COREWELL HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: COREWELL HEALTH (EIN 38-1359266)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-04-03
IRS object ID: 201430939349300208
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-04-03T08:43:04-05:00	Timestamp
Tax Period End Date	2013-09-30	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	600 E FRONT ST SUITE 300	AddressLine1
City	TRAVERSE CITY	City
State	MI	State
ZIP Code	49686	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	381359266	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL MEDICAL CENTER OF WEST MICHIGAN	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MEMO	NameControl
Phone	2318432591	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE ATKINSON DRIVE	AddressLine1
City	LUDINGTON	City
State	MI	State
ZIP Code	49431	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	KERRI L NELSON	Name
Title	VICE PRESIDENT OF FINANCE	Title
Phone	2318432591	Phone
Date Signed	2014-03-31	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	CAROL LALONDE CPA	Name
PTIN	P00181637	PTIN
Phone	2319477800	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MARK VIPPERMAN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	ONE ATKINSON DRIVE	AddressLine1
City	LUDINGTON	City
State	MI	State
ZIP Code	49431	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	62440371	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MMCWM.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1906	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	TO ENHANCE LIFE THROUGH EXCEPTIONAL HEALTHCARE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	644	TotalNbrEmployees
Total Nbr Volunteers	130	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	456694	ContributionsGrantsPriorYear
Contributions Grants Current Year	163273	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	62631084	ProgramServiceRevenuePriorYear
Program Service Revenue CY	60434941	ProgramServiceRevenueCY
Investment Income Prior Year	449549	InvestmentIncomePriorYear
Investment Income Current Year	303145	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1202172	OtherRevenuePriorYear
Other Revenue Current Year	1169757	OtherRevenueCurrentYear
Total Revenue Prior Year	64739499	TotalRevenuePriorYear
Total Revenue Current Year	62071116	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	23473	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	21348	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	29443214	SalariesEtcPriorYear
Salaries Etc Current Year	29472119	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	160663	TotalFundrsngExpCurrentYear
Other Expense Prior Year	31757471	OtherExpensePriorYear
Other Expenses Current Year	37109822	OtherExpensesCurrentYear
Total Expenses Prior Year	61224158	TotalExpensesPriorYear
Total Expenses Current Year	66603289	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	3515341	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-4532173	RevenuesLessExpensesCY
Total Assets BOY	82326477	TotalAssetsBOY
Total Assets EOY	80154373	TotalAssetsEOY
Total Liabilities BOY	50328084	TotalLiabilitiesBOY
Total Liabilities EOY	42768569	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	31998393	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	37385804	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO ENHANCE LIFE THROUGH EXCEPTIONAL HEALTHCARE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	12623681	Expense
Revenue	14595484	Revenue
Description	OPERATING ROOM (7,302 VISITS) - SEE LINE 4D "OTHER PROGRAM SERVICES" FOR ADDITIONAL DESCRIPTION.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	7770693	Expense
Revenue	8984465	Revenue
Description	LAB (338,790 TESTS) - SEE LINE 4D "OTHER PROGRAM SERVICES" FOR ADDITIONAL DESCRIPTION.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	4244476	Expense
Revenue	4907457	Revenue
Description	PHARMACY (788,734 UNITS) - SEE LINE 4D "OTHER PROGRAM SERVICES" FOR ADDITIONAL DESCRIPTION.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	28501126	Expense
Grants	21348	Grants
Revenue	32952967	Revenue
Description	MEMORIAL MEDICAL CENTER (38-1359266) PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY.REALIZING THAT REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE ONGOING OPERATION AND STABILITY OF MEMORIAL MEDICAL, WE STILL RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND FURTHER RECOGNIZE THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. THEREFORE, IN KEEPING WITH OUR COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY: A. FREE CARE AND/OR SUBSIDIZED CARE, B. CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS AT BELOW COST, C. HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S ABILITY TO PAY CO-EXISTS. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.MEMORIAL MEDICAL CENTER SERVED 2,534 INPATIENTS WITH 10,260 DAYS OF CARE, AND PROVIDED NEARLY 95,000 OUTPATIENT SERVICES DURING FISCAL YEAR 2013.OUR HOSPITAL PROVIDES CARE TO PEOPLE COVERED BY GOVERNMENTAL PROGRAMS AT LESS THAN WHAT WE MUST GENERATE IN ORDER TO MAINTAIN STABILITY OF OPERATIONS. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS IS $111,835,476. IN ADDITION, FOR PATIENTS NOT COVERED BY A GOVERNMENTAL PROGRAM AND ALSO UNABLE TO PAY FOR SERVICES, WE RECOGNIZED $1,132,344 IN CHARITY CARE.OUR SCOPE OF COMMUNITY CARE WENT BEYOND THE AFOREMENTIONED RESPONSIBILITIES. IN ADDITION TO COMMUNITY BENEFIT EXPENDITURES, MANY REDUCED PRICE SERVICES AND FREE PROGRAMS ARE OFFERED THROUGHOUT THE YEAR, BASED UPON ACTIVITIES AND SERVICES WHICH MEMORIAL MEDICAL BELIEVES WILL SERVE COMMUNITY HEALTH NEEDS. THESE ARE DETAILED AS FOLLOWS: SCREENING PROGRAMS:- MONTHLY BLOOD PRESSURE AND BLOOD SUGAR TESTING AT 3 COMMUNITY LOCATIONS- PARTICIPATION IN TISSUE/ORGAN DONATION PROGRAM IN CONJUNCTION WITH GIFT OF LIFE- WORKSITE WELLNESS SCREENING AT AREA MANUFACTURING ORGANIZATIONCOMMUNITY EDUCATION ONGOING PROGRAMS:- PRENATAL AND MATERNAL CLASSES- NUTRITION PROGRAMS, MONTHLY PROGRAMS TAUGHT BY REGISTERED DIETITIANS FOR VARIOUS ORGANIZATIONS IN LUDINGTON AND HART.- OUTPATIENT DIABETIC SELF MANAGEMENT PROGRAM- FAMILY FAIR (HEALTH FAIR) WITH AREA SCHOOLSCOMMUNITY EDUCATIONAL PROGRAMS ON VARIOUS DISEASES & HEALTH TOPICS:- DONE FOR VARIOUS SERVICE ORGANIZATIONS, SCHOOLS, COMMUNITY GROUPS TOPICS INCLUDE: STRESS MANAGEMENT, HEALTHY EATING, UNDERSTANDING CHOLESTEROL, DIABETES, EYE DISEASES, INFECTION CONTROL, BACK SAFETY.- ANNUAL HEALTH FAIR AT LONGFELLOW TOWERS, PROGRAMS DONE BY HOME CARE AND DIETITIANS.