MERCY-MEMORIAL HOSPITAL CORPORATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MERCY-MEMORIAL HOSPITAL CORPORATION (EIN 38-1984289)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-03-28
- IRS object ID
- 201420879349300822
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-03-28T15:06:35-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381357951 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 307 | AddressLine1 |
| City | SOUTHFIELD | City |
| State | MI | State |
| ZIP Code | 480370307 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381984289 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MEMORIAL HOSPITAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MERC | NameControl |
| Phone | 7342404520 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 718 N MACOMB STREET | AddressLine1 |
| City | MONROE | City |
| State | MI | State |
| ZIP Code | 48162 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS W SCHILLING | Name |
| Title | CFO & SR VP OF FINANCE | Title |
| Phone | 7342404520 | Phone |
| Date Signed | 2014-03-24 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BETSY ARETZ | Name |
| PTIN | P00996282 | PTIN |
| Phone | 2483522500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | THOMAS W SCHILLING | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 718 N MACOMB STREET | AddressLine1 |
| City | MONROE | City |
| State | MI | State |
| ZIP Code | 48162 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 217940526 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MERCYMEMORIAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1971 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | AS AN INDEPENDENT HEALTH CARE SYSTEM, WE PROVIDE HIGH QUALITY, COMPREHENSIVE SERVICES TO THE PEOPLE AND COMMUNITIES WE SERVE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1907 | TotalNbrEmployees |
| Total Nbr Volunteers | 759 | TotalNbrVolunteers |
| Total Gross UBI | 5505758 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -300001 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1169957 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1026597 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 171880471 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 163883977 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3161149 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5998902 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -27991 | OtherRevenuePriorYear |
| Other Revenue Current Year | -60873 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 176183586 | TotalRevenuePriorYear |
| Total Revenue Current Year | 170848603 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 41300 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 11376 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 86927030 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 88723092 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 216405 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 81826404 | OtherExpensePriorYear |
| Other Expenses Current Year | 81427068 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 168794734 | TotalExpensesPriorYear |
| Total Expenses Current Year | 170161536 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 7388852 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 687067 | RevenuesLessExpensesCY |
| Total Assets BOY | 205039704 | TotalAssetsBOY |
| Total Assets EOY | 193187007 | TotalAssetsEOY |
| Total Liabilities BOY | 113555727 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 90563680 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 91483977 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 102623327 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | AS AN INDEPENDENT HEALTH CARE SYSTEM, WE PROVIDE HIGH QUALITY, COMPREHENSIVE SERVICES TO THE PEOPLE AND COMMUNITIES WE SERVE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 142518709 | Expense |
| Grants | 6626 | Grants |
| Revenue | 158366877 | Revenue |
| Description | HOSPITAL BASED HEALTHCARE SERVICES -A MULTITUDE OF HEALTH CARE SERVICES WERE PROVIDED BY THE HOSPITAL TO THE PEOPLE OF MONROE COUNTY AND SURROUNDING AREAS. THESE PROGRAM SERVICES INCLUDED VARIOUS ASPECTS OF INPATIENT, OUTPATIENT, AND EMERGENCY CARE. THIS CARE WAS PROVIDED IN A MANNER THAT RESPECTED THE VALUE, PRIVACY, AND DIGNITY OF INDIVIDUAL PATIENTS AND THEIR FAMILIES. FURTHER, CONTINUOUS EFFORTS WERE MADE TO IDENTIFY AND IMPLEMENT NEW AND BETTER WAYS TO MEET THE PHYSICAL, SPIRITUAL, EMOTIONAL, AND SOCIAL NEEDS OF PATIENTS. DURING THE YEAR THE HOSPITAL PROVIDED:[A] 38,861 DAYS OF ACUTE CARE FOR ADULT AND PEDIATRIC INPATIENTS,[B] 1,419 DAYS OF ACUTE CARE FOR NEWBORNS,[C] EMERGENCY CARE FOR 46,759 OUTPATIENTS, AND[D] 1,222,082 OUTPATIENT SERVICE REGISTRATIONS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 90847 | Expense |
| Grants | 3000 | Grants |
| Revenue | 117298 | Revenue |
| Description | HOSPITAL GUILD - 100 MEMBERS RENDERED SERVICES TO THE HOSPITAL AND ITS PATIENTS BY OPERATING A GIFT SHOP, KNITTING CAPS FOR NEWBORNS, MAKING CRADLE PICTURES AVAILABLE, ASSISTING IN THE INTERNAL TRANSPORTATION OF PATIENTS AND ASSISTING IN OTHER PATIENT RELATED ACTIVITIES THROUGHOUT THE HOSPITAL. THE GIFT SHOP AND CRADLE PICTURES ARE PRIMARILY FOR THE CONVENIENCE OF EMPLOYEES, PATIENTS AND VISITORS. THE GUILD ALSO OFFERS SOME NURSING SCHOLARSHIPS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 38114 | Expense |
| Grants | 1750 | Grants |
| Description | HOSPITAL MEDICAL STAFF - 341 MEMBERS [A] DIRECTED AND REVIEWED HOSPITAL BASED HEALTHCARE SERVICES AND [B] PARTICIPATED IN PERIODIC MEETINGS CONCERNING THE DELIVERY OF HEALTHCARE SERVICES, INCLUDING MEDICAL EDUCATION. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 142647670 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 1 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 1 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 1 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 305 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 1 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1907 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | THOMAS W SCHILLING | NamePerson |
| Telephone Number | 7342404520 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 718 N MACOMB STREET | AddressLine1 |
| City | MONROE | City |
| State | MI | State |
