STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MERCY-MEMORIAL HOSPITAL CORPORATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MERCY-MEMORIAL HOSPITAL CORPORATION (EIN 38-1984289)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-12
IRS object ID
201521329349301497
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-12T09:48:24-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 307AddressLine1
CitySOUTHFIELDCity
StateMIState
ZIP Code480370307ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN381984289EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY MEMORIAL HOSPITAL CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlMERCBusinessNameControlTxt
Phone7342404520PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1718 N MACOMB STREETAddressLine1
CityMONROECity
StateMIState
ZIP Code48162ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS W SCHILLINGPersonNm
Person TitleCFO & SR VP OF FINANCEPersonTitleTxt
Phone7342404520PhoneNum
Signature2015-05-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCAROL LALONDE CPAPreparerPersonNm
PTINP00181637PTIN
Phone2483522500PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHOMAS W SCHILLINGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1718 N MACOMB STREETAddressLine1
CityMONROECity
StateMIState
ZIP Code48162ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$215,777,616GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MERCYMEMORIAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionAS AN INDEPENDENT HEALTH CARE SYSTEM, WE PROVIDE HIGH QUALITY, COMPREHENSIVE SERVICES TO THE PEOPLE AND COMMUNITIES WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee1831TotalEmployeeCnt
Total Volunteers714TotalVolunteersCnt
Total Gross UBI$5,635,170TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$67,280NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,026,597PYContributionsGrantsAmt
CY Contributions Grants$2,720,499CYContributionsGrantsAmt
PY Program Service Revenue$163,883,977PYProgramServiceRevenueAmt
CY Program Service Revenue$159,706,704CYProgramServiceRevenueAmt
PY Investment Income$5,998,902PYInvestmentIncomeAmt
CY Investment Income$11,779,187CYInvestmentIncomeAmt
PY Other Revenue-$60,873PYOtherRevenueAmt
CY Other Revenue-$31,753CYOtherRevenueAmt
PY Total Revenue$170,848,603PYTotalRevenueAmt
CY Total Revenue$174,174,637CYTotalRevenueAmt
PY Grants And Similar Paid$11,376PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$162,673CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$88,723,092PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$82,973,526CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$193,739CYTotalFundraisingExpenseAmt
PY Other Expenses$81,427,068PYOtherExpensesAmt
CY Other Expenses$80,827,042CYOtherExpensesAmt
PY Total Expenses$170,161,536PYTotalExpensesAmt
CY Total Expenses$163,963,241CYTotalExpensesAmt
PY Revenues Less Expenses$687,067PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,211,396CYRevenuesLessExpensesAmt
Total Assets BOY$193,187,007TotalAssetsBOYAmt
Total Assets EOY$202,898,659TotalAssetsEOYAmt
Total Liabilities BOY$90,563,680TotalLiabilitiesBOYAmt
Total Liabilities EOY$87,957,239TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$102,623,327NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$114,941,420NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS AN INDEPENDENT HEALTH CARE SYSTEM, WE PROVIDE HIGH QUALITY, COMPREHENSIVE SERVICES TO THE PEOPLE AND COMMUNITIES WE SERVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$136,766,684ExpenseAmt
Grant$159,423GrantAmt
Revenue$154,064,442RevenueAmt
DescHOSPITAL BASED HEALTHCARE SERVICES -A MULTITUDE OF HEALTH CARE SERVICES WERE PROVIDED BY THE HOSPITAL TO THE PEOPLE OF MONROE COUNTY AND SURROUNDING AREAS. THESE PROGRAM SERVICES INCLUDED VARIOUS ASPECTS OF INPATIENT, OUTPATIENT, AND EMERGENCY CARE. THIS CARE WAS PROVIDED IN A MANNER THAT RESPECTED THE VALUE, PRIVACY, AND DIGNITY OF INDIVIDUAL PATIENTS AND THEIR FAMILIES. FURTHER, CONTINUOUS EFFORTS WERE MADE TO IDENTIFY AND IMPLEMENT NEW AND BETTER WAYS TO MEET THE PHYSICAL, SPIRITUAL, EMOTIONAL, AND SOCIAL NEEDS OF PATIENTS. DURING THE YEAR THE HOSPITAL PROVIDED:[A] 36,300 DAYS OF ACUTE CARE FOR ADULT AND PEDIATRIC INPATIENTS,[B] 1,365 DAYS OF ACUTE CARE FOR NEWBORNS,[C] EMERGENCY CARE FOR 43,567 OUTPATIENT VISITS, AND[D] 1,289,432 OUTPATIENT SERVICES REGISTRATIONS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$104,137ExpenseAmt
Grant$3,000GrantAmt
Revenue$105,824RevenueAmt
DescHOSPITAL GUILD - 100 MEMBERS RENDERED SERVICES TO THE HOSPITAL AND ITS PATIENTS BY OPERATING A GIFT SHOP, KNITTING CAPS FOR NEWBORNS, MAKING CRADLE PICTURES AVAILABLE, ASSISTING IN THE INTERNAL TRANSPORTATION OF PATIENTS AND ASSISTING IN OTHER PATIENT RELATED ACTIVITIES THROUGHOUT THE HOSPITAL. THE GIFT SHOP AND CRADLE PICTURES ARE PRIMARILY FOR THE CONVENIENCE OF EMPLOYEES, PATIENTS AND VISITORS. THE GUILD ALSO OFFERS SOME NURSING SCHOLARSHIPS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$33,725ExpenseAmt
Grant$250GrantAmt
DescHOSPITAL MEDICAL STAFF - 343 MEMBERS [A] DIRECTED AND REVIEWED HOSPITAL BASED HEALTHCARE SERVICES AND [B] PARTICIPATED IN PERIODIC MEETINGS CONCERNING THE DELIVERY OF HEALTHCARE SERVICES, INCLUDING MEDICAL EDUCATION.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$136,904,546TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming ActivitiesYes (1)GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art ContributionYes (1)DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document244IRPDocumentCnt
IRP Document W2 G1IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1831EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTHOMAS W SCHILLINGPersonNm
Phone7342404520PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1718 N MACOMB STREETAddressLine1
CityMONROECity
StateMIState
ZIP Code48162ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BHURGRI MD AAMER
CHIEF OF STAFF - EX OFFICIO4.002.00Yes (X)$71,341$22,400$0
CALENDAR KAREN
TRUSTEE1.001.00Yes (X)$0$0$0
CHARBONEAU DO MICHAEL
TRUSTEE, SURGEON40.001.00Yes (X)$563,524$0$17,005
COMPEAN MD JOSE R
TRUSTEE1.001.00Yes (X)$32,192$0$0
DARROW KURT L
VICE CHAIR1.001.00Yes (X)$0$0$0Yes (X)
FRANZEN VICKI L
SECRETARY1.001.00Yes (X)$0$0$0Yes (X)