- TEDDY BEAR CLINICS FOR PRE-SCHOOL CLASSES- GRADE SCHOOL TOURS AND CAREER FOCUS DAY- HIGH SCHOOL HEALTH CLASS TOURS WITH WELLNESS FOCUSSUPPORT GROUPS & OTHER SPONSORSHIPS:- TYPE 1 DIABETES GROUP - TYPE 2 DIABETES GROUP CLINICAL EXPERIENCE FOR STUDENT PROGRAMS:- WEST SHORE COMMUNITY COLLEGE = LPN & RN PROGRAMS, PRE-PHYSICIAN THERAPY- WEST SHORE COMMUNITY COLLEGE/LIFE EMS = EMS PROGRAMS- MID MICHIGAN COLLEGE = RADIOLOGY TECHNICIAN STUDENTS- BAKER COLLEGE, MUSKEGON = SURGICAL SCRUB TECHNICIAN PROGRAM, MEDICAL RECORDS PROGRAM, EMS, PHLEBOTOMY PROGRAM, PHARMACY PROGRAM, STERILE PROCESSING PROGRAM, PHYSICAL AND OCCUPATIONAL THERAPY ASSISTANT- BAKER COLLEGE, CADILLAC = SURGICAL SCRUB TECHNICIAN PROGRAM, EKG/PULMONARY PROGRAMS, SOCIAL WORK, EMS- MUSKEGON COMMUNITY COLLEGE = PHLEBOTOMY PROGRAM, RESPIRATORY THERAPY- WESTERN UNIVERSITY OF HEALTH SCIENCE (CALIFORNIA) = NURSE PRACTITIONER- CENTRAL MICHIGAN UNIVERSITY = PHYSICAL THERAPY PROGRAM, FOOD SERVICES ADMINISTRATION, PHYSICIAN ASSISTANT PROGRAM- GRAND VALLEY STATE UNIVERSITY = PRE-PHYSICAL THERAPY/PHYSICAL THERAPY, OCCUPATIONAL THERAPY, LABORATORY TECHNICIAN, NURSING, SOCIAL WORK- LUDINGTON AND MASON COUNTY AREA SCHOOLS = CAREERS IN HEALTHCARE PROGRAM- ROSS MEDICAL STUDENT TRAINING PROGRAM = MEDICAL ASSISTANT PROGRAM- MASON-LAKE ISD = ALLIED HEALTH PROGRAMS- WESTERN MICHIGAN UNIVERSITY = PHYSICIAN ASSISTANT PROGRAM- WEST SHORE COMMUNITY COLLEGE = ACCOUNTING- MICHIGAN STATE UNIVERSITY = SOCIAL WORK, NURSE PRACTITIONER- FERRIS STATE UNIVERSITY = HEALTHCARE ADMINISTRATION, ALLIED HEALTH, MEDICAL TRANSCRIPTION, MEDICAL CODING, NURSING, NUCLEAR MEDICINE, ULTRASOUND, PHARMACY, PHLEBOTOMY, HEALTH INFORMATION- CHATHAM UNIVERSITY = PHYSICIANS ASSISTANT- DAVENPORT UNIVERSITY = ALLIED HEALTH/HEALTH INFORMATION MANAGEMENT- KETTERING COLLEGE = PHYSICIAN'S ASSISTANT- NUMEROUS JOB SHADOWING EXPERIENCES = FOR HIGH SCHOOL THROUGH COLLEGE LEVEL STUDENTS THROUGHOUT THE HOSPITAL- NORTHWESTERN MICHIGAN COLLEGE = ABNORMAL PSYCHOLOGY- WALDEN UNIVERSITY = MSNSPEAKERS BUREAU:- TOPICS AND SPEAKERS LISTING AVAILABLE UPON REQUEST- LECTURES FOR AREA AGENCIES DONE ON HEALTH RELATED SUBJECTS ON A REQUEST BASIS BY HOME CARE, EDUCATION, DIETITIAN, CARDIAC REHAB, MEDICAL/SURGICAL, AND E.R. STAFF.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	28501126	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	21348	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	32952967	TotalOfOtherProgramServiceRev
Total Program Service Expense	53139976	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	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	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	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	47	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	644	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	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	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	1	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	0	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	0	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

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	KERRI L NELSON VICE PRESIDENT OF FINANCE	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2318452251	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	ONE ATKINSON DRIVE	AddressLine1
City	LUDINGTON	City
State	MI	State
ZIP Code	49431	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 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
JEANNE OAKES
DIRECTOR (PAST CHAIRMAN)	0.50	0.00	X	0	0	0
ALLEN DEERING
CHAIRMAN	2.00	0.00	X	0	0	0	X
CHARLES DILLON
VICE CHAIRMAN	1.00	0.00	X	0	0	0	X
KENNETH ROCCO
SECRETARY	0.50	0.00	X	0	0	0	X
CONNIE KRUSNIAK
DIRECTOR	0.50	0.00	X	0	0	0
ANTHONY FABAZ DO
DIRECTOR	0.50	0.00	X	0	0	0
JDEAN GUSTAFSON
DIRECTOR	0.50	0.00	X	0	0	0
MARC LENZ
TREASURER	0.50	0.00	X	0	0	0	X
ANTHONY MONTON
DIRECTOR	0.50	0.00	X	0	0	0
ALLAN NELSON MD
DIRECTOR	0.50	0.00	X	11850	0	0
MARGARET GUSTAFSON MD
DIRECTOR	0.50	0.00	X	0	0	0
JAMES SCATENA
DIRECTOR	0.50	0.00	X	0	0	0
STEVEN STRBICH DO
CHIEF OF STAFF (BEGIN 5/2013)	0.50	0.00	X	0	0	0
TIMOTHY HEINRICH
VICE PRESIDENT & COO	40.00	0.00		255163	0	52604	X
KERRI NELSON
VICE PRESIDENT OF FINANCE	40.00	0.00		186954	0	22503	X
MARK VIPPERMAN
PRESIDENT & CEO	40.00	0.00		384940	0	40302	X
HELEN JOHNSON
VP OF PATIENT SERVICES	40.00	0.00		184108	0	17000		X
DAVID KLINGER
VP OF ORGANIZATIONAL DEVELOPMENT	40.00	0.00		171317	0	15929		X
JOHN P COONEY DO
PHYSICIAN	40.00	0.00		206273	0	14643			X
TAMARA BUCKLESMD
PHYSICIAN	40.00	0.00		218791	0	13104			X
EDDIE MAKOWICKI
DIRECTOR OF PHARMACY	40.00	0.00		174434	0	21973			X
AMANDA OVERMYERMD
PHYSICIAN	40.00	0.00		150123	0	13104			X
ROBERT JOHNSON
DIRECTOR OF DEVELOPMENT	40.00	0.00		159941	0	50303			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2103894	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	261465	TotalOtherCompensation
Number Individuals GT100 K	27	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
QUEST DIAGNOSTICS
13138 COLLECTIONS CTR DRIVE	CHICAGO	IL	60693	LAB SERVICES	802764
ANESTHESIOLOGY ASSOCIATES OF WEST MICHIG
ONE ATKINSON DRIVE	LUDINGTON	MI	49431	ANESTHESIA SERVICES	530559
JACKSON & COKER
PO BOX 2776	ATLANTA	GA	30384	PHYSICIAN SERVICES	250438
COMPHEALTH
PO BOX 9726	DALLAS	TX	75397	PHYSICIAN SERVICES	198295
BARTON ASSOCIATES INC
10 DEARBORN	PEABODY	MA	01960	PHYSICIAN SERVICES	137395

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	6	NumberOfContractorsGT100K
Fundraising Events	162911	FundraisingEvents
All Other Contributions	362	AllOtherContributions
Noncash Contributions	5070	NoncashContributions
Total Contributions	163273	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PROGRAM SERVICE REVENUE	622110	60138531	60138531
MEANINGFUL USE REVENUE	622110	296410	296410

Field	Value	IRS element (for citing)
Total Program Service Revenue	60434941	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	386420	TotalRevenueColumn
Exclusion	$386,420	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	312610	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	226504	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	86106	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	86106	TotalRevenueColumn
Related Or Exempt Function Income	86106	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	10000	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	93275	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-83275	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-83275	TotalRevenueColumn
Exclusion	-$83,275	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	22430	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	162911	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	49476	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-27046	TotalRevenueColumn
Exclusion	-$27,046	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
OTHER RELATED REVENUE	900099	919326	919326
CAFETERIA SALES	722210	191371		$191,371

Field	Value	IRS element (for citing)
Total Other Revenue	1110697	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	62071116	TotalRevenueColumn
Related Or Exempt Function Income	61440373	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$467,470	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	21348	Total
Program Services	21348	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1241180	Total