| ZIP Code | 48162 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| BHURGRI MD AAMER | |||||||||
| CHIEF OF STAFF - EX OFFICIO | 4.00 | 2.00 | X | 87870 | 9333 | 0 | |||
| BRAUNLICH PAUL E | |||||||||
| TRUSTEE (PARTIAL YEAR) | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| CALENDAR KAREN | |||||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| CARTER KURT W | |||||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| CHARBONEAU DO MICHAEL | |||||||||
| TRUSTEE, SURGEON | 40.00 | 1.00 | X | 586356 | 0 | 17172 | |||
| COMPEAN MD JOSE R | |||||||||
| TRUSTEE | 1.00 | 1.00 | X | 31292 | 0 | 0 | |||
| DARROW KURT L | |||||||||
| VICE CHAIR | 1.00 | 1.00 | X | 0 | 0 | 0 | X | ||
| FRANZEN VICKI L | |||||||||
| SECRETARY | 1.00 | 1.00 | X | 0 | 0 | 0 | X | ||
| KABIR MD ABDUL | |||||||||
| TRUSTEE | 1.30 | 1.00 | X | 31049 | 0 | 0 | X | ||
| KUBISKE DAVID | |||||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| KULISH BARTON | |||||||||
| TREASURER | 1.00 | 1.00 | X | 0 | 0 | 0 | X | ||
| MCNAMEE MD KENNETH J | |||||||||
| TRUSTEE | 1.00 | 1.00 | X | 19508 | 0 | 0 | |||
| PHILLIPS ANNETTE S | |||||||||
| PRESIDENT & CEO - EX OFFICIO | 40.00 | 1.00 | X | 444279 | 0 | 30327 | X | ||
| ROBBINS BASIL D | |||||||||
| TREASURER (PARTIAL YEAR) | 1.00 | 1.00 | X | 0 | 0 | 0 | X | ||
| RYAN SISTER JANET | |||||||||
| TRUSTEE (CHAIR PERSON -PARTIAL YEAR) | 1.00 | 1.00 | X | 0 | 0 | 0 | X | ||
| SPENCER EDD DONALD A | |||||||||
| CHAIR PERSON (VICE CHAIR-PARTIAL YR) | 1.00 | 1.00 | X | 0 | 0 | 0 | X | ||
| WALSH ARLENE R | |||||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| WETZEL SUZANNE | |||||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| WILBURN WALTER | |||||||||
| TRUSTEE | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| ZWACK MATTHEW | |||||||||
| TRUSTEE (PARTIAL YEAR) | 1.00 | 1.00 | X | 0 | 0 | 0 | |||
| SCHILLING THOMAS W | |||||||||
| CFO SENIOR VP FINANCE | 40.00 | 1.00 | 296196 | 0 | 30202 | X | |||
| UBRANSKI PAM | |||||||||
| CNO | 40.00 | 0.00 | 209583 | 0 | 11141 | X | |||
| PROCHNOW TODD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | 505712 | 0 | 29394 | X | |||
| SOROSIAK MICHAEL J | |||||||||
| CRNA | 40.00 | 0.00 | 224720 | 0 | 22051 | X | |||
| OLENCHAK DANIEL | |||||||||
| PHYSICIAN | 40.00 | 0.00 | 431284 | 0 | 28949 | X | |||
| KIBBLE JOHN | |||||||||
| VP BUSINESS DEVELOPMENT | 40.00 | 0.00 | 214483 | 0 | 9755 | X | |||
| SHERRARD MARK | |||||||||
| CMO | 40.00 | 0.00 | 269574 | 0 | 22058 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3351906 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 9333 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 201049 | TotalOtherCompensation |
| Number Individuals GT100 K | 62 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ALLSCRIPTS | |||||
| 3 RAVINA DRIVE | ATLANTA | GA | 30346 | SOFTWARE SERVICES | 2621015 |
| GE HEALTHCARE | |||||
| 101 CARNEGIE CENTER | PRINCETON | NJ | 08540 | EQUIPMENT SERVICES | 1462267 |
| MICHIGAN CO-TENANCY LABS | |||||
| DEPT CH 14271 | PALATINE | IL | 60055 | LABORATORY SERVICES | 1136074 |
| MCKESSON INFORMATION SERVICES | |||||
| 5995 WINDWARD PARKWAY | ALPHARETTA | GA | 30005 | SOFTWARE SERVICES | 773002 |
| AUCH GEORGE W CO | |||||
| 735 S PADDOCK | PONTIAC | MI | 48341 | CONSTRUCTION MGT. | 700777 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 55 | NumberOfContractorsGT100K |
| Membership Dues | 23450 | MembershipDues |
| Fundraising Events | 109116 | FundraisingEvents |
| Government Grants | 7476 | GovernmentGrants |
| All Other Contributions | 886555 | AllOtherContributions |
| Noncash Contributions | 81981 | NoncashContributions |
| Total Contributions | 1026597 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| HOSPITAL BASED HEALTHCARE SERVICE | 621990 | 158260921 | 158260921 | |
| NON-PATIENT PHARMACY | 446110 | 3801863 | 3801863 | |
| NON-PATIENT REF. LAB | 621500 | 1325433 | 1325433 | |
| DME | 446110 | 378462 | 378462 | |
| HOSPITAL GUILD | 621990 | 117298 | 117298 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 163883977 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1392588 | TotalRevenueColumn |
| Exclusion | $1,392,588 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1024211 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1169168 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -144957 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -144957 | TotalRevenueColumn |
| Exclusion | -$144,957 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 50141853 | Securities |
| Other | 19285 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 45554824 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4587029 | Securities |
| Other | 19285 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4606314 | TotalRevenueColumn |
| Exclusion | $4,606,314 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 157049 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 109116 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 180129 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -23080 | TotalRevenueColumn |
| Exclusion | -$23,080 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 47716 | GrossIncomeGaming |
| Gaming Direct Expenses | 46508 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1208 | TotalRevenueColumn |
| Exclusion | $1,208 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 247250 | GrossSalesOfInventory |
| Cost Of Goods Sold | 141294 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 105956 | TotalRevenueColumn |
| Related Or Exempt Function Income | 105956 | RelatedOrExemptFunctionIncome |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 170848603 | TotalRevenueColumn |
| Related Or Exempt Function Income | 158484175 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 5505758 | UnrelatedBusinessRevenue |
| Exclusion | $5,832,073 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7576 | Total |
| Program Services | 7576 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3800 | Total |
| Program Services | 3800 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1784711 | Total |
| Program Services | 852239 | ProgramServices |
| Management And General | 932472 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67915893 | Total |
| Program Services | 57578922 | ProgramServices |
| Management And General | 10230124 | ManagementAndGeneral |
| Fundraising | 106847 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 616917 | Total |
