MEMORIAL HOSPITAL: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MEMORIAL HOSPITAL (EIN 38-1358208)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202233199349318693
- Schema version
- 2021v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T14:37:55-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 MICHIGAN AVE STE 100 | AddressLine1Txt |
| City | EAST LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48823 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381358208 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEMO | BusinessNameControlTxt |
| Phone | 9897235211 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 826 WEST KING STREET | AddressLine1Txt |
| City | OWOSSO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48867 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JORRI TREMAIN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9897235211 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JORRI | PersonFirstNm |
| Person Last | TREMAIN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID LOWENTHAL | PreparerPersonNm |
| PTIN | P00378651 | PTIN |
| Phone | 5173326200 | PhoneNum |
| Preparation | 2022-11-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HEALTHCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JORRI TREMAIN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 826 WEST KING STREET | AddressLine1Txt |
| City | OWOSSO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48867 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $257,712,129 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | MEMORIALHEALTHCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1919 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTHCARE SERVICES TO PATIENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 1830 | TotalEmployeeCnt |
| Total Volunteers | 57 | TotalVolunteersCnt |
| Total Gross UBI | $89,518 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $17,168,489 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,780,723 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $205,750,661 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $234,338,187 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,516,241 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,587,182 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,463,003 | PYOtherRevenueAmt |
| CY Other Revenue | $2,361,379 | CYOtherRevenueAmt |
| PY Total Revenue | $227,898,394 | PYTotalRevenueAmt |
| CY Total Revenue | $246,067,471 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $110,768,505 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $125,089,880 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $112,878,008 | PYOtherExpensesAmt |
| CY Other Expenses | $125,365,769 | CYOtherExpensesAmt |
| PY Total Expenses | $223,646,513 | PYTotalExpensesAmt |
| CY Total Expenses | $250,455,649 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,251,881 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,388,178 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $227,811,494 | TotalAssetsBOYAmt |
| Total Assets EOY | $220,221,745 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $110,093,522 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $103,605,519 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $117,717,972 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $116,616,226 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROMOTE HEALTH AND PROVIDE QUALITY COMPASSIONATE HEALTHCARE IN OUR REGION THROUGH A COMMITMENT TO SERVICE EXCELLENCE, TEAMWORK AND INNOVATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $18,635,788 | ExpenseAmt |
| Revenue | $18,666,535 | RevenueAmt |
| Desc | A MEDICAL AND SURGICAL HOSPITAL THAT PROVIDES INPATIENT AND OUTPATIENT SERVICES TO ALL PATIENTS.INPATIENT DISCHARGES: 3,895, PATIENT DAYS: 24,993, INPATIENT SURGERIES: 814, BIRTHS: 463 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $99,906,234 | ExpenseAmt |
| Revenue | $173,401,276 | RevenueAmt |
| Desc | ANCILLARY SERVICES (OUTPATIENT VISITS: 303,421, OUTPATIENT SURGERIES: 3,613, PAIN MANAGEMENT VISITS: 6,871) | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $61,590,924 | ExpenseAmt |
| Revenue | $21,281,265 | RevenueAmt |
| Desc | MMA SERVICES (PHYSICIAN CLINICS, MMA RVU'S: 404,769) | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $39,116,392 | ExpenseAmt |
| Revenue | $22,543,331 | RevenueAmt |
| Desc | ALL OTHER PROGRAM SERVICES | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $39,116,392 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $22,543,331 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $219,249,338 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | Yes (1) | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 245 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1830 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROSE BROWN | PersonNm |
| Phone | 9897294717 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 826 WEST KING STREET | AddressLine1Txt |
| City | OWOSSO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48867 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| RANY A ABURASHED DO | |||||||||
| MEMBER | 40.00 | 0.00 | Yes (X) | $1,031,384 | $0 | $27,333 | |||
| BRIAN L LONG | |||||||||
| EXECUTIVE DIRECTOR | 58.00 | 2.00 | Yes (X) | $749,445 | $0 | $28,384 | Yes (X) | ||
| JAMES J FAYSAL DO | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $449,137 | $0 | $23,604 | |||
| RONALD M BISHOP DO | |||||||||
| MEMBER | 40.00 | 0.00 | Yes (X) | $298,117 | $0 | $28,451 | |||
| ANTHONY A PATSY DO | |||||||||
| MEMBER | 39.00 | 1.00 | Yes (X) | $329,984 | $0 | $21,383 | |||
| MICHAEL B KRAMER DO | |||||||||
| MEMBER | 40.00 | 0.00 | Yes (X) | $327,828 | $0 | $20,852 | |||
| GREGORY P BONTRAGER | |||||||||
| PRESIDENT | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| TONY M YOUNG | |||||||||
