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HENRY FORD HEALTH ROCHESTER HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
HENRY FORD HEALTH ROCHESTER HOSPITAL (EIN 38-1359247)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201403189349302705
Schema version
2013v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-14T10:10:25-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Filer Filer

FieldValueIRS element (for citing)
EIN381359247EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CRITTENTON HOSPITAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCRITBusinessNameControlTxt
Phone2486525000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 W UNIVERSITY DRIVEAddressLine1
CityROCHESTERCity
StateMIState
ZIP Code48307ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROY POWELLPersonNm
Person TitleCEOPersonTitleTxt
Phone2486525000PhoneNum
Signature2014-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCAROL LALONDEPreparerPersonNm
PTINP00181637PTIN
Phone2483522500PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROY POWELLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 W UNIVERSITY DRIVEAddressLine1
CityROCHESTERCity
StateMIState
ZIP Code48307ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$334,988,213GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CRITTENTON.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1900FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionCRITTENTON HOSPITAL MEDICAL CENTER IS DEDICATED TO ENHANCING THE HEALTH STATUS OF THE INDIVIDUALS AND COMMUNITIES IT SERVES.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee1792TotalEmployeeCnt
Total Volunteers389TotalVolunteersCnt
Total Gross UBI$5,150,945TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$202,685NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,198,382PYContributionsGrantsAmt
CY Contributions Grants$141,677CYContributionsGrantsAmt
PY Program Service Revenue$233,276,423PYProgramServiceRevenueAmt
CY Program Service Revenue$219,641,639CYProgramServiceRevenueAmt
PY Investment Income$5,562,766PYInvestmentIncomeAmt
CY Investment Income$12,162,018CYInvestmentIncomeAmt
PY Other Revenue$1,732,366PYOtherRevenueAmt
CY Other Revenue$2,170,026CYOtherRevenueAmt
PY Total Revenue$251,769,937PYTotalRevenueAmt
CY Total Revenue$234,115,360CYTotalRevenueAmt
PY Grants And Similar Paid$80,517PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$70,880CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$107,042,722PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$102,401,816CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$590CYTotalFundraisingExpenseAmt
PY Other Expenses$142,225,558PYOtherExpensesAmt
CY Other Expenses$139,628,608CYOtherExpensesAmt
PY Total Expenses$249,348,797PYTotalExpensesAmt
CY Total Expenses$242,101,304CYTotalExpensesAmt
PY Revenues Less Expenses$2,421,140PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$7,985,944CYRevenuesLessExpensesAmt
Total Assets BOY$360,387,748TotalAssetsBOYAmt
Total Assets EOY$389,429,741TotalAssetsEOYAmt
Total Liabilities BOY$194,567,631TotalLiabilitiesBOYAmt
Total Liabilities EOY$215,511,510TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$165,820,117NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$173,918,231NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCRITTENTON HOSPITAL MEDICAL CENTER IS DEDICATED TO ENHANCING THE HEALTH STATUS OF THE INDIVIDUALS AND COMMUNITIES WE SERVE IN PARTNERSHIP WITH OUR PHYSICIANS, EMPLOYEES, AND COMMUNITY MEMBERS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$207,687,813ExpenseAmt
Grant$70,880GrantAmt
Revenue$214,495,740RevenueAmt
DescTHE HOSPITAL WAS INVOLVED IN A LARGE NUMBER OF COMMUNITY CARE PROJECTS, EITHER AS A PARTICIPANT OR A SPONSORING ORGANIZATION. THESE INCLUDE, BUT ARE NOT LIMITED TO: HEALTHY PREGNANCY, WOMEN'S HEALTHY HEART, NUTRITION, WEIGHT LOSS, HEALTHY AGING, CHILD SAFETY, HEALTH RISK APPRAISALS, SMOKING CESSATION, MANAGING STRESS, CPR, SLEEP DISORDER AND MEN'S HEALTH CLASSES FOR THE COMMUNITY. IN ADDITION, FREE BLOOD PRESSURE SCREENINGS ARE MADE AVAILABLE TO THE COMMUNITY. A BEREAVEMENT PROGRAM IS OFFERED THROUGH THE OBSTETRICS DEPT FOR GRIEVING PARENTS OF INFANTS. ANNUALLY, VOLUNTEERS FROM THE HOSPITAL PARTICIPATE AT THE ROCHESTER ARTS AND APPLES FESTIVAL, COLLECT GIFTS FOR THE ROCHESTER NEIGHBORHOOD HOUSE, COLLECT FOOD FOR THE MICHIGAN HARVEST GATHERING AND PARTICIPATE IN THE NORTH OAKLAND AMERICAN HEART WALK, THE BROOKSIE WAY AND COATS FOR COLD. A GEROPSYCHIATRIC PROGRAM WAS STARTED TO ASSIST OLDER ADULTS WITH HEALTH CARE CHANGES AND THE HOSPITAL ALSO HAS WOUND CARE SERVICES, INCLUDING HYPERBARIC TREATMENTS.Desc
Total Program Service Expenses$207,687,813TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document283IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1792EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KIM HAUSCHILDBusinessNameLine1
FieldValueIRS element (for citing)
Phone2486525780PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 W UNIVERSITY DRIVEAddressLine1
CityROCHESTERCity
StateMIState
ZIP Code48307ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BEVERLY ALLEN
TREASURER1.000.00Yes (X)$0$0$0
LISA ASADOORIAN
TRUSTEE1.000.00Yes (X)$0$0$0
BRYAN BARNETT
TRUSTEE1.000.00Yes (X)$0$0$0
MICHAEL BROWE
TRUSTEE1.000.00Yes (X)$0$0$0
PETER DESTEIGER
TRUSTEE1.000.00Yes (X)$0$0$0
ROBERT GO MD
TRUSTEE1.000.00Yes (X)$39,705$0$0
KENNETH JOHNSON
TRUSTEE1.000.00Yes (X)$0$0$0
KATHRIN KUDNER
TRUSTEE1.000.00Yes (X)$0$0$0
ROBERT LENIHAN II
CHAIRMAN1.000.00Yes (X)$0$0$0
FREDERICK MAIBAUER MD
TRUSTEE1.000.00Yes (X)$0$0$0
F SCOTT MILLER
TRUSTEE1.000.00Yes (X)$0$0$0
RUSSELL SHELTON
TRUSTEE1.000.00Yes (X)$0$0$0
ROBERT SKANDALARIS
TRUSTEE1.000.00Yes (X)$0$0$0
BRAD UPTON
TRUSTEE1.000.00Yes (X)$0$0$0
ROY POWELL
PRESIDENT AND CHIEF EXECUTIVE OFFICER36.004.00Yes (X)$201,121$0$22,921Yes (X)
FRANK SOTTILE MD
INTERIM CHIEF EXECUTIVE OFFICER36.004.00Yes (X)$412,043$0$42,945Yes (X)
AUDRIANNE MOCERI
SECRETARY40.000.00Yes (X)$61,169$0$18,113Yes (X)
PETER KORDA MD
CHIEF OF STAFF1.000.00Yes (X)$35,700$0$0Yes (X)
GREGORY PARTAMIAN
CHIEF OPERATING OFFICER40.000.00Yes (X)$250,765$0$37,500Yes (X)
MICHELLE HORNBERGER
CHIEF STRATEGY OFFICER30.0010.00Yes (X)$151,103$0$35,945Yes (X)
DONNA KOPINSKI
CHIEF FINANCIAL OFFICER36.004.00Yes (X)$214,718$0$41,455Yes (X)
KEVIN FLOREK DO
MEDICAL DIRECTOR OCCUPATIONAL MEDICINE40.000.00$274,268$0$39,263Yes (X)
SAMAR KAZZIHA MD
EXECUTIVE MEDICAL DIRECTOR40.000.00$449,863$0$23,535Yes (X)
DOUGLAS PUGMIRE DO
MEDICAL DIRECTOR ROBOTICS/GYN ONCOLOGY40.000.00$672,626$0$23,535Yes (X)
MICHAEL CLARK