| Program Services | 552993 | ProgramServices |
| Management And General | 62872 | ManagementAndGeneral |
| Fundraising | 1052 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13388358 | Total |
| Program Services | 11259484 | ProgramServices |
| Management And General | 2108225 | ManagementAndGeneral |
| Fundraising | 20649 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5017213 | Total |
| Program Services | 4210305 | ProgramServices |
| Management And General | 799203 | ManagementAndGeneral |
| Fundraising | 7705 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1256127 | Total |
| Management And General | 1256127 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 277933 | Total |
| Management And General | 277933 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 235610 | Total |
| Management And General | 235610 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20560 | Total |
| Management And General | 20560 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 373824 | Total |
| Management And General | 373824 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16404650 | Total |
| Program Services | 11952409 | ProgramServices |
| Management And General | 4444776 | ManagementAndGeneral |
| Fundraising | 7465 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 269184 | Total |
| Program Services | 4691 | ProgramServices |
| Management And General | 262041 | ManagementAndGeneral |
| Fundraising | 2452 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1677778 | Total |
| Program Services | 954041 | ProgramServices |
| Management And General | 722602 | ManagementAndGeneral |
| Fundraising | 1135 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3938621 | Total |
| Program Services | 17287 | ProgramServices |
| Management And General | 3921334 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3233325 | Total |
| Program Services | 2981963 | ProgramServices |
| Management And General | 251362 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 240098 | Total |
| Program Services | 239791 | ProgramServices |
| Management And General | 307 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 451974 | Total |
| Program Services | 170471 | ProgramServices |
| Management And General | 281503 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2570545 | Total |
| Program Services | 2570545 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10361126 | Total |
| Program Services | 9559629 | ProgramServices |
| Management And General | 800506 | ManagementAndGeneral |
| Fundraising | 991 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1063085 | Total |
| Program Services | 747005 | ProgramServices |
| Management And General | 316080 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| HOSPITAL SUPPLIES | 25365393 | 25365393 |
| PROVISION FOR BAD DEBTS | 7930041 | 7930041 |
| QUALITY ASSURANCE ASSES | 4706409 | 4706409 |
| DIETARY SUPPLIES | 982676 | 982676 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68109 | Total |
| Fundraising | 68109 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170161536 | Total |
| Program Services | 142647670 | ProgramServices |
| Management And General | 27297461 | ManagementAndGeneral |
| Fundraising | 216405 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 118553 | BOY |
| EOY | 192721 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16822030 | BOY |
| EOY | 9798063 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35109790 | BOY |
| EOY | 22898993 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 28684 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2598929 | BOY |
| EOY | 2588472 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2071720 | BOY |
| EOY | 2297646 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 199227046 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 118600122 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82266450 | BOY |
| EOY | 80626924 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62924175 | BOY |
| EOY | 71881207 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 320601 | BOY |
| EOY | 428576 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 132458 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2807456 | BOY |
| EOY | 2313263 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 205039704 | BOY |
| EOY | 193187007 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63907268 | BOY |
| EOY | 42542630 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43813402 | BOY |
| EOY | 42886500 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5835057 | BOY |
| EOY | 5134550 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 113555727 | BOY |
| EOY | 90563680 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88054229 | BOY |
| EOY | 99097292 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3374057 | BOY |
| EOY | 3470122 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55691 | BOY |
| EOY | 55913 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 91483977 | BOY |
| EOY | 102623327 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 205039704 | BOY |
| EOY | 193187007 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 687067 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -310913 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 10763196 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $20,560 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 20560 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | THE ORGANIZATION PAID DUES TO ORGANIZATIONS WHICH PERFORMED LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3429748 | BeginningOfYearBalance |
| Contributions | 1122390 | Contributions |
| Investment Earnings Or Losses | 93639 | InvestmentEarningsOrLosses |
| Other Expenditures | 1119743 | OtherExpenditures |
| End Of Year Balance | 3526034 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3254087 | BeginningOfYearBalance |
| Contributions | 1265452 | Contributions |
| Investment Earnings Or Losses | 96131 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 2500 | GrantsOrScholarships |
| Other Expenditures | 1183422 | OtherExpenditures |
| End Of Year Balance | 3429748 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3106926 | BeginningOfYearBalance |
| Contributions | 1263779 | Contributions |
| Investment Earnings Or Losses | 87576 | InvestmentEarningsOrLosses |
