MYMICHIGAN MEDICAL CENTER ALPENA: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- MYMICHIGAN MEDICAL CENTER ALPENA (EIN 38-6000029)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-05-27
- IRS object ID
- 202031489349300403
- Schema version
- 2018v3.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-05-27T08:19:57-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | 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 | 27400 NORTHWESTERN HIGHWAY | AddressLine1Txt |
| City | SOUTHFIELD | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48034 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 386000029 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMICHIGAN MEDICAL CENTER - ALPENA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MIDM | BusinessNameControlTxt |
| Phone | 9898393181 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1501 W CHISHOLM ST | AddressLine1Txt |
| City | ALPENA | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49707 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FRANCINE M PADGETT | PersonNm |
| Person Title | SENIOR VP & CFO | PersonTitleTxt |
| Phone | 9898393181 | PhoneNum |
| Signature | 2020-05-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID LOWENTHAL | PreparerPersonNm |
| PTIN | P00378651 | PTIN |
| Phone | 2483522500 | PhoneNum |
| Preparation | 2020-05-26 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 198.140.228.10 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-05-27 | IPDt |
| IP Tm | 08:19:53 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 402863DE1D58B7813072FE90D1EBF7EA8F9C073D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHUCK SHERWIN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1501 W CHISHOLM ST | AddressLine1Txt |
| City | ALPENA | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49707 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $155,158,350 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MIDMICHIGAN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1940 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 995 | TotalEmployeeCnt |
| Total Volunteers | 150 | TotalVolunteersCnt |
| Total Gross UBI | $2,260,716 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $131,409,074 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $143,689,793 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,935,178 | PYInvestmentIncomeAmt |
| CY Investment Income | $477,200 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,741,870 | PYOtherRevenueAmt |
| CY Other Revenue | $1,211,509 | CYOtherRevenueAmt |
| PY Total Revenue | $141,086,122 | PYTotalRevenueAmt |
| CY Total Revenue | $145,378,502 | 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 | $67,148,628 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $61,431,230 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $69,115,292 | PYOtherExpensesAmt |
| CY Other Expenses | $67,773,392 | CYOtherExpensesAmt |
| PY Total Expenses | $136,263,920 | PYTotalExpensesAmt |
| CY Total Expenses | $129,204,622 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,822,202 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $16,173,880 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $135,111,227 | TotalAssetsBOYAmt |
| Total Assets EOY | $150,031,253 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $60,416,728 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $74,563,439 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $74,694,499 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $75,467,814 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $103,701,837 | ExpenseAmt |
| Revenue | $141,825,410 | RevenueAmt |
| Desc | MIDMICHIGAN MEDICAL CENTER - ALPENA'S PRIMARY LINE OF BUSINESS IS AN ACUTE CARE HOSPITAL PROVIDING BOTH INPATIENT AND OUTPATIENT SERVICES. FOR THE REPORTING PERIOD, WE PROVIDED 4,588 TOTAL ADMISSIONS INCLUDING 3,636 ACUTE CARE, 374 NEWBORNS, 442 PSYCHIATRIC AND 136 INPATIENT REHABILITATION PATIENTS. WE ALSO PROVIDED 18,730 VISITS IN OUR EMERGENCY ROOM, 9,775 OUTPATIENT SURGERY CASES AND 103,313 OTHER OUTPATIENT VISITS. CARE IS PROVIDED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. | Desc |
| Total Program Service Expenses | $103,701,837 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | 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 | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 995 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | FRANCINE M PADGETT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9898393181 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4000 WELLNESS DR | AddressLine1Txt |
| City | MIDLAND | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48670 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CHUCK SHERWIN | ||||||||
| PRESIDENT | 2.00 | 50.00 | Yes (X) | Yes (X) | $249,780 | $0 | $121,733 | |
| GREGORY ROGERS | ||||||||
| DIRECTOR | 2.00 | 64.00 | Yes (X) | $0 | $668,805 | $265,423 | ||
| JAMES ARBUCKLE | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES DECKER MD | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES FLORIP | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BEACH HALL | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID MEINHARDT MD | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ERIC SMITH | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARIE WILLIAMS | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD WILLIS MD | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DIANE POSTLER-SLATTERY | ||||||||
| DIRECTOR, PART-YEAR | 2.00 | 58.00 | Yes (X) | $0 | $1,005,371 | $196,197 | ||
| GEORGENE HILDEBRAND | ||||||||
| DIRECTOR, PART-YEAR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| FRANCINE PADGETT | ||||||||
| SENIOR VP & CFO | 2.00 | 68.00 | Yes (X) | $0 | $560,770 | $188,336 | ||
| DONNA RAPP | ||||||||
| SENIOR VP & SECRETARY | 2.00 | 64.00 | Yes (X) | $0 | $566,427 | $494,672 | ||
| JEFFREY DOBROSKI MD | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $829,740 | $0 | $45,349 | Yes (X) | ||
| WILLIAM HITZELBERGER DO | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $654,471 | $0 | $71,714 | Yes (X) | ||
| ABRAHAM SALACATA MD | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $591,525 | $0 | $18,962 | Yes (X) | ||
| SANJEEV ARORA MD | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $585,062 | $0 | $20,723 | Yes (X) | ||
| KARMON BJELLA | ||||||||
