MGH WIND DOWN INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MGH WIND DOWN INC (EIN 38-1358036)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2015-05-19
- IRS object ID
- 201541399349300439
- Schema version
- 2012v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2015-05-19T15:03:11-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382806590 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAKELA TOUTANT HILL & NARDI PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 W BLUFF STREET | AddressLine1 |
| City | MARQUETTE | City |
| State | MI | State |
| ZIP Code | 49855 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381358036 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MGH WIND DOWN INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MGHW | NameControl |
| Phone | 9062253450 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 W MAGNETIC STREET | AddressLine1 |
| City | MARQUETTE | City |
| State | MI | State |
| ZIP Code | 49855 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SCOTT HERIOUX | Name |
| Title | PRESIDENT | Title |
| Phone | 9062253450 | Phone |
| Date Signed | 2015-05-19 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBIN RAUVALA CPA | Name |
| PTIN | P00070626 | PTIN |
| Phone | 9062283600 | Phone |
| Date Prepared | 2015-05-19 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SCOTT HERIOUX | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 W MAGNETIC STREET | AddressLine1 |
| City | MARQUETTE | City |
| State | MI | State |
| ZIP Code | 49855 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 176981551 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1897 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | TO WIND DOWN THE REMAINING ASSETS AND LIABILITIES OF MARQUETTE GENERAL HEALTH SYSTEM. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2778 | TotalNbrEmployees |
| Total Nbr Volunteers | 510 | TotalNbrVolunteers |
| Total Gross UBI | 785391 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2957349 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 501060 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 327845066 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 39717517 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -1180453 | InvestmentIncomePriorYear |
| Investment Income Current Year | -4861895 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -11946 | OtherRevenuePriorYear |
| Other Revenue Current Year | -4122 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 329610016 | TotalRevenuePriorYear |
| Total Revenue Current Year | 35352560 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 164135024 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 32933547 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 162588849 | OtherExpensePriorYear |
| Other Expenses Current Year | 43936231 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 326723873 | TotalExpensesPriorYear |
| Total Expenses Current Year | 76869778 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2886143 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -41517218 | RevenuesLessExpensesCY |
| Total Assets BOY | 242532893 | TotalAssetsBOY |
| Total Assets EOY | 49226960 | TotalAssetsEOY |
| Total Liabilities BOY | 198400518 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 49226960 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 44132375 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 0 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE ORGANIZATION OPERATED A HOSPITAL FOR THE FIRST TWO MONTHS. SUBSTANTIALLY ALL OF ITS ASSETS WERE SOLD EFFECTIVE SEPTEMBER 1, 2012. THE ORGANIZATION WILL CONTINUE ITS WIND DOWN ACTIVITIES UNTIL ALL OF ITS CURRENT AND POST-CLOSING OBLIGATIONS ARE MET. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 36274526 | Expense |
| Revenue | 24763969 | Revenue |
| Description | HOSPITAL SERVICES | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 13140267 | Expense |
| Revenue | 13583645 | Revenue |
| Description | PHYSICIAN PRACTICES | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 757623 | Expense |
| Revenue | 892842 | Revenue |
| Description | HOME HEALTH SERVICES | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 14509018 | Expense |
| Revenue | 477061 | Revenue |
| Description | BLOOD PRODUCT SALES AND EMPLOYEE AND GUESTS MEALS | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 14509018 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 477061 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 64681434 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 1 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 219 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2778 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEPHEN EMBREE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9062253450 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 W MAGNETIC STREET | AddressLine1 |
