DECKERVILLE COMMUNITY HOSPITAL INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- DECKERVILLE COMMUNITY HOSPITAL INC (EIN 38-1415390)
- Tax period
- 2024-07-01 to 2024-12-31
- Filed
- 2025-11-05
- IRS object ID
- 202513099349302976
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-05T13:38:02-06:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 121 WEST BRIDGE STREET | AddressLine1Txt |
| City | OWATONNA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55060 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381415390 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DECKERVILLE COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DECK | BusinessNameControlTxt |
| Phone | 8103762835 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3559 PINE STREET | AddressLine1Txt |
| City | DECKERVILLE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 484270126 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANGELA MCCONNACHIE | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8103762835 | PhoneNum |
| Signature | 2025-11-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JUSTIN HARTERT | PreparerPersonNm |
| PTIN | P02236744 | PTIN |
| Phone | 5074467100 | PhoneNum |
| Preparation | 2025-11-05 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANGELA MCCONNACHIE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3559 PINE STREET | AddressLine1Txt |
| City | DECKERVILLE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 484270126 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,667,856 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ASPIRERHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1952 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | PROVIDING EXCEPTIONAL CARE CLOSE TO HOME AS THE LEADING RURAL HEALTHCARE ORGANIZATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 89 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $120,680 | PYContributionsGrantsAmt |
| CY Contributions Grants | $14,746 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,450,456 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,644,270 | CYProgramServiceRevenueAmt |
| PY Investment Income | $16,481 | PYInvestmentIncomeAmt |
| CY Investment Income | -$3,327 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$156,170 | PYOtherRevenueAmt |
| CY Other Revenue | $7,716 | CYOtherRevenueAmt |
| PY Total Revenue | $9,431,447 | PYTotalRevenueAmt |
| CY Total Revenue | $5,663,405 | 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 | $5,249,400 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,931,012 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,410,425 | PYOtherExpensesAmt |
| CY Other Expenses | $2,820,226 | CYOtherExpensesAmt |
| PY Total Expenses | $10,659,825 | PYTotalExpensesAmt |
| CY Total Expenses | $6,751,238 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,228,378 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,087,833 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,970,928 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,057,821 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,910,548 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,415,205 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,060,380 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,642,616 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE HIGH QUALITY AND COST-EFFECTIVE HEALTH CARE SERVICES, CLOSE TO HOME, IN A PATIENT-CENTERED ENVIRONMENT AND PROVIDE SYSTEMS OF CARE THAT ASSIST PATIENTS AS THEY TRANSITION THROUGH VARIOUS CARE CONTINUUMS. ALSO TO WORK CLOSELY WITH THE LOCAL COMMUNITY TO SUPPORT THE HEALTH AND WELLNESS OF THE COMMUNITY AS A WHOLE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,676,514 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $5,644,270 | RevenueAmt |
| Desc | TO PROVIDE HIGH QUALITY AND COST-EFFECTIVE HEALTH CARE SERVICES, CLOSE TO HOME, IN A PATIENT-CENTERED ENVIRONMENT AND PROVIDE SYSTEMS OF CARE THAT ASSIST PATIENTS AS THEY TRANSITION THROUGH VARIOUS CARE CONTINUUMS. ALSO TO WORK CLOSELY WITH THE LOCAL COMMUNITY TO SUPPORT THE HEALTH AND WELLNESS OF THE COMMUNITY AS A WHOLE. DECKERVILLE OFFERS, AS PART OF ITS MISSION, NECESSARY MEDICAL CARE TO THOSE INDIVIDUALS NOT COVERED UNDER A THIRD PARTY INSURER OR GOVERNMENT PROGRAM OR WHO DO NOT HAVE RESOURCES TO PAY ALL OF A PORTION OF THEIR BILLS.DURING THE PERIOD FROM JULY 1, 2024 TO DECEMBER 31, 2024, THE HOSPITAL SERVICED 24 INPATIENT DAYS, 1,043 EMERGENCY ROOM VISITS, AND 6,815 CLINIC VISITS. | Desc |
| Total Program Service Expenses | $5,676,514 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | 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 With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 42 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 89 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 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 | KIMBERLY GENTNER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9896354230 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2770 MAIN STREET | AddressLine1Txt |
| City | MARLETTE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48453 | ZIPCd |
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 |
|---|---|---|---|---|---|---|---|---|
| PAT CURTIS | ||||||||
| CHAIRMAN | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GAIL DENTON | ||||||||