| PRESIDENT | 50.00 | 0.00 | $430,453 | $0 | $9,622 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,341,031 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,801,373 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,432,731 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 33 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MEDICARE/MEDICAID PAYMENTS | 621990 | $84,306,404 | $84,306,404 | |
| NET PATIENT REVENUE | 621990 | $53,966,023 | $53,966,023 | |
| SUBSIDIARY RELATED INC | 900099 | $2,408,183 | $2,408,183 | |
| RETAIL PHARMACY | 446110 | $1,884,500 | $1,884,500 | |
| CONTRACTED CLINICAL SERVICES | 621990 | $752,707 | $752,707 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $371,976 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $371,976 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $143,689,793 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $535,364 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$207,238 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $742,602 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $114,808 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $29,093 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $85,715 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $85,715 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $4,240 | UnrelatedBusinessRevenueAmt |
| Exclusion | $81,475 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,692,591 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,678,374 | SecuritiesAmt |
| Other | $72,381 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $14,217 | SecuritiesAmt |
| Other | -$72,381 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$58,164 | TotalRevenueColumnAmt |
| Exclusion | -$58,164 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA/FOOD SERVICE | 722514 | $526,463 | $526,463 | |
| JOINT VENTURE INCOME | 900099 | $247,946 | $247,946 | |
| MEDICAL RECORDS INCOME | 323100 | $56,626 | $56,626 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $294,759 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $294,759 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,125,794 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $145,378,502 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $141,825,410 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,260,716 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,292,376 | 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 | $305,943 | TotalAmt |
| Management And General | $305,943 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,113,979 | TotalAmt |
| Program Services | $37,805,460 | ProgramServicesAmt |
| Management And General | $8,308,519 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,448,407 | TotalAmt |
| Program Services | $3,603,210 | ProgramServicesAmt |
| Management And General | $845,197 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,461,836 | TotalAmt |
| Program Services | $6,044,087 | ProgramServicesAmt |
| Management And General | $1,417,749 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,101,065 | TotalAmt |
| Program Services | $2,511,863 | ProgramServicesAmt |
| Management And General | $589,202 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,980 | TotalAmt |
| Management And General | $56,980 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,772,026 | TotalAmt |
| Program Services | $17,310,634 | ProgramServicesAmt |
| Management And General | $8,461,392 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,077 | TotalAmt |
| Program Services | $11,034 | ProgramServicesAmt |
| Management And General | $6,043 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,855,035 | TotalAmt |
| Program Services | $24,748,751 | ProgramServicesAmt |
| Management And General | $1,106,284 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,100 | TotalAmt |
| Program Services | $25,100 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,706,066 | TotalAmt |
| Program Services | $259,623 | ProgramServicesAmt |
| Management And General | $1,446,443 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $365,703 | TotalAmt |
| Program Services | $323,397 | ProgramServicesAmt |
| Management And General | $42,306 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,190 | TotalAmt |
| Program Services | $41,866 | ProgramServicesAmt |
| Management And General | $29,324 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,270,637 | TotalAmt |
| Program Services | $4,216,510 | ProgramServicesAmt |
| Management And General | $1,054,127 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,861,262 | TotalAmt |
| Program Services | $32,940 | ProgramServicesAmt |
| Management And General | $1,828,322 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAL SUPPLIES | Desc |
| Total | $6,772,316 | TotalAmt |
| Program Services | $6,767,362 | ProgramServicesAmt |
| Management And General | $4,954 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,204,622 | TotalAmt |
| Program Services | $103,701,837 | ProgramServicesAmt |
| Management And General | $25,502,785 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,969,398 | BOYAmt |
| EOY | $3,296 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,148,829 | BOYAmt |
| EOY | $335,951 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,733,150 | BOYAmt |
| EOY | $14,492,735 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,907,086 | BOYAmt |
| EOY | $2,320,786 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,208,018 | BOYAmt |
| EOY | $963,700 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $83,988,901 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,823,588 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,168,374 | BOYAmt |
| EOY | $68,165,313 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,361,310 | BOYAmt |
| EOY | $18,804,029 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,065,506 | BOYAmt |
| EOY | $42,003,124 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,549,556 | BOYAmt |
| EOY | $2,942,319 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,111,227 | BOYAmt |
| EOY | $150,031,253 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,431,395 | BOYAmt |
| EOY | $8,035,505 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $4,331 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,985,333 | BOYAmt |
| EOY | $66,523,603 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,416,728 | BOYAmt |
| EOY | $74,563,439 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,924,099 | BOYAmt |