| City | MARQUETTE | City |
| State | MI | State |
| ZIP Code | 49855 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| TIMOTHY J LARSON | |||||||||
| CHAIRMAN | 3.00 | X | X | 0 | 0 | 0 | |||
| RICHARD R SCHAEFER | |||||||||
| CHAIRMAN | 3.00 | X | X | 0 | 0 | 0 | |||
| JUDITH WATSON-OLSON | |||||||||
| VICE-CHAIRMAN | 3.00 | X | X | 0 | 0 | 0 | |||
| SCOTT HERIOUX | |||||||||
| PRESIDENT | 3.00 | X | X | 0 | 0 | 0 | |||
| MICHAEL L VONCK | |||||||||
| SECRETARY/TREASURER | 3.00 | X | X | 0 | 0 | 0 | |||
| LOIS A MICHELIN | |||||||||
| SECRETARY | 3.00 | X | X | 0 | 0 | 0 | |||
| RICHARD BLOTTER | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| BRADLEY CORY | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| GARY LAPLANT | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| LARRY S LEWIS MD | |||||||||
| TRUSTEE | 50.00 | X | 282245 | 0 | 0 | ||||
| MARYANNE SHANNON | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| K MICHAEL SKYTTA | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| NANCY DWYER | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| DAN GREENLEE | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| A GARY MULLER | |||||||||
| PRESIDENT/CEO | 50.00 | X | X | 1682803 | 0 | 17931 | |||
| JERRY L WORDEN | |||||||||
| SENIOR VP/CFO | 50.00 | X | 816619 | 0 | 50756 | ||||
| DAVID S GRASER | |||||||||
| SENIOR VP/COO | 50.00 | 748846 | 0 | 46754 | X | ||||
| THOMAS F NOREN MD | |||||||||
| SENIOR VP/CMO | 50.00 | 701922 | 0 | 17931 | X | ||||
| DAGMAR A RAICA | |||||||||
| VP/CHIEF NURSING OFFICER | 50.00 | 192161 | 0 | 14145 | X | ||||
| CRAIG COCCIA | |||||||||
| PHYSICIAN | 50.00 | 1135671 | 0 | 22256 | X | ||||
| PAUL LAHAYE | |||||||||
| PHYSICIAN | 50.00 | 593432 | 0 | 22114 | X | ||||
| DOUGLAS BALDWIN | |||||||||
| PHYSICIAN | 50.00 | 575408 | 0 | 12114 | X | ||||
| ANDREW JAHODA | |||||||||
| PHYSICIAN | 50.00 | 474105 | 0 | 13946 | X | ||||
| MICHAEL HARL | |||||||||
| PHYSICIAN | 50.00 | 455370 | 0 | 22114 | X | ||||
| FREDERICK P HOENKE MD | |||||||||
| FORMER KEY EMPLOYEE | 50.00 | 255333 | 0 | 24310 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7913915 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 264371 | TotalOtherCompensation |
| Number Individuals GT100 K | 150 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| UPIMS LLC (CARDIOLOGY JOINT VENTURE) | |||||
| 1414 W FAIR AVE | MARQUETTE | MI | 49855 | IMAGING SERVICES | 3122462 |
| REHAB CARE GROUP INC | |||||
| 7733 FORSYTH BLVD | ST LOUIS | MO | 63105 | THERAPY SERVICES | 2340889 |
| UP REHAB SERVICES LLC | |||||
| 555 COUNTY ROAD HQ | MARQUETTE | MI | 49855 | THERAPY SERVICES | 2156269 |
| SOUND PHYSICIANS | |||||
| 1123 PACIFIC AVENUE | TACOMA | WA | 98402 | PHYSICIAN SERVICES | 1518897 |
| DMS IMAGING | |||||
| 2101 N UNIVERSITY DRIVE | FARGO | ND | 58102 | PET SCANNING | 648208 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 34 | NumberOfContractorsGT100K |
| Related Organizations | 490234 | RelatedOrganizations |
| Government Grants | 10826 | GovernmentGrants |
| Total Contributions | 501060 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| HOSPITAL SERVICES | 622110 | 24763969 | 23978578 | 785391 | |
| PHYSICIAN PRACTICES | 621111 | 13583645 | 13583645 | ||
| HOME HEALTH SERVICES | 621610 | 892842 | 892842 | ||
| EMPLOYEE & GUEST MEALS | 722212 | 242538 | $242,538 | ||
| BLOOD PRODUCTS | 621511 | 234523 | 234523 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 39717517 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 244698 | TotalRevenueColumn |
| Exclusion | $244,698 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 159356 | TotalRevenueColumn |
| Exclusion | $159,356 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 10452 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 14574 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -4122 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -4122 | TotalRevenueColumn |
| Exclusion | -$4,122 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 136348468 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 141614417 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -5265949 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -5265949 | TotalRevenueColumn |
| Exclusion | -$5,265,949 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 35352560 | TotalRevenueColumn |
| Related Or Exempt Function Income | 38689588 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 785391 | UnrelatedBusinessRevenue |
| Exclusion | -$4,623,479 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1149557 | Total |
| Program Services | 114956 | ProgramServices |