| Other Expenditures | 1204194 | OtherExpenditures |
| End Of Year Balance | 3254087 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4973922 | BeginningOfYearBalance |
| Contributions | 1132367 | Contributions |
| Investment Earnings Or Losses | 168896 | InvestmentEarningsOrLosses |
| Other Expenditures | 3168259 | OtherExpenditures |
| End Of Year Balance | 3106926 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5308021 | BeginningOfYearBalance |
| Contributions | 1121436 | Contributions |
| Investment Earnings Or Losses | -178473 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 3000 | GrantsOrScholarships |
| Other Expenditures | 1274062 | OtherExpenditures |
| End Of Year Balance | 4973922 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.98000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.02000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15360578 | OtherCostOrOtherBasis |
| Book Value | 15360578 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 64104999 | OtherCostOrOtherBasis |
| Depreciation | 38810828 | Depreciation |
| Book Value | 25294171 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 116617997 | OtherCostOrOtherBasis |
| Depreciation | 79789294 | Depreciation |
| Book Value | 36828703 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3143472 | OtherCostOrOtherBasis |
| Book Value | 3143472 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 80626924 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | TRUE ENDOWMENT FUNDS ARE INTENDED TO BE USED FOR NURSING SCHOLARSHIPS. QUASI-ENDOWMENT FUNDS HAVE BEEN DESIGNATED FOR VARIOUS USES TO FURTHER THE HOSPITAL'S MISSION TO PROVIDE QUALITY, COMPREHENSIVE HEALTH CARE SERVICES. SOME OF THESE DESIGNATIONS INCLUDE HOSPICE, CHAPLAINCY, CANCER TREATMENT ASSISTANCE, CAPITAL IMPROVEMENTS, AND PHARMACY ASSISTANCE. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY IF THE CORPORATION HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2013, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)
| RegionRegion | Number Of OfficesNumberOfOffices | Number Of EmployeesNumberOfEmployees | Type Of Activities ConductedTypeOfActivitiesConducted | Specific Services ProvidedSpecificServicesProvided | Total ExpendituresTotalExpenditures |
|---|---|---|---|---|---|
| CENTRAL AMERICA AND THE CARIBBEAN | 0 | 0 | PROGRAM SERVICE | PAYMENTS TO FOREIGN INSURANCE COMPANY THAT PROVIDES INSURANCE TO THE HOSPITAL | 2812629 |
| CENTRAL AMERICA AND THE CARIBBEAN | 0 | 0 | INVESTMENT | 6372479 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 9185108 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 9185108 | TotalAmountSpent |
| Transfer To Foreign Corp | 1 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 1 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | FANTASY OF TREES 2012 | NameOfEvent1 |
| Gross Receipts Event1 | 195565 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 53636 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 141929 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 100042 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 5355 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 23343 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 1223 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 13757 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF OUTING 2013 | NameOfEvent2 |
| Gross Receipts Event2 | 44645 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 30825 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 13820 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 4687 | NonCashPrizesEvent2 |
| Food And Beverage Event2 | 16625 | FoodAndBeverageEvent2 |
| Other Direct Expenses Event2 | 858 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 2 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 25954 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 24654 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 1300 | GrossRevenueOtherEvents |
| Non Cash Prizes Other Events | 1682 | NonCashPrizesOtherEvents |
| Food And Beverage Other Events | 53 | FoodAndBeverageOtherEvents |
| Entertainment Other Events | 3600 | EntertainmentOtherEvents |
| Other Direct Expenses Other Events | 8905 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 266164 | GrossReceiptsTotal |
| Charitable Contributions Total | 109115 | CharitableContributionsTotal |
| Gross Revenue Total Events | 157049 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 106411 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 5355 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 40021 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 4823 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 23520 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 180130 | DirectExpenseSummaryEvents |
| Net Income Summary | -23081 | NetIncomeSummary |
Gaming Information GamingInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | 47716 | GrossRevenueOtherGaming |
| Cash Prizes Other Gaming | 4500 | CashPrizesOtherGaming |
| Non Cash Prizes Other Gaming | 40740 | NonCashPrizesOtherGaming |
| Other Direct Expenses Other Gaming | 1268 | OtherDirectExpensesOtherGaming |
| Volunteer Labor Other Gaming | 1 | VolunteerLaborOtherGaming |
| Volunteer Labor Prcnt Other Gaming | 1.00000 | VolunteerLaborPrcntOtherGaming |
| Gross Revenue Total Gaming | 47716 | GrossRevenueTotalGaming |
| Cash Prizes Total Gaming | 4500 | CashPrizesTotalGaming |
| Non Cash Prizes Total Gaming | 40740 | NonCashPrizesTotalGaming |
| Other Direct Expenses Total Gaming | 1268 | OtherDirectExpensesTotalGaming |
| Direct Expense Summary Gaming | 46508 | DirectExpenseSummaryGaming |
| Net Gaming Income Summary | 1208 | NetGamingIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | MI | StatesWhereGamingConducted |
| Licensed | 1 | Licensed |
| License Suspended Etc | 0 | LicenseSuspendedEtc |
| Gaming With Nonmembers | 1 | GamingWithNonmembers |
| Member Of Other Entity | 0 | MemberOfOtherEntity |
| Percentage Of Gaming Own Facility | 0.10000 | PercentageOfGamingOwnFacility |
| Percentage Of Gaming Othr Facility | 0.90000 | PercentageOfGamingOthrFacility |
| Name Of Gaming Rec Keeper Person | MOLLY MOORE | NameOfGamingRecKeeperPerson |
Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 718 N MACOMB STREET | AddressLine1 |
| City | MONROE | City |
| State | MI | State |