Program Services	206864	ProgramServices
Management And General	1034316	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	22002281	Total
Program Services	18990764	ProgramServices
Management And General	2864161	ManagementAndGeneral
Fundraising	147356	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1018290	Total
Program Services	764227	ProgramServices
Management And General	254063	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	3522850	Total
Program Services	2740877	ProgramServices
Management And General	781973	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1687518	Total
Program Services	1266484	ProgramServices
Management And General	421034	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	626752	Total
Management And General	626752	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	99492	Total
Management And General	99492	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	11262532	Total
Program Services	7509188	ProgramServices
Management And General	3751918	ManagementAndGeneral
Fundraising	1426	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	528295	Total
Program Services	464	ProgramServices
Management And General	527831	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1549567	Total
Program Services	940849	ProgramServices
Management And General	607148	ManagementAndGeneral
Fundraising	1570	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1119589	Total
Program Services	49304	ProgramServices
Management And General	1070285	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	291396	Total
Program Services	194209	ProgramServices
Management And General	96514	ManagementAndGeneral
Fundraising	673	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	159677	Total
Program Services	119838	ProgramServices
Management And General	39839	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3090042	Total
Program Services	2319079	ProgramServices
Management And General	770963	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	881144	Total
Program Services	778782	ProgramServices
Management And General	102362	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES & DRUG	11017966	10803000	214966
PROVISION FOR BAD DEBTS	4793163	4793163
QUALITY ASSURANCE TAXES	1325091	1325091
DSH EXPENSES	285601	285601

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	79515	Total
Program Services	30844	ProgramServices
Management And General	39033	ManagementAndGeneral
Fundraising	9638	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	66603289	Total
Program Services	53139976	ProgramServices
Management And General	13302650	ManagementAndGeneral
Fundraising	160663	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	13553862	BOY
EOY	4135613	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	12504879	BOY
EOY	6855599	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	673797	BOY
EOY	491315	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	6558131	BOY
EOY	6294780	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1364616	BOY
EOY	1582351	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1020260	BOY
EOY	1017777	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	73214225	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	37255823	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	24422006	BOY
EOY	35958402	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	9541033	BOY
EOY	10880955	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	12687893	BOY
EOY	12937581	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	82326477	BOY
EOY	80154373	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	5849018	BOY
EOY	7021179	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	10000000	BOY
EOY	10000000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	8505000	BOY
EOY	8505000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	25974066	BOY
EOY	17242390	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	50328084	BOY
EOY	42768569	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	31998393	BOY
EOY	37385804	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	31998393	BOY
EOY	37385804	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	82326477	BOY
EOY	80154373	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-4532173	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	964079	ReconciliationUnrealizedInvest
Reconcilation Other Changes	8955505	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 Separate	X	FinancialStatementSeparate

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	$4,809	OtherActivitiesAmount
Total Lobbying Expenditures IIB	4809	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	A PORTION OF ANNUAL DUES TO THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION ARE USED TOWARD LOBBYING ACTIVITIES.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3340111	OtherCostOrOtherBasis
Book Value	3340111	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	30068803	OtherCostOrOtherBasis
Depreciation	11095274	Depreciation
Book Value	18973529	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3145164	OtherCostOrOtherBasis
Depreciation	877861	Depreciation
Book Value	2267303	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	35595361	OtherCostOrOtherBasis
Depreciation	25282688	Depreciation
Book Value	10312673	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1064786	OtherCostOrOtherBasis
Book Value	1064786	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	35958402	TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescription	Book ValueBookValue
PREPAID PENSION	12345535
COST REPORT SETTLEMENTS RECEIVABLE	592046

Field	Value	IRS element (for citing)
Total Book Value Other Assets	12937581	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
ACCRUED INSURANCE	$635,276
ACCRUED POST-RETIREMENT BENEFIT	$16,172,052
COST REPORT SETTLEMENTS PAYABLE	$435,062

Field	Value	IRS element (for citing)
Total Of Amounts	17242390	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	63311175	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	964079	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	964079	RevenueNotRptdF990
Revenue Subtotal	62347096	RevenueSubtotal
Other Revenues Not Included	-275980	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-275980	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	62071116	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	66879269	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	275980	OtherExpensesIncluded
Expenses Not Rptd F990	275980	ExpensesNotRptdF990
Expenses Subtotal	66603289	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	66603289	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	THE CENTER IS A NOT-FOR-PROFIT, TAX-EXEMPT ORGANIZATION, AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CENTER AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION 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 CENTER AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2009.
