MYMICHIGAN MEDICAL CENTER SAULT: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MYMICHIGAN MEDICAL CENTER SAULT (EIN 38-2602147)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202243189349302039
- 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 G
- Schedule H
- Schedule J
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-14T08:14:28-06:00 | 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 | 600 E FRONT ST STE 300 | AddressLine1Txt |
| City | TRAVERSE CITY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49686 | 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 | 382602147 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHIPPEWA CNTY WAR MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHIP | BusinessNameControlTxt |
| Phone | 9066354460 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 OSBORN BOULEVARD | AddressLine1Txt |
| City | SAULT STE MARIE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49783 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEVIN KALCHIK | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9066354460 | PhoneNum |
| Signature | 2022-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KEVIN | PersonFirstNm |
| Person Last | KALCHIK | 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 | 2319477800 | PhoneNum |
| Preparation | 2022-11-11 | 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 | WAR MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID JAHN CEO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 OSBORN BOULEVARD | AddressLine1Txt |
| City | SAULT STE MARIE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49783 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $127,085,480 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WARMEMORIALHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTH CARE SERVICES AND ACCESS TO THE RESIDENTS OF SAULT STE. MARIE AND THE EASTERN UPPER PENINSULA. OUR COMMITMENT IS TO IMPROVE THE QUALITY OF LIFE AND HEALTH THROUGH PARTNERSHIPS WITH THOSE WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1093 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,026,868 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,610,143 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $108,221,927 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $117,689,217 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,793,041 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,081,571 | CYInvestmentIncomeAmt |
| PY Other Revenue | $390,824 | PYOtherRevenueAmt |
| CY Other Revenue | $472,857 | CYOtherRevenueAmt |
| PY Total Revenue | $117,432,660 | PYTotalRevenueAmt |
| CY Total Revenue | $126,853,788 | 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 | $60,323,405 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $66,006,657 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $68,562 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $47,789,915 | PYOtherExpensesAmt |
| CY Other Expenses | $51,071,093 | CYOtherExpensesAmt |
| PY Total Expenses | $108,113,320 | PYTotalExpensesAmt |
| CY Total Expenses | $117,077,750 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,319,340 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $9,776,038 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $96,220,386 | TotalAssetsBOYAmt |
| Total Assets EOY | $104,046,577 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $56,621,995 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $53,018,405 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $39,598,391 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $51,028,172 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR COMMITMENT IS TO IMPROVE THE QUALITY OF LIFE AND HEALTH THROUGH PARTNERSHIPS WITH THOSE WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $64,760,599 | ExpenseAmt |
| Revenue | $97,210,869 | RevenueAmt |
| Desc | HOSPITAL INPATIENT AND OUTPATIENT SERVICES - WAR MEMORIAL HOSPITAL PROVIDED INPATIENT CARE TO 2,361 PATIENTS AND THERE WERE OVER 245,796 PATIENT REGISTRATIONS FOR THE HOSPITAL'S MULTIPLE OUTPATIENT SERVICE DEPARTMENTS (LAB, RADIOLOGY, CARDIOPULMONARY, REHABILITATION, NUCLEAR MEDICINE, SURGICAL SERVICES).OUR OBSTETRICS/NURSERY UNIT REPORTED 292 BIRTHS AND OUR SURGICAL SERVICES DEPARTMENT PROVIDED SURGICAL CARE FOR 5,003 PATIENTS.THE REHABILITATION DEPARTMENT CONTINUED ITS EXPANSION OF SERVICES IN CONTRACTING TO PROVIDE REHABILITATION SERVICES WITH MULTIPLE ORGANIZATIONS IN THE REGION; INCLUDING, BUT NOT LIMITED TO, AREA SCHOOLS, HOSPITALS, AND HOME HEALTH AGENCIES. NEARLY 380,650 REHABILITATION TREATMENTS WERE REPORTED IN THE DISCIPLINES OF PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY AND AUDIOLOGY SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $18,299,526 | ExpenseAmt |
| Revenue | $13,818,268 | RevenueAmt |
| Desc | PROFESSIONAL SERVICES - THE HOSPITAL'S TWENTY FOUR HOUR EMERGENCY DEPARTMENT AND THE COMMUNITY CARE CLINIC (WALK-IN URGENT CARE CENTER) RECORDED 15,753 VISITS AND 7,401 VISITS RESPECTIVELY FOR A TOTAL CARE PROVIDED TO 23,154 PATIENTS.VISITS BY PHYSICIAN CLINIC:WMH DRUMMOND ISLAND MEDICAL 1,514WMH FAMILY MEDICINE CEDARVILLE 2,735WMH FAST CARE - MEIJER 2,966WMH INTERNAL & FAMILY MEDICINE 7,031WMH PRIMARY CARE SSM CMC 3,376WMH KINROSS COMMUNITY CARE 1,254WMH OCCUPATIONAL HEALTH 398WMH PRIMARY CARE SSM HERITAGE 3,457WMH PEDIATRICS 174WMH PRIMARY CARE SSM MAGAZINE 7,825WMH MAT COMMUNITY CARE CLINIC 1,472WMH SSM COMMUNITY CARE CLINIC 7,401WMH WOMENS HEALTH 7,181WMH WOMENS NEWBERRY OUTPT CLIN 221WMH OUTPATIENT PSYCHIATRY 2,586WMH CARDIOLOGY CLINIC 513WMH DERMATOLOGY 1,328WMH EAR, NOSE & THROAT 1,746WMH ENDOCRINOLOGY 2,314WMH FOOT & ANKLE 1,874WMH GENERAL SURGICAL CARE 4,298WMH NEPHROLOGY 1,812WMH NEUROLOGY 362WMH ORTHO NEWBERRY OUTPT CLINI 275WMH ORTHOPEDICS 6,378WMH ORTHOPEDICS & SPINE 175WMH PAIN MANAGEMENT SSM 862WMH PAIN MANAGEMENT KIN 2,683WMH PULMONOLOGY 1,313WMH SLEEP DISORDERS CENTER 2,570WMH UROLOGY 3,552 | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,565,750 | ExpenseAmt |