| Management And General | 1034601 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23320360 | Total |
| Program Services | 22620749 | ProgramServices |
| Management And General | 699611 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2920665 | Total |
| Program Services | 2833045 | ProgramServices |
| Management And General | 87620 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4083459 | Total |
| Program Services | 3960955 | ProgramServices |
| Management And General | 122504 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1459506 | Total |
| Program Services | 1415721 | ProgramServices |
| Management And General | 43785 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1752219 | Total |
| Program Services | 1314164 | ProgramServices |
| Management And General | 438055 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 396745 | Total |
| Management And General | 396745 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28488 | Total |
| Program Services | 7122 | ProgramServices |
| Management And General | 21366 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 257157 | Total |
| Management And General | 257157 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9774595 | Total |
| Program Services | 4236767 | ProgramServices |
| Management And General | 5537828 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53241 | Total |
| Program Services | 51644 | ProgramServices |
| Management And General | 1597 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12376802 | Total |
| Program Services | 12005498 | ProgramServices |
| Management And General | 371304 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 776183 | Total |
| Program Services | 752898 | ProgramServices |
| Management And General | 23285 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1485219 | Total |
| Program Services | 1440662 | ProgramServices |
| Management And General | 44557 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 262554 | Total |
| Program Services | 254677 | ProgramServices |
| Management And General | 7877 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17236 | Total |
| Program Services | 16719 | ProgramServices |
| Management And General | 517 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3240079 | Total |
| Program Services | 3142877 | ProgramServices |
| Management And General | 97202 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2182317 | Total |
| Program Services | 2116847 | ProgramServices |
| Management And General | 65470 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 285478 | Total |
| Program Services | 276914 | ProgramServices |
| Management And General | 8564 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| EXTINGUISHMENT OF DEBT | 2806862 | 2806862 | |
| UNCOMPENSATED CARE | 2129651 | 2129651 | |
| QUALITY ASSURANCE ASSES | 2050172 | 2050172 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4061233 | Total |
| Program Services | 3939396 | ProgramServices |
| Management And General | 121837 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76869778 | Total |
| Program Services | 64681434 | ProgramServices |
| Management And General | 12188344 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33024052 | BOY |
| EOY | 7287154 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 789976 | BOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29675909 | BOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36208 | BOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8056032 | BOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3169284 | BOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 0 | LandBuildingsEquipmentBasis |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89017879 | BOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57380554 | BOY |
| EOY | 20872251 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14221522 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7161477 | BOY |
| EOY | 21067555 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 242532893 | BOY |
| EOY | 49226960 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38719695 | BOY |
| EOY | 11717242 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61178740 | BOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 427029 | BOY |
| EOY | 414718 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 98075054 | BOY |
| EOY | 37095000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 198400518 | BOY |
| EOY | 49226960 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41947903 | BOY |
| EOY | 0 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1731710 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 452762 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44132375 | BOY |
| EOY | 0 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 242532893 | BOY |