| ZIP Code | 48162 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contract With3rd Party For Gam Rev | 0 | ContractWith3rdPartyForGamRev |
| Gaming Manager Name Person | MOLLY MOORE | GamingManagerNamePerson |
| Gaming Manager Services Provided | OVERSEES GAMING ACTIVITIES AND RECORDKEEPING | GamingManagerServicesProvided |
| Gaming Manager Is Employee | X | GamingManagerIsEmployee |
| Charitable Distrib Required | 0 | CharitableDistribRequired |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3681203 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3681203 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02270 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27671645 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19753579 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7918066 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04880 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 31352848 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19753579 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11599269 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07150 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1049824 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 100759 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 949065 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00590 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 845655 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 845655 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00520 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 281127 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3455 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 277672 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 21151 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 21151 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2197757 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 104214 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2093543 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01290 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 33550605 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19857793 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13692812 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08440 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 28142 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 28142 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1030 | PersonsServed |
| Total Community Building Expense | 3792 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3792 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 200 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 200 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 23999 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 23999 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1000 | PersonsServed |
| Total Community Building Expense | 10647 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 10647 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 108 | PersonsServed |
| Total Community Building Expense | 23174 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 23174 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2138 | PersonsServed |
| Total Community Building Expense | 89954 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 89954 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $7,930,041 | BadDebtExpenseAmount |
| Amount Attributable To | 793004 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 40493203 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 51407716 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -10914513 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MEMORIAL HOSPITAL CORPORATION | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 718 N MACOMB STREET | AddressLine1 |
| City | MONROE | City |
| State | MI | State |
| ZIP Code | 48162 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MEMORIAL HOSPITAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 0 | UsesFPGDiscounted |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 35 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (35 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| MMH REHAB | ||||
| 700 STEWART ROAD | MONROE | MI | 48162 | REHAB SERVICES |
| DIAGNOSTIC CENTER | ||||
| 901 N MACOMB STREET | MONROE | MI | 48162 | DIAGNOSTIC, CARDIOPULMONARY, LAB |
| MERCY MEMORIAL HOSPICE | ||||
| 1070 N MONROE STREET | MONROE | MI | 48162 | HOSPICE SERVICES |
| HOME CARE CONNECTION | ||||
| 1070 N MONROE STREET STE A | MONROE | MI | 48162 | HOME CARE SERVICES |
| WESTSIDE MEDICAL | ||||
| 100 POWELL | DUNDEE | MI | 48131 | DIAGNOSTIC THERAPY, LAB |
| PHLEBOTOMY-DELISLE CENTER | ||||
| 1056 N MONROE STREET | MONROE | MI | 48162 | OUTREACH LAB |
| BEHAVIORAL HEALTH | ||||
| 700 STEWART RD | MONROE | MI | 48162 | BEHAVIORAL HEALTH |
| MMH OUTPATIENT SURGERY CENTER | ||||
| 750 STEWART ROAD | MONROE | MI | 48162 | AMBULATORY SURGERY CENTER |
| HOME RESPIRATORY DME | ||||
| 1070 N MONROE STREET STE C | MONROE | MI | 48162 | HOME RESPIRATORY DME |
| PHLEBOTOMYXRAY-DRKABIR | ||||
| 219 W FRONT STREET | MONROE | MI | 48162 | OUTREACH LAB |
| NEWPORT MEDICAL | ||||
| 7825 NORTH DIXIE | NEWPORT | MI | 48166 | PATIENT ACCOUNTING, LAB |
| PHLEBOTOMY-DR STEWART | ||||
| 811 N MONROE STREET | MONROE | MI | 48162 | OUTREACH LAB |
| DR MICHAEL CHARBONEAU | ||||
| 730 N MACOMB STREET | MONROE | MI | 48162 | DOCTOR OFFICE |
| SLEEP LAB MACOMB | ||||
| 717 N MACOMB STREET | MONROE | MI | 48162 | SLEEP LAB SERVICES |
| DR AHADI OFFICE COMPLEX | ||||
| 55 COLE ROAD | MONROE | MI | 48162 | OUTREACH LAB |
| PHLEBOTMY-KARPENKO | ||||
| 323 STEWART ROAD | MONROE | MI | 48162 | OUTREACH LAB |
| DR KURT ROECKER | ||||
| 14930 LAPLAISANCE ROAD SUITE 118 | MONROE | MI | 48162 | OUTREACH LAB |
| DR TODD PROCHNOW | ||||
| 730 N MACOMB STREET SUITE 419 | MONROE | MI | 48162 | DOCTOR OFFICE |
| PHLEBOTOMY-DR DONA | ||||
| 7505 GRAFTON ROAD SUITE 5 | MONROE | MI | 48162 | OUTREACH LAB |
| PHLEBOTOMY-DR QURESHI | ||||
| 5290 W BROOKSHIRE ROAD | MONROE | MI | 48161 | OUTREACH LAB |
| DR DANIEL OLENCHAK | ||||
| 730 N MACOMB STREET SUITE 419 | MONROE | MI | 48162 | DOCTOR OFFICE |
| DR MARVIN CRAIG | ||||
| 4220 LUNA PIER ROAD | LUNA PIER | MI | 48157 | DOCTOR OFFICE |
| DR BARNETT KANTZ | ||||
| 100 POWELL ROAD STE 2 | DUNDEE | MI | 48131 | DOCTOR OFFICE |