| Revenue | $4,087,757 | RevenueAmt |
| Desc | INPATIENT/ OUTPATIENT PSYCH WITH 535 ADMISSIONS AND 3,785 PATIENT DAYS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,689,126 | ExpenseAmt |
| Revenue | $2,685,904 | RevenueAmt |
| Desc | OTHER PROGRAM SERVICES - WHICH INCLUDES, BUT IS NOT LIMITED TO, OBSTETRICS WITH 28 ADMISSIONS AND 632 PATIENT DAYS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $3,689,126 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $2,685,904 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $91,315,001 | 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 | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | 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 | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | Yes (1) | 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 | 0 | TaxExemptBondsInd |
| 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 | Yes (1) | 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 | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 119 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1093 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | Yes (1) | 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 | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEVIN KALCHIK CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9066354456 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 OSBORN BOULEVARD | AddressLine1Txt |
| City | SAULT STE MARIE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49783 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| KYLE RAYCRAFT | ||||||||
| BOARD MEMBER/PHYSCIAN | 40.00 | 0.00 | Yes (X) | $533,675 | $0 | $29,290 | ||
| SCOTT SHACKLETON | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $8,435 | $0 | $0 | ||
| RALPH DUMAN | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $7,245 | $0 | $0 | ||
| THOMAS COATS | ||||||||
| BOARD CHAIRMAN | 1.00 | 0.00 | Yes (X) | $7,065 | $0 | $0 | Yes (X) | |
| MARK SAVOIE | ||||||||
| BOARD MEMBER/ TREASURER | 1.00 | 0.00 | Yes (X) | $6,840 | $0 | $0 | Yes (X) | |
| HOLLY KIBBLE | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $6,750 | $0 | $0 | ||
| CHARLES PALMER | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $6,525 | $0 | $0 | ||
| MAXINE ANDERSON | ||||||||
| BOARD MEMBER/ SECRETARY | 1.00 | 0.00 | Yes (X) | $6,525 | $0 | $0 | Yes (X) | |
| TED POSTULA | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $6,480 | $0 | $0 | ||
| JOHN JORGENSEN | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $6,435 | $0 | $0 | ||
| DAVID JAHN | ||||||||
| CEO | 40.00 | 0.00 | $377,155 | $0 | $20,950 | Yes (X) | ||
| KEVIN KALCHIK | ||||||||
| CFO | 40.00 | 0.00 | $243,406 | $0 | $35,734 | Yes (X) | ||
| MARLA BUNKER | ||||||||
| VP OF CLINICAL SERVICES | 40.00 | 0.00 | $204,628 | $0 | $30,038 | Yes (X) | ||
| PAULA RECHNER | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $698,401 | $0 | $33,165 | Yes (X) | ||
| MICHAEL COTANT | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $665,586 | $0 | $33,165 | Yes (X) | ||
| ZAAHIR TURFE | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $611,681 | $0 | $29,290 | Yes (X) | ||
| ZARA MASOOD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $479,644 | $0 | $33,165 | Yes (X) | ||
| TIMOTHY OCONNOR | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $510,367 | $0 | $33,165 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,386,843 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $277,962 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 74 | 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 |
|---|---|---|---|---|---|
| AMERICAN HEALTHCARE STAFFING | |||||
| 226 EAST SIXTEENTH STREET | TRAVERSE CITY | MI | 49684 | PROFESSIONAL FEES | $1,169,072 |
| WOOLEVERSHANE DO PC | |||||
| 5012 WEST 5 MILE ROAD | SAULT STE MARIE | MI | 49783 | PROFESSIONAL FEES | $1,090,000 |
| MARQUETTE GENERAL HEALTH SYSTEMS | |||||
| 420 WEST MAGNETIC STREET | MARQUETTE | MI | 49855 | PROFESSIONAL SERVICES | $871,465 |
| ADAIRJAMIE D | |||||
| 3330 LAKESHORE DRIVE | SAULT STE MARIE | MI | 49783 | PROFESSIONAL FEES | $800,776 |
| SAMUELSON ENTERPRISES PLLC | |||||
| 16540 SCENIC DRIVE | BARBEAU | WA | 49710 | PROFESSIONAL FEES | $790,425 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 41 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $3,100 | FundraisingAmt |
| Government Grants | $6,244,113 | GovernmentGrantsAmt |
| All Other Contributions | $362,930 | AllOtherContributionsAmt |
| Total Contributions | $6,610,143 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621400 | $114,343,872 | $114,343,872 |
| OTHER RELATED REVENUE | 621400 | $2,262,914 | $2,262,914 |
| INCENTIVE PAYMENTS | 621400 | $1,082,431 | $1,082,431 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $117,689,217 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,093,769 | TotalRevenueColumnAmt |
| Exclusion | $2,093,769 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $324,782 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $211,201 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $113,581 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $113,581 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $113,581 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $13,198 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$12,198 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$12,198 | TotalRevenueColumnAmt |