PART XI, LINE 4B - OTHER ADJUSTMENTS:		RENTAL INCOME EXPENSES NETTED WITH REVENUE -226,504. SPECIAL EVENT EXPENSES NETTED WITH REVENUE -49,476.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		SPECIAL EVENT EXPENSES NETTED WITH REVENUE 49,476. RENTAL INCOME EXPENSES NETTED WITH REVENUE 226,504.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	BENEFIT BALL 2012	NameOfEvent1
Gross Receipts Event1	140385	GrossReceiptsEvent1
Charitable Contributions Event1	120785	CharitableContributionsEvent1
Gross Revenue Event1	19600	GrossRevenueEvent1
Non Cash Prizes Event1	279	NonCashPrizesEvent1
Other Direct Expenses Event1	42104	OtherDirectExpensesEvent1
Name Of Event2	TEAM SPIRIT WEEK 2012	NameOfEvent2
Gross Receipts Event2	37837	GrossReceiptsEvent2
Charitable Contributions Event2	37837	CharitableContributionsEvent2
Non Cash Prizes Event2	500	NonCashPrizesEvent2
Other Direct Expenses Event2	3310	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	7119	GrossReceiptsOtherEvents
Charitable Contrib Other Events	4289	CharitableContribOtherEvents
Gross Revenue Other Events	2830	GrossRevenueOtherEvents
Non Cash Prizes Other Events	169	NonCashPrizesOtherEvents
Other Direct Expenses Other Events	3114	OtherDirectExpensesOtherEvents
Gross Receipts Total	185341	GrossReceiptsTotal
Charitable Contributions Total	162911	CharitableContributionsTotal
Gross Revenue Total Events	22430	GrossRevenueTotalEvents
Non Cash Prizes Total Events	948	NonCashPrizesTotalEvents
Other Direct Expenses Total Events	48528	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	49476	DirectExpenseSummaryEvents
Net Income Summary	-27046	NetIncomeSummary

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
Pcent150	X	Pcent150
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
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	711500	TotalCommunityBenefitExpense
Direct Offsetting Revenue	821642	DirectOffsettingRevenue
Net Community Benefit Expense	-110142	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8560454	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5771965	DirectOffsettingRevenue
Net Community Benefit Expense	2788489	NetCommunityBenefitExpense
Percent Of Total Expense	0.04510	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9271954	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6593607	DirectOffsettingRevenue
Net Community Benefit Expense	2678347	NetCommunityBenefitExpense
Percent Of Total Expense	0.04510	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1718368	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1549492	DirectOffsettingRevenue
Net Community Benefit Expense	168876	NetCommunityBenefitExpense
Percent Of Total Expense	0.00270	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21348	TotalCommunityBenefitExpense
Net Community Benefit Expense	21348	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1739716	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1549492	DirectOffsettingRevenue
Net Community Benefit Expense	190224	NetCommunityBenefitExpense
Percent Of Total Expense	0.00300	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11011670	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8143099	DirectOffsettingRevenue
Net Community Benefit Expense	2868571	NetCommunityBenefitExpense
Percent Of Total Expense	0.04810	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	242720	TotalCommunityBuildingExpense
Net Community Building Expense	242720	NetCommunityBuildingExpense
Percent Of Total Expense	0.00390	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	242720	TotalCommunityBuildingExpense
Net Community Building Expense	242720	NetCommunityBuildingExpense
Percent Of Total Expense	0.00390	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$4,793,163	BadDebtExpenseAmount
Amount Attributable To	479316	AmountAttributableTo
Amount Reimbursed By Medicare	20375981	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	19162393	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	1213588	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	0	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	MEMORIAL MEDICAL CENTER OF WEST MICHIGAN	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	ONE ATKINSON DRIVE	AddressLine1
City	LUDINGTON	City
State	MI	State
ZIP Code	49431	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	MEMORIAL MEDICAL CENTER OF WEST MICHIGAN	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
Other Method	X	OtherMethod
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
Other Needs Addressed	X	OtherNeedsAddressed
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	150.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	200.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
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	1	NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL FAMILY CARE CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	2481 N 72 AVE	AddressLine1
City	HART	City
State	MI	State
ZIP Code	49420	ZIPCode

Field	Value	IRS element (for citing)
Facility Type	PHYSICIAN OFFICE	FacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 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 ARE USED FOR LINES 7E AND 7I. COST-TO-CHARGE RATIOS DERIVED FROM THE COST REPORT ARE USED FOR LINE 7G.
PART I, LINE 7G: A PORTION OF THE REPORTED SUBSIDIZED HEALTH SERVICES INCLUDES THE FAMILY CARE CLINIC AND TWO PHYSICIAN PRACTIVES. THE TOTAL COMMUNITY BENEFIT EXPENSE RELATED TO THESE PHYSICIAN CLINICS IS $1,049,540, AND THE NET COMMUNITY BENEFIT EXPENSE IS $34,789.
PART I, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24B, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE IS $4,793,163.
PART II: MEMORIAL MEDICAL CENTER PARTICIPATES IN A MULTITUDE OF COMMUNITY BUILDING ACTIVITIES WHICH PROMOTE THE HEALTH OF THE COMMUNNITY SUCH AS SEVERAL HEALTH FAIRS, BLOOD DRIVES, PRENATAL AND CHILDBIRTH EDUCATION, NUTRITION EDUCATION WITH LOCAL SCHOOLS AND SPORTS GROUPS, EDUCATIONAL PRESENTATIONS RELATED TO MEDICATIONS AND MEDICAL CONDITIONS, STRONG PART IN DEVELOPMENT AND ADMINISTRATION OF HEALTHY COMMUNITIES COMMITTEE, DISTRIBUTES COMMUNITY HEALTH NEWSLETTERS, PROVIDES DIABETES TESTING AND COMMUNITY EVENTS, AND ASSIST WITH MANY DIFFERENT SUPPORT GROUPS, ALONG WITH SUPPORT THE LOCAL WIN WITH WELLNESS INITIATIVE.
PART III, LINE 4: ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE:ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS. ACCOUNTS RECIEVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOY PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOY PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACUTALLY COLLECTED AFTER ALL REASONABLE COLLECTIONS EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTABLE. THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON LINE 2 IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES.THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $479,316. THIS WAS CALCULATED BASED ON AN ESTIMATE OF 10 PERCENT OF BAD DEBT EXPENSE DETERMINED BY THE DIRECTOR OF THE HOSPITAL'S BUSINESS OFFICE.
PART III, LINE 8: THE AMOUNTS REPORTED FOR MEDICARE ARE FROM THE MEDICARE COST REPORT, WHICH DO NOT SHOW A SHORTFALL. THIS IS BASED ON THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT.
PART III, LINE 9B: PATIENTS AT THE 150 PERCENT FEDERAL POVERTY LIMIT QUALIFY FOR FREE CARE AND THEREFORE WILL NOT OWE ANYTHING OR BE SUBJECTED TO COLLECTION ACTIVITIES.ALL PATIENTS/GUARANTORS WITH A BALANCE FOR CARE PROVIDED ARE SENT A LETTER REGARDING THE BALANCE. A STATEMENT IS THEN SENT AFTER 30 DAYS. A SECOND STATEMENT IS SENT IF THERE IS A REMAINING BALANCE. IF NO PAYMENT IS RECEIVED AFTER THE THIRD NOTIFICATION THE ACCOUNT IS SENT TO PRE-COLLECTION STATUS. A FINAL LETTER IS SENT TO THE PATIENT/GUARANTOR IF NOTHING HAS BEEN RECEIVED. IF THERE IS NO RESPONSE THEN THE ACCOUNT IS SENT TO COLLECTIONS. IF A PAYMENT IS RECEIVED AT ANY TIME DURING THIS PROCESS THE PROCESS IS REPEATED UNTIL THE ACCOUNT IS PAID IN FULL OR IT IS SENT TO A COLLECTION AGENCY.
