2012-05-10T19:46:42-05:00 2011-06-30 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2010-07-01 383369438 Covenant Medical Center Inc COVE 9895836006 1447 N Harrison Saginaw MI 48602 Mark Gronda 9895836006 2012-05-15 4048748300 2010 2016-02-24 21:20:13Z COVENANT HEALTHCARE SPENCER MAIDLOW 1447 N HARRISON SAGINAW MI 48602 530619988 false X www.covenanthealthcare.com X 1997 MI TO PROVIDE DIVERSE MEDICAL CARE TO MEET THE HEALTH CARE NEEDS OF THE 15 COUNTIES IN EAST CENTRAL MICHIGAN WE SERVE. 12 9 4867 529 153523 86243 261606 748877 490502978 501219382 12451303 18257778 5302948 10393951 508518835 530619988 0 0 0 0 240138529 253706929 0 0 0 240317391 240915505 480455920 494622434 28062915 35997554 475168932 511872649 361145860 302032218 114023072 209840431 X TO PROVIDE DIVERSE MEDICAL CARE TO MEET THE HEALTH CARE NEEDS OF THE 15 COUNTIES IN EAST CENTRAL MICHIGAN WE SERVE. false false 482489812 501107774 ONE OF THE LARGEST, MOST COMPREHENSIVE HEALTH CARE FACILITIES NORTH OF THE METRO DETROIT, COVENANT HEALTHCARE IS PREPARED TO RESPOND TO THE DIVERSE MEDICAL NEEDS OF OUR REGION. WE OFFER A BROAD SPECTRUM OF PROGRAMS AND SERVICES RANGING FROM OBSTETRICS, NEONATAL AND PEDIATRIC CARE, TO ACUTE CARE INCLUDING CARDIOLOGY, ONCOLOGY, SURGERY AND MANY OTHER SERVICES ON THE LEADING EDGE OF MEDICINE. ALL OF OUR PROGRAMS AND SERVICES EXEMPLIFY OUR COMMITMENT TO PROVIDING QUALITY, COMPASSIONATE CARE. AS A MEDICAL FACILITY WITH MORE THAN 600 BEDS AND A COMPLETE RANGE OF MEDICAL SERVICES, COVENANT HEALTHCARE STANDS READY TO MEET THE NEEDS OF THE 15 COUNTIES IN EAST CENTRAL MICHIGAN WE SERVE. WITH MORE THAN 20 INPATIENT AND OUTPATIENT FACILITIES, COVENANT HEALTHCARE OFFERS CONVENIENCE AND EASY ACCESS TO HIGH QUALITY CARE. THE MEDICAL CENTER PROVIDED THE FOLLOWING DURING FISCAL YEAR 2010: 9,670 CARDIOLOGY CASES, 7,203 WOMEN'S AND CHILDREN'S HEALTH CASES, 2,620 ORTHOPEDIC CARE CASES, AND 2,699 PULMONARY CASES. 482489812 true true false true false false false false false true true false false true false false true false false true false false false false false true true false false true true false false false false false false false false true false true false false false true true true true false false true 154 0 true 4867 true true true true CJ false false false false false false false false X 12 9 false false false false true true true true true false false true true true true true true true true true true X MARK E GRONDA 9895832769 1447 N HARRISON SAGINAW MI 48602 X LAWRENCE SIMS 4.0 X 0 0 0 GREGORY LUBBEN 4.0 X X 0 0 0 MORRISON STEVENS SR 4.0 X 0 0 0 GARY RUMMEL 4.0 X 0 0 0 TERRY NEIDERSTADT 4.0 X X 0 0 0 MORTON WELDY 4.0 X X 0 0 0 SUSAN STEMLER 4.0 X 0 0 0 JOHN JOHNSON MD 4.0 X 0 0 0 DAVID MEYER 4.0 X 0 0 0 TIMOTHY SMITH MD 4.0 X 0 0 0 JOHN SHELTON 4.0 X 0 0 0 CULLI DAMUTH 4.0 X 0 0 0 SPENCER MAIDLOW 50.0 X 824911 0 573720 MARK GRONDA 50.0 X 457009 0 354793 EDWARD BRUFF 50.0 X 522255 0 372678 CAROL STOLL 50.0 X 284276 0 280148 DR JOHN KOSANOVICH 50.0 X 423217 0 65359 TIM WENZEL 50.0 X 264562 0 379854 DANIEL GEORGE 50.0 X 282174 0 81753 DR SCOTT MARTIN 50.0 X 533725 0 0 DR JOHN MCCLURE 50.0 X 915473 0 3582 DR FRANK SCHINCO 50.0 X 693448 0 0 DR ANTONIO WILLIAMS 50.0 X 553270 0 3344 DR FIRAS ALANI 50.0 X 553117 0 0 6307437 0 2115231 12 false true false MILLER CANFIELD PADDOCK STONE PO DRAWER 