| Exclusion | -$12,198 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $53,039 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $3,100 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $7,293 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,746 | TotalRevenueColumnAmt |
| Exclusion | $45,746 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA REVENUE | Desc |
| Business | 624210 | BusinessCd |
| Total Revenue Column | $313,530 | TotalRevenueColumnAmt |
| Exclusion | $313,530 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $313,530 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $126,853,788 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $117,802,798 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,440,847 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,537,176 | TotalAmt |
| Program Services | $797,631 | ProgramServicesAmt |
| Management And General | $739,545 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,655,679 | TotalAmt |
| Program Services | $39,059,634 | ProgramServicesAmt |
| Management And General | $11,596,045 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,001,224 | TotalAmt |
| Management And General | $2,001,224 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,563,407 | TotalAmt |
| Program Services | $7,967,593 | ProgramServicesAmt |
| Management And General | $595,814 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,249,171 | TotalAmt |
| Program Services | $2,893,624 | ProgramServicesAmt |
| Management And General | $355,547 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $377,132 | TotalAmt |
| Program Services | $87,629 | ProgramServicesAmt |
| Management And General | $289,503 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,050 | TotalAmt |
| Management And General | $123,050 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,452 | TotalAmt |
| Management And General | $10,452 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,649,274 | TotalAmt |
| Program Services | $11,509,883 | ProgramServicesAmt |
| Management And General | $3,139,381 | ManagementAndGeneralAmt |
| Fundraising | $10 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,541,415 | TotalAmt |
| Program Services | $4,675,677 | ProgramServicesAmt |
| Management And General | $857,032 | ManagementAndGeneralAmt |
| Fundraising | $8,706 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,317,233 | TotalAmt |
| Program Services | $771,336 | ProgramServicesAmt |
| Management And General | $541,848 | ManagementAndGeneralAmt |
| Fundraising | $4,049 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315,069 | TotalAmt |
| Program Services | $279,152 | ProgramServicesAmt |
| Management And General | $35,917 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $336,247 | TotalAmt |
| Program Services | $229,150 | ProgramServicesAmt |
| Management And General | $107,070 | ManagementAndGeneralAmt |
| Fundraising | $27 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,308,770 | TotalAmt |
| Program Services | $878,705 | ProgramServicesAmt |
| Management And General | $425,452 | ManagementAndGeneralAmt |
| Fundraising | $4,613 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,777,700 | TotalAmt |
| Program Services | $3,207,739 | ProgramServicesAmt |
| Management And General | $1,553,123 | ManagementAndGeneralAmt |
| Fundraising | $16,838 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $854,408 | TotalAmt |
| Program Services | $119,731 | ProgramServicesAmt |
| Management And General | $734,677 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $11,869,463 | $11,869,463 | |
| REPAIRS AND MAINTENANCE | $3,260,376 | $1,598,031 | $1,662,345 |
| QUALITY ASSESSMENT FEES | $3,071,039 | $3,071,039 | |
| PROVISION FOR BAD DEBTS | $2,052,075 | $2,052,075 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,207,390 | TotalAmt |
| Program Services | $246,909 | ProgramServicesAmt |
| Management And General | $926,162 | ManagementAndGeneralAmt |
| Fundraising | $34,319 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,077,750 | TotalAmt |
| Program Services | $91,315,001 | ProgramServicesAmt |
| Management And General | $25,694,187 | ManagementAndGeneralAmt |
| Fundraising | $68,562 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,625 | BOYAmt |
| EOY | $5,725 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,194,199 | BOYAmt |
| EOY | $28,504,889 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,972,366 | BOYAmt |
| EOY | $9,638,227 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,459,094 | BOYAmt |
| EOY | $3,211,747 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,313,396 | BOYAmt |
| EOY | $1,504,954 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $98,337,940 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $61,251,926 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,587,846 | BOYAmt |
| EOY | $37,086,014 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,543,291 | BOYAmt |
| EOY | $22,355,455 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,681 | BOYAmt |
| EOY | $256,681 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,887,888 | BOYAmt |
| EOY | $1,482,885 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,220,386 | BOYAmt |
| EOY | $104,046,577 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,995,944 | BOYAmt |
| EOY | $9,516,742 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,457,726 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,745,049 | BOYAmt |