GENERAL COUNSIL36.004.00$149,545$0$43,461Yes (X)
ROBERT LACOSTE MD
PHYSICIAN40.000.00$253,278$0$23,535Yes (X)
LYNN ORFGEN
CHIEF EXECUTIVE OFFICER40.000.00$637,670$0$24,181Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,803,574TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$376,389TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K84IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
BARTON MALOW-REWOLD LLC-ACH
26500 AMERICAN DRIVESOUTHFIELDMI48034CONSTRUCTION MANAGEMENT$22,534,753
WAYNE STATE UNIVERSITY
1420 STEVENSON HIGHWAYTROYMI48083PROFESSIONAL SERVICES$9,499,110
SODEXO INC AND AFFILIATES
4880 PAYSHERE CIRCLECHICAGOIL60674PROFESSIONAL SERVICES$5,600,234
CARETECH SOLUTIONS INC
PO BOX 674271DETROITMI48267IT SERVICES$5,348,789
UNASOURCE SURGERY CENTERLLC
4550 INVESTMENT DR STE 100TROYMI48098SURGICAL SERVICES$4,855,636
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K75CntrctRcvdGreaterThan100KCnt
Related Organizations$137,676RelatedOrganizationsAmt
All Other Contributions$4,001AllOtherContributionsAmt
Total Contributions$141,677TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE900099$216,047,624$211,083,989$4,963,635
E.H.R INCENTIVE900099$2,148,439$2,148,439
INVESTMENT IN JOINT VENTURES900099$818,373$636,109$182,264
MEDICAL RECORD FEES900099$133,479$133,479
SPORTS REHABILITATION CENTER900099$119,784$119,784

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$373,940TotalRevenueColumnAmt
Related Or Exempt Func Income$373,940RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$219,641,639TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,721,856TotalRevenueColumnAmt
Exclusion$2,721,856ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$108,431,114SecuritiesAmt
Other$1,751,166OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$98,335,205SecuritiesAmt
Other$2,406,913OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$10,095,909SecuritiesAmt
Other-$655,747OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,440,162TotalRevenueColumnAmt
Exclusion$9,440,162ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$23,637FundraisingGrossIncomeAmt
Fundraising Direct Expenses$18,981FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,656TotalRevenueColumnAmt
Exclusion$4,656ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$209,070GrossSalesOfInventoryAmt
Cost Of Goods Sold$111,754CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$97,316TotalRevenueColumnAmt
Exclusion$97,316ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MRI AND LAND LEASE900099$351,900$351,900
MEDICAL STAFF FUNCTIONS900099$238,930$238,930
TV RENTAL900099$202,082$202,082

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,275,142TotalRevenueColumnAmt
Unrelated Business Revenue$5,046UnrelatedBusinessRevenueAmt
Exclusion$1,270,096ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,068,054OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$234,115,360TotalRevenueColumnAmt
Related Or Exempt Func Income$214,495,740RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,150,945UnrelatedBusinessRevenueAmt
Exclusion$14,326,998ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$70,880TotalAmt
Program Services$70,880ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,278,084TotalAmt
Management And General$4,278,084ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$77,337,806TotalAmt
Program Services$74,967,330ProgramServicesAmt
Management And General$2,370,476ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,250,287TotalAmt
Program Services$3,866,911ProgramServicesAmt
Management And General$383,376ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,977,356TotalAmt
Program Services$9,080,057ProgramServicesAmt
Management And General$897,299ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,558,283TotalAmt
Program Services$5,966,726ProgramServicesAmt
Management And General$591,557ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$37,026TotalAmt
Program Services$37,026ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$610,076TotalAmt
Management And General$610,076ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$837,722TotalAmt
Program Services$47,010ProgramServicesAmt
Management And General$790,712ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$32,083TotalAmt
Management And General$32,083ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$72,471TotalAmt
Management And General$72,471ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$40,372,763TotalAmt
Program Services$38,688,281ProgramServicesAmt
Management And General$1,684,482ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,541,394TotalAmt
Program Services$2,301ProgramServicesAmt
Management And General$1,539,093ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,958,198TotalAmt
Program Services$2,391,905ProgramServicesAmt
Management And General$566,293ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,461,209TotalAmt
Program Services$6,554ProgramServicesAmt
Management And General$8,454,655ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,078,386TotalAmt
Program Services$2,264,915ProgramServicesAmt
Management And General$2,813,471ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$83,654TotalAmt
Program Services$39,561ProgramServicesAmt
Management And General$44,093ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$29,489TotalAmt
Program Services$10,105ProgramServicesAmt
Management And General$19,384ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,119,997TotalAmt
Program Services$4,119,997ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,348,248TotalAmt
Program Services$8,542,740ProgramServicesAmt
Management And General$4,805,508ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$278,901TotalAmt
Management And General$278,901ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$38,355,690$38,126,201$229,489
BAD DEBT EXPENSE$10,921,557$10,921,557
QAAP EXPENSE$5,845,719$5,845,719
MALPRACTICE$2,576,057$23,228$2,552,829

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,067,968TotalAmt
Program Services$2,668,809ProgramServicesAmt
Management And General$1,398,569ManagementAndGeneralAmt
Fundraising$590FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$242,101,304TotalAmt
Program Services$207,687,813ProgramServicesAmt
Management And General$34,412,901ManagementAndGeneralAmt
Fundraising$590FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$12,150BOYAmt
EOY$12,250EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$19,481,844BOYAmt
EOY$29,926,431EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$34,835,056BOYAmt
