2016-07-26T13:04:29-05:00 2015-09-30 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2014-10-01 352362438 STURGIS HOSPITAL INC % ROBERT J LABARGE STUR 2696594400 916 MYRTLE AVENUE STURGIS MI 49091 ROBERT J LABARGE CEO 2696594400 2016-08-15 true Joyce A Dulworth P00151125 2604604000 2014 2016-12-15 16:53:06Z ROBERT J LABARGE 916 MYRTLE AVENUE STURGIS MI 49091 48689504 false X WWW.STURGISHOSPITAL.COM X 2009 MI STURGIS HOSPITAL IS AN 84-BED LICENSED, ACUTE CARE FACILITY SERVING A POPULATION OF APPROXIMATELY 50,000. IT EXISTS TO ENSURE THAT THE COMMUNITY HAS ADEQUATE ACCESS TO HEALTHCARE. 12 11 423 104 0 0 205426 364802 45199088 47686032 154178 234460 71742 88968 45630434 48374262 0 0 0 0 25753212 26075428 0 0 0 23320373 24088529 49073585 50163957 -3443151 -1789695 31296386 28813867 26821605 27165614 4474781 1648253 X STURGIS HOSPITAL INC. IS COMMITTED TO THE PROVISION OF THE HIGHEST QUALITY PRIMARY AND SECONDARY HEALTHCARE TO THE COMMUNITY WE SERVE. STURGIS HOSPITAL INC. STRIVES, IN ALL CIRCUMSTANCES TO PROVIDE ACUTE AND PREVENTATIVE CARE THAT IS CONSISTENT WITH THE VALUES AND NEEDS OF THE UNIQUE SEGMENTS OF OUR POPULATION. BY EXERCISING RESPONSIBLE STEWARDSHIP OF OUR RESOURCES, STURGIS HOSPITAL INC. WILL ALSO ENDEAVOR TO MAXIMIZE THE BREADTH AND DEPTH OF CARE PROVIDED TO OUR COMMUNITY false false 42427711 47761079 STURGIS HOSPITAL IS A 84-BED LICENSED, ACUTE CARE FACILITY. NEARLY 40 ACTIVE MEDICAL STAFF MEMBERS, AVAILABLE WITHIN THE STURGIS AND SURROUNDING COMMUNITIES, REPRESENT A WIDE VARIETY OF SPECIALTIES INCLUDING ANESTHESIOLOGY, FAMILY PRACTICE, GENERAL SURGERY, GYNECOLOGY, INTERNAL MEDICINE, OBSTETRICS, OPHTHALMOLOGY, ORTHOPAEDICS, PATHOLOGY, PEDIATRICS, PODIATRY, RADIOLOGY, UROLOGY AND VASCULAR SURGERY. ADDITIONAL SPECIALTIES ARE OFFERED THROUGH THE HOSPITAL'S COURTESY, CONSULTING AND AFFILIATE MEDICAL STAFF MEMBERS. THESE SERVICES INCLUDE CARDIOLOGY, NEUROLOGY, NEUROSURGERY, ONCOLOGY, AND PULMONARY MEDICINE. MEDICAL/SURGICAL CARE IS OFFERED ON AN INPATIENT AND OUTPATIENT LEVEL. BOTH LASER AND LAPAROSCOPIC PROCEDURES ARE PERFORMED IN THE HOSPITAL'S THREE ROOM SURGICAL SUITE. A FOUR-BED CORONARY/INTENSIVE CARE UNIT IS ALSO AVAILABLE FOR CRITICAL PATIENTS. THE 12-BED OBSTETRICAL DEPARTMENT OFFERS LABOR/DELIVERY/RECOVERY/POSTPARTUM ROOMS FOR THE EXPECTANT MOM AND HER FAMILY. EMERGENCY SERVICES ARE AVAILABLE 24 HOURS A DAY, 365 DAYS A YEAR, WITH FULL-TIME MEDICAL STAFF COVERAGE. CARDIAC REHABILITATION AND PHYSICAL THERAPY PROGRAMS AS WELL AS COMMUNITY EDUCATION PROGRAMS DESIGNED TO HELP OUR COMMUNITY LEAD A HEALTHIER LIFESTYLE, ARE ALSO AVAILABLE. STURGIS HOSPITAL HAS A COMMITMENT TO MAINTAIN STATE-OF-THE-ART DIAGNOSTIC TECHNOLOGY, WHICH INCLUDES ANGIOGRAPHY, 64-SLICE CT SCANNING, MAMMOGRAPHY, MOBILE MRI, A SLEEP DISORDER LABORATORY AND SPECT IMAGING AND ULTRASOUND. STURGIS HOME HEALTH CARE--A TOP 500 AGENCY IN THE NATION--IS A DIVISION OF STURGIS HOSPITAL. IT WORKS CLOSELY WITH PHYSICIANS TO PROVIDE QUALITY HOME HEALTH CARE SERVICES FOLLOWING DISCHARGE FROM A HOSPITAL OR FOR THOSE WITH SPECIAL MEDICAL NEEDS THAT DO NOT REQUIRE HOSPITALIZATION. THESE