640348 DETROIT MI 482640348 LEGAL SERVICES 976221 OWENS MINOR 12199 COLLECTION CENTER DRIVE CHICAGO IL 60693 EQUIPMENT SERVICE 1175558 EXECUTIVE HEALTH RESOURCES PO BOX 822688 PHILADELPHIA PA 19182 CONSULTING SERVICES 1404916 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 53288 IT MTC SUPPORT 1915040 REHABCARE GROUP INC PO BOX 502096 ST LOUIS MO 63150 REHAB SERVICES 1581792 91 748877 748877 748877 PATIENT SERVICE REVENUE 621999 496894389 496894389 JOINT VENTURE OPERATIONS 621999 1901215 1901215 EDUCATIONAL INCOME 611710 1307698 1307698 LAB BILLING 621511 1116080 1004472 111608 501219382 4733283 4733283 5913 5913 0 2349395 2349395 2349395 2349395 13190639 327943 13190639 327943 13518582 13518582 0 0 0 Medicaid Incentive HIT Funds 923130 3006097 3006097 CAFETERIA SALES 722212 2124457 41915 2082542 MISCELLANEOUS REVENUE 900099 2914002 2914002 8044556 530619988 501107774 153523 28609814 0 0 0 0 5166709 5058505 108204 0 192949090 188913070 4036020 12441830 12441830 30063138 29990108 73030 13086162 12683155 403007 0 1199175 66577 1132598 237260 5718 231542 56000 56000 0 0 41424514 36608937 4815577 3921586 3809753 111833 97531519 97329330 202189 5371457 5371457 0 12156210 12156210 495831 495831 0 564739 564739 5724928 5724928 0 27444594 27444594 6781845 6779709 2136 BAD DEBTS 33104095 33104095 DUES 1696748 985475 711273 COLLECTIONS EXPENSES 1593347 1593347 MISCELLANEOUS EXPENSES 1611657 1362444 249213 494622434 482489812 12132622 0 15893816 11654133 21706539 17867409 52164623 49787579 189850 175836 6848736 11989340 10453736 24450598 516025083 344721709 174722242 171303374 128223223 164094180 50368446 59499726 14597721 1050474 475168932 511872649 52969909 54692727 121693641 115294352 186482310 132045139 361145860 302032218 X 114023072 209840431 114023072 209840431 475168932 511872649 X 35997554 59819805 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 56000 false false 56000 false LOBBYING ACTIVITY SCHEDULE C, PART II-B KHEDER DAVIS ENGAGED IN LOBBYING ACTIVITIES ON BEHALF OF COVENANT MEDICAL CENTER DURING FISCAL YEAR ENDED JUNE 30, 2011. 14213939 14213939 141469258 99257985 42211273 63022560 50360272 12662288 297319326 195103452 102215874 0 0 171303374 LIMITED PARTNERSHIPS 14407640 F HEDGE FUNDS 35283359 F JOINT VENTURES 9808727 C 59499726 0 ACCRUED PENSION 77638307 ACCRUED POST RETIREMENT BENEFITS 32158156 OTHER LIABILITIES 22248676 132045139 Central America and the Caribbean 0 0 Program Services SELF INSURANCE 200376 Central America and the Caribbean 0 0 Investments INVESTMENTS 27537250 0 0 0 0 27737626 27737626 true false true false false false true true X true X true X true true true false true true 20572 3642521 799347 2843174 0.00620 28210 90445578 71966408 18479170 0.04000 0 0 0 0 0.00000 48782 94088099 72765755 21322344 0.04620 922417 0 922417 0.00200 8746151 4009791 4736360 0.01030 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 9668568 4009791 5658777 0.01230 48782 103756667 76775546 26981121 0.05850 true 10631317 2800000 179860624 167838865 12021759 X true false COV HLTH CRE PRTNRS HEALTH CARE 0.50000 0.00000 0.50000 MACKINAW SURGERY SURGERY CENTER 0.51250 0.00000 0.48750 GFP REALTY LLC RENTAL 0.40000 0.00000 0.60000 COV HLCR MACKINAW FC RENTAL 0.82000 0.00000 0.18000 COV POB LLC RENTAL 0.37500 0.00000 0.50000 4 1 COVENANT MEDICAL CENTER INC (HARRISON)