PART V, SECTION B, LINE 3: THE BELOW IS AN EXCERPT FROM THE HOSPITALS CHNA, WHICH CAN BE FOUND ON THEIR WEBSITE AT WWW.MMCWM.COM.THE RESEARCH INVOLVED THE COLLECTION OF PRIMARY AND SECONDARY DATA. THE TABLE BELOW SHOWS THE BREAKDOWN OF PRIMARY DATA COLLECTED WITH THE TARGET AUDIENCE, METHOD OF DATA COLLECTION, AND NUMBER OF COMPLETES.+ KEY STAKEHOLDERS - IN-DEPTH TELEPHONE INTERVIEWS - HOSPITAL AND CLINIC DIRECTORS - 7 COMPLETES+ KEY INFORMANTS - ONLINE SURVEY - PHYSICIANS, NURSES, DENTISTS - 36 COMPLETES+ COMMUNITY RESIDENTS - TELEPHONE SURVEY - MASON COUNTY, NORTHERN OCEANA COUNTY ADULTS - 1,043 COMPLETESSECONDARY DATA WAS DERIVED FROM LOCAL HOSPITAL UTILIZATION DATA AND VARIOUS GOVERNMENT AND HEALTH SOURCES SUCH AS THE US CENSUS, MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, COUNTY HEALTH RANKINGS.KEY STAKEHOLDER INTERVIEWS INCLUDED:1. ADMINISTRATOR AT OCEANA COUNTY MEDICAL CARE FACILITY2. DIRECTOR OF COMMUNITY MENTAL HEALTH3. DIRECTOR OF DEPARTMENT OF HUMAN SERVICES4. EXECUTIVE DIRECTOR OF UNITED WAY IN MASON COUNTY5. HEALTH OFFICER AT MASON COUNTY HEALTH DEPARTMENT6. INTERIM DIRECTOR OF NURSING AND ALLIED HEALTH AT WEST SHORE COMMUNITY COLLEGE7. PRESIDENT AND CEO OF MEMORIAL MEDICAL CENTERKEY INFORMANT SURVEYS INCLUDED:1. 4H PROGRAM SECRETARY, OCEANA COUNTY EXTENSION OFFICE2. 4H PROGRAM SUPERVISOR, MASON COUNTY EXTENSION OFFICE3. 4H PROGRAM SUPERVISOR, OCEANA COUNTY EXTENSION OFFICE4. ADMINISTER, OAKVIEW MEDICAL CARE FACILITY5. CAPTAIN, SALVATION ARMY6. CHAIRPERSON, WEST MICHIGAN HUMAN SERVICES7. DEPUTY HEALTH OFFICER, DISTRICT 10 PUBLIC HEALTH8. DIRECTOR, HADLEY CENTER, MEMORIAL MEDICAL CENTER OF WEST MICHIGAN9. DIRECTOR, LUDINGTON SENIOR CENTER10. DIRECTOR, OB/CLINICAL, MEMORIAL MEDICAL CENTER OF WEST MICHIGAN11. DIRECTOR OF HOME CARE, MEMORIAL MEDICAL CENTER OF WEST MICHIGAN12. DIRECTOR OF INFECTION CONTROL, MEMORIAL MEDICAL CENTER OF WEST MICHIGAN13. DIRECTOR OF STUDENT SERVICES, MASON COUNTY CENTRAL14. DISCHARGE PLANNER, MEMORIAL MEDICAL CENTER OF WEST MICHIGAN15. DISCHARGE PLANNER, MEMORIAL MEDICAL CENTER OF WEST MICHIGAN16. DISTRICT MANAGER, SOCIAL SECURITY ADMINISTRATOR17. EXECUTIVE DIRECTOR, STAIRCASE18. EXECUTIVE DIRECTOR, WEST MICHIGAN COMMUNITY MENTAL HEALTH19. EXECUTIVE DIRECTOR, WEST SHORE PREGNANCY CARE CENTER20. GUIDANCE COUNSELOR, MASON COUNTY CENTRAL21. HEALTH EDUCATOR, DISTRICT 10 HEALTH DEPARTMENT22. HEALTH EDUCATOR, DISTRICT 10 HEALTH DEPARTMENT23. MANAGER, SHEPHERD'S STAFF AND SERVICES24. MSU EXTENSION OFFICE MANAGER, OCEANA COUNTY EXTENSION OFFICE25. OCCUPATIONAL THERAPIST, MASON-LAKE ISD26. PEDIATRICIAN, LUDINGTON, MICHIGAN27. PEDIATRICIAN, LUDINGTON, MICHIGAN28. PRINCIPAL, HART ELEMENTARY SCHOOL29. REFERRAL MANAGER, TENDERCARE OF LUDINGTON30. REGISTERED NURSE, OCEANA COUNTY COUNCIL ON AGING31. SECRETARY, CATHOLIC CHARITIES OF WEST MICHIGAN32. SECRETARY, MASON COUNTY EASTERN33. SOCIAL WORKER, MASON COUNTY CENTRAL34. SOCIAL WORKER, OAKVIEW MEDICAL CARE FACILITY35. SUPERVISOR, WEST MICHIGAN COMMUNITY MENTAL HEALTH36. SUPERVISOR, MASON-LAKE ISD37. VILLAGE PRESIDENT, PENTWATER, MICHIGAN	MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
PART V, SECTION B, LINE 5C: IN ADDITION TO PUBLISHING THE COMMUNITY HEALTH NEEDS ASSESSMENT ON THE MEMORIAL MEDICAL CENTER WEBSITE (WWW.MMCWM.COM) AND PROVIDING COPIES AVAILABLE UPON REQUEST, A COPY WAS GIVEN TO THE LOCAL NEWSPAPER WHO COMPLETED AN ARTICLE ABOUT THE PROCESS AND CITED HIGHLIGHTS OF THE RESULTS. COPIES WERE GIVEN TO EACH MEMBER REPRESENTATIVE ON THE COMMUNITY HEALTH AND WELLNESS ADVISORY COUNCIL, WITH INSTRUCTIONS TO SHARE BROADLY WITHIN THEIR MEMBERSHIPS.	MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
PART V, SECTION B, LINE 6I: MEMORIAL MEDICAL CENTER OF WEST MICHIGAN ALSO DEVELOPED A COMMUNITY HEALTH AND WELLNESS ADVISORY COUNCIL MADE UP OF A BROAD RANGE OF COMMUNITY ORGANIZATIONS DEDICATED TO SERVING RESIDENTS IN VARIOUS CAPACITIES.	MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
PART V, SECTION B, LINE 7: THE BELOW IS AN EXCERPT FROM THE HOSPITALS IMPLEMENTATION PLAN, WHICH CAN BE FOUND ON THEIR WEBSITE AT WWW.MMCWM.COM.EACH OF THE HEALTH NEEDS LISTED BELOW IS IMPORTANT AND IS BEING ADDRESSED BY NUMEROUS PROGRAMS AND INITIATIVES OPERATED BY THE HOSPITAL AND OTHER COMMUNITY PARTNERS OF THE HOSPITAL. HOWEVER, THE HOSPITAL WILL NOT SPECIFICALLY ADDRESS THE FOLLOWING PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE CHNA AS PART OF THIS IMPLEMENTATION PLAN DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES ON THE TWO PRIORITY HEALTH NEEDS IDENTIFIED. SOME OF THESE HEALTH NEEDS WILL BE INDIRECTLY IMPACTED BY FOCUSING ON THE TWO PRIORITY HEALTH NEEDS IDENTIFIED.THE TOP THREE PRIORITIES THAT WILL NOT BE ADDRESSED ARE: 1. ARTHRITIS-RELATED CONDITIONS ARE BY