SERVICES INCLUDE NURSING ASSISTANCE, AIDS, COMPANIONS, PHYSICAL, OCCUPATIONAL, SPEECH AND LANGUAGE THERAPIES, AS WELL AS A MEDICAL SOCIAL WORKER. HOSPICE OF STURGIS PROVIDES SUPPORT AND CARE FOR PERSONS IN THE LAST PHASES OF AN INCURABLE DISEASE. THESE SERVICES CAN BE PROVIDED IN A PATIENT'S HOME, NURSING HOME OR ADULT FOSTER CARE SETTING. THE HOSPICE TEAM INCLUDES PHYSICIANS, NURSES, THERAPISTS, AIDES, SOCIAL WORKERS, NUTRITIONISTS, VOLUNTEERS AND CLERGY, AS WELL AS BEREAVEMENT AND SUPPORT GROUPS. 42427711 true true false false false false false false false false true false true true true false false true false false false false false false true false true true false false true true false false false false false false false false true false false false false false false true false false true 218 0 true 423 true false false false false false false false false false false X 12 11 false true false false false false false true true false false true true true true true true true true true false X ROBERT J LABARGE 2696594400 916 MYRTLE AVENUE STURGIS MI 49091 JOHN MAYER BOARD PRESIDENT 1.0 0.0 X X 0 0 0 FLOYD KUNCE BOARD DIRECTOR 1.0 0.0 X 0 0 0 PHILIP WARD BOARD DIRECTOR 1.0 0.0 X 0 0 0 JOSE ALBARRAN BOARD DIRECTOR 1.0 0.0 X 0 0 0 P JOSEPH HAAS JR BOARD VICE-PRESIDENT 1.0 0.0 X X 0 0 0 MARK HEYDLAUFF BOARD DIRECTOR 1.0 0.0 X 0 0 0 JEANNIE GERCHOW BOARD DIRECTOR 1.0 0.0 X 0 0 0 ERIC JONES BOARD DIRECTOR 1.0 0.0 X 0 0 0 THOMAS ROCK BOARD SECRETARY/TREASURER 1.0 0.0 X X 0 0 0 VICKI WATSON BOARD DIRECTOR 1.0 0.0 X 0 0 0 BHARAT VAKHARIA BOARD DIRECTOR 1.0 0.0 X 0 0 0 ASHISH VERMA MEDICAL STAFF PRESIDENT 40.0 0.0 X X 625730 0 29663 SHARI RANSBERGER VP OF QUALITY MANAGEMENT 40.0 0.0 X 103926 0 24157 JOSEPHINE HAGOOD VP OF PHYSICIAN SERVICES 40.0 0.0 X 82670 0 23326 MARY KAY SCHULTZ VP OF HUMAN RESOURCES 40.0 0.0 X 113663 0 22473 CHARLOTTE PAVILANIS VP OF PATIENT SERVICES 40.0 0.0 X 130309 0 5096 YAZDI AMARIA PHYSICIAN GENERAL SURGERY/PRIM 40.0 0.0 X 740736 0 27631 KEYUR PATEL PHYSICIAN PRIMARY CARE 40.0 0.0 X 623547 0 29663 ELIEZAR MELENDEZ PHYSICIAN/PEDIATRICS 40.0 0.0 X 464923 0 29663 WILSON SAWA PHYSICIAN/OB-GYN 40.0 0.0 X 445971 0 29663 BHUMIT P PATEL PHYSICIAN PRIMARY CARE 40.0 0.0 X 442609 0 27633 3774084 0 248968 19 false true false QUORUM HEALTH RESOURCES PO BOX 305172 NASHVILLE TN 37230 HOSPITAL MANAGEMENT 716751 SOUTH BEND MEDICAL FOUNDATION 118 W EDISON ROAD MISHAWAKA IN 46545 LAB SERVICES 739940 ALLIANCE-HNI LLC 7647 COLLECTION CENTER DR CHICAGO IL 60693 MRI SERVICES 655256 GREAT LAKES ANESTHESIA 500 N NAPPANEE STREET STE 11B ELKHART IN 46514 ANESTHESIA PROVIDER 695488 SODEXO OPERATIONS LLC 4880 PAYSPERE CIRCLE CHICAGO IL 60674 DIET. MAINT.EVIRON 576825 12 30940 333862 364802 INPATIENT REVENUE 900099 17818978 17818978 OUTPATIENT REVENUE 900099 11783250 11783250 PHYSICIAN OFFICE REVENUE 900099 17179484 17179484 CAFETERIA REVENUE 900099 110760 110760 OTHER REVENUE 900099 793560 793560 47686032 234460 234460 0 0 382315 307268 75047 0 75047 75047 0 21895 30940 7974 13921 13921 0 0 0 48374262 47761079 248381 0 0 0 0 1056761 839172 217589 0 20081331 16292264 