| VICE-CHAIRMAN | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAVID MESSING | ||||||||
| SECRETARY/TREASURER | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CAROL STARLING | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ERIK TAMLYN | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| FAITH FAHRNER RN | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JUDY BROWN | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PAUL ROHLING | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SCOTT ORR | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEVE ELLIS | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| VICTORIA MEIBURG | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ANGELA MCCONNACHIE | ||||||||
| CO-CEO | 8.00 | 32.00 | Yes (X) | $180,261 | $188,584 | $6,522 | ||
| ANDREW DANIELS | ||||||||
| CO-CEO | 8.00 | 32.00 | Yes (X) | $9,931 | $380,561 | $41,883 | ||
| KIM GENTNER | ||||||||
| CFO | 8.00 | 32.00 | Yes (X) | $119,089 | $140,553 | $11,090 | ||
| MALORIE MCVITTIE | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $262,942 | $0 | $41,033 | Yes (X) | ||
| CHRISTOPHER KREINER | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $184,528 | $0 | $10,335 | Yes (X) | ||
| SCOTT GREIB | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $174,454 | $0 | $12,986 | Yes (X) | ||
| CARRIE EUGSTER | ||||||||
| NURSE PRACTITIONER | 40.00 | 0.00 | $133,024 | $0 | $5,593 | Yes (X) | ||
| ROBERTA WEISS | ||||||||
| NURSE PRACTITIONER | 40.00 | 0.00 | $110,751 | $0 | $25,446 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,174,980 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $709,698 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $154,888 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| RASHID ALSABEH | |||||
| 3543 CEDAR BROOK DR | ROCHESTER HILLS | MI | 48309 | PHYSICIAN | $286,565 |
| NICK BUTTAR | |||||
| 8445 WARWICK GROVES COURT | GRAND BLANC | MI | 48439 | PHYSICIAN | $222,705 |
| SCOTT GREIB | |||||
| 7728 SPRINGBORN RD | CASCO | MI | 48064 | PHYSICIAN | $104,865 |
| TRIAGE LLC | |||||
| 13609 CALIFORNIA STREET | OMAHA | NE | 68154 | STAFFING SERVICES | $104,016 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $14,746 | AllOtherContributionsAmt |
| Total Contributions | $14,746 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 621500 | $5,625,837 | $5,625,837 |
| PHARMACY REVENUE | 621500 | $18,433 | $18,433 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,644,270 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,124 | TotalRevenueColumnAmt |
| Exclusion | $1,124 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,437 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,437 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,437 | TotalRevenueColumnAmt |
| Exclusion | $4,437 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,451 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$4,451 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,451 | TotalRevenueColumnAmt |
| Exclusion | -$4,451 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $3,279 | TotalRevenueColumnAmt |
| Exclusion | $3,279 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,279 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,663,405 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,644,270 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,389 | 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 | $318,618 | TotalAmt |
| Management And General | $318,618 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,804,125 | TotalAmt |
| Program Services | $2,708,663 | ProgramServicesAmt |
| Management And General | $95,462 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,414 | TotalAmt |
| Program Services | $75,968 | ProgramServicesAmt |
| Management And General | $5,446 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $513,903 | TotalAmt |
| Program Services | $450,081 | ProgramServicesAmt |
| Management And General | $63,822 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,952 | TotalAmt |
| Program Services | $185,268 | ProgramServicesAmt |
| Management And General | $27,684 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,628 | TotalAmt |
| Program Services | $28,790 | ProgramServicesAmt |
| Management And General | $1,838 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $650 | TotalAmt |
| Program Services | $611 | ProgramServicesAmt |
| Management And General | $39 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,007,400 | TotalAmt |
| Program Services | $946,956 | ProgramServicesAmt |
| Management And General | $60,444 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,616 | TotalAmt |
| Program Services | $7,877 | ProgramServicesAmt |
| Management And General | $16,739 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,598 | TotalAmt |
| Program Services | $28,032 | ProgramServicesAmt |
| Management And General | $59,566 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,465 | TotalAmt |
| Program Services | $63,509 | ProgramServicesAmt |
| Management And General | $134,956 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,660 | TotalAmt |
| Program Services | $156,337 | ProgramServicesAmt |
| Management And General | $19,323 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,513 | TotalAmt |
| Program Services | $2,724 | ProgramServicesAmt |
| Management And General | $5,789 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,429 | TotalAmt |