KABIR MD ABDUL
TRUSTEE1.301.00Yes (X)$42,793$0$0
KUBISKE DAVID
TRUSTEE1.001.00Yes (X)$0$0$0
KULISH BARTON
TREASURER1.001.00Yes (X)$0$0$0Yes (X)
MCNAMEE MD KENNETH J
TRUSTEE1.001.00Yes (X)$8,362$0$0
PHILLIPS ANNETTE S
PRESIDENT & CEO - EX OFFICIO40.001.00Yes (X)$411,794$0$77,587Yes (X)
RYAN SISTER JANET
TRUSTEE1.001.00Yes (X)$0$0$0
SPENCER EDD DONALD A
CHAIR PERSON1.001.00Yes (X)$0$0$0Yes (X)
WALSH ARLENE R
TRUSTEE1.001.00Yes (X)$0$0$0
WETZEL SUZANNE
TRUSTEE1.001.00Yes (X)$0$0$0
WILBURN WALTER
TRUSTEE1.001.00Yes (X)$0$0$0
ZWACK MATTHEW
TRUSTEE1.001.00Yes (X)$0$0$0
SCHILLING THOMAS W
CFO SENIOR VP FINANCE40.001.00$273,225$0$43,261Yes (X)
UBRANSKI PAM
CNO40.00$200,000$0$26,776Yes (X)
PROCHNOW TODD
PHYSICIAN40.00$511,529$0$16,888Yes (X)
DHAR RAVI
PHYSICIAN40.00$251,331$0$401Yes (X)
OLENCHAK DANIEL
PHYSICIAN40.00$434,927$0$16,594Yes (X)
CRAIG MARVIN D
PHYSICIAN40.00$326,191$0$11,060Yes (X)
SHERRARD MARK
CMO40.00$253,200$0$40,423Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,380,409TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$22,400TotReportableCompRltdOrgAmt
Total Other Compensation$249,995TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K59IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
AUCH GEORGE W CO
735 S PADDOCKPONTIACMI48341CONSTRUCTION MGT.$2,234,981
MCKESSON INFORMATION SERVICES
5995 WINDWARD PARKWAYALPHARETTAGA30005SOFTWARE SERVICES$2,051,828
MICHIGAN CO-TENANCY LABS
DEPT CH 14271PALATINEIL60055LABORATORY SERVICES$1,052,290
ALLSCRIPTS
3 RAVINA DRIVEATLANTAGA30346SOFTWARE SERVICES$867,016
GE HEALTHCARE
101 CARNEGIE CENTERPRINCETONNJ08540EQUIPMENT SERVICES$778,292
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K53CntrctRcvdGreaterThan100KCnt
Membership Dues$16,700MembershipDuesAmt
Fundraising$87,044FundraisingAmt
Related Organizations$2,000,000RelatedOrganizationsAmt
Government Grants$6,109GovernmentGrantsAmt
All Other Contributions$610,646AllOtherContributionsAmt
Noncash Contributions$64,525NoncashContributionsAmt
Total Contributions$2,720,499TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
HOSPITAL BASED HEALTHCARE SERVICE621990$153,965,710$153,965,710
NON-PATIENT PHARMACY446110$4,215,698$4,215,698
NON-PATIENT REF. LAB621500$1,154,235$1,154,235
DME446110$265,237$265,237
HOSPITAL GUILD621990$105,824$105,824
FieldValueIRS element (for citing)
Total Program Service Revenue$159,706,704TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,535,688TotalRevenueColumnAmt
Exclusion$1,535,688ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,009,352RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,095,754RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$86,402RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$86,402TotalRevenueColumnAmt
Exclusion-$86,402ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$50,142,705SecuritiesAmt
Other$271,183OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$40,170,389SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$9,972,316SecuritiesAmt
Other$271,183OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,243,499TotalRevenueColumnAmt
Exclusion$10,243,499ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$128,969FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$87,044ContriRptFundraisingEventAmt
Fundraising Direct Expenses$171,820FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$42,851TotalRevenueColumnAmt
Exclusion-$42,851ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$44,200GamingGrossIncomeAmt
Gaming Direct Expenses$45,432GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,232TotalRevenueColumnAmt
Exclusion-$1,232ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$218,316GrossSalesOfInventoryAmt
Cost Of Goods Sold$119,584CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$98,732TotalRevenueColumnAmt
Related Or Exempt Func Income$98,732RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$174,174,637TotalRevenueColumnAmt
Related Or Exempt Func Income$154,170,266RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,635,170UnrelatedBusinessRevenueAmt
Exclusion$11,648,702ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$159,173TotalAmt
Program Services$159,173ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$3,500TotalAmt
Program Services$3,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,770,611TotalAmt
Program Services$878,259ProgramServicesAmt
Management And General$892,352ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$65,291,170TotalAmt
Program Services$54,605,923ProgramServicesAmt
Management And General$10,579,049ManagementAndGeneralAmt
Fundraising$106,198FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$476,872TotalAmt
Program Services$395,202ProgramServicesAmt
Management And General$80,913ManagementAndGeneralAmt
Fundraising$757FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,626,137TotalAmt
Program Services$8,898,716ProgramServicesAmt
Management And General$1,710,287ManagementAndGeneralAmt
Fundraising$17,134FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,808,736TotalAmt
Program Services$3,985,180ProgramServicesAmt
Management And General$815,922ManagementAndGeneralAmt
Fundraising$7,634FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$861,639TotalAmt
Management And General$861,639ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$398,495TotalAmt
Management And General$398,495ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$206,177TotalAmt
Management And General$206,177ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$20,541TotalAmt
Management And General$20,541ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$415,206TotalAmt
Management And General$415,206ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,663,929TotalAmt
Program Services$10,939,806ProgramServicesAmt
Management And General$4,713,126ManagementAndGeneralAmt
Fundraising$10,997FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$399,619TotalAmt
Program Services$38,009ProgramServicesAmt
Management And General$361,610ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,611,436TotalAmt
Program Services$839,158ProgramServicesAmt
Management And General$769,184ManagementAndGeneralAmt
Fundraising$3,094FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,241,126TotalAmt
Program Services$136,102ProgramServicesAmt