1447 N HARRISON SAGINAW MI 48602

X X X 2 COVENANT MEDICAL CENTER INC (COOPER)

700 COOPER SAGINAW MI 48602

X X X 3 COVENANT MEDICAL CENTER INC (MICHIGAN)

515 N MICHIGAN SAGINAW MI 48602

X 4 COVENANT MEDICAL CENTER INC (REHAB)

1441 N HARRISON SAGINAW MI 48602

X REHAB CENTER COVENANT MEDICAL CENTER INC (HARRISON) 1 COVENANT MEDICAL CENTER INC (COOPER) 2 COVENANT MEDICAL CENTER INC (MICHIGAN) 3 COVENANT MEDICAL CENTER INC (REHAB) 4 27 IRVING CAMPUS

600 IRVING SAGINAW MI 48602

PM&R, OCC HLTH, EMPLOYEE WELLNESS HOUGHTON CAMPUS

1000 HOUGHTON SAGINAW MI 48602

LABORATORY DR CASTILLO

6614 DIXIE HWY BRIDGEPORT TOWNSHIP MI 48722

PHYSICIAN OFFICE MED EXPRESS BAY CITY

2997 WILDER RD BAY CITY MI 48706

URGENT CARE MED EXPRESSBREAST IMAGING

5570 STATE STREET SAGINAW MI 48602

URGENT CARE CONDO

800 COOPER SAGINAW MI 48602

PHYSICIAN OFFICE COVENANT BREAST IMAGING

600 N MAIN FRANKENMUTH MI 48734

URGENT CARE, IMAGING & PM&R DR EASTONLAB

8767 GRATIOT SAGINAW MI 48609

PHYSICIAN OFFICE DR R WILLIAMS

3215 HALLMARK CT SAGINAW MI 48602

PHYSICIAN OFFICE VNA

500 S HAMILTON SAGINAW MI 48602

HOME CARE SIBM

3875 BAY ROAD SAGINAW TOWNSHIP MI 48602

PHYSICIAN OFFICE REGIONAL IMAGING CENTER

4717 NORTH GARFIELD AUBURN MI 48611

IMAGING VNA CARTWRIGHT CENTER

3443 HOSPITAL RD SAGINAW MI 48602

HOME HEALTH SAGINAW TOWNSHIP FAMILY PRACTICE

3875 BAY ROAD SAGINAW MI 48602

PHYSICIAN OFFICE DR CONSTAN & DR NUSRAT

3037 SILVERWOOD SAGINAW MI 48602

PHYSICIAN OFFICE DR NAHATA

3350 SHATTUCK SAGINAW MI 48602

PHYSICIAN OFFICE MACKINAW CAMPUS

5400 MACKINAW SAGINAW TOWNSHIP MI 48602

HEALTHCARE OFFICE ECC

900 COOPER AVE SAGINAW MI 48602

ER-24 HOURS DR JOHNSON

1430 N CENTER SAGINAW MI 48638

PHYSICIAN OFFICE DR A LAFLEUR

3400 N CENTER SAGINAW MI 48603

PHYSICIAN OFFICE DR PRESCOTT

335 E HOUGHTON WEST BRANCH MI 48661

PHYSICIAN OFFICE DR GRIMSHAW

8470 MAIN ST BIRCH RUN MI 48415

PHYSICIAN OFFICE COVENANT CARDIOLOGY

318 W WRIGHT SHEPARD MI 48883

PHYSICIAN OFFICE, CARDIOLOGY SAGINAW VALLEY PRIMARY CARE

2970 PIERCE SAGINAW MI 48604

PHYSICIAN OFFICE, PRIMARY CARE FACILITY DR NINAN

4705 TOWNE CENTRE SAGINAW MI 48604

PHYSICIAN OFFICE DR DE BEAUBIEN

4701 TOWNE CENTRE SAGINAW MI 48604

PHYSICIAN OFFICE SEBEWAING PRIMARY CARE

616 UNIONVILLE SEBEWAING MI 48759

PHYSICIAN OFFICE SCHEDULE H, PART I, LINE 3C COVENANT USES FPG TO DETERMINE ELIGIBILITY. SCHEDULE H, PART I, LINE 6A COVENANT'S COMMUNITY BENEFIT REPORT IS MADE AVAILABLE AT COVENANTHEALTHCARE.COM. SCHEDULE H, PART I, LINE 7, COLUMN (F) BAD DEBT EXPENSE REPORTED ON FORM 990, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE RATIO OF COST-TO-CHARGE IS $33,104,095. SCHEDULE H, PART I, LINE 7 THE BEST AVAILABLE INFORMATION WAS USED TO CALCULATE THE COST IN LINE 7. COST IS BASED ON THE COST-TO-CHARGE RATIO. SCHEDULE H, PART III, LINE 4 FOOTNOTE TO AUDITED FINANCIAL STATEMENTS: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTIONS INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCES AND CURRENT MARKET CONDITIONS. THE RESULT OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, COVENANT HEALTHCARE FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES. COSTING METHODOLOGY: BAD DEBT FROM AUDITED FINANCIAL STATEMENTS TIMES RCC ON WORKSHEET 2. SCHEDULE H, PART III, LINE 8 MEDICARE COST IS FROM MEDICARE COST REPORT. SCHEDULE H, PART III, LINE 9B IT IS NOT OUR POLICY TO PURSUE COLLECTION AGAINST PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. IN CERTAIN CASES IT MAY NOT BE EASILY DETERMINED WHETHER OR NOT A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE; HOWEVER; IF AFTER COLLECTION PRACTICES HAVE BEGUN IT LATER BECOMES KNOWN THAT A PATIENT QUALIFIES, THE COLLECTION EFFORTS CEASE. CHARGES FOR MEDICAL CARE SCHEDULE H, PART V, LINE 19 THE HOSPITAL BILLS UNINSURED PATIENT GROSS CHARGES LESS ANY APPLICABLE FINANCIAL ASSISTANCE. GROSS CHARGES TO PATIENT SCHEDULE H, PART V, LINE 21 THE HOSPITAL CHARGES THE UNINSURED PATIENT GROSS CHARGES LESS ANY APPLICABLE FINANCIAL ASSISTANCE. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 COVENANT HEALTHCARE WITH THE SAGINAW COUNTY HEALTH DEPARTMENT, SAGINAW SCHOOLS AND OTHER KEY PLAYERS TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN. DATA FROM NUMEROUS SOURCES ARE UTILIZED TO PROVIDE THE STATISTICAL FOUNDATION FOR THE PLAN. THE METHOD USED TO DEVELOP THE PLAN FOLLOWS THE NATIONAL MODEL KNOWN AS MAPP - MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS. THIS MODEL WAS DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO). THE FOUR MAPP ASSESSMENTS INCLUDED COMMUNITY THEMES AND STRENGTHS, LOCAL PUBLIC HEALTH SYSTEM, COMMUNITY HEALTH ASSESSMENT, AND FORCES OF CHANGE. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 COVENANT COMMUNICATES OUR CHARITY CARE AND FINANCIAL ASSISTANCE POLICY VIA THE COVENANT WEBSITE, A LETTER TO THE GUARANTOR IF BENEFIT ELIGIBILITY IS NOT ESTABLISHED, OR IN PERSON IF GUARANTOR INDICATES FINANCIAL NEED. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 COVENANT HEALTHCARE IS LOCATED IN SAGINAW COUNTY AND CLOSE TO 90% OF INPATIENT DISCHARGES ARE FROM PATIENT WITHIN THE COUNTY. HOWEVER, COVENANT DOES REACH OUT INTO THE SURROUNDING COUNTIES AND HAS RELATIONSHIPS WITH SEVERAL CRITICAL ACCESS HOSPITALS IN THE REGION. COVENANT CONSIDERS SIX COUNTIES (SAGINAW, BAY, MIDLAND, TUSCOLA, HURON, AND SANILAC) AS ITS PRIMARY MARKET. ANOTHER 14 COUNTIES IN THE REGION ARE CONSIDERED THE SECONDARY SERVICE AREA. COVENANT HEALTHCARE IS LOCATED IN CBSA 40980 SAGINAW-SAGINAW TOWNSHIP NORTH WITHIN SAGINAW COUNTY, MICHIGAN. AS OF THE 2010 CENSUS, SAGINAW COUNTY'S POPULATION WAS 200,169. THERE WERE 80,430 HOUSEHOLDS OUT OF WHICH 32.70% HAD CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM, 50.20% WERE MARRIED COUPLES LIVING TOGETHER, 15.40% HAD A FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT, AND 30.60% WERE NON-FAMILIES. IN THE COUNTY THE POPULATION WAS SPREAD OUT WITH 26.60% UNDER THE AGE OF 18, 9.00% FROM 18 TO 24, 27.60% FROM 25 TO 44, 23.20% FROM 45 TO 64, AND 13.50% WHO WERE 65 YEARS OF AGE OR OLDER. THE MEDIAN AGE WAS 36 YEARS. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $38,637, AND THE MEDIAN INCOME FOR A FAMILY WAS $46,494. THE PER CAPITA INCOME FOR THE COUNTY WAS $19,438. ABOUT 11.00% OF FAMILIES AND 13.90% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 20.70% OF THOSE UNDER AGE 18 AND 9.50% OF THOSE AGE 65 OR OVER. THE JOBLESS RATE IN CALENDAR YEAR 2009 WAS 20.8% IN THE CITY OF SAGINAW, 12.5% IN SAGINAW COUNTY COMPARED TO 13.6% FOR THE STATE OF MICHIGAN AS A WHOLE. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 COVENANT HEALTHCARE IS ACTIVELY INVOLVED IN COMMUNITY BUILDING INITIATIVES. LEADERSHIP FROM THROUGHOUT THE ORGANIZATION HOLD VOLUNTARY BOARD AND COMMITTEE POSITIONS IN COMMUNITY GROUPS AND ORGANIZATIONS FOCUSED ON IMPROVING THE QUALITY OF LIFE IN THE REGION, PARTICULARLY AROUND ISSUES OF COMMUNITY HEALTH. ADDITIONALLY, THE ORGANIZATION CONDUCTS COMMUNITY OUTREACH AND SCREENING ACTIVITIES IN THE VARIOUS COMMUNITIES IN OUR REGION TO IMPACT HEALTH IN SUCH WAYS AS EARLY DISEASE DETECTION TO TRAUMA PREVENTION. UNDER THE DIRECTION OF A VOLUNTEER COMMUNITY BOARD, COVENANT HEALTHCARE IS AN INTEGRAL PART OF THE COMMUNITIES IT SERVES. THE COVENANT VISION IS TO CONSISTENTLY DELIVER ON A PROMISE OF CARING AND A COMMITMENT TO SERVICE. GUIDED BY A SEPARATE VOLUNTEER BOARD, THE COVENANT HEALTHCARE FOUNDATION ASSISTS THE MEDICAL CENTER IN CARRYING OUT ITS SERVICE MISSION THROUGH THE ACQUISITION OF PHILANTHROPIC FUNDS TO SERVE AS A PRIME RESOURCE IN THE DELIVERY OF CARE TO THOSE COVENANT HEALTHCARE SERVES. THE ORGANIZATION USES ITS SURPLUS FUNDS TO CONDUCT COMMUNITY OUTREACH AND SCREENING ACTIVITIES IN THE VARIOUS COMMUNITIES IN OUR REGION TO IMPACT HEALTH IN SUCH WAYS AS EARLY DISEASE DETECTION TO TRAUMA PREVENTION. AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6 COVENANT MEDICAL CENTER, INC. IS NOT A PART OF AN AFFILIATED HEALTH SYSTEM. STATE FILING OF COMMUNITY BENEFIT REPORT MICHIGAN X X X false true false false false false false false false SPENCER MAIDLOW 604699 0 168296 0 51916 0 558177 0 15543 0 1398631 0 0 0 MARK GRONDA 299526 0 96963 0 60520 0 332731 0 22062 0 811802 0 0 0 EDWARD BRUFF 335593 0 104926 0 81736 0 354638 0 18040 0 894933 0 0 0 CAROL STOLL 173057 0 58782 0 52437 0 272169 0 7979 0 564424 0 0 0 DR JOHN KOSANOVICH 286508 0 87965 0 48744 0 47638 0 17721 0 488576 0 0 0 TIM WENZEL 166743 0 50143 0 47676 0 360314 0 19540 0 644416 0 0 0 DR SCOTT MARTIN 478326 0 54913 0 486 0 0 0 0 0 533725 0 0 0 DR JOHN MCCLURE 428946 0 0 0 486527 0 0 0 3582 0 919055 0 0 0 DR FRANK SCHINCO 657560 0 32740 0 3148 0 0 0 0 0 693448 0 0 0 DR ANTONIO WILLIAMS 552670 0 0 0 600 0 0 0 3344 0 556614 0 0 0 DR FIRAS ALANI 496646 0 55931 0 540 0 0 0 0 0 553117 0 0 0 DANIEL GEORGE 190932 0 59300 0 31942 0 81753 0 0 0 363927 0 0 0 SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B THE ORGANIZATION MAINTAINS A NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) FOR CERTAIN OF ITS EXECUTIVES. THE SERP HAS BEEN ESTABLISHED FOR THESE EXECUTIVES BY THE ORGANIZATION, FOLLOWING APPROPRIATE BOARD LEVEL REVIEW IN A MANNER INTENDED TO COMPLY WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS PROVISION UNDER IRC SECTION 4958. SPENCER MAIDLOW - $271,775 MARK GRONDA - $4,805 EDWARD BRUFF - $119,059 JOHN KOSANOVICH - $47,638 TIM WENZEL - $112,979 DANIEL GEORGE - $81,753 CITY OF SAGINAW HOSP FIN AUTH 386004647 786744GX4 2004-04-07 39343085 RETIRE 8/15/1991 BONDS false false false CITY OF SAGINAW HOSP FIN AUTH 386004647 786744HJ4 