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MEMORIAL HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
MEMORIAL HOSPITAL (EIN 38-1358208)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-13
IRS object ID
202533179349306658
Schema version
2024v5.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-13T13:01:30-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY ADVISORY GROUP LPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line120 STANWIX STREETAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15222ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN381358208EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMEMOBusinessNameControlTxt
Phone9897235211PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1826 WEST KING STREETAddressLine1Txt
CityOWOSSOCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48867ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJORRI TREMAINPersonNm
Person TitleCFOPersonTitleTxt
Phone9897235211PhoneNum
Signature2025-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKELLY A BROCIOUSPreparerPersonNm
PTINP01254262PTIN
Phone4126976400PhoneNum
Preparation2025-11-10PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HEALTHCAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJORRI TREMAINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1826 WEST KING STREETAddressLine1Txt
CityOWOSSOCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48867ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$352,399,300GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MEMORIALHEALTHCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1919FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTHCARE SERVICES TO PATIENTS.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1918TotalEmployeeCnt
Total Volunteers60TotalVolunteersCnt
Total Gross UBI$1,023,260TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$716,910PYContributionsGrantsAmt
CY Contributions Grants$257,670CYContributionsGrantsAmt
PY Program Service Revenue$291,540,581PYProgramServiceRevenueAmt
CY Program Service Revenue$344,822,095CYProgramServiceRevenueAmt
PY Investment Income$1,785,612PYInvestmentIncomeAmt
CY Investment Income$2,455,186CYInvestmentIncomeAmt
PY Other Revenue$4,537,773PYOtherRevenueAmt
CY Other Revenue$4,864,349CYOtherRevenueAmt
PY Total Revenue$298,580,876PYTotalRevenueAmt
CY Total Revenue$352,399,300CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$131,460,935PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$153,278,436CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$171,928CYTotalFundraisingExpenseAmt
PY Other Expenses$161,003,510PYOtherExpensesAmt
CY Other Expenses$187,519,987CYOtherExpensesAmt
PY Total Expenses$292,464,445PYTotalExpensesAmt
CY Total Expenses$340,798,423CYTotalExpensesAmt
PY Revenues Less Expenses$6,116,431PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$11,600,877CYRevenuesLessExpensesAmt
Total Assets BOY$196,134,747TotalAssetsBOYAmt
Total Assets EOY$215,085,800TotalAssetsEOYAmt
Total Liabilities BOY$88,065,026TotalLiabilitiesBOYAmt
Total Liabilities EOY$97,104,342TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$108,069,721NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$117,981,458NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROMOTE HEALTH AND PROVIDE QUALITY COMPASSIONATE HEALTHCARE IN OUR REGION THROUGH A COMMITMENT TO SERVICE EXCELLENCE, TEAMWORK AND INNOVATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$50,747,388ExpenseAmt
Revenue$95,669,246RevenueAmt
DescA MEDICAL AND SURGICAL HOSPITAL THAT PROVIDES INPATIENT AND OUTPATIENT SERVICES TO ALL PATIENTS.INPATIENT DISCHARGES: 4,048, PATIENT DAYS: 23,046, INPATIENT SURGERIES: 694, BIRTHS: 475Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$118,874,217ExpenseAmt
Revenue$218,794,753RevenueAmt
DescANCILLARY SERVICES (OUTPATIENT VISITS: 251,310, OUTPATIENT SURGERIES: 4,189, PAIN MANAGEMENT VISITS: 6,054Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$63,555,884ExpenseAmt
Revenue$27,897,816RevenueAmt
DescMMA SERVICES (PHYSICIAN CLINICS, MMA RVU'S: 542,437Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$62,112,334ExpenseAmt
Revenue$5,311,979RevenueAmt
DescALL OTHER PROGRAM SERVICESDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$62,112,334TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$5,311,979TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$295,289,823TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt BondsYes (1)InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document257IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1918EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonROSE BROWNPersonNm
Phone9897294717PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1826 WEST KING STREETAddressLine1Txt
CityOWOSSOCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48867ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
GREGORY P BONTRAGER
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
TONY M YOUNG
VICE PRESIDENT2.00Yes (X)Yes (X)$0$0$0
WILFRED BILL A FARRELL
TREASURER2.00Yes (X)Yes (X)$0$0$0
JERRY D WALDEN
SECRETARY2.00Yes (X)Yes (X)$0$0$0
BARBARA BAKEROMEROD
MEMBER2.00Yes (X)$0$0$0
MICHAEL L ASH
MEMBER2.00Yes (X)$0$0$01.00
SHANA M ESPINOZA
MEMBER2.00Yes (X)$0$0$0
THOMAS E CAMPBELL
MEMBER2.00Yes (X)$0$0$0
BRUCE J WENZLICK
MEMBER2.00Yes (X)$0$0$0
BRYAN K MARKS
MEMBER2.00Yes (X)$0$0$0
DAVID R WAKELAND
MEMBER2.00Yes (X)$0$0$0
MARGARET R FREY DO
MEMBER40.00Yes (X)$370,276$0$10,596
ANTHONY A PATSY DO
MEMBER39.00Yes (X)$349,505$0$32,7261.00
JOSEPH E TESTA DO
MEMBER40.00Yes (X)$484,024$0$38,131
BRIAN L LONG
EXECUTIVE DIRECTOR/CEO58.00Yes (X)Yes (X)$885,461$0$32,6202.00
JORRI TREMAIN
CFO40.00Yes (X)$311,587$0$9,974
THOMAS KURTZ
COO40.00$355,238$0$32,786Yes (X)
JOSEPH M BUSTAMANTE DO
CHIEF MEDICAL OFFICER40.00$527,057$0$26,066Yes (X)
HAZEM TABBAA DO
VICE CHIEF OF STAFF40.00$940,087$0$41,328Yes (X)
ABBIE MAJZEL
COA40.00$273,852$0$9,152Yes (X)
JOYCE BREMER
VP PHYSICIAN PRACTICE MANAGEMENT40.00$264,534$0$23,148Yes (X)
RAMY M KURDI DO
PHYSICIAN40.00$1,214,202$0$41,034Yes (X)
TAREK R PACHA DO
PHYSICIAN40.00$1,132,745$0$33,613Yes (X)
SASHA M SPENCLEY DO
PHYSICIAN40.00$850,108$0$18,116Yes (X)
ASHRAF M ELBANNA MD
PHYSICIAN40.00$938,969$0$33,808Yes (X)
IRA STANLEY FRYE MD