3789067 271697 206136 65561 3304242 3083572 220670 1361397 1175235 186162 293798 235038 58760 117440 93952 23488 220328 176262 44066 0 0 0 7253625 5802900 1450725 144298 115438 28860 3202925 2562338 640587 363560 290848 72712 0 1237424 989939 247485 47804 38243 9561 0 135476 108381 27095 449146 359317 89829 0 1439344 1151475 287869 613162 490530 122632 BAD DEBT 2843382 2843382 MEDICAL SUPPLIES 4959179 4959179 MISCELLANEOUS EXPENSES 767638 614110 153528 50163957 42427711 7736246 0 X 650 650 1887137 3430151 0 0 6087301 4649167 0 0 0 0 0 0 978441 888088 858720 553081 49848048 33895137 17277239 15952911 0 0 0 0 2505301 1726516 0 0 1701597 1613303 31296386 28813867 6446006 6804660 0 0 0 0 11430031 11047163 0 0 0 0 1237875 1041242 0 0 7707693 8272549 26821605 27165614 X 4410048 1536141 64733 112112 0 0 4474781 1648253 31296386 28813867 X -1789695 -544770 -492063 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 109943 109943 28416742 14546149 13870593 21318483 19346555 1971928 2880 2433 447 15952911 0 DEFERRED FINANCING COSTS 357309 DUE FROM THIRD PARTY PAYERS 117973 DUE FROM AFFILIATE 1138021 1613303 0 PENSION LIABILITY 7155271 DUE TO AFFILIATE 1117278 8272549 45846123 315242 315242 45530881 2843381 2843381 48374262 47635818 315242 315242 47320576 2843381 2843381 50163957 ASC 740 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. RECONCILIATION PART XI LINE 2D & PART XII LINE 2D RENT EXPENSE $307,268 SPECIAL EVENTS EXPENSE $ 7,974 TOTAL $315,242 PART XI & PART XII LINE 4B BAD DEBT EXPENSE $2,843,381 AUTUMN FEAST 32575 22390 10185 1300 450 398 SPRING GOLF OUT 20260 8550 11710 350 1265 3958 253 0 52835 30940 21895 1650 1265 3958 450 651 7974 13921 true true true X true X true true true false true true 1 823682 783608 40074 0.00090 1 10336595 10475742 -139147 2 11160277 11259350 -99073 0.00090 27 2176 36183 1340 34843 0.00080 53 125 22571 22571 0.00050 80 2301 58754 1340 57414 0.00130 82 2301 11219031 11260690 -41659 0.00220 196 16616 16616 0.00040 1 50 157 157 197 50 16773 16773 0.00040 true 2843382 1275383 12634895 14696449 -2061554 X true true 1 1 STURGIS HOSPITAL 916 MYRTLE AVENUE STURGIS MI 49091 X X X STURGIS HOSPITAL 1 false false true X X X X X X X X X 12 true true true true X www.sturgishospital.com X X true 12 true www.sturgishospital.com false false true X 200. 200. X X X X true true X X X X true X www.sturgishospital.com X X X X true false X X X true X false false SCHEDULE H, PART V LINE 5 STURGIS HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY BY SURVEYING THE PUBLIC, DISTRIBUTING THE SURVEY AT SEVERAL LOCATIONS, AND SHARING THE SURVEY RESULTS WITH A PANEL OF 25 LOCAL HEALTH EXPERTS FOR INPUT. LINE 6A THE HOSPITAL'S CHNA WAS CONDUCTED WITH STURGIS HOSPITAL, THREE RIVERS HEALTH, COMMUNITY MENTAL HEALTH, AND THE PUBLIC HEALTH DEPARTMENT LINE 7 THE HOSPITAL MADE ITS CHNA REPORT AVAILABLE BY SHARING SUMMARY RESULTS WITH COMMUNITY GROUPS AND PUBLISHING A SPECIAL CIRCULAR WITH SUMMARY RESULTS. LINE 11 THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED THROUGH TAKING A LEADERSHIP ROLE TO ENACT CHANGE, COORDINATING ACTIONS PRIMARILY TAKEN BY