| EOY | $74,697,414 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $770,400 | BOYAmt |
| EOY | $770,400 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,694,499 | BOYAmt |
| EOY | $75,467,814 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,111,227 | BOYAmt |
| EOY | $150,031,253 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $16,173,880 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,236,883 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$17,637,448 | 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 | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,370,000 | OtherCostOrOtherBasisAmt |
| Book Value | $2,370,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $64,612,200 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,945,176 | DepreciationAmt |
| Book Value | $54,667,024 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $745,648 | OtherCostOrOtherBasisAmt |
| Depreciation | $310,162 | DepreciationAmt |
| Book Value | $435,486 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,575,518 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,568,250 | DepreciationAmt |
| Book Value | $9,007,268 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,685,535 | OtherCostOrOtherBasisAmt |
| Book Value | $1,685,535 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $68,165,313 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (7 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| HEDGE FUNDS | $2,743,575 | F |
| BLACKROCK DOMESTIC | $10,238,504 | F |
| PARAMETRIC GLOBAL | $2,754,563 | F |
| ALLIANZ GLOBAL | $2,836,896 | F |
| BLACKROCK INTERNATIONAL | $10,957,679 | F |
| BLACKROCK FIXED | $6,110,007 | F |
| CLARION & CORNERSTONE | $6,361,900 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $42,003,124 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PENSION & POST RETIREMENT | $59,227,660 |
| SELF INSURANCE, DEFERRED COMP, OTHER | $7,295,943 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $66,523,603 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| 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 | 0 | ExpensesExceedBudgetInd |
| 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 | $990,452 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $990,452 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00770 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $21,688,031 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,716,164 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,971,867 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02300 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $22,678,483 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,716,164 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,962,319 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03070 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 62 | ActivitiesOrProgramsCnt |
| Persons Served | 555561 | PersonsServedCnt |
| Total Community Benefit Expns | $84,912 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $665 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $84,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 55 | ActivitiesOrProgramsCnt |
| Persons Served | 215 | PersonsServedCnt |
| Total Community Benefit Expns | $246,428 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $246,428 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 74 | PersonsServedCnt |
| Total Community Benefit Expns | $7,970 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,970 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 240 | ActivitiesOrProgramsCnt |
| Persons Served | 251 | PersonsServedCnt |
| Total Community Benefit Expns | $81,321 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $81,321 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 362 | ActivitiesOrProgramsCnt |
| Persons Served | 556101 | PersonsServedCnt |
| Total Community Benefit Expns | $420,631 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $665 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $419,966 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 363 | ActivitiesOrProgramsCnt |
| Persons Served | 556101 | PersonsServedCnt |
| Total Community Benefit Expns | $23,099,114 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,716,829 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,382,285 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03400 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1 | PersonsServedCnt |
| Total Community Benefit Expns | $70 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $70 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 15 | ActivitiesOrProgramsCnt |
| Persons Served | 226 | PersonsServedCnt |
| Total Community Benefit Expns | $211 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $211 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 2 | PersonsServedCnt |
| Total Community Benefit Expns | $392 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $392 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 19 | ActivitiesOrProgramsCnt |
| Persons Served | 229 | PersonsServedCnt |
| Total Community Benefit Expns | $673 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $673 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,105,173 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $205,259 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $50,914,100 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $54,608,036 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,693,936 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 NE MI CANCER CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | RADIATION ONCOLOGY DIAGNOSIS & TREATMENT | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.50000 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.00000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | MIDMICHIGAN MEDICAL CENTER - ALPENA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1501 W CHISHOLM ST | AddressLine1Txt |
| City | ALPENA | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49707 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MIDMICHIGAN.ORG | WebsiteAddressTxt |