2010-10-28 76448883 RETIRE 7/7/99 AND 7/12/00 BONDS false false false 39983609 3743500 497736 35104849 2023 true false true true 76458097 0 423626 0 76025257 2030 true false true true true false false true LEHMAN BROS SFI 32. true false true false false false false false false INVESTMENT AMOUNTS INCLUDED IN PROCEEDS SCHEDULE K, PART II, LINE 3 COLUMN A BOND 2004G -$39,983,609 - INCLUDES SALE PROCEEDS OF $39,343,085 PLUS DEBT SERVICE RESERVE FUND EARNINGS OF $640,524.37. COLUMN B BOND 2010H -$76,458,097 - INCLUDES SALE PROCEEDS OF $76,448,883 PLUS ESCROW ACCOUNT EARNINGS $9,213.83. $39,983,609 - INCLUDES SALE PROCEEDS OF $39,343,085 PLUS DEBT SERVICE RESERVE FUND EARNINGS OF $640,524.37. STEPHANIE RUMMEL FAMILY OF BOARD MEMBER 110000 REPORTABLE COMP TO A FAMILY MB false MARY PICKELMAN FAMILY OF BOARD MEMBER 66676 REPORTABLE COMP TO A FAMILY MB false DR JAMIE ROSS FAMILY OF BOARD MEMBER 255018 REPORTABLE COMP TO A FAMILY MB false CAROL STOLL VICE PRESIDENT 164677 COMPANY CARS AND REPAIRS false FEES FOR SERVICES SCHEDULE L, PART IV, COLUMN C FEES FOR ALL SERVICES ARE AT ARM'S LENGTH MARKET RATES AND ARE CONTRACTED IN ACCORDANCE WITH THE HOSPITAL'S CONFLICT OF INTEREST POLICY. X EQUIP (SUPPORT ORG) 1 748877 FMV false false false SUPPLEMENTAL INFORMATION DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART IV, LINE 6 COVENANT HEALTHCARE SYSTEM IS THE SOLE CORPORATE MEMBER OF COVENANT MEDICAL CENTER. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A THE CORPORATE MEMBER COVENANT HEALTHCARE SYSTEM MAY ELECT MEMBERS OF THE GOVERNING BODY. DESCRIPTION OF DECISIONS SUBJECT TO APPROVAL BY MEMBERS, STOCKHOLDERS OR OTHER PERSONS. FORM 990, PART VI, LINE 7B POWERS RESERVED BY THE SOLE MEMBER. THE FOLLOWING POWERS SHALL BE RESERVED FROM THE HOSPITAL, AND/OR SHALL REQUIRE THE AFFIRMATIVE ACTION OF THE SOLE MEMBER (ACTING THROUGH ITS BOARD OF DIRECTORS) IN ORDER TO BE EFFECTIVE: A.ALL MATTERS REQUIRING ACTION BY THE MEMBER OF A NONPROFIT CORPORATION UNDER THE LAWS OF THE STATE OF MICHIGAN; B.THE ELECTION OF THE BOARD OF DIRECTORS OF THE HOSPITAL; C.APPROVAL OF THE HOSPITAL BOARD'S SELECTION, OR VOTE TO TERMINATE THE PRESIDENT/CEO OF THE CORPORATION; D.APPROVAL OF THE INITIAL ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; E.APPROVAL OF THE AMENDMENT OF THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; F.APPROVAL OF THE STATEMENT OF MISSION, VISION, VALUES, ROLES AND GOALS OF THE HOSPITAL, TOGETHER WITH ANY AMENDMENTS THERETO; H.APPROVAL OF THE ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS AND FINANCIAL GUIDELINES OF THE HOSPITAL; I.APPROVAL OF UNBUDGETED CAPITAL EXPENDITURES BY THE HOSPITAL IN EXCESS OF AN ANNUAL AGGREGATE PERCENTAGE OF THE TOTAL CAPITAL EXPENDITURE BUDGET FOR THE HOSPITAL AS ESTABLISHED FROM TIME TO TIME BY RESOLUTION OF THE SOLE MEMBER; J.APPROVAL OF ALL SECURED BORROWINGS OF THE HOSPITAL, OTHER THAN BORROWINGS SECURED FROM THE SOLE MEMBER; K.APPROVAL OF ALL UNSECURED BORROWINGS OF THE HOSPITAL, OTHER THAN FROM THE SOLE MEMBER, IN AN AMOUNT IN EXCESS OF $750,000 OR IN EXCESS OF AN ANNUAL AGGREGATE PERCENTAGE OF THE TOTAL ASSETS OF THE HOSPITAL AS ESTABLISHED FROM TIME TO TIME BY RESOLUTION OF