EOY$24,232,038EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,014,091BOYAmt
EOY$3,863,059EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,501,446BOYAmt
EOY$3,498,974EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$372,964,114LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$193,361,222LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$165,186,035BOYAmt
EOY$179,602,892EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$75,938,408BOYAmt
EOY$89,306,084EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$41,658BOYAmt
EOY$43,267EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$11,329,522BOYAmt
EOY$9,605,551EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$47,047,538BOYAmt
EOY$49,339,195EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$360,387,748BOYAmt
EOY$389,429,741EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$31,931,100BOYAmt
EOY$33,980,588EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$188,000BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$128,567,572BOYAmt
EOY$156,418,380EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$858,157BOYAmt
EOY$510,990EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,022,802BOYAmt
EOY$24,601,552EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$194,567,631BOYAmt
EOY$215,511,510EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$165,653,010BOYAmt
EOY$173,743,773EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$167,107BOYAmt
EOY$174,458EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$165,820,117BOYAmt
EOY$173,918,231EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$360,387,748BOYAmt
EOY$389,429,741EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$7,985,944ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,281,219NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$34,822DonatedServicesAndUseFcltsAmt
Prior Period Adjustments-$367PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$12,768,384OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$32,083OtherActivitiesAmt
Total Lobbying Expenditures$32,083TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationCRITTENTON HOSPITAL MEDICAL CENTER INDIRECTLY CONDUCTS LOBBYING ACTIVITIES THROUGHOUT THE YEAR. THE HOSPITAL HAS ENGAGED THE SERVICES OF A PROFESSIONAL LOBBYIST, WHO PERIODICALLY MEETS WITH FEDERAL, STATE, AND LOCAL LEGISLATORS TO DISCUSS ITEMS OF IMPORTANCE TO THE HOSPITAL AND HEALTH CARE INDUSTRY, AND ISSUES AFFECTING THE HEALTH CARE NEEDS OF THE COMMUNITY. THE EXPENDITURES LISTED IN PART II-B ARE FEES AND EXPENSE REIMBURSEMENTS PAID TO THE LOBBYIST DURING THE YEAR. ON RARE OCCASIONS, THE HOSPITAL ENCOURAGES ITS EMPLOYEES TO CONTACT LEGISLATORS TO CONSIDER CHANGES IN THE LAW THAT WOULD IMPROVE THE REGULATORY CLIMATE AFFECTING THE HEALTH CARE INDUSTRY AND ULTIMATELY, HEALTH CARE NEEDS OF THE COMMUNITY THE HOSPITAL SERVES. THE "GRASSROOT" LOBBYING IS INFREQUENT, AND INVOLVES NO SIGNIFICANT EXPENDITURES BY EITHER THE HOSPITAL OR ITS EMPLOYEES. NONE OF THIS ACTIVITY (DIRECT OR INDIRECT) INVOLVES POLITICAL CAMPAIGN ACTIVITY. THE CONTRACT FOR THIS INDIVIDUAL EXPIRED 7/2013 AND WAS NOT RENEWED.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$138,145BeginningYearBalanceAmt
Contributions$182,593ContributionsAmt
Investment Earnings Or Losses$56InvestmentEarningsOrLossesAmt
Other Expenditures$177,223OtherExpendituresAmt
Administrative Expenses$2,076AdministrativeExpensesAmt
End Year Balance$141,495EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$827,601BeginningYearBalanceAmt
Contributions$193,472ContributionsAmt
Investment Earnings Or Losses$7,886InvestmentEarningsOrLossesAmt
Other Expenditures$885,577OtherExpendituresAmt
Administrative Expenses$5,237AdministrativeExpensesAmt
End Year Balance$138,145EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$843,841BeginningYearBalanceAmt
Contributions$219,377ContributionsAmt
Investment Earnings Or Losses$12,055InvestmentEarningsOrLossesAmt
Other Expenditures$243,647OtherExpendituresAmt
Administrative Expenses$4,025AdministrativeExpensesAmt
End Year Balance$827,601EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$964,434BeginningYearBalanceAmt
Contributions$167,277ContributionsAmt
Investment Earnings Or Losses$17,908InvestmentEarningsOrLossesAmt
Other Expenditures$295,562OtherExpendituresAmt
Administrative Expenses$10,216AdministrativeExpensesAmt
End Year Balance$843,841EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,026,646BeginningYearBalanceAmt
Contributions$152,319ContributionsAmt
Investment Earnings Or Losses$19,315InvestmentEarningsOrLossesAmt
Other Expenditures$218,961OtherExpendituresAmt
Administrative Expenses$14,885AdministrativeExpensesAmt
End Year Balance$964,434EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,565,744OtherCostOrOtherBasisAmt
Book Value$2,565,744BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$182,546,410OtherCostOrOtherBasisAmt
Depreciation$98,857,409DepreciationAmt
Book Value$83,689,001BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,732,459OtherCostOrOtherBasisAmt
Depreciation$1,015,646DepreciationAmt
Book Value$716,813BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$115,737,759OtherCostOrOtherBasisAmt
Depreciation$90,806,234DepreciationAmt
Book Value$24,931,525BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,381,742OtherCostOrOtherBasisAmt
Depreciation$2,681,933DepreciationAmt
Book Value$67,699,809BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$179,602,892TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (16 entries)

DescDescBook ValueBookValueAmt
ACCOUNTS RECEIVABLE AFFILIATES$17,341,225
MISCELLANEOUS ACCOUNTS RECEIVABLE$2,997,871
ACCOUNTS RECEIVABLE POWERWORKS$1,802
DEBT ISSUANCE COST$1,987,362
ACCOUNTS RECEIVABLE KARMANOS$145,879
ACCOUNTS RECEIVABLE SAAC$3,846,091
DUE FROM THIRD PARTY$5,024,404
PHYSICIAN LOAN FOREGIVENESS$393,803
PHYSICIAN LOANS$275,921
LOAN RECEIVABLE DOCTORS HOSPITAL$1,865,023
CONTRUCTION FUND 2012A$4
FUNDS HELD BY TRUSTEE, LESS CURRENT$7,104,115
ACCOUNTS RECEIVABLE RHREH$415,825
ACCOUNTS RECEIVABLE RREH$1,819,840
MALPRACTICE GROSS UP$5,995,030
INSURANCE RECOVERY RECEIVABLE$125,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$49,339,195TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
SELF FUNDED MALPRACTICE INS CLAIMS LIABILITY$9,056,027
POST RETIREMENT HEALTH INS LIABILITY$380,110
PENSION LIABILITY$15,165,415
FieldValueIRS element (for citing)
Total Liability$24,601,552TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ENDOWMENT FUNDS ARE USED FOR THE GIFT SHOP, THE AUXILLIARY AND THE HOSPITAL FOR GRANTS, SCHOLARSHIPS AND OTHER EXPENSES.