| VICE PRESIDENT | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| WILFRED BILL A FARRELL | |||||||||
| TREASURER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JERRY D WALDEN | |||||||||
| SECRETARY | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL L ASH | |||||||||
| MEMBER | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BARBARA BAKEROMEROD | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS E CAMPBELL | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DALE E ESPICH | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SHANA M ESPINOZA | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN E HAGEL | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DONNA S MCAVOY | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES NEMETH | |||||||||
| VP OF NURSING | 40.00 | 0.00 | $452,888 | $0 | $28,568 | Yes (X) | |||
| JOSEPH M BUSTAMANTE DO | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0.00 | $430,295 | $0 | $35,296 | Yes (X) | |||
| COLLEEN M KOPPENHAVER | |||||||||
| EXECUTIVE VP/CFO | 40.00 | 0.00 | $368,857 | $0 | $22,661 | Yes (X) | |||
| RAMY M KURDI | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,088,167 | $0 | $26,577 | Yes (X) | |||
| ASHRAF M ELBANNA | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $806,427 | $0 | $26,095 | Yes (X) | |||
| TAREK R PACHA | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $826,922 | $0 | $13,437 | Yes (X) | |||
| AMNA MEHDI | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $620,393 | $0 | $14,531 | Yes (X) | |||
| JOSEPH H PALAZETI | |||||||||
| PHYSICIAN | 32.00 | 0.00 | $594,919 | $0 | $41,107 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,374,763 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $358,279 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 174 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ECS CENTRAL MICHIGAN PC | |||||
| 4100 EMBASSY DR SE STE 400 | GRAND RAPIDS | MI | 49546 | CONTRACTED EMERGENCY ROOM PHYSICIANS | $1,823,074 |
| ALLIANCE HNI LLC | |||||
| PO BOX 772550 | DETROIT | MI | 48277 | RENTAL OF EQUIPMENT | $1,735,966 |
| AHSA | |||||
| PO BOX 670529 | DALLAS | TX | 75267 | HOSPITAL STAFFING | $1,641,626 |
| REMER PLUMBING & HEATING | |||||
| 5565 STATE STREET PO BOX 1569 | SAGINAW | MI | 48605 | HVAC SERVICES | $738,686 |
| MCLAREN MID MICHIGAN PHYSICIANS PC | |||||
| G-3235 BEECHER ROAD | FLINT | MI | 48532 | HOSPITAL STAFFING | $712,503 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 36 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $459,948 | RelatedOrganizationsAmt |
| Government Grants | $5,320,775 | GovernmentGrantsAmt |
| Total Contributions | $5,780,723 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | $224,516,983 | $224,516,983 | |
| 340B REVENUE | 622110 | $5,103,915 | $5,103,915 | |
| PHYSICIAN REVENUE | 900099 | $4,675,582 | $4,675,582 | |
| BILLING SERVICES REVENUE | 561000 | $41,707 | $41,707 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $234,338,187 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,729,233 | TotalRevenueColumnAmt |
| Exclusion | $2,729,233 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,774,654 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $178,727 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,595,927 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,595,927 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,595,927 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,304,869 | SecuritiesAmt |
| Other | $19,011 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,385,059 | SecuritiesAmt |
| Other | $80,872 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $919,810 | SecuritiesAmt |
| Other | -$61,861 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $857,949 | TotalRevenueColumnAmt |
| Exclusion | $857,949 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA REVENUE | 722513 | $717,641 | $717,641 | |
| LAB COURIER | 621500 | $47,811 | $47,811 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $765,452 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $246,067,471 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $235,892,407 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $89,518 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,304,823 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,796,212 | TotalAmt |
| Management And General | $4,796,212 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,234,007 | TotalAmt |
| Program Services | $82,951,879 | ProgramServicesAmt |
| Management And General | $8,282,128 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,205,924 | TotalAmt |
| Program Services | $1,129,451 | ProgramServicesAmt |
| Management And General | $76,473 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,098,921 | TotalAmt |
| Program Services | $21,041,082 | ProgramServicesAmt |
| Management And General | $1,057,839 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,754,816 | TotalAmt |
| Program Services | $5,389,878 | ProgramServicesAmt |
| Management And General | $364,938 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $476,799 | TotalAmt |
| Management And General | $476,799 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,050 | TotalAmt |
| Management And General | $121,050 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,083 | TotalAmt |
| Management And General | $6,083 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,454 | TotalAmt |
| Management And General | $149,454 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,603,515 | TotalAmt |
| Program Services | $15,203,523 | ProgramServicesAmt |
| Management And General | $6,399,992 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,408,471 | TotalAmt |
| Program Services | $7,569,745 | ProgramServicesAmt |
| Management And General | $4,838,726 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,181 | TotalAmt |