Management And General$3,105,024ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,502,744TotalAmt
Program Services$3,232,094ProgramServicesAmt
Management And General$270,650ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$193,621TotalAmt
Program Services$191,560ProgramServicesAmt
Management And General$2,061ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$396,113TotalAmt
Program Services$193,047ProgramServicesAmt
Management And General$203,066ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,526,679TotalAmt
Program Services$2,526,679ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,090,733TotalAmt
Program Services$10,233,536ProgramServicesAmt
Management And General$856,938ManagementAndGeneralAmt
Fundraising$259FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,639TotalAmt
Program Services-$594,541ProgramServicesAmt
Management And General$601,180ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
HOSPITAL SUPPLIES$24,366,698$24,365,162$1,536
PROVISION FOR BAD DEBTS$9,434,022$9,434,022
QAAP$5,593,142$5,593,142
DIETARY SUPPLIES$850,817$850,817

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$47,666TotalAmt
Fundraising$47,666FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$163,963,241TotalAmt
Program Services$136,904,546ProgramServicesAmt
Management And General$26,864,956ManagementAndGeneralAmt
Fundraising$193,739FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$192,721BOYAmt
EOY$165,649EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,798,063BOYAmt
EOY$13,585,691EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$22,898,993BOYAmt
EOY$23,767,114EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$28,684BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,588,472BOYAmt
EOY$2,868,296EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,297,646BOYAmt
EOY$2,347,232EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$210,109,526LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$129,486,230LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$80,626,924BOYAmt
EOY$80,623,296EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$71,881,207BOYAmt
EOY$76,845,506EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$428,576BOYAmt
EOY$512,422EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$132,458BOYAmt
EOY$88,305EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,313,263BOYAmt
EOY$2,095,148EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$193,187,007BOYAmt
EOY$202,898,659EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$42,542,630BOYAmt
EOY$39,132,784EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$42,886,500BOYAmt
EOY$41,915,594EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,134,550BOYAmt
EOY$6,908,861EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$90,563,680BOYAmt
EOY$87,957,239EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$99,097,292BOYAmt
EOY$111,315,255EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,470,122BOYAmt
EOY$3,568,281EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$55,913BOYAmt
EOY$57,884EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$102,623,327BOYAmt
EOY$114,941,420EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$193,187,007BOYAmt
EOY$202,898,659EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$10,211,396ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,219,010NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,112,313OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$20,541OtherActivitiesAmt
Total Lobbying Expenditures$20,541TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAID DUES TO ORGANIZATIONS WHICH PERFORMED LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,526,034BeginningYearBalanceAmt
Contributions$777,566ContributionsAmt
Investment Earnings Or Losses$88,640InvestmentEarningsOrLossesAmt
Other Expenditures$766,075OtherExpendituresAmt
End Year Balance$3,626,165EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,429,748BeginningYearBalanceAmt
Contributions$1,122,390ContributionsAmt
Investment Earnings Or Losses$93,639InvestmentEarningsOrLossesAmt
Other Expenditures$1,119,743OtherExpendituresAmt
End Year Balance$3,526,034EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,254,087BeginningYearBalanceAmt
Contributions$1,265,452ContributionsAmt
Investment Earnings Or Losses$96,131InvestmentEarningsOrLossesAmt
Grants Or Scholarships$2,500GrantsOrScholarshipsAmt
Other Expenditures$1,183,422OtherExpendituresAmt
End Year Balance$3,429,748EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,106,926BeginningYearBalanceAmt
Contributions$1,263,779ContributionsAmt
Investment Earnings Or Losses$87,576InvestmentEarningsOrLossesAmt
Other Expenditures$1,204,194OtherExpendituresAmt
End Year Balance$3,254,087EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,973,922BeginningYearBalanceAmt
Contributions$1,132,367ContributionsAmt
Investment Earnings Or Losses$168,896InvestmentEarningsOrLossesAmt
Other Expenditures$3,168,259OtherExpendituresAmt
End Year Balance$3,106,926EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.98000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.02000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,571,742OtherCostOrOtherBasisAmt
Book Value$15,571,742BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$65,321,353OtherCostOrOtherBasisAmt
Depreciation$38,880,539DepreciationAmt
Book Value$26,440,814BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,976,929OtherCostOrOtherBasisAmt
Depreciation$3,464,107DepreciationAmt
Book Value$512,822BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$124,916,963OtherCostOrOtherBasisAmt
Depreciation$87,141,584DepreciationAmt
Book Value$37,775,379BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$322,539OtherCostOrOtherBasisAmt
Book Value$322,539BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$80,623,296TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:TRUE ENDOWMENT FUNDS ARE INTENDED TO BE USED FOR NURSING SCHOLARSHIPS. QUASI-ENDOWMENT FUNDS HAVE BEEN DESIGNATED FOR VARIOUS USES TO FURTHER THE HOSPITAL'S MISSION TO PROVIDE QUALITY, COMPREHENSIVE HEALTH CARE SERVICES. SOME OF THESE DESIGNATIONS INCLUDE HOSPICE, CHAPLAINCY, CANCER TREATMENT ASSISTANCE, CAPITAL IMPROVEMENTS, AND PHARMACY ASSISTANCE.
