SAGINAW COOPERATIVE HOSPITALS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SAGINAW COOPERATIVE HOSPITALS INC (EIN 38-1870664)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201201369349306970
Schema version
2010v3.7
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)
Timestamp2012-05-15T15:47:28-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Date2010-07-01TaxPeriodBeginDate

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
TitleTRUSTEETitle
Phone9895836875Phone
Date Signed2012-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLAURA M EBELName
Phone9894975300Phone
Date Prepared2012-05-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJD MCBRAYERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11000 HOUGHTON SUITE 800AddressLine1
CitySAGINAWCity
StateMIState
ZIP Code48602ZIPCode
FieldValueIRS element (for citing)
Gross Receipts24847905GrossReceipts
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
Termination Or ContractionXTerminationOrContraction
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees297TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year32941ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year20794070ProgramServiceRevenuePriorYear
Program Service Revenue CY19131508ProgramServiceRevenueCY
Investment Income Prior Year43564InvestmentIncomePriorYear
Investment Income Current Year61714InvestmentIncomeCurrentYear
Other Revenue Prior Year4626811OtherRevenuePriorYear
Other Revenue Current Year5654683OtherRevenueCurrentYear
Total Revenue Prior Year25497386TotalRevenuePriorYear
Total Revenue Current Year24847905TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year17819177SalariesEtcPriorYear
Salaries Etc Current Year19294832SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5663285OtherExpensePriorYear
Other Expenses Current Year6033410OtherExpensesCurrentYear
Total Expenses Prior Year23482462TotalExpensesPriorYear
Total Expenses Current Year25328242TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2014924RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-480337RevenuesLessExpensesCY
Total Assets BOY11140746TotalAssetsBOY
Total Assets EOY11683633TotalAssetsEOY
Total Liabilities BOY4073410TotalLiabilitiesBOY
Total Liabilities EOY11247229TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7067336NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY436404NetAssetsOrFundBalancesEOY
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
Expense22591130Expense
Revenue24438480Revenue
DescriptionMEDICAL EDUCATION - TO PROVIDE MEDICAL STUDENTS WITH A DIVERSE LEARNING EXPERIENCE IN THE MEDICAL FIELD AND PROVIDE FURTHER EDUCATION AND TRAINING.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense142088Expense
Revenue347711Revenue
DescriptionMICHIGAN STATE UNIVERSITY - TO PROVIDE MSU MEDICAL STUDENTS WITH FURTHER EDUCATION AND TRAINING.Description
FieldValueIRS element (for citing)
Total Program Service Expense22733218TotalProgramServiceExpense
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 LiquidationtruePartialLiquidation
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 With109689NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees297NumberOfEmployees
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 Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
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 (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
JOHN GRAHAM
SECRETARY1.00X000
SPENCER MAIDLOW
VICE CHAIRMA1.00X000
JOHN KOSANOVICH MD
TRUSTEE1.00X000
RAGHU SARVEPALLI MD
TRUSTEE1.00X000
MARSHA RAPPLEY MD
TRUSTEE1.00X000
DENISE HOLMES
TRUSTEE1.00X000
ROBERT VANDEVENTER
TRUSTEE1.00X000
ERNIE YODER MD
CHAIRMAN1.00X000
DEBORAH BIGGS
TRUSTEE1.00X000
PATRICIA GRAVES
TRUSTEE1.00X000
CHRISTINE ROHR DO
VP MED AFFAI40.00345817013327X
TERRANCE LERASH
PRES./CEO40.00237398021998X
JD MCBRAYER
VP FINANCE40.0011627004050X
WAYNE ALBRECHT
VP OPERATION40.00115343014715X
PETER BISTOLARIDES MD
DIRECTOR40.00282115022000X
ALI IBRAHIM MD
DIRECTOR40.0028054300X
SHIRLEY LAYKO MD
DIRECTOR40.00236415033000X
AZIZ MERCHANT MD
ASST. DIRECT40.0020156500X
MARY JO WAGNER MD
DIRECTOR40.00182714016500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1998180TotalReportableCompFromOrg
Total Other Compensation125590TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CLINE CLINE & GRIFFIN
503 S SAGINAW STFLINTMI48502LEGAL289055
MCDONALD HOPKINS
600 SUPERIOR AVE SUITE 2100CLEVELANDOH44114IT202130
GUY BOIKE MD
9967 WHITE PINE CTCLARKSTONMI48348CONTRACT OB135000
PARTNERS IN MED ED
109 BRUSH CREEK ROADIRWINPA15642CONTRACTED SERV133595
JF JANITORIAL
705 S FORDNEYHEMLOCKMI48626JANITORIAL118630
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEMBERSHIP DUES & ASSESSMENTS6117101450930614509306
PATIENT SERVICES62140042744914274491
CONTINUING EDUCATION611430347711347711
FieldValueIRS element (for citing)
Total Program Service Revenue19131508TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column61714TotalRevenueColumn
Exclusion$61,714ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CONTRACTED SERVICES90009949979574997957
MISCELLANEOUS SERVICES900099656726656726
FieldValueIRS element (for citing)
Total Other Revenue5654683TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column24847905TotalRevenueColumn
Related Or Exempt Function Income24786191RelatedOrExemptFunctionIncome
Exclusion$61,714ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total883543Total
Program Services368397ProgramServices
Management And General515146ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15225197Total
Program Services14117767ProgramServices
Management And General1107430ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2211629Total
Program Services2050762ProgramServices
Management And General160867ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total974463Total
Program Services873412ProgramServices
Management And General101051ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total211859Total
Program Services314ProgramServices
Management And General211545ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total35610Total
Management And General35610ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1205294Total
Program Services987943ProgramServices
Management And General217351ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total103708Total
Program Services103708ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total803013Total
Program Services751822ProgramServices
Management And General51191ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total967973Total
Program Services870473ProgramServices
Management And General97500ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total47099Total
Program Services39374ProgramServices
Management And General7725ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total691041Total
Program Services674636ProgramServices
Management And General16405ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total353407Total
Program Services317810ProgramServices
Management And General35597ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total339434Total
Program Services339434ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBTS384372384372
MALPRACTICE FUND EXPENSE381648381648
RECRUITING193039193039
FACILITY & EQUIPMENT13865710463034027
MISCELLANEOUS EXPENSE1295991268892710