| Program Services | $144,549 | ProgramServicesAmt |
| Management And General | $38,632 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $727,868 | TotalAmt |
| Program Services | $722,026 | ProgramServicesAmt |
| Management And General | $5,842 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,192,562 | TotalAmt |
| Program Services | $8,099,536 | ProgramServicesAmt |
| Management And General | $1,093,026 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $687,624 | TotalAmt |
| Program Services | $528,263 | ProgramServicesAmt |
| Management And General | $159,361 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICAL EXPENSES | $59,641,367 | $57,047,106 | $2,594,261 |
| PROVISION FOR BAD DEBTS | $8,711,305 | $8,711,305 | |
| QAAP TAX EXPENSE | $6,453,891 | $6,453,891 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,002,599 | TotalAmt |
| Program Services | $4,257,104 | ProgramServicesAmt |
| Management And General | $745,495 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,455,649 | TotalAmt |
| Program Services | $219,249,338 | ProgramServicesAmt |
| Management And General | $31,206,311 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,212,699 | BOYAmt |
| EOY | $71,556 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,163,462 | BOYAmt |
| EOY | $15,943,164 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,730,409 | BOYAmt |
| EOY | $31,537,338 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,679,923 | BOYAmt |
| EOY | $5,658,104 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,118,523 | BOYAmt |
| EOY | $1,269,308 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $213,052,591 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $110,145,439 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,373,601 | BOYAmt |
| EOY | $102,907,152 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,635,557 | BOYAmt |
| EOY | $55,030,435 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,897,320 | BOYAmt |
| EOY | $7,804,688 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $227,811,494 | BOYAmt |
| EOY | $220,221,745 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,575,033 | BOYAmt |
| EOY | $26,600,719 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,964,135 | BOYAmt |
| EOY | $9,640,017 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,976,639 | BOYAmt |
| EOY | $60,099,085 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,903,481 | BOYAmt |
| EOY | $5,855,997 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $674,234 | BOYAmt |
| EOY | $1,409,701 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,093,522 | BOYAmt |
| EOY | $103,605,519 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,717,972 | BOYAmt |
| EOY | $116,616,226 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,717,972 | BOYAmt |
| EOY | $116,616,226 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $227,811,494 | BOYAmt |
| EOY | $220,221,745 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$4,388,178 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,182,691 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $4,469,123 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $7,049 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,049 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | MEMORIAL HEALTHCARE PAYS DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION & MICHIGAN HEALTH COUNCIL. A PORTION OF THESE DUES GO TOWARDS LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,665,470 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $316,175 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $105,527 | GrantsOrScholarshipsAmt |
| Other Expenditures | $226,165 | OtherExpendituresAmt |
| End Year Balance | $5,649,953 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,342,671 | BeginningYearBalanceAmt |
| Contributions | $7,082 | ContributionsAmt |
| Investment Earnings Or Losses | $333,532 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $17,814 | OtherExpendituresAmt |
| End Year Balance | $5,665,470 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,492,321 | BeginningYearBalanceAmt |
| Contributions | $36,587 | ContributionsAmt |
| Investment Earnings Or Losses | $826,200 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $12,437 | OtherExpendituresAmt |
| End Year Balance | $5,342,671 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,653,008 | BeginningYearBalanceAmt |
| Contributions | $76,952 | ContributionsAmt |
| Investment Earnings Or Losses | -$225,393 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $12,246 | OtherExpendituresAmt |
| End Year Balance | $4,492,321 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,231,399 | BeginningYearBalanceAmt |
| Contributions | $32,323 | ContributionsAmt |
| Investment Earnings Or Losses | $550,486 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $161,200 | OtherExpendituresAmt |
| End Year Balance | $4,653,008 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.58800 | BoardDesignatedBalanceEOYPct |
| Term Endowment Balance EOY | 0.41200 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,884,961 | OtherCostOrOtherBasisAmt |
| Book Value | $7,884,961 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $96,719,164 | OtherCostOrOtherBasisAmt |
| Depreciation | $58,414,748 | DepreciationAmt |
| Book Value | $38,304,416 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,638,864 | OtherCostOrOtherBasisAmt |
| Depreciation | $898,169 | DepreciationAmt |
| Book Value | $740,695 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $69,052,923 | OtherCostOrOtherBasisAmt |
| Depreciation | $50,832,522 | DepreciationAmt |
| Book Value | $18,220,401 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,756,679 | OtherCostOrOtherBasisAmt |
| Book Value | $37,756,679 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $102,907,152 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | WELLS FARGO MUTUAL FUNDS | Desc |