| Program Services | $5,722 | ProgramServicesAmt |
| Management And General | $707 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,946 | TotalAmt |
| Program Services | $11,437 | ProgramServicesAmt |
| Management And General | $2,509 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,596 | TotalAmt |
| Program Services | $198,313 | ProgramServicesAmt |
| Management And General | $32,283 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,237 | TotalAmt |
| Program Services | $95,237 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $315,776 | $296,829 | $18,947 |
| REPAIRS AND MAINTENANCE | $186,857 | $128,931 | $57,926 |
| TAXES AND LICENSES | $180,923 | $57,895 | $123,028 |
| BAD DEBT EXPENSE | $115,248 | $115,248 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,684 | TotalAmt |
| Program Services | $112,086 | ProgramServicesAmt |
| Management And General | $29,598 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,751,238 | TotalAmt |
| Program Services | $5,676,514 | ProgramServicesAmt |
| Management And General | $1,074,724 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $313,811 | BOYAmt |
| EOY | $587,906 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $15,660 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,469,264 | BOYAmt |
| EOY | $1,545,924 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,724 | BOYAmt |
| EOY | $107,710 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,632 | BOYAmt |
| EOY | $125,658 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,898,186 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,755,420 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,364,610 | BOYAmt |
| EOY | $3,142,766 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $654,887 | BOYAmt |
| EOY | $532,197 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,970,928 | BOYAmt |
| EOY | $6,057,821 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $923,236 | BOYAmt |
| EOY | $1,078,547 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,439 | BOYAmt |
| EOY | $107,047 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $973,873 | BOYAmt |
| EOY | $1,229,611 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,910,548 | BOYAmt |
| EOY | $2,415,205 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,998,680 | BOYAmt |
| EOY | $3,576,968 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,700 | BOYAmt |
| EOY | $65,648 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,060,380 | BOYAmt |
| EOY | $3,642,616 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,970,928 | BOYAmt |
| EOY | $6,057,821 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,087,833 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$100,509 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $14,400 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $1,756,178 | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $375 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $375 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAYS ANNUAL DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION (MHA) AND A PORTION OF THOSE DUES GOES TOWARD LOBBYING. THE MHS WORKS WITH ITS MEMBER HOSPITAL AND HEALTH SYSTEMS TO INFORM DECISION-MAKERS ABOUT THE IMPACT OF HOSPITALS ON LOCAL HEALTH AND HEALTHCARE DELIVERY, AND ON CREATING THRIVING COMMUNITIES. THEY SPEND TIME IN MICHIGAN AND WASHINGTON DC TO ADVOCATE ON BEHALF OF THE INTERESTS OF ITS MEMBERS. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $61,446 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $4,908 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $959 | AdministrativeExpensesAmt |
| End Year Balance | $65,395 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $53,073 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $9,468 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,095 | AdministrativeExpensesAmt |
| End Year Balance | $61,446 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $46,356 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $7,813 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,096 | AdministrativeExpensesAmt |
| End Year Balance | $53,073 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,133 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$13,900 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,074 | AdministrativeExpensesAmt |
| End Year Balance | $46,356 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Earnings Or Losses | $11,930 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,016 | AdministrativeExpensesAmt |
| End Year Balance | $61,330 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $108,668 | OtherCostOrOtherBasisAmt |
| Book Value | $108,668 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,404,828 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,421,673 | DepreciationAmt |
| Book Value | $983,155 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $63,918 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,491 | DepreciationAmt |
| Book Value | $28,427 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,698,038 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,298,256 | DepreciationAmt |
| Book Value | $1,399,782 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $622,734 | OtherCostOrOtherBasisAmt |
| Book Value | $622,734 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,142,766 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BENEFICIAL INTEREST IN ASSETS HELD BY FOUNDATION | $65,394 |
