2011-05-16T11:30:25-05:00 2010-06-30 ERNST & YOUNG US LLP 75 BEATTIE PLACE SUITE 800 GREENVILLE SC 29601 990 2009-07-01 383369438 Covenant Medical Center Inc COVE 9895836006 1447 N Harrison Saginaw MI 48602 Mark Gronda 2011-05-16 8642425740 2009 2016-02-24 21:20:13Z Covenant Healthcare SPENCER MAIDLOW 1447 N HARRISON SAGINAW MI 48602 508518835 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 4566 578 142418 79603 0 261606 468302311 490502978 -30320666 12451303 16252072 5302948 454233717 508518835 0 0 0 0 227180884 240138529 0 0 0 242032389 240317391 469213273 480455920 -14979556 28062915 452573649 475168932 314669168 361145860 137904481 114023072 TO PROVIDE DIVERSE MEDICAL CARE TO MEET THE HEALTH CARE NEEDS OF THE 15 COUNTIES IN EAST CENTRAL MICHIGAN WE SERVE. false false 465150583 490401143 ONE OF THE LARGEST, MOST COMPREHENSIVE HEALTH CARE FACILITIES NORTH OF THE METRO DETRIOT, 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 OBSTERICS, 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: 4,890 CARDIOLOGY CASES, 7,632 WOMEN'S AND CHILDREN'S HEALTH CASES, 2,860 ORTHOPEDIC CARE CASES, AND 2,714 PULMONARY CASES. 465150583 true true false true false false false false false true false true false false true false false false false false true false false true true false true false false false false false false true false true false false false true true true false false true 161 0 true 4566 true true true true CJ false false false false false false false 12 9 false false false false true true false 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 Lawrence Sims 4.0 X 0 0 0 Gregory Lubben 4.0 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 0 0 0 Morton Weldy 4.0 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 754531 0 485679 Mark Gronda 50.0 X 429251 0 228314 Edward Bruff 50.0 X 476484 0 177595 Carol Stoll 50.0 X 263310 0 138846 Dr John Kosanovich 50.0 X 401765 0 106113 Daniel George 50.0 X 274636 0 45825 Tim Wenzel 50.0 X 247852 0 147907 Dr Mark Adams 50.0 X 2633301 0 4437 Dr John McClure 50.0 X 806955 0 6848 Dr Frank Schinco 50.0 X 659868 0 2937 Dr Antonio Williams 50.0 X 576921 0 3345 Dr Firas Alani 50.0 X 497185 0 3345 8022059 0 1351191 201 false true false MILLER CANFIELD PADDOCK STONE PO DRAWER 640348 DETROIT MI 482640348 LEGAL SERVICES 926272 OWENS MINOR 12199 COLLECTION CENTER DRIVE CHICAGO IL 60693 EQUIPMENT SERVICE 935680 BMA ACUTE UNIT DEPT 771207 PO BOX 77000 DETROIT MI 482771207 DIALYSIS SERVICES EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE MI 532880314 IT MTC SUPPORT 1372997 REHABCARE GROUP INC PO BOX 502096 ST LOUIS MO 63150 REHAB SERVICES 1726784 100 261606 261606 261606 PATIENT SERVICE REVENUE 623000 480436294 480436294 JOINT VENTURE OPERATIONS 621110 7465528 7465528 