| Book Value | $55,030,435 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $55,030,435 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS PAYABLE | Desc |
| Amt | $1,409,701 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,409,701 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $237,849,767 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$1,182,691 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $3,290,707 | OtherRevenueAmt |
| Revenue Not Reported | $2,108,016 | RevenueNotReportedAmt |
| Revenue Subtotal | $235,741,751 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $149,454 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $10,176,266 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $10,325,720 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $246,067,471 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $242,536,249 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $2,403,076 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $2,403,076 | ExpensesNotReportedAmt |
| Expenses Subtotal | $240,133,173 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $149,454 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $10,173,022 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $10,322,476 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $250,455,649 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THERE ARE VARIOUS PERMANENT AND BOARD DESIGNATED ENDOWMENT FUNDS. THE ONLY SPECIFICALLY IDENTIFIED USES OF THE VARIOUS FUNDS ARE AS FOLLOWS: NURSING SCHOLARSHIP AWARDS AND NURSING AND HEALTHCARE FOR THE ELDERLY. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CONSOLIDATED ENTITY PER STATEMENTS NOT FORM 990 3,111,980. RENTAL EXPENSES 178,727. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL REVENUE RECORDED AS EXPENSE PER STATEMENTS 52,036. BAD DEBT EXPENSE 8,714,550. EXPENSES RECORDED AS REVENUE PER STATEMENTS 1,409,680. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CONSOLIDATED ENTITY PER STATEMENTS NOT FORM 990 2,224,349. RENTAL EXPENSES 178,727. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 8,711,306. RENTAL REVENUE RECORDED AS EXPENSE PER STATEMENTS 1,409,680. EXPENSES RECORDED AS REVENUE PER STATEMENTS 52,036. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,265,493 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,265,493 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00520 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,909,996 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,626,538 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $283,458 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $45,175,489 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,626,538 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,548,951 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00640 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $235,487 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $235,487 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $628,185 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $628,185 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,819,297 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,865,726 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,953,571 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $217,459 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $217,459 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,900,428 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,865,726 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,034,702 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02500 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $63,075,917 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $55,492,264 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,583,653 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03140 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,561 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,561 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,186 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,186 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $209,431 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $209,431 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $62,244 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $62,244 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $293,422 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $293,422 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,711,305 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,613,392 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $24,197,325 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $33,046,924 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$8,849,599 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HEALTHCARE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 826 WEST KING ST | AddressLine1Txt |
| City | OWOSSO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48867 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | MEMORIALHEALTHCARE.ORG | WebsiteAddressTxt |