OTHERS, ALLOCATING HOSPITAL RESOURCES TO ADDRESS THE NEED, AND EDUCATIONAL EFFORTS. THE HOSPITAL IS ADDRESSING NEEDS WHERE IT HOLDS HIGH RESPONSIBILITY FOR IMPLEMENTATION, WHETHER THOSE NEEDS ARE HIGH OR LOW PRIORITY. BY DEFINITION, THE NEEDS IDENTIFIED AS LOW PRIORITY AND FOR WHICH STURGIS HOSPITAL HOLDS LOW RESPONSIBILITY FOR IMPLEMENTATION ARE NEEDS THE HOSPITAL WILL MONITOR, BUT OTHERWISE NOT ADDRESS. SOME OF THE REASONS FOR THIS RESPONSE INCLUDE: - ACTIONS REQUIRED ARE BEYOND THE MISSION OF THE HOSPITAL - THE HOSPITAL DOES NOT POSSESS THE REQUIRED EXPERTISE - THE HOSPITAL CAN BE MORE EFFECTIVE APPLYING ITS RESOURCES TO HIGHER PRIORITY NEEDS - IMPLEMENTATION FALLS MORE APPROPRIATELY TO OTHER ORGANIZATIONS LINE 22D A FLAT DISCOUNT OF 100% IS PROVIDED FOR ELIGIBLE PATIENTS UNDER THE FEDERAL POVERTY GUIDELINES. PART I STURGIS HOSPITAL ACKNOWLEDGES THAT ALL INDIVIDUALS ARE NOT EQUALLY CAPABLE OF WITHSTANDING THE BURDEN OF PAYMENT FOR HEALTHCARE SERVICES. THE HOSPITAL PROVIDES AND PROMOTES ACCESS TO EMERGENCY AND MEDICALLY NECESSARY SERVICES WITHOUT REGARD TO ABILITY TO PAY. LINE 3C ACCORDING TO THE HOSPITAL'S EXISTING PUBLIC POLICY, ALL PATIENTS RECEIVING MEDICALLY NECESSARY SERVICES ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE NEED OF THE PATIENTS, LACK OF EXISTING INSURANCE, AND OTHER RESOURCES REQUIRED FOR PAYMENT. ELIGIBILITY CRITERIA IS FURTHER BASED ON THE FEDERAL POVERTY GUIDELINES AT A LEVEL OF 200% OF THAT GUIDELINE. LINE 6A STURGIS HOSPITAL PUBLISHES ITS ANNUAL REPORT WHICH INCLUDES ALL RELATED ORGANIZATIONS' PROGRAMS AND SERVICES DESIGNED TO LEAD THE COMMUNITY TO IMPROVED HEALTH AND PROMOTE HEALTHY LIFESTYLES. THE REPORT IS AVAILABLE ON STURGIS'S WEBSITE. LINE 7 COLUMN F BAD DEBT EXPENSE IN THE AMOUNT OF $2,843,381 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) ("TOTAL FUNCTIONAL EXPENSES"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. THE ORGANIZATION USES A COMBINATION OF THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 OF SCHEDULE H AND DIRECT COSTING METHOD OF CERTAIN PROGRAMS. PART III LINE 3 THE AMOUNT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER FINANCIAL ASSISTANCE IS ESTIMATED BASED UPON PAST EXPERIENCE. LINE 4 THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENTS LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. CHARGES ARE REPORTED AT 100%, AND THE AMOUNT WRITTEN OFF TO BAD DEBT IS REDUCED TO COST BY APPLYING THE COST TO CHARGE RATIO. LINE 8 COSTING METHODOLOGY TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MCR IS A STATISTICAL STEP DOWN ALLOCATION METHOD. ANY SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT SINCE THE HOSPITAL PROVIDES THESE SERVICES AS A COMMUNITY BENEFIT DESPITE THE FACT THAT THEY ARE PROVIDED AT A FINANCIAL LOSS. LINE 9B ONCE THE EVALUATION IS COMPLETED AND A DETERMINATION HAS BEEN MADE THAT PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE, NO COLLECTION EFFORTS ARE MADE. CONSIDERATION FOR ASSISTANCE IS ALSO GIVEN TO OTHER TYPES OF PATIENTS IF THE NEED FOR ASSISTANCE IS REQUIRED. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY AND AVAILABILITY OF FINANCIAL ASSISTANCE BY: POSTING THE ORGANIZATIONS CHARITY CARE POLICY IN ACCESS AND REGISTRATION AREAS WITHIN THE HOSPITAL INDIVIDUAL INTERVIEW OF PATIENTS BY FINANCIAL COUNSELORS AND PREADMISSION STAFF WITH DISCUSSIONS CONCERNING FINANCIAL ASSISTANCE, AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS AND ASSISTANCE WITH THE APPLICATION FOR ASSISTANCE. THE HOSPITAL HAS ENTERED A MEMORANDUM OF UNDERSTANDING WITH THE COUNTY WHEREAS THE HOSPITAL MAKES A COMMITMENT TO PROVIDE HEALTH CARE SERVICES TO LOW INCOME RESIDENTS OF THE COUNTY (PUBLIC RECORD) COMMUNITY BENEFIT REPORT THE HOSPITAL DEMONSTRATES ITS DESIRE TO FURTHER ITS EXEMPT PURPOSE AND MISSION BY: A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED BY PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA, WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY (OPEN MEDICAL STAFF). ALL SURPLUS FUNDS ARE REINVESTED INTO THE ORGANIZATION TO PROMOTE SERVICE ENHANCEMENT TO ITS COMMUNITY AS WELL AS CAPITAL REPLACEMENT AND SERVICE DEVELOPMENT. THE ORGANIZATION FURTHER PROMOTES ITS MISSION BY PARTICIPATION IN HEALTH CARE SCREENING, HEALTH CARE EDUCATION AND CERTAIN SERVICES MADE TO THE COMMUNITY AT NO COST TO THE COMMUNITY. ORGANIZATION HAS ENTERED INTO MEMORANDUM OF UNDERSTANDING WITH ST.JOSEPH COUNTY COMMITTING TO PROVIDE SERVICES TO THE COMMUNITY REGARDLESS OF THE ABILITY TO PAY FOR THOSE SERVICES. COMMUNITY BENEFIT REPORT WOULD BE FILED ONLY IN THE STATE OF MICHIGAN. false false false false false false false false false ASHISH VERMA MEDICAL STAFF PRESIDENT 625730 0 0 0 0 0 7800 0 21863 0 655393 0 YAZDI AMARIA PHYSICIAN GENERAL SURGERY/PRIM 740736 0 0 0 0 0 7800 0 19831 0 768367 0 KEYUR PATEL PHYSICIAN PRIMARY CARE 623547 0 0 0 0 0 7800 0 21863 0 653210 0 ELIEZAR MELENDEZ PHYSICIAN/PEDIATRICS 464923 0 0 0 0 0 7800 0 21863 0 494586 0 WILSON SAWA PHYSICIAN/OB-GYN 445971 0 0 0 0 0 7800 0 21863 0 475634 0 BHUMIT P PATEL PHYSICIAN PRIMARY CARE 442609 0 0 0 0 0 7800 0 19833 0 470242 0 PART I LINE 3 THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS ARE LEASED FROM A MANAGEMENT COMPANY. THEREFORE, THEIR COMPENSATION IS DETERMINED AND PAID BY THIS MANAGEMENT COMPANY. A CITY OF STURGIS FACILITIES & HOSPITAL AUTHORITY 386004653 2010-04-28 2334795 HOSPITAL EXPANSION PROJECT false false false B CITY OF STURGIS BUILDING AUTHORITY 386004653 2014-07-10 9754034 REFUND SERIES 2004 AND 2005 BONDS false false false A 85599 0 2334795 0 0 0 43541 0 2291254 0 0 0 2012 false false false true B 0 0 9754034 0 0 0 174769 11578 0 0 9567687 0 2014 false true false true A false false false false 0 true false false false B false false false false 0 true false false false A false false true false 0 false 0 false false B false true false false true false 0 false 0 false false A true B true NICOLE RANSBERGER DAUGHTER TO SHARI RANSBER 24724 EMPLOYEE COMPENSATION false FORM 990, PART VI, SECTION A, LINE 1B QUESTION 1B: ASHISH VERMA IS A PAID EMPLOYEE OF THE HOSPITAL AND IS THEREFORE CONSIDERED NON-INDEPENDENT. FORM 990, PART VI, SECTION A, LINE 3 BOARD OF TRUSTEES HAS ENGAGED QUORUM HEALTH RESOURCES TO PROVIDE