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total47657Total
Program Services46788ProgramServices
Management And General869ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25328242Total
Program Services22733218ProgramServices
Management And General2595024ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2506872BOY
EOY2846432EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY151864BOY
EOY138490EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1786578BOY
EOY1741291EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY269546BOY
EOY463865EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4209860LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3279308LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY920470BOY
EOY930552EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1332256BOY
EOY1491217EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4173160BOY
EOY4071786EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11140746BOY
EOY11683633EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1832897BOY
EOY1855801EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY715975BOY
EOY857835EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1524538BOY
EOY8533593EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4073410BOY
EOY11247229EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7048051BOY
EOY417119EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY19285BOY
EOY19285EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7067336BOY
EOY436404EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11140746BOY
EOY11683633EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-480337ReconcilationRevenueExpenses
Reconcilation Other Changes-6150595ReconcilationOtherChanges
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 Line1MICHIGAN STATE UNIVERSITYBusinessNameLine1
FieldValueIRS element (for citing)
EIN386005984EIN
Type Of Organization6TypeOfOrganization
Listed In Governing DocfalseListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs4TotalNumberOfSupportedOrgs
General ExplanationPART I - LINE 11I 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 Basis4209860OtherCostOrOtherBasis
Depreciation3279308Depreciation
Book Value930552BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings930552TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionMEDICAL EDUCATION FUNDING RECEIVABLEDescription
Book Value4071786BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets4071786TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
PAYABLE TO HOSPITALS$3,636,106
NOTES PAYABLE TO HOSPITALS$3,495,701
EST PROF LIAB UNDER SELF-INSURANCE$1,401,786
FieldValueIRS element (for citing)
Total Of Amounts8533593TotalOfAmounts
Total Revenue24847905TotalRevenue
Total Expenses25328242TotalExpenses
Excess Or Deficit For Year-480337ExcessOrDeficitForYear
Net Unrealized GL On Investments246393NetUnrealizedGLOnInvestments
Other-$6,396,988OtherAmount
Total Adjustments-6150595TotalAdjustments
Excess Or Deficit Per FS-6630932ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt25094298TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments246393NetUnrealizedGainsInvestments
Revenue Not Rptd F990246393RevenueNotRptdF990
Revenue Subtotal24847905RevenueSubtotal
Total Revenue Per Form99024847905TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt25328242TotExpensesEtcAuditedFinclStmt
Expenses Subtotal25328242ExpensesSubtotal
Total Expenses Per Form99025328242TotalExpensesPerForm990