| State License | 1060000059 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | LONG-TERM CARE HOSPITAL | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HEALTHCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://TINYURL.COM/YXEHQ8OW | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | HTTPS://TINYURL.COM/WV9Z6YE5 | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://TINYURL.COM/YXEHQ8OW | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://TINYURL.COM/Y64NPHXE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://TINYURL.COM/Y64NPHXE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://TINYURL.COM/Y64NPHXE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MEMORIAL HEALTHCARE | PART V, SECTION B, LINE 5: REFER TO THE COMMUNITY HEALTH NEEDS ASSESSMENT LOCATED AT THE FOLLOWING WEBSITE:HTTPS://WWW.MEMORIALHEALTHCARE.ORG/VISITORS/COMMUNITY-RESOURCESPARTICIPANTS IN THE CHNA:GREAT LAKES BAY HEALTHSAFECENTERSHIAWASSEE REGIONAL EDUCATION SERVICE DISTRICTSHIAWASSEE COUNTY HEALTH DEPARTMENTSHIAWASSEE HEALTH AND WELLNESSCATHOLIC CHARITIESMEMORIAL HEALTHCAREMEMORIAL HEALTHCARE FOUNDATIONMICHIGAN STATE UNIVERSITY EXTENSIONRESPITE VOLUNTEERS OF SHIAWASSEE COUNTYSHIAWASSEE GREAT START INITIATIVEGREATER LANSING FOOD BANKSHIAWASSEE HOPECOMMUNITY MEMBERSOWOSSO PUBLIC SCHOOLSSHIAWASSEE FAMILY YMCA - LIVE HEALTHYSHIAWASSEE HEALTH AND HUMAN SERVICES COUNCILSHIAWASSEE MINISTERIAL REPRESENTATIVESUNITED WAY OF GENESEE COUNTY (SHIAWASSEE)SHIAWASSEE COUNCIL ON AGINGHOMELESS ANGELSDISABILITY NETWORK CAPITAL AREABAKER PATHWAYSPARTICIPANTS IN THE IMPLEMENTATION PLANNING:BILL ARCHER, SHIAWASSEE COUNTY VASTEPHANIE ROWELL, MEMORIAL HEALTHCARE, TAYLOR LIFE CENTERDENNIS CHERNIN, SHIAWASSEE COUNTY HEALTH DEPARTMENT PENNY CORBIN, SHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITY (SCCMHA) KRISTEN GILPIN, CATHOLIC CHARITIES NICOLE GREENWAY, SHIAWASSEE COUNTY HEALTH DEPARTMENT PHIL HATHAWAY, TOWN PLANS LLC, LIVE HEALTHY COALITIONCOURTNEY HERRICK, SHIAWASSEE EDUCATION SERVICE DISTRICT (SRESS)LARRY JOHNSON, SHIAWASSEE COUNTY HEALTH DEPARTMENTJEFF MCMANUS, RESPITE VOLUNTEERS OF SHIAWASSEE COUNTYMICHAEL DEWEY, SHIAWASSEE UNITED WAYMARLA PRICE, MEMORIAL HEALTHCARE DIETICIANCATHY SPRAGUE-EMANS, CATHOLIC CHARITIESTHOMAS TEAL, MD, MEMORIAL HEALTHCAREABBIE TIPTON. MEMORIAL HEALTHCAREJORRI TREMAIN, MEMORIAL HEALTHCAREMARLENE WEBSTER, SHIAWASSEE HOPESARA WRIGHT, GREAT LAKES BAY HEALTH CENTER SHIAWASSEE COUNTY |
| MEMORIAL HEALTHCARE | PART V, SECTION B, LINE 6B: MEMORIAL WAS THE LEAD ON THE CHNA BUT THERE WAS A SHIAWASSEE COMMUNITY HEALTH NEEDS TEAM THAT CONSISTED OF THE FOLLOWING ORGANIZATIONS:A. SHIAWASSEE UNITED WAYB. SHIAWASSEE REGIONAL EDUCATION SERVICEC. SHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITYD. SHIAWASSEE COUNTY HEALTH DEPARTMENT |
| MEMORIAL HEALTHCARE | PART V, SECTION B, LINE 7D: A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITAL'S WEBSITE LOCATED AT HTTPS://WWW.MEMORIALHEALTHCARE.ORG/WP-CONTENT/UPLOADS/2020/01/UPDATED-SHIAWASSEE-COUNTY-2019-CHA-1-21-20.PDFA COPY OF THE COMMUNIT HEALTH NEEDS ASSESSMENT IS ALSO AVAILABLE ON THE HOSPITAL COUNCIL OF NORTHWEST OHIO'S WEBSITE LOCATED AT HTTP://WWW.HCNO.ORG/COMMUNITY-SERVICES/COMMUNITY-HEALTH-ASSESSMENTS/ |
| MEMORIAL HEALTHCARE | PART V, SECTION B, LINE 11: DUE TO COVID-19, MEMORIAL HEALTHCARE WILL BEGIN WORKING ON ITS IMPLEMENTATION PLAN IN JULY OF 2020. HOWEVER ,THE PRIMARY NEEDS IDENTIFIED IN THE SURVEY WERE MENTAL HEALTH, OBESITY, AND SUBSTANCE ABUSE BASED ON THE RESPONSES. THESE DOMAINS WILL BE THE FOCUS OF MEMORIAL HEALTHCARE'S EFFORTS MOVING FORWARD AND WILL ENCOMPASS BOTH ADULTS AND CHILDREN. REFER TO THE MOST CURRENT IMPLEMENTATION PLAN LOCATED AT THE FOLLOWING WEBSITE: HTTPS://WWW.MEMORIALHEALTHCARE.ORG/VISITORS/COMMUNITY-RESOURCES |
| MEMORIAL HEALTHCARE | PART V, SECTION B, LINE 16J: THE FAP POLICY IS ALSO STATED ON ALL BILLING STATEMENTS SENT FROM THE HOSPITAL.PART V, SECTION B, LINE 16I - THE HOSPITAL FACILITY HAS REVIEWED THE POPULATION OF ITS COMMUNITY AND CONCLUDED THAT ENGLISH IS THE ONLY PRIMARY LANGUAGE AS DEFINTED BY THE REGULATIONS OF MORE THAN 5% OR 1,000 PERSONS. THEREFORE, THE FAP, FAP APPLICATION FORM, OR PLAIN LANGUAGE SUMMARY HAVE NOT BEEN TRANSLATED INTO ANOTHER LANGUAGE. THE HOSPITAL FACILITY WILL CONTINUE TO MONITOR THIS GOING FORWARD AS NEW CENSUS DATA BECOMES AVAILABLE. |
| MEMORIAL HEALTHCARE | PART V, SECTION B, LINE 20E: SEND SELF-PAY ACCOUNTS TO ADVOMAS, A MEDICAL BILLING SERVICE, PRIOR TO SENDING TO CAREPAYMENT AND BEFORE SENDING TO BAD DEBT. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 42 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (42 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - MEMORIAL HEALTHCARE CANCER CENTER | ||||
| 721 N SHIAWASSEE | OWOSSO | MI | 48867 | CANCER CARE SERVICES/ONCOLOGY/ANTICOAG |
| 2 - MEMORIAL HEALTHCARE OUT PT SERVICES | ||||
| 1975 W M21 STE 102 | OWOSSO | MI | 48867 | HOME HEALTH/HOSPICE |
| 3 - MEMORIAL HEALTHCARE HEALTH PARK OFFICES | ||||
| 100 HEALTH PARK DRIVE | OWOSSO | MI | 48867 | MH LAB/MH RAD, MMA DR. VORENKAMP & OCC HEALTH |
| 4 - MEMORIAL HEALTHCARE PAIN CLINIC | ||||
| 818 W KING ST STE 300 | OWOSSO | MI | 48867 | PAIN MGMNT |
| 5 - MEMORIAL HEALTHCARE'S OWOSSO WOODARD | ||||
| 317 S ELM ST STE 116 | OWOSSO | MI | 48867 | PHYSICAL THERAPY REHAB SERVICES/CARDIAC REHAB |
| 6 - MID MICHIGAN ORTHOPEDICS | ||||
| 113 WILLIAMS STREET STURGIS STREET | OWOSSO | MI | 48867 | ORTHO (SCHMIDT/PALAZETI/BRANCH/MIKE SMITH/WOODS) |
| 7 - MEMORIAL HEALTHCARE OBGYN | ||||
| 1457 N M-52 STE 2 | OWOSSO | MI | 48867 | OBGYN (CHAVES/LAFOREST/FRYE/MAY/ARLANDA SMITH/HERTA/WEBER) |
| 8 - MEMORIAL OVID-ELSIE OFFICES | ||||
| 9480 E M-21 | OWOSSO | MI | 48866 | MMA PRIMARY CARE (THATIKONDA/HUFF/KOHORST) |
| 9 - MEMORIAL DURAND OFFICES | ||||
| 9099 E LANSING ROAD | OWOSSO | MI | 48429 | MMA FAMILY MED (GUTCHAK/MCARTHUR/KASIMOS/GAITONDE/HORSKI/DUTCHER) |
| 10 - MEMORIAL PERRY OFFICES | ||||
| 3337 W BRITTON ROAD | OVID | MI | 48872 | MMA FAMILY MEDICINE (LIU/MANKEY/PLATNER/AHMED/TUCZYNSKI) |
| 11 - MEMORIAL PEDIATRIC CLINIC | ||||
| 802 W KING ST STE M | OVID | MI | 48867 | PEDS (KRAMER/PAVON/CREIGHTON/OSMER) |
| 12 - INSTITUTE FOR NEUROSCIENCE & MULTIPLE SCLE | ||||
| 818 W KING STREET SUITE 101-103 | DURAND | MI | 48867 | NEUROLOGY (FREY/LEAHY/ABURASHED/PACE/SAEED/COTE/BRUNE/PLATNER/BAINES) |
| 13 - MEMORIAL LAINGSBURG OFFICES | ||||
| 317 E GRAND RIVER | DURAND | MI | 48848 | FAMILY MEDICINE (GURDEN/KING/BROOKS) |
| 14 - MEMORIAL SURGICAL ASSOCIATESWOUND CLINIC | ||||
| 818 W KING ST STE 201 | DURAND | MI | 48867 | SURGERY (AZMEH/FLERMOEN/TESTA/WEAVER/SPENCLEY) |