| EOY | 49226960 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -41517218 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -51850 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -2563307 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 1 | AccountantCompileOrReview |
Accountant Compile Or Review Basis AccountantCompileOrReviewBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 0 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM PURCHASER | 18644184 |
| DUE FROM FOUNDATION | 728315 |
| OTHER RECEIVABLES | 1276379 |
| OTHER NONCURRENT ASSETS | 418677 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 21067555 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CONTINGENT LIABILITY | $18,000,000 |
| LEGALLY DEFEASED BONDS | $19,095,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 37095000 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE COMPANY AND RECOGNIZE A TAX LIABILITY IF THE COMPANY HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE COMPANY AND HAS CONCLUDED THAT AS OF JUNE 30, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE COMPANY IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO JUNE 30, 2010. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 146203 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 146203 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6881965 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4036402 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2845563 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03810 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 97705 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 90961 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6744 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7125873 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4127363 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2998510 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04020 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 145137 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 32487 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 112650 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 877619 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 482084 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 395535 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00530 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3816929 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2830974 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 985955 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01320 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 91164 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 250 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 90914 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16358 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 16358 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4947207 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3345795 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1601412 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02140 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12073080 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7473158 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4599922 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06160 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 109 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 109 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 12832 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 12832 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 12941 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 12941 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,129,651 | BadDebtExpenseAmount |
| Amount Attributable To | 1277791 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 12753312 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 9725535 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 3027777 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 UP IMAGING MANAGEMENT SERVICES LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | OUTPATIENT NON-INVASIVE DIAGNOSTIC CARDIOVASCULAR IMAGING SERVICES | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.60000 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.40000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARQUETTE GENERAL HOSPITAL INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 W MAGNETIC ST | AddressLine1 |
| City | MARQUETTE | City |
| State | MI | State |