| MMH POB | ||||
| 730 N MACOMB STREET | MONROE | MI | 48162 | OUTPATIENT CLINIC |
| TEMPERANCE | ||||
| 1715 W DEAN ROAD | TEMPERANCE | MI | 48182 | SLEEP LAB, LAB SERVICES |
| OUTPATIENT THERAPY | ||||
| 214 ELM STREET | MONROE | MI | 48162 | OCCUPATIONAL THERAPY SERVICES |
| DR JAMES DOYLE | ||||
| 920 N MACOMB STREET | MONROE | MI | 48162 | DOCTOR OFFICE |
| DR RAVI DAHR | ||||
| 721 N MACOMB STREET STE 6 | MONROE | MI | 48162 | DOCTOR OFFICE |
| DR MICHELLE CHARTIER | ||||
| 7825 N DIXIE HWY | NEWPORT | MI | 48166 | DOCTOR OFFICE |
| DR BETTY RUMSCHLAG | ||||
| 7470 SECOR ROAD | LAMBERTVILLE | MI | 48144 | DOCTOR OFFICE |
| DR BETTY RUMSCHLAG | ||||
| 110 MAIN STREET | DUNDEE | MI | 48131 | DOCTOR OFFICE |
| CANCER CONNECTION | ||||
| 800 STEWART ROAD | MONROE | MI | 48162 | CANCER SUPPORT |
| DR KRISTA GUSTAD | ||||
| 730 N MACOMB STREET STE 329 | MONROE | MI | 48162 | DOCTOR OFFICE |
| FAMILY MEDICAL RESIDENCY CENTER | ||||
| 650 STEWARD ROAD | MONROE | MI | 48162 | DOCTOR OFFICE |
| MONROE CANCER CENTER | ||||
| 800 STEWART ROAD | MONROE | MI | 48162 | CANCER TREATMENT |
Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 7: A COST TO CHARGE RATIO, DERIVED FROM WORKSHEET 2, IS USED FOR LINES 7A AND 7B. ACTUAL COSTS FROM THE COST ACCOUNTING SYSTEM AND ACCOUNTING RECORDS ARE USED FOR LINES 7E THROUGH 7I. | ||
| PART I, LINE 7G: N/A - THE HOSPITAL DID NOT LIST ANY SUBSIDIZED HEALTH SERVICES. | ||
| PART I, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24B - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THIS SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $7,930,041. | ||
| PART II: PARTICIPATION IN TASK FORCES AND COMMITTEES ASSURES A MORE COORDINATED APPROACH TO SERVICES FOR AN AGING POPULATION. EMERGENCY PREPAREDNESS AND COORDINATION OF EFFORT AMONG AGENCIES PROVIDING HUMAN SERVICES. SPECIFIC AREAS OF IMPROVEMENT INCLUDE PRE-HOSPITAL AMBULANCE CARE, REFERRAL OF SENIORS TO SUPPORTIVE COMMUNITY SERVICES, SUICIDE PREVENTION, SUBSTANCE ABUSE, AND BREASTFEEDING FOR IMPROVED CHILD HEALTH. | ||
| PART III, LINE 4: PART III, LINE 2: THE PROVISION FOR BAD DEBTS IS BASED UP ON MANAGEMENT'S ASSESSMENT OF THE HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTABLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES. THE BAD DEBT AMOUNT REPORTED ON PART III LINE 2 IS BAD DEBT EXPENSE PER THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS AND PER FORM 990 PART IX. PART III, LINE 3: THE AMOUNT OF BAD DEBT ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS ESTIMATED AT 10 PERCENT OF BAD DEBT EXPENSE. | ||
| PART III, LINE 8: THE SHORTFALL SHOULD BE CONSIDERED AND INCLUDED IN THE COMMUNITY BENEFIT AS THE REIMBURSEMENT DID NOT MEET THE "COST" OF THE EXPENSE BASED ON REASONABLE COSTING METHODOLOGIES. THIS IS BASED ON THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT. | ||
| PART V, SECTION B, LINE 3: THE HOSPITAL CONSULTED WITH THE FOLLOWING INDIVIDUALS ON THE INDICATED AREAS: KIM COMERZAN, DIRECTOR MONROE COUNTY HEALTH DEPT AND DR. TATYANA IVANOVA, COMMUNITY HEALTH DIRECTOR MONROE COUNTY HEALTH DEPT., ON THE DEVELOPMENT OF COMMON CHNA SECONDARY DATA SET, CHN PRIORITIES, AND DESIGN OF FUTURE CHNA REPORTS. ED LARKINS, EXECUTIVE DIRECTOR FAMILY MEDICAL CENTER OF MICHIGAN FEDERALLY QUALIFIED CLINIC, AND DR. SUSAN HULSEMANN, DIRECTOR FAITHWORKS MEDICAL CLINIC FOR WORKING UNINSURED, ON THE NEEDS OF UNINSURED AND UNDERINSURED. ROB WHITNEY, COMMANDER MONROE COUNTY SALVATION ARMY, AND CONNIE CARROLL, EXECUTIVE DIRECTOR MONROE COUNTY UNITED WAY, ON NEEDS OF INDIGENT AND UNINSURED.ANDREA MULHEISEN, DIRECTOR NETWORK DEVELOPMENT AREA AGENCY ON AGING 1B, AND JEFF MCBEE, DIRECTOR MONROE COUNTY COMMISSION ON AGING, ON NEEDS OF ELDERLY. | MERCY MEMORIAL HOSPITAL CORPORATION | |
| PART V, SECTION B, LINE 5C: THE CHNA CAN BE FOUND AT THE HOSPITAL'S WEBSITE: HTTP://WWW.MERCYMEMORIAL.ORG/RESOURCE.ASHX?SN=CHNA | MERCY MEMORIAL HOSPITAL CORPORATION | |
| PART V, SECTION B, LINE 7: THE IMPLEMENTATION PLAN INCLUDES ONLY CHNA IDENTIFIED NEEDS NOT CURRENTLY BEING ADDRESSED BY THE HOSPITAL. THE FOLLOWING NEEDS ARE, THEREFORE, NOT INCLUDED IN THE IMPLEMENTATION PLAN: SMOKING CESSATION- THE HOSPITAL CONTINUES TO IDENTIFY AND COUNSEL INPATIENTS WHO SMOKE, CONTINUES TO OFFER CESSATION CLASSES TO THE COMMUNITY, CONTINUES TO MAINTAIN A SMOKE FREE CAMPUS, AND CONTINUES TO HIRE ONLY NON-SMOKERS. MENTAL HEALTH SERVICES AND SUBSTANCE ABUSE- THE HOSPITAL CONTINUES TO OPERATE THE ONLY LICENSED INPATIENT PSYCHIATRIC UNIT IN MONROE COUNTY, CONTINUES TO PROVIDE OUTPATIENT PSYCHIATRY AND COUNSELING SERVICES, AND CONTINUES TO RECRUIT A CHILD/ADOLESCENT PSYCHIATRIST.PREVENTION OF INJURIES- THE HOSPITAL CONTINUES TO PROVIDE AMBULANCE AND EMT COVERAGE OF COMMUNITY EVENTS, CONTINUES TO ACTIVELY PARTICIPATE IN INFANT AND CHILD SAFETY PROGRAMS OFFERED BY OTHER COMMUNITY AGENCIES, AND CONTINUES TO OFFER FIRST AID CLASSES TO THE COMMUNITY. | MERCY MEMORIAL HOSPITAL CORPORATION | |
| PART V, SECTION B, LINE 11: THE FINANCIAL ASSISTANCE POLICY IS FOR FREE CARE AND THE ONLY OTHER DISCOUNTED CARE AVAILABLE IS FOR ANY PATIENT PAYING WITHIN 30 DAYS RECEIVES A 20% DISCOUNT. | MERCY MEMORIAL HOSPITAL CORPORATION | |
| PART V, SECTION B, LINE 20D: FAP-ELIGIBLE INDIVIDUALS ARE NOT CHARGED AND DO NOT RECEIVE A BILL IF THEY QUALIFY UNDER THE HOSPITAL'S FAP. | MERCY MEMORIAL HOSPITAL CORPORATION | |
| PART VI, LINE 2: SECONDARY COMMUNITY HEALTH DATA ARE CONSIDERED IN THE ANNUAL REVIEW AND ADJUSTMENT OF THE HOSPITAL'S 3-YEAR STRATEGIC PLAN; HOSPITAL LEADERS SERVE ON COMMUNITY BOARDS, COMMITTEES AND TASK FORCES WHERE NEEDS MAY BE IDENTIFIED; THE HOSPITAL AND MONROE COUNTY HEALTH DEPARTMENT ARE COLLABORATING ON DEVELOPING A PRIMARY DATA ACQUISITION PROCESS DESIGNED TO ENGAGE COMMUNITY PARTNER ORGANIZATIONS, OBTAIN BROADER INPUT FROM COMMUNITY MEMBERS ON HEALTH NEEDS AND PRIORITIES, AND PROVIDE THE FOUNDATION FOR THE NEXT CHNA. | ||
| PART VI, LINE 3: WHEN IT IS DETERMINED THAT A PATIENT IS UNABLE TO PAY FOR SERVICES (EITHER BEFORE OR AFTER SERVICES ARE RENDERED) A FINANCIAL COUNSELOR WILL SPEAK TO THE PATIENT TO EXPLAIN FINANCIAL ASSISTANCE. THE FIRST OPTION OFFERED IS STATE MEDICAID. THE PATIENT IS ASSESSED FOR MEDICAID QUALIFICATION AND IF IT IS DETERMINED THE PATIENT DOES NOT QUALIFY, THEY ARE OFFERED CHARITY CARE ASSISTANCE. THE PATIENT IS GIVEN A CHARITY CARE APPLICATION AND REQUESTED TO COMPLETE AND RETURN TO THE FINANCIAL COUNSELOR WITH THE APPROPRIATE DOCUMENTATION. ONCE THE APPLICATION IS RETURNED TO THE FINANCIAL COUNSELOR, IT IS ASSEMBLED AND SENT TO THE PATIENT ACCOUNTING OFFICE FOR APPROVAL. DEPENDING ON THE AMOUNT, VARYING LEVELS OF APPROVAL ARE REQUIRED. | ||