| EOY | $30,019,361 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,423,276 | BOYAmt |
| EOY | $13,482,302 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,621,995 | BOYAmt |
| EOY | $53,018,405 | 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 | $39,408,863 | BOYAmt |
| EOY | $51,028,172 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,528 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,598,391 | BOYAmt |
| EOY | $51,028,172 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,220,386 | BOYAmt |
| EOY | $104,046,577 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $9,776,038 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,653,743 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 | $10,542 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,542 | 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 | PORTION OF ANNUAL DUES TO THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION THAT ARE USED TOWARD LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,857,745 | OtherCostOrOtherBasisAmt |
| Book Value | $2,857,745 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $63,255,609 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,205,801 | DepreciationAmt |
| Book Value | $23,049,808 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $807,774 | OtherCostOrOtherBasisAmt |
| Depreciation | $628,565 | DepreciationAmt |
| Book Value | $179,209 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,772,256 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,417,560 | DepreciationAmt |
| Book Value | $10,354,696 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $644,556 | OtherCostOrOtherBasisAmt |
| Book Value | $644,556 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $37,086,014 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED POST-RETIREMENT BENEFIT | $720,579 |
| ACCRUED INSURANCE | $1,005,775 |
| ACCRUED MALPRACTICE LIABILITY | $1,550,000 |
| MEDICARE ACCELERATED PAYMENTS | $8,929,136 |
| COST REPORT SETTLEMENTS PAYABLE | $1,276,812 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,482,302 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $126,759,649 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,653,743 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $304,193 | OtherRevenueAmt |
| Revenue Not Reported | $1,957,936 | RevenueNotReportedAmt |
| Revenue Subtotal | $124,801,713 | RevenueSubtotalAmt |
| Other Revenues Not Included | $2,052,075 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,052,075 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $126,853,788 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $115,329,868 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $304,193 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $304,193 | ExpensesNotReportedAmt |
| Expenses Subtotal | $115,025,675 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,052,075 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,052,075 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $117,077,750 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL/FUNDRAISING EXPENSES 304,193. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 2,052,075. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING/RENTAL EXPENSES 304,193. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 2,052,075. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF OUTING | Event1Nm |
| Gross Receipts Event1 | $56,139 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $3,100 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $53,039 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $1,805 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $3,800 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $1,688 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $56,139 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $3,100 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $53,039 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $1,805 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $3,800 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,688 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $7,293 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $45,746 | NetIncomeSummaryAmt |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| 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 | $278,249 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $278,249 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,009,729 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,423,090 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,287,978 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,423,090 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $278,249 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3923 | ActivitiesOrProgramsCnt |
| Persons Served | 27623 | PersonsServedCnt |
| Total Community Benefit Expns | $212,267 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $212,267 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 336 | ActivitiesOrProgramsCnt |
| Persons Served | 764 | PersonsServedCnt |
| Total Community Benefit Expns | $573,751 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $573,751 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,634,934 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,353,536 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,281,398 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05460 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 251 | ActivitiesOrProgramsCnt |
| Persons Served | 600 | PersonsServedCnt |