PHYSICIAN40.00$825,084$0$38,882Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,722,729TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$421,980TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K232IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ACCOUNTABLE HEALTHCARE STAFFING
999 YAMATO ROAD 210BOCA RATONFL33431STAFFING SERVICES$4,571,889
ALLIANCE HNI LLC
PO BOX 772550DETROITMI48277RENTAL OF EQUIPMENT$2,605,758
AMERICAN HEALTHCARE STAFFING ASSOCIATION
PO BOX 670529DALLASTX75267STAFFING SERVICES$1,616,396
ECS CENTRAL MICHIGAN PC
4100 EMBASSY DR SE STE 400GRAND RAPIDSMI49546CONTRACTED EMERGECY ROOM PHYSICIANS$1,572,498
UMS SHIAWASSEE COUNTY URS LITHOTRIPSY
1700 WEST PARK DRIVE SUITE 410WASHINGTONMA01581ABLATION TREATMENTS$1,512,613
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K46CntrctRcvdGreaterThan100KCnt
Related Organizations$147,264RelatedOrganizationsAmt
Government Grants$110,406GovernmentGrantsAmt
Total Contributions$257,670TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE900099$341,862,320$341,862,320
PHYSICIAN REVENUE900099$2,916,277$2,916,277
BILLING SERVICE REVENUE561000$43,498$43,498
FieldValueIRS element (for citing)
Total Program Service Revenue$344,822,095TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,321,905TotalRevenueColumnAmt
Exclusion$2,321,905ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,895,197RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,895,197RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,895,197TotalRevenueColumnAmt
Related Or Exempt Func Income$2,895,197RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$35,064SecuritiesAmt
Other$98,217OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$35,064SecuritiesAmt
Other$98,217OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$133,281TotalRevenueColumnAmt
Exclusion$133,281ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA REVENUE722513$989,390$989,390
WELLNESS CENTER623000$979,762$979,762
FieldValueIRS element (for citing)
Other Revenue Total$1,969,152OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$352,399,300TotalRevenueColumnAmt
Related Or Exempt Func Income$347,673,794RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,023,260UnrelatedBusinessRevenueAmt
Exclusion$3,444,576ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,018,146TotalAmt
Management And General$5,018,146ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$117,955,858TotalAmt
Program Services$107,324,723ProgramServicesAmt
Management And General$10,496,518ManagementAndGeneralAmt
Fundraising$134,617FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,534,877TotalAmt
Program Services$2,478,838ProgramServicesAmt
Management And General$56,039ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$19,970,302TotalAmt
Program Services$19,561,624ProgramServicesAmt
Management And General$395,576ManagementAndGeneralAmt
Fundraising$13,102FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,799,253TotalAmt
Program Services$6,826,930ProgramServicesAmt
Management And General$972,323ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$611,555TotalAmt
Management And General$611,555ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$110,265TotalAmt
Management And General$110,265ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$130,804TotalAmt
Management And General$130,804ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$19,135,066TotalAmt
Program Services$17,209,577ProgramServicesAmt
Management And General$1,925,097ManagementAndGeneralAmt
Fundraising$392FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$719,003TotalAmt
Program Services$3,458ProgramServicesAmt
Management And General$715,545ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,718,477TotalAmt
Program Services$1,490,787ProgramServicesAmt
Management And General$211,003ManagementAndGeneralAmt
Fundraising$16,687FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$351,533TotalAmt
Program Services$210,197ProgramServicesAmt
Management And General$141,281ManagementAndGeneralAmt
Fundraising$55FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,874,174TotalAmt
Program Services$13,286,778ProgramServicesAmt
Management And General$1,587,396ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$218,446TotalAmt
Program Services$155,241ProgramServicesAmt
Management And General$63,205ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$147,889TotalAmt
Program Services$86,841ProgramServicesAmt
Management And General$61,048ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,525,059TotalAmt
Program Services$1,521,657ProgramServicesAmt
Management And General$3,402ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,155,654TotalAmt
Program Services$272,261ProgramServicesAmt
Management And General$8,883,393ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,318,288TotalAmt
Program Services$427,621ProgramServicesAmt
Management And General$1,890,667ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACEUTICAL EXPENSES$74,615,423$74,615,423
MEDICAL SUPPLIES$22,653,569$22,635,488$18,081
QAAP TAX EXPENSE$13,786,510$13,786,510
PROVISION FOR BAD DEBTS$12,923,585$1,438,426$11,485,159

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,524,687TotalAmt
Program Services$11,957,443ProgramServicesAmt
Management And General$560,169ManagementAndGeneralAmt
Fundraising$7,075FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$340,798,423TotalAmt
Program Services$295,289,823ProgramServicesAmt
Management And General$45,336,672ManagementAndGeneralAmt
Fundraising$171,928FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,159,490BOYAmt
EOY$20,961,882EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$30,137BOYAmt
EOY$31,364EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$25,847,352BOYAmt
EOY$24,514,789EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,968,183BOYAmt
EOY$6,081,859EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,706,408BOYAmt
EOY$1,824,536EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$208,563,399LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$112,194,320LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$95,566,210BOYAmt
EOY$96,369,079EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$36,275,072BOYAmt
EOY$38,715,145EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$4,504,737BOYAmt
