2024-05-14T08:54:26-05:00 2023-06-30 381357951 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2022-07-01 383369443 COVENANT HEALTHCARE SYSTEM COVE 9895836006 1447 N HARRISON SAGINAW MI 48602 KEVIN S ALBOSTA VP OF FINANCE 9895836006 2024-05-09 1 KEVIN ALBOSTA 999009999 1 DAVID LOWENTHAL P00378651 2483522500 2024-05-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z BETHANY CHARLTON 1447 N HARRISON SAGINAW MI 48602 518531 0 X WWW.COVENANTHEALTHCARE.COM X 1997 MI THE ORGANIZATION IS THE PARENT COMPANY OF THE HEALTHCARE SYSTEM AND SUPPORTS THE MEDICAL CENTER AND AFFILIATED ENTITIES IN THE PROVISION OF HEALTH CARE SERVICES TO THE COMMUNITY. 14 12 0 12 0 0 0 0 0 0 1945246 518531 0 0 1945246 518531 0 0 0 0 0 0 0 0 0 0 0 0 0 1945246 518531 16516913 15703140 0 0 16516913 15703140 THE ORGANIZATION IS THE PARENT OF THE HEALTHCARE SYSTEM AND SUPPORTS THE MEDICAL CENTER AND AFFILIATED ENTITIES IN THE PROVISION OF HEALTHCARE SERVICES TO THE COMMUNITY. 0 0 0 0 0 SUPPORT OF COVENANT MEDICAL CENTER AND AFFILIATED ENTITIES IN THE PROVISION OF HEALTH CARE SERVICES TO THE COMMUNITY. 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X KEVIN S ALBOSTA 9895836006 1447 N HARRISON SAGINAW MI 48602 BETH CHARLTON PRESIDENT 4.00 51.00 X X 0 812741 697897 JAMES MILROY CHAIRMAN 4.00 4.00 X X 0 0 0 DWIGHT MCNALLY VICE CHAIRMAN 4.00 4.00 X X 0 0 0 JONATHAN GARDEY TREASURER 4.00 4.00 X X 0 0 0 JOHN SHELTON SECRETARY 4.00 4.00 X X 0 0 0 MARK BASSETT BOARD MEMBER 4.00 4.00 X 0 0 0 AMY BUBEN BOARD MEMBER 4.00 4.00 X 0 0 0 ELLEN CRANE BOARD MEMBER 4.00 4.00 X 0 0 0 PATRICK CURRY BOARD MEMBER 4.00 4.00 X 0 0 0 MICHAEL FIORE MD BOARD MEMBER 4.00 50.00 X 0 474141 0 CRAIG GOSLIN BOARD MEMBER 4.00 4.00 X 0 0 0 TIM HAUSBECK BOARD MEMBER 4.00 4.00 X 0 0 0 RENEE JOHNSTON BOARD MEMBER 4.00 4.00 X 0 0 0 HERB SPENCE BOARD MEMBER 4.00 4.00 X 0 0 0 KEVIN ALBOSTA VICE PRESIDENT 4.00 55.00 X 0 551926 388630 DR MICHAEL SULLIVAN VICE PRESIDENT 4.00 50.00 X 0 471675 30058 KEVIN BIRCHMEIER VICE PRESIDENT 4.00 52.00 X 0 459283 199775 DR IRIS MARTEJA VICE PRESIDENT 4.00 50.00 X 0 744859 18704 FRANK FEAR VICE PRESIDENT 4.00 50.00 X 0 312203 30058 DAVID NALL VICE PRESIDENT 4.00 50.00 X 0 283304 161402 PATRICE LANCZAK VICE PRESIDENT 4.00 50.00 X 0 251692 8299 ADAM TOMPA VICE PRESIDENT 4.00 50.00 X 0 224626 24227 JACKIE TINNIN VICE PRESIDENT 4.00 50.00 X 0 221095 27010 GINNY LATTY VICE PRESIDENT - PART YEAR 4.00 50.00 X 0 33028 0 EDWARD BRUFF FORMER PRESIDENT 4.00 54.00 X 0 684329 39734 0 5524902 1625794 0 1 1 0 0 100539 100539 417992 0 417992 417992 417992 518531 0 0 518531 0 0 0 0 30777 30777 253469 242954 3604196 2627185 12628471 12802224 16516913 15703140 0 0 X 16516913 15703140 16516913 15703140 16516913 15703140 X 518531 -196552 -1135752 X 0 1 X 1 0 X X 1 COVENANT MEDICAL CENTER 383369438 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 LIMITED PARTNERSHIPS 3737 F HEDGE FUNDS 432494 F INVESTMENTS IN SUBSIDIARIES 12140379 F COMMON TRUST FUNDS 225614 F 12802224 CENTRAL AMERICA/CARIBBEAN 0 0 INVESTMENTS, PROGRAM-RELATED INVESTMENTS 3806 0 0 0 0 0 0 3806 0 3806 0 0 0 0 0 0 PART III ACCOUNTING METHOD: 0 1 0 0 0 0 0 1 0 BETH CHARLTON PRESIDENT 0 769241 0 43500 0 0 0 639037 0 58860 0 1510638 0 0 KEVIN ALBOSTA VICE PRESIDENT 0 517486 0 34440 0 0 0 355957 0 32673 0 940556 0 0 DR IRIS MARTEJA VICE PRESIDENT 0 429818 0 24700 0 290341 0 0 0 18704 0 763563 0 290341 EDWARD BRUFF FORMER PRESIDENT 0 153387 0 0 0 530942 0 38053 0 1681 0 724063 0 530942 KEVIN BIRCHMEIER VICE PRESIDENT 0 434863 0 24420 0 0 0 146710 0 53065 0 659058 0 0 DR MICHAEL