| Total Community Benefit Expns | $61,075 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $61,075 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4510 | ActivitiesOrProgramsCnt |
| Persons Served | 28987 | PersonsServedCnt |
| Total Community Benefit Expns | $15,482,027 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,353,536 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,128,491 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06190 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4510 | ActivitiesOrProgramsCnt |
| Persons Served | 28987 | PersonsServedCnt |
| Total Community Benefit Expns | $35,770,005 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,776,626 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,406,740 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06430 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,052,075 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,026,038 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $15,620,095 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $10,299,279 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $5,320,816 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| 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 | CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 OSBORN BOULEVARD | AddressLine1Txt |
| City | SAULT STE MARIE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49783 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTP://WWW.WARMEMORIALHOSPITAL.ORG/ABO | WebsiteAddressTxt |
| State License | 1060000093 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL | 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/5N86ET4U | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://TINYURL.COM/A5FCKJ8T | 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 | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://TINYURL.COM/YXQD3PEK | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://TINYURL.COM/YXQD3PEK | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://TINYURL.COM/YXQD3PEK | 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 |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| 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 |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITALS WEBSITE LOCATED AT HTTP://WWW.WARMEMORIALHOSPITAL.ORG/ABOUT-WMH-7/THE WESTERN UPPER PENINSULA HEALTH DEPARTMENT, WITH FUNDING FROM THE MICHIGAN HEALTH ENDOWMENT FUND, SPEARHEADED A COMMUNITY HEALTH NEEDS ASSESSMENT THROUGHOUT THE UPPER PENINSULA. ONCE AGAIN, WAR MEMORIAL HOSPITAL AND THE CHIPPEWA COUNTY HEALTH DEPARTMENT PARTNERED TO BRING THE OUTCOMES OF THE ASSESSMENT TO THE RESIDENTS OF CHIPPEWA COUNTY. THE COMMUNITY HEALTH NEEDS ASSESSMENT REFLECTED DATA DERIVED DIRECTLY FROM QUESTIONNAIRES THAT WERE COMPLETED BY RANDOMLY SELECTED COUNTY RESIDENTS, AS WELL AS DATA COLLECTED THROUGH SECONDARY SURVEYS AND SOURCES.THE TOP FOUR PRIORITY ISSUES IDENTIFIED FROM AMONG 16LISTED CONCERNS WERE:-SUBSTANCE ABUSE-BEHAVIORAL HEALTH-GENERAL HEALTH - HEART DISEASE, CANCER, UNINTENTIONAL INJURIES, CHRONIC LOWER RESPIRATORY DISEASE, AND STROKE.ACHIEVING "HEALTHY PEOPLE IN HEALTHY COMMUNITIES", A GOAL ARTICULATED BY THE CDC, WILL REQUIRE U.P. COMMUNITIES TO EMBRACE THE IDEA THAT HEALTH IS ABOUT MORE THAN PERSONAL BEHAVIORS, IT IS ABOUT THE HOMES WE GROW UP IN, THE FAMILIES WE ARE PART OF, THE SCHOOLS WE ATTEND AND THE NEIGHBORHOODS IN WHICH WE LIVE. HEALTH IS NOT SOMETHING WE ACHIEVE IN ISOLATION, HEALTH IS SOMETHING WE CAN AND MUST HELP EACH OTHER ATTAIN. |
| CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6B: CHIPPEWA COUNTY HEALTH DEPARTMENT AND WESTERN UPPER PENINSULA HEALTH DEPARTMENT (WUPHD) |
| CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: BEHAVIORAL HEALTH - GOALS AND OBJECTIVESINCREASE ACCESS TO CARE FOR BEHAVIORAL HEALTH ISSUES AMONG ADULTS AND YOUTH WITHIN CHIPPEWA COUNTY BY:(1) PROVIDING MEDICAL AND BEHAVIORAL HEALTH PROVIDERS WITH INFORMATION REGARDING AVAILABLE SERVICES;(2) PROVIDING COUNTY RESIDENTS WITH INFORMATION REGARDING THE BENEFITS OF EARLY TREATMENT AND RESOURCES FOR TREATMENT;(3) INCREASING THE PERCENTAGE OF CHIPPEWA COUNTY RESIDENTS ACCESSING CARE FOR BEHAVIORAL HEALTH.SUBSTANCE ABUSE - GOALS AND OBJECTIVESINCREASE KNOWLEDGE AND UNDERSTANDING SURROUNDING THE EFFECTS OF TREATMENT OPPORTUNITIES FOR SUBSTANCE MISUSE THROUGHOUT CHIPPEWA COUNTY THROUGH PREVENTION BY:(1) INCREASING EDUCATION AND AWARENESS OF SUD TO YOUTH AND GENERAL COMMUNITY MEMBERS;(2) INCREASING PRO-SOCIAL ACTIVITIES/OPPORTUNITIES FOR YOUTH; THROUGH SUPPORT BY:(A) INCREASING AWARENESS OF ADDICTION AND KNOWLEDGE OF SUPPORT RESOURCES FOR PERSONS WITH ADDICTION, THEIR FAMILY MEMBERS AND AREA EMPLOYERS; THROUGH RECOVERY BY:(B) INCREASING THE NUMBER OF REGISTERED WAIVERED MEDICATION-ASSISTED TREATMENT PROVIDERS IN CHIPPEWA COUNTY(C) INCREASING THE AWARENESS OF AVAILABLE TREATMENT OPTIONS WITHIN THE REGIONHEALTH - GOALS AND OBJECTIVESCREATE A HEALTHIER COMMUNITY THROUGH EDUCATION AND OPPORTUNITIES BY:(1) DECREASING TOBACCO USE AMONG PREGNANT WOMEN(2) INCREASING AWARENESS OF THE BENEFITS OF PHYSICAL ACTIVITY AS A PREVENTATIVE MEASURE OF CHRONIC DISEASEWHILE THE CHNA IDENTIFIED OTHER HEALTH NEEDS, THEY WERE SEEN TO BE BEYOND THE SCOPE OF OUR SERVICES OR WE COULD NOT MAKE A SIGNIFICANT IMPACT UPON THEM DUE TO LIMITED PERSONNEL AND/OR FINANCIAL RESOURCES.THE FULL COPY OF THE IMPLEMENTATION PLAN CAN BE FOUND AT A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITALS WEBSITE LOCATED AT HTTP://WWW.WARMEMORIALHOSPITAL.ORG/ABOUT-WMH-7/ |
| CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL | PART V, SECTION B, LINE 16J: 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. |
| CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL | PART V, SECTION B, LINE 20E: THE HOSPITAL FACILITY MAILS A FINANCIAL ASSISTANCE POLICY APPLICATION WHEN SETTING UP A PAYMENT PLAN FOR A PATIENT AND WHEN SENDING PAST DUE LETTERS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - LONG TERM CARE | ||||
| 500 OSBORN BOULEVARD | SAULT STE MARIE | MI | 49783 | SKILLED NURSING FACILITY |
| 2 - BEHAVIORAL HEALTH CENTER | ||||
| 500 OSBORN BOULEVARD | SAULT STE MARIE | MI | 49783 | INPATIENT PSYCHIATRIC FACILITY |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | THE HOSPITAL, THROUGH ITS PARTNERSHIP WITH COMMUNITY HEALTH ACCESS COALITION (CHAC), UTILIZES 200% OF POVERTY GUIDELINES FOR INITIAL ACCESS AND APPLICATION FOR MEDICAID. FOR THOSE COMMUNITY MEMBERS THAT DO NOT QUALIFY, 250% OF POVERTY GUIDELINES ARE UTILIZED FOR ADDITIONAL OPTIONS FOR IMMEDIATE DISCOUNTS. ALL PATIENTS ARE ABLE TO REQUEST ADDITIONAL DISCOUNTS OR FREE CARE ON REMAINING BALANCES AND NON-COVERED SERVICES THROUGH THE HOSPITAL FINANCIAL ASSITANCE PROGRAM (FAP). |
| PART I, LINE 7: | A COST-TO-CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE. THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E) AND HEALTH PROFESSIONS EDUCATION (LINE 7F).A DIRECT COST AND STEP-DOWN APPROACH WAS USED TO COMPLETE THE SUBSIDIZED HEALTH SERVICES PROGRAMS (LINE 7G). |
| PART I, LINE 7G: | INCLUDED IN SUBSIDIZED HEALTH SERVICES ARE: HOSPITAL AND TRAUMA BASED PROFESSIONAL SERVICES, SURGICAL ASSISTANT, BEHAVIORAL HEALTH, OB PROFESSIONAL, OB PROGRAM, AND DIALYSIS. |
| PART I, LN 7 COL(F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24B - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $2,052,075. |
| SCHEDULE H, PART I, LINE 7B: | THE HOSPITAL PARTICIPATES IN THE MICHIGAN DISPROPORTIONATE SHARE PROGRAM (DSH) AS WELL AS THE MICHIGAN QUALITY ASSURANCE ASSESSMENT PROGRAMS (QAAP). THE DSH PROGRAM IS SET UP TO SUPPLEMENT FOR SHORTFALLS INCURRED DUE TO SERVING INDIGENT POPULATIONS IN THE COMMUNITY (SELF-PAY, MEDICAID, MEDICAID ADVANTAGE). THE QAAP PROGRAM IS SET UP TO SUPPLEMENT FOR SHORTFALLS INCURRED DUE TO SERVING MEDICAID PATIENTS. THE HOSPITAL PAID IN AMOUNTS TO FUND THE PROGRAM AND IN RETURN RECEIVED THEIR RESPECTIVE SHARE OF THE STATE DSH AND QAAP FUNDS. THE RESULT WAS A GAIN TO THE HOSPITAL, AS DETAILED BELOW: DSH PROGRAM QAAP PROGRAMREVENUE $809,707 $7,504,465EXPENSE - $2,948,645 --------- -----------GAIN $809,707 $4,555,820 IF THESE PROGRAMS DID NOT EXIST, THE HOSPITAL WOULD HAVE REPORTED A SHORTFALL FROM PROVIDING SERVICES TO MEDICAID PATIENTS. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | WAR MEMORIAL HOSPITAL IS ACTIVE IN BOTH THE PROMOTION OF HEALTHY LIFESTYLES FOR BOTH ITS EMPLOYEES AND COMMUNITY MEMBERS. WAR MEMORIAL HOSPITAL WILL TAKE A LEAD ROLE IN MANY OF THESE ENDEAVORS, BUT ALSO IS WILLING TO BE A SUPPORTIVE PARTNER AND TEAM MEMBER AS WELL. |
| PART III, LINE 4: | ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE: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 THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES AND HISTORICAL EXPERIENCE ADJUSTED FOR CURRENT ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'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), THE HOSPITAL RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. WAR MEMORIAL HOSPITAL PROVIDES CARE TO PATIENTS COVERED BY GOVERNMENTAL PROGRAMS AT REIMBURSEMENT LESS THAN WHAT IS NEEDED IN ORDER TO PROVIDE STABILITY OF OPERATIONS. AS THE NUMBER OF UNINSURED OR UNDERINSURED CITIZENS CONTINUES TO INCREASE, THE HOSPITAL'S ABILITY TO COLLECT REIMBURSEMENTS FOR SERVICES PROVIDED CONTINUES TO BE A CHALLENGE. THEREFORE, HOSPITAL LEADERS HAVE SERVED IN LEADERSHIP CAPACITIES IN THE DEVELOPMENT OF A COMMUNITY HEALTH ACCESS COALITION WHICH HAS A MISSION TO PROVIDE ACCESS TO QUALITY HEALTH CARE FOR THE UNINSURED OR UNDER INSURED RESIDENTS OF CHIPPEWA, LUCE, AND MACKINAC COUNTIES BY COORDINATING SERVICES OF VARIOUS HEALTH CARE PROVIDERS TO OFFER AN AFFORDABLE, DIGNIFIED AND ENHANCE CONTINUUM OF CARE. THE HOSPITAL AS WELL AS LOCAL PHYSICIANS AGREE TO PROVIDE CARE THAT IS UNCOMPENSATED OR AT A REDUCED FEE. OVER THE PAST YEAR, THE HOSPITAL HAS EITHER BEEN ACTIVE OR SUPPORTED THE ACTIVITIES TO DEVELOP COMMUNITY AWARENESS FOR BOTH THE HEALTH EXCHANGES AND MEDICAID EXPANSION. |
| PART III, LINE 8: | THE MEDICARE SURPLUS (SHORTFALL) WAS CALCULATED BY UTILIZING COST ACCOUNTING WHEN APPROPRIATE AND AVAILABLE. IN SOME AREAS A COST TO CHARGE METHODOLOGY WAS REQUIRED. THE SURPLUS SHOULD BE CONSIDERED AND INCLUDED IN THE COMMUNITY BENEFIT AS THE REIMBURSEMENT DID NOT MEET THE "COST" OF THE EXPENSE BASED ON REASONABLE COSTING METHODOLOGIES. |
| PART III, LINE 9B: | WAR MEMORIAL HOSPITAL UTILIZES AN ON-LINE INSURANCE VERIFICATION PROCESS TO INITIATE THE EDUCATION AND ELIGIBILITY FROM THE ON-SET OF SERVICES. UPFRONT COLLECTIONS ARE AN ACTIVE PART OF THE PROCESS TO BOTH EDUCATE THE PATIENT AND TO REDUCE BACK-END COSTS OF COLLECTIONS. AT ANY TIME DURING THE PROCESS STAFF ARE TRAINED TO ADDRESS THE PERCEIVED FINANCIAL ASSISTANT NEEDS AND PROVIDE ACCESS TO THE IN-HOUSE PATIENT FINANCIAL COUNSELOR, COMMUNITY HEALTH ACCESS COALITION, OR THE DEPARTMENT OF HEALTH SERVICES REPRESENTATIVE. IN THE BILLING PROCESS, PATIENTS ARE STILL OFFERED ANY EDUCATION NECESSARY TO OBTAIN ASSISTANCE. ONCE SERVICES ARE RECEIVED AND THE PATIENT CHARGES HAVE ACCUMULATED PRIMARY SOURCES OF COVEAGE ARE BILLED. AFTER ALL EFFORTS OF COLLECTION FROM PRIMARY PAYOR (INSURANCE) THE PATIENT IS BALANCED BILL AND PROVIDED THE OPPORTUNITY FOR PAYMENT IN FULL OR OTHER PAYMENT OPTIONS. |