PART X, LINE 2:THE CORPORATION AND MCHS ARE NOT-FOR-PROFIT ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND M TRUST IS AN EXEMPTED COMPANY UNDER THE COMPANIES LAW OF THE CAYMAN ISLANDS; ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. WITH FEW EXCEPTIONS, THE CORPORATION IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE, AND LOCAL, OR NON-U.S. INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2011. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY IF THE CORPORATION HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2014, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN00PROGRAM SERVICEPAYMENTS TO FOREIGN INSURANCE COMPANY THAT PROVIDES INSURANCE TO THE HOSPITAL$1,576,016
CENTRAL AMERICA AND THE CARIBBEAN00INVESTMENT$7,751,781
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$9,327,797SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$9,327,797TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1FANTASY OF TREES 2013NameOfEvent1Amt
Gross Receipts Event1$159,636GrossReceiptsEvent1Amt
Charitable Contri Event1$36,930CharitableContriEvent1Amt
Gross Revenue Event1$122,706GrossRevenueEvent1Amt
Non Cash Prizes Event1$72,465NonCashPrizesEvent1Amt
Rent Facility Costs Event1$8,938RentFacilityCostsEvent1Amt
Food And Beverage Event1$28,185FoodAndBeverageEvent1Amt
Entertainment Event1$1,250EntertainmentEvent1Amt
Other Direct Expenses Event1$21,709OtherDirectExpensesEvent1Amt
Name Of Event2GOLF OUTING 2014NameOfEvent2Amt
Gross Receipts Event2$45,395GrossReceiptsEvent2Amt
Charitable Contri Event2$45,395CharitableContriEvent2Amt
Non Cash Prizes Event2$3,479NonCashPrizesEvent2Amt
Food And Beverage Event2$13,451FoodAndBeverageEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$10,982GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$4,719CharitableContriOtherEventsAmt
Gross Revenue Other Events$6,263GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$5,752NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$3,466RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$6,263FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$6,862OthDirectExpnssOtherEventsAmt
Gross Receipts Total$216,013GrossReceiptsTotalAmt
Charitable Contributions Tot$87,044CharitableContributionsTotAmt
Gross Revenue Total Events$128,969GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$81,696NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$12,404RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$47,899FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,250EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$28,571OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$171,820DirectExpenseSummaryEventsAmt
Net Income Summary-$42,851NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$44,200GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming$500CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming$43,695NonCashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming$1,237OthDirectExpnssOtherGamingAmt
Volunteer Labor Other GamingYes (1)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming1.00000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$44,200GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$500CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming$43,695NonCashPrizesTotalGamingAmt
Oth Direct Expnss Total Gaming$1,237OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$45,432DirectExpenseSummaryGamingAmt
Net Gaming Income Summary-$1,232NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedMIStatesWhereGamingConductedCd
LicensedYes (1)LicensedInd
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With NonmembersYes (1)GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Gaming Own Facility0.10000GamingOwnFacilityPct
Gaming Other Facility0.90000GamingOtherFacilityPct
Individual With BooksMOLLY MOOREIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line1718 N MACOMB STREETAddressLine1
CityMONROECity
StateMIState
ZIP Code48162ZIPCode
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game Rev0CntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonMOLLY MOOREGamingManagerPersonNm
Gaming Manager Compensation$3,700GamingManagerCompensationAmt
Gaming Manager Services ProvOVERSEES GAMING ACTIVITIES AND RECORDKEEPINGGamingManagerServicesProvTxt
Gaming Manager Is EmployeeYes (X)GamingManagerIsEmployeeInd
Charitable Distribution Rqr0CharitableDistributionRqrInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,256,899TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,256,899NetCommunityBenefitExpnsAmt
Total Expense0.02110TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,349,292TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,532,372DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,816,920NetCommunityBenefitExpnsAmt
Total Expense0.03760TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,606,191TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,532,372DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,073,819NetCommunityBenefitExpnsAmt
Total Expense0.05870TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,026,913TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,599DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,019,314NetCommunityBenefitExpnsAmt
Total Expense0.00660TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs76ActivitiesOrProgramsCnt
Persons Served459PersonsServedCnt
Total Community Benefit Expns$1,070,459TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,070,459NetCommunityBenefitExpnsAmt
Total Expense0.00690TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$263,512TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$150DirectOffsettingRevenueAmt
Net Community Benefit Expns$263,362NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs38ActivitiesOrProgramsCnt
Total Community Benefit Expns$29,155TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$29,155NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs114ActivitiesOrProgramsCnt
Persons Served459PersonsServedCnt
Total Community Benefit Expns$2,390,039TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,749DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,382,290NetCommunityBenefitExpnsAmt
Total Expense0.01540TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs114ActivitiesOrProgramsCnt
Persons Served459PersonsServedCnt
Total Community Benefit Expns$32,996,230TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,540,121DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,456,109NetCommunityBenefitExpnsAmt
Total Expense0.07410TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,337TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$25,337NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs31ActivitiesOrProgramsCnt
Persons Served2837PersonsServedCnt
Total Community Benefit Expns$16,957TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,957NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$102TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$102NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,053TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$45,053NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served355PersonsServedCnt
Total Community Benefit Expns$9,477TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,477NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served33PersonsServedCnt
Total Community Benefit Expns$24,091TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$24,091NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs39ActivitiesOrProgramsCnt
Persons Served3225PersonsServedCnt
Total Community Benefit Expns$121,017TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$121,017NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$9,434,022BadDebtExpenseAmt
Bad Debt Expense Attributable$943,402BadDebtExpenseAttributableAmt
Reimbursed By Medicare$42,386,130ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$46,876,374CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,490,244MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY MEMORIAL HOSPITAL CORPORATIONBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1718 N MACOMB STREETAddressLine1
CityMONROECity
StateMIState
ZIP Code48162ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MERCY MEMORIAL HOSPITAL CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLFULL WEBSITE LISTED IN PART V SECTION COwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs Addressed0AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care0FPGUsedDetermEligDscntCareInd
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Uninsured DiscountYes (X)UninsuredDiscountInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MERCY MEMORIAL HOSPITAL CORPORATIONPART V, SECTION B, LINE 3: THE HOSPITAL CONSULTED WITH THE FOLLOWING INDIVIDUALS ON THE INDICATED AREAS: KIM COMERZAN, DIRECTOR MONROE COUNTY HEALTH DEPT AND DR. TATYANA IVANOVA, COMMUNITY HEALTH DIRECTOR MONROE COUNTY HEALTH DEPT., ON THE DEVELOPMENT OF COMMON CHNA SECONDARY DATA SET, CHN PRIORITIES, AND DESIGN OF FUTURE CHNA STUDIES AND REPORTS. ED LARKINS, EXECUTIVE DIRECTOR FAMILY MEDICAL CENTER OF MICHIGAN FEDERALLY QUALIFIED CLINIC, AND DR. SUSAN HULSEMANN, DIRECTOR FAITHWORKS MEDICAL CLINIC FOR WORKING UNINSURED, ON THE NEEDS OF UNINSURED AND UNDERINSURED. ROB WHITNEY, COMMANDER MONROE COUNTY SALVATION ARMY, AND CONNIE CARROLL, EXECUTIVE DIRECTOR MONROE COUNTY UNITED WAY, ON NEEDS OF INDIGENT AND UNINSURED.ANDREA MULHEISEN, DIRECTOR NETWORK DEVELOPMENT FOR THE AREA AGENCY ON AGING 1B, AND JEFF MCBEE, DIRECTOR MONROE COUNTY COMMISSION ON AGING, ON NEEDS OF ELDERLY.