| PART VI, LINE 4: WITHIN THE 549.4 SQUARE MILES OF MONROE COUNTY A MIXED URBAN AND RURAL ENVIRONMENT IS SUPPORTED BY A DIVERSE ECONOMY. URBAN AND INDUSTRIAL DEVELOPMENTS PREDOMINATE ALONG LAKE ERIE, WHILE APPROXIMATELY 1,100 WORKING FARMS OCCUPY THE WESTERN TOWNSHIPS. FROM THE 2010 CENSUS THERE WERE 152,021 PEOPLE IN THE COUNTY IN 58,888 HOUSEHOLDS. THE RACIAL MAKEUP OF THE COUNTY WAS 94.4% WHITE, 2.1% BLACK OR AFRICAN AMERICAN,0.3% NATIVE AMERICAN, 0.6% ASIAN, 0.8% FROM OTHER RACES, AND 1.8% FROM TWO OR MORE RACES. 96.3% SPOKE ENGLISH AT HOME. ABOUT 12.1% OF THE POPULATION WAS BELOW THE FEDERAL POVERTY LEVEL, AND 15,339 INDIVIDUALS UNDER 65 YEARS WERE UNINSURED. 12.8% OF THE POPULATION WAS OVER 65 YEARS. IN 2012 DECEMBER UNEMPLOYMENT WAS 7.6%. | ||
| PART VI, LINE 5: THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF; THE HOSPITAL'S BOARD OF TRUSTEES IS BROADLY REPRESENTATIVE OF THE COMMUNITY; HOSPITAL LEADERS SERVE ON COMMUNITY BOARDS, COMMITTEES AND TASKFORCES THAT ADDRESS HEALTH AND HUMAN SERVICES ISSUES. | ||
| PART VI, LINE 6: N/A - NOT AFFILIATED. | ||
| THE HOSPITAL IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT IN MICHIGAN OR ANY OTHER STATE. | PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAMILY MEDICAL CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 905 N MACOMB ST | AddressLine1 |
| City | MONROE | City |
| State | MI | State |
| ZIP Code | 48162 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 382308659 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Non Cash Assistance | 5826 | AmountOfNonCashAssistance |
| Purpose Of Grant | RENT FOR FEDERALLY QUALIFIED CLINIC | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: NURSING SCHOLARSHIPS ARE AWARDED BASED ON AN APPLICATION PROCESS. THE FUNDS ARE DISBURSED DIRECTLY TO THE EDUCATIONAL INSTITUTION. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARBONEAU DO MICHAEL | ||||||||||||||
| TRUSTEE, SURGEON | 585231 | 0 | 225 | 0 | 900 | 0 | 179 | 0 | 16993 | 0 | 603528 | 0 | 0 | 0 |
| PHILLIPS ANNETTE S | ||||||||||||||
| PRESIDENT & CEO - EX OFFICIO | 388637 | 0 | 50842 | 0 | 4800 | 0 | 13321 | 0 | 17006 | 0 | 474606 | 0 | 0 | 0 |
| SCHILLING THOMAS W | ||||||||||||||
| CFO SENIOR VP FINANCE | 263473 | 0 | 26723 | 0 | 6000 | 0 | 13207 | 0 | 16995 | 0 | 326398 | 0 | 0 | 0 |
| UBRANSKI PAM | ||||||||||||||
| CNO | 193750 | 0 | 15833 | 0 | 0 | 0 | 4170 | 0 | 6971 | 0 | 220724 | 0 | 0 | 0 |
| PROCHNOW TODD | ||||||||||||||
| PHYSICIAN | 493086 | 0 | 225 | 0 | 12401 | 0 | 0 | 0 | 29394 | 0 | 535106 | 0 | 0 | 0 |
| SOROSIAK MICHAEL J | ||||||||||||||
| CRNA | 224270 | 0 | 450 | 0 | 0 | 0 | 5065 | 0 | 16986 | 0 | 246771 | 0 | 0 | 0 |
| OLENCHAK DANIEL | ||||||||||||||
| PHYSICIAN | 418260 | 0 | 225 | 0 | 12799 | 0 | 57 | 0 | 28892 | 0 | 460233 | 0 | 0 | 0 |
| KIBBLE JOHN | ||||||||||||||
| VP BUSINESS DEVELOPMENT | 194083 | 0 | 15600 | 0 | 4800 | 0 | 9697 | 0 | 58 | 0 | 224238 | 0 | 0 | 0 |
| SHERRARD MARK | ||||||||||||||
| CMO | 239934 | 0 | 24840 | 0 | 4800 | 0 | 5066 | 0 | 16992 | 0 | 291632 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | THE HOSPITAL MAINTAINS A MEMBERSHIP WITH A COMMUNITY GOLF / COUNTRY CLUB. THE MEMBERSHIP IS INTENDED FOR THE GENERAL USE OF THE HOSPITAL, AND IS MAINTAINED UNDER THE NAME OF THE CHIEF EXECUTIVE OFFICER (AS A REPRESENTATIVE MUST BE NAMED IN THIS INSTANCE). USE OF THE MEMBERSHIP IS MADE AVAILABLE FOR BUSINESS PURPOSES ONLY, AND PERSONAL USE IS PROHIBITED. FACILITIES AT THE COUNTRY CLUB ARE USED FOR HOSPITAL FUNCTIONS, BUSINESS MEETINGS, VOLUNTEER RECOGNITION, AND FUNDRAISING. THIS BENEFIT IS NOT TREATED AS TAXABLE COMPENSATION. |
| PART I, LINE 4B | THE ORGANIZATION OFFERS SELECT MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES ANNUAL EMPLOYER-FUNDED CONTRIBUTIONS EQUAL TO A FIXED PERCENT OF BASE SALARY: 15% FOR CEO, 10% FOR SENIOR VICE PRESIDENTS AND 5% FOR VICE PRESIDENTS. BENEFITS ARE VESTED AFTER THREE YEARS OF SERVICE AND ARE PAID OUT IN A LUMP SUM BY MARCH 15 OF THE YEAR FOLLOWING THE YEAR IN WHICH THEY BECOME VESTED. THE FOLLOWING INDIVIDUALS REPORTED ON FORM 990, PART VII ARE PARTICIPANTS: ANNETTE PHILLIPS, THOMAS SCHILLING AND JOHN KIBBLE. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| COUNTY OF MONROE HOSPITAL FINANCE AUTHORITY | ||||||||
| A | 386004873 | 610648AR8 | 2006-06-15 | 50405076 | CONSTRUCTION PROJECT ADDING 58,995 SQ FT; RENOVATING 66,910 SQ FT | 0 | 0 | 0 |
| COUNTY OF MONROE HOSPITAL FINANCE AUTHORITY | ||||||||
| B | 386004873 | 2012-03-30 | 3170830 | CATH LAB RENOVATION AND EQUIPMENT | 0 | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|
| A | 52639779 | 3812411 | 709013 | 36382719 | 2009 | 1 | 0 | 1 | 1 |
| B | 3170830 | 30000 | 3140830 | 2012 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 1 | 1 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| B | 0 | 0 | 1 | 1 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue |
|---|---|---|---|---|---|---|---|---|---|
| A | 1 | 0 | 0 | 0 | 0 | 0 | |||
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| SCHEDULE K, PART I, BOND ISSUES: | MONROE COMMUNITY HEALTH SERVICES IS A MEMBER OF THE MERCY MEMORIAL HOSPITAL CORPORATION OBLIGATED GROUP OF WHICH MONROE COMMUNITY HEALTH SERVICES HAS BEEN ALLOCATED FUNDS FROM THIS 2006 BOND ISSUANCE. |
| SCHEDULE K, PART I, BOND ISSUES: | A- THE BOND ISSUE PRICE WAS $50,405,076.58 WITH A REDEMPTION PRICE OF $49,550,000 AT MATURITY. PROCEEDS OF THE ISSUE WERE USED FOR BOND ISSUANCE COSTS, REQUIRED RESERVE FUND, REFUND PRIOR ISSUE BONDS AND INDEBTEDNESS (02/01/1994 BONDS) AND BUILDING EXPANSION AND EQUIPMENT. B - SIEMENS PUBLIC INC. PROGRAM REVENUE NOTE ISSUE PRICE WAS $3,170,830. PROCEEDS OF THE ISSUE WERE USED FOR NOTE ISSUANCE COSTS AND CATH LAB RENOVATION EQUIPMENT. |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | COMPEAN MD JOSE R | NamePerson |
| Relationship With Organization | TRUSTEE | RelationshipWithOrganization |
| Purpose Of Loan | PHYSICIAN RECRUITMENT | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $156,459 | OriginalPrincipalAmount |