PART X, LINE 2:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL 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 HOSPITAL AND HAS CONCLUDED THAT AS OF DECEMBER 31, 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.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA/CARIBBEAN00PROGRAM SERVICESINSURANCE$792,116
CENTRAL AMERICA/CARIBBEAN00INVESTMENT$161,658
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$953,774SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$953,774TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$23,637GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$23,637GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$18,981OthDirectExpnssOtherEventsAmt
Gross Receipts Total$23,637GrossReceiptsTotalAmt
Gross Revenue Total Events$23,637GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$18,981OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$18,981DirectExpenseSummaryEventsAmt
Net Income Summary$4,656NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$621,504TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$621,504NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,958,671TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,526,704DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,431,967NetCommunityBenefitExpnsAmt
Total Expense0.01830TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$398,708TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$340,584DirectOffsettingRevenueAmt
Net Community Benefit Expns$58,124NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,978,883TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,867,288DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,111,595NetCommunityBenefitExpnsAmt
Total Expense0.02110TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$376,551TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$376,551NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,028,120TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,198,579DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,829,541NetCommunityBenefitExpnsAmt
Total Expense0.03650TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$91,088TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$91,088NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$107,686TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$107,686NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,603,445TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,198,579DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,404,866NetCommunityBenefitExpnsAmt
Total Expense0.03880TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,582,328TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,065,867DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,516,461NetCommunityBenefitExpnsAmt
Total Expense0.05990TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs34ActivitiesOrProgramsCnt
Persons Served1367PersonsServedCnt
Total Community Benefit Expns$3,756TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,756NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs36ActivitiesOrProgramsCnt
Persons Served558PersonsServedCnt
Total Community Benefit Expns$32,850TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$32,850NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs38ActivitiesOrProgramsCnt
Persons Served666PersonsServedCnt
Total Community Benefit Expns$34,491TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$34,491NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs108ActivitiesOrProgramsCnt
Persons Served2591PersonsServedCnt
Total Community Benefit Expns$71,097TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$71,097NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$10,921,557BadDebtExpenseAmt
Bad Debt Expense Attributable$1,030,858BadDebtExpenseAttributableAmt
Reimbursed By Medicare$67,725,170ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$70,408,921CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,683,751MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 USC LLCBusinessNameLine1
FieldValueIRS element (for citing)
Primary ActivitiesSURGICAL CENTERPrimaryActivitiesTxt
Org Profit Or Ownership0.29000OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.71000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CRITTENTON HOSPITAL MEDICAL CENTERBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 W UNIVERSITYAddressLine1
CityROCHESTERCity
StateMIState
ZIP Code48307ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CRITTENTON HOSPITAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.CRITTENTON.COMOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLWWW.CRITTENTON.COM/PUBLIC/UPLOADS/2014/01/COMMOtherWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
Other Needs AddressedYes (X)OtherNeedsAddressedInd
All Needs Addressed0AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CRITTENTON HOSPITAL MEDICAL CENTERPART V, SECTION B, LINE 3: THE METHODOLOGY FOR SURVEY ASSESSMENT INVOLVED THE DISTRIBUTION OF THE SURVEY ELECTRONICALLY, ONLINE, AND ON PAPER DURING THE MONTHS OF SEPTEMBER THROUGH NOVEMBER 2012. THE SURVEY TOOL WAS DEVELOPED TO ASSESS THE NEEDS OF THE COMMUNITY, THE INDIVIDUAL NEEDS AND HEALTH STATUS OF THE RESPONDERS, AND TO ASSESS THE SERVICES THAT CHMC PROVIDES TO THE COMMUNITY. THE INTENTION OF THE SURVEY TOPIC SELECTION WAS TO ASSESS A GENERAL OVERVIEW OF THE COMMUNITY NEEDS. THE SURVEY TAKERS WERE GIVEN MULTIPLE CHOICE OPTIONS WITH IMPORTANT ISSUES IDENTIFIED BY: HIGH NEED/CONCERN, LOW NEED/CONCERN, NO NEED/CONCERN, AND DO NOT KNOW.COMMUNITY STAKEHOLDERS OF DIFFERENT AGES, SOCIOECONOMIC STATUS, OCCUPATION, AND CULTURAL BACKGROUNDS WERE INVITED TO PARTICIPATE. FEATURE ARTICLE AND INVITATION TO TAKE SURVEY IN OUR WELLSPRING PUBLICATION WAS DISTRIBUTED TO 15,000 HOUSEHOLDS IN OUR PRIMARY SERVICE AREA. EMAIL INVITATIONS WITH SURVEY WEBSITE LINK WERE SENT TO ALL OF OUR COMMUNITY MEMBERS IN OUR PRIMARY SERVICE AREAS:1.PUBLIC/PRIVATE SCHOOLS2.PUBLIC HEALTH3.BUSINESS LEADERS4.PHYSICIANS5.RELIGIOUS ORGANIZATIONS6.UNIVERSITIES/COLLEGES7.HIGH SCHOOL LEADERSHIP GROUPS8.SENIOR CENTERSHARD COPY INVITATIONS AND PAPER SURVEYS WERE DISTRIBUTED AT ALL COMMUNITY EVENTS WITH INSTRUCTIONS TO TAKE THE SURVEY ONLINE OR PAPER SURVEYS COMPLETED ON-SITE OR MAILED IN. THESE EVENTS INCLUDED:1.COMMUNITY HEALTH FAIRS AND EXPOS2.BREAST CANCER WALK3.PHYSICIAN LECTURES4.HEALTH SCREENINGS
CRITTENTON HOSPITAL MEDICAL CENTERPART V, SECTION B, LINE 5D: DISTRIBUTION OF ANNUAL COMMUNITY BENEFIT REPORT TO 15,000 HOUSEHOLDS, IN HOSPITAL AND AT COMMUNITY EVENTS
CRITTENTON HOSPITAL MEDICAL CENTERPART V, SECTION B, LINE 6I: CREATED ACTION PLANS WITH SPECIFIC GOALS TO ADDRESS NEEDS. PLANS INCLUDED HEALTH SCREENING AND EDUCATION PROGRAMS, SUPPORT PROGRAMS, PARTICIPATION IN COMMUNITY COALITIONS AND COLLABORATIONS, AND INCREASING COMMUNITY RESOURCES.
CRITTENTON HOSPITAL MEDICAL CENTERPART V, SECTION B, LINE 7: CHMC WILL NOT ADDRESS THE INCREASED AVAILABILITY OF CHILDCARE PRIORITY BECAUSE THERE ARE SUFFICIENT RESOURCES IN THE COMMUNITY. THERE ARE A VARIETY OF CHILDCARE OPTIONS FROM IN-HOME, LEARNING CENTERS, DAYCARE CENTERS, AND DROP-IN CARE. CHMC HAS A CHILDCARE FACILITY, CHILDRENS CHOICE, AVAILABLE TO EMPLOYEES AND THE COMMUNITY. CHMC WILL NOT ADDRESS THE IMMUNIZATIONS FOR CHILDREN AND ADULTS PRIORITY BECAUSE THERE ARE SUFFICIENT RESOURCES IN THE COMMUNITY. CHMC OFFERS FRIENDS AND FAMILY FLU SHOT EVENT IN THE FALL, CHMC TRAVEL MEDICINE AND THE CRITTENTON WELLNESS CENTER AT OLDER PERSON COMMISSION (OPC) OFFERS IMMUNIZATIONS TO THE PUBLIC, THE PUBLIC HEALTH DEPARTMENT PROVIDES FREE IMMUNIZATIONS, AND LOCAL NON-PROFIT OFFERS FREE IMMUNIZATIONS FOR CHILDREN IN AUGUST AT AN ANNUAL HEALTH BAZAAR.CHMC WILL NOT ADDRESS THE LOW AWARENESS OF POTENTIAL HEALTH THREATS PRIORITY BECAUSE CHMC CURRENTLY HAS AND EMERGENCY MANAGEMENT COMMITTEE COMPRISED OF HOSPITAL TEAM MEMBERS, LOCAL AGENCIES AND BUSINESSES, AND COMMUNITY MEMBERS. INFORMATION IS POSTED ON THE WEBSITE AND ARTICLES ARE PUBLISHED IN WELLSPRING ON THIS ISSUE.