| SCHEDULE H, PART III, LINES 5 AND 6: | OTHER INFORMATION: AS PER THE INSTRUCTIONS, SCHEDULE H, PART III, LINES 5 AND 6 ARE DERIVED DIRECTLY FROM THE MEDICARE COST REPORT. THOSE MEDICARE COSTS NOT INCLUDED IN THE MEDICARE COST REPORT (MEDICARE ADVANTAGE AND FEE FOR SERVICE PHYSICIANS) ARE SUMMARIZED AS FOLLOWS:TOTAL COST: 19,843,260TOTAL REIMBURSEMENT 20,651,869COST IN EXCESS OF REIMBURSEMENT -808,608 |
| PART VI, LINE 2: | WAR MEMORIAL HOSPITAL WORKS IN CONJUNCTION WITH MANY OF THE HOSPITALS IN THE NORTHERN MICHIGAN AND THE UPPER PENINSULA. IN THESE EFFORTS "NEEDS" OF THE COMMUNITIES ARE ASSESSED THROUGH WORK WITH OTHER HOSPITALS, HEALTH RELATED ORGANIZATIONS, AND IN COMMUNITY FORUMS. IN ADDITION, WAR MEMORIAL HOSPITAL HAS ENGAGED OUTSIDE ASSISTANCE IN THE PLANNING FOR "NEEDS" OF BOTH SERVICES AND PHYSICIANS TO BEST PLAN FOR CAPITAL AND RECRUITMENT APPROPRIATIONS. |
| PART VI, LINE 3: | WAR MEMORIAL HOSPITAL PRIDES ITSELF ON PROVIDING NEEDED CARE TO THE INDIGENT OF THE EASTERN UPPER PENINSULA IN A DIGNIFIED MANNER. THIS EDUCATION AND ASSISTANCE IS DONE THROUGH PARTNERSHIPS WITH OTHER "ACCESS" POINTS. SPECIFICALLY, WAR MEMORIAL HOSPITAL HAS PROVIDED RESOURCES TO THE CHAC (COMMUNITY HEALTH ACCESS COALTION) AND WAR MEMORIAL HOSPITAL HAS ENTERED INTO AN AGREEMENT WITH THE STATE OF MICHIGAN TO PROVIDE A DHS (DEPARTMENT OF HEALTH SERVICES) WORKER ON-SITE FOR READY ACCESS FOR OUR PATIENTS. THROUGH THE COLLABORATION OF THESE RELATIONSHIPS OUR PATIENTS ARE FIRST NOTIFIED AND REFERRED TO THE APPROPRIATE RESOURCE FROM THE ON-SET OF RECEIVING HEALTH CARE SERVICES. |
| PART VI, LINE 4: | WAR MEMORIAL HOSPITAL'S PRIMARY SERVICE AREA IS THE EASTERN UPPER PENINSULA OF MICHIGAN. IN THIS AREA THERE ARE THREE COUNTIES WHICH CONSIST OF CHIPPEWA, MACKINAC, AND LUCE. WAR MEMORIAL HOSPITAL PRIDES ITSELF ON THE QUALITY OF SERVICES IT PROVIDES AS A RURAL SOLE COMMUNITY HOSPITAL. THE CLOSEST HOSPITAL IS 50 MILES AWAY AND IS A CRITICAL CARE HOSPITAL. THE CLOSEST TERTIARY FACILITY IS OVER 90 MILES AWAY. WAR MEMORIAL HOSPITAL STRIVES FOR PROVIDING SERVICES TO THE COMMUNITY FOR WHICH OTHERWISE THE COMMUNITY MEMBER WOULD MOST LIKELY HAVE TO TRAVEL TO A TERTIARY FACILITY. THROUGH ITS OWN EFFORTS AND JOINT VENTURES AREAS OF CARE SUCH AS OBSTETRICS AND DELIVERY, DIALYSIS, ONCOLOGY, CARDIOLOGY, PULMONOLOGY, INFECTIOUS DISEASE, AND I/P PSYCHIATRIC SERVICES WOULD NOT BE AVAILABLE.WAR MEMORIAL HOSPITAL IS ONE OF THE TOP THREE LARGEST EMPLOYERS IN OUR REGION. WE EMPLOY MORE THAN 1093 PEOPLE AND HAVE AN ANNUAL PAYROLL OF APPROXIMATELY $50 MILLION; PROVIDING A POSITIVE ECONOMIC IMPACT IN THE COMMUNITY. |
| PART VI, LINE 5: | WAR MEMORIAL HOSPITAL PROVIDES MANY POINTS OF ACCESS THAT ARE NOT PROFITABLE, BUT OTHERWISE WOULD REQUIRE OUR COMMUNITY MEMBERS TO TRAVEL GREAT DISTANCES. THE HOSPITAL MANAGEMENT AND STAFF PARTICIPATE ACTIVELY IN MANY HEALTH AND EDUCATIONAL ENDEAVORS. AN EXAMPLE IS PROVIDING CLINICAL STAFF TO THE LOCAL STATE UNIVERSITY TO ASSIST IN THE EDUCATION OF REGISTERED NURSES. OTHER EXAMPLES INCLUDE INFORMAL PARTNERSHIPS WITH TWO LOCALLY RECOGNIZED NATIVE AMERICAN TRIBES AND FULL SUPPORT OF COUNTY HEALTH INITIATIVES. PROGRAM EXAMPLES WOULD INCLUDE INDIGENT HEALTH ACCESS, FLU-CLINIC, DIALYSIS, DIABETIC EDUCATION, COUNTY HEALTH DEPARTMENT COLON SCREENING, PHYSICALS FOR STUDENT ATHLETES, AND REGIONAL CHARITY CARE INITIATIVES.WAR MEMORIAL HOSPITAL CONTINUES TO PARTNER WITH TERTIARY FACILITIES TO PROVIDE CONSISTENT ACCESS TO PROVIDERS OF CARDIOLOGY. DUE TO THE HOSPITAL'S GEOGRAPHIC LOCATION AND COMMUNITY SIZE, THE HOSPITAL HAS CONTINUED TO INDEPENDENTLY RECRUIT OTHER SPECIALISTS TO ENSURE THAT COMMUNITY ACCESS TO SERVICES AND PROVIDERS IS ACCOMPLISHED THROUGH PROVIDER BASED CLINICS. THE HOSPITAL CONTINUES ITS EFFORTS IN PROVIDING PRIMARY CARE IN OUTREACH AREAS OF THE EASTERN UPPER PENINSULA. WITH THESE EFFORTS AND PARTNERSHIPS THE HOSPITAL HAS BEEN SUCCESSFUL IN MAINTAINING ALL OTHER SERVICES.WAR MEMORIAL HOSPITAL CONTINUED ITS LEADERSHIP AND INVOLVEMENT WITHIN THE COMMUNITY AND THE HEALTHCARE PROVIDER COMMUNITY BY PROVIDING EDUCATION AND TRAINING. EXAMPLES OF COMMUNITY EDUCATION AND/OR HEALTH SCREENINGS INCLUDED A SENIOR HEALTH FAIR, EARLY PRE-NATAL EDUCATION AND CHILDBIRTH CLASSES. THE HOSPITAL'S INVOLVEMENT IN HEALTHCARE PROVIDER EDUCATION AND TRAINING INCLUDED NURSE AIDE TRAINING PROGRAMS AND SERVING AS CLINICAL INTERNSHIP SITE FOR MANY COLLEGE AND UNIVERSITY TRAINING PROGRAMS FOR STUDENTS IN REGISTERED NURSING, PHARMACY, MEDICAL TECHNOLOGY, HEALTH INFORMATION MANAGEMENT, AND PHYSICIAN ASSISTANT PROGRAMS. THE HOSPITAL IS ALSO DESIGNATED AS A COMMUNITY TRAINING CENTER OFFERING TRAINING TO AREA PHYSICIANS AND STAFF ON PEDIATRIC ADVANCED LIFE SUPPORT, ADVANCED CARDIAC LIFE SUPPORT AND BASIC LIFE SUPPORT. THE HOSPITAL IS ALSO CERTIFIED TO PROVIDE CONTINUING MEDICAL EDUCATION TO AREA PHYSICIANS AND STAFF AND CONDUCTS MORE THAN 25 ON-SITE PROGRAMS PER YEAR. VIDEO CONFERENCING CAPABILITIES ALSO PROVIDE ACCESS TO COMMUNITY AND HEALTHCARE PROVIDER TRAINING THROUGHOUT THE YEAR.WAR MEMORIAL HOSPITAL EMPLOYEES HAVE EMPLOYMENT BENEFITS WHICH INCLUDE PAYMENT FOR EXPENSES FOR THE COMPLETION OF A BACHELOR OF SCIENCE IN NURSING FOR CURRENT REGISTERED NURSES. ADDITIONALLY, OTHER EMPLOYEES HAVE ANNUAL EDUCATION BENEFITS FOR CONTINUING OR ADVANCING THEIR EDUCATION IN A HEALTHCARE FIELD. THE HOSPITAL ALSO OFFERS AN EDUCATIONAL LOAN PROGRAM WITH A PERIOD OF NO-INTEREST LOANS WHILE ENROLLED IN AN EDUCATIONAL PROGRAM. FOR NEWLY HIRED EMPLOYEES IN JOB SHORTAGE CLASSIFICATIONS, EMPLOYEES CAN RECEIVE FUNDS FOR STUDENT LOAN REPAYMENT FOR A COMMITMENT TO SERVE WAR MEMORIAL HOSPITAL FOR A SPECIFIED NUMBER OF YEARS. |
