915878TotalExpenses
Excess Or Deficit For Year1434436ExcessOrDeficitForYear
Net Unrealized GL On Investments-21332NetUnrealizedGLOnInvestments
Total Adjustments-21332TotalAdjustments
Excess Or Deficit Per FS1413104ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt27328982TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-21332NetUnrealizedGainsInvestments
Revenue Not Rptd F990-21332RevenueNotRptdF990
Revenue Subtotal27350314RevenueSubtotal
Total Revenue Per Form99027350314TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt25915878TotExpensesEtcAuditedFinclStmt
Expenses Subtotal25915878ExpensesSubtotal
Total Expenses Per Form99025915878TotalExpensesPerForm990

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 (14 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
SPENCER MAIDLOW
6917021639441503265239758162342614903
JOHN KOSANOVICH MD
3451348525041601611755018413982363
JOHN GRAHAM
44591037704222948293461087876333
RAGHU SARVEPALLI MD
37556475298123829346403481849
ERNIE YODER MD
3850001440386440
DEBORAH BIGGS
2100001296211296
CHRISTINE ROHR DO
264173389927076310241
TERRANCE LERASH
232524339497080273553
DAVID BURDETTE
212180360212540
ALI IBRAHIM MD
29117998003233304212
MARILYN HAUPT
277220123001018290538
PETER BISTOLARIDES MD
273045221203233298398
AZIZ MERCHANT MD
256422245634689285674
MARY JO WAGNER MD
229238428004560276598

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 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 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 50 HOURS PER WEEK RELATED TO THEIR FULL-TIME POSITION.
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5CHANGES IN NET ASSETS: UNREALIZED LOSS ON INVESTMENTS (21,332) RECLASSIFICATION OF DEBT TO MEMBERS EQUITY 3,495,701 ------------ TOTAL CHANGE IN NET ASSETS 3,474,369

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
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 OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COVENANT HEALTHCARE
J584159CONTRACT
CENTRAL MICHIGAN UNIVERSITY
N1004108CONTRACT SALARY BENEFIT

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