| DUE TO RELATED PARTY | $9,449 |
| ROU ASSET | $457,354 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $532,197 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| THIRD PARTY PAYOR SETTLEMENTS | $484,209 |
| LEASE LIABILITIES | $742,605 |
| SWAP LIABILITIES | $2,797 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,229,611 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL HAS ENTERED INTO AN AGREEMENT WITH THE SANILAC COUNTY COMMUNITY FOUNDATION TO CREATE A DONOR-RESTRICTED ENDOWMENT. THE DECKERVILLE COMMUNITY HOSPITAL ENDOWMENT FUND, FOR THE PURPOSE OF PROVIDING SUPPORT TO THE HOSPITAL TO CARRY OUT ITS ROLE AND MISSION AS DESIRED BY ITS GOVERNING DOCUMENTS. THE FOUNDATION HAS ALL POWERS NECESSARY TO CARRY OUT THE PURPOSE OF THE FUND, INCLUDING POWERS TO INVEST AND REINVEST THE FUND AND THE POWER TO COMINGLE THE ASSETS OF THE FUND WITH THOSE OF OTHER FUNDS FOR INVESTMENT PURPOSES. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | 0 | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,620 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,620 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,484,754 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $983,249 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $501,505 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07560 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,487,374 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $983,249 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $504,125 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07600 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,244,623 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $823,748 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $420,875 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06340 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,244,623 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $823,748 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $420,875 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06340 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,731,997 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,806,997 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $925,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13940 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $115,248 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $80,573 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $1,493,279 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $1,518,609 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$25,330 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DECKERVILLE COMMUNITY HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3559 PINE STREET | AddressLine1Txt |
| City | DECKERVILLE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48427 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.ASPIRERHS.ORG | WebsiteAddressTxt |
| State License | 1060000118 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Emergency Room Other | Yes (X) | EmergencyRoomOtherInd |
| Other | RHC(S) | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DECKERVILLE COMMUNITY HOSPITAL INC | 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 | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, LINE 7D | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, LINE 7D | 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 | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 PAGE V, LINE 16J | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PAGE V, LINE 16J | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PAGE V, LINE 16J | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DECKERVILLE COMMUNITY HOSPITAL, INC. | PART V, SECTION B, LINE 5: THE FOCUS GROUP INCLUDED THE DECKERVILLE VILLAGE COUNCIL, DECKERVILLE HOSPITAL AUXILIARY MEETING, AND THE DECKERVILLE COMMUNITY DEVELOPMENT COMMISSION MEMBERS. THE PURPOSE OF THE FOCUS GROUPS WERE TO OBTAIN FEEDBACK FROM COMMUNITY LEADERS ON PRIORITIES IDENTIFIED FROM THE ASSESSMENT AND ADDITIONAL FEED BACK FROM A COMMUNITY HEALTH SURVEY. THESE SURVEYS WERE DISTRIBUTED AND COLLECTED AT MONTHLY MEETINGS. THE FOCUS GROUP REPRESENTED THE GEOGRAPHIC SERVICE AREA OF DECKERVILLE COMMUNITY HOSPITAL. |
| DECKERVILLE COMMUNITY HOSPITAL, INC. | PART V, SECTION B, LINE 6A: THERE WERE MULTIPLE HOSPITAL FACILITIES IN THE FOUR COUNTIES OF HURON, LAPEER, SANILAC, AND TUSCOLA THAT RECEIVED SUPPORT FROM THE MICHIGAN CENTER FOR RURAL HEALTH AND MICHIGAN THUMB PUBLIC HEALTH ALLIANCE (HURON, LAPEER, SANILAC, AND TUSCOLA). |
| DECKERVILLE COMMUNITY HOSPITAL, INC. | PART V, SECTION B, LINE 6B: DECKERVILLE COMMUNITY HOSPITAL WORKS IN PARTNERSHIP WITH A WIDE VARIETY OF HEALTH AND COMMUNITY ORGANIZATIONS TO MEET THE NEEDS OF THE COMMUNITY. THE CHNA WAS CONDUCTED WITH THE SAME PRINCIPLES OF COLLABORATION WITH THUMB COMMUNITY HEALTH PARTNERSHIP, PUBLIC HEALTH DEPARTMENTS, MENTAL HEALTH AGENCIES, RURAL HEALTHY PEOPLE PROJECT, AND MICHIGAN THUMB PUBLIC HEALTH ALLIANCE. |
| DECKERVILLE COMMUNITY HOSPITAL, INC. | PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ON OUR WEBSITE AT: HTTPS://ASPIRERHS.ORG/COMMUNITY-RESOURCES/DIRECT LINK:HTTPS://ASPIRERHS.ORG/WP-CONTENT/UPLOADS/2024/12/DECKERVILLE-COM.-HOSPITAL_CHNA-REPORT_2024-FINAL.PDFIF A READER USES THIS INFORMATION TO ACCESS THE FORM ONLINE, BE SURE TO FORMAT THE URL WITH LOWERCASE LETTERS WHEN COPYING AND PASTING THE DIRECT LINKS. |