| State License | 1060000019 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | INPATIENT PSYCHIATRIC & REHAB | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMICHIGAN MEDICAL CENTER - ALPENA | 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 | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SCHEDULE H, PART VI | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SCHEDULE H, PART VI | 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 |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| 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 | SEE SCHEDULE H, PART VI | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SCHEDULE H, PART VI | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE SCHEDULE H, PART VI | 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 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 |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 5 | A. WE HAVE BEEN MEMBERS OF THE NORTHERN MICHIGAN CHRONIC DISEASE COORDINATING NETWORK AND THE NORTHERN MICHIGAN REGIONAL DIABETES PREVENTION PROGRAM NETWORK. WE ALSO HAVE PARTNERED WITH THE LOCAL HEALTH DEPARTMENT FOR HEALTH FAIRS.B. WE ARE WORKING WITH LOCAL PUBLIC SAFETY AS A PARTNER WITH OTHER GROUPS TO REFER PARENTS TO RECEIVE CAR SEATS. WE PARTNER WITH LOCAL LAW ENFORCEMENT REGARDING EDUCATION OF HOSPITAL POLICY AND PROCEDURES FOR INMATES IN THE HOSPITAL. WE ARE PARTNERED WITH THE LOCAL SEXUAL ABUSE PREVENTION TEAM TO ASSIST WITH POLICIES AND PROCEDURES IN OUR HOSPITAL WHEN PRESENTED WITH A SEXUAL ASSAULT VICTIM. WE ALSO HAVE COORDINATED WITH LOCAL FIRE STATION STAFF FOR AMERICAN HEART ASSOCIATION TRAINING.C. WE HAVE PARTNERED WITH CHURCHES TO COMMUNICATE COMMUNITY HEALTH PROGRAMS.D. WE HAVE PARTNERED WITH PRESCHOOLS AND ELEMENTARY SCHOOLS TO IMPLEMENT 5210 EDUCATION A PROGRAM AIMED AT INCREASING PROPER NUTRITION AND INCREASED EXERCISE.E. EXCHANGE INFORMATION AND SHARE RESOURCES FOR A SIMILAR MISSION TO ENHANCE THE CAPACITY OF THE OTHER PARTNER. FORMAL ALLIANCE FORMALIZED PARTNERSHIP (BINDING AGREEMENT) AMONG MULTIPLE ORGANIZATIONS WITH MERGED INITIATIVES, COMMON GOALS AND METRICS. |
| PART V, SECTION B, LINE 11 | AS A RESULT OF THE CHNA, TOBACCO CESSATION, OBESITY PREVENTION, AND PHYSICAL INACTIVITY WERE FOUND TO BE THE GREATEST EXPRESSED NEEDS OF THE COMMUNITY. TO ADDRESS THESE NEEDS THE FOLLOWING WAS EXECUTED:- INCREASE PARTICIPATION IN SMOKING CESSATION PROGRAMS THROUGH PHYSICAN BASED INTERVENTIONS, INCREASE COMMUNITY OUTREACH TO RAISE AWARENESS OF TOBACCO CESSATION SERVICES, AND BY OFFERING THE AMERICAN CANCER SOCIETY'S FREEDOM FROM SMOKING TOBACCO CESSATION PROGRAM.- IMPLEMENTATION OF A PATIENT POPULATION MANAGEMENT PROGRAM, A PILOT PROGRAM THAT SOUGHT TO LEARN FROM UNDERSTANDING AND ENGAGING ITS OWN EMPLOYEE/SPOUSE POPULATION TO PILOT STRATEGIES IN AN EFFORT TO GET CLOSER TO A TRUE POPULATION HEALTH MANAGEMENT PHILOSOPHY. THE HOSPITAL COMPARED A TEST GROUP FROM ITS POPULATION BY OFFERING SPECIALIZED COACHING IN FOUR SEPARATE AREAS: HEALTH, SPIRITUAL, PHYSIO-SOCIAL, AND FINANCIAL. THESE INDIVIDUALS WERE SELECTED FROM VOLUNTARY APPLICANTS AND PROVIDED TWO INDIVIDUALIZED SESSIONS PER MONTH OVER A 12 MONTH PERIOD. THESE SESSIONS WERE FINANCIALLY SUPPORTED BY THE HOSPITAL IN EXCHANGE FOR THE SELECTED APPLICANTS AGREEING TO ATTEND SESSIONS AND REASONABLY FOLLOW THROUGH WITH COLLABORATIVE RECOMMENDATIONS MADE BY EACH RESPECTIVE COACH. THE GOAL OF THIS PROGRAM IS TO CREATE AN ENVIRONMENT FOR AN INDIVIDUAL THAT IS SPECIFIC TO THEIR NEEDS AND MEETS ALL FOUR CORNERSTONES OF TOTAL WELL-BEING. THE INITIAL GOAL OF THIS PILOT IS 50 EMPLOYEES/SPOUSES. PROGRAM DETAILS, APPLICATION PROCESS, AND MEASUREMENT WERE RECOMMENDED THROUGH THE EMPLOYEE HEALTH AND SAFETY VALUE STREAM WHICH FALLS UNDER TEAMWORK ON THE ARMC PRODUCTION SYSTEM. |
| PART V, SECTION B, LINE 13H | PATIENTS RELIGIOUS BELIEFS PREVENT HIM/HER FROM PARTICIPATING DIRECTLY WITH AN INSURANCE COMPANY. |
| PART V, SECTION B, LINES 7A AND 10B | HTTPS://WWW.MIDMICHIGAN.ORG/ABOUT/COMMUNITY-BENEFITS/CHNA/ |
| PART V, SECTION B, LINES 16A, 16B, 16C | WWW.MIDMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/PATIENT-NOTICE-OF-FINANCIAL-AID/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 14 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - CARDIOLOGY ASSOCIATES | ||||
| 460 LONG RAPIDS PLAZA | ALPENA | MI | 49707 | PHYSICIAN CLINIC |
| 2 - ORTHOPAEDIC ASSOCIATES | ||||
| 401 LONG RAPIDS PLAZA | ALPENA | MI | 49707 | PHYSICIAN CLINIC |
| 3 - HOME CARE & PRIVATE DUTY | ||||
| 1521 W CHISHOLM ST | ALPENA | MI | 49707 | HOME CARE ADMIN OFFICES |
| 4 - ALPENA HOME MEDICAL EQUIPMENT | ||||
| 232 RIVER STREET | ALPENA | MI | 49707 | HOME MEDICAL EQUIPMENT |
| 5 - OSCODA REHABILITATION SERVICES | ||||
| 5671 N SKEEL AVE STE 40 | OSCODA | MI | 48750 | REHABILITATION SERVICES |
| 6 - PHYSICAL MEDICINE AND REHABILITATION | ||||
| 393 LONG RAPIDS ROAD | ALPENA | MI | 49707 | PHYSICIAN CLINIC |
| 7 - ROGERS CITY REHABILITATION SERVICES | ||||
| 201 S BRADLEY HWY | ROGERS CITY | MI | 49779 | REHABILITATION SERVICES |
| 8 - OSSINKE PHARMACY | ||||
| 11745 US 23 SOUTH | OSSINEKE | MI | 49766 | OUTPATIENT PHARMACY |
| 9 - ATLANTA REHABILITATION SERVICES | ||||
| 11899 M-32 WEST | ATLANTA | MI | 49709 | REHABILITATION SERVICES |
| 10 - ALPENA OPHTHAMOLOGY | ||||
| 346 LONG RAPIDS PLAZA | ALPENA | MI | 49707 | PHYSICIAN CLINIC |
| 11 - ATLANTA HOME MEDICAL EQUIPMENT | ||||
| 12674 JEROME ST PO BOX 85 | ATLANTA | MI | 49709 | HOME MEDICAL EQUIPMENT |
| 12 - OSCODA HOME MEDICAL EQUIPMENT | ||||
| 109 EVERGREEN | OSCODA | MI | 49750 | HOME MEDICAL EQUIPMENT |
| 13 - REHABILITATION SERVICES | ||||
| 177 N BARLOW ROAD | LINCOLN | MI | 48742 | REHABILITATION SERVICES |
| 14 - RADIOLOGY SERVICES | ||||
| 555 N BRADLEY HWY | ROGERS CITY | MI | 49779 | IMAGING SERVICES |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II, COMMUNITY BUILDING ACTIVITIES: | COALITION BUILDING: TO PROMOTE THE HEALTH OF THE COMMUNITY, MIDMICHIGAN MEDICAL CENTER-ALPENA STAFF PARTICIPATED IN THE FOLLOWING COALITIONS AND COMMUNITY GROUPS IN FY19: HUMAN SERVICES COORDINATING COUNCILS (ALPENA AND OSCODA): THE COMMUNITY HEALTH SPECIALIST ATTENDED THE ALPENA AND OSCODA HUMAN SERVICES COUNCIL MEETINGS TO PROMOTE HEALTH THROUGH INTERAGENCY COLLABORATION. AS THE VICE CHAIR OF THE ALPENA HUMAN SERVICES COORDINATING COUNCIL, THE COMMUNITY HEALTH SPECIALIST HELPED TO PROMOTE HEALTH IN ALPENA COUNTY BY SHARING INFORMATION THROUGH TRADITIONAL COMMUNICATION CHANNELS AND SOCIAL MEDIA PLATFORMS TO BREAKDOWN SILOS. SUNRISE SIDE BREASTFEEDING COALITION: THE SUNRISE SIDE BREASTFEEDING COALITION WAS ESTABLISHED IN PARTNERSHIP WITH DISTRICT HEALTH DEPARTMENT #4 TO PROMOTE BREASTFEEDING IN ALPENA, CHEBOYGAN, MONTMORENCY, AND PRESQUE ISLE COUNTIES. DURING THE