MERCY MEMORIAL HOSPITAL CORPORATIONPART V, SECTION B, LINE 5D: THE CHNA IS AVILABLE AT HTTP://WWW.MERCYMEMORIAL.ORG/MAIN/COMMUNITYBENEFIT.ASPXTHE ASSOCIATED IMPLEMENTATION PLAN CAN BE ACCESSED AT HTTP://WWW.MERCYMEMORIAL.ORG/RESOURCE.ASHX?SN=CHNA_IMPLEMENTATIONPLAN THE ANNUAL SCORECARD AT HTTP://WWW.MERCYMEMORIAL.ORG/RESOURCE.ASHXSN=CHNPLANSCORECARD
MERCY MEMORIAL HOSPITAL CORPORATIONPART V, SECTION B, LINE 7: THE IMPLEMENTATION PLAN INCLUDES ONLY CHNA IDENTIFIED NEEDS NOT CURRENTLY BEING ADDRESSED BY THE HOSPITAL. THE FOLLOWING NEEDS ARE, THEREFORE, NOT INCLUDED IN THE IMPLEMENTATION PLAN: SMOKING CESSATION- THE HOSPITAL CONTINUES TO IDENTIFY AND COUNSEL INPATIENTS WHO SMOKE, CONTINUES TO OFFER CESSATION CLASSES TO THE COMMUNITY, CONTINUES TO MAINTAIN A SMOKE FREE CAMPUS, AND CONTINUES TO HIRE ONLY NON-SMOKERS. MENTAL HEALTH SERVICES AND SUBSTANCE ABUSE- THE HOSPITAL CONTINUES TO OPERATE THE ONLY LICENSED INPATIENT PSYCHIATRIC UNIT IN MONROE COUNTY, CONTINUES TO PROVIDE OUTPATIENT PSYCHIATRY AND COUNSELING SERVICES, AND CONTINUES TO RECRUIT ADULT AND CHILD PSYCHIATRISTS.PREVENTION OF INJURIES- THE HOSPITAL CONTINUES TO PROVIDE AMBULANCE AND EMT COVERAGE OF COMMUNITY EVENTS, CONTINUES TO ACTIVELY PARTICIPATE IN INFANT AND CHILD SAFETY PROGRAMS OFFERED BY OTHER COMMUNITY AGENCIES, AND CONTINUES TO OFFER FIRST AID CLASSES TO THE COMMUNITY.
MERCY MEMORIAL HOSPITAL CORPORATIONPART V, SECTION B, LINE 11: THE FINANCIAL ASSISTANCE POLICY IS FOR FREE CARE AND THE ONLY OTHER DISCOUNTED CARE AVAILABLE IS FOR ANY PATIENT PAYING WITHIN 30 DAYS RECEIVES A 20% DISCOUNT.
MERCY MEMORIAL HOSPITAL CORPORATIONPART V, SECTION B, LINE 20D: FAP-ELIGIBLE INDIVIDUALS ARE NOT CHARGED AND DO NOT RECEIVE A BILL IF THEY QUALIFY UNDER THE HOSPITAL'S FAP.
MERCY MEMORIAL HOSPITAL CORPORATIONPART V, SECTION B, LINE 22: CHARGES ARE ENTERED FOR ALL PATIENTS WHO RECEIVE SERVICES REGARDLESS OF INSURANCE OR LACK THEREOF. IF A PATIENT QUALIFIES FOR CHARITY CARE, A CHARITY CARE ADJUSTMENT IS MADE SO THE PATIENT DOES NOT RECEIVE A BILL.
FieldValueIRS element (for citing)
Facility32FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (32 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
MMH REHAB
700 STEWART ROADMONROEMI48162REHAB SERVICES
DIAGNOSTIC CENTER
901 N MACOMB STREETMONROEMI48162DIAGNOSTIC, CARDIOPULMONARY, LAB
MERCY MEMORIAL HOSPICE
1070 N MONROE STREETMONROEMI48162HOSPICE SERVICES
HOME CARE CONNECTION
1070 N MONROE STREET STE AMONROEMI48162HOME CARE SERVICES
WESTSIDE MEDICAL
100 POWELLDUNDEEMI48131DIAGNOSTIC THERAPY, LAB
PHLEBOTOMY-DELISLE CENTER
1056 N MONROE STREETMONROEMI48162OUTREACH LAB
BEHAVIORAL HEALTH
700 STEWART RDMONROEMI48162BEHAVIORAL HEALTH
MMH OUTPATIENT SURGERY CENTER
750 STEWART ROADMONROEMI48162AMBULATORY SURGERY CENTER
HOME RESPIRATORY DME
1070 N MONROE STREET STE CMONROEMI48162HOME RESPIRATORY DME
PHLEBOTOMYXRAY-DRKABIR
219 W FRONT STREETMONROEMI48162OUTREACH LAB
NEWPORT MEDICAL
7825 NORTH DIXIENEWPORTMI48166PATIENT ACCOUNTING, LAB
PHLEBOTOMY-DR STEWART
811 N MONROE STREETMONROEMI48162OUTREACH LAB
DR MICHAEL CHARBONEAU
730 N MACOMB STREETMONROEMI48162DOCTOR OFFICE
SLEEP LAB MACOMB
717 N MACOMB STREETMONROEMI48162SLEEP LAB SERVICES
DR AHADI OFFICE COMPLEX
55 COLE ROADMONROEMI48162OUTREACH LAB
PHLEBOTMY-KARPENKO
323 STEWART ROADMONROEMI48162OUTREACH LAB
DR KURT ROECKER
14930 LAPLAISANCE ROAD SUITE 118MONROEMI48162OUTREACH LAB
DR TODD PROCHNOW
730 N MACOMB STREET SUITE 419MONROEMI48162DOCTOR OFFICE
PHLEBOTOMY-DR DONA
7505 GRAFTON ROAD SUITE 5MONROEMI48162OUTREACH LAB
PHLEBOTOMY-DR QURESHI
5290 W BROOKSHIRE ROADMONROEMI48161OUTREACH LAB
DR DANIEL OLENCHAK
730 N MACOMB STREET SUITE 419MONROEMI48162DOCTOR OFFICE
DR MARVIN CRAIG
4220 LUNA PIER ROADLUNA PIERMI48157DOCTOR OFFICE
DR BARNETT KANTZ
100 POWELL ROAD STE 2DUNDEEMI48131DOCTOR OFFICE
MMH POB
730 N MACOMB STREETMONROEMI48162OUTPATIENT CLINIC
TEMPERANCE
1715 W DEAN ROADTEMPERANCEMI48182SLEEP LAB, LAB SERVICES
OUTPATIENT THERAPY
214 ELM STREETMONROEMI48162OCCUPATIONAL THERAPY SERVICES
DR JAMES DOYLE
920 N MACOMB STREETMONROEMI48162DOCTOR OFFICE
DR BETTY RUMSCHLAG
7470 SECOR ROADLAMBERTVILLEMI48144DOCTOR OFFICE
DR MICHELLE CHARTIER
7825 N DIXIE HWYNEWPORTMI48166DOCTOR OFFICE
DR KRISTA GUSTAD
730 N MACOMB STREET STE 329MONROEMI48162DOCTOR OFFICE
FAMILY MEDICAL RESIDENCY CENTER
650 STEWARD ROADMONROEMI48162DOCTOR OFFICE
MONROE CANCER CENTER
800 STEWART ROADMONROEMI48162CANCER TREATMENT

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:A COST TO CHARGE RATIO, DERIVED FROM WORKSHEET 2, IS USED FOR LINES 7A AND 7B. ACTUAL COSTS FROM THE COST ACCOUNTING SYSTEM AND ACCOUNTING RECORDS ARE USED FOR LINES 7E THROUGH 7I.
