2013-08-15T12:33:07-05:00 2012-09-30 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2011-10-01 381358390 Garden City Hospital % JANE HARDY GARD 7344213300 6245 Inkster Road Garden City MI 48135 TIMOTHY M JODWAY 2013-08-15 true Joyce A Dulworth 2604604000 2011 2016-02-25 16:41:14Z MR GARY LEY 6245 INKSTER ROAD GARDEN CITY MI 48135 148258374 false X WWW.GCHOSP.ORG X 1947 MI GARDEN CITY HOSPITAL IS COMMITTED TO PROVIDING HEALTH CARE THAT IMPROVES THE WELL BEING OF THE WHOLE PERSON AND THE HEALTH STATUS OF THE COMMUNITY. 13 13 1581 168 1804587 -192779 100395 54844 144037141 144517459 855495 1608751 1028167 1571892 146021198 147752946 0 0 0 0 71171617 71991810 0 0 0 75862879 73758150 147034496 145749960 -1013298 2002986 101688507 100627551 94375188 100806357 7313319 -178806 X GARDEN CITY HOSPITAL IS COMMITTED TO PROVIDING HEALTH CARE THAT IMPROVES THE WELL BEING OF THE WHOLE PERSON AND THE HEALTH STATUS OF THE COMMUNITY AT LARGE THROUGH THE PROVISION OF COMPREHENSIVE HEALTH CARE SERVICES, OSTEOPATHIC MEDICAL EDUCATION, AND HEALTH CARE RELATED PROGRAMS. false false 138738130 144284764 GARDEN CITY HOSPITAL (GCH) PROVIDED HEALTH CARE SERVICES TO APPROXIMATELY 10,200 INPATIENTS, 49,000 EMERGENCY VISITS, AND 80,000 OUTPATIENT VISITS.GCH'S RETAIL PHARMACY SERVICES PROVIDED 32,000 SCRIPTS FOR THE COMMUNITY.GCH ALSO PROVIDED FREE OR LOW COST SERVICES TO THE COMMUNITY SUCH AS HEALTH FAIRS, VARIOUS MEDICAL SCREENINGS, DIABETIC EDUCATION, CPR CLASSES, AND PRENATAL COUNSELING. 138738130 true true false false false false false false false true false false true true false false true false false true false false false false false true true false false true true false false false false false false false false false false false false false false false true true true false false true 188 0 true 1581 true true true false false false false true true false false false false X 13 13 false false false false false false false true true false false true true true true true true true false true false X JANE HARDY 7344584733 6245 INKSTER ROAD GARDEN CITY MI 48135 FOUAD ASHKAR 1.0 X 0 0 0 BREAKIE LINDA 1.0 X 0 0 0 BRINCAT RITA 1.0 X 0 0 0 DOIG CHRISTOPHER DO 1.0 X 0 0 0 JEFFRESS CONWAY 1.0 X 0 0 0 MARINO VINCENT 1.0 X 0 0 0 ORCHER DENIS 1.0 X 0 0 0 O'SHEA JOHN 1.0 X 0 0 0 PAPPAS JOYCE 1.0 X 0 0 0 PAWLAK ANNE DO 1.0 X 0 0 0 SMITH TROY DO 1.0 X 0 0 0 SUSKO BRIAN 1.0 X 0 0 0 SWAD EDWARD JR 1.0 X 0 0 0 LEY GARY 40.0 X 362326 0 27892 MOORMAN GARY 40.0 X 150665 0 11164 WILLIAMS DEBBIE 40.0 X 132180 0 24004 JODWAY TIM 40.0 X 223274 0 21826 WAARALA KRISTEN 40.0 X 182250 0 25386 PARKS SHERYL 40.0 X 334963 0 27831 WILSON-JOHNSON INGRID 40.0 X 252392 0 26088 HADDAD CHADI 40.0 X 280337 0 13304 ELIAS GEORGE 40.0 X 273708 0 27486 FARHAT IBRAHIM 40.0 X 270009 0 22003 2462104 0 226984 44 false true false Caretech Solutions Inc PO Box 674271 DETROIT MI 48267 IT SUPPORT 3622169 Siemens Medical Solutions DEPT CH 14195 PALATINE IL 60055 IT support 1507870 Supplemental Health Care PO Box 27124 SALT LAKE CITY UT 84127 Imaging Services 1148546 Alliance HNI 7647 Collection Center Drive CHICAGO IL 60693 Imaging Services 842990 Sodexho Health Care Services MSC-410672 PO Box 41500 NASHVILLE TN 37241 