FAR THE MOST PREVALENT CHRONIC CONDITIONS REPORTED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE CHRONIC CONDITIONS CLASSIFIED AS "ARTHRITIS" ARE MANAGED BY INTERNAL MEDICINE AND FAMILY PRACTICE PHYSICIANS. THERE WILL BE ON-GOING EVALUATION REGARDING THE CREATION OF LOCAL ACCESS TO THE RHEUMATOLOGY SUB-SPECIALTY.2. REDUCE SUBSTANCE ABUSE CURRENTLY BEING ADDRESSED BY NORTHERN MICHIGAN SUBSTANCE ABUSE SERVICES, THE DEPARTMENT OF COMMUNITY MENTAL HEALTH AND OTHERS. THESE PROGRAMS ADDRESS THE ALCOHOL/DRUG USE, SMOKING, SECONDHAND SMOKE, PRESCRIPTION DRUG ABUSE AND SUBSTANCE ABUSE TREATMENT ISSUES IDENTIFIED IN THE NEEDS ASSESSMENT.3. ADDRESS MENTAL HEALTH CURRENTLY BEING ADDRESSED BY THE MICHIGAN DEPARTMENT OF COMMUNITY MENTAL HEALTH. THESE PROGRAMS ADDRESS THE MENTAL HEALTH AND SUICIDE ISSUES IDENTIFIED IN THE NEEDS ASSESSMENT. AS WELL, MMC HAS EMPLOYED TWO PSYCHIATRISTS WHO WERE PREVIOUSLY IN PRIVATE PRACTICE TO EXPAND THEIR AVAILABILITY FOR OUTPATIENT SERVICES. MMC'S INPATIENT PSYCHIATRIC SERVICE LINE IS BEING EVALUATED BASED UPON FUTURE NEED. THE FOLLOWING ISSUES WERE IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, BUT DETERMINED TO BE NOT AS HIGH OF A PRIORITY AS THE ABOVE MENTIONED ISSUES: 1. THESE ISSUES CAN BE BEST ADDRESSED THROUGH GOVERNMENT COUNCILS OR DEPARTMENTS. THE LOCAL HEALTH CARE ORGANIZATION DOES NOT HAVE THE RESOURCES TO ADDRESS THESE ISSUES EFFECTIVELY.- HIGH UNEMPLOYMENT RATE AND HIGH POVERTY RATES, ESPECIALLY FOR SINGLE-FEMALE HOUSEHOLDS WITH CHILDREN- LARGE PROPORTION OF CHILDREN LIVING IN POVERTY- CHILD ABUSE/NEGLECT CASES ON PAR WITH STATE AND HIGHER THAN U.S. LAKE COUNTY MUCH HIGHER - FEWER COLLEGE EDUCATED RESIDENTS THAN MICH. OR U.S. LOWER PROPORTIONS OF OCEANA AND LAKE COUNTY MEN AND WOMAN HAVE NOT GRADUATED FROM HIGH SCHOOL IN COMPARISON TO MICHIGAN OR U.S. AVERAGE. - LACK OF SPANISH-SPEAKING HEALTH CARE PROFESSIONALS- PEOPLE NOT GETTING ENOUGH SLEEP (AT LEAST EIGHT HOURS)- HIGHER DISABILITY RATES THAN THE MICH. AVERAGE- TRANSPORTATION (PUBLIC/PERSONAL)- HOUSING (AFFORDABLE/AVAILABLE)- HEALTHY FOODS (AVAILABILITY)1. THE REMAINING ISSUES WILL BE ADDRESSED BY THE FOLLOWING:- DENTAL CARE IS BEING ADDRESSED BY FAMILY HEALTH CARE IN LAKE COUNTY AND MICHIGAN COMMUNITY DENTAL CLINICS IN MANISTEE COUNTY. BOTH ORGANIZATIONS HAVE SERVICE AREAS THAT EXTEND THROUGH MASON AND OCEANA COUNTIES.- CANCER IN 2013, MMC EXPANDED ITS CANCER SERVICES TO ACCOMMODATE INCREASED DEMAND CAUSED BY THE CLOSING OF THE CANCER AND BLOOD CENTER IN FREE SOIL, MI. MMC WILL CONTINUE TO PROVIDE MEDICAL ONCOLOGY SERVICES AT THE HOSPITAL AND SEEKS TO EXPAND THE AVAILABILITY OF PROVIDERS IN THE COMMUNITY. HOSPITAL WILL CONTINUE TO PROMOTE CANCER AWARENESS AND THE IMPORTANCE OF OBTAINING RECOMMENDED SCREENING, AS IT DID IN ITS CANCER SYMPOSIUM IN SEPTEMBER OF 2013.- NURSING HOME CARE (ACCESS) TENDERCARE AND OAKVIEW MEDICAL CARE FACILITY PARTICIPATE IN THE MMC'S HEALTH AND WELLNESS ADVISORY COUNCIL AND ISSUES RELATED TO ACCESS WILL BE ADDRESSED THERE.- DIABETES MMC HAS A ROBUST DIABETES EDUCATION AND SELF-MANAGEMENT PROGRAM. OUR FOCUS ON OBESITY AND TARGETING YOUNGER POPULATIONS WILL POSITIVELY IMPACT DIABETES FREQUENCY AND SEVERITY IN THE LONG TERM.- HEART DISEASE MMC CONTINUES TO PROVIDE COMMUNITY EDUCATION ON HEART DISEASE THROUGH ITS WIN WITH WELLNESS PROGRAMMING. THE HOSPITAL WILL CONTINUE TO PROMOTE HEART HEALTH THROUGH ITS COMMUNITY HEALTH AND WELLNESS COUNCIL IN PARTNERSHIP WITH COMMUNITY AND BUSINESS GROUPS.	MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
PART V, SECTION B, LINE 20D: WE FIRST ATTEMPT TO QUALIFY THE PATIENT FOR FAP OR OTHER COMMUNITY RESOURCES FOR COVERAGE. PATIENT IS THEN OFFERED A DISCOUNT UP TO 30% OF CHARGES. THE 30% IS ARRIVED AT BY ADDING THE SELF-PAY DISCOUNT OF 20% PLUS THE PROMPT PAY DISCOUNT OF 10%. THE 30% ALIGNS WITH THE DISCOUNT THE HOSPITAL ACCEPTS FROM OTHER PAYERS.PATIENTS AT THE 150 PERCENT FEDERAL POVERTY LIMIT QUALIFY FOR FREE CARE AND THEREFORE WILL NOT OWE ANYTHING OR BE SUBJECTED TO COLLECTION ACTIVITIES.	MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
PART V, SECTION B, LINE 22: THE HOSPITAL FACILITY MAKES EVERY REASONABLE ATTEMPT TO HELP ITS PATIENTS RECEIVE SOME SORT OF ASSISTANCE OR DISCOUNT. IF THE PATIENT DOES NOT REPLY OR CORRESPOND TO HOSPITAL'S ATTEMPTS THEN A BILL COULD BE GENERATED USING GROSS CHARGES.	MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
PART VI, LINE 2: IN THE PAST THE MASON COUNTY HEALTH DEPARTMENT CONDUCTED A HEALTH NEEDS ASSESSMENT OF THE COMMUNITY. MEMORIAL MEDICAL CENTER THEN WORKED ALONG SIDE THE HEALTH DEPARTMENT TO ANALYZE THOSE NEEDS TO ENSURE THAT THOSE NEEDS WERE BEING MET. MEMORIAL MEDICAL CENTER ISSUED THEIR OWN COMMUNITY HEALTH NEEDS ASSESSMENT IN SEPTEMBER 2013.