PART I, LINE 7G:N/A - THE HOSPITAL DID NOT LIST ANY SUBSIDIZED HEALTH SERVICES.
PART I, LN 7 COL(F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24B - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THIS SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $9,434,022.
PART II, COMMUNITY BUILDING ACTIVITIES:PARTICIPATION IN TASK FORCES AND COMMITTEES ASSURES A MORE COORDINATED APPROACH TO SERVICES FOR AN AGING POPULATION. EMERGENCY PREPAREDNESS AND COORDINATION OF EFFORT AMONG AGENCIES PROVIDING HUMAN SERVICES. SPECIFIC AREAS OF IMPROVEMENT INCLUDE PRE-HOSPITAL AMBULANCE CARE, REFERRAL OF SENIORS TO SUPPORTIVE COMMUNITY SERVICES, SUICIDE PREVENTION, SUBSTANCE ABUSE, AND BREASTFEEDING FOR IMPROVED CHILD HEALTH.
PART III, LINE 4:PART III, LINE 2: THE PROVISION FOR BAD DEBTS IS BASED UP ON MANAGEMENT'S ASSESSMENT OF THE HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTABLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES. THE BAD DEBT AMOUNT REPORTED ON PART III LINE 2 IS BAD DEBT EXPENSE PER THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS AND PER FORM 990 PART IX. PART III, LINE 3: THE AMOUNT OF BAD DEBT ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS ESTIMATED AT 10 PERCENT OF BAD DEBT EXPENSE.
PART III, LINE 8:THE SHORTFALL SHOULD BE CONSIDERED AND INCLUDED IN THE COMMUNITY BENEFIT AS THE REIMBURSEMENT DID NOT MEET THE "COST" OF THE EXPENSE BASED ON REASONABLE COSTING METHODOLOGIES. THIS IS BASED ON THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT.
PART VI, LINE 2:SECONDARY COMMUNITY HEALTH DATA ARE CONSIDERED IN THE ANNUAL REVIEW AND ADJUSTMENT OF THE HOSPITAL'S 3-YEAR STRATEGIC PLAN; HOSPITAL LEADERS SERVE ON COMMUNITY BOARDS, COMMITTEES AND TASK FORCES WHERE NEEDS MAY BE IDENTIFIED; THE HOSPITAL AND MONROE COUNTY HEALTH DEPARTMENT ARE COLLABORATING ON DEVELOPING A PRIMARY DATA ACQUISITION PROCESS DESIGNED TO ENGAGE COMMUNITY PARTNER ORGANIZATIONS, OBTAIN BROADER INPUT FROM COMMUNITY MEMBERS ON HEALTH NEEDS AND PRIORITIES, AND PROVIDE THE FOUNDATION FOR THE NEXT CHNA.
PART VI, LINE 3:WHEN IT IS DETERMINED THAT A PATIENT IS UNABLE TO PAY FOR SERVICES (EITHER BEFORE OR AFTER SERVICES ARE RENDERED) A FINANCIAL COUNSELOR WILL SPEAK TO THE PATIENT TO EXPLAIN FINANCIAL ASSISTANCE. THE FIRST OPTION OFFERED IS STATE MEDICAID. THE PATIENT IS ASSESSED FOR MEDICAID QUALIFICATION AND IF IT IS DETERMINED THE PATIENT DOES NOT QUALIFY, THEY ARE OFFERED CHARITY CARE ASSISTANCE. THE PATIENT IS GIVEN A CHARITY CARE APPLICATION AND REQUESTED TO COMPLETE AND RETURN TO THE FINANCIAL COUNSELOR WITH THE APPROPRIATE DOCUMENTATION. ONCE THE APPLICATION IS RETURNED TO THE FINANCIAL COUNSELOR, IT IS ASSEMBLED AND SENT TO THE PATIENT ACCOUNTING OFFICE FOR APPROVAL. DEPENDING ON THE AMOUNT, VARYING LEVELS OF APPROVAL ARE REQUIRED.
PART VI, LINE 4:WITHIN THE 549.4 SQUARE MILES OF MONROE COUNTY A MIXED URBAN AND RURAL ENVIRONMENT IS SUPPORTED BY A DIVERSE ECONOMY. URBAN AND INDUSTRIAL DEVELOPMENTS PREDOMINATE ALONG LAKE ERIE, WHILE APPROXIMATELY 1,100 WORKING FARMS OCCUPY THE WESTERN TOWNSHIPS. FROM THE 2010 CENSUS THERE WERE 152,021 PEOPLE IN THE COUNTY IN 58,888 HOUSEHOLDS. THE RACIAL MAKEUP OF THE COUNTY WAS 94.4% WHITE, 2.1% BLACK OR AFRICAN AMERICAN, 0.3% NATIVE AMERICAN, 0.6% ASIAN, 0.8% FROM OTHER RACES, AND 1.8% FROM TWO OR MORE RACES. 96.3% SPOKE ENGLISH AT HOME. ABOUT 12.1% OF THE POPULATION WAS BELOW THE FEDERAL POVERTY LEVEL, AND 15,339 INDIVIDUALS UNDER 65 YEARS WERE UNINSURED. 12.8% OF THE POPULATION WAS OVER 65 YEARS. IN 2012 DECEMBER UNEMPLOYMENT WAS 7.6%.
PART VI, LINE 5:THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF; THE HOSPITAL'S BOARD OF TRUSTEES IS BROADLY REPRESENTATIVE OF THE COMMUNITY; HOSPITAL LEADERS SERVE ON COMMUNITY BOARDS, COMMITTEES AND TASKFORCES THAT ADDRESS HEALTH AND HUMAN SERVICES ISSUES.
PART VI, LINE 6:N/A - NOT AFFILIATED.
PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT:THE HOSPITAL IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT IN MICHIGAN OR ANY OTHER STATE.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1MONROE COMMUNITY HEALTH SERVICESBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1718 N MACOMB STREETAddressLine1
CityMONROECity
StateMIState
ZIP Code48164ZIPCode
FieldValueIRS element (for citing)
Recipient EIN382934134RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$154,104CashGrantAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc
Purpose Of GrantSUPPORT THE PURPOSE OF THE ORGANIZATIONPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationFOR GRANTS MADE TO MONROE COMMUNITY HEALTH SERVICES, ACCOUNTS HAVE MONTHLY BUDGETED DOLLAR AMOUNTS. WHEN ACTUAL COSTS ARE RECORDED FOR THE MONTH, A COMPARISION IS MADE TO THE BUDGET AND APPROPRIATE VARIANCE ANALYSIS IS PERFORMED WHERE INDICATED TO EXAMINE THE SOURCE OF THE VARIANCE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHARBONEAU DO MICHAEL
TRUSTEE, SURGEON$562,549$0$75$0$900$0$0$0$17,005$0$580,529$0$0$0
PHILLIPS ANNETTE S
PRESIDENT & CEO - EX OFFICIO$406,994$0$0$0$4,800$0$61,049$0$16,538$0$489,381$0$0$0
SCHILLING THOMAS W
CFO SENIOR VP FINANCE$267,225$0$0$0$6,000$0$26,723$0$16,538$0$316,486$0$0$0
UBRANSKI PAM
CNO$200,000$0$0$0$0$0$20,000$0$6,776$0$226,776$0$0$0
PROCHNOW TODD
PHYSICIAN$495,231$0$75$0$16,223$0$0$0$16,888$0$528,417$0$0$0
DHAR RAVI
PHYSICIAN$249,986$0$75$0$1,270$0$0$0$401$0$251,732$0$0$0
OLENCHAK DANIEL
PHYSICIAN$417,516$0$75$0$17,336$0$0$0$16,594$0$451,521$0$0$0
CRAIG MARVIN D
PHYSICIAN$325,259$0$75$0$857$0$0$0$11,060$0$337,251$0$0$0
SHERRARD MARK
CMO$248,400$0$0$0$4,800$0$23,885$0$16,538$0$293,623$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE HOSPITAL MAINTAINS A MEMBERSHIP WITH A COMMUNITY GOLF / COUNTRY CLUB. THE MEMBERSHIP IS INTENDED FOR THE GENERAL USE OF THE HOSPITAL, AND IS MAINTAINED UNDER THE NAME OF THE CHIEF EXECUTIVE OFFICER (AS A REPRESENTATIVE MUST BE NAMED IN THIS INSTANCE). USE OF THE MEMBERSHIP IS MADE AVAILABLE FOR BUSINESS PURPOSES ONLY, AND PERSONAL USE IS PROHIBITED. FACILITIES AT THE COUNTRY CLUB ARE USED FOR HOSPITAL FUNCTIONS, BUSINESS MEETINGS, VOLUNTEER RECOGNITION, AND FUNDRAISING. THIS BENEFIT IS NOT TREATED AS TAXABLE COMPENSATION.
PART I, LINE 4BTHE ORGANIZATION OFFERS SELECT MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES ANNUAL EMPLOYER-FUNDED CONTRIBUTIONS EQUAL TO A FIXED PERCENT OF BASE SALARY: 15% FOR CEO, 10% FOR SENIOR VICE PRESIDENTS AND 5% FOR VICE PRESIDENTS. BENEFITS ARE VESTED AFTER THREE YEARS OF SERVICE AND ARE PAID OUT IN A LUMP SUM BY MARCH 15 OF THE YEAR FOLLOWING THE YEAR IN WHICH THEY BECOME VESTED. THE FOLLOWING INDIVIDUALS REPORTED ON FORM 990, PART VII ARE PARTICIPANTS: ANNETTE PHILLIPS, THOMAS SCHILLING AND JOHN KIBBLE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COUNTY OF MONROE HOSPITAL FINANCE AUTHORITY
A386004873610648AR82006-06-15$50,405,076CONSTRUCTION PROJECT ADDING 58,995 SQ FT; RENOVATING 66,910 SQ FT000
COUNTY OF MONROE HOSPITAL FINANCE AUTHORITY
B3860048732012-03-30$3,170,830CATH LAB RENOVATION AND EQUIPMENT000
COUNTY OF MONROE HOSPITAL FINANCE AUTHORITY
C3860048732013-12-23$3,100,000MRI & CT CONSTRUCTION AND EQUIPMENT000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$52,639,779$3,812,411$709,013$36,382,7192009Yes (1)0Yes (1)Yes (1)
B$3,170,830$30,000$3,140,830201200Yes (1)Yes (1)
C$3,060,500$39,500$3,100,000201400Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)00.000000.000000.00000000
B00Yes (1)Yes (1)00.000000.000000.00000000
C00Yes (1)Yes (1)00.000000.000000.00000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueInd
AYes (1)00000
B0000000Yes (1)0
C0000000Yes (1)0

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, BOND ISSUES:MONROE COMMUNITY HEALTH SERVICES IS A MEMBER OF THE MERCY MEMORIAL HOSPITAL CORPORATION OBLIGATED GROUP OF WHICH MONROE COMMUNITY HEALTH SERVICES HAS BEEN ALLOCATED FUNDS FROM THIS 2006 BOND ISSUANCE.