| 15 - MEMORIAL CHESANING FAMILY PRACTICE | ||||
| 300 S CHAPMAN | PERRY | MI | 48616 | FAMILY MEDICINE (EBERT/TEAL/FELDPAUSCH/WEGSCHEID) |
| 16 - MEMORIAL PHYSICAL REHABILITATION CENTER | ||||
| 8906 E LANSING ROAD | PERRY | MI | 48429 | REHAB SERVICES |
| 17 - MMA GASTRO OFFICES | ||||
| 721 N SHIAWASSEE STE 202 | OWOSSO | MI | 48867 | GASTROENTEROLOGY |
| 18 - ARNOLD MEDICAL CLINIC | ||||
| 1975 W M-21 SUITE 204 | OWOSSO | MI | 48867 | FAMILY MEDICINE (PATSY/BRETT GURDEN/WOODSIDE/PERRIN) |
| 19 - MEMORIAL OUTPATIENT SERVICES - CHESANING | ||||
| 305 S SAGINAW STREET | LAINGSBURG | MI | 48616 | LAB, RAD, PT SERVICES |
| 20 - MEMORIAL STATE ROAD OFFICES | ||||
| 239 N STATE ROAD | OWOSSO | MI | 48867 | MH LAB, MH RAD |
| 21 - RED CEDAR ENT | ||||
| 818 W KING ST STE 301 | CHESANING | MI | 48867 | ENT (RADGENS/NELSON) |
| 22 - MEMORIAL NORTHSIDE FAMILY MEDICINE | ||||
| 802 W KING ST STE C | DURAND | MI | 48867 | FAMILY MEDICINE (OLIVER/MARCOS IZA/YAKLIN) |
| 23 - INTERNAL MEDICINE ASSOCIATES OF OWOSSO | ||||
| 100 HEALTH PARK DR STE 302 | OWOSSO | MI | 48867 | INTERNAL MED (MACAL/SANTIAGO) |
| 24 - PEDIATIC & ADOLESCENT SERVICES | ||||
| 802 W KING ST STE J | OWOSSO | MI | 48867 | PEDS (BUDAI) |
| 25 - MEMORIAL HEALTHCARE ORTHO & SPORTS MED | ||||
| 818 W KING ST LOWER LEVEL | CHESANING | MI | 48867 | ORTHOPAEDICS (KURDI/ELBANNA/JAUSS/WALKER/BAKER) |
| 26 - MEMORIAL HEALTHCARE FAM MED & OCC MED | ||||
| 208 N SHIAWASSEE ST | OWOSSO | MI | 48867 | FAMILY PRACTICE & OCCUPATIONAL HEALTH (EKRAM SMITH) |
| 27 - MEMORIAL HEALTHCARE ENDOCRINOLOGY | ||||
| 802 W KING ST STE E | OWOSSO | MI | 48867 | ENDOCRINOLOGY (DAOUD/CARR) |
| 28 - MEMORIAL UROLOGY | ||||
| 818 W KING ST STE 202 | OWOSSO | MI | 48867 | UROLOGY (BOOKMAN, PACHA) |
| 29 - MEMORIAL PHYSICAL REHAB - PERRY | ||||
| 3737 W LANSING ROAD | OWOSSO | MI | 48872 | REHAB SERVICES |
| 30 - MEMORIAL HEALTHCARE HOSPITAL MEDICINE | ||||
| 826 W KING ST 3RD FLOOR | OWOSSO | MI | 48867 | HOSPITALISTS |
| 31 - MEMORIAL HEALTHCARE PEDIATRIC GASTROENTERO | ||||
| 1123 VILLA LINDE CT STE 38 | OWOSSO | MI | 48532 | PEDS GASTRO (JIBALY) |
| 32 - MEMORIAL HEALTHCARE ALLERGY & IMMUNOLOGY | ||||
| 317 S ELM ST STE 205A | OWOSSO | MI | 48867 | ALLERGIST (NASIR) |
| 33 - MEMORIAL HEALTHCARE INSTITUTE FOR NEUROSCI | ||||
| 4600 GARFIELD RD | OWOSSO | MI | 48611 | NEURO (DARDAS) |
| 34 - MEMORIAL HEALTHCARE NUTRITION & DIABETES C | ||||
| 317 S ELM ST STE 202 | OWOSSO | MI | 48867 | DIABETES |
| 35 - MEMORIAL HEALTHCARE PALLIATIVE MEDICINE | ||||
| 1457 N M-52 STE 1 | OWOSSO | MI | 48867 | PALLIATIVE CARE (LARSON/CARTER) |
| 36 - MEMORIAL HEALTHCARE INSTITUTE FOR NEUROSCI | ||||
| 1501 WATERFORD PARKWAY STE B | OWOSSO | MI | 48879 | NEURO (MASIH/BRUNEY/SIMENSKY) |
| 37 - MEMORIAL HEALTHCARE PULMONOLOGY | ||||
| 826 W KING ST STE 200 | OWOSSO | MI | 48867 | PULMOMOLGIST (PRUITT) |
| 38 - MEMORIAL HEALTHCARE PHYSICAL MED & REHAB | ||||
| 1501 WATERFORD PARKWAY STE B | PERRY | MI | 48879 | PHYSICAL MEDICINE & REHABILITATION (AZUH) |
| 39 - MEMORIAL HEALTHCARE NEURO SAGINAW | ||||
| 4680 MCLEOD EAST STE 2 | OWOSSO | MI | 48604 | NEURO SAGINAW (HOLLIST/LEE) |
| 40 - MEMORIAL HEALTHCARE COVID OFFSITE TESTING | ||||
| 1637 W CHESTNUT | FLINT | MI | 48867 | LAB SERVICES |
| 41 - MEMORIAL HEALTHCARE ALLERGYIMMUNOLOGY | ||||
| 4200 FASHION SQUARE BLVD SUITE 301 | OWOSSO | MI | 48603 | ALLERGY/IMMUNOLOGY SAGINAW (MOHSEN NASIR) |
| 42 - MEMORIAL HEALTHCARE DERMATOLOGY | ||||
| 802 W KING ST SUITE G | AUBURN | MI | 48867 | DERMATOLOGY (WASIM NASIR) |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE COSTING METHODOLOGY USED FOR LINE 7A WAS THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 IN ADDITION TO DISCOUNTS AT COST PER THE HOSPITAL'S ACCOUNTING RECORDS. THE COSTING METHODOLOGY USED FOR LINES 7B - 7C WAS THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. THE COSTING METHODOLOGY USED FOR LINES 7E - 7I WERE ACTUAL COSTS PER THE HOSPITAL'S ACCOUNTING RECORDS. |
| PART I, LINE 7G: | SUBSIDIZED HEALTH SERVICES INCLUDE EMERGENCY ROOM AND OR SERVICES. NO PHYSICIAN CLINICS ARE INCLUDED. |
| PART I, LN 7 COL(F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990 PART IX LINE 25 COLUMN A WAS SUBTRACTED FROM THE DENOMINATOR FOR PURPOSES OF CALCULATING THE PERCENT OF TOTAL EXPENSES. THE BAD DEBT EXPENSE EXCLUDED WAS $8,711,305. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | MEMORIAL HEALTHCARE HAS A STRONG REPUTATION AS A COLLABORATOR AND SUPPORTER OF AGENCIES AND ORGANIZATIONS WORKING TO IMPROVE THE QUALITY OF LIFE IN OUR REGION. INCLUDED IN THESE EFFORTS IS A VIGOROUS SUPPORT BOTH FINANCIALLY AND IN-KIND OF THE ECONOMIC DEVELOPMENT EFFORTS IN OUR COUNTY. WE PLAY A LEADERSHIP ROLE IN THE HEALTH & HUMAN SERVICES COLLABORATIVE IN SHIAWASSEE COUNTY WHICH HAS MADE A DIFFERENCE IN IMPORTANT ISSUES TO OUR RESIDENTS SUCH AS: TRANSPORTATION, ACCESS TO HEALTH AND DENTAL CARE FOR THOSE ON MEDICAID OR UNINSURED, HOMELESSNESS PREVENTION, SUICIDE PREVENTION, ELDER CARE, ETC.DURING THE COVID-19 PANDEMIC, MEMORIAL PROVIDED THE COMMUNITY AS WELL AS THEIR OWN EMPLOYEES WITH TESTING SITES WHICH INCLUDED A DRIVE-THRU LOCATION WITH MINIMAL CONTACT. TO FURTHER THEIR EFFORTS TO MINIMIZE THE SPREAD OF COVID MEMORIAL ALSO EXTENDED BEYOND SHIAWASSEE COUNTY TO PROVIDE SERVICES TO WAYNE COUNTY TO PROVIDE EXCELLENT CARE IN TESTING ALL THE INMATES AND SHERIFFS. MEMORIAL WAS ALSO AMONG THE FIRST TO PROVIDE THE 1ST DOSE OF THE VACCINE TO THE COMMUNITY AND THEIR EMPLOYEES. MEMORIAL CONTINUES TO PROVIDE EXCEPTIONAL COMMUNITY SUPPORT INCLUDING ESTABLISHING ITSELF AS AN INDUSTRY LEADER IN THE CONTINUED FIGHT AGAINST THE SPREAD OF COVID-19. |
| PART III, LINE 2: | THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX. |