PART VI, LINE 3: MEMORIAL MEDICAL CENTER PATIENTS HAVE A HOSPITAL FINANCIAL COUNSELOR THAT THEY MEET WITH. DURING THAT MEETING THE PATIENTS ARE INTERVIEWED TO ASSESS THEIR FINANCIAL ABILITY OR ASSISTANCE NEEDS. THEY ARE INFORMED AT THAT TIME IF THEY MAY BE POSSIBLE CANDIDATES FOR FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR THE HOPITAL'S CHARITY CARE PROGRAM. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY IS ATTACHED TO BILLING INVOICES, IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY, WAITING ROOMS AND ADMISSIONS OFFICES, AND IT IS ALSO MADE AVAILABLE UPON REQUEST.
PART VI, LINE 4: MEMORIAL MEDICAL CENTER SERVES A RURAL COMMUNITY THAT IS LOCATED ON THE COAST OF LAKE MICHIGAN. BECAUSE THE LOCATION IS A SEASONAL TOURIST ATTRACTION THE POPULATION OF THE COMMUNITY SIGNIFICANTLY CHANGES WITH THE SEASONS. ALSO SEASONALLY DRIVEN, BECAUSE OF THE AGRICULTURAL EMPLOYMENT OPPORTUNITIES, IS A MIGRANT POPULATION. A LARGE PART OF THE HOSPITAL PATIENTS ARE COVERED BY EITHER MEDICARE OR MEDICAID.
PART VI, LINE 5: MEMORIAL MEDICAL CENTER IS A SOLE COMMUNITY HOSPITAL WITH A COMMUNITY BOARD MADE UP OF VOLUNTEER MEMBERS. THE MEDICAL STAFF CONSISTS MOSTLY OF INDIVIDUAL PHYSICIANS PRACTICING WITHIN THE SERVICE AREA OF THE HOSPITAL. THE HOSPITAL HELPS PROVIDE ACCESS TO CARE BY SUPPORTING RECRUITING EFFORTS FOR NECESSARY PHYSICIANS AS WELL AS ASSURING THE COMMUNITY HAS THE MOST RECENT TECHNOLOGY AND ACCESS TO EMERGENCY CARE WHEN NEEDED.
PART VI, LINE 6: N/A - NOT AFFILIATED.
MI	REPORTS FILED WITH STATES	PART VI, LINE 7

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	LUDINGTON SCOTTVILLE CHAMBER OF COMMERCE	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	5827 W US 10	AddressLine1
City	LUDINGTON	City
State	MI	State
ZIP Code	49431	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	380775025	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Cash Grant	5095	AmountOfCashGrant
Method Of Valuation	N/A	MethodOfValuation
Description Of Non Cash Assistance	N/A	DescriptionOfNonCashAssistance
Purpose Of Grant	SPONSORSHIP OF ICE OPEN, SUMMERFEST, VISION LEVEL, GUS MACKER BASKETBALL TOURNAMENT	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

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: WHEN GRANTS ARE GIVEN TO PUBLIC CHARITIES, THE HOSPITAL REVIEWS EACH ORGANIZATION TO ENSURE THAT THEY ARE EXEMPT.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	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 (10 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
TIMOTHY HEINRICH
VICE PRESIDENT & COO	255163	0	0	0	0	0	39500	0	13104	0	307767	0	0	0
KERRI NELSON
VICE PRESIDENT OF FINANCE	186954	0	0	0	0	0	9399	0	13104	0	209457	0	0	0
MARK VIPPERMAN
PRESIDENT & CEO	384940	0	0	0	0	0	29500	0	10802	0	425242	0	0	0
HELEN JOHNSON
VP OF PATIENT SERVICES	184108	0	0	0	0	0	17000	0	0	0	201108	0	0	0
DAVID KLINGER
VP OF ORGANIZATIONAL DEVELOPMENT	171317	0	0	0	0	0	5127	0	10802	0	187246	0	0	0
JOHN P COONEY DO
PHYSICIAN	206273	0	0	0	0	0	14643	0	0	0	220916	0	0	0
TAMARA BUCKLESMD
PHYSICIAN	218791	0	0	0	0	0	0	0	13104	0	231895	0	0	0
EDDIE MAKOWICKI
DIRECTOR OF PHARMACY	174434	0	0	0	0	0	8869	0	13104	0	196407	0	0	0
AMANDA OVERMYERMD
PHYSICIAN	150123	0	0	0	0	0	0	0	13104	0	163227	0	0	0
ROBERT JOHNSON
DIRECTOR OF DEVELOPMENT	159941	0	0	0	0	0	39500	0	10803	0	210244	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINE 1A	ReturnReference
Explanation	TRAVEL FOR COMPANIONS: MARK VIPPERMAN, ALLOWED FOR IN HIS EMPLOYEMENT CONTRACT. TREATED AS TAXABLE COMPENSATION. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: MARK VIPPERMAN, LINCOLN HILLS DUES. SOCIAL CLUB DUES ARE NOT TREATED AS TAXABLE COMPENSATION. THE ONLY REASON THE STAFF MEMBERS OBTAIN A MEMBERSHIP TO THE LOCAL SOCIAL CLUBS, IS SO MEMORIAL MEDICAL CENTER CAN USE THE SOCIAL CLUB FACILITIES FOR HOSPITAL SPONSORED EVENTS SUCH AS THE BENEFIT HALL, EMPLOYEE SERVICE AWARDS DINNER, ETC. THE MEMBERSHIP WAS NOT UTILIZED FOR PERSONAL BENEFIT. MEMORIAL MEDICAL CENTER DOES NOT PAY FOR HEALTH CLUB DUES.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MASON COUNTY HOSPITAL FINANCE AUTHORITY	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	386004870	IssuerEIN
Date Issued	2012-06-15	DateIssued
Issue Price	10000000	IssuePrice
Description Of Purpose	REFINANCING AND CONSTRUCTION	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	10000000	TotalProceeds
Issuance Costs From Proceeds	193251	IssuanceCostsFromProceeds
Capital Expenditures	4355207	CapitalExpenditures
Other Spent Proceeds	5451542	OtherSpentProceeds
Year Of Subst Completion	2013	YearOfSubstCompletion
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	0	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test	0	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs	1	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiled
Rebate Not Due Yet	1	RebateNotDueYet
Exception To Rebate	0	ExceptionToRebate
No Rebate Due	0	NoRebateDue
Variable Rate Issue	1	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	0	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K, PART II, LINE 11:	Identifier