| Balance Due | 28684 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 0 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 28684 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| MARY CARTER | |||
| FAMILY MEMBER OF BOARD MEMBER KURT CARTER. | 28645 | EMPLOYMENT | 0 |
| LARRY CSOKASY | |||
| FAMILY MEMBER OF BOARD MEMBER KURT CARTER. | 99783 | EMPLOYMENT | 0 |
| MONROE HEALTH CENTER | |||
| >35% OWNED BY BOARD MEMBER AAMER BHURGRI. | 194231 | LEASE OF PROPERTY | 0 |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 4 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 380 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COMPARABLE SALES | MethodOfDeterminingRevenues |
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 38590 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COMPARABLE SALES | MethodOfDeterminingRevenues |
Collectibles Collectibles
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 300 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COMPARABLE SALES | MethodOfDeterminingRevenues |
Food Inventory FoodInventory
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 9 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 1506 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COMPARABLE SALES | MethodOfDeterminingRevenues |
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 40 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 6850 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COMPARABLE SALES | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | AUCTION ITEMS | Description |
| Number Of Contributions | 104 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 34355 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COMPARABLE SALES | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | METHOD FOR DETERMINING NUMBER OF CONTRIBUTIONS: | Identifier |
| Return Reference | PART I, COLUMN (B): | ReturnReference |
| Explanation | NUMBER OF CONTRIBUTIONS | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BOARD MEMBERS DR. KENNETH MCNAMEE, DR. AAMER BHURGRI, DR. MICHAEL CHARBONEAU, AND DR. ABDUL KABIR HAVE A BUSINESS RELATIONSHIP. | |
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION AMENDED ITS BYLAWS FOR THE FOLLOWING: TO STATE THAT 20% OF THE ELECTED BOARD MEMBERS MAY RESIDE OUTSIDE MONROE COUNTY; A MINIMUM OF TWO, QUALIFIED MEMBERS OF THE MEDICAL STAFF (INDEPENDENT OR EMPLOYED BY THE ORGANIZATION) WILL BE ON THE BOARD OF TRUSTEES; THE EXECUTIVE COMMITTEE MAY ACT AS THE NOMINATING COMMITTEE IF NO SEPARATE COMMITTEE IS CONSTITUTED; AND THE COMPENSATION COMMITTEE SHALL CONSIST OF AT LEAST THREE ELECTED TRUSTEES APPOINTED BY THE CHAIRPERSON OF THE BOARD AND A MAJORITY OF THE COMMITTEE IS TO BE INDEPENDENT. | |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 INPUT DATA IS REVIEWED AND ANALYZED BY THE CONTROLLER AND THEN SUBMITTED TO THE CERTIFIED PUBLIC ACCOUNTING FIRM FOR PREPARATION. THE COMPLETED FORM 990 IS THEN RETURNED TO THE CFO AND THE CEO FOR FINAL REVIEW AND APPROVAL BEFORE THE BOARD MEETING. BEFORE THE RETURN IS FILED, THE FORM 990 IS REVIEW BY THE BOARD. ALL MEMBERS RECEIVE A COPY OF THE FORM 990, EVEN THOSE THAT ARE UNABLE TO ATTEND THE SCHEDULED MEETING. THE REVIEW IS PERFORMED DURING ONE OF THE MONTHLY BOARD MEETINGS, WHERE EACH MEMBER HAS A CHANGE TO ASK QUESTIONS. THIS REVIEW IS DOCUMENTED VIA MINUTES TO THE MEETING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS, OFFICERS AND EMPLOYEES OF THE HOSPITAL. ON AN ANNUAL BASIS, THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE IS DISTRIBUTED TO OFFICERS, EMPLOYEES, AND TRUSTEES OF MERCY MEMORIAL HOSPITAL CORPORATION. POTENTIAL CONFLICTS OF INTEREST ARE ANALYZED BY THE HOSPITAL'S LEGAL DEPARTMENT AND ARE GIVEN RANKINGS OF LOW, MODERATE, AND SEVERE RISK. THIS ANALYSIS IS GIVEN TO THE BOARD CHAIR AND THE HOSPITAL'S CHIEF EXECUTIVE OFFICER. ANY MEMBER WITH AN IDENTIFIED CONFLICT OF INTEREST IS EXCUSED FROM THE MEETING DURING DISCUSSIONS PERTAINING TO THE ISSUE OF CONFLICT, AND THE MEMBER IS NOT PERMITTED TO VOTE ON ANY ISSUE OF CONFLICT. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES DETERMINES AND APPROVES ALL COMPENSATION FOR THOSE DESIGNATED IN SENIOR LEADERSHIP POSITIONS SUCH AS THE CHIEF EXECUTIVE OFFICER & PRESIDENT, THE CHIEF MEDICAL OFFICER & VICE PRESIDENT OF MEDICAL AFFAIRS, THE CHIEF FINANCIAL OFFICER & SENIOR VICE PRESIDENT OF FINANCE, THE CHIEF NURSING OFFICER & SENIOR VICE PRESIDENT OF CLINICAL OPERATIONS, AND OTHER VICE PRESIDENTS. THE INDEPENDENT BOARD COMMITTEE RETAINS AN OUTSIDE CONSULTANT TO ANALYZE AND ASSIST IN MAKING THESE DETERMINATIONS THROUGH A VARIETY OF MARKET SURVEYS/STUDIES. THIS PROCESS IS UNDERTAKEN ANNUALLY AND WAS LAST PERFORMED IN 2013. | |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. | |
| FORM 990, PART XI, LINE 9: | PENSION LIABILITY ADJUSTMENT 10,741,282. INCOME FROM PROCEEDS OF BOND ISSUE NOT UNDER THE CONTROL OF THE HOSPITAL 21,914. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONROE COMMUNITY HEALTH SERVICES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 718 N MACOMB STREET | AddressLine1 |
| City | MONROE | City |
| State | MI | State |
| ZIP Code | 48164 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382934134 | EIN |
| Primary Activities | SKILLED NURSING AND OUTPATIENT SURGERY | PrimaryActivities |
| Legal Domicile State | MI | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | LINE 9 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MEMORIAL HOSPITAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 1 | ControlledOrg |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONROE HEALTH VENTURES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 718 N MACOMB STREET | AddressLine1 |
| City | MONROE | City |
| State | MI | State |
| ZIP Code | 48164 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382704426 | EIN |
| Primary Activity | PHARMACY | PrimaryActivity |
| Legal Domicile State | MI | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MEMORIAL HOSPITAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | 1 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MONROE COMMUNITY HEALTH SERVICES | ||
| L | 261496 | ACTUAL ALLOCATED COST |
| MONROE COMMUNITY HEALTH SERVICES | ||
| M | 152284 | ACTUAL ALLOCATED COST |
| MONROE COMMUNITY HEALTH SERVICES | ||
| P | 130598 | ACTUAL ALLOCATED COST |
| MONROE COMMUNITY HEALTH SERVICES | ||
| Q | 1415661 | ACTUAL ALLOCATED COST |
| MONROE COMMUNITY HEALTH SERVICES | ||
| S | 473482 | ACTUAL ALLOCATED COST |