COALITION'S INAUGURAL YEAR, MIDMICHIGAN HEALTH STAFF WORKED TO ADVANCE WORKPLACE BREASTFEEDING RIGHTS, IDENTIFICATION OF BREASTFEEDING FRIENDLY BUSINESSES, AND HOSTED A BIG LATCH EVENT THAT WAS HELD IN AUGUST 2018. ALPENA-MONTMORENCY-ALCONA GREAT START COLLABORATIVE: IN EFFORTS TO PROMOTE MATERNAL AND INFANT HEALTH OUTCOMES IN THE ALPENA SERVICE AREA, MIDMICHIGAN HEALTH PARTICIPATED IN MATERNAL TOBACCO CESSATION WORKGROUP OF THE ALPENA-MONTMORENCY-ALCONA GREAT START COLLABORATIVE.NORTHERN MICHIGAN PERINATAL NETWORK: IN EFFORTS TO REDUCE THE MATERNAL TOBACCO PRODUCT USAGE RATE IN THE ALPENA SERVICE AREA, MIDMICHIGAN HEALTH PARTICIPATED IN THE SCRIPT WORKGROUP. NORTHERN MICHIGAN CHRONIC DISEASE COORDINATING NETWORK: NORTHERN MICHIGAN CHRONIC DISEASE COORDINATING NETWORK AIMS TO IMPLEMENT ENVIRONMENTAL AND POLICY CHANGE EFFORTS TO FIGHT THE ADVANCES OF CHRONIC DISEASE IN NORTHERN MICHIGAN. MIDMICHIGAN HEALTH STAFF AIDED IN THIS EFFORT BY HELPING TO REFINE THE NETWORK'S WORK PLAN AND IDENTIFY LOCAL SUPPORTS AVAILABLE. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: MIDMICHIGAN MEDICAL CENTER-ALPENA EMPLOYEES PARTICIPATED IN COMMUNITY BOARDS FOR LOCAL NON-PROFIT AGENCIES INCLUDING FEDERALLY QUALIFIED HEALTH CENTERS AND THE UNITED WAY IN FY 2019. IN ADDITION, EMPLOYEES PARTICIPATED IN LOCAL CIVIC ORGANIZATIONS AND COMMUNITY COALITIONS INCLUDING: LOCAL WORKFORCE DEVELOPMENT COALITION, LIONS CLUB, ALPENA ROTARY, ZONTA CLUB OF ALPENA, ALPENA HEALTH AND HUMAN SERVICES COORDINATING COUNCIL, CHILD ABUSE AND NEGLECT TEAM, GREAT START COLLABORATIVE, KNIGHTS OF COLUMBUS, ALPENA BABY PANTRY, AND THE ALPENA BOOSTERS CLUB. WORKFORCE DEVELOPMENT: IN EFFORTS TO INCREASE FUTURE MEDICAL PROFESSIONALS, VARIOUS DEPARTMENTS WITHIN MIDMICHIGAN MEDICAL CENTER-ALPENA PARTICIPATED IN ALPENA COMMUNITY COLLEGE BUSINESS INFORMATION SYSTEMS ADVISORY COMMITTEE. IN ADDITION, MIDMICHIGAN MEDICAL CENTER-ALPENA HAS PARTNERED WITH ALPENA COMMUNITY COLLEGE TO DEVELOP A STERILIZATION TECHNICIAN PROGRAM TO ALLEVIATE THE SHORTAGE OF TRAINED PRESENT THROUGHOUT THE GREATER NORTHEAST MICHIGAN REGION. |
| PART III, LINE 2: | BAD DEBT EXPENSE METHODOLOGY:OTHER UNCOMPENSATED CARE REPRESENTS THE COST OF SERVICES PROVIDED FOR WHICH PAYMENT IS EXPECTED AT THE TIME SERVICE IS PROVIDED, BUT PAYMENT IS NOT RECEIVED OR IS LESS THAN THE COST INCURRED TO PROVIDE THE SERVICE. THE FOLLOWING IS INCLUDED AS PROGRAMS AND SERVICES RELATED TOOTHER UNCOMPENSATED CARE: UNCOMPENSATED SERVICES, AT COST REPRESENTS THE COST OF SERVICES PROVIDED FOR WHICH A FEE HAS BEEN ASSESSED BUT NOT COLLECTED OR ONLY A PORTION OF THE COST OF THE RENDERED SERVICE HAS BEEN RECOVERED.COSTING METHODOLOGY:AN AVERAGE COST-TO-CHARGE RATIO IS APPLIED TO THE CHARGE WRITE-OFF. THE RATIO IS CALCULATED BY REMOVING FROM TOTAL EXPENSE THE OTHER OPERATING INCOME, UNCOMPENSATED CARE EXPENSE AND THE DIRECTLY ASSIGNED MEDICAID ASSESSMENT EXPENSE, THEN DIVIDING THIS NET EXPENSE BY TOTAL GROSS PATIENT REVENUES. THIS RATIO IS MULTIPLIED WITH THE CHARITY CARE CHARGES AND UNCOMPENSATED CARE CHARGES WRITTEN OFF FOR THE RELATED EXPENSE. |
| PART III, LINE 3: | THE BAD DEBT COST WAS REVIEWED BY THE HOSPITAL'S REVENUE CYCLE TEAM AND THE AMOUNT OF BAD DEBT ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS WHO WOULD HAVE QUALIFIED UNDER OUR CHARITY CARE PROGRAM IS 5% OF TOTAL BAD DEBTS. |
| PART III, LINE 4: | PAGE 8 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS |
| PART III, LINE 8 | THE SOCIAL SECURITY ACT AMENDMENT TO ESTABLISH MEDICARE STATES THAT MEDICARE WILL NOT PAY THE COST TO PROVIDE CARE TO NON-BENEFICIARIES AND NON-BENEFICIARIES WILL NOT PAY THE COST OF CARE FOR BENEFICIARIES. WHEN MEDICARE DOES NOT PAY RATES THAT COVER ALL THE COST OF CARE FORBENEFICARIES, IT BECOMES A COMMUNITY BURDEN. THEREFORE, THE FULL AMOUNT OF SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT.THIS ORGANIZATION BELIEVES THE AUDITED FINANCIAL STATEMENT CALCULATION IS A MORE ACCURATE DETERMINATION OF COST THAN THE MEDICARE ALLOWABLE COSTS USED FOR COST REPORTS THAT ARE REQUIRED TO BE UTILIZED ON THIS SCHEDULE IN PART III, SECTION B. THE AUDITED FINANCIAL STATEMENTSINCLUDE ALL MEDICARE REVENUES AND COSTS AND ALSO USE A COST-TO-CHARGE RATIO METHOD. |
| PART III, LINE 9B | MIDMICHIGAN HEALTH DOES NOT TRY TO COLLECT FROM THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. MIDMICHIGAN HEALTH'S POLICY STATES THAT THE PURPOSE OF THE POLICY "IS TO PROVIDE COST EFFECTIVE PAYMENT OPTIONS TO PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE (PER FINANCIAL AID/CHARITY CARE POLICY) AND EITHER HAVE NO INSURANCE OR HAVE A BALANCE AFTER INSURANCE WHICH IS THEIR RESPONSIBILITY TO PAY." |
| PART VI, LINE 2: | IN FY 2018, THE BOARD OF DIRECTORS FOR MIDMICHIGAN MEDICAL CENTER-ALPENA APPROVED THE COMMUNITY HEALTH NEEDS ASSESSMENT ON JUNE 26, 2018. THE IMPLEMENTATION PLAN RESULTING FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS LATER APPROVED BY MIDMICHIGAN MEDICAL CENTER-ALPENA'S BOARD OF DIRECTORS ON OCTOBER 30, 2018. THE COMPLETED CHNA AND IMPLEMENTATION PLAN CAN BE ACCESSED BY THE PUBLIC ON THE MIDMICHIGAN HEALTH WEBSITE AT: HTTPS://WWW.MIDMICHIGAN.ORG/APP/FILES/PUBLIC/30845/ALPENA-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDFIN ADDITION TO THE AFOREMENTIONED, THE COMMUNITY HEALTH SPECIALIST PARTICIPATED IN 31-COUNTRY REGIONAL CHNA (MITHRIVE) LED BY NORTHERN MICHIGAN PUBLIC HEALTH ALLIANCE. AS PART OF THE COMMUNITY HEALTH SPECIALIST WAS AN EXECUTIVE AND PLANNING COMMITTEE MEMBER AND AIDED IN EXECUTION OF COMMUNITY ENGAGEMENT ACTIVITIES. |
| PART VI, LINE 3: | THE PUBLIC IS MADE AWARE OF OUR FINANCIAL ASSISTANCE POLICY: THROUGH BROCHURES AVAILABLE AT ALL MIDMICHIGAN MEDICAL CENTER-ALPENA OFFICES, BY PATIENT ACCOUNTING COUNSELORS AND SOCIAL WORKERS, AND ON THE PATIENT AND FINANCIAL ASSISTANCE PROGRAM WEBPAGE ON OUR WEBSITE (HTTPS://WWW.MIDMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/PATIENT-NOTICE-OF-FINANCIAL-AID/). |