MANAGEMENT SERVICES UNDER THE STRICT POLICIES AND BY-LAWS ADOPTED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM AND FORM 990 AND RELATED SCHEDULES ARE PROVIDED TO THE FULL BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE POTENTIAL CONFLICTS OF INTEREST. DISCLOSURES ARE REVIEWED TO DETERMINE WHETHER A CONFLICT EXISTS. IF A CONFLICT EXISTS, BOARD MEMBERS ARE ASKED TO RECUSE THEMSELVES FROM DISCUSSIONS RELATING TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION LEVELS ARE DETERMINED AT THE BOARD LEVEL UTILIZING VARIOUS SALARY SURVEYS FROM STATE HOSPITAL ASSOCIATION AS WELL AS THE MANAGEMENT COMPANY'S DATA BASE OF SALARY SCALES AND PROFESSIONAL RECRUITMENT FIRMS. FORM 990, PART VI, SECTION B, LINE 19 STURGIS HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART X, LINES 25 & 33 SUBSEQUENT TO THE ISSUANCE OF THE SEPTEMBER 30, 2015, CONSOLIDATED FINANCIAL STATEMENTS, THE HOSPITAL ADOPTED THE REVISED MORTALITY LIVES IN RELATION TO THE DEFINED BENEFIT PENSION PLAN OF THE HOSPITAL AS OF SEPTEMBER 30, 2014, RESULTING IN THE RESTATEMENT OF THE SEPTEMBER 30, 2015 AND SEPTEMBER, 2014, CONSOLIDATED FINANCIAL STATEMENTS TO REFLECT THE REVISED ACTUARIAL ASSUMPTIONS IN THE CORRECT REPORTING PERIOD. THE HOSPITAL INITIALLY ADOPTED THESE NEW MORTALITY TABLES DURING THE YEAR ENDED SEPTEMBER 30, 2015. AS A RESULT, THE BALANCE SHEET DIFFERS FROM WHAT WAS REPORTED ON THE 2013 TAX RETURN. FORM 990, PART XI, LINE 9 CHANGE IN DEFINED BENEFIT PENSION PLAN LOSS ($539,442) TEMPORARILY RESTRICTED CONTRIBUTIONS $47,379 TOTAL: ($492,063) FORM 990 PART IX LINE 11G DESCRIPTION:OUTSOURCED EMERGENCY ROOM TOTAL FEES:869166 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSOURCED HOSPITAL MANAGEMENT TOTAL FEES:806428 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSOURCED ANESTHESIA SERVICES TOTAL FEES:686628 FORM 990 PART IX LINE 11G DESCRIPTION:MOBILE MRI/PT-CT SCANNING TOTAL FEES:653762 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSOURCED DIETARY/FACILITIES TOTAL FEES:582208 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSOURCED BILLING/COLLECTIONS TOTAL FEES:1020730 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSOURCED LAB SERVICES TOTAL FEES:497480 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSOURCED PHYSICAL THERAPY TOTAL FEES:482714 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSOURCED PHARMACY TOTAL FEES:557132 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT FEES FOR OB/GYN TOTAL FEES:259575 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT FEES FOR UROLOGIST TOTAL FEES:204412 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT FEES FOR CLINICIAN TOTAL FEES:119440 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT FEES FOR ONCOLOGIST TOTAL FEES:88959 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER OUTSOURCED SERVICES TOTAL FEES:424991 STURGIS HOSPITAL PAIN MANAGEMENT LLC 916 MYRTLE STREET STURGIS MI 49091 461734503 HEALTHCARE MI STURGIS HOS RELATED 62087 71636 false 0 true 0.51000 false false false false false false false false false false false false false false false false false false false