EOY$3,684,671EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$19,077,158BOYAmt
EOY$22,902,475EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$196,134,747BOYAmt
EOY$215,085,800EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$29,403,496BOYAmt
EOY$38,257,407EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$52,666,006BOYAmt
EOY$48,660,761EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,391,965BOYAmt
EOY$2,133,206EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,603,559BOYAmt
EOY$8,052,968EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$88,065,026BOYAmt
EOY$97,104,342EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$108,069,721BOYAmt
EOY$117,981,458EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$108,069,721BOYAmt
EOY$117,981,458EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$196,134,747BOYAmt
EOY$215,085,800EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$11,600,877ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$598,091NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,287,231OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$41,850OtherActivitiesAmt
Total Lobbying Expenditures$41,850TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationMEMORIAL HEALTHCARE PAYS DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION & MICHIGAN HEALTH COUNCIL. A PORTION OF THESE DUES GO TOWARDS LOBBYING. CONTRACTED WITH CONSULTING FIRMS ON A FEDERAL AND STATE LEVEL REGARDING VARIOUS HEALTHCARE LEGISLATION. INCLUDED IN THE LINE 1I IS COMPENSATION PAID TO STAFF AS INDICATED ON LINE 1B.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,384,159BeginningYearBalanceAmt
Investment Earnings Or Losses$248,833InvestmentEarningsOrLossesAmt
End Year Balance$5,632,992EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,967,011BeginningYearBalanceAmt
Investment Earnings Or Losses$417,148InvestmentEarningsOrLossesAmt
End Year Balance$5,384,159EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,649,953BeginningYearBalanceAmt
Investment Earnings Or Losses-$682,942InvestmentEarningsOrLossesAmt
End Year Balance$4,967,011EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,665,470BeginningYearBalanceAmt
Investment Earnings Or Losses$316,175InvestmentEarningsOrLossesAmt
Grants Or Scholarships$105,527GrantsOrScholarshipsAmt
Other Expenditures$226,165OtherExpendituresAmt
End Year Balance$5,649,953EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,342,671BeginningYearBalanceAmt
Contributions$7,082ContributionsAmt
Investment Earnings Or Losses$333,532InvestmentEarningsOrLossesAmt
Other Expenditures$17,814OtherExpendituresAmt
End Year Balance$5,665,471EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.94356BoardDesignatedBalanceEOYPct
Term Endowment Balance EOY0.05644TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,098,180OtherCostOrOtherBasisAmt
Book Value$5,098,180BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$117,023,630OtherCostOrOtherBasisAmt
Depreciation$49,270,813DepreciationAmt
Book Value$67,752,817BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,356,515OtherCostOrOtherBasisAmt
Depreciation$715,824DepreciationAmt
Book Value$1,640,691BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$80,199,000OtherCostOrOtherBasisAmt
Depreciation$59,849,164DepreciationAmt
Book Value$20,349,836BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,886,074OtherCostOrOtherBasisAmt
Depreciation$2,358,519DepreciationAmt
Book Value$1,527,555BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$96,369,079TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescWELLS FARGO MUTUAL FUNDSDesc
Book Value$38,715,145BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$38,715,145TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$549,866
FINANCE LEASE RIGHT-OF-USE ASSETS$529,944
OPERATING LEASE RIGHT-OF-USE ASSETS$1,184,613
OTHER ASSETS$20,359,524
THIRD-PARTY PAYOR SETTLEMENTS$278,528
FieldValueIRS element (for citing)
Total Book Value Other Assets$22,902,475TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
ESTIMATED THIRD-PARTY PAYOR$4,467,028
FINANCE LEASE OBLIGATION$551,710
OPERATING LEASE OBLIGATION$1,260,181
DUE TO AFFILIATES$64,389
OTHER LIABILITIES$1,709,660
FieldValueIRS element (for citing)
Total Liability$8,052,968TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$342,139,199TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$598,091NetUnrealizedGainsInvstAmt
Other Revenue$2,334,329OtherRevenueAmt
Revenue Not Reported$2,932,420RevenueNotReportedAmt
Revenue Subtotal$339,206,779RevenueSubtotalAmt
Other Revenues Not Included$13,192,521OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$13,192,521RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$352,399,300TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$329,762,265TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$2,156,363OtherExpensesIncludedAmt
Expenses Not Reported$2,156,363ExpensesNotReportedAmt
Expenses Subtotal$327,605,902ExpensesSubtotalAmt
Other Expenses Not Included$13,192,521OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$13,192,521ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$340,798,423TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THERE ARE VARIOUS PERMANENT AND BOARD DESIGNATED ENDOWMENT FUNDS. THE ONLY SPECIFICALLY IDENTIFIED USES OF THE VARIOUS FUNDS ARE AS FOLLOWS: NURSING SCHOLARSHIP AWARDS AND NURSING AND HEALTHCARE FOR THE ELDERLY.
PART X, LINE 2:THE ORGANIZATION AND THE FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON THEIR EXEMPT INCOME UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND A SIMILAR PROVISION OF STATE LAW. THESE ENTITIES ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. DEV CORP AND ASSISTED LIVING ARE SINGLE MEMBER LIMITED LIABILITY COMPANIES, WHICH ARE CONSIDERED DISREGARDED ENTITIES FOR TAX PURPOSES. PAIN MANAGEMENT IS A LIMITED LIABILITY COMPANY AND HAS ELECTED TO HAVE ITS INCOME TAXED AS A PARTNERSHIP UNDER THE PROVISIONS OF THE IRC. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKE-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO UNCERTAIN TAX POSITIONS THAT MET THE RECOGNITION THRESHOLD IN 2024 AND 2023.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CONSOLIDATED ENTITY - PAIN MANAGEMENT 2,334,329.