SCHEDULE K, PART I, BOND ISSUES:A- THE BOND ISSUE PRICE WAS $50,405,076.58 WITH A REDEMPTION PRICE OF $49,550,000 AT MATURITY. PROCEEDS OF THE ISSUE WERE USED FOR BOND ISSUANCE COSTS, REQUIRED RESERVE FUND, REFUND PRIOR ISSUE BONDS AND INDEBTEDNESS (02/01/1994 BONDS) AND BUILDING EXPANSION AND EQUIPMENT. B - SIEMENS PUBLIC INC. PROGRAM REVENUE NOTE ISSUE PRICE WAS $3,170,830. PROCEEDS OF THE ISSUE WERE USED FOR NOTE ISSUANCE COSTS AND CATH LAB RENOVATION EQUIPMENT. C - PNC EQUIPMENT FINANCE. LLC PROGRAM REVENUE NOTE ISSUE PRICE WAS $3,100,000. PROCEEDS OF THE ISSUE WERE USED FOR ISSUANCE COSTS AND MRI AND CT RENOVATION AND EQUIPMENT.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MONROE HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Relationship Description>35% OWNED BY BOARD MEMBER AAMER BHURGRI.RelationshipDescriptionTxt
Transaction$131,030TransactionAmt
TransactionLEASE OF PROPERTYTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$300NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOMPARABLE SALESMethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$22,130NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOMPARABLE SALESMethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$300NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOMPARABLE SALESMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOMPARABLE SALESMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescAUCTION ITEMSDesc
Contribution65ContributionCnt
Noncash Contributions Rpt F990$40,795NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOMPARABLE SALESMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationNUMBER OF CONTRIBUTIONSExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2BOARD MEMBERS DR. KENNETH MCNAMEE, DR. AAMER BHURGRI, DR. MICHAEL CHARBONEAU, AND DR. ABDUL KABIR HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 INPUT DATA IS REVIEWED AND ANALYZED BY THE CONTROLLER AND THEN SUBMITTED TO THE CERTIFIED PUBLIC ACCOUNTING FIRM FOR PREPARATION. THE COMPLETED FORM 990 IS THEN RETURNED TO THE CFO AND THE CEO FOR FINAL REVIEW AND APPROVAL BEFORE THE BOARD MEETING. BEFORE THE RETURN IS FILED, THE FORM 990 IS REVIEW BY THE BOARD. ALL MEMBERS RECEIVE A COPY OF THE FORM 990, EVEN THOSE THAT ARE UNABLE TO ATTEND THE SCHEDULED MEETING. THE REVIEW IS PERFORMED DURING ONE OF THE MONTHLY BOARD MEETINGS, WHERE EACH MEMBER HAS A CHANCE TO ASK QUESTIONS. THIS REVIEW IS DOCUMENTED VIA MINUTES TO THE MEETING.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS, OFFICERS AND EMPLOYEES OF THE HOSPITAL. ON AN ANNUAL BASIS, THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE IS DISTRIBUTED TO OFFICERS, EMPLOYEES, AND TRUSTEES OF MERCY MEMORIAL HOSPITAL CORPORATION. POTENTIAL CONFLICTS OF INTEREST ARE ANALYZED BY THE HOSPITAL'S LEGAL DEPARTMENT AND ARE GIVEN RANKINGS OF LOW, MODERATE, AND SEVERE RISK. THIS ANALYSIS IS GIVEN TO THE BOARD CHAIR AND THE HOSPITAL'S CHIEF EXECUTIVE OFFICER. ANY MEMBER WITH AN IDENTIFIED CONFLICT OF INTEREST IS EXCUSED FROM THE MEETING DURING DISCUSSIONS PERTAINING TO THE ISSUE OF CONFLICT, AND THE MEMBER IS NOT PERMITTED TO VOTE ON ANY ISSUE OF CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES DETERMINES AND APPROVES ALL COMPENSATION FOR THOSE DESIGNATED IN SENIOR LEADERSHIP POSITIONS SUCH AS THE CHIEF EXECUTIVE OFFICER & PRESIDENT, THE CHIEF MEDICAL OFFICER & VICE PRESIDENT OF MEDICAL AFFAIRS, THE CHIEF FINANCIAL OFFICER & SENIOR VICE PRESIDENT OF FINANCE, THE CHIEF NURSING OFFICER & SENIOR VICE PRESIDENT OF CLINICAL OPERATIONS, AND OTHER VICE PRESIDENTS. THE INDEPENDENT BOARD COMMITTEE RETAINS AN OUTSIDE CONSULTANT TO ANALYZE AND ASSIST IN MAKING THESE DETERMINATIONS THROUGH A VARIETY OF MARKET SURVEYS/STUDIES. THIS PROCESS IS UNDERTAKEN ANNUALLY AND WAS LAST PERFORMED IN 2014.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:PENSION LIABILITY ADJUSTMENT -1,112,313.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS FROM THE PRIOR YEAR.
FORM 926, PART IIIFOLLOWING IS ADDITIONAL INFORMATION AS REQUESTED BY REGULATIONS SEC. 1.6038B-1(C) AND TEMPORARY REGULATIONS SEC. 1.6038B-1T(C)(5) AND 1.6038B-1T(D). REGULATION SEC. 1.6038B-1T(C)(1): TRANSFEROR: MERCY MEMORIAL HOSPITAL SYSTEM EIN: 38-1984289 718 NORTH MACOMB STREET MONROE, MI 48162 REGULATION SEC. 1.6038B-1T(C)(2): TRANSFEREE: (I.): M TRUST ASSURANCE COMPANY, LTD. EIN: 98-0700372 P.O. BOX 1051 GRAND CAYMAN KY1-1102, CAYMAN ISLANDS INCORPORATED IN THE CAYMAN ISLANDS (II.): INSURANCE PREMIUMS RECEIVED FROM RELATED PARTIES CONSIDERED TO BE DEEMED CONTRIBUTIONS TO CAPITAL OF THE ABOVE CORPORATION OCCURRED ON VARIOUS DATES THROUGHOUT THE YEAR. THE TOTAL AMOUNT OF THESE DEEMED CONTRIBUTIONS WAS $1,708,114. REGULATION SEC. 1.6038B-1T(C)(3): CONSIDERATION RECEIVED: NOTHING WAS RECEIVED IN CONSIDERATION IN EXCHANGE FOR DEEMED CASH CONTRIBUTIONS TO CAPITAL OF $1,708,114. THE TAXPAYER OWNED 100% OF THE STOCK OF THE TRANSFEREE CORPORATION BOTH BEFORE AND AFTER THESE TRANSFERS. REGULATION SEC. 1.6038B-1T(C)(4): PROPERTY TRANSFERRED: CASH IN THE AMOUNT OF $1,708,114 (US DOLLARS) REGULATION SEC. 1.6038B-1T(C)(5): TRANSFER OF FOREIGN BRANCH WITH PREVIOUSLY DEDUCTED LOSSES: NOT APPLICABLE REGULATION SEC. 1.6038B-1T(C)(6): APPLICATION OF IRC SEC. 367(A)(5): NOT APPLICABLE

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MONROE COMMUNITY HEALTH SERVICESBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1718 N MACOMB STREETAddressLine1
CityMONROECity
StateMIState
ZIP Code48164ZIPCode
FieldValueIRS element (for citing)
EIN382934134EIN
Primary ActivitiesSKILLED NURSING AND OUTPATIENT SURGERYPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 9PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MERCY MEMORIAL HOSPITAL CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MONROE HEALTH VENTURESBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1718 N MACOMB STREETAddressLine1
CityMONROECity
StateMIState
ZIP Code48164ZIPCode
FieldValueIRS element (for citing)
EIN382704426EIN
Primary ActivitiesPHARMACYPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MERCY MEMORIAL HOSPITAL CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MONROE COMMUNITY HEALTH SERVICES
L$153,879ACTUAL ALLOCATED COST
MONROE COMMUNITY HEALTH SERVICES
M$222,140ACTUAL ALLOCATED COST
MONROE COMMUNITY HEALTH SERVICES
P$82,476ACTUAL ALLOCATED COST
MONROE COMMUNITY HEALTH SERVICES
Q$1,540,783ACTUAL ALLOCATED COST
MONROE COMMUNITY HEALTH SERVICES
B$154,104CASH VALUE
MONROE COMMUNITY HEALTH SERVICES
C$2,000,000CASH VALUE