| DECKERVILLE COMMUNITY HOSPITAL, INC. | PART V, SECTION B, LINE 11: DECKERVILLE COMMUNITY HOSPITAL UTILIZED THE REGIONAL WORK COMPLETED BY THE THUMB COMMUNITY HEALTH PARTNERSHIP TO IDENTIFY LOCAL PRIORITIES. AS INDICATED IN STEP 4 OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, PRIORITIES MUST BE SELECTED TO ENSURE THAT LIMITED RESOURCES HAVE THE GREATEST IMPACT. SELECTION OF PRIORITIES WILL OFTEN RESULT IN MORE COMPLEX AND EFFECTIVE IMPLEMENTATION STRATEGIES. IDENTIFYING A LIMITED NUMBER OF PRIORITIES ON WHICH TO FOCUS ALSO ALLOWS COMMUNITY INITIATIVES TO BE DEVELOPED WITH COLLABORATING ORGANIZATIONS. EVALUATION AND PROGRESS CAN BE MORE EFFECTIVELY MANAGED WHEN THE PRIORITIES ARE FEWER IN NUMBER. IN REVIEW OF EXISTING EFFORTS, THE TEAM DETERMINED THAT DECKERVILLE COMMUNITY HOSPITAL WOULD HAVE THE GREATEST IMPACT ON COMMUNITY HEALTH BY TARGETING SEVEN FOCUS AREAS. DATA THAT LED TO THESE PRIORITIES IS INCLUDED IN THE FOLLOWING SECTION. 1. CANCER- ASPIRE RURAL HEALTH SYSTEM FOUNDATION IS HOME TO THE P.C.U.P.S. FOUNDATION TO RAISE FUNDS AND CREATE A HIGHER AWARENESS IN THE FIGHT AGAINST PROSTATE CANCER. P.C.U.P.S. STANDS FOR PROSTATE CANCER UNDERSTANDING, PREVENTION, AND SCREENINGS.- DCH PARTICIPATES IN THE ACS "GO RED" CAMPAIGN.- PARTNERED WITH THE HEALTH DEPARTMENT FOR UNDERINSURED PATIENTS FOR SCREENING EXAMS.- DCH PROVIDES FINANCIAL ASSISTANCE FOR MAMMOGRAMS AND DIAGNOSTIC TESTING SERVICES THROUGH THE B.C.U.P.S. PROGRAM, HOUSED WITHIN THE ASPIRE RURAL HEALTH SYSTEM FOUNDATION.- ONCOLOGY SERVICES EXPANDED2. CHRONIC DISEASE- SPECIALIST OPTIONS EITHER ON-SITE OR THROUGH TELEHEALTH, UTILIZING CRTN NETWORK.- INCREASE TELEHEALTH UTILIZATION- AWARENESS OF SERVICES-UTILIZE SOCIAL MEDIA TO INCREASE AWARENESS OF SERVICE LINES- UTILIZING THE ACO POPULATION MANAGEMENT DASHBOARD, PREVENTION, AND SCREENING MEASUREMENTS, AND MONTHLY HEALTH MONTH AWARENESS CAMPAIGNS TO IDENTIFY THOSE INDIVIDUALS WHO NEED THOSE SCREENINGS AND NOTIFY THEM, "IT'S TIME FOR YOUR YEARLY SCREENING."- THROUGH ASPIRE RURAL HEALTH SYSTEM, HAVE GREATER ACCESS TO WOUND AND PAIN CLINICS AND ITS SERVICES.- OPENED CARDIOPULMONARY REHAB SERVICES AT DCH IN 2024.3. SUBSTANCE USE/MENTAL HEALTH- PHYSICIAN OFFICES AND EMERGENCY DEPARTMENTS CONTINUE TO ABIDE BY STRICT GUIDELINES IN THE PRESCRIBING AND ADMINISTRATION OF OPIOIDS AND NARCOTICS.- MEMBER OF THUMB OPIOID RESPONSE CONSORTIUM (TORC) TO REDUCE THE HARM OF SUBSTANCE USE DISORDERS BY WORKING TOGETHER AS A REGION (HURON, SANILAC, TUSCOLA, AND THE RURAL TRACKS OF LAPEER COUNTY) TO ENSURE THAT PREVENTION, TREATMENT, AND RECOVERY SERVICES ARE ALIGNED WITH THE NEEDS OF THE COMMUNITY.- PREVIOUSLY COMPLETED SBIRT TRAINING THROUGH THE TORC.- MEMBER OF THUMB COMMUNITY HEALTH PARTNERSHIP TO PROVIDE MAN THERAPY.4. TOBACCO USE & VAPING- DCH PARTICIPATES IN THE "IDENTIFYING EVERYDAY DANGERS IN THE LIVES OF YOUTH" EVENT TARGETING TOBACCO USE AND VAPING- MEMBER OF THE THUMB OPIOID RESPONSE CONSORTIUM (TORC) TO REDUCE THE HARM OF SUBSTANCE USE DISORDERS BY WORKING TOGETHER AS A REGION (HURON, SANILAC, TUSCOLA, AND THE RURAL TRACKS OF LAPEER COUNTY) TO ENSURE THAT PREVENTION, TREATMENT, AND RECOVERY SERVICES ARE ALIGNED WITH THE NEEDS OF THE COMMUNITY.- EXPANDED PARTNERSHIP(S) WITH LOCAL SCHOOLS TO SPREAD AWARENESS OF NEGATIVE EFFECTS OF TOBACCO AND VAPING PRODUCTS.5. PRENATAL AND INFANT HEALTH- OFFER COMMUNITY EDUCATION ON PRENATAL AND INFANT HEALTH ISSUES- REFER PATIENTS TO THE SCHD FOR THESE SERVICES- EXPANDED DECKERVILLE PEDIATRIC CLINIC WITH A NEW NURSE PRACTITIONER- MARLETTE REGIONAL HOSPITAL RECEIVED A GRANT TO EXPAND BREASTFEEDING SUPPORT AT BOTH LOCATIONS OF THE UNITED PEDIATRICS CLINIC (DECKERVILLE AND MARLETTE) THROUGH PROGRAMMING AND SUPPLIES.6. VETERAN'S SERVICES- IDENTIFYING WHAT SERVICES CAN BE PERFORMED AND PARTNERS.7. ACCESS TO INTERNET- LOCATING A POTENTIAL LOCATION FOR OUR REFERRED PATIENTS TO UTILIZE TELEHEALTH SERVICES IF THEY DO NOT HAVE ADEQUATE INTERNET AT HOME. |
| DECKERVILLE COMMUNITY HOSPITAL, INC. | PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE AT:HTTPS://ASPIRERHS.ORG/BILLING/.DIRECT LINK: HTTPS://ASPIRERHS.ORG/BILLING/THE FINANCIAL ASSISTANCE POLICY APPLICATION IS AVAILABLE AT: HTTPS://ASPIRERHS.ORG/BILLING/DIRECT LINK: HTTPS://ASPIRERHS.ORG/WP-CONTENT/UPLOADS/2025/01/PA-102-FAP-APPLICATION.PDFTHE FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY IS AVAILABLE AT: HTTPS://ASPIRERHS.ORG/BILLING/DIRECT LINK: HTTPS://ASPIRERHS.ORG/WP-CONTENT/UPLOADS/2025/10/ASPIRE-FINANCIAL-ASSISTANCE-PLAIN-LANGUAGE-SUMMARY-1.DOCXIF A READER USES THIS INFORMATION TO ACCESS THE FORM ONLINE, BE SURE TO FORMAT THE URL WITH LOWERCASE LETTERS WHEN COPYING AND PASTING THE DIRECT LINKS. |
| DECKERVILLE COMMUNITY HOSPITAL, INC. | PART V, SECTION B, LINE 20E: WHEN A PATIENT IS ADMITTED TO THE HOSPITAL WITHOUT INSURANCE AND THE PATIENT FINANCIAL LIAISON IS AVAILABLE, SHE WILL PHYSICALLY MEET WITH THE PATIENT TO DISCUSS PAYMENT OPTIONS INCLUDING FAP. THIS WOULD BE PRIOR TO DISCHARGE. HER SCHEDULED HOURS ARE MONDAY FRIDAY 7:00 AM - 3:30 PM. FOR PATIENTS THAT ARE ADMITTED OUTSIDE OF HER SCHEDULED HOURS FAP INFORMATION IS POSTED IN ALL ER ROOMS AND PATIENT ROOMS FOR DISPLAY. FINANCIAL ASSISTANCE AVAILABILITY IS NOTATED ON ALL PATIENT STATEMENTS AND A LETTER DETAILING THE FAP IS SENT TO A PATIENT PRIOR TO ECA. THE PATIENT IS CALLED SEVERAL TIMES TO IDENTIFY THEIR ELIGIBILITY FOR FAP PRIOR TO INITIATING ECA. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - DECKERVILLE HEALTHCARE SERVICES | ||||