THE SOLE MEMBER; L.APPROVAL OF THE GUARANTEE BY THE HOSPITAL OF THE INDEBTEDNESS OF ANOTHER IN AN AMOUNT IN EXCESS OF A PERCENTAGE OF THE TOTAL ASSETS OF THE HOSPITAL AS ESTABLISHED FROM TIME TO TIME BY RESOLUTION OF THE SOLE MEMBER; M.APPROVAL OF THE SALE, ALIENATION, EXCHANGE, LEASE OR OTHER DISPOSITION OF ASSETS OF THE HOSPITAL IN AN UNBUDGETED AMOUNT IN EXCESS OF AN ANNUAL AGGREGATE PERCENTAGE OF THE TOTAL ASSETS OF THE HOSPITAL AS ESTABLISHED FROM TIME TO TIME BY RESOLUTION OF THE SOLE MEMBER; N.APPROVAL OF THE ESTABLISHMENT OF ANY SUBSIDIARIES OR AFFILIATES OF THE HOSPITAL; O.APPROVAL OF THE ADOPTION, REVOCATION OR ABANDONMENT OF ANY PLAN OF DISSOLUTION OF THE HOSPITAL, OR ANY SUBSIDIARY OR AFFILIATE OF THE HOSPITAL; P.APPROVAL OF THE ADOPTION, REVOCATION OR ABANDONMENT OF ANY PLAN OF MERGER, CONSOLIDATION, SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS AND/OR PROPERTY OF THE HOSPITAL OR ANY SUBSIDIARY OR AFFILIATE OF THE HOSPITAL, OR ANY OTHER PLAN OF MAJOR CORPORATE CHANGE ADOPTED BY THE HOSPITAL OR ANY SUBSIDIARY OR AFFILIATE OF THE HOSPITAL; AND Q.APPROVAL OF THE SELECTION OF AUDITORS BY THE HOSPITAL. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11B MANAGEMENT PRESENTS AND REVIEWS THE 990 WITH THE BOARD FOR ITS APPROVAL PRIOR TO FILING. THE BOARD IS PROVIDED FINAL COPIES FOR REVIEW VIA THE INTERNET, ONCE APPROVED BY THE BOARD, THE FINAL 990 IS ULTIMATELY FILED WITH THE IRS. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST DISCLOSURE STATEMENTS TO ITS OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES. EACH PERSON COVERED BY THE POLICY IS REQUIRED TO SUBMIT AND AFFIRM IN WRITING TO THE CHIEF EXECUTIVE OFFICER AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT LISTING ALL FINANCIAL INTERESTS, FAMILY AND BUSINESS RELATIONSHIPS, AND POTENTIAL CONFLICTS OF INTEREST AND PROVIDE UPDATES TO THIS AS NECESSARY. IN ADDITION, SUCH PERSONS HAVE AN OBLIGATION TO DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE BOARD AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS. POTENTIAL CONFLICTS THAT ARE IDENTIFIED ARE BROUGHT TO THE ATTENTION OF THE CHAIRMAN AND VICE CHAIRMAN OF THE BOARD. THE CHAIRMAN OF THE BOARD IS REQUIRED TO BE AWARE OF SUCH POTENTIAL CONFLICTS SO AS TO BE ABLE TO DETERMINE THE PROPER COURSE OF ACTION SHOULD A MATTER INVOLVING SUCH SITUATION ARISE THAT WOULD REQUIRE ACTION. AFTER DISCLOSURE OF A POTENTIAL CONFLICT TO THE BOARD OR COMMITTEE, SUCH PERSON IS EXCUSED AND ALL OTHER REMAINING BOARD OR COMMITTEE MAKE A DETERMINATION OF WHETHER A CONFLICT EXISTS. ANY PERSON WITH A POTENTIAL CONFLICT CAN MAKE A PRESENTATION TO THE BOARD OR COMMITTEE ON THE PROPOSED TRANSACTION, BUT MUST RECUSE HIMSELF FROM DELIBERATION AND VOTING ON THE PROPOSED TRANSACTION OR ARRANGEMENT. THE BOARD OR COMMITTEE SHALL EXPLORE WHETHER A MORE ADVANTAGEOUS TRANSACTION OR AGREEMENT WITH REASONABLE EFFORTS CAN BE ENTERED INTO WITH A PERSON OR ENTITY THAT DOES NOT HAVE A CONFLICT OF INTEREST. IF NO REASONABLE ALTERNATIVE EXISTS, THE BOARD OR COMMITTEE SHALL DECIDE WHETHER SUCH TRANSACTION IS IN THE BEST INTERESTS OF THE ORGANIZATION AND IS FAIR AND REASONABLE BEFORE MAKING ITS DECISION ON WHETHER OR NOT TO ENTER INTO THE TRANSACTION. IF THE BOARD HAS REASONABLE CAUSE TO BELIEVE THAT AN OFFICER, DIRECTOR, KEY EMPLOYEE, OR TRUSTEE FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTERESTS, IT SHALL INFORM THE OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE OF THE BASIS FOR SUCH BELIEF AND AFFORD SAID PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. CORRECTIVE ACTION WILL BE TAKEN IF IT IS DETERMINED THAT A CONFLICT THAT WAS NOT DISCLOSED DOES EXIST. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, LINES 15A & 15B EXECUTIVE SALARY RANGES ARE ESTABLISHED THROUGH IN DEPTH EXTERNAL MARKET STUDIES AND APPROVED BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS AND APPROVES COMPENSATION CHANGES FOR VICE PRESIDENTS, AS RECOMMENDED BY THE CEO. THE COMPENSATION COMMITTEE RECOMMENDS ANNUALLY TO THE BOARD OF DIRECTORS A PERFORMANCE RATING AND COMPENSATION CHANGES FOR THE CEO. THE BOARD OF DIRECTORS ACTS ON ALL RECOMMENDATIONS FROM THE COMPENSATION COMMITTEE. THIS PROCESS WAS LAST UNDERTAKEN IN 2010. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FIN STMTS GEN PUBLIC FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. AVERAGE HOURS DEVOTED PER WEEK TO RELATED ORGANIZATIONS FORM 990, PART VII SPENCER MAIDLOW: COVENANT HEALTHCARE SYSTEM - 4 HOURS, COVENANT HEALTHCARE FOUNDATION - 4 HOURS MARK GRONDA: COVENANT HEALTHCARE SYSTEM - 4 HOURS, COVENANT HEALTHCARE FOUNDATION - 4 HOURS EDWARD BRUFF: COVENANT HEALTHCARE SYSTEM - 4 HOURS CAROL STOLL: COVENANT HEALTHCARE SYSTEM - 4 HOURS DR. JOHN KOSANOVICH: COVENANT HEALTHCARE SYSTEM - 4 HOURS DANIEL GEORGE: COVENANT HEALTHCARE SYSTEM - 4 HOURS TIM WENZEL: COVENANT HEALTHCARE SYSTEM - 4 HOURS RECONCILIATION OF NET ASSETS FORM 990, PART XI, LINE 5 UNREALIZED GAIN/LOSS - $14,891,410 PENSION ADJUSTMENT - $45,127,788 NET FOUNDATION TRANSFER - ($199,393) TOTAL $59,819,805 COVENANT MEDICAL OFFICE II LLC 1447 N HARRISON SAGINAW MI 48602 INACTIVE MI 0 0 NA COVENANT MACKINAW OFFICE LLC 1447 N HARRISON SAGINAW MI 48602 INACTIVE MI 0 0 NA J & F HOLDINGS LLC 1447 N HARRISON SAGINAW MI 48602 382640101 INACTIVE MI 0 0 NA COVENANT HEALTHCARE FOUNDATION 1447 N HARRISON SAGINAW MI 48602 382572154 SUPPORT MI 501(C)(3) 11c CHS VISITING NURSE SPECIAL SERVICES 502 S HAMILTON SAGINAW MI 48602 382762248 NURSE VISITS MI 501(C)(3) 9 CHS COVENANT HEALTHCARE SYSTEM 1447 N HARRISON SAGINAW MI 48602 383369443 HEALTHCARE MI 501(C)(3) 11A NA MACKINAW SURG CTR 5400 MACKINAW SAGINAW MI 48604 205257296 SURGICAL CTR MI NA RELATED 379123 1742716 false 0 false 0.50000 COVENANT DEVELOPMENT CORP 1447 N HARRISON SAGINAW MI 48602 382640101 HEALTH SERVICES MI NA C CORP COVENANT MEDICAL CTR OFFICE CONDO ASSN 1447 N HARRISON SAGINAW MI 48602 371477767 CONDOMINIUM MI NA C Corp 0 0 0.51000 COVENANT HLTH MACKINAW FCLTY CONDO ASSOC 1447 N HARRISON SAGINAW MI 48602 453327179 CONDOMINIUM MI NA C Corp 838074 152818 1.00000 COVENANT SERVICES CORP 1447 N Harrison Saginaw MI 48602 HEALTHCARE MI NA C Corp false false true false false false false false false false false false true true false true false false COVENANT HEALTHCARE FOUNDATION M 778877 COVENANT HEALTHCARE FOUNDATION N 1115053 COVENANT HEALTHCARE FOUNDATION P 1202239