Explanation	THE AMOUNT OF OTHER SPENT PROCEEDS REPRESENTS THE PORTION OF THE $10,000,000 BOND THAT WAS USED TO PAY OFF THE NOTE PAYABLE TO THE MICHIGAN STATE HOSPITAL FINANCE AUTHORITY.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	PERE MARQUETTE EMERGENCY PHYSICIAN PLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	BOARD MEMBER STEVEN STRIBICH IS OWNER OF THIS PHYSICIAN PRACTICE	Relationship
Amount Of Transaction	102042	AmountOfTransaction
Description Of Transaction	HOSPITAL PAID RENT AND OVERHEAD COSTS OF HOSPITAL-EMPLOYED PHYSICIAN LOCATED IN THE BOARD MEMBERS PRACTICE.	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 4	THE BOARD OF DIRECTORS AMENDED THE BYLAWS ON APRIL 2, 2013. THE AMENDED BYLAWS INCLUDE A REVISED SECTION ON COMPENSATION STATING "DIRECTORS ON THE BOARD OR ANY BOARD COMMITTEE, AS SUCH, SHALL NOT RECEIVE SALARIES FOR THEIR SERVICES AS A MEMBER OF THE BOARD. THE BOARD BY AN ACTION MAY DETERMINE THAT THE DIRECTORS ON THE BOARD OR ANY BOARD COMMITTEE MAY RECEIVE REASONABLE REIMBURSMENT FOR EXPENSES INCURRED IN ATTENDING TO THEIR AUTHORIZED DUTIES. THIS SECTION 8 SHALL NOT BE CONSTRUED TO PRECLUDE ANY MEMBER OF THE BOARD FROM SERVING THE CORPORATION IN ANY OTHER CAPACITY AND RECEIVING COMPENSATION THEREFORE. THE FOREGOING SHALL ALSO NOT PREVENT THE BOARD FROM REIMBURSING ANY DIRECTOR FOR EXPENSES ACTUALLY AND NECESSARILY INCURRED BY HIM OR HER IN THE PERFORMANCE OF HIS OR HER DUTIES AS DIRECTOR, OR FROM ENTERING INTO A CONTRACT DIRECTLY OR INDIRECTLY WITH A DIRECTOR FOR THE PROVIDING OF GOODS AND OR SERVICES TO THE CORPORATION, IF SUCH CONTRACT IS IN THE BEST INTEREST OF THE CORPORATION AND ON FAIR AND REASONABLE TERMS." THE AMENDED BYLAWS CLARIFY THE DISTRIBUTION OF THE ASSETS UPON DISSOLUTION OF THE CORPORATION, BY STATING THAT AFTER PAYING OR MAKING PROVISION FOR THE PAYMENT OF ALL LIABILITIES AND OBLIGATIONS OF THE CORPORATION, THE REMAINING ASSETS SHALL BE DISTRIBUTED TO MEMORIAL MEDICAL CENTER FOUNDATION IF IN EXISTANCE, AND MASON COUNTY, MICHIGAN IF THE FOUNDATION IS NOT IN EXISTANCE.
FORM 990, PART VI, SECTION B, LINE 11	THE 990 IS PLACED ON THE AGENDA FOR THE BOARD MEETING AND EACH BOARD MEMBER HAS A CHANCE TO REVIEW THE 990 AND THEN ASK QUESTIONS REGARDING DATA WITHIN THE FORM BEFORE IT IS FILED. THIS REVIEW IS DOCUMENTED IN THE MINUTES OF THE MEETING.
FORM 990, PART VI, SECTION B, LINE 12C	THE HOSPITAL HAS THE OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS SIGN A DOCUMENT DISCLOSING THEIR CONFLICTS OF INTEREST. THE DOCUMENTS ARE REVIEWED ONCE A YEAR BY THE BOARD MEMBERS AND THEY WOULD DETERMINE WHETHER A CONFLICT EXISTS. ANY PERSON WHO IS DEEMED TO HAVE A CONFLICT OF INTEREST WOULD BE PROHIBITED FROM PARTICIPATING IN ANY DELIBERATION AND DECISIONS REGARDING THE RELATED TRANSACTION. RESPONDED NO FOR PART VI, LINE 12B AS THE CONFLICT OF INTEREST FORMS WERE NOT COMPLETED BY KEY EMPLOYEES DURING FISCAL YEAR 2013.
FORM 990, PART VI, SECTION B, LINE 15	ONCE A YEAR THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE REVIEWS THE CEO'S EMPLOYMENT PERFORMANCE AND RECOMMENDS TO THE FULL BOARD A CONTINUATION OF EMPLOYMENT AND ANY COMPENSATION INCREASES OR CHANGES. MEMORIAL MEDICAL CENTER'S HUMAN RESOURCES MANAGER COMPILES COMPARABILITY DATA FROM A NUMBER OF DIFFERENT COMPENSATION SURVEYS, THE BOARD COMPLETES AN EVALUATION FORM ON THE CEO'S PERFORMANCE, HUMAN RESOURCES COMPILES ALL OF THE DATA FROM THE SURVEYS AND PROVIDES THAT DATA - ALONG WITH THE COMPENSATION COMPARABILITY DATA TO THE BOARD. ONCE A YEAR THE PRESIDENT/CEO REVIEWS THE ANNUAL LEADERSHIP APPRAISAL FOR THE VICE PRESIDENT AND OTHER MANAGEMENT EMPLOYEES UNDER HIS/HER DIRECT SUPERVISION AND RECOMMENDS ANY COMPENSATION ADJUSTMENTS TO THE FULL BOARD OF DIRECTORS FOR APPROVAL. THE LAST REVIEW OF COMPENSATION COMPARABILITY DATA TO DETERMINE THE FISCAL YEAR'S OFFICER COMPENSATION WAS PERFORMED AT THE 11/27/12 BOARD MEETING.
FORM 990, PART VI, SECTION C, LINE 19	THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,160,315. MANAGEMENT AND GENERAL EXPENSES 2,726,234. FUNDRAISING EXPENSES 1,426. TOTAL EXPENSES 5,887,975. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 3,547,443. MANAGEMENT AND GENERAL EXPENSES 7,438. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,554,881. COLLECTION FEES: PROGRAM SERVICE EXPENSES 1,831. MANAGEMENT AND GENERAL EXPENSES 325,033. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 326,864. MAINTENANCE AGREEMENTS: PROGRAM SERVICE EXPENSES 799,599. MANAGEMENT AND GENERAL EXPENSES 693,213. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,492,812.	OTHER FEES
FORM 990, PART XI, LINE 9:	PENSION LIABILITY ADJUSTMENT 8,955,505.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:	NO CHANGES FROM PRIOR YEAR
FORM 990, PAGE 1, C:	THE HOSPITAL HAS THE FOLLOWING DBA'S ON RECORD: - MEMORIAL FAMILY CARE - MEMORIAL MEDICAL HOME CARE
FORM 990, PART X:	FOR TAX RETURN PURPOSES, PREPAID PENSION HAS BEEN CLASSIFIED AS AN ASSET VERSUS NETTING AGAINST THE PENSION LIABILITY. DUE TO THIS, BALANCE SHEET ASSETS AND LIABILITIES ON THE 990 ARE HIGHER THAN THE AUDITED FINANCIAL STATEMENTS BY $12,345,535 AND $10,678,523 AS OF SEPTEMBER 30, 2013 AND 2012, RESPECTIVELY.