| ZIP Code | 49855 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Research Facility | X | ResearchFacility |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARQUETTE GENERAL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 0 | CHNAConducted |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Medicaid Medicare | X | MedicaidMedicare |
| Other Factors | X | OtherFactors |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Lien On Residence | X | LienOnResidence |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 14 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (14 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| MARQUETTE MEDICAL CLINIC | ||||
| 1414 WEST FAIR AVENUE | MARQUETTE | MI | 49855 | OUTPATIENT CLINIC |
| MARQUETTE GENERAL HEMOTOLOGYONCOLOGY | ||||
| 1711 SOUTH STEPHENSON AVE SUITE 315 | IRON MOUNTAIN | MI | 49801 | OUTPATIENT CLINIC |
| CHIPPEWA MEDICAL ASSOCIATES | ||||
| AVERY SQUARE 510 ASHUM SUITE 5 | SAULT STE MARIE | MI | 49783 | OUTPATIENT CLINIC |
| MARQUETTE SPECIALTY CLINIC | ||||
| 800 EAST BOULEVARD | KINGSFORD | MI | 49802 | OUTPATIENT CLINIC |
| LAKEWOOD MEDICAL ASSOCIATES | ||||
| 5087 US 41 SOUTH | MARQUETTE | MI | 49855 | OUTPATIENT CLINIC |
| MARQUETTE MEDICAL CLINIC | ||||
| 2500 7TH AVE SOUTH | ESCANABA | MI | 49829 | OUTPATIENT CLINIC |
| MARQUETTE MEDICAL CLINIC | ||||
| 405 US 41 EAST | NEGAUNEE | MI | 49866 | OUTPATIENT CLINIC |
| MARQUETTE MEDICAL CLINIC | ||||
| 1500 W ICE LAKE RD | IRON RIVER | MI | 49935 | OUTPATIENT CLINIC |
| MARQUETTE MEDICAL CLINIC | ||||
| 2002 MINNEAPOLIS AVE | GLADSTONE | MI | 49837 | OUTPATIENT CLINIC |
| MARQUETTE MEDICAL CLINIC | ||||
| 500 CAMPUS DRIVE SUITE 5 | HANCOCK | MI | 49930 | OUTPATIENT CLINIC |
| ONTONAGON COMMUNITY HEALTH CENTER | ||||
| 751 S 7TH ST | ONTONAGON | MI | 49953 | OUTPATIENT CLINIC |
| MARQUETTE MEDICAL CLINIC | ||||
| COMMUNITY BUILDING | TRENARY | MI | 49891 | OUTPATIENT CLINIC |
| MARQUETTE MEDICAL CLINIC | ||||
| BURT TOWNSHIP HALL | GRAND MARAIS | MI | 49839 | OUTPATIENT CLINIC |
| MARQUETTE MEDICAL CLINIC | ||||
| 205 OSCEOLA ST | LAURIUM | MI | 49913 | OUTPATIENT CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 7: ROW A - CHARITY CARE: COST TO CHARGE RATIO.ROW B - MEDICAID: COST TO CHARGE RATIO USING MEDICARE COST REPORT RULES.ROW C - UNREIMBURSED COSTS: COST TO CHARGE RATIO USING MEDICARE COST REPORT RULES.ROW E TO J - OTHER BENEFITS: DIRECT CHARGE OF TIME AND COSTS. | |
| PART I, LINE 7G: THE SYSTEM PROVIDES SUBSIDIZED HEALTH SERVICES FOR BEHAVIORAL HEALTH, FAMILY PRACTICE CLINICS IN MEDICALLY UNDERSERVED AREAS, NICU, AND WOMEN'S SERVICES. COSTS OF SUBSIDIZED HEALTH SERVICES FOR PHYSICIAN CLINICS INCLUDED IN LINE 7G ARE $2,716,259. | |
| 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 $ 2129651. | |
| PART II: COMMUNITY BUILDING ACTIVITIES INCLUDE PARTICIPATION IN COLLABORATIVE PARTNERSHIPS WITH COMMUNITY GROUPS, RECRUITMENT OF PROFESSIONALS FOR AREAS IDENTIFIED AS MEDICALLY UNDERSERVED, REGIONAL ECONOMIC DEVELOPMENT GROUPS AND PROGRAMS. | |
| PART III, LINE 4: ALL PATIENT ACCOUNTS RECEIVABLE WERE SOLD TO DLP MARQUETTE GENERAL HOSPITAL ON SEPTEMBER 1, 2012, AND THE ORGANIZATION IS IN THE PROCESS OF WINDING DOWN ITS FINANCIAL AFFAIRS. AS OF JUNE 30, 2013, THERE WERE NO BAD DEBT RESERVES AND THUS THERE WAS NO BAD DEBT FOOTNOTE.COSTING METHODOLOGY: BAD DEBT EXPENSE WAS $2,129,651 WHICH WAS CALCULATED USING THE ORGANIZATION'S RATIO OF PATIENT CARE COST TO CHARGES. AN ATTORNEY REVIEWED THE ACCOUNTS TO DETERMINE THE PERCENTAGE THAT WOULD HAVE QUALIFIED FOR CHARITY CARE. | |
| PART III, LINE 8: MEDICARE COSTS ARE FROM THE MEDICARE COST REPORT, WHICH UTILIZES MEDICARE ALLOWABLE COST AND THEN RATIO OF COST TO CHARGES BY HCFA LINE NUMBER. MEDICARE ALLOWABLE COST IS DETERMINED BY INCLUDING ALL DIRECT AND INDIRECT EXPENSES IN WORKSHEET A AND THEN OFFSETTING ANY NON-ALLOWABLE COSTS AND MISCELLANEOUS REVENUES. NON-ALLOWABLE COSTS INCLUDE ANY EXPENSE NOT NECESSARY FOR PATIENT CARE OR THOSE DEEMED A LUXURY OR EXCESSIVE. TYPICAL OFFSETS INCLUDE PATIENT TELEVISIONS AND TELEPHONES, PAYMENTS TO PROVIDER BASED PHYSICIANS IN EXCESS OF REASONABLE LIMITS, AND NON-PATIENT REVENUE, TO NAME A FEW. OVERHEAD IS STEPPED-DOWN TO THE REIMBURSABLE AND NON-REIMBURSABLE HCFA LINES. TOTAL COST IS THEN DETERMINED USING RATIO OF COST TO CHARGES. | |
| PART V, SECTION B, LINE 12H: CREDIT REPORT, LIVING ARRANGEMENTS/HOME LIFE, CONVERSATIONS WITH PATIENT OR PATIENT'S FAMILY. | MARQUETTE GENERAL HOSPITAL INC |
| PART V, SECTION B, LINE 14G: REGISTRATION PERSONNEL REFER UNINSURED AND LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE POLICY. ALSO, A THIRD PARTY COLLECTOR WILL DISCUSS THE POLICY WITH PATIENTS HAVING PAST DUE ACCOUNTS. | MARQUETTE GENERAL HOSPITAL INC |
| PART V, SECTION B, LINE 18E: REGISTRATION PERSONNEL, FINANCIAL COUNSELORS, AND THE THIRD PARTY COLLECTOR REVIEW PATIENT AND/OR ACCOUNT INFORMATION TO DETERMINE IF PATIENTS MAY QUALIFY FOR STATE OR FEDERAL ASSISTANCE. | MARQUETTE GENERAL HOSPITAL INC |
| PART V, SECTION B, LINE 20D: ALL PATIENTS ARE CHARGED THE SAME FIXED GROSS RATES FOR SERVICES. DISCOUNTS ARE APPLIED IF QUALIFICATIONS ARE MET AND THE PATIENT FOLLOWS THE FINANCIAL ASSISTANCE POLICY PROCESS. | MARQUETTE GENERAL HOSPITAL INC |
| PART V, SECTION B, LINE 22: ALL PATIENTS ARE CHARGED THE SAME FIXED GROSS RATES FOR SERVICES. DISCOUNTS ARE APPLIED IF QUALIFICATIONS ARE MET AND THE PATIENT FOLLOWS THE FINANCIAL ASSISTANCE POLICY PROCESS. | MARQUETTE GENERAL HOSPITAL INC |
| PART VI, LINE 2: THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY UTILIZING NEEDS ASSESSMENTS CONDUCTED BY MULTIPLE AGENCIES PROVIDING HEALTH CARE TO THE SERVICE AREA POPULATION, AS WELL AS CONDUCTING AND DIRECTING QUALITATIVE (FOCUS GROUPS AND INDIVIDUAL, IN PERSON INTERVIEWS) AND QUANTITATIVE (PHONE SURVEYS) MARKET RESEARCH OF THE SERVICE AREA POPULATION. RESEARCH IS ALSO CONDUCTED VIA INTERVIEWS AND FOCUS GROUPS WITH PHYSICIANS AND MID-LEVELS TO DETERMINE HEALTH CARE NEEDS. | |
| PART VI, LINE 3: IN-HOUSE MEDICAL ASSISTANCE EXPERTS EXPLAIN PROGRAMS TO PATIENTS AND ASSIST WITH THE APPLICATION PROCESS. PATIENT ACCESS IDENTIFIES SELF-PAY AND UNDERINSURED PATIENTS AND REFERS THEM TO IN-HOUSE FINANCIAL COUNSELORS. FINANCIAL ASSISTANCE INFORMATION AND APPLICATIONS ARE AVAILABLE ON-LINE. | |
| PART VI, LINE 4: THE SYSTEM SERVES THE RESIDENTS OF THE UPPER PENINSULA OF MICHIGAN. | |
| PART VI, LINE 5: THE MAJORITY OF THE ORGANIZATION'S BOARD MEMBERS ARE INDEPENDENT AND RESIDE AND/OR WORK IN MARQUETTE COUNTY, THE ORGANIZATION'S PRIMARY SERVICE AREA. MANY LOCAL PHYSICIANS NOT EMPLOYED BY THE HOSPITAL HAVE PRIVILEGES AT THE HOSPITAL. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LARRY S LEWIS MD | ||||||||||||||
| TRUSTEE | 282245 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 126 | 0 | 282371 | 0 | 0 | 0 |
| A GARY MULLER | ||||||||||||||
| PRESIDENT/CEO | 1583030 | 0 | 83081 | 0 | 16692 | 0 | 10000 | 0 | 21886 | 0 | 1714689 | 0 | 0 | 0 |
| JERRY L WORDEN | ||||||||||||||
| SENIOR VP/CFO | 696118 | 0 | 0 | 0 | 120501 | 0 | 41440 | 0 | 16866 | 0 | 874925 | 0 | 76880 | 0 |
| DAVID S GRASER | ||||||||||||||
| SENIOR VP/COO | 644332 | 0 | 0 | 0 | 104514 | 0 | 38823 | 0 | 9773 | 0 | 797442 | 0 | 65829 | 0 |
| THOMAS F NOREN MD | ||||||||||||||
| SENIOR VP/CMO | 667670 | 0 | 30003 | 0 | 4249 | 0 | 10000 | 0 | 9688 | 0 | 721610 | 0 | 0 | 0 |
| DAGMAR A RAICA | ||||||||||||||
| VP/CHIEF NURSING OFFICER | 190868 | 0 | 0 | 0 | 1293 | 0 | 7686 | 0 | 7346 | 0 | 207193 | 0 | 0 | 0 |
| CRAIG COCCIA | ||||||||||||||
| PHYSICIAN | 1135671 | 0 | 0 | 0 | 0 | 0 | 10000 | 0 | 13207 | 0 | 1158878 | 0 | 0 | 0 |
| PAUL LAHAYE | ||||||||||||||
| PHYSICIAN | 593432 | 0 | 0 | 0 | 0 | 0 | 10000 | 0 | 13065 | 0 | 616497 | 0 | 0 | 0 |
| DOUGLAS BALDWIN | ||||||||||||||
| PHYSICIAN | 508919 | 0 | 0 | 0 | 66489 | 0 | 0 | 0 | 14340 | 0 | 589748 | 0 | 0 | 0 |
| ANDREW JAHODA | ||||||||||||||
| PHYSICIAN | 399105 | 0 | 75000 | 0 | 0 | 0 | 10000 | 0 | 5422 | 0 | 489527 | 0 | 0 | 0 |
| MICHAEL HARL | ||||||||||||||
| PHYSICIAN | 435370 | 0 | 20000 | 0 | 0 | 0 | 10000 | 0 | 13320 | 0 | 478690 | 0 | 0 | 0 |
| FREDERICK P HOENKE MD | ||||||||||||||
| FORMER KEY EMPLOYEE | 255033 | 0 | 300 | 0 | 0 | 0 | 10000 | 0 | 15624 | 0 | 280957 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | PART I, LINE 4B: SUPPLEMENTAL RETIREMENT PAYMENTS MADE TO SECTION 457(F) PLAN FOR: JERRY L WORDEN $31,440 DAVID S GRASER $28,822 DISTRIBUTIONS FROM SECTION 457(F) PLAN MADE TO: JERRY L WORDEN $115,292 DAVID S GRASER $101,603 | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| CINDY MASSIE | |||
| FAMILY MEMBER OF CURRENT BOARD MEMBER, TIMOTHY J LARSON | 38643 | EMPLOYMENT | 0 |
| JESSICA BLEAU-WORDEN | |||
| FAMILY MEMBER OF CURRENT OFFICER, JERRY WORDEN | 41059 | EMPLOYMENT | 0 |
Schedule N IRS990ScheduleN
Disposition Table DispositionTable (19 entries)
| Description Of AssetDescriptionOfAsset | Date Of DistributionDateOfDistribution | FMV Of AssetFMVOfAsset | Method Of FMV DeterminationMethodOfFMVDetermination | EINEIN | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | IRC SectionIRCSection |
|---|---|---|---|---|---|---|---|---|---|
| DLP MARQUETTE HOLDING COMPANY LLC | |||||||||
| CASH AND CASH EQUIVALENTS | 2012-09-01 | 27866 | ACTUAL COST | 364733741 | 103 POWELL COURT | BRENTWOOD | TN | 37027 | LLC |
| DLP MARQUETTE HOLDING COMPANY LLC | |||||||||
| NET ACCOUNTS RECEIVABLE | 2012-09-01 | 32255308 | NET COLLECTABILITY ANALYSIS | 364733741 | 103 POWELL COURT | BRENTWOOD | TN | 37027 | LLC |
| DLP MARQUETTE HOLDING COMPANY LLC | |||||||||
| INVENTORIES | 2012-09-01 | 8691832 | ACTUAL COST | 364733741 | 103 POWELL COURT | BRENTWOOD | TN | 37027 | LLC |
| DLP MARQUETTE HOLDING COMPANY LLC | |||||||||
| PREPAIDS | 2012-09-01 | 2362203 | ACTUAL COST | 364733741 | 103 POWELL COURT | BRENTWOOD | TN | 37027 | LLC |
| DLP MARQUETTE HOLDING COMPANY LLC | |||||||||
| OTHER CURRENT ASSETS | 2012-09-01 | 4299196 | ACTUAL COST | 364733741 | 103 POWELL COURT | BRENTWOOD | TN | 37027 | LLC |
| DLP MARQUETTE HOLDING COMPANY LLC | |||||||||
| LAND | 2012-09-01 | 6566086 | THIRD PARTY VALUATION | 364733741 | 103 POWELL COURT | BRENTWOOD | TN | 37027 | LLC |
| DLP MARQUETTE HOLDING COMPANY LLC | |||||||||
| BUILDINGS AND IMPROVEMENTS | 2012-09-01 | 80503814 | THIRD PARTY VALUATION | 364733741 | 103 POWELL COURT | BRENTWOOD | TN | 37027 | LLC |
| DLP MARQUETTE HOLDING COMPANY LLC | |||||||||
| EQUIPMENT | 2012-09-01 | 26475630 | THIRD PARTY VALUATION | 364733741 | 103 POWELL COURT | BRENTWOOD | TN | 37027 | LLC |
| DLP MARQUETTE HOLDING COMPANY LLC | |||||||||
| CONSTRUCTION IN PROGRESS | 2012-09-01 | 1195178 | ACTUAL COST | 364733741 | 103 POWELL COURT | BRENTWOOD | TN | 37027 | LLC |
| DLP MARQUETTE HOLDING COMPANY LLC | |||||||||
| GOODWILL | 2012-09-01 | 35632596 | ACTUAL COST | 364733741 | 103 POWELL COURT | BRENTWOOD | TN | 37027 | LLC |
| DLP MARQUETTE HOLDING COMPANY LLC | |||||||||
| OTHER INTANGIBLE ASSETS | 2012-09-01 | 11988788 | NET PRESENT VALUE OF PROJECTED PROFIT/LOSS | 364733741 | 103 POWELL COURT | BRENTWOOD | TN | 37027 | LLC |
| DLP MARQUETTE HOLDING COMPANY LLC | |||||||||
| ACCOUNTS PAYABLE | 2012-09-01 | -7754914 | ACTUAL COST | 364733741 | 103 POWELL COURT | BRENTWOOD | TN | 37027 | LLC |
| DLP MARQUETTE HOLDING COMPANY LLC | |||||||||
| ACCRUED SALARIES | 2012-09-01 | -7390367 | ACTUAL COST | 364733741 | 103 POWELL COURT | BRENTWOOD | TN | 37027 | LLC |
| DLP MARQUETTE HOLDING COMPANY LLC | |||||||||
| ACCRUED EXPENSES | 2012-09-01 | -17998261 | ACTUAL COST | 364733741 | 103 POWELL COURT | BRENTWOOD | TN | 37027 | LLC |
| SUPERIOR HEALTH FOUNDATION | |||||||||
| CASH | 2012-09-01 | 23000000 | ACTUAL COST | 203615349 | 121 N FRONT STREET | MARQUETTE | MI | 49855 | 501(C)(3) |
| JUNIPER ADVISORY LLC | |||||||||
| TRANSACTION EXP - CONSULTING | 2012-09-01 | 5071500 | COMMISSION BASIS | 270150227 | 2727 ALLEN PARKWAY SUITE 1350 | HOUSTON | TX | 77019 | LLC |
| MCGUIRE WOODS LLP | |||||||||
| TRANSACTION EXP - CONSULTING | 2012-09-01 | 180000 | FIXED FEE | 540505857 | 1750 TYSONS BLVDSUITE 1800 | TYSONS CORNER | VA | 22102 | LLP |
| DYKEMA GOSSETT PLLC | |||||||||
| TRANSACTION EXP - LEGAL FEES | 2012-09-01 | 310000 | FIXED FEE | 381446628 | 400 RENAISSANCE CENTER | DETROIT | MI | 48243 | PLLC |
| FIRST RIVER ADVISORY LLC | |||||||||
| TRANSACTION EXP - FINANCIAL ADVISOR | 2012-09-01 | 50417 | FIXED FEE PLUS ACTUAL EXPENSES | 223376133 | 2640 OVERRIDGE DRIVE | ANN ARBOR | MI | 48104 | LLC |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | 0 | DirectorOfSuccessor2 |
| Employee Of Successor2 | 1 | EmployeeOfSuccessor2 |
| Owner Of Successor2 | 0 | OwnerOfSuccessor2 |
| Receive Compensation2 | 1 | ReceiveCompensation2 |
Form990 Schedule N Part III Form990ScheduleNPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | PART II, LINE 2B: THE FOLLOWING OFFICERS AND KEY EMPLOYEES BECAME EMPLOYEES OF DLP MARQUETTE HOLDING COMPANY: A GARY MULLER, JERRY L WORDEN, DAVID S GRASER, THOMAS F NOREN AND DAGMAR A RAICA.PART II, LINE 2D: THE FOLLOWING OFFICERS AND KEY EMPLOYEES RECEIVED A SEVERANCE PAYMENT FOR THEIR CONTRACT TERMINATION: A GARY MULLER, JERRY L WORDEN, DAVID S GRASER AND THOMAS F NOREN. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| CHANGES IN PROGRAM SERVICES | FORM 990, PART III, LINE 3 | THE ORGANIZATION SOLD SUBSTANTIALLY ALL OF ITS ASSETS EFFECTIVE SEPTEMBER 1, 2012, AT WHICH TIME IT DISCONTINUED ALL PROGRAM SERVICES. THE ORGANIZATION WILL CONTINUE ITS WIND DOWN ACTIVITIES UNTIL ALL OF ITS CURRENT AND POST-CLOSING OBLIGATIONS ARE MET. |
| FORM 990, PART VI, SECTION A, LINE 4 | THERE HAVE BEEN SIGNIFICANT CHANGES TO THE GOVERNING DOCUMENTS OF THE CORPORATION. AS OF SEPTEMBER 1, 2012, SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS WERE SOLD. THE CORPORATION NO LONGER OPERATES A HOSPITAL; HOWEVER, FOLLOW UP ACTIVITIES RELATED TO THE HOSPITAL OPERATION CONTINUE TO BE CARRIED OUT BY MGH WIND DOWN INC. NOTE THAT THE NAME OF THE CORPORATION HAS BEEN CHANGED FROM MARQUETTE GENERAL HOSPITAL INC TO MGH WIND DOWN INC. THE TRANSACTION VALUE WAS APPRAISED BY THE ATTORNEY GENERAL OF THE STATE OF MICHIGAN, AND ALTHOUGH THE APPRAISER DETERMINED THAT THE AMOUNT PAID WAS FAIR MARKET VALUE, THE ATTORNEY GENERAL REQUIRED THAT AN ADDITIONAL AMOUNT BE TRANSFERRED TO A FOUNDATION ESTABLISHED TO PROMOTE THE HEALTH OF THE COMMUNITY. SINCE THE NAME OF THE CONTINUING HOSPITAL IS MARQUETTE GENERAL HOSPITAL, THE NAME CHANGE WAS REQUIRED AND IS REFLECTED IN AN AMENDMENT TO THE ARTICLES OF INCORPORATION. FURTHERMORE, THE BYLAWS WERE AMENDED TO REFLECT OPERATIONAL CHANGES. YOU WILL NOTE THAT THE SIZE OF THE BOARD IS SUBSTANTIALLY SMALLER SINCE THE ACTIVITIES OF MGH WIND DOWN INC ARE LIMITED TO MONITORING DEFEASANCE OF TAX EXEMPT BONDS, ASSURING THE SATISFACTION OF DEFINED BENEFIT PLAN OBLIGATIONS, MONITORING COST REPORT ISSUES AND OTHER OBLIGATIONS OF THE CORPORATION, AND PROTECTION OF THE CORPORATE ASSETS - WHICH SHALL TRANSFER TO THE FOUNDATION UPON FINAL SETTLEMENT OF ALL ASSETS AND LIABILITIES. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 WILL BE EMAILED TO ALL BOARD MEMBERS FOR THEIR REVIEW AND ANY QUESTIONS WILL BE RESPONDED TO PRIOR TO FILING. AT THE NEXT BOARD MEETING AFTER FILING, A SUMMARY PRESENTATION WILL BE GIVEN TO THE BOARD MEMBERS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH MEMBER OF THE BOARD OF TRUSTEES SIGNS A CONFLICT OF INTEREST STATEMENT ANNUALLY. EMPLOYEES WHO ALSO SERVE ON THE BOARD OR WHO ARE OFFICERS ARE REMINDED AT THEIR ANNUAL EVALUATIONS TO ABIDE BY THE CODE OF CONDUCT AND ALSO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. | |
| FORM 990, PART VI, SECTION B, LINE 15 | TO DETERMINE EXECUTIVE COMPENSATION FOR THE CEO, VICE PRESIDENTS AND OFFICERS OF THE CORPORATION, THE ORGANIZATION USES AN INDEPENDENT CONSULTANT TO CONDUCT SALARY SURVEYS OF THE HEALTH CARE MARKET. THE INDEPENDENT CONSULTANT REVIEWS FINDINGS AND MAKES RECOMMENDATIONS TO THE COMPENSATION COMMITTEE OF THE BOARD. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATION WEBSITE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE WITHIN CONTINUING DISCLOSURES FOR BOND ISSUANCES AT WWW.FIRSTRIVER.COM. THE ORGANIZATION DOES NOT MAKE PUBLICLY AVAILABLE ITS CONFLICT OF INTEREST POLICY. | |
| OTHER FEES | FORM 990, PART IX, LINE 11G | ACQUISITION CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,314,167. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,314,167. OTHER: PROGRAM SERVICE EXPENSES 4,236,767. MANAGEMENT AND GENERAL EXPENSES 223,661. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,460,428. |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 9: | TRANSFER OF NET ASSETS OF AFFILIATES -2,563,307. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATTSON MANAGEMENT GROUP LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 W MAGNETIC ST | AddressLine1 |
| City | MARQUETTE | City |
| State | MI | State |
| ZIP Code | 49855 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300136373 | EIN |
| Primary Activities | LANDHOLDING | PrimaryActivities |
| Legal Domicile State | MI | LegalDomicileState |
| Total Income | 0 | TotalIncome |
| EOY Assets | 0 | EOYAssets |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| RAMPART EMERGENCY MEDICAL SERVICES INC | ||||||||||
| 828 SHERIDAN ROAD | ESCANABA | MI | 49829 | 382413139 | EMERGENCY MEDICAL SERVICES | MI | 501(C)(3) | 9 | N/A | 1 |
| MARQUETTE GENERAL FOUNDATION | ||||||||||
| 420 W MAGNETIC ST | MARQUETTE | MI | 49855 | 203615349 | FUNDRAISING FOR MARQUETTE GENERAL HOSPITAL | MI | 501(C)(3) | 11A TYPE I | N/A | 1 |
| UPPER PENINSULA HEALTH PLAN INC | ||||||||||
| 228 W WASHINGTON ST | MARQUETTE | MI | 49855 | 383379956 | MEDICAID HMO | MI | 501(C)(4) | N/A | N/A | 1 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UPPER PENINSULA MANAGED CARE LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 228 W WASHINGTON ST | AddressLine1 |
| City | MARQUETTE | City |
| State | MI | State |
| ZIP Code | 49855 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383323620 | EIN |
| Primary Activity | MANAGEMENT COMPANY OF UP HEALTH PLAN | PrimaryActivity |
| Legal Domicile State | MI | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 282638 | ShareOfTotalIncome |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.56270 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ICE LAKE MEDICAL ARTS BUILDING | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 W MAGNETIC ST | AddressLine1 |
| City | MARQUETTE | City |
| State | MI | State |
| ZIP Code | 49855 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382206384 | EIN |
| Primary Activity | LEASING OF BUILDING SPACE | PrimaryActivity |
| Legal Domicile State | MI | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 14000 | ShareOfTotalIncome |
| Percentage Ownership | 0.66670 | PercentageOwnership |
| Controlled Org | 1 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MARQUETTE GENERAL FOUNDATION | ||
| C | 490234 | CASH |
| MARQUETTE GENERAL FOUNDATION | ||
| L | 58561 | REVIEW OF G/L ACCOUNTS |
| MARQUETTE GENERAL FOUNDATION | ||
| N | 6000 | MANAGEMENT ESTIMATE |
| MARQUETTE GENERAL FOUNDATION | ||
| R | 25455553 | COST |
| RAMPART EMERGENCY MEDICAL SERVICES INC | ||
| S | 2092660 | FINANCIAL STATEMENTS |
| MATTSON MANAGEMENT GROUP | ||
| S | 122433 | FINANCIAL STATEMENTS |