| 3559 PINE STREET | DECKERVILLE | MI | 48427 | HEALTH CLINIC |
| 2 - UNITED PEDIATRICS & INTERNAL MEDICINE | ||||
| 2750 MAIN STREET | MARLETTE | MI | 48453 | GENERAL MEDICAL CLINIC |
| 3 - DECKERVILLE HEALTHCARE SERVICES CLINIC | ||||
| 2433 BLACK RIVER STREET | DECKERVILLE | MI | 48427 | RHC CLINIC |
| 4 - DECKERVILLE MAIN STREET CLINIC | ||||
| 3532 MAIN STREET | DECKERVILLE | MI | 48427 | CLINIC |
| 6 - DECKERVILLE PHYSICAL THERAPY | ||||
| 2030 BLACK RIVER STREET SUITE 4 | DECKERVILLE | MI | 48427 | THERAPY DEPARTMENT |
| 7 - DECKERVILLE WALK-IN CLINIC | ||||
| 3559 PINE STREET | DECKERVILLE | MI | 48427 | CLINIC |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | ELIGIBILITY FOR ASSISTANCE WILL BE CONSIDERED FOR THOSE INDIVIDUALS WHO ARE UNINSURED, UNDER INSURED, INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE BENEFIT PROGRAM, AND WHO ARE UNABLE TO PAY FOR ANY THEIR CARE, BASED UPON A DETERMINATION OF FINANCIAL NEED IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE IF THEY (A) RECEIVE MEDICALLY NECESSARY CARE AT DECKERVILLE COMMUNITY HOSPITAL, (B) COMPLETE THE FINANCIAL ASSISTANCE APPLICATION, INCLUDING REQUIRED SUPPORTING DOCUMENTS, AND (C) HAVE FAMILY INCOME BELOW 100% OF FEDERAL POVERTY LEVELS (FOR FREE CARE) OR 300% (FOR DISCOUNTED CARE). |
| PART I, LINE 7: | THE ORGANIZATION USES THE COST TO CHARGE RATIO RECOMMENDED BY WORKSHEET 2OF THE IRS FORM 990, SCHEDULE H INSTRUCTIONS. |
| PART I, LINE 7G: | THE ORGANIZATION IS REPORTING THE FOLLOWING SERVICE LINES AS SUBSIDIZED HEALTH ON ADULTS & PEDIATRICS, RESPIRATORY THERAPY/EKG, EMERGENCY ROOM, HOSPITAL CLINIC, RURAL HEALTH CLINIC. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 115,248. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | IN 2024, DECKERVILLE COMMUNITY HOSPITAL ADDED A CARDIAC REHAB PROGRAM TO THE HOSPITAL. |
| PART III, LINE 2: | THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST-TO-CHARGE RATIO, WHICH IS DEVELOPED BASED ON THE HOSPITAL'S TOTAL OPERATING EXPENSES EXCLUDING THE PROVISION FOR BAD DEBT, DIVIDED BY GROSS PATIENT SERVICE REVENUE. THIS COST-TO-CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT ARE WRITTEN OFF DURING THE YEAR TO ESTIMATE THE COST OF CARE OF PATIENTS WHO HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE HOSPITAL. THE HOSPITAL ALSO RECOGNIZES THAT IT ALSO PROVIDES A DISCOUNT TO SELF-PAY OR UNINSURED PATIENTS. THESE AMOUNTS ARE EXCLUDED FROM GROSS PATIENT SERVICE REVENUE ON THE FINANCIAL STATEMENTS AND ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE ON FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED ACCOUNTS WOULD ALSO INCREASE THE ESTIMATED BAD DEBT EXPENSE AMOUNT ASSOCIATED WITH THESE UNCOLLECTIBLE ACCOUNTS TO THE HOSPITAL. |
| PART III, LINE 3: | DECKERVILLE COMMUNITY HOSPITAL ESTIMATES THAT APPROXIMATELY 40% OF ITS TOTAL COST OF CHARITY CARE IS ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE. |
| PART III, LINE 4: | FOR INFORMATION ABOUT BAD DEBT EXPENSE, SEE THE "PATIENT SERVICE REVENUE" SECTION OF NOTE 2 PAGES 16-19 OF THE ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE AMOUNT OF MEDICARE ALLOWABLE COST WAS TAKEN DIRECTLY FROM THE MEDICARE COST REPORT. WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES TO MEDICARE BENEFICIARIES, THESE PATIENTS, WHO ARE TYPICALLY ELDERLY MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY.THE TOTAL MEDICARE REVENUE SHOWN ON SCHEDULE H IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY THE CHARGES FROM MEDICARE PROGRAM BENEFICIARIES THAT ARE REPORTED ON THE HOSPITAL'S MEDICARE COST REPORT. THE AMOUNT LISTED FOR MEDICARE REVENUE DOES NOT INCLUDE PHYSICIAN SERVICES PROVIDED AT THE HOSPITAL, OUTLYING CLINIC LOCATIONS. PHYSICIAN COVERAGE IS REIMBURSED PRIMARILY ON A FEE SCHEDULE REIMBURSEMENT AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARE FOR PATIENTS. PHYSICIAN SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS ARE SHORTFALLS SHOULD ALSO BE CONSIDERED AN ADDITIONAL COMMUNITY BENEFIT THE HOSPITAL PROVIDES TO THE COMMUNITY AND SURROUNDING AREA. THE COST METHOD USED ABOVE FOR IRS 990 COMPLIANCES REPORTING IS BASED ON THE OVERALL AVERAGE COST TO CHARGE RATIO AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT EXPENSE DIVIDED BY THE HOSPITAL PATIENT SERVICE REVENUE (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE). THIS RATIO IS THEN MULTIPLIED BY THE TOTAL MEDICARE SERVICES, WHICH ARE REIMBURSED BASED ON MEDICARE REGULATIONS. INCLUDING THE FEE SCHEDULE ITEMS, SUCH AS PHYSICIAN SERVICES, WOULD PRODUCE A LOSS OR SHORTFALL ON THESE SERVICES TO BE REPORTED ON THE FORM 990 IN ANY GIVEN YEAR. |
| PART III, LINE 9B: | IF A PATIENT PRESENTS WITHOUT INSURANCE FOR OUTPATIENT SERVICES, THE FRONT DESK INFORMS THE PATIENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE VIA A FORM THAT THE PATIENT RECEIVES PRIOR TO SERVICES. THE PATIENTS SEEN IN THE EMERGENCY ROOM DEPARTMENT IF STILL IN THE HOSPITAL DURING FINANCIAL SERVICES REGULAR BUSINESS HOURS, THE PATIENT IS APPROACHED TO OFFER THE OPPORTUNITY FOR FINANCIAL ASSISTANCE. THERE IS SIGNAGE IN THE EMERGENCY ROOMS AND WAITING ROOM AREAS INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. THERE IS VERBIAGE ON THE PATIENT STATEMENTS INDICATING AVAILABILITY OF THE PROGRAM AS WELL. EACH PATIENT PRIOR TO BAD DEBT COLLECTIONS RECEIVES A LETTER FROM THE FINANCIAL LIAISON AND A PHONE CALL FOR OUTREACH AS WELL. |