PART XI, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT EXPENSES 130,804. BAD DEBT EXPENSE 12,923,585. EXPENSES RECORDED AS REVENUE 138,132.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CONSOLIDATED ENTITY - PAIN MANAGEMENT 2,156,363.
PART XII, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT EXPENSES 130,804. BAD DEBT EXPENSE 12,923,585. EXPENSES RECORDED AS REVENUE 138,132.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$337,571TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$337,571NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$61,404,772TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$56,500,677DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,904,095NetCommunityBenefitExpnsAmt
Total Expense0.01500TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$61,742,343TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$56,500,677DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,241,666NetCommunityBenefitExpnsAmt
Total Expense0.01600TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$153,544TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$153,544NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$583,376TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$583,376NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,997,607TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,557,664DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,439,943NetCommunityBenefitExpnsAmt
Total Expense0.02270TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$640,214TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$640,214NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$141,883TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$141,883NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,516,624TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,557,664DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,958,960NetCommunityBenefitExpnsAmt
Total Expense0.02740TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$86,258,967TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$72,058,341DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,200,626NetCommunityBenefitExpnsAmt
Total Expense0.04340TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,235TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,235NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,789TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,789NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$115,659TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$115,659NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,668TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,668NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$139,351TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$139,351NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$12,923,585BadDebtExpenseAmt
Reimbursed By Medicare$27,478,806ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$31,684,179CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,205,373MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HEALTHCAREBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1826 WEST KING STREETAddressLine1Txt
CityOWOSSOCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48867ZIPCd
FieldValueIRS element (for citing)
Website AddressMEMORIALHEALTHCARE.ORGWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherLONG-TERM CARE HOSPITALOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MEMORAL HEALTHCAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLMEMORIALHEALTHCARE.ORG/ABOUT/REPORTS-AND-PUBLICATIONSOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLMEMORIALHEALTHCARE.ORG/ABOUT/REPORTS-AND-PUBLICATIONSOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLMEMORIALHEALTHCARE.ORG/ABOUT/REPORTS-AND-PUBLICATIONSStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLMEMORIALHEALTHCARE.ORG/PATIENT-INFORMATION/FINANCIAL-SERVICESFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLMEMORIALHEALTHCARE.ORG/PATIENT-INFORMATION/FINANCIAL-SERVICESFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLMEMORIALHEALTHCARE.ORG/PATIENT-INFORMATION/FINANCIAL-SERVICESFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MEMORAL HEALTHCAREPART V, SECTION B, LINE 5: PARTICIPANTS IN THE CHNA AND IMPLEMENTATION: CATHOLIC CHARITIES COOK FAMILY FOUNDATION CORUNNA PUBLIC SCHOOLS FITNESS COLISEUM GREAT LAKES BAY HEALTH MEMORIAL HEALTHCARE MICHIGAN STATE UNIVERSITY EXTENSION OWOSSO PUBLIC SCHOOLS PEER360 RESPITE VOLUNTEERS OF SHIAWASSEE COUNTY SAFECENTER SHIAWASSEE COUNCIL ON AGING SHIAWASSEE COUNTY HEALTH DEPARTMENT SHIAWASSEE FAMILY YMCA SHIAWASSEE GREAT START INITIATIVE SHIAWASSEE HEALTH AND HUMAN SERVICES COUNCIL SHIAWASSEE HEALTH AND WELLNESS
MEMORAL HEALTHCAREPART V, SECTION B, LINE 6B: MEMORIAL WAS THE LEAD ON THE CHNA BUT THERE WAS A SHIAWASSEE COMMUNITY HEALTH NEEDS TEAM THAT CONSISTED OF THEFOLLOWING ORGANIZATIONS:A. SHIAWASSEE UNITED WAYB. SHIAWASSEE REGIONAL EDUCATION SERVICEC. SHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITYD. SHIAWASSEE COUNTY HEALTH DEPARTMENT
MEMORAL HEALTHCAREPART V, SECTION B, LINE 11: AFTER THE COMPLETION OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, A COMMUNITY REVEAL EVENT WAS HELD TO SHARE AND ANALYZE THE DATA, AND DISCUSS THE CURRENT ENVIRONMENT IN SHIAWASSEE COUNTY. FROM THIS INFORMATION, THREE STRATEGIC PRIORITIES WERE IDENTIFIED BY THOSE ATTENDING: 1. SEXUAL VIOLENCE PREVENTION 2. SUBSTANCE MISUSE 3. MENTAL HEALTHAS WITH MOST HEATH CARE FACILITIES, MEMORIAL HEALTHCARE HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES.
MEMORAL HEALTHCAREPART V, SECTION B, LINE 16J: THE FAP POLICY IS ALSO STATED ON ALL BILLING STATEMENTS SENT FROM THE HOSPITAL.
MEMORAL HEALTHCAREPART V, SECTION B, LINE 20E: SEND SELF-PAY ACCOUNTS TO ADVOMAS, A MEDICAL BILLING SERVICE, PRIOR TO SENDING TO CAREPAYMENT AND BEFORE SENDING TO BAD DEBT.