CRITTENTON HOSPITAL MEDICAL CENTERPART V, SECTION B, LINE 10: THE HOSPITAL TAKES PART AND ASSISTS PATIENTS IN QUALIFYING FOR THE COUNTY INDIGENT HOSPITALIZATION PROGRAM.
CRITTENTON HOSPITAL MEDICAL CENTERPART V, SECTION B, LINE 11: FINANCIAL COUNSELORS ARE ON SITE AND CONTACTED WHENEVER A PATIENT COMES INTO THE HOSPITAL WITHOUT INSURANCE. THESE COUNSELORS ASSIST THE PATIENTS IN QUALIFYING FOR COUNTY, STATE, FEDERAL OR HOSPITAL ASSISTANCE PROGRAMS.
CRITTENTON HOSPITAL MEDICAL CENTERPART V, SECTION B, LINE 20D: THOSE PATIENTS THAT ARE ELIGIBLE UNDER THE HOSPITALS FINANCIAL ASSISTANCE POLICY ARE EITHER NOT CHARGED FOR THEIR SERVICES OR ARE CHARGED A 75% DISCOUNT RATE WHICH ON AVERAGE SHOULD NOT EXCEED THE GREATER OF OUR THREE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
USC LLC
4800 INVESTMENT DRIVE STE 370TROYMI48098SURGICAL CENTER
MICHIGAN RESONANCE IMAGING
355 BARCLAY CIRCLE STE AROCHESTERMI48307IMAGING CENTER
MICHIGAN MOBILE PET
15500 LUNDY PARKWAYDEARBORNMI48126IMAGING CENTER

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:CRITTENTON HOSPITAL MEDICAL CENTER USED THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILTY FOR PROVIDING BOTH 'FREE' CARE AND 'DISCOUNTED' CARE TO LOW INCOME INDIVIDUALS. THE FAMILY INCOME LIMIT USED IS 200% FOR 'FREE' CARE AND 250% FOR 'DISCOUNTED' CARE.
PART I, LINE 7:THE COSTING METHOD USED FOR FINANCIAL ASSISTANCE AND MEANS TESTED GOVERNMENT PROGRAMS WAS A COST TO CHARGE RATIO FROM WORKSHEET 2 AND OTHER COMMUNITY BENEFITS WAS CALCULATED BASED UPON ACTUAL COST.
PART I, LINE 7G:CRITTENTON HOSPITAL MEDICAL CENTER DOES NOT HAVE ANY SUBSIDIZED HEALTH SERVICES TO REPORT.
PART I, LN 7 COL(F):THE BAD DEBT EXPENSE OF $10,921,557 WAS REMOVED FROM THE DENOMINATOR FOR THE CALCULATION OF THE PERCENT OF TOTAL EXPENSE.
PART II, COMMUNITY BUILDING ACTIVITIES:COMMUNITY HEALTH LEADERSHIP AND OTHER SENIOR LEADERS ACTIVELY PARTICIPATE ON A BROAD RANGE OF COMMUNITY COALITIONS SUCH AS THE OLDER PERSON'S COMMISSION, ROCHESTER COMMUNITY SCHOOLS, ROCHESTER/AUBURN HILLS COMMUNITY COALITION, OAKLAND COUNTY OBESITY COALITION, REGION 2 NORTH, OAKLAND COUNTY MEDICAL CONTROL AUTHORITY, MICHIGAN DEPT OF COMMUNITY HEALTH, CROSSROADS PREGNANCY CENTER AND OTHERS. THIS PROVIDES ONGOING KNOWLEDGE OF VARYING COMMUNITY NEEDS AND ADJUSTS AS ECONOMIC, ENVIRONMENTAL, AND HEALTHCARE CHANGES OCCUR IN CRITTENTON'S KEY COMMUNITIES. THE VARIOUS PROGRAMS THAT CHMC OFFERS TO THE COMMUNITY HELP TO ENHANCE THE HEALTH STATUS BY EDUCATION, EARLY DETECTION, SCREENING, AND ACCESSIBILITY TO RESOURCES. WE RECEIVE MULTIPLE STORIES EVERY YEAR STATING THAT IF THEY HAD NOT ATTENDED ONE OF OUR SCREENINGS, THEN THEY MAY NOT HAVE PURSUED FURTHER MEDICAL CARE OR TREATMENT. THE SCREENING OR EDUCATION IS WHAT INCREASED THEIR AWARENESS AND ENCOURAGED THEM TO SEEK CARE AND THAT SCREENING OR ACTIVITY IS WHAT HELPED TO ENHANCE THEIR HEALTH.
PART III, LINE 2:THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THE REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HOSPITAL FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES. THE BAD DEBT AMOUNT REPORTED ON PART III LINE 2 IS CHMC'S PROVISION FOR BAD DEBT PER THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS AND PER FORM 990 PART IX.
PART III, LINE 3:THE HOSPITAL FOLLOWS THE POLICY OF PROVIDING HEALTH SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CONSEQUENTLY, THE HOSPITAL PROVIDES HEALTH SERVICES FREE OF CHARGE OR AT AMOUNTS LESS THAN ITS FULL COSTS OF PROVIDING CARE TO CERTAIN CATEGORIES OF PATIENTS. THE ESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED USING THE HISTORICAL PERCENTAGE BASED ON CHARITY CARE APPLICATIONS APPROVED.
PART III, LINE 8:AS A NON-PROFIT HOSPITAL, CRITTENTON HOSPITAL MEDICAL CENTER IS REQUIRED TO PROVIDE MINIMAL LEVELS OF COMMUNITY BENEFIT IN EXCHANGE FOR OUR TAX EXEMPT STATUS. THESE COMMUNITY BENEFITS INCLUDE HEALTH EDUCATION OPPORTUNITIES, CHARITY AND BAD DEBT WRITEOFFS, AND OUR LOSSES ON MEDICARE. IN KEEPING WITH OUR MISSION TO PROMOTE HEALTH IN THE COMMUNITY, WE PROVIDE CARE TO MEDICARE BENEFICIARIES AT A LOSS, THUS HELPING TO RELIEVE THE GOVERNMENT BURDEN OF TREATING THESE PATIENTS WHO MAY OTHERWISE HAVE THEIR ACCESS TO CARE LIMITED.