| PART VI, LINE 2: | THE ORGANIZATION USES STATISTICS FROM THE MICHIGAN THUMB PUBLIC HEALTH ALLIANCE, ONGOING PATIENT SATISFACTION SURVEYS, PATIENT QUESTIONNAIRES AT THE HEALTHCARE CLINIC RELATED TO SOCIOECONOMIC SITUATIONS OF THE PATIENT, AND AN ANNUAL PROGRAM EVALUATION COMPLETED BY THE CEO/CFO FOR THE HOSPITAL AND RHC AND REPORTED AT THE ANNUAL MEETINGS. DCH IS A MEMBER OF THE CRTN (COVENANT RURAL THUMB NETWORK) WHICH ALSO LOOKS AT DATA TO SEE WHERE NEEDS ARE LACKING. ALSO, THE RELATIONSHIP BUILT UNDER UNITED HEALTHCARE PARTNERS WITH MARLETTE REGIONAL HOSPITAL HAS ALSO BEEN A GOOD RESOURCE OF INFORMATION ON WHAT PATIENTS IN THE COUNTY ARE LOOKING FOR AS WELL. |
| PART VI, LINE 3: | WHEN A PATIENT IS ADMITTED TO THE HOSPITAL WITHOUT INSURANCE AND THE PATIENT FINANCIAL LIAISON IS AVAILABLE, SHE WILL PHYSICALLY MEET WITH THE PATIENT TO DISCUSS PAYMENT OPTIONS INCLUDING THE FAP APPLICATION PROCESS AND ELIGIBILITY PRIOR TO THE PATIENT DISCHARGE. THE FINANCIAL LIAISON REVIEWS PATIENT LISTS TO IDENTIFY UN-INSURED PATIENTS THAT WERE SEEN AT THE HOSPITAL AND CONTACTS THEM VIA PHONE TO ASSIST THE PATIENT. ADDITIONALLY, FOR PATIENTS THAT ARE ADMITTED OUTSIDE OF THE AVAILABLE HOURS OF THE FINANCIAL LIAISON, THE FAP AVAILABILITY NOTICE IS POSTED IN THE EMERGENCY ROOMS AND DISPLAYED IN THE WAITING AREAS THROUGHOUT THEHOSPITAL. THE PATIENT STATEMENTS INDICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE AND PATIENTS RECEIVE A LETTER NOTICE WITH A COPY OF A PLAIN LANGUAGE SUMMARY PRIOR TO INITIATING EXTRAORDINARY COLLECTION EFFORTS. |
| PART VI, LINE 4: | DECKERVILLE COMMUNITY HOSPITAL SERVES RURAL COMMUNITIES IN SANILAC COUNTY DECKERVILLE COMMUNITY HOSPITAL, INC. 38-1415390 AND PORTIONS OF HURON COUNTY. THE HOSPITAL'S SERVICE AREA INCLUDES NUMEROUS MUNICIPALITIES: APPLEGATE, CARSONVILLE, CROSWELL, DECKERVILLE, HARBOR BEACH, MINDEN CITY, PORT SANILAC, RUTH, SANDUSKY, SNOVER, AND PALMS. BASED ON CENSUS DATA FOR THESE MUNICIPALITIES, APPROXIMATELY 27,077 PEOPLE LIVE IN THE SERVICE AREA. (CENSUS-AMERICAN COMMUNITY SURVEY 5-YEAR AVERAGE-2020). TWENTY-TWO PERCENT OF THE POPULATION IS OVER THE AGE OF 65 AND ONLY 20.6% ARE UNDER THE AGE OF 18. THE POPULATION HAS LIMITED RACIAL DIVERSITY WITH 97.7% OF THE POPULATION WHITE. THE SERVICE AREA HAS A COLLEGE DEGREE RATE OF 14.45% COMPARED TO MICHIGAN'S 30.5% AND THE UNITED STATES' 32.9%. AVERAGE HOUSEHOLD INCOME IN THE SERVICE AREA IS $65,155 AS COMPARED TO MICHIGAN'S AVERAGE INCOME OF $80,803 AND THE UNITED STATES AVERAGE INCOME OF $91,547. UNEMPLOYMENT IN THE SERVICE AREA RANGED FROM 1 TO 3.7% COMPARED TO MICHIGAN AT 6% AND THE U.S. AT 5.4%. OF THE CIVILIAN NONINSTITUTIONALIZED POPULATION 6.3% HAVE NO HEALTH INSURANCE COVERAGE COMPARED TO MICHIGAN AT 5.4% AND THE U.S. AT 8.7%. THE PERCENTAGE OF PEOPLE WHO HAD INCOMES BELOW POVERTY IN THE PAST 12 MONTHS WAS 12.3% BUT RANGED BY THE MUNICIPALITY FROM 7.1% TO 19.3%. |
| PART VI, LINE 5: | IN 2024, DECKERVILLE COMMUNITY HOSPITAL ADDED A CARDIAC REHAB PROGRAM TO THE HOSPITAL. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | MI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANDREW DANIELS | ||||||||||||||
| CO-CEO | $7,420 | $284,327 | $2,226 | $85,298 | $285 | $10,936 | $819 | $31,419 | $245 | $9,400 | $10,995 | $421,380 | $0 | $0 |
| ANGELA MCCONNACHIE | ||||||||||||||
| CO-CEO | $139,942 | $146,403 | $40,319 | $42,181 | $0 | $0 | $0 | $0 | $3,187 | $3,335 | $183,448 | $191,919 | $0 | $0 |
| MALORIE MCVITTIE | ||||||||||||||
| PHYSICIAN | $246,973 | $0 | $15,769 | $0 | $200 | $0 | $15,414 | $0 | $25,619 | $0 | $303,975 | $0 | $0 | $0 |
| KIM GENTNER | ||||||||||||||
| CFO | $99,825 | $117,817 | $19,264 | $22,736 | $0 | $0 | $5,086 | $6,004 | $0 | $0 | $124,175 | $146,557 | $0 | $0 |
| CHRISTOPHER KREINER | ||||||||||||||
| PHYSICIAN | $184,528 | $0 | $0 | $0 | $0 | $0 | $9,712 | $0 | $623 | $0 | $194,863 | $0 | $0 | $0 |
| SCOTT GREIB | ||||||||||||||
| PHYSICIAN | $174,454 | $0 | $0 | $0 | $0 | $0 | $9,372 | $0 | $3,614 | $0 | $187,440 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION'S COMPENSATION IS DETERMINED BY BLUEWATER HEALTHCARE NETWORK DBA ASPIRE RURAL HEALTH, A RELATED ORGANIZATION. THE FOLLOWING WERE USED IN DETERMINING THE COMPENSATION: 1. COMPENSATION SURVEY OR STUDY 2. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE 3. WRITTEN EMPLOYMENT CONTRACT | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 1A: | FORM 1099/1096 FILING - VENDORS FOR THE FILING ORGANIZATION ARE PAID BY BLUEWATER HEALTHCARE NETWORK (EIN 46-5444203) AS OF 04/15/2024. AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE BLUEWATER HEALTHCARE NETWORK (WITH LIMITED EXCEPTIONS) UNDER THE BLUEWATER HEALTHCARE NETWORK (EIN 46-5444203). |
| FORM 990, PART V, LINE 2A: | W-3 FILING - EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT AS OF 04/15/2024. AS SUCH, REQUIRED PAYROLL FILINGS (INCLUDING W-2 AND W-3S) AFTER 04/15/2024 ARE REPORTED UNDER THE RELATED ORGANIZATION, BLUEWATER HEALTHCARE NETWORK (EIN 46-5444203). |