FieldValueIRS element (for citing)
Facility42FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (42 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - MEMORIAL HEALTHCARE CANCER CENTER
721 N SHIAWASSEEOWOSSOMI48867CANCER CARE SERVICES/ONCOLOGY/ANTICOAG
2 - MEMORIAL HEALTHCARE OUT PT SERVICES
1637 W MAIN STREETOWOSSOMI48867HOME HEALTH/HOSPICE
3 - MEMORIAL HEALTHCARE CARE FAM MEDOCC HLT
100 HEALTH PARK DRIVEOWOSSOMI48867MH LAB/MH RAD, MMA & OCC HEALTH
4 - MEMORIAL HEALTHCARE PAIN CLINIC
818 W KING ST STE 300OWOSSOMI48867PAIN MGMNT
5 - MEMORIAL HEALTHCARE ENT & AUDIOLOGY
1002 E MAIN STOWOSSOMI48867PEDS
6 - MID MICHIGAN ORTHOPEDICS
819 N SHIAWASSEE ST STE 200OWOSSOMI48867ORTHO & MH PT
7 - MEMORIAL HEALTHCARE OBGYN
818 W KING ST LOWER LEVELOWOSSOMI48867OBGYN
8 - MEMORIAL OVID-ELSIE OFFICES
9900 W M-21OVIDMI48866MMA PRIMARY CARE, MH LAB, MH RAD
9 - MEMORIAL PEDIATRIC CLINIC
802 W KING ST STE MOWOSSOMI48867PEDS
10 - MEMORIAL LAINGSBURG OFFICES
317 E GRAND RIVERLAINGSBURGMI48848FAMILY MEDICINE, MH LAB, MH RAD
11 - MEMORIAL SURGICAL ASSOCIATESWOUND CLINI
818 W KING ST STE 201OWOSSOMI48867SURGERY & WOUND CLINIC
12 - MEMORIAL CHESANING FAMILY PRACTICE
300 S CHAPMANCHESANINGMI48616FAMILY MEDICINE
13 - MEMORIAL PHYSICAL REHABILITATION CENTER
8906 E LANSING ROADDURANDMI48429REHAB SERVICES
14 - MMA GASTRO OFFICES
721 N SHIAWASSEE STE 202OWOSSOMI48867GASTROENTEROLOGY
15 - MEMORIAL OUTPATIENT SERVICES - CHESANING
305 S SAGINAW STREETCHESANINGMI48616LAB, RAD, PT SERVICES
16 - MEMORIAL STATE ROAD OFFICES
239 N STATE ROADOWOSSOMI48867MH LAB, MH RAD, MMA SHIAWASSEE FAMILY MED, URGENT CARE
17 - INTERNAL MEDICINE ASSOCIATES OF OWOSSO
300 HEALTH PARK DR STE 302OWOSSOMI48867INTERNAL MED
18 - MEMORIAL HEALTHCARE ENDOCRINOLOGY
802 W KING ST STE EOWOSSOMI48867ENDOCRINOLOGY
19 - MEMORIAL UROLOGY
818 W KING ST STE 202OWOSSOMI48867UROLOGY
20 - MEMORIAL PHYSICAL REHAB - PERRY
3737 W LANSING ROADPERRYMI48872REHAB SERVICES
21 - MEMORIAL HEALTHCARE HOSPITAL MEDICINE
826 W KING ST 3RD FLOOROWOSSOMI48867HOSPITALISTS
22 - MEMORIAL HEALTHCARE ALLERGY & IMMUNOLOGY
317 S ELM ST STE 205AOWOSSOMI48867ALLERGIST
23 - MEMORIAL HEALTHCARE INSTITUTE FOR NEURO
4600 GARFIELD RDAUBURNMI48611NEURO
24 - MEMORIAL HEALTHCARE NUTRITION & DIABETES
819 N SHIAWASSEE ST STE 120OWOSSOMI48867DIABETES
25 - MEMORIAL CARDIOLOGY SERVICES
503 E MAIN STOWOSSOMI48867CARDIO
26 - MEMORIAL HEALTHCARE PULMONOLOGY
826 W KING ST STE 200OWOSSOMI48867PULMOMOLGIST
27 - MEMORIAL HEALTHCARE PHYSICAL MED & REHAB
1501 WATERFORD PARKWAY STE BST JOHNSMI48879PHYSCIAL MEDICINE & REHABILIATION
28 - MEMORIAL HEALTHCARE NEURO SAGINAW
4200 FASION SQUARE BLVD STE 301SAGINAWMI48604NEURO
29 - FAMILY MED KING ST
818 W KING ST STE 101OWOSSOMI48867FAMILY MEDICINE
30 - ENT AND AUDIOLOGY
818 W KING ST STE 301OWOSSOMI48867ENT
31 - INSTITUTE FOR NEURO PRACTICE POOL ACCOUN
2525 JOLLY RDOKEMOSMI48864NEURO
32 - MEMORIAL DURAND OFFICES
9099 E LANSING ROADDURANDMI48429MMA FAMILY MED & URGENT CARE
33 - INSTITUTE FOR NEUROSCIENCE & MULTIPLE SC
819 N SHIAWASSEE ST STE 100OWOSSOMI48867NEUROLOGY
34 - MEMORIAL PERRY OFFICES
3337 W BRITTON ROADPERRYMI48872MMA FAMILY MEDICINE, MH LAB, MH RAD, URGENT CARE
35 - MEMORIAL HEALTHCARE SOCIAL WORKERS
802 W KING ST SUITE OOWOSSOMI48867SOCIAL WORKER (SCHAUFELE)
36 - MEMORIAL HEALTHCARE NEURO PRACTICE POOL
715 BYRON RD SUITE 1HOWELLMI48843NEURO HOWELL
37 - MEMORIAL HEALTHCARE OPHTHALMOLOGY
802 W KING ST SUITE AOWOSSOMI48867OPHTHALMOLOGY
38 - MEMORIAL HEALTHCARE PALLIATIVE MEDICINE
818 W KING ST STE 101OWOSSOMI48867PALLIATIVE CARE
39 - MEMORIAL HEALTHCARE PARK - LABRAD ONLY
100 HEALTH PARK DRIVEOWOSSOMI48867FAMILY MEDICINE
40 - MEMORIAL HEALTHCARE OUTPATIENT REHAB
819 N SHIAWASSEE STOWOSSOMI48867PHYSICAL THERAPY REHAB SERVICES/CARDIAC REHAB
41 - MEMORIAL HEALTHCARE - MEADOWS OF OWOSSO
245 CALEDONIA DRIVEOWOSSOMI48867HOME HEALTH/HOSPICE
42 - MEMORIAL HEALTHCARE HEALTH PARK
200 HEALTH PARK DROWOSSOMI48867PEDS GASTRO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:THE COSTING METHODOLOGY USED FOR LINE 7A WAS THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 IN ADDITION TO DISCOUNTS AT COST PER THE HOSPITAL'S ACCOUNTING RECORDS. THE COSTING METHODOLOGY USED FOR LINES 7B - 7C WAS THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. THE COSTING METHODOLOGY USED FOR LINES 7E - 7I WERE ACTUAL COSTS PER THE HOSPITAL'S ACCOUNTING RECORDS.
PART I, LINE 7G:SUBSIDIZED HEALTH SERVICES INCLUDE EMERGENCY ROOM AND OR SERVICES. NO PHYSICIAN CLINICS ARE INCLUDED.
PART I, LN 7 COL(F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990 PART IX LINE 25 COLUMN A WAS SUBTRACTED FROM THE DENOMINATOR FOR PURPOSES OF CALCULATING THE PERCENT OF TOTAL EXPENSES. THE BAD DEBT EXPENSE EXCLUDED WAS $12,923,585.
PART II, COMMUNITY BUILDING ACTIVITIES:MEMORIAL HEALTHCARE HAS A STRONG REPUTATION AS A COLLABORATOR AND SUPPORTER OF AGENCIES AND ORGANIZATIONS WORKING TO IMPROVE THE QUALITY OF LIFE IN OUR REGION. INCLUDED IN THESE EFFORTS IS A VIGOROUS SUPPORT BOTH FINANCIALLY AND IN-KIND OF THE ECONOMIC DEVELOPMENT EFFORTS IN OUR COUNTY. WE PLAY A LEADERSHIP ROLE IN THE HEALTH & HUMAN SERVICES COLLABORATIVE IN SHIAWASSEE COUNTY WHICH HAS MADE A DIFFERENCE IN IMPORTANT ISSUES TO OUR RESIDENTS SUCH AS: TRANSPORTATION, ACCESS TO HEALTH AND DENTAL CARE FOR THOSE ON MEDICAID OR UNINSURED, HOMELESSNESS PREVENTION, SUICIDE PREVENTION, ELDER CARE, ETC.
PART III, LINE 2:THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX.
PART III, LINE 4:ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF OUR FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDE PRIMARILY TO SELF-PAY PATIENTS.ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVAN PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING MEMORIAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), MEMORIAL RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
PART III, LINE 8:MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. INPATIENT AND OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. COSTS ON STRESS, SUBACUTE AND LONG-TERM CARE ARE ALSO INCLUDED. MEDICARE REVENUE AND COSTS RELATED TO THE SUBSIDIZED HEALTH SERVICES HAVE BEEN REMOVED IN ORDER TO AVOID DUPLICATION. ANY SHORTFALLS CALCULATED HERE ARE CONSIDERED TO BE A COMMUNITY BENEFIT.
PART III, LINE 9B:PATIENT ACCOUNTS ARE MOVED TO MAGNET (VENDOR THAT SENDS STATEMENTS AND MANAGE PAYMENT PLANS) WITHIN 1 BUSINESS DAY OF WHEN THE BALANCE MOVES TO SELF-PAY OR THE TRUE SELF PAY ACCOUNT IS CODED AND FINALIZED. WITHIN 1-3 DAYS, PATIENTS RECEIVE A TEXT OR EMAIL REGARDING A NEW ACCOUNT. IF THE PATIENT DOES NOT ENGAGE WITH THE TEXT OR EMAIL, A PAPER STATEMENT IS SENT. TEXT/EMAILS/PAPER STATEMENTS GO OUT EVERY 30 DAYS. IF PATIENTS TO NOT ENGAGE IN A PAYMENT PLAN OR PAY OFF THE ACCOUNT, THE ACCOUNT GETS A STATEMENT EVERY 30 DAYS FOR 120 DAYS, THEN A FINAL ECA NOTICE, THEN ARE REFERRED BACK TO US TO MOVE TO COLLECTIONS.
PART VI, LINE 2:WE ASSESS THE HEALTH NEEDS OF OUR RESIDENTS THROUGH COLLABORATIONS WITH THE COUNTY HEALTH DEPARTMENT, OUR 10 SCHOOL DISTRICTS, OUR COUNCIL OF HEALTH & HUMAN SERVICE AGENCIES AND THROUGH PHYSICIAN OBSERVATION AND REQUESTS.
PART VI, LINE 3:WE COMMUNICATE THIS THROUGH SEVERAL METHODS INCLUDING: POSTING AT REGISTRATION POINTS, IN THE PATIENT HANDBOOK PROVIDED TO ALL INPATIENTS, IN A GUIDE TO THE BILLING PROCESS PAMPHLET HANDED OUT AT REGISTRATION POINTS, ON THE BACK OF OUR PATIENT STATEMENTS, VERBALLY THRU OUR FINANCIAL COUNSELING STAFF WHEN PATIENTS ARE IN-HOUSE AS WELL AS THROUGH PHONE CONVERSATIONS WITH PATIENTS CONCERNING THEIR BILLS.
PART VI, LINE 4:MEMORIAL HEALTHCARE SERVES SHIAWASSEE COUNTY AND THE SURROUNDING REGION. SHIAWASSEE COUNTY IS LOCATED IN CENTRAL MICHIGAN AND IS CLASSIFIED AS A RURAL COUNTY. THE ESTIMATED POPULATION IN 2024 IS APPROXIMATELY 68,000, WITH OWOSSO SERVING AS THE COUNTY SEAT. ACCORDING TO THE MOST RECENT AVAILABLE DATA (20232024), THE MEDIAN AGE OF RESIDENTS IS 43 YEARS, AND THE MEDIAN HOUSEHOLD INCOME IS $64,464. THE UNEMPLOYMENT RATE IN MID-2024 WAS 6.1%. ABOUT 12% OF RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL, AND APPROXIMATELY 17% OF CHILDREN UNDER AGE 18 LIVE IN POVERTY. THE COUNTY'S RACIAL COMPOSITION IS APPROXIMATELY 97% NON-HISPANIC WHITE, WITH THE REMAINING 3% IDENTIFYING AS HISPANIC, AFRICAN AMERICAN, OR MULTIRACIAL. SHIAWASSEE COUNTY REMAINS PRIMARILY RURAL, WITH MOST RESIDENTS LIVING OUTSIDE CITY LIMITS.
PART VI, LINE 5:MEMORIAL HEALTHCARE DEVELOPED A COLLABORATION WITH GREAT LAKES BAY HEALTH CENTER OF SAGINAW TO SET UP A COMMUNITY HEALTH CENTER IN SHIAWASSEE COUNTY. THIS CENTER SERVES AS THE MEDICAL HOME FOR THOUSANDS WHO HAD NO ACCESS TO CARE. THROUGH A PARTNERSHIP WITH COMMUNITY MENTAL HEALTH, THIS CENTER ALSO NOW HAS A FULL TIME SOCIAL WORKER. CURRENTLY, WE ARE WORKING TO INCREASE ACCESS TO DENTAL HEALTH.
PART VI, LINE 6:MEMORIAL HEALTHCARE FOUNDATION PROVIDES FUND DEVELOPMENT SERVICES TO ASSIST MEMORIAL HEALTHCARE. MEMORIAL HEALTHCARE OPERATES A SHORT-TERM, ACUTE-CARE FACILITY OFFERING INPATIENT AND OUTPATIENT HEALTHCARE, MENTAL HEALTH SERVICES, AND HOME CARE PRIMARILY TO CITIZENS OF SHIAWASSEE COUNTY, MICHIGAN.
PART VI, LINE 7, REPORTS FILED WITH STATESMI

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RAMY M KURDI DO
PHYSICIAN$1,073,501$0$140,701$0$0$0$12,060$0$28,974$0$1,255,236$0$0$0
TAREK R PACHA DO
PHYSICIAN$835,677$0$297,068$0$0$0$11,303$0$22,310$0$1,166,358$0$0$0
HAZEM TABBAA DO
VICE CHIEF OF STAFF$898,561$0$41,526$0$0$0$12,075$0$29,253$0$981,415$0$0$0
ASHRAF M ELBANNA MD
PHYSICIAN$847,274$0$91,695$0$0$0$12,075$0$21,733$0$972,777$0$0$0
BRIAN L LONG
EXECUTIVE DIRECTOR/CEO$670,771$0$214,690$0$0$0$12,075$0$20,545$0$918,081$0$0$0
SASHA M SPENCLEY DO
PHYSICIAN$445,248$0$404,860$0$0$0$9,003$0$9,113$0$868,224$0$0$0
IRA STANLEY FRYE MD
PHYSICIAN$388,405$0$436,679$0$0$0$10,322$0$28,560$0$863,966$0$0$0
JOSEPH M BUSTAMANTE DO
CHIEF MEDICAL OFFICER$386,141$0$140,916$0$0$0$7,945$0$18,121$0$553,123$0$0$0
JOSEPH E TESTA DO
MEMBER$460,026$0$23,998$0$0$0$9,682$0$28,449$0$522,155$0$0$0
THOMAS KURTZ
COO$298,033$0$57,205$0$0$0$6,549$0$26,237$0$388,024$0$0$0
ANTHONY A PATSY DO
MEMBER$319,890$0$29,615$0$0$0$6,505$0$26,221$0$382,231$0$0$0
MARGARET R FREY DO
MEMBER$334,451$0$35,825$0$0$0$6,859$0$3,737$0$380,872$0$0$0
JORRI TREMAIN
CFO$268,099$0$43,488$0$0$0$5,691$0$4,283$0$321,561$0$0$0
JOYCE BREMER
VP PHYSICIAN PRACTICE MANAGEMENT$235,238$0$29,296$0$0$0$5,700$0$17,448$0$287,682$0$0$0
ABBIE MAJZEL
COA$241,349$0$32,503$0$0$0$5,229$0$3,923$0$283,004$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1APHYSICIANS LISTED IN FORM 990, PART VII (AS WELL AS ALL THE PHYSICIANS ON STAFF) ARE GENERALLY ALLOWED $4,000/YEAR PER THEIR CONTRACTS. USUALLY, THIS MONEY IS USED FOR BOOKS AND CONTINUING EDUCATION. THIS IS NOT REPORTED AS TAXABLE COMPENSATION TO THE PHYSICIANS.
PART I, LINE 7MEMORIAL BONUSES ARE BASED ON OPERATING TARGETS BUT ARE PAID OUT AT THE DISCRETION AND APPROVAL OF THE BOARD OF DIRECTORS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingIndCUSIPCUSIPNum
MICHIGAN FINANCE AUTHORITY
A3813582082015-07-29$7,055,000FUND $7 MILLON OF 2015 CAPITAL BUDGET000
MICHIGAN FINANCE AUTHORITY
B3813582082013-08-06$19,369,159PAY DOWN DEBT - $12 MILLION / FUND $8 MILLION OF 2013 CAPITAL BUDGET00059447PXT3
MICHIGAN FINANCE AUTHORITY
C3813582082020-12-22$40,000,000FUNDING OF A NEW BUILDING000
MICHIGAN FINANCE AUTHORITY
D3813582082020-06-30$10,000,000FUND TEH NEW EMR PROJECT000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmt
A$6,408,292$7,055,000$64,952$6,990,0482015Yes (1)0Yes (1)Yes (1)
B$14,499,199$19,369,159$70,728$9,991,6692014Yes (1)0Yes (1)Yes (1)$9,306,762
C$2,662,735$40,000,000$148,000$11,593,116000Yes (1)$28,406,884
D$4,044,198$10,000,000$117,484$9,882,5162021000Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000
C0000000
D0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)000Yes (1)0
B000Yes (1)000Yes (1)0
C000000000
D000000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ALYSSA LONG
FAMILY MEMBER OF BRIAN LONG, CEO$67,165EMPLOYEE OF THE HOSPITAL0
LAUREN TREMAIN
FAMILY MEMBER OF JORRI TREMAIN, CFO$19,746EMPLOYEE OF THE HOSPITAL0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER IS MEMORIAL HEALTH SYSTEM, A RELATED 501(C)(3) ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF DIRECTORS ARE APPROVED BY THE SOLE MEMBER, MEMORIAL HEALTH SYSTEM.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTANT. THE CEO, CFO, AND THE FINANCE DIRECTOR ALL REVIEWED THE 990. TAX RETURNS WILL BE MADE AVAILABLE TO ALL FINANCE COMMITTEE MEMBERS AND BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. ALL BOARD MEMBERS AND LEADERSHIP TEAM MEMBERS ARE COVERED BY THIS POLICY. EACH COVERED MEMBER IS REQUIRED TO COMPLETE A DISCLOSURE STATEMENT ANNUALLY. ANY POTENTIAL CONFLICT THAT ARISES DURING THE YEAR MUST BE DISCLOSED WITHIN 14 DAYS OF FIDUCIARY'S KNOWLEDGE THAT A CONFLICT MAY EXIST. THE BOARD CHAIR HAS ULTIMATE RESPONSIBILITY FOR ENFORCEMENT OF THE POLICY. IF A CONFLICT DOES EXIST, THE MEMBER WITH THE CONFLICT ABSTAINS FROM VOTING AND THE CONFLICT IS NOTED IN THE MINUTES OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION UPON HIRING. THE FULL BOARD OF DIRECTORS REVIEWS THE CEO'S COMPENSATION ANNUALLY. A COMPENSATION COMMITTEE HAS BEEN FORMED AND ACTIVELY PARTICIPATES IN DECISIONS RELATED TO CEO AND EXECUTIVE PAY AND BENEFITS AS WELL AS PROVIDING INPUT AND OVERSIGHT FOR THE ORGANIZATIONS COMPENSATION PHILOSOPHY AND PROGRAM. CEO AND EXECUTIVE PAY IS REVIEWED AT LEAST ANNUALLY BY THIS COMMITTEE. THE MOST RECENT REVIEW OF CEO AND EXECUTIVE PAY WAS JUNE 2024. UPDATED SALARY RANGES ARE PROVIDED BY AN OUTSIDE COMPENSATION CONSULTING COMPANY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:DISTRIBUTION TO NONCONTROLLING INTEREST 218,451. OTHER NET ASSET ACTIVITY -2,506,792. TRANSFERS TO AFFILIATES 1,110.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL ASSISTED LIVING LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1826 WEST KING STREETAddressLine1Txt
CityOWOSSOCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48867ZIPCd
FieldValueIRS element (for citing)
EIN464831571EIN
Primary ActivitiesPROVIDE HOUSING AND SUPPORT FOR THE ELDERLYPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Total Income-$103,730TotalIncomeAmt
End Of Year Assets$6,482,720EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HOSPITALBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MEMORIAL HEALTHCARE FOUNDATION
826 WEST KING STREETOWOSSOMI48867383036586TO PROVIDE FUND DEVELOPMENT SERVICES TO ASSIST MEMORIALMI501(C)(3)LINE 12A, IMEMORIAL HOSPITALYes (1)
MEMORIAL HEALTH SYSTEM
826 WEST KING STREETOWOSSOMI48867934897020HEALTH SYSTEMMI501(C)(3)LINE 12C, III-FI0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HEALTHCARE PAIN MANAGEMENTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1826 WEST KING STREETAddressLine1Txt
CityOWOSSOCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48867ZIPCd
FieldValueIRS element (for citing)
EIN472218456EIN
Primary ActivitiesPROVIDE OUTPATIENT PAIN MANAGEMENT SERVICESPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$113,555ShareOfTotalIncomeAmt
Share Of EOY Assets$312,003ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.51000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MHC DEVELOPEMENT CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1826 WEST KING STREETAddressLine1Txt
CityOWOSSOCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48867ZIPCd
FieldValueIRS element (for citing)
EIN463742868EIN
Primary ActivitiesDEVELOPMENT OF ASSISTED LIVING PROPERTYPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$100,829ShareOfTotalIncomeAmt
Share Of EOY Assets$4,033,588ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MEMORIAL HEALTHCARE FOUNDATION
P$201,951ACTUAL CASH
MEMORIAL HEALTHCARE FOUNDATION
C$147,264ACTUAL CASH
MEMORIAL HEALTHCARE PAIN MANAGEMENT
P$86,577ACTUAL CASH