SULLIVAN VICE PRESIDENT 0 449331 0 22344 0 0 0 0 0 30058 0 501733 0 0 MICHAEL FIORE MD BOARD MEMBER 0 474141 0 0 0 0 0 0 0 0 0 474141 0 0 DAVID NALL VICE PRESIDENT 0 270394 0 12910 0 0 0 132047 0 29355 0 444706 0 0 FRANK FEAR VICE PRESIDENT 0 291738 0 20465 0 0 0 0 0 30058 0 342261 0 0 PATRICE LANCZAK VICE PRESIDENT 0 235585 0 16107 0 0 0 0 0 8299 0 259991 0 0 ADAM TOMPA VICE PRESIDENT 0 212026 0 12600 0 0 0 0 0 24227 0 248853 0 0 JACKIE TINNIN VICE PRESIDENT 0 208495 0 12600 0 0 0 0 0 27010 0 248105 0 0 PART I, LINE 3 THE FILING ORGANIZATION RELIED ON COVENANT MEDICAL CENTER'S, A RELATED ORGANIZATION, METHODS FOR ESTABLISHING THE COMPENSATION OF THE FILING ORGANIZATION'S OFFICERS: A COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B THE ORGANIZATION MAINTAINS A NONQUALIFIED SUPPLEMENTAL EXECUTIVE 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. SOME OF THE INDIVIDUALS LISTED IN PART VII RECEIVED A TAXABLE SERP PAYMENT IN FY23. ALL PAYMENTS WERE INCLUDED AS TAXABLE INCOME. PART I, LINE 7 THE FILING ORGANIZATION RELIED ON COVENANT MEDICAL CENTER'S, A RELATED ORGANIZATION, METHODS FOR ESTABLISHING THE BONUSES OF THE FILING ORGANIZATION'S OFFICERS: THE BONUSES PAID TO ANY OFFICER LISTED IN SCHEDULE J PART II CAN BE DETERMINED BASED ON WHETHER THREE ORGANIZATION SUCCESS SHARING TARGETS ARE MET; PATIENT SATISFACTION SCORES, QUALITY METRICS, AND FINANCIAL PERFORMACE BASED ON A CUSTOM OPERATING MARGIN. FORM 990, PART VI, SECTION B, 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. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST DISCLOSURE STATEMENT TO ITS OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES. EACH PERSON COVERED BY THE POLICY IS REQUIRED TO SUBMIT AND AFFIRM IN WRITING TO THE CHAIRMAN OF THE BOARD 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 THE 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 MEMBERS 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 CONLIFCT 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 CONLFICT THAT WAS NOT DISCLOSED DOES EXIST. FORM 990, PART VI, SECTION B, LINE 15 COVENANT MEDICAL CENTER, A RELATED NOT-FOR-PROFIT ENTITY, PAYS ALL SALARIES AND UNDERTAKES THE FOLLOWING PROCESS. 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. COVENANT MEDICAL CENTER, AND NOT COVENANT HEALTHCARE SYSTEM, IS THE ENTITY THAT IS COMPENSATING THE TOP OFFICIALS. THIS PROCESS IS CONDUCTED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS ORGANIZING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: INTERCOMPANY EQUITY INVESTMENTS -1,135,752. COVENANT HEALTHCARE FOUNDATION 1447 N HARRISON SAGINAW MI 48602 382572154 SUPPORT MI 501(C)(3) 7 COVENANT HEALTHCARE SYSTEM 1 COVENANT MEDICAL CENTER 1447 N HARRISON SAGINAW MI 48602 383369438 HEALTHCARE MI 501(C)(3) 3 COVENANT HEALTHCARE SYSTEM 1 VISITING NURSE ASSOCIATION OF SAGINAW 500 S HAMILTON SAGINAW MI 48602 454929618 HOME CARE MI 501(C)(3) 3 COVENANT HEALTHCARE SYSTEM 1 MACKINAW SURGERY CENTER 11221 ROE LEAWOOD KS 66211 205257296 RENTAL MI N/A 0 0 COVENANT DEVELOPMENT CORPORATION 1447 N HARRISON SAGINAW MI 48602 382640101 HEALTH SERVICES MI COVENANT HEALTHCARE SYSTEM C 531126 3943594 1.00000 1 COVENANT SERVICES CORP 1447 N HARRISON SAGINAW MI 48602 HEALTHCARE MI COVENANT HEALTHCARE SYSTEM C 1 COVENANT MEDICAL CENTER OFFICE CONDO ASSOCIATION 1447 N HARRISON SAGINAW MI 48602 371477767 CONDOMINIUM MI N/A C 1 COVENANT HEALTH MACKINAW FACILITY CONDO ASSOCIATION 1447 N HARRISON SAGINAW MI 48602 453327179 CONDOMINIUM MI N/A C 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0