| FORM 990, PART VI, SECTION A, LINE 6 | BLUEWATER HEALTHCARE NETWORK IS THE SOLE MEMBER OF DECKERVILLE COMMUNITY HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE HOSPITAL HAS ONLY 1 MEMBER, WHICH IS BLUEWATER HEALTHCARE NETWORK WHICH MAY APPOINT ONE OR MORE OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SINGLE MEMBER HAS THE RIGHT TO APPOINT AN OFFICER OR DIRECTOR OR ANYONE ELSE TO ACT ON ITS BEHALF IN THE CAPACITY OF THE MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICES. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD OF DIRECTORS - PERSONS WITH ACTUAL OR POTENTIAL CONFLICTS OF INTEREST SHALL FILE FORMAL STATEMENTS DISCLOSING ACTUAL OR POTENTIAL CONFLICTS WHENEVER AN ACTUAL OR POTENTIAL CONFLICT ARISES; BEFORE ANY TRANSACTIONS CONSTITUTING A CONFLICT OR POTENTIAL CONFLICT IS CONSUMMATED; AND ONCE EACH CALENDAR YEAR SO LONG AS THE CONFLICT OR POTENTIAL CONFLICT CONTINUES TO EXIST. THE DISCLOSURE STATEMENT SHALL INCLUDE A DESCRIPTION OF THE RELATIONSHIP OR INTEREST CAUSING THE CONFLICT OR POTENTIAL CONFLICT, THE ROLE IN THE RELATIONSHIP OR TRANSACTION PLAYED BY THE PERSON HAVING THE CONFLICT, AND THE BENEFITS AND DETERMENTS ACCRUING TO THE HOSPITAL AND TO THE PERSON HAVING THE CONFLICT AS A RESULT OF THE CONTRACT, TRANSACTION, OR RELATIONSHIP. ANY MEMBER OF THE BOARD OF DIRECTORS HAVING AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ON ANY MATTER SHALL NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER CONSTITUTING A CONFLICT. THE INTERESTED DIRECTOR MAY, HOWEVER, BE COUNTED FOR THE PURPOSE OF DETERMINING WHETHER A QUORUM OF THE BOARD, OR OF A COMMITTEE OF THE BOARD, EXISTS. THE MATTER CONSTITUTING THE CONFLICT SHALL BE APPROVED IF IT IS APPROVED BY A MAJORITY OF DISINTERESTED DIRECTORS VOTING ON THE MATTER. THE CONFLICT OF INTEREST POLICY SHALL BE REVIEWED ANNUALLY FOR THE INFORMATION AND GUIDANCE OF THE BOARD OF DIRECTORS AND THAT ANY NEW MEMBERS OF THE SAID BOARD OF DIRECTORS BE ADVISED OF THE POLICY UPON ENTERING ON THE DUTIES OF HIS/HER OFFICE. IN ADDITION TO THE BOARD OF DIRECTORS BEING HELD TO THE CONFLICT OF INTEREST POLICY, COPIES OF THE POLICY ARE AVAILABLE TO ALL MANAGEMENT EMPLOYEES. CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED ANNUALLY BY ALL DIRECTORS, OFFICERS, MANAGING EMPLOYEES, AND EMPLOYED MEDICAL STAFF. THE COMPLETED FORMS ARE KEPT ON FILE BY THE HOSPITAL'S COMPLIANCE OFFICER. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT'S SALARIES ARE COMPARED TO A WAGE SURVEY FROM HOSPITAL COUNCIL OF EAST CENTRAL MICHIGAN AS A GUIDE. THE BOARD AND OTHER OFFICERS HAVE FINAL DETERMINATION OF THE WAGES. THE OFFICERS OR KEY EMPLOYEE'S SALARIES ARE REVIEWED BY THE BOARD OF DIRECTORS, THESE ARE COMPARED TO THE SALARIES OF SOMEONE IN A SIMILAR POSITION ON THE HCEM WAGE SURVEY. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND OTHER ORGANIZING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES AND CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 946,956. MANAGEMENT AND GENERAL EXPENSES 60,444. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,007,400. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER 1,756,178. |
| FORM 990, PART XII, LINE 2C: | NO CHANGE FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Exempt Code SectionExemptCodeSectionTxt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BLUEWATER HEALTHCARE NETWORK | |||||||||||
| 2770 MAIN STREET | MARLETTE | MI | 48453 | 465444203 | PARENT | MI | LINE 12A, I | N/A | 0 | ||
| MARLETTE SENIOR LIVING | |||||||||||
| 6305 BLUEWATER COURT | MARLETTE | MI | 48453 | 843210271 | SENIOR LIVING | MI | LINE 10 | 0 | BLUEWATER HEALTHCARE NETWORK | ||
| HILLS & DALES GENERAL HOSPITAL | |||||||||||
| 4675 HILL STREET | CASS CITY | MI | 48726 | 381619577 | HOSPITAL | MI | LINE 3 | 0 | BLUEWATER HEALTHCARE NETWORK | ||
| HILLS & DALES HEALTH CARE CORPORATION | |||||||||||
| 4675 HILL STREET | CASS CITY | MI | 48726 | 382622537 | MANAGE EXCESS FUNDS ON BEHALF OF SUBSIDIARIES | MI | LINE 12B, II | 0 | BLUEWATER HEALTHCARE NETWORK | 501(C)(3) | |
| ASPIRE RURAL HEALTH SYSTEM FOUNDATION | |||||||||||
| 4675 HILL STREET | CASS CITY | MI | 48726 | 352368240 | SOLICIT FUNDS ON BEHALF OF HOSPITAL | MI | LINE 12A, I | 0 | BLUEWATER HEALTHCARE NETWORK | 501(C)(3) | |
| NORTHEAST TUSCOLA HEALTHCARE | |||||||||||
| 4675 HILL STREET | CASS CITY | MI | 48726 | 475387652 | RENTAL OF BUILDING TO HOSPITAL | MI | LINE 12B, II | 0 | HILLS & DALES GENERAL HOSPITAL INC | 501(C)(3) | |
| NSB LAND HOLDING INC | |||||||||||
| 4675 HILL STREET | CASS CITY | MI | 48726 | 883867204 | LAND HOLDING | MI | LINE 12A, I | 0 | HILLS & DALES HEALTHCARE CORPORATION | 501(C)(3) | |
| MARLETTE REGIONAL HOSPITAL | |||||||||||
| 2770 MAIN STREET PO BOX 307 | MARLETTE | MI | 48453 | 381507302 | HOSPITAL | MI | LINE 3 | 0 | BLUEWATER HEALTHCARE NETWORK | 501(C)(3) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THUMB MRI LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6320 VAN DYKE ROAD | AddressLine1Txt |
| City | CASS CITY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48726 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364107673 | EIN |
| Primary Activities | IMAGING | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEALED CORPORATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4675 HILL STREET | AddressLine1Txt |
| City | CASS CITY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48726 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382680346 | EIN |
| Primary Activities | RETAIL PHARMACY | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | 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 | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |