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Garden City Hospital: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
Garden City Hospital (EIN 38-1358390)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-19
IRS object ID
201402319349300710
Schema version
2012v2.3
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)
Timestamp2014-08-19T10:06:02-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 E Main St Suite 700AddressLine1
CityFort WayneCity
StateINState
ZIP Code46802ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN381358390EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Garden City HospitalBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JANE HARDYInCareOfName
Name ControlGARDNameControl
Phone7344213300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16245 Inkster RoadAddressLine1
Address Line2SuiteAddressLine2
CityGarden CityCity
StateMIState
ZIP Code48135ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTIMOTHY M JODWAYName
TitleVICE PRESIDENT & CFOTitle
Phone7344213300Phone
Date Signed2014-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJoyce A DulworthName
Phone2604604000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMR GARY LEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16245 INKSTER ROADAddressLine1
CityGARDEN CITYCity
StateMIState
ZIP Code48135ZIPCode
FieldValueIRS element (for citing)
Gross Receipts150845351GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GCHOSP.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1947YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionGARDEN CITY HOSPITAL IS COMMITTED TO PROVIDING HEALTH CARE THAT IMPROVES THE WELL BEING OF THE WHOLE PERSON AND THE HEALTH STATUS OF THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees1579TotalNbrEmployees
Total Nbr Volunteers168TotalNbrVolunteers
Total Gross UBI1711875TotalGrossUBI
Net Unrelated Business Txbl Income-455307NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year54844ContributionsGrantsPriorYear
Contributions Grants Current Year48583ContributionsGrantsCurrentYear
Program Service Revenue Prior Year144517459ProgramServiceRevenuePriorYear
Program Service Revenue CY148603242ProgramServiceRevenueCY
Investment Income Prior Year1608751InvestmentIncomePriorYear
Investment Income Current Year1153615InvestmentIncomeCurrentYear
Other Revenue Prior Year1571892OtherRevenuePriorYear
Other Revenue Current Year777468OtherRevenueCurrentYear
Total Revenue Prior Year147752946TotalRevenuePriorYear
Total Revenue Current Year150582908TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year71991810SalariesEtcPriorYear
Salaries Etc Current Year73202292SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year73758150OtherExpensePriorYear
Other Expenses Current Year74276172OtherExpensesCurrentYear
Total Expenses Prior Year145749960TotalExpensesPriorYear
Total Expenses Current Year147478464TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2002986RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3104444RevenuesLessExpensesCY
Total Assets BOY100627551TotalAssetsBOY
Total Assets EOY105578646TotalAssetsEOY
Total Liabilities BOY100806357TotalLiabilitiesBOY
Total Liabilities EOY92284539TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-178806NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13294107NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionGARDEN CITY HOSPITAL IS COMMITTED TO PROVIDING HEALTH CARE THAT IMPROVES THE WELL BEING OF THE WHOLE PERSON AND THE HEALTH STATUS OF THE COMMUNITY AT LARGE THROUGH THE PROVISION OF COMPREHENSIVE HEALTH CARE SERVICES, OSTEOPATHIC MEDICAL EDUCATION, AND HEALTH CARE RELATED PROGRAMS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense138065613Expense
Revenue147239526Revenue
DescriptionGARDEN CITY HOSPITAL (GCH) PROVIDED HEALTH CARE SERVICES TO APPROXIMATELY 9,500 INPATIENTS, 49,000 EMERGENCY VISITS, AND 80,000 OUTPATIENT VISITS. GCH'S RETAIL PHARMACY SERVICES PROVIDED 29,600 SCRIPTS FOR THE COMMUNITY. GCH ALSO PROVIDED FREE OR LOW COST SERVICES TO THE COMMUNITY SUCH AS HEALTH FAIRS, VARIOUS MEDICAL SCREENINGS, DIABETIC EDUCATION, CPR CLASSES, AND PRENATAL COUNSELING.Description
Total Program Service Expense138065613TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096216NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1579NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJANE HARDYNamePerson
Telephone Number7344584733TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16245 INKSTER ROADAddressLine1
CityGARDEN CITYCity
StateMIState
ZIP Code48135ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
FOUAD ASHKAR
TRUSTEE1.0X000
LINDA BREAKIE
TRUSTEE1.0X000
RITA BRINCAT
TRUSTEE1.0X000
CONWAY JEFFRESS
TRUSTEE1.0X000
VINCENT MARINO
TRUSTEE1.0X000
JOHN O'SHEA
TRUSTEE1.0X000
JOYCE PAPPAS
TRUSTEE1.0X000
ANNE PAWLAK DO
TRUSTEE1.0X000
CHRISTOPHER DOIG DO
TRUSTEE1.0X000
TROY SMITH DO
TRUSTEE1.0X000
EDWARD SWAD JR
TRUSTEE1.0X000
BRIAN SUSKO
TRUSTEE1.0X000
GARY LEY
PRESIDENT40.0352712035468X
BETTE FITZ
CNO40.0145826014360X
JOHN KNOX
COO40.07712502988X
TIM JODWAY
CFO40.0216384033076X
KRISTEN WAARALA
VP, MEDICAL EDUCATION40.0195865030943X
SHERYL PARKS
PHYSICIAN40.0285279033463X
INGRID WILSON-JOHNSON
PHYSICIAN40.0230776031337X
CALVIN STEWART
CRNA40.0241180024412X
IBRAHIM FARHAT
PHYSICIAN40.0240934031936X
ZACHARY LEMON
PHYSICIAN40.0231648026910X
DEBBIE WILLIAMS
FORMER COO - LEFT JUNE 201240.0115014023979X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2332743TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation288872TotalOtherCompensation
Number Individuals GT100 K39NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Caretech Solutions Inc
PO Box 674271DETROITMI48267IT SUPPORT3235010
BEACON PARTNERS INC
97 LIBBEY PARKWAYWEYMOUTHMA02189IT SERVICES1819867
Siemens Medical Solutions
DEPT CH 14195PALATINEIL60055IT SUPPORT1624019
SUPPLEMENTAL HEALTH CARE
PO BOX 27124SALT LAKE CITYUT84127IMAGING SERVICES1098555
ALLIANCE HNI
7647 COLLECTION CENTER DRIVECHICAGOIL60693IMAGING SERVICES924031
FieldValueIRS element (for citing)
Number Of Contractors GT100 K38NumberOfContractorsGT100K
Related Organizations30000RelatedOrganizations
All Other Contributions18583AllOtherContributions
Total Contributions48583TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE6214001421328191409154161217403
RETAIL PHARMACY44611024769721982500494472
HOME MEDICAL EQUIPMENT621610194114194114
COMMUNITY SERVICE PROGRAMS621400710328710328
OTHER REVENUE90009930890093089009
FieldValueIRS element (for citing)
Total Program Service Revenue148603242TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1152385TotalRevenueColumn
Exclusion$1,152,385ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real610602Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real262443Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real348159Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column348159TotalRevenueColumn
Related Or Exempt Function Income348159RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1230Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other1230Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1230TotalRevenueColumn
Exclusion$1,230ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCAFETERIADescription
Business Code721110BusinessCode
Total Revenue Column429309TotalRevenueColumn
Exclusion$429,309ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue429309TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column150582908TotalRevenueColumn
Related Or Exempt Function Income147239526RelatedOrExemptFunctionIncome
Unrelated Business Revenue1711875UnrelatedBusinessRevenue
Exclusion$1,582,924ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1243740Total
Management And General1243740ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total55967870Total
Program Services53809479ProgramServices
Management And General2158391ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1835429Total
Program Services1764646ProgramServices
Management And General70783ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10148782Total
Program Services9302088ProgramServices
Management And General846694ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4006471Total
Program Services3851962ProgramServices
Management And General154509ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total304121Total
Management And General304121ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total138702Total
Management And General138702ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9572428Total
Program Services8246796ProgramServices
Management And General1325632ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total741375Total
Management And General741375ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total22992952Total
Program Services22426295ProgramServices
Management And General566657ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5553656Total
Program Services5069466ProgramServices
Management And General484190ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1898787Total
Program Services1587255ProgramServices
Management And General311532ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total146955Total
Program Services120790ProgramServices
Management And General26165ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2758021Total
Program Services2758021ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5505270Total
Program Services5505270ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1972339Total
Program Services1577871ProgramServices
Management And General394468ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT1528748715287487
REBILLABLE PROSTHESIS45683754568375
BLOOD COSTS772730772730
DUES & SUBSCRIPTIONS15245371132832391705

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total538437Total
Program Services284250ProgramServices
Management And General254187ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total147478464Total
Program Services138065613ProgramServices
Management And General9412851ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1925BOY
EOY2035EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY11357927BOY
EOY11820096EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10558328BOY
EOY9115396EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1302261BOY
EOY1476583EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1273060BOY
EOY1433339EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis145602201LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec99043292LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY45173560BOY
EOY46558909EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY19754581BOY
EOY24890470EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11205909BOY
EOY10281818EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY100627551BOY
EOY105578646EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11927974BOY
EOY12810897EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY52283821BOY
EOY51320494EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY36594562BOY
EOY28153148EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY100806357BOY
EOY92284539EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-315553BOY
EOY13182789EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY136747BOY
EOY111318EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-178806BOY
EOY13294107EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY100627551BOY
EOY105578646EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3104444ReconcilationRevenueExpenses
Reconcilation Other Changes10368469ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis867282OtherCostOrOtherBasis
Book Value867282BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis69992282OtherCostOrOtherBasis
Depreciation38047751Depreciation
Book Value31944531BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis357219OtherCostOrOtherBasis
Depreciation59536Depreciation
Book Value297683BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis73177171OtherCostOrOtherBasis
Depreciation60113404Depreciation
Book Value13063767BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1208247OtherCostOrOtherBasis
Depreciation822601Depreciation
Book Value385646BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings46558909TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests
Total Of Book Value Securities0TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM RELATED PARTIES3452135
DEFERRED BOND COSTS657488
INVESTMENT-MULTIPROV CAPTIVE5690042
INVESTMENT-GC HOME MED EQUIP278969
INVESTMENT-PULSE203184
FieldValueIRS element (for citing)
Total Book Value Other Assets10281818TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
RESERVE FOR PROF LIAB CLAIMS$3,978,169
PENSION LIABILITY$19,720,057
OBLIGATIONS UNDER CAPITAL LEASE$1,821,384
DUE TO 3RD PARTY PAYORS$2,633,538
FieldValueIRS element (for citing)
Total Of Amounts28153148TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt150845351TotRevenueEtcAuditedFinclStmt
Other Revenues262443OtherRevenues
Revenue Not Rptd F990262443RevenueNotRptdF990
Revenue Subtotal150582908RevenueSubtotal
Total Revenue Per Form990150582908TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt147740907TotExpensesEtcAuditedFinclStmt
Other Expenses Included262443OtherExpensesIncluded
Expenses Not Rptd F990262443ExpensesNotRptdF990
Expenses Subtotal147478464ExpensesSubtotal
Total Expenses Per Form990147478464TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE DASC 740 FOOTNOTEMANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
PART XI & XIILINE 2DRENT EXPENSE 262,443

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpenditures
Central America and the Caribbean11Program ServicesCAPTIVE INSURANCE CO238483
Central America and the Caribbean11Program ServicesCAPTIVE INSURANCE CO1014971
FieldValueIRS element (for citing)
Subtotal Number Of Offices2SubtotalNumberOfOffices
Subtotal Number Of Employees2SubtotalNumberOfEmployees
Total Number Of Offices2TotalNumberOfOffices
Total Number Of Employees2TotalNumberOfEmployees
Subtotal Amount Spent1253454SubtotalAmountSpent
Total Amount Spent1253454TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense247041TotalCommunityBenefitExpense
Net Community Benefit Expense247041NetCommunityBenefitExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense23882001TotalCommunityBenefitExpense
Direct Offsetting Revenue21630333DirectOffsettingRevenue
Net Community Benefit Expense2251668NetCommunityBenefitExpense
Percent Of Total Expense0.01700PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense24129042TotalCommunityBenefitExpense
Direct Offsetting Revenue21630333DirectOffsettingRevenue
Net Community Benefit Expense2498709NetCommunityBenefitExpense
Percent Of Total Expense0.01890PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense873449TotalCommunityBenefitExpense
Net Community Benefit Expense873449NetCommunityBenefitExpense
Percent Of Total Expense0.00660PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense7437332TotalCommunityBenefitExpense
Direct Offsetting Revenue6242796DirectOffsettingRevenue
Net Community Benefit Expense1194536NetCommunityBenefitExpense
Percent Of Total Expense0.00900PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1288711TotalCommunityBenefitExpense
Direct Offsetting Revenue586006DirectOffsettingRevenue
Net Community Benefit Expense702704NetCommunityBenefitExpense
Percent Of Total Expense0.00530PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense24812TotalCommunityBenefitExpense
Net Community Benefit Expense24812NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense9624304TotalCommunityBenefitExpense
Direct Offsetting Revenue6828802DirectOffsettingRevenue
Net Community Benefit Expense2795501NetCommunityBenefitExpense
Percent Of Total Expense0.02110PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense33753346TotalCommunityBenefitExpense
Direct Offsetting Revenue28459135DirectOffsettingRevenue
Net Community Benefit Expense5294210NetCommunityBenefitExpense
Percent Of Total Expense0.04000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense8623TotalCommunityBuildingExpense
Net Community Building Expense8623NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense25938TotalCommunityBuildingExpense
Net Community Building Expense25938NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense25258TotalCommunityBuildingExpense
Net Community Building Expense25258NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense59819TotalCommunityBuildingExpense
Net Community Building Expense59819NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$5,681,404BadDebtExpenseAmount
Amount Attributable To1363537AmountAttributableTo
Amount Reimbursed By Medicare51384999AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare45508404CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall5876595MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1GARDEN CITY HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line16245 INKSTER ROADAddressLine1
CityGARDEN CITYCity
StateMIState
ZIP Code48135ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours
Facility Reporting Group1FacilityReportingGroup

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GARDEN CITY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted13NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent200.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE H, PART IIISECTION A - BAD DEBT EXPENSELINE 3A AN AGGREGATE COST TO CHARGE RATIO WAS USED TO PROVIDE BAD DEBT AT COST FOR LINES 2 AND 3.
SECTION B - MEDICARELINE 8ATHE MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS ON LINE 5 CAME FROM GARDEN CITY HOSPITAL'S COST REPORT. SECTION C - COLLECTION POLICIES LINE 9B PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OF FINANCIAL ASSISTANCE ARE NOT SENT TO A COLLECTION AGENCY. THE ORGANIZATION REPEATEDLY OFFERS PATIENTS ACCESS TO FINANCIAL HELP DURING THEIR HOSPITAL STAY AND AFTER, AS WELL AS WITH EACH BILLING NOTICE (INFORMATION IS PRINTED DIRECTLY ON THE PATIENT BILL).
PART VSECTION B - FACILITY POLICIES & PRACTICESLINE 7 AFTER DETERMINING THE HEALTH NEEDS OF THE COMMUNITY, GARDEN CITY HOSPITAL ASSESSED AVAILABLE RESOURCES AND WHICH NEEDS ARE CURRENTLY BEING ADDRESSED BY COMMUNITY PARTNERS TO DETERMINE WHICH NEEDS TO ADDRESS. IN LIGHT OF THESE FACTORS, GARDEN CITY HOSPITAL HAS CHOSEN TO FOCUS EFFORTS ON PREVENTING AND TREATING DIABETES AND HEART DISEASE. SECTION B - FINANCIAL ASSISTANCE POLICY LINE 14G FINANCIAL COUNSELOR AND MEDICAID APPLICATION VENDOR DISCUSS CHARITY CARE OPTIONS WITH THE UNINSURED PATIENTS.
SECTION B - INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCELINE 20D30% OFF TOTAL CHARGES FOR ALL UNINSURED PATIENTS. GARDEN CITY HOSPITAL, BASED ON PAST HISTORY, HAS CHOSEN THE 30% DISCOUNT RATE TO REFLECT THE AVERAGE DISCOUNT RECEIVED BY INSURED PATIENTS, AS WELL AS THE AVERAGE MARKET DISCOUNT RATE.
PART VINEEDS ASSESSMENTA NEEDS ASSESSMENT OF THE GARDEN CITY HOSPITAL (GCH) COMMUNITY WAS PERFORMED IN AUGUST OF 2013. THE ASSESSMENT WAS PERFORMED BY GCH STAFF AND INCLUDED REVIEW OF COMMUNITY HEALTH REPORTS AND NATIONAL COMMUNITY SURVEYS. THE ASSESSMENT LOOKED AT THE GCH COMMUNITY'S DEMOGRAPHIC, SOCIOECONOMIC, HEALTH STATUS AND CHRONIC DISEASE PROFILES. IN ADDITION, THE HOSPITAL AND PHYSICIANS IDENTIFY COMMUNITY NEEDS BASED ON ADMISSION/DISCHARGE AND OTHER HOSPITAL DATA. BASED ON THIS DATA AND INFORMATION, THE HOSPITAL ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ALL UNINSURED PATIENTS THAT ARE ADMITTED TO THE HOSPITAL AS INPATIENTS ARE SCREENED AND INTERVIEWED FOR MEDICAID ELIGIBILITY BY A THIRD PARTY VENDOR. UNINSURED PATIENTS SEEN IN THE EMERGENCY DEPARTMENT ARE CONTACTED BY PHONE AFTER THE VISIT AND SCREENED FOR MEDICAID ELIGIBILITY. IF THE PATIENTS ARE NOT MEDICAID ELIGIBLE, THEY ARE GIVEN INFORMATION REGARDING THE HOSPITAL'S CHARITY CARE PROGRAM. PATIENT BILLING STATEMENTS CONTAIN INFORMATION ON THE GUIDELINES AND HOW TO OBTAIN A CHARITY CARE APPLICATION. COMMUNITY INFORMATION GCH SERVES APPROXIMATELY ONE-FOURTH OF THE POPULATION RESIDING IN WAYNE COUNTY. THE POPULATION HAS A UNIQUE MIX OF MINORITIES WHO RESIDE IN SPECIFIC DISTRICTS OF THE COMMUNITY. UNEMPLOYMENT IS HIGHER THAN THE NATIONAL AVERAGE. THE PERCENTAGE OF UNINSURED IS HIGHER THAN MICHIGAN'S AVERAGE. THE POPULATION IS OLDER THAN THE AVERAGE FOR BOTH THE NATION AND FOR MICHIGAN; THE PERCENTAGE OF CHILDREN UNDER 18 IS LESS THAN 16 PERCENT, COMPARED TO THE NATIONAL AVERAGE OF 18 PERCENT. HEART DISEASE AND CANCER ARE THE LEADING CAUSES OF DEATH. PROMOTION OF COMMUNITY HEALTH THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. THE HOSPITAL PARTICIPATES IN MEDICAID, MEDICARE AND OTHER GOVERNMENT SPONSORED HEALTH PROGRAMS. THE HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY SERVED BY THE HOSPITAL. THE HOSPITAL SERVES AS A CLINICAL EXPERIENCE FOR A LARGE NUMBER OF RESIDENTS. IN ADDITION, STUDENTS IN OTHER HEALTH CARE PROFESSIONS SUCH AS NURSING, PHARMACY, DIETARY, AND EMERGENCY TECHNICIANS ARE TRAINED HERE. STATE FILING OF COMMUNITY BENEFIT REPORT MICHIGAN

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
GARY LEY
PRESIDENT3527120000075000279680388180000
BETTE FITZ
CNO1458260000000143600160186000
DEBBIE WILLIAMS
FORMER COO - LEFT JUNE 20126042700054587028550211240138993000
TIM JODWAY
CFO2163840000066000264760249460000
SHERYL PARKS
PHYSICIAN2852790000075010259620318742000
KRISTEN WAARALA
VP, MEDICAL EDUCATION1958650000060000249430226808000
INGRID WILSON-JOHNSON
PHYSICIAN2307760000069420243950262113000
CALVIN STEWART
CRNA2411800000072450171670265592000
IBRAHIM FARHAT
PHYSICIAN2409340000072150247210272870000
ZACHARY LEMON
PHYSICIAN2316480000069950199150258558000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1GCH FINANCE AUTHORITY HOSPITAL BONDS SERIES 2007ABusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN386004685IssuerEIN
CUSIP Number365128AH0CUSIPNumber
Date Issued2007-03-15DateIssued
Issue Price46689664IssuePrice
Description Of PurposeFINANCE FACILITIES AND SURGERY CENDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuertrueOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds46689664TotalProceeds
Amount In Reserve Fund2236979AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds587857IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures43864828WorkingCapitalExpenditures
Capital Expenditures30848786CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2008YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingtrueAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractsfalseEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Engage Bond Counsel ResearchfalseEngageBondCounselResearch
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Prcntge Bond Financed Prop0.00000PrcntgeBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrstrueNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
No Rebate DuefalseNoRebateDue
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActionfalseProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierPART IVIdentifier
Return ReferenceLINE 2CReturnReference
ExplanationTHE REBATE COMPUTATION WAS PERFORMED ON 2/26/2013.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
POLICIESPART VI, SECTION BLINE 11B THE ORGANIZATION'S FINANCE DEPARTMENT ACCUMULATES INFORMATION AND DATA NECESSARY TO COMPLETE THE FEDERAL FORM 990. AUDITED FINANCIAL DATA AND BOARD APPROVED POLICIES AND PROCEDURES ARE USED AS INPUT TO COMPLETE THE FORM. A DRAFT RETURN IS PREPARED AND REVIEWED BY THE ORGANIZATION'S INDEPENDENT OUTSIDE ACCOUNTANTS. THE FINANCE STAFF REVIEWS THE FORM 990 PRIOR TO FILING WITH THE IRS. AN ELECTRONIC COPY OF FORM 990 IS PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. LINE 12C EACH MONTH THE BOARD MEMBERS ASK THE GROUP IF THERE ARE ANY CONFLICTS OF INTEREST. IF THERE ARE ANY CONFLICTS THE BOARD WILL DISCUSS, INVESTIGATE, AND TAKE APPROPRIATE ACTION IF NECESSARY. DELIBERATIONS AND DECISIONS ARE MADE AT THE BOARD LEVEL TO DETERMINE WHETHER OR NOT A CONFLICT EXISTS. MEMBERS WILL RECUSE THEMSELVES FROM THE DISCUSSION IF A CONFLICT DOES EXIST. LINES 15A & 15B THE BOARD OF TRUSTEES ENGAGES AN OUTSIDE CONSULTING FIRM TO SURVEY THE MARKET FOR APPROPRIATE PLANS AND LEVELS OF COMPENSATION. APPROPRIATE PLANS AND COMPENSATION ARE THEN NEGOTIATED WITH TOP MANAGEMENT PERSONNEL. ONCE THIS IS DONE, THE COMPENSATION PLAN IS SENT TO THE COMPLIANCE ATTORNEY FOR REVIEW AND THEN TO THE BOARD FOR FINAL APPROVAL. ALL BOARD MEMBERS INVOLVED IN THIS PROCESS ARE INDEPENDENT MEMBERS.
DISCLOSUREPART VI SECTION CLINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC. ALL INQUIRIES FOR COPIES OF FINANCIALS STATEMENTS ARE DIRECTED TO THE THIRD PARTY WEBSITE.
PART XILINE 9CHANGE IN DEFINED BENEFIT PENSION PLAN 11,105,659 RESTRICTED CONTRIBUTIONS (43,390) TRANSFER TO AFFILIATE (693,800) TOTAL 10,368,469

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
GARDEN CITY HOSPITAL FOUNDATION
6245 INKSTER ROADGARDEN CITYMI48135382645157FUNDRAISINGMI501(C)(3)11GC HOSPITALtrue
UNITED HOME HEALTH SERVICES
6245 INKSTER ROADGARDEN CITYMI48135382453621HOME HEALTHMI501(C)(3)11GC HOSPITALtrue
GARDEN NURSING CENTER
6245 N INKSTER ROADGARDEN CITYMI48135382410850DISSOLVINGMI501(C)(3)9GC HOSPITALtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
PULSE EMS LLC
6245 INKSTER ROADGARDEN CITYMI48135300691829EMERGENCY SVCSMIN/ARELATED49087305489false$0true0.50000
GARDEN CITY HOME MEDICAL EQUIPMENT
6245 INKSTER ROADGARDEN CITYMI48135262052696MEDICAL EQUIPMENTMIRELATED104807306868false$0true0.50000NA

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
AMERIGARD DEVELOPMENT
6245 INKSTER ROADGARDEN CITYMI48135382695779PHYSICIAN OFFMINAC CORP551130015938191.00000true
AMERIGARD DIAGNOSTIC CENTER
6245 INKSTER ROADGARDEN CITYMI48135383162092DIAGNOSTIC TEMINAC CORP-102374323881.00000true
GCH ASSURANCE COMPANY LTD
980608598INSURANCENAC CORP1295714122577401.00000truePO BOX 1159 KY-1102GRAND CAYMANCAYMAN ISLANDSCJCJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
AMERIGARD DEVELOPMENT
A36144FMV
AMERIGARD DEVELOPMENT
B693800FMV
AMERIGARD DEVELOPMENT
N58000FMV
AMERIGARD DEVELOPMENT
P1942000FMV
AMERIGARD DEVELOPMENT
L111946FMV