PART III, LINE 9B:IT IS THE POLICY OF CRITTENTON HOSPITAL MEDICAL CENTER TO REQUIRE PAYMENT IN FULL FOR ALL SERVICES RENDERED, WHICH ARE PATIENT PAY, UPON RECEIPT OF THEIR FIRST STATEMENT. THE PATIENT THEN HAS THIRTY DAYS TO REMIT PAYMENT IN FULL. THE BURDEN OF PROOF OF A PATIENT'S INABILITY TO PAY IN FULL IS THE RESPONSIBILITY OF THE PATIENT. IF THE PATIENT CAN PROVE AN INABILITY TO PAY THEIR DEBT IN FULL, PARTIAL PAYMENT ARRANGEMENTS CAN BE MADE. IT IS ALSO THE POLICY OF THE HOSPITAL TO PROVIDE THE PATIENT WITH INFORMATION REGARDING THE AVAILABILITY OF WHATEVER SOCIAL SERVICES MAY BE APPLICABLE FOR THE PATIENT. IN ADDITION, A CHARITY CARE APPLICATION MAY ALSO BE PROVIDED.
PART VI, LINE 2:THE ALLOCATION OF CRITTENTON'S RESOURCES TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF COMMUNITY RESIDENTS ARE BASED ON COMMUNITY NEEDS THAT ARE IDENTIFIED BOTH THROUGH THE STRATEGIC PLANNING PROCESS AND THROUGH A YEARLY COMPREHENSIVE REVIEW OF COUNTY, STATE AND FEDERAL HEALTHCARE DATA BY CRITTENTON'S COMMUNITY HEALTH AND EDUCATION DEPARTMENT. COMMUNITY NEEDS INFORMATION IS GATHERED FROM BOTH THE CDC'S NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEMS AND THROUGH THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH. FOR EXAMPLE, IN 2008 THE NEED FOR A SCHOOL NURSE PROGRAM WAS IDENTIFIED WITH THE ROCHESTER COMMUNITY SCHOOLS. CRITTENTON'S COMMUNITY HEALTH AND EDUCATION DEPARTMENT DEVELOPED AND IMPLEMENTED THE PROGRAM WHICH NOW SERVES 14,000 STUDENTS AND MANAGES 450 MEDICAL MANAGEMENT PROGRAMS. STARTING IN 2009, PARTICIPATION WITH THE ROCHESTER/AUBURN HILLS COALITION RESULTED IN CRITTENTON'S SPONSORING RACHEL'S CHALLENGE, A PROGRAM WHICH PROVIDES SUIDICE PREVENTION AND INTERVENTION AND IMPROVED PEER TO PEER CONFLICT MANAGEMENT SKILLS FOR AREA YOUTH.
PART VI, LINE 3:CRITTENTON HOSPITAL MEDICAL CENTER DOES A NUMBER OF THINGS IN ORDER TO EDUCATE AND/OR ASSIST A PATIENT IN RECEIVING OUTSIDE ASSISTANCE, INCLUDING THE FOLLOWING:1. SIGNAGE IS POSTED AT REGISTRATION POINTS AROUND THE HOSPITAL REGARDING ASSISTANCE AVAILABLE TO PAY FOR SERVICES AS WELL AS OUR UNCOMPENSATED SERVICES PROGRAM, HANDOUTS ARE GIVEN TO THE PATIENTS AND THE PROGRAM IS OUTLINED ON THE BACK OF EVERY STATEMENT THAT IS SENT TO THE PATIENT.2. FINANCIAL COUNSELORS ARE ON SITE THAT ARE CONTACTED EVERY TIME A PATIENT WITHOUT INSURANCE COMES INTO THE EMERGENCY ROOM OR IS ADMITTED TO THE HOSPITAL. IN THE PAST 12 MONTHS THE FINANCIAL COUNSELORS HAVE ASSISTED OVER 600 PATIENTS IN QUALIFYING FOR COUNTY, STATE, FEDERAL, OR HOSPITAL ASSISTANCE PROGRAMS.3. TAKE PART AND ASSIST PATIENTS IN QUALIFYING FOR THE COUNTY INDIGENT HOSPITATLIZATION PROGRAM WHICH IS RUN DIRECTLY THROUGH THE HOSPITAL AND PLACES VIRTUALLY NO BURDEN OF ANY TYPE ON THE PATIENT IN ORDER TO BE QUALIFIED.4. ALL MANAGERS THAT DEAL WITH THE PUBLIC ARE DIRECTLY INFORMED OF OUR UNCOMPENSATED SERVICE PROGRAMS AND VERBALLY ASSIST PATIENTS WITH SUGGESTIONS AS WELL AS OUR CASHIERS HAVING ACCESS TO THE SAME INFORMATION AND TRAINING.5. OFFER ASSISTANCE TO NEWBORN MOTHERS WITHOUT INSURANCE IN THE FORM OF ASSISTANCE IN APPLYING FOR MEDICAID AND PROVIDING MINIMAL PAYMENT OPTIONS.
PART VI, LINE 4:CRITTENTON HOSPITAL MEDICAL CENTER IS A 290 BED ACUTE CARE HEALTH FACILITY SERVING COMMUNITIES IN OAKLAND, MACOMB AND LAPEER COUNTIES. THE ENTIRE SERVICE AREA ENCOMPASSES 35 ZIP CODES IN THREE REGIONS AND IS FURTHER SUBDIVIDED INTO THREE SECTORS: OUR CORE SECTOR WHICH ENCOMPASSES THE THREE ROCHESTER ZIP CODES, AND THE PRIMARY AND SECONDARY SECTORS. THE DEMOGRAPHIC SKEW FOR THE AREA IS SLIGHTLY OLDER THAN THE NORM WITH HIGHER HOUSEHOLD INCOMES.
PART VI, LINE 5:CRITTENTON HOSPITAL MEDICAL CENTER DOES NOT WANT TO FORGET THE IMPORTANT ROLE THE COMMUNITY PLAYS IN ITS SUCCESS. THE HOSPITAL IS ESPECIALLY GRATEFUL THAT THEY ARE ABLE TO GIVE BACK TO THE COMMUNITY THROUGH ESSENTIAL HEALTHCARE SERVICES AND EDUCATION TO CATER TO THE UNMET NEEDS OF SO MANY IN ITS COMMUNITY. OFFERING ADVANCED CARE AND SERVICES IS ONE OF THE MANY WAYS CRITTENTON SERVES ITS COMMUNITY. CRITTENTON HAS PARTNERED WITH PREMIER ORGANIZATIONS TO FULFILL ITS MISSION OF ENHANCING THE HEALTH STATUS OF THE COMMUNITY, I.E. UNIVERSITY OF MICHIGAN, WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE AND OAKLAND UNIVERSITY SCHOOL OF NURSING ARE JUST A FEW.