| PART III, LINE 3: | IT HAS BEEN ESTIMATED THAT APPROXIMATELY 30 PERCENT OF EXPENSES RELATING TO BAD DEBT ARE ATTRIBUTABLE TO PATIENTS THAT MAY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. THE ESTIMATE IS BASED ON THE HOSPITALS EXPERIENCE AND REVIEW OF CHARITY CARE APPLICATIONS. |
| PART III, LINE 4: | ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF OUR FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDE PRIMARILY TO SELF-PAY PATIENTS.ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVAN PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHE TRENDS AFFECTING MEMORIAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), MEMORIAL RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAS EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FO WHICH THEY ARE FINANCIALLY RESPONSIBLE. |
| PART III, LINE 8: | MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. INPATIENT AND OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. COSTS ON STRESS, SUBACUTE AND LONG TERM CARE ARE ALSO INCLUDED. MEDICARE REVENUE AND COSTS RELATED TO THE SUBSIDIZED HEALTH SERVICES HAVE BEEN REMOVED IN ORDER TO AVOID DUPLICATION. ANY SHORTFALLS CALCULATED HERE ARE CONSIDERED TO BE A COMMUNITY BENEFIT. |
| PART III, LINE 9B: | PATIENTS RECEIVE A STATEMENT 14 DAYS AFTER THEIR INSURANCE PAYS OR 14 DAYS AFTER SERVICE FOR SELF PAY PATIENTS. PATIENT WILL RECEIVE A PAST DUE NOTICE (2ND STATEMENT) 30 DAYS AFTER FIRST STATEMENT IF NO PAYMENT MADE OR PAYMENT ARRANGEMENT SET UP. PATIENTS WILL THEN BE REFERRED TO OUR VENDOR CAREPAYMENT TO SET UP A 25 MONTH PAYMENT PLAN. IF THE PATIENT DEFAULTS (AFTER A MINIMUM OF 90 DAYS) ON THE PAYMENT PLAN THE ACCOUNT WILL BE RETURNED TO MEMORIAL AND THEN WILL BE SENT ONTO TO UNITED COLLECTION BUREAU FOR COLLECTION ACTIVITY. PATIENT WILL RECEIVE NOTICE OF ANY ECA'S 30 DAYS PRIOR TO BEING SENT TO COLLECTIONS. |
| PART VI, LINE 2: | WE ASSESS THE HEALTH NEEDS OF OUR RESIDENTS THROUGH COLLABORATIONS WITH THE COUNTY HEALTH DEPARTMENT, OUR 10 SCHOOL DISTRICTS, OUR COUNCIL OF HEALTH & HUMAN SERVICE AGENCIES AND THROUGH PHYSICIAN OBSERVATION AND REQUESTS. |
| PART VI, LINE 3: | WE COMMUNICATE THIS THROUGH SEVERAL METHODS INCLUDING: POSTING AT REGISTRATION POINTS, IN THE PATIENT HANDBOOK PROVIDED TO ALL INPATIENTS, IN A GUIDE TO THE BILLING PROCESS PAMPHLET HANDED OUT AT REGISTRATION POINTS, ON THE BACK OF OUR PATIENT STATEMENTS, VERBALLY THRU OUR FINANCIAL COUNSELING STAFF WHEN PATIENTS ARE IN-HOUSE AS WELL AS THROUGH PHONE CONVERSATIONS WITH PATIENTS CONCERNING THEIR BILLS. |
| PART VI, LINE 4: | MEMORIAL HEALTHCARE SERVES SHIAWASSEE COUNTY AND THE SURROUNDING REGION, APPROXIMATELY 105,000 PEOPLE. IT IS A RURAL COUNTY WITH A CENTRAL CITY OF OWOSSO (POPULATION 15,000). THE CENTER CORE OF THE COUNTY, OWOSSO, IS KNOWN AS A "MICROPOLITAN". THERE IS LITTLE RACIAL DIVERSITY, 94% OF THE RESIDENTS ARE WHITE, 4% ARE HISPANIC, 1% IS AFRICAN AMERICAN, AND 2% ARE OTHER/2 OR MORE RACES. THE DIVERSITY IS MORE APPARENT IN THE SOCIAL ECONOMIC DISPARITIES. IN JANUARY OF 2020, THE UNEMPLOYMENT RATE FOR SHIAWASSEE COUNTY WAS 4.40% WHICH WAS SLIGHTLY HIGHER THAN THE STATE AVERAGE OF 3.8%. IN MAY OF 2020, THE UNEMPLOYMENT RATE FOR SHIAWASSEE COUNTY WAS 29.2% WHICH WAS ALSO HIGHER THAN THE STATE AVERAGE OF 21.2%. 18.3% OF CHILDREN LIVE IN POVERTY. |
| PART VI, LINE 5: | MEMORIAL HEALTHCARE DEVELOPED A COLLABORATION WITH GREAT LAKES BAY HEALTH CENTER OF SAGINAW TO SET UP A COMMUNITY HEALTH CENTER IN SHIAWASSEE COUNTY. THIS CENTER SERVES AS THE MEDICAL HOME FOR THOUSANDS WHO HAD NO ACCESS TO CARE. THROUGH A PARTNERSHIP WITH COMMUNITY MENTAL HEALTH, THIS CENTER ALSO NOW HAS A FULL TIME SOCIAL WORKER. CURRENTLY, WE ARE WORKING TO INCREASE ACCESS TO DENTAL HEALTH. |
| PART VI, LINE 6: | MEMORIAL HEALTHCARE FOUNDATION PROVIDES FUND DEVELOPMENT SERVICES TO ASSIST MEMORIAL HEALTHCARE. MEMORIAL HEALTHCARE OPERATES A SHORT-TERM, ACUTE-CARE FACILITY OFFERING INPATIENT AND OUTPATIENT HEALTHCARE, MENTAL HEALTH SERVICES, AND HOME CARE PRIMARILY TO CITIZENS OF SHIAWASSEE COUNTY, MICHIGAN. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | MI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RAMY M KURDI | ||||||||||||||
| PHYSICIAN | $1,080,000 | $0 | $8,167 | $0 | $0 | $0 | $5,800 | $0 | $20,777 | $0 | $1,114,744 | $0 | $0 | $0 |
| RANY A ABURASHED DO | ||||||||||||||
| MEMBER | $802,831 | $0 | $228,553 | $0 | $0 | $0 | $5,800 | $0 | $21,533 | $0 | $1,058,717 | $0 | $0 | $0 |
| TAREK R PACHA | ||||||||||||||
| PHYSICIAN | $700,001 | $0 | $126,921 | $0 | $0 | $0 | $5,800 | $0 | $7,637 | $0 | $840,359 | $0 | $0 | $0 |
| ASHRAF M ELBANNA | ||||||||||||||
| PHYSICIAN | $800,010 | $0 | $6,417 | $0 | $0 | $0 | $5,800 | $0 | $20,295 | $0 | $832,522 | $0 | $0 | $0 |
| BRIAN L LONG | ||||||||||||||
| EXECUTIVE DIRECTOR | $631,960 | $0 | $117,485 | $0 | $0 | $0 | $5,800 | $0 | $22,584 | $0 | $777,829 | $0 | $0 | $0 |
| JOSEPH H PALAZETI | ||||||||||||||
| PHYSICIAN | $591,419 | $0 | $3,500 | $0 | $0 | $0 | $5,800 | $0 | $35,307 | $0 | $636,026 | $0 | $0 | $0 |
| AMNA MEHDI | ||||||||||||||
| PHYSICIAN | $595,005 | $0 | $25,388 | $0 | $0 | $0 | $3,204 | $0 | $11,327 | $0 | $634,924 | $0 | $0 | $0 |
| JAMES NEMETH | ||||||||||||||
| VP OF NURSING | $381,061 | $0 | $71,827 | $0 | $0 | $0 | $5,800 | $0 | $22,768 | $0 | $481,456 | $0 | $0 | $0 |
| JAMES J FAYSAL DO | ||||||||||||||
| MEMBER | $377,639 | $0 | $71,498 | $0 | $0 | $0 | $5,800 | $0 | $17,804 | $0 | $472,741 | $0 | $0 | $0 |
| JOSEPH M BUSTAMANTE DO | ||||||||||||||
| CHIEF MEDICAL OFFICER | $374,825 | $0 | $55,470 | $0 | $0 | $0 | $5,800 | $0 | $29,496 | $0 | $465,591 | $0 | $0 | $0 |
| COLLEEN M KOPPENHAVER | ||||||||||||||
| EXECUTIVE VP/CFO | $303,034 | $0 | $65,823 | $0 | $0 | $0 | $5,800 | $0 | $16,861 | $0 | $391,518 | $0 | $0 | $0 |
| ANTHONY A PATSY DO | ||||||||||||||
| MEMBER | $249,525 | $0 | $80,459 | $0 | $0 | $0 | $5,800 | $0 | $15,583 | $0 | $351,367 | $0 | $0 | $0 |
| MICHAEL B KRAMER DO | ||||||||||||||
| MEMBER | $230,580 | $0 | $97,248 | $0 | $0 | $0 | $5,800 | $0 | $15,052 | $0 | $348,680 | $0 | $0 | $0 |