EDUCATIONAL INCOME 900099 1582810 1582810 LAB BILLING 621500 1018346 916511 101835 490502978 3386346 3386346 324065 324065 0 1738565 1738565 1738565 1738565 5704806 3036086 5704806 3036086 8740892 8740892 0 0 0 CAFETERIA SALES 722210 2116973 40583 2076390 MISCELLANEOUS OTHER REVENUE 900099 1447410 1447410 3564383 508518835 490401143 142418 17713668 0 0 0 0 2847827 2847827 175772 175772 186338930 180867845 5471085 8863326 8863326 29255099 29227296 27803 12657575 12266126 391449 0 1334211 105975 1228236 275765 5195 270570 56000 56000 0 0 47268773 43104168 4164605 3081260 3002479 78781 97946574 97946574 0 0 7988623 7988623 552811 552811 0 485165 485165 6848655 6848655 0 27950227 27950227 4996328 4994192 2136 BAD DEBTS 33161056 33161056 RENTS & LEASES 3820224 3820224 DUES 1687416 920571 766845 COLLECTIONS EXPENSES 1313323 1313323 MISCELLANEOUS EXPENSES 1550980 1550980 480455920 465150583 15305337 0 20004432 15893816 15140596 21706539 51711276 52164623 199404 189850 7902728 6848736 11380444 10453736 492306077 317583835 184431711 174722242 87721448 128223223 30629636 50368446 43451974 14597721 452573649 475168932 52778494 52969909 123523764 121693641 138366910 186482310 314669168 361145860 X 137904481 114023072 137904481 114023072 452573649 475168932 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 FORM 990, SCH C, PART II-B KHEDER DAVIS ENGAGED IN LOBBYING ACTIVITIES ON BEHALF OF COVENANT MEDICAL CENTER DURING FISCAL YEAR ENDED JUNE 30, 2010. 14210648 14210648 141469257 101223822 40245435 63022559 41406829 21615730 272929792 174460218 98469574 673821 492966 180855 174722242 LIMITED PARTNERSHIPS 9585187 F HEDGE FUNDS 27318030 F JOINT VENTURES 13465229 C 50368446 0 ACCRUED PENSION 132851223 ACCRUED POST RETIREMENT BNFTS 33247868 OTHER LIABILITIES 20383219 186482310 PART X-FIN 48/ASC 740 DISCLOSURE FROM AUDITED FINANCIAL STATEMENTS OF COVENANT HEALTHCARE IN 2008, COVENANT HEALTHCARE ADOPTED FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATION 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES (FIN 48), (CODIFIED IN ASC 740, INCOME TAXES) AND ACCORDINGLY, REVIEWED ALL SIGNIFICANT TAX POSITIONS, EVALUATED POTENTIAL EXPOSURE, AND DETERMINED THAT NO ADJUSTMENTS WERE NECESSARY AS A RESULT OF THE IMPLEMENTATION. Central America and the Caribbean 0 0 Program Services SELF INSURANCE 264549 Central America and the Caribbean 0 0 Investments 0 0 264549 true true X true X true X true true true false true true 3476704 551461 2925295 0.00650 77743693 72792242 4951451 0.01110 81220397 73343703 7876746 0.01760 520574 520574 0.00120 11525576 4410787 7114789 0.01590 12046150 4410787 7635363 0.01710 93266547 77754490 15512109 0.03470 true 10812045 0 178267984 170231136 8036848 true false COVENANT MEDICAL CENTER INC (HARRISON)