| PART VI, LINE 4: | MIDMICHIGAN MEDICAL CENTER-ALPENA IS LOCATED WITHIN ALPENA, MICHIGAN. AS RURAL COMMUNITY HOSPITAL, MIDMICHIGAN MEDICAL CENTER-ALPENA PROVIDES MEDICAL CARE TO ALCONA, ALPENA, MONTMORENCY, AND PRESQUE ISLE COUNTY; COMPRISED OF THE FOLLOWING 23 ZIP CODES: 49707 (ALPENA), 49744 (HERRON), 49747 (HUBBARD LAKE), 49753 (LACHINE), 49766 (OSSINEKE), 48705 (BARTON CITY), 48721 (BLACK RIVER), 48728 (CURRAN), 48737 (GLENNIE), 48738 (GREENBUSH), 48740 (HARRISVILLE), 48742 (LINCOLN), 48745 (MIKADO), 48762 (SPRUCE), 49709 (ATLANTA), 49746 (HILLMAN), 49756 (LEWISTON), 49743 (HAWKS), 49759 (MILLERSBURG), 49765 (ONAWAY), 49776 (POSEN), 49777 (PRESQUE ISLE), AND 49779 (ROGERS CITY).COMMUNITY DEMOGRAPHICS - ALPENA COUNTY:ACCORDING TO COUNTY HEALTH RANKINGS THERE ARE 28,929 RESIDENTS IN ALPENA COUNTY. OF THOSE, 19.5 PERCENT ARE UNDER 18 YEARS OF AGE AND 21.6 PERCENT ARE 65 AND OLDER. THE MEDIAN AGE IS 47.3 YEARS OLD. THE FOLLOWING IS THE RACIAL COMPOSITION OF ALPENA COUNTY: 96.9 PERCENT ARE WHITE ALONE, 0.5 PERCENT ARE AFRICAN AMERICAN/BLACK ALONE, 0.6 PERCENT ARE NATIVE AMERICAN AND ALASKA NATIVE ALONE, 0.6 PERCENT ARE ASIAN ALONE, 0.1 PERCENT NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER ALONE, AND 1.3 PERCENT ARE MULTIPLE RACES. ACCORDING THE TO THE UNITED STATES CENSUS BUREAU'S ETHNICITY ESTIMATES, 1.4 PERCENT OF THE ALPENA COUNTY RESIDENTS IDENTIFY AS HISPANIC OR LATINO. COMMUNITY DEMOGRAPHICS - ALCONA COUNTY:ACCORDING TO COUNTY HEALTH RANKINGS THERE ARE 10,461 RESIDENTS IN ALCONA COUNTY. OF THOSE, 13.3 PERCENT ARE UNDER 18 YEARS OF AGE AND 34.4 PERCENT ARE 65 AND OLDER. THE MEDIAN AGE IS 57.4 YEARS OLD. THE FOLLOWING IS THE RACIAL COMPOSITION OF ALCONA COUNTY: 97.1% PERCENT ARE WHITE ALONE, 0.5 PERCENT ARE AFRICAN AMERICAN/BLACK ALONE, 0.7 PERCENT ARE AMERICAN AND ALASKA NATIVE ALONE, 0.4 PERCENT ARE ASIAN ALONE, 0.1 PERCENT NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER ALONE, AND 1.2 PERCENT ARE MULTIPLE RACES. ACCORDING THE TO THE UNITED STATES CENSUS BUREAU'S ETHNICITY ESTIMATES, 1.6 PERCENT OF THE ALCONA COUNTY RESIDENTS IDENTIFY AS HISPANIC OR LATINO. COMMUNITY DEMOGRAPHICS - MONTMORENCY COUNTY:ACCORDING TO COUNTY HEALTH RANKINGS THERE ARE 9,317 RESIDENTS IN MONTMORENCY COUNTY. OF THOSE, 15.1 PERCENT ARE UNDER 18 YEARS OF AGE AND 29.4 PERCENT ARE 65 AND OLDER. THE MEDIAN AGE IS 55 YEARS OLD. THE FOLLOWING IS THE RACIAL COMPOSITION OF MONTMORENCY COUNTY: 96.8% PERCENT ARE WHITE ALONE, 0.5 PERCENT ARE AFRICAN AMERICAN/BLACK ALONE, 0.7 PERCENT ARE AMERICAN AND ALASKA NATIVE ALONE, 0.2 PERCENT ARE ASIAN ALONE, NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER ALONE*, AND 1.7 PERCENT ARE MULTIPLE RACES. ACCORDING THE TO THE UNITED STATES CENSUS BUREAU'S ETHNICITY ESTIMATES, 1.3 PERCENT OF THE MONTMORENCY COUNTY RESIDENTS IDENTIFY AS HISPANIC OR LATINO. *ACCORDING TO THE UNITED STATES CENSUS BUREAU'S, THE "VALUE IS GREATER THAN ZERO BUT LESS THAN HALF UNIT OF MEASURE SHOWN; MEANING THE INDIVIDUALS REPRESENTING THIS ETHIC GROUP COMPRISE LESS THAN 0.1 PERCENT OF THE TOTAL POPULATION.COMMUNITY DEMOGRAPHICS - PRESQUE ISLE COUNTY:ACCORDING TO COUNTY HEALTH RANKINGS THERE ARE 12,955 RESIDENTS IN PRESQUE ISLE COUNTY. OF THOSE, 16.5 PERCENT ARE UNDER 18 YEARS OF AGE AND 29.0 PERCENT ARE 65 AND OLDER. THE MEDIAN AGE IS 53.9 YEARS OLD. THE FOLLOWING IS THE RACIAL COMPOSITION OF PRESQUE ISLE COUNTY: 96.7% PERCENT ARE WHITE ALONE, 0.6 PERCENT ARE AFRICAN AMERICAN/BLACK ALONE, 1.0 PERCENT ARE AMERICAN AND ALASKA NATIVE ALONE, 0.6 PERCENT ARE ASIAN ALONE, NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER ALONE*, AND 1.1 PERCENT ARE MULTIPLE RACES. ACCORDING THE TO THE UNITED STATES CENSUS BUREAU'S ETHNICITY ESTIMATES, 1.5 PERCENT OF THE MONTMORENCY COUNTY RESIDENTS IDENTIFY AS HISPANIC OR LATINO. *ACCORDING TO THE UNITED STATES CENSUS BUREAU'S, THE "VALUE IS GREATER THAN ZERO BUT LESS THAN HALF UNIT OF MEASURE SHOWN; MEANING THE INDIVIDUALS REPRESENTING THIS ETHIC GROUP COMPRISE LESS THAN 0.1 PERCENT OF THE TOTAL POPULATION. |
| PART VI, LINE 5: | MIDMICHIGAN MEDICAL CENTER-ALPENA REACHED 562,687 PEOPLE AND SPENT $426,945 ON COMMUNITY BENEFIT PROGRAMS IN FISCAL YEAR 2019. OVER $2,965 WAS SPENT TO PROVIDE GENERAL COMMUNITY HEALTH EDUCATION AT COMMUNITY EVENTS AND HEALTH FAIRS THROUGHOUT NORTHEAST MICHIGAN FOR 1,536 PEOPLE ON TOPICS LIKE CPR/FIRST AID, DEPRESSION, DIABETES PREVENTION, VACCINATIONS, BREASTFEEDING PROMOTION, AND TRAUMA PREVENTION.IN ADDITION TO COMMUNITY EDUCATION EVENTS, MIDMICHIGAN MEDICAL CENTER-ALPENA PROVIDED: EDUCATION TO 553,228 COMMUNITY MEMBERS THROUGH ITS SOCIAL MEDIA PLATFORMS AND E-NEWSLETTERS ON OBESITY, MENTAL HEALTH, MATERNAL INFANT HEALTH, CANCER, HEART AND VASCULAR HEALTH, AND DIABETES. THE AMERICAN LUNG ASSOCIATION FREEDOM FROM SMOKING, A TOBACCO CESSATION PROGRAM, TO THREE COHORTS AND SUCCESSFULLY HELPED 22 PEOPLE QUIT SMOKING. A NEW SUPPORT GROUP FOR PERSONS WITH TRAUMATIC BRAIN INJURY AND THEIR FAMILY MEMBERS WAS LAUNCHED IN JANUARY 2019 IN PARTNERSHIP WITH THE MICHIGAN BRAIN INJURY NETWORK, WHICH PROVIDED SUPPORT TO 48 COMMUNITY MEMBERS. ONLINE HEALTH RISK ASSESSMENTS FOR COLORECTAL CANCER, JOINT HEALTH, BREAST CANCER, HEART HEALTH, AND LUNG HEALTH TO MORE THAN 658 COMMUNITY MEMBERS $81,000 TO SUPPORT LOCAL COMMUNITY ORGANIZATIONS EFFORTS TO PROMOTE HEALTH WITHIN OUR COMMUNITIES. MORE THAN 215 FUTURE MEDICAL PROFESSIONALS (MEDICAL, NURSING, AND OTHER STUDENTS) WITH INTERNSHIP/EDUCATIONAL OPPORTUNITIES. IN-KIND FINANCIAL DONATIONS TO COMMUNITY ORGANIZATIONS (EXP. ALCOHOLIC ANONYMOUS, NARCOTICS ANONYMOUS) THROUGH USE OF MEETING ROOMS AND SPACES. $1,877 WAS SPENT DEVELOPING THE IMPLEMENTATION PLAN RESULTING FROM MIDMICHIGAN MEDICAL CENTER ALPENA 2018 COMMUNITY HEALTH NEEDS ASSESSMENT AND PARTICIPATION IN THE MITHRIVE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY THE NORTHERN MICHIGAN PUBLIC HEALTH ALLIANCE. FUNDING TO SUPPORT A FULL-TIME COMMUNITY BENEFITS STAFF PERSON. |
| PART VI, LINE 6: | A TOTAL OF $426,945 IN COMMUNITY BENEFITS WAS PROVIDED BY MIDMICHIGAN MEDICAL CENTER - ALPENA IN FISCAL YEAR 2019 THROUGH COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE, INCLUDING INSURANCE UNDER-REIMBURSEMENTS AND SERVICES TO THOSE WHO COULD NOT PAY. DURING FISCAL YEAR 2019, OVER $90 MILLION IN COMMUNITY BENEFITS WAS PROVIDED BY MIDMICHIGAN HEALTH TO THE COMMUNITIES IT SERVES. MIDMICHIGAN HEALTH COMMUNITY HEALTH STAFF CONTINUED TO MAKE A CONCENTRATED EFFORT THIS FISCAL YEAR TO CONNECT PEOPLE TO PHYSICIANS AND NEEDED HEALTH SERVICES. CONTACT INFORMATION FOR SERVICES WERE TAKEN TO EACH SCREENING AND COMMUNITY OUTREACH EVENT AND PROVIDED AT THE TIME OF PHYSICIAN APPOINTMENTS; WHEN SCHEDULING APPOINTMENTS OR INQUIRING ABOUT AN APPOINTMENT AT A COMMUNITY EVENT. THE MIDMICHIGAN HEALTH PHYSICIAN DIRECTORY HAS INFO ABOUT MIDMICHIGAN ACCESS LINE, AND PHYSICIAN LIAISONS TO PROVIDE INFORMATION TO OFFICES RE: MIDMICHIGAN ACCESS LINE TO HELP THEM DETERMINE IF A PROGRAM OR SERVICE IS AVAILABLE LOCALLY, OR TO TRANSFER THEM TO A PHYSICIAN OFFICE OR DEPARTMENT FOR REFERRALS. |