| RONALD M BISHOP DO | ||||||||||||||
| MEMBER | $280,617 | $0 | $17,500 | $0 | $0 | $0 | $5,800 | $0 | $22,651 | $0 | $326,568 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | PHYSICIANS LISTED IN FORM 990, PART VII (AS WELL AS ALL THE PHYSICIANS ON STAFF) ARE GENERALLY ALLOWED $4,000/YEAR PER THEIR CONTRACTS. USUALLY, THIS MONEY IS USED FOR BOOKS AND CONTINUING EDUCATION. THIS IS NOT REPORTED AS TAXABLE COMPENSATION TO THE PHYSICIANS. |
| PART I, LINE 7 | MEMORIAL BONUSES ARE BASED ON OPERATING TARGETS BUT ARE PAID OUT AT THE DISCRETION AND APPROVAL OF THE BOARD OF DIRECTORS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd | CUSIPCUSIPNum |
|---|---|---|---|---|---|---|---|---|
| MICHIGAN FINANCE AUTHORITY | ||||||||
| A | 381358208 | 2015-07-29 | $7,055,000 | FUND $7 MILLION OF 2015 CAPITAL BUDGET | 0 | 0 | 0 | |
| MICHIGAN FINANCE AUTHORITY | ||||||||
| B | 381358208 | 2013-08-06 | $19,369,159 | PAY DOWN DEBT - $12 MILLION / FUND $8 MILLION OF 2013 CAPITAL BUDGET | 0 | 0 | 0 | 59447PXT3 |
| MICHIGAN FINANCE AUTHORITY | ||||||||
| C | 381358208 | 2020-12-22 | $40,000,000 | FUNDING OF A NEW BUILDING | 0 | 0 | 0 | |
| MICHIGAN FINANCE AUTHORITY | ||||||||
| D | 381358208 | 2020-06-30 | $10,000,000 | FUND THE NEW EMR PROJECT | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $4,291,792 | $7,055,000 | $64,952 | $6,990,048 | 2015 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| B | $10,514,687 | $19,369,159 | $70,728 | $9,991,669 | 2014 | Yes (1) | 0 | Yes (1) | Yes (1) | $9,306,762 | |
| C | $40,000,000 | $148,000 | $11,593,116 | 0 | 0 | 0 | Yes (1) | $28,406,884 | |||
| D | $1,243,418 | $10,000,000 | $117,484 | $9,882,516 | 2021 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| D | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) | 0 |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| D | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTANT. THE CEO, CFO, AND THE FINANCE DIRECTOR ALL REVIEWED THE 990. TAX RETURNS WILL BE MADE AVAILABLE TO ALL FINANCE COMMITTEE MEMBERS AT THEIR MEETING OF NOVEMBER 15, 2022 AND TO ALL BOARD MEMBERS AT THEIR MEETING OF NOVEMBER 21, 2022. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. ALL BOARD MEMBERS AND LEADERSHIP TEAM MEMBERS ARE COVERED BY THIS POLICY. EACH COVERED MEMBER IS REQUIRED TO COMPLETE A DISCLOSURE STATEMENT ANNUALLY. ANY POTENTIAL CONFLICT THAT ARISES DURING THE YEAR MUST BE DISCLOSED WITHIN 14 DAYS OF FIDUCIARY'S KNOWLEDGE THAT A CONFLICT MAY EXIST. THE BOARD CHAIR HAS ULTIMATE RESPONSIBILITY FOR ENFORCEMENT OF THE POLICY. IF A CONFLICT DOES EXIST, THE MEMBER WITH THE CONFLICT ABSTAINS FROM VOTING AND THE CONFLICT IS NOTED IN THE MINUTES OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION UPON HIRING. THE FULL BOARD OF DIRECTORS REVIEWS THE CEO'S COMPENSATION ANNUALLY. A COMPENSATION COMMITTEE HAS BEEN FORMED AND ACTIVELY PARTICIPATES IN DECISIONS RELATED TO CEO AND EXECUTIVE PAY AND BENEFITS AS WELL AS PROVIDING INPUT AND OVERSIGHT FOR THE ORGANIZATIONS COMPENSATION PHILOSOPHY AND PROGRAM. CEO AND EXECUTIVE PAY IS REVIEWED AT LEAST ANNUALLY BY THIS COMMITTEE. THE MOST RECENT REVIEW OF CEO AND EXECUTIVE PAY WAS JULY 2022. UPDATED SALARY RANGES ARE PROVIDED BY AN OUTSIDE COMPENSATION CONSULTING COMPANY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | TRANSFER TO/ FROM AFFILIATES 267,879. TRANSFER OF OWNERSHIP OF MEMORIAL ASSISTED LIVING 4,201,244. |
| FORM 990, PART XI, LINE 2C: | THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND FOR SELECTION OF THE INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL ASSISTED LIVING LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 826 W KING STREET | AddressLine1Txt |
| City | OWOSSO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48867 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 464831571 | EIN |
| Primary Activities | PROVIDE HOUSING AND SUPPORT FOR THE ELDERLY | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Total Income | $1,108,653 | TotalIncomeAmt |
| End Of Year Assets | $7,481,325 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HOSPITAL | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HEALTHCARE FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 826 WEST KING STREET | AddressLine1Txt |
| City | OWOSSO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48867 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383036586 | EIN |
| Primary Activities | TO PROVIDE FUND DEVELOPMENT SERVICES TO ASSIST MEMORIAL HEALTHCARE. | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HEALTHCARE PAIN MANAGEMENT LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 826 W KING STREET | AddressLine1Txt |
| City | OWOSSO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48867 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 472218456 | EIN |
| Primary Activities | PROVIDE OUTPATIENT PAIN MANAGEMENT SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HEALTHCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $243,216 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $228,977 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.51000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHC DEVELOPMENT CORPORATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 826 W KING STREET | AddressLine1Txt |
| City | OWOSSO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48867 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 463742868 | EIN |
| Primary Activities | DEVELOPMENT OF ASSISTED LIVING PROPERTY | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $244 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $4,818,232 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MEMORIAL HEALTHCARE FOUNDATION | ||
| C | $163,868 | ACTUAL CASH |
| MEMORIAL HEALTHCARE FOUNDATION | ||
| P | $459,948 | ACTUAL CASH |
| MEMORIAL HEALTHCARE PAIN MANAGEMENT | ||
| S | $267,879 | ACTUAL CASH |