1447 N HARRISON SAGINAW MI 48602

X X X HOSPITAL COVENANT MEDICAL CENTER INC (COOPER)

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X X X HOSPITAL COVENANT MEDICAL CENTER INC (MICHIGAN)

515 N MICHIGAN SAGINAW MI 48602

X HOSPITAL HOSPITAL

1441 N HARRISON SAGINAW MI 48602

X HOSPITAL MACKINAW CAMPUS

5400 MACKINAW SAGINAW TOWNSHIP MI 48602

X HOSPITAL ECC

900 COOPER AVE SAGINAW MI 48602

X EMERGENCY IRVING CAMPUS

600 IRVING SAGINAW MI 48602

PM&R, OCCUPATIONAL HEALTH, 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 RD 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 COVENANT USES FPG TO DETERMINE ELIGIBILITY. Covenant's Community Benefit Report is made available at covenanthealthcare.com THE BEST AVAILABLE INFORMATION WAS USED TO CALCULATE THE COST IN LINE 7. COST IS BASED ON THE COST-TO-CHARGE RATIO. NOT APPLICABLE Bad debt expense reported on form 990, but subtracted for purposes of calculating the ratio of cost-to-charge is $33,161,000. 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. MEDICARE COST IS FROM MEDICARE COST REPORT. 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 EFFORT CEASE. OUTPATIENT MAY INCLUDE URGENT CARE, IMAGING, LABORATORY, THERAPY, AND PHYSICIAN OFFICES. 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. 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. 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. 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 WAS AS EARLY DISEASE DETECTION TO TRAUMA PREVENTION. PART VI, LINE 6 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. PART VI, LINE 7 COVENANT MEDICAL CENTER, INC. IS NOT A PART OF AN AFFILIATED HEALTH SYSTEM. MI X true true X X X false true false false false false false false false Spencer Maidlow 601058 0 126222 0 27251 0 482309 0 3370 0 1240210 0 0 Mark Gronda 348506 0 70216 0 10529 0 221549 0 6765 0 657565 0 0 0 Edward Bruff 379777 0 78694 0 18013 0 171998 0 5597 0 654079 0 0 0 Carol Stoll 209712 0 45101 0 8497 0 134556 0 4290 0 402156 0 0 0 Dr John Kosanovich 322621 0 72257 0 6887 0 101147 0 4966 0 507878 0 0 0 Daniel George 217488 0 42357 0 14791 0 45417 0 408 0 320461 0 0 0 Tim Wenzel 201016 0 42428 0 4408 0 141554 0 6353 0 395759 0 0 0 Dr Mark Adams 986276 0 1176935 0 470090 0 0 4437 0 2637738 0 0 0 Dr John McClure 813800 0 0 0 -6845 0 0 0 6848 0 813803 0 0 0 Dr Frank Schinco 662805 0 0 0 -2937 0 0 0 2937 0 662805 0 0 0 Dr Antonio Williams 580266 0 0 0 -3345 0 0 0 3345 0 580266 0 0 0 Dr Firas Alani 500530 0 0 0 -3345 0 0 0 3345 0 500530 0 0 0 HEALTH OR SOCIAL CLUB DUES SCH J, PART I SOCIAL CLUB DUES OF $ 2,700 ARE PAID FOR MR. MAIDLOW AND ARE INCLUDED IN HIS TAXABLE INCOME. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN SCH J, PART I, LINE 4B THE ORGANIZTION 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 APPPROPRIATE BOARD LEVEL REVIEW IN A MANNER INTENDED TO COMPLY WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS PROVISION UNDER IRC SECTIO 4958. SPENCER MAIDLOW 339,693 MARK GRONDA 70,700 EDWARD BRUFF 86,283 JOHN KOSANOVICH 91.999 DANIEL GEORGE 38,971 TIM WENZEL 38,351 CITY OF SAGINAW HOSP FIN AUTH 386004647 786744EX4 2004-04-07 39343085 RETIRE 8/15/1991 BONDS false false 39978744 3743500 494736 true false true true false false false false true true false false true LEHMAN BROS SFI 32. true false true GARY RUMMELL DAUGHTER EMPLOYEE OF ORGANIZATION 25359 FAMILY MEMBER OF BOARD MEMBER false CULLI DAMUTH SPOUSE EMPLOYEE OF ORGANIZATION 90000 FAMILY MEMBER OF BOARD MEMBER false JOHN JOHNSON DAUGHTER EMPLOYEE OF ORGANIZATION 60413 FAMILY MEMBER OF BOARD MEMBER false X EQUIP (SUPPORT ORG) 1 261606 COST/FMV (NEW) false false false SUPPLEMENTAL INFORMATION Form 990, Part VI, Line 6 COVENANT HEALTHCARE SYSTEM IS THE SOLE CORPORATE MEMBER OF COVENANT MEDICAL CENTER. FORM 990, PART VI, LINE 7A THE CORPORATE MEMBER COVENANT HEALTHCARE SYSTEM MAY ELECT MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, LINE 11 MANAGEMENT PRESENTS AND REVIEWS THE 990 WITH THE BOARD FOR ITS APPROVAL PRIOR TO FILING: THIS GENERALLY TAKES PLACE AT THE APRIL MEETING OF THE BOARD. ONCE APPROVED BY THE BOARD, THE FINAL 990 IS ULTIMATELY FILED WITH THE IRS. 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. FORM 990, PART VI, LINE 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 2008. 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. FORM 990, PART X, BALANCE SHEET CERTAIN LINE ITEMS FOR THE BEGINNING BALANCES HAVE BEEN RESTATED BASED ON THE FY2010 FINAL CONSOLIDATED AUDIT OF COVENANT HEALTHCARE SYSTEM, IN WHICH COVENANT MEDICAL CENTER IS PART THEREOF. 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