| PART VI, LINE 7 | MICHIGAN |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 | Yes (1) | 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHUCK SHERWIN | ||||||||||||||
| PRESIDENT | $210,334 | $0 | $28,801 | $0 | $10,645 | $0 | $103,620 | $0 | $18,113 | $0 | $371,513 | $0 | $0 | $0 |
| GREGORY ROGERS | ||||||||||||||
| DIRECTOR | $0 | $515,014 | $0 | $124,421 | $0 | $29,370 | $0 | $240,380 | $0 | $25,043 | $0 | $934,228 | $0 | $0 |
| DIANE POSTLER-SLATTERY | ||||||||||||||
| DIRECTOR, PART-YEAR | $0 | $780,909 | $0 | $219,617 | $0 | $4,845 | $0 | $175,750 | $0 | $20,447 | $0 | $1,201,568 | $0 | $0 |
| FRANCINE PADGETT | ||||||||||||||
| SENIOR VP & CFO | $0 | $446,928 | $0 | $89,748 | $0 | $24,094 | $0 | $173,907 | $0 | $14,429 | $0 | $749,106 | $0 | $0 |
| DONNA RAPP | ||||||||||||||
| SENIOR VP & SECRETARY | $0 | $347,628 | $0 | $69,489 | $0 | $149,310 | $0 | $484,198 | $0 | $10,474 | $0 | $1,061,099 | $0 | $139,268 |
| JEFFREY DOBROSKI MD | ||||||||||||||
| PHYSICIAN | $595,270 | $0 | $233,352 | $0 | $1,118 | $0 | $43,703 | $0 | $1,646 | $0 | $875,089 | $0 | $0 | $0 |
| WILLIAM HITZELBERGER DO | ||||||||||||||
| PHYSICIAN | $567,237 | $0 | $86,116 | $0 | $1,118 | $0 | $45,903 | $0 | $25,811 | $0 | $726,185 | $0 | $0 | $0 |
| ABRAHAM SALACATA MD | ||||||||||||||
| PHYSICIAN | $469,892 | $0 | $92,408 | $0 | $29,225 | $0 | $15 | $0 | $18,947 | $0 | $610,487 | $0 | $0 | $0 |
| SANJEEV ARORA MD | ||||||||||||||
| PHYSICIAN | $511,498 | $0 | $66,241 | $0 | $7,323 | $0 | $15 | $0 | $20,708 | $0 | $605,785 | $0 | $0 | $0 |
| KARMON BJELLA | ||||||||||||||
| PRESIDENT | $169,604 | $0 | $65,370 | $0 | $195,479 | $0 | $45 | $0 | $9,577 | $0 | $440,075 | $0 | $32,685 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B: | ROGERS, BJELLA, RAPP, PADGETT AND SHERWIN ARE PARTICIPANTS IN A 457(F) PLAN. BJELLA AND RAPP RECEIVED PAYMENTS IN 2018. THE SERP IS UNFUNDED AND BEGAN ON JANUARY 1, 2009. THE CURRENT PARTICIPANTS OF THE PLAN ARE THOSE WHO HOLD A CORPORATE OFFICE OF VICE PRESIDENT OR ABOVE. EACH PARTICIPANT'S ANNUAL AWARD IS A BENEFIT RESTORATION AMOUNT THAT PROVIDES THE ADDITIONAL BENEFITS THAT THE PARTICIPANT DID NOT EARN UNDER THE PENSION PLAN AND 403 (B) PLAN DURING A PLAN YEAR BECAUSE OF THE STATUTORY LIMITS. A PARTICIPANT'S ACCOUNT SHALL BE 100% VESTED IF THE PARTICIPANT IS EMPLOYED BY MIDMICHIGAN HEALTH ON THE DATE THE FIRST OF THE FOLLOWING VESTING EVENTS OCCUR: ATTAINMENT OF NORMAL RETIREMENT AGE; DEATH; TERMINATION OF EMPLOYMENT BECAUSE OF TOTAL DISABILITY; OR, ON THE THREE-YEAR ANNIVERSARY OF THEIR PARTICIPATION DATE. |
| PART I, LINE 7: | MIDMICHIGAN HEALTH'S COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NONFIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET AND ARE DETERMINED BY THE INDEPENDENT COMPENSATION COMMITTEE AFTER A REVIEW BY AN INDEPENDENT CONSULTANT, SULLIVAN COTTER, TO ENSURE THAT TOTAL COMPENSATION REMAINS WITHIN ACCEPTABLE GUIDELINES (60% OF MEDIAN). THE COMPENSATION COMMITTEE, WHO IS AUTHORIZED TO ACT ON BEHALF OF THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS, APPROVED COMPENSATION FOR THE MIDMICHIGAN HEALTH CEO, SENIOR EXECUTIVES AND PHYSICIANS. SULLIVAN COTTER ISSUED ITS COMPREHENSIVE ASSESSMENT IN MAY 2019. AN INDEPENDENT ASSESSMENT IS COMPLETED EVERY 3-5 YEARS. THE COMPENSATION COMMITTEE REVIEWED THE RESULTS IN MAY 2019 PRIOR TO AWARDING ANY ANNUAL COMPENSATION ADJUSTMENTS. IN ADDITION, AS A PART OF THE PHYSICIAN ENTERPRISE ENGAGEMENT, KAUFMAN HALL ISSUED A SAFE HARBOR LETTER THAT WAS REVIEWED AT THE MAY 2018 COMPENSATION COMMITTEE MEETING. |
| PART III: | MIDMICHIGAN HEALTH'S COMPENSATION COMMITTEE CHARTER IS APPROVED ANNUALLY BY THE COMMITTEE AND BOARD AS ARE THE EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. MIDMICHIGAN HEALTH ALSO CONTINUES TO UTILIZE AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST WITH THE GOVERNANCE PROCESS AND TO REVIEW AND REPORT ON ALL SYSTEM LEVEL EXECUTIVES, HOSPITAL LEVEL EXECUTIVES AND SELECTED OTHER EXECUTIVES. MIDMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. MIDMICHIGAN HEALTH TARGETS THE BASE SALARY OF ITS EXECUTIVES WITHIN A MARKET COMPETITIVE SALARY RANGE WITH A MIDPOINT APPROXIMATELY EQUAL TO THE 50TH PERCENTILE OF THE BASE SALARY MARKET DATA. MARKET DATA IS OBTAINED NATIONALLY FROM HEALTH SYSTEMS, HOSPITALS AND ORGANIZATIONS OF COMPARABLE SIZE BY SULLIVAN COTTER, AN INDEPENDENT CONSULTANT. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE CORPORATION IS MIDMICHIGAN HEALTH |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH, THE ORGANIZATION'S SOLE CORPORATE MEMBER, ELECTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING RIGHTS AND RESPONSIBILITIES ARE RESERVED TO THE SOLE MEMBER: A) APPROVE ANY CHANGE IN THE PURPOSES OF THE CORPORATION; B) APPROVE CHANGES IN THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; C) APPROVE PLANS OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION OR THE CREATION BY THE CORPORATION OF ANY CONTROLLED CORPORATION OR ENTITY; D) APPROVE ANY PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ANY ASSET OR ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; E) APPROVE THE CORPORATION'S BUDGET AND ANY CAPITAL EXPENDITURES OF THE CORPORATION IN EXCESS OF ANY AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER; F) APPROVE THE GUARANTEE BY THE CORPORATION OF THE DEBT OF OTHERS; AND G) APPROVE THE INCURRENCE BY THE CORPORATION OF ANY DEBT OR LEASE OBLIGATION IN AN AMOUNT IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FINANCE STAFF AT EACH SUBSIDIARY UPLOADS INFORMATION INTO THE SOFTWARE WHICH IS THEN REVIEWED BY THE CORPORATE CONTROLLER AT MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THIS CORPORATION. THE CORPORATE CONTROLLER REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. A FINAL REVIEW IS THEN DONE BY THE SVP AND TREASURER. IN ADDITION, ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MIDMICHIGAN HEALTH CEO PRIOR TO FILING. THE FORM 990 PART VII AND SCHEDULE J COMPENSATION INFORMATION IS REVIEWED BY THE COMPENSATION COMMITTEE PRIOR TO FILING. FORM 990, INCLUDING ALL SCHEDULES, IS MADE AVAILABLE TO THIS ORGANIZATION'S BOARD OF DIRECTORS IN A SECURE ELECTRONIC FORMAT WITH A SUMMARY OF ALL THE MAJOR CHANGES FROM THE PRIOR YEAR RETURN. QUESTIONS OR CONCERNS ARE ADDRESSED BY THE SVP AND TREASURER. THE QUESTIONS OR CONCERNS OF THESE REVIEWS ARE PRESENTED TO THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS AND THIS ORGANIZATION'S BOARD OF DIRECTORS, IF ANY ARE INDENTIFIED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE OF THE BOARD ANNUALLY 1) TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY (THE "POLICY"); 2) TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT REASONABLY COULD GIVE RISE TO A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST; AND 3) TO ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF THE POLICY. THE COMPLETED SURVEYS ARE REVIEWED BY THE MIDMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES ARE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND AT A MINIMUM ARE REQUIRED TO ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT INDEPENDENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO, PRESIDENTS, AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). ALL OFFICER AND KEY EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE FOR ADHERENCE TO CORPORATE POLICIES. FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART VII, LINE 4: | NO DIRECTORS RECEIVE PAY FOR THE PURPOSE OF SERVING ON THE BOARD IN 2018. THEY ARE CONSIDERED TO WORK AN AVERAGE OF 2 HOURS A WEEK ON BOARD-RELATED MATTERS. ALL INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY EITHER THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A FULL-TIME POSITION. THOSE PERSONS ARE ESTIMATED TO WORK AN AVERAGE OF 50 HOURS A WEEK RELATED TO THEIR FULL-TIME POSITION. OFFICERS PAID BY A RELATED ORGANIZATION ARE EMPLOYEES OF MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THE CORPORATION. MIDMICHIGAN HEALTH PROVIDES MANAGERIAL ASSISTANCE TO ITS VARIOUS SUBSIDIARIES AND HOURS OF SERVICES ARE NOT TRACKED BY SUBSIDIARY. THEREFORE THE FULL-TIME SERVICE TO ALL SUBSIDIARIES OF 50 HOURS PER WEEK IS LISTED FOR THOSE OFFICERS. |
| FORM 990, PART IX, LINE 11G | CONSULTATION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 235,845. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 235,845. MEDICAID ASSESSMENT FEES: PROGRAM SERVICE EXPENSES 3,100,445. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,100,445. OTHER FEES: PROGRAM SERVICE EXPENSES 473,025. MANAGEMENT AND GENERAL EXPENSES 1,232,629. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,705,654. CORPORATE OVERHEAD: PROGRAM SERVICE EXPENSES 171,091. MANAGEMENT AND GENERAL EXPENSES 5,501,099. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,672,190. BILLING/COLLECTIONS FEES: PROGRAM SERVICE EXPENSES 240,551. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 240,551. RECRUITING FEES: PROGRAM SERVICE EXPENSES 262,183. MANAGEMENT AND GENERAL EXPENSES -10,443. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 251,740. CONTRACT LABOR, MAINTENANCE & SERVICES: PROGRAM SERVICE EXPENSES 5,021,895. MANAGEMENT AND GENERAL EXPENSES 1,497,865. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,519,760. PHYSICIAN SERVICE FEES: PROGRAM SERVICE EXPENSES 8,041,444. MANAGEMENT AND GENERAL EXPENSES 4,397. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,045,841. |
| FORM 990, PART XI, LINE 9: | POST RETIREMENT BENEFITS ADJUSTMENT -14,665,595. TRANSFER OF CAPITAL TO TAX EXEMPT ORGANIZATION -2,971,853. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| MIDMICHIGAN HEALTH | ||||||||||
| 4000 WELLNESS DR | MIDLAND | MI | 48670 | 382459948 | SUPPORT | MI | 501(C)(3) | LINE 12A, I | 0 | |
| MIDMICHIGAN MEDICAL CENTER - MIDLAND | ||||||||||
| 4000 WELLNESS DR | MIDLAND | MI | 48670 | 380833014 | HOSPITAL | MI | 501(C)(3) | LINE 3 | Yes (1) | MIDMICHIGAN HEALTH |
| MIDMICHIGAN MEDICAL CENTER - GRATIOT | ||||||||||
| 300 E WARWICK DR | ALMA | MI | 48801 | 381437919 | HOSPITAL | MI | 501(C)(3) | LINE 3 | Yes (1) | MIDMICHIGAN HEALTH |
| MIDMICHIGAN MEDICAL CENTER - CLARE | ||||||||||
| 703 N MCEWAN ST | CLARE | MI | 48617 | 381518643 | HOSPITAL | MI | 501(C)(3) | LINE 3 | Yes (1) | MIDMICHIGAN HEALTH |
| MIDMICHIGAN MEDICAL CENTER - GLADWIN | ||||||||||
| 515 QUARTER ST | GLADWIN | MI | 48624 | 386020434 | HOSPITAL | MI | 501(C)(3) | LINE 3 | Yes (1) | MIDMICHIGAN HEALTH |
| MIDMICHIGAN VNA DBA MIDMICHIGAN HOME CARE | ||||||||||
| 3007 N SAGINAW RD | MIDLAND | MI | 48640 | 381459397 | HOME CARE | MI | 501(C)(3) | LINE 10 | Yes (1) | MIDMICHIGAN HEALTH |
| MIDMICHIGAN PHYSICIANS GROUP | ||||||||||
| 2620 W SUGNET RD | MIDLAND | MI | 48640 | 383317788 | MEDICAL OFFICE | MI | 501(C)(3) | LINE 12A, I | Yes (1) | MIDMICHIGAN HEALTH |
| MIDMICHIGAN HEALTH DEVELOPMENT ASSOCIATES | ||||||||||
| 4000 WELLNESS DR | MIDLAND | MI | 48670 | 382459947 | OPERATIONS | MI | 501(C)(2) | Yes (1) | MIDMICHIGAN HEALTH | |
| MIDMICHIGAN HEALTH FOUNDATION | ||||||||||
| 4000 WELLNESS DR | MIDLAND | MI | 48670 | 812813405 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | Yes (1) | MIDMICHIGAN HEALTH |
| MIDMICHIGAN MEDICAL CENTER - WEST BRANCH | ||||||||||
| 2463 S M-30 | WEST BRANCH | MI | 48661 | 464088182 | HOSPITAL | MI | 501(C)(3) | LINE 3 | Yes (1) | MIDMICHIGAN HEALTH |
| TOLFREE FOUNDATION | ||||||||||
| 335 E HOUGHTON AVE | WEST BRANCH | MI | 48661 | 383067917 | FUNDRAISING | MI | 501(C)(3) | LINE 12A, I | Yes (1) | MIDMICHIGAN HEALTH |
| HOSPICE OF HELPING HANDS INC | ||||||||||
| 322 W HOUGHTON AVE | WEST BRANCH | MI | 48661 | 382424475 | HOSPICE CARE | MI | 501(C)(3) | LINE 10 | Yes (1) | MIDMICHIGAN HEALTH |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMICHIGAN HEALTH PAIN MANAGEMENT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2463 SOUTH M-30 | AddressLine1Txt |
| City | WEST BRANCH | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48661 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 834186622 | EIN |
| Primary Activities | HEALTHCARE PAIN MANAGEMENT | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | 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 | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (10 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MIDMICHIGAN PHYSICIANS GROUP | ||
| B | $2,600,000 | COST |
| MIDMICHIGAN HEALTH DEVELOPMENT ASSOCIATES | ||
| B | $535,424 | COST |
| MIDMICHIGAN HEALTH | ||
| P | $5,153,519 | COST |
| MIDMICHIGAN MEDICAL CENTER - MIDLAND | ||
| P | $476,576 | COST |
| MIDMICHIGAN MEDICAL CENTER - GRATIOT | ||
| P | $189,569 | COST |
| MIDMICHIGAN HEALTH | ||
| R | $276,268 | COST |
| MIDMICHIGAN PHYSICIANS GROUP | ||
| P | $240,551 | COST |
| MIDMICHIGAN HEALTH | ||
| Q | $2,210,563 | COST |
| MIDMICHIGAN HEALTH FOUNDATION | ||
| C | $195,001 | COST |
| MIDMICHIGAN PHYSICIANS GROUP | ||
| A | $132,204 | COST |