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)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
CHRISTINE ROHR DO
32627313249629513327359144
TERRANCE LERASH
20895619139930321998259396
PETER BISTOLARIDES MD
28211522000304115
ALI IBRAHIM MD
280543280543
SHIRLEY LAYKO MD
23641533000269415
AZIZ MERCHANT MD
201565201565
MARY JO WAGNER MD
18271416500199214

Schedule N IRS990ScheduleN

Disposition Table DispositionTable (4 entries)

Description Of AssetDescriptionOfAssetDate Of DistributionDateOfDistributionFMV Of AssetFMVOfAssetMethod Of FMV DeterminationMethodOfFMVDeterminationEINEINAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeIRC SectionIRCSection
ST MARY'S MEDICAL CENTER
CASH - NOTES PAYABLE2010-12-311165234ACTUAL380997730800 S WASHINGTON AVESAGINAWMI48601501C3
COVENANT HEALTHCARE
CASH - NOTES PAYABLE2010-12-312330467ACTUAL3833694431447 NORTH HARRISONSAGINAWMI48601501C3
ST MARY'S MEDICAL CENTER
CASH - PAYABLE2010-12-31967096ACTUAL380997730800 S WASHINGTON AVESAGINAWMI48601501C3
COVENANT HEALTHCARE
CASH - PAYABLE2010-12-311934191ACTUAL3833694431447 NORTH HARRISONSAGINAWMI48601501C3
FieldValueIRS element (for citing)
Director Of Successor2falseDirectorOfSuccessor2
Employee Of Successor2falseEmployeeOfSuccessor2
Owner Of Successor2falseOwnerOfSuccessor2
Receive Compensation2falseReceiveCompensation2

Form990 Schedule N Part III Form990ScheduleNPartIII

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE NReturnReference
ExplanationPART II CASH NOTE PAYABLE LINE ITEMS REPRESENT TRANSFER OF ALLOCABLE SHARE OF NET ASSETS TO MEMBER HOSPITALS CASH PAYABLE LINE ITEMS REPRESENT RETURN OF EXCESS FUNDING TO MEMBER HOSPITALSExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ADDITIONAL INFORMATIONFORM 990ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.
SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTSFORM 990, PAGE 6, PART VI, LINE 4SEE ATTACHED.
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 7ASEE ATTACHED BYLAWS.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BSEE ATTACHED BYLAWS.
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 VIITHE AMOUNT OF COMPENSATION PAID BY RELATED ENTITIES WAS REQUESTED, HOWEVER, THE AMOUNTS WERE NOT PROVIDED.
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5TRANSFER OF NET ASSETS TO MEMBER HOSPITALS (3,495,701) RETURN OF EXCESS FUNDING TO MEMBER HOSPITALS (2,901,287) NET UNREALIZED GAINS 246,393 ----------- (6,150,595)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
MICHIGAN STATE UNIVERSITY
MICHIGAN STATE UNIVERSITYEAST LANSINGMI48824386005984EDUCATIONMI1156N/Afalse
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 OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ST MARY'S
Q2132330ACTUAL
COVENANT
Q4264658ACTUAL

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