| PART VI, LINE 6: | NOT AFFILIATED. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | MI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAULA RECHNER | ||||||||||||||
| PHYSICIAN | $644,457 | $0 | $53,944 | $0 | $0 | $0 | $14,500 | $0 | $18,665 | $0 | $731,566 | $0 | $0 | $0 |
| MICHAEL COTANT | ||||||||||||||
| PHYSICIAN | $612,376 | $0 | $0 | $0 | $53,210 | $0 | $14,500 | $0 | $18,665 | $0 | $698,751 | $0 | $0 | $0 |
| ZAAHIR TURFE | ||||||||||||||
| PHYSICIAN | $599,115 | $0 | $0 | $0 | $12,566 | $0 | $14,500 | $0 | $14,790 | $0 | $640,971 | $0 | $0 | $0 |
| KYLE RAYCRAFT | ||||||||||||||
| BOARD MEMBER/PHYSCIAN | $533,675 | $0 | $0 | $0 | $0 | $0 | $14,500 | $0 | $14,790 | $0 | $562,965 | $0 | $0 | $0 |
| TIMOTHY OCONNOR | ||||||||||||||
| PHYSICIAN | $465,658 | $0 | $44,709 | $0 | $0 | $0 | $14,500 | $0 | $18,665 | $0 | $543,532 | $0 | $0 | $0 |
| ZARA MASOOD | ||||||||||||||
| PHYSICIAN | $471,590 | $0 | $0 | $0 | $8,054 | $0 | $14,500 | $0 | $18,665 | $0 | $512,809 | $0 | $0 | $0 |
| DAVID JAHN | ||||||||||||||
| CEO | $376,820 | $0 | $0 | $0 | $335 | $0 | $14,500 | $0 | $6,450 | $0 | $398,105 | $0 | $0 | $0 |
| KEVIN KALCHIK | ||||||||||||||
| CFO | $234,186 | $0 | $0 | $0 | $9,220 | $0 | $17,069 | $0 | $18,665 | $0 | $279,140 | $0 | $0 | $0 |
| MARLA BUNKER | ||||||||||||||
| VP OF CLINICAL SERVICES | $196,761 | $0 | $0 | $0 | $7,867 | $0 | $15,248 | $0 | $14,790 | $0 | $234,666 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CEDAR STRAITS RADIOLOGY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | OWNED MORE THAN 35% BY RALPH DUMAN, A BOARD MEMBER | RelationshipDescriptionTxt |
| Transaction | $494,953 | TransactionAmt |
| Transaction | PAYMENT FOR PROFESSIONAL RADIOLOGIST | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FINANCE DEPARTMENT WORKS WITH THE APPROPRIATE DEPARTMENTS TO PROVIDE RELEVANT INFORMATION TO THE PREPARER OF THE 990 (AN OUTSIDE FIRM SPECIALIZING IN TAX PREPARATION). REVIEW AND DISCUSSION OF ALL INFORMATION TAKES PLACE BETWEEN THE FINANCE DEPARTMENT AND THE CFO. THE FORM 990 IS THEN PROVIDED TO THE FULL BOARD, BEFORE FILING, WHERE THEY ARE GIVEN AN OPPORTUNITY TO ASK QUESTIONS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST STATEMENT IS COMPLETED ANNUALLY FOR ALL BOARD MEMBERS AND SENIOR LEVEL ADMINISTRATION. ANY CONFLICTS WOULD BE REVIEWED AND KEPT UNDER CONSIDERATION ON AN ONGOING BASIS. BOARD MEMBERS AND ADMINISTRATION INFORM OR REMIND THE ATTENDEES IN THESE SITUATIONS AND ABSTAIN FROM BOTH DISCUSSION AND VOTE ON THE ITEM UNDER DISCUSSION. |
| FORM 990, PART VI, SECTION B, LINE 15 | MANAGEMENT: THE HOSPITAL IS COMMITTED TO COMPENSATING ALL EMPLOYEES AN EQUITABLE AND FAIR WAGE. THE HOSPITAL HAS CONSULTED AND CONTINUES TO WORK WITH AN INDEPENDENT SPECIALIST TO REVIEW ALL JOB DESCRIPTIONS TO ASSIST IN THE CLASSIFICATION OF WAGES BASED ON LOCAL, REGIONAL, AND NATIONAL STANDARDS. THE CLASSIFICATION AND COMPARISON OF LOCALITY IS BASED ON THE ABILITY TO RECRUIT AND TRAIN THE SPECIFIC JOB CLASSIFICATION. THIS SAME PROCESS IS FIRST UTILIZED FOR MANAGEMENT AND SENIOR LEADERS. IN ADDITION, SENIOR LEADERS ARE COMPARED TO THE MHA SURVEY THAT IS PUBLICIZED. ANY INCREASES IN SENIOR LEADERS IS PROPOSED BY THE PRESIDENT/CEO AND APPROVED BY THE BOARD OF TRUSTEES. THE CEO AND HUMAN RESOURCES DIRECTOR PROVIDES THE BOARD WITH CEO WAGE INFORMATION AND THE BOARD (CEO IS REQUESTED TO LEAVE THE MEETING AND IS NOT INVOLVED IN THE VOTE) APPROVES AND MAKES ANY CHANGES THAT ARE NECESSARY. THESE RECOMMENDATIONS ARE NOT ANNUAL AS THEY ARE ALSO BASED ON THE FINANCIAL PERFORMANCE OF THE HOSPITAL AND THE CONTRACTUAL ARRANGEMENT OF THE CEO. THESE RECOMMENDATIONS ARE FURTHER COMPARED TO LIKE SIZE" HOSPITAL'S WITHIN THE MHA SURVEY. HUMAN RESOURCES MONITORS THIS PROCESS ANNUALLY AT VARIOUS LEVELS AND WAS LAST COMPLETED IN 2021. PHYSICIANS: AS A RURAL HOSPITAL AND DESIGNATED AS UNDERSERVED, WAR MEMORIAL HOSPITAL HAS BEEN FACED WITH THE NEED TO EMPLOY PHYSICIANS IN ORDER TO RECRUIT AND RETAIN PROVIDERS TO MEET THE NEEDS OF THE COMMUNITY. THE NEEDS OF OUR COMMUNITY ARE BASED ON INDEPENDENT EVALUATIONS AND COMMUNITY SURVEYS. BASED ON THESE NEEDS THE HOSPITAL UTILIZES MGMA DATA BASED ON SPECIALTY FOR ALL PROVIDERS IN THE UNITED STATES. THIS DATA PROVIDES INFORMATION SUCH AS RELATIVE VALUE UNITS, ENCOUNTER, AND COMPENSATION. THE INFORMATION IS CLASSIFIED BY THE 25TH, MEDIAN, 75TH, AND 90TH PERCENTILE AND IS USED TO DESIGNATE THE PHYSICIAN COMPENSATION AS THE HOSPITAL ESTABLISHES COMPENSATION DURING RECRUITMENT AND RETENTION EFFORTS. MEDIAN BASED COMPENSATION IS MOST TYPICAL FOR PHYSICIAN CONTRACTS WITH THE ABILITY FOR THE PROVIDER TO EARN ADDITIONAL COMPENSATION BASED ON THEIR ACTUAL WORKLOAD/ PRODUCTIVITY (RVU AND ENCOUNTER) WITH NO RELATIONSHIP TO REFERRALS TO THE HOSPITAL. IN RETENTION CONTRACTS THE BASE COMPENSATION IS SOMETIMES INCREASED BASED ON HISTORICAL WORKLOADS/ PRODUCTIVITY AND BASED ON THE MARKET COMPETITIVENESS FOR THE RESPECTIVE SPECIALTY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE 990 AND THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE THROUGH A DISSEMINATION AGENT AND UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | DIETARY: PROGRAM SERVICE EXPENSES 13,363. MANAGEMENT AND GENERAL EXPENSES 635,747. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 649,110. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 11,496,520. MANAGEMENT AND GENERAL EXPENSES 2,503,634. FUNDRAISING EXPENSES 10. TOTAL EXPENSES 14,000,164. |
| FORM 990, PART XII, LINE 2C: | NO CHANGES FROM PRIOR YEAR. |