PART VI, LINE 6:CRITTENTON HOSPITAL MEDICAL CENTER IS DEDICATED TO PROVIDING CARE TO ALL RESIDENTS OF THE COMMUNITY, REGARDLESS OF THEIR FINANCIAL STATUS. THROUGH UNCOMPENSATED CARE, GOVERNMENT SPONSORED HEALTH CARE, COMMUNITY HEALTH SERVICES AND DONATIONS THE HOSPITAL IS ABLE TO REACH OUT TO THE COMMUNITY. THE FOUNDATION IS THE FUNDRAISING ARM OF THE ORGANIZATION. THEY HAVE HOSTED EVENTS SUCH AS THE GOLF, TENNIS AND FUN WALK BENEFIT AND THE GOURMET GALA BENEFIT WHICH HAS RAISED MONEY FOR A VARIETY OF ENHANCEMENTS TO THE HOSPITAL. THE CRITTENTON VOLUNTEER AUXILLARY IS AN INTEGRAL PART OF THE HOSPITAL'S SUCCESS. THE GROUP CONTRIBUTES A GREAT DEAL OF TIME AND SERVICE TO FURTHER THE GOAL OF PROVIDING CLINICAL EXCELLENCE IN A COMFORTABLE, WELCOMING ENVIRONMENT. SOME OF THE SERVICES THAT THEY PROVIDE INCLUDE CLERICAL ASSISTANCE, ESCORTING PATIENTS AROUND THE FACILITY, AND GREETING FAMILIES AND VISITORS. THE CRITTENTON WELLNESS CENTER AND THE OLDER PERSONS COMMISSION HAVE COMBINED HEALTH, WELLNESS, EDUCATION AND ACTIVITIES ALL WITH THE OLDER PERSON IN MIND. MEMBERSHIP IS FREE TO RESIDENTS OF ROCHESTER, ROCHESTER HILLS, AND OAKLAND TOWNSHIP WHO ARE OLDER THAN AGE FIFTY. CRITTENTON CANCER CENTER PROVIDES COMMUNITY MEMBERS WITH A NEW LOCAL RESOURCE OF EXCEPTIONAL CANCER CARE. THE SERVICES INCLUDED AT THE CANCER CENTER ARE CHEMOTHERAPY AND INFUSION, IMAGING AND RADIATION THERAPY.
PART VI, LINE 7, REPORTS FILED WITH STATESMI

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CRITTENTON HOSPITAL MEDICAL CENTER FOUNDATIONBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 W UNIVERSITYAddressLine1
CityROCHESTERCity
StateMIState
ZIP Code48307ZIPCode
FieldValueIRS element (for citing)
Recipient EIN382627336RecipientEIN
IRC Section501(C)3IRCSectionDesc
Cash Grant$70,880CashGrantAmt
Purpose Of GrantTO PROVIDE FINANCIAL SUPPORT AND FURTHER CHARITABLE ENDEAVORS.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROY POWELL
PRESIDENT AND CHIEF EXECUTIVE OFFICE$194,407$0$6,000$0$714$0$15,000$0$7,921$0$224,042$0$0$0
FRANK SOTTILE MD
INTERIM CHIEF EXECUTIVE OFFICER$382,043$0$26,316$0$3,684$0$22,000$0$20,945$0$454,988$0$0$0
GREGORY PARTAMIAN
CHIEF OPERATING OFFICER$155,273$0$17,519$0$77,973$0$23,000$0$14,500$0$288,265$0$0$0
MICHELLE HORNBERGER
CHIEF STRATEGY OFFICER$135,832$0$15,000$0$271$0$15,000$0$20,945$0$187,048$0$0$0
DONNA KOPINSKI
CHIEF FINANCIAL OFFICER$194,368$0$20,000$0$350$0$23,000$0$18,455$0$256,173$0$0$0
KEVIN FLOREK DO
MEDICAL DIRECTOR OCCUPATIONAL MEDICI$270,692$0$0$0$3,576$0$22,100$0$17,163$0$313,531$0$0$0
SAMAR KAZZIHA MD
EXECUTIVE MEDICAL DIRECTOR$447,983$0$0$0$1,880$0$0$0$23,535$0$473,398$0$0$0
DOUGLAS PUGMIRE DO
MEDICAL DIRECTOR ROBOTICS/GYN ONCOLO$672,626$0$0$0$0$0$0$0$23,535$0$696,161$0$0$0
MICHAEL CLARK
GENERAL COUNSIL$147,685$0$0$0$1,860$0$22,516$0$20,945$0$193,006$0$0$0
ROBERT LACOSTE MD
PHYSICIAN$251,808$0$0$0$1,470$0$0$0$23,535$0$276,813$0$0$0
LYNN ORFGEN
CHIEF EXECUTIVE OFFICER$0$0$115,000$0$522,670$0$15,600$0$8,581$0$661,851$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4AFormAndLineReferenceDesc
ExplanationLYNN ORFGEN RECEIVED A SEVERANCE PAYMENT OF $519,314 AND GREG PATAMIAIN RECEIVED A SEVERANCE PAYMENT OF $77,376 IN 2013. THERE IS A SEVERANCE AGREEMENT SIGNED BY BOTH THE EMPLOYER AND EACH EMPLOYEE DETAILING THE TERMS.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MICHIGAN FINANCE AUTHORITY
A38288941759447PSU62012-11-14$113,598,798COSTS OF TOWER PROJECT AND REFUND CERTAIN EXISTING INDEBTEDNESS OF CORP000
MICHIGAN FINANCE AUTHORITY
B3828894172012-12-01$45,000,000COSTS OF TOWER PROJECT000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$113,598,912$7,100,622$92,742,139$1,760,849$11,955,3022012Yes (1)0Yes (1)Yes (1)
B$45,000,000$326,050$44,673,950201300Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.00000000
B00000.000000.000000.00000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)Yes (1)000000
B0Yes (1)00Yes (1)0000

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE RETURN IS GIVEN TO THE BOARD OF DIRECTORS VIA E-MAIL FOR REVIEW BEFORE FILING. AFTER THE REVIEW, THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CTHE HOSPITAL POLICY STATES THAT ALL EMPLOYEES HAVE A CONTINUOUS OBLIGATION TO DISCLOSE CONFLICTS OF INTEREST, AN ACTUAL IMPROPRIETY, AND/OR AN APPEARANCE OF IMPROPRIETY. EMPLOYEES AT THE MANAGER LEVEL AND ABOVE EACH SIGN A STATEMENT ON AN ANNUAL BASIS ACKNOWLEDGING THEIR UNDERSTANDING OF THE POLICY AND VERIFYING THEIR APPROPRIATE DISCLOSURE OF ANY CONFLICTS. ALL REPORTED CONFLICTS SHALL BE REVIEWED BY THE CEO IN CONJUCTION WITH THE COMPLIANCE OFFICER AND DEPARTMENT OF LEGAL AFFAIRS. IF IT IS DETERMINED THAT A CONFLICT EXISTS THE EMPLOYEEE SHALL DISCONTINUE ALL ACTIVITIES SURROUNDING THAT CONFLICT. THE EMPLOYEE MAY ALSO SEEK A WAIVER OF THE CONFLICT FROM THE CEO. CHMC ALSO HAS A QUESTIONNAIRE FOR INDIVIDUALS AND THEIR IMMEDIATE FAMILY MEMBERS, INCLUDING BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES REGARDING CONFICTS OF INTEREST AND THIS MUST BE SIGNED BY THE INDIVIDUALS. THE QUESTIONNAIRE INCLUDES THE FOLLOWING: 1. IDENTIFY YOUR SERVICE ON ANY BOARD OF DIRECTORS OR TRUSTEES OF ANY OF THE COMPANY'S WITH WHICH CHMC OR ANY OF ITS' AFFILIATES DOES BUSINESS. 2. IDENTIFY WHETHER YOU ARE ASSOCIATED DIRECTLY OR INDIRECTLY OR HOLD A POSITION OR FINANCIAL INTEREST IN ANY OUTSIDE ORGANIZATION OR CONCERN WITH WHICH CRITTENTON DOES BUSINESS. 3. IDENTIFY WHETHER YOU DIRECT, MANAGE,OR PROVIDE SERVICES OR CONSULTATION TO ANY OUTSIDE ORGANIZATION OR CONCERN THAT DOES BUSINESS WITH OR COMPETES WITH CRITTENTON. 4. IDENTIFY ANY ACTIVITIES IN WHICH YOU ARE ENGAGED THAT MIGHT BE REGARDED AS CONSTITUTING A POTENTIAL CONFLICT OF INTEREST WITH CRITTENTON. 5. DISCLOSE ANY DIRECT OR INDIRECT COMPENSATION THAT YOU RECEIVE, OR ANTICIPATE RECEIVING, FROM ANY PERSON, FIRM, CORPORATION, OR MARKET IN ANY WAY RELATED TO YOUR POSITION WITH CRITTENTON. IF AT ANY TIME THERE IS A MATTER UNDER CONSIDERATION WHICH MAY CREATE A DIRECT OR INDIRECT CONFLICT OF INTEREST, IT IS THE INDIVIDUAL'S OBLIGATION TO DISCLOSE THE FACTS SURROUNDING THE POSSIBLE CONFLICT TO THE CORPORATE COMPLIANCE OFFICER OR DEPARTMENT OF HUMAN RESOURCES AND THAT THE INDIVIDUAL AGREES TO PROMPTLY REPORT ANY NEW SITUATIONS THAT REQUIRE DISCLOSURE UNDER THIS QUESTIONNAIRE. THERE IS A SIGNED WRITTEN AGREEMENT/DOCUMENTATION FOR ANY BOARD MEMBER OR OFFICER IF A CONFLICT OF INTEREST ARISES. CURRENTLY THERE HAVE NOT BEEN ANY RESTRICTIONS PLACED ON ANY BOARD MEMBER OR OFFICER AS AN ISSUE HAS NOT ARISEN TO WARRANT THIS.
FORM 990, PART VI, SECTION B, LINE 15ATHE AUDIT COMMITTEE REVIEWS THE PERFORMANCE AGAINST THE GOALS SET FOR THE CEO. IN ADDITION THE AUDIT COMMITTEE PERFORMS A REVIEW OF THE TOTAL SALARY AGAINST MARKET STATISTICS. FROM THAT REVIEW, A RECOMMENDATION IS MADE TO THE EXECUTIVE COMMITTEE OF THE BOARD AND THE BOARD FOR APPROVAL. THE DETERMINATION AND DECISION ARE DOCUMENTED IN THE EXECUTIVE COMMITTEE OF THE BOARD MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN 2012.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST OF THE INDIVIDUAL.
FORM 990, PART IX, LINE 11GCONTRACT SERVICES-PHYSICIANS, CLINICAL,CLERICAL: PROGRAM SERVICE EXPENSES 14,881,477. MANAGEMENT AND GENERAL EXPENSES 113,741. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,995,218. OP SURGICAL SERVICES: PROGRAM SERVICE EXPENSES 6,819,399. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,819,399. PURCHASED SERVICES-GENERAL: PROGRAM SERVICE EXPENSES 2,637,758. MANAGEMENT AND GENERAL EXPENSES 1,011,692. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,649,450. FOOD AND NUTRITION: PROGRAM SERVICE EXPENSES 2,497,248. MANAGEMENT AND GENERAL EXPENSES 67,913. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,565,161. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 2,547,499. MANAGEMENT AND GENERAL EXPENSES 1,160. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,548,659. PURCHASED SERVICES-MEDICAL: PROGRAM SERVICE EXPENSES 2,445,015. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,445,015. BIO-MED: PROGRAM SERVICE EXPENSES 1,926,382. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,926,382. LAUNDRY: PROGRAM SERVICE EXPENSES 1,543,012. MANAGEMENT AND GENERAL EXPENSES 160. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,543,172. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 999,442. MANAGEMENT AND GENERAL EXPENSES 276,922. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,276,364. REHAB SERVICES: PROGRAM SERVICE EXPENSES 1,066,466. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,066,466. RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 738,549. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 738,549. PHARMACY: PROGRAM SERVICE EXPENSES 544,300. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 544,300. GROUNDS MAINTENANCE: PROGRAM SERVICE EXPENSES 41,734. MANAGEMENT AND GENERAL EXPENSES 212,894. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 254,628.
FORM 990, PART XI, LINE 9:PENSION LIABILITY 12,768,384.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION DID NOT MAKE ANY SIGNIFICANT CHANGES IN THE PROCESS OF THE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
CRITTENTON HOSPITAL MEDICAL CENTER FOUNDATION
1101 W UNIVERSITY DRROCHESTERMI48307382627336SUPPORTINGMI501(C)(3)LINE 11A, ICRITTENTON HOSPITAL MEDICAL CENTERYes (1)
CRITTENTON CANCER CENTER
1101 W UNIVERSITY DRROCHESTERMI48309383239057CANCER TREATMENTMI501(C)(3)LINE 9CRITTENTON HOSPITAL MEDICAL CENTERYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
CRITTENTON MEDICAL EQUIPMENT
161 S LIVERNOIS RDROCHESTER HILLSMI48307383433794MEDICAL EQUIPMENT SALESMIN/A
HBC INFUSIONS
1101 W UNIVERSITYROCHESTERMI48307753123093INFUSION SERVICESMIN/A
BALD MOUNTAIN SURGICAL CENTER
1375 S LAPEER RD STE 3109LAKE ORIONMI48360030444972SURGICAL SERVICESMIN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
CRITTENTON DEVELOPMENT CORPORATION
2251 N SQUIRREL RD STE 310AUBURN HILLSMI48326382594115REAL ESTATEMICRITTENTON HOSPITAL MEDICAL CENTERC$15,456$15,656,1311.000000
CRITTENTON MEDICAL PHARMACY
1101 W UNIVERSITYROCHESTERMI48307203773341PHARMACY SALESMICRITTENTON DEVELOPMENT CORPORATIONC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CHMC FOUNDATION
B$70,880ACTUAL CASH TRANSFERRED
CHMC FOUNDATION
C$137,676ACTUAL CASH TRANSFERRED
CHMC FOUNDATION
L$115,006ACTUAL COST INCURRED
CHMC FOUNDATION
M$374,592ACTUAL COST INCURRED
CHMC FOUNDATION
Q$447,687ACTUAL COST INCURRED
CRITTENTON CANCER CENTER
J$153,000ACTUAL COST INCURRED
CRITTENTON CANCER CENTER
O$272,721ACTUAL COST INCURRED
CRITTENTON CANCER CENTER
P$45,147ACTUAL COST INCURRED