Bio-medical services 770398 110 40000 14844 54844 PATIENT SERVICE 621400 140663157 139426804 1236353 RETAIL PHARMACY 446110 2755461 2187227 568234 HOME MEDICAL EQUIPMENT 621610 191857 191857 COMMUNITY SERVICE PROGRAMS 621400 906984 906984 144517459 1606600 1606600 0 0 589225 505428 83797 83797 83797 2151 2151 2151 2151 0 0 0 CAFETERIA 722100 437809 437809 ALL OTHER REVENUE 900099 1050286 1050286 1488095 147752946 144284764 1804587 1608751 0 0 0 0 1136622 1136622 0 0 56543381 55590926 952455 0 2442069 2400935 41134 0 9289762 8770586 519176 0 2579976 2536519 43457 0 0 195639 195639 0 210600 210600 0 0 0 0 10270667 9046693 1223974 0 1057573 1057573 0 6122721 6007842 114879 0 4979951 4631354 348597 0 0 1546124 1312813 233311 0 0 0 146655 135782 10873 0 2743246 2743246 0 5530087 5530087 0 -14336 -14336 0 IMPLANTS 5765208 5765208 RESIDENT & INTERN MEALS 147368 147368 EDUCATION 121073 121073 BLOOD & BLOOD PRODUCTS 922244 922244 34013330 33075454 937876 145749960 138738130 7011830 0 1400 1925 9456459 11357927 0 0 12636948 10558328 0 0 0 0 0 0 1502858 1302261 2074428 1273060 138790135 93616575 47309847 45173560 19297426 19754581 0 0 0 0 0 0 9409141 11205909 101688507 100627551 12087987 11927974 0 0 0 0 53209051 52283821 0 0 0 0 0 0 0 0 29078150 36594562 94375188 100806357 X 7151524 -315553 161795 136747 0 0 7313319 -178806 101688507 100627551 X 2002986 -9495111 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 867282 867282 69927444 35667534 34259910 65570502 57143673 8426829 2424907 805368 1619539 45173560 DUE FROM RELATED PARTIES 3571552 DEFERRED BOND COSTS 704503 INVESTMENT-MULTIPROV CAPTIVE 6413163 INVESTMENT-GC HOME MED EQUIP 332703 INVESTMENT-MCHI 0 INVESTMENT-PULSE 183988 11205909 0 RESERVE FOR PROF LIAB CLAIMS 3979053 PENSION LIABILITY 31566611 OBLIGATIONS UNDER CAPTIAL LEASE 84932 DUE TO 3RD PARTY PAYORS 963966 36594562 147752946 145749960 2002986 -9495111 -9495111 -7492125 148258374 505428 505428 147752946 147752946 146255388 505428 505428 145749960 145749960 SCHEDULE D ASC 740 FOOTNOTE MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. PART XI, LINE 8 RESTRICTED CONTRIBUTIONS (15,467) PENSION ADJUSTMENT (9,479,644) TOTAL (9,495,111) PART XII, LINE 2D & PART XIII, LINE 2D RENT EXPENSE 505,428 Central America and the Caribbean 1 1 Program Services CAPTIVE INSURANCE CO 55352 Central America and the Caribbean 1 1 Program Services CAPTIVE INSURANCE CO 2576517 2 2 2 2 2631869 2631869 true false true false false false true true true X true X true true false false 212103 212103 0.00160 24433708 19291479 5142229 0.03930 24645811 19291479 5354332 0.04090 820862 820862 0.00630 7336890 7622964 -286074 996719 418152 578567 0.00440 38843 38843 0.00030 9193314 8041116 1152198 0.01100 33839125 27332595 6506530 0.05190 20652 20652 0.00020 22550 22550 0.00020 16776 16776 0.00010 59978 59978 0.00050 true 6019610 1444700 71661023 59813650 11847373 X true true 1 1 GARDEN CITY HOSPITAL

6245 INKSTER ROAD GARDEN CITY MI 48135

X X X X GARDEN CITY HOSPITAL 1 true true 200. true 200. false true true X X X X X X true false true X false false PART III LINE 4A REFER TO FOOTNOTE 1 OF THE AUDITED FINANCIALS FOR THE DETAILS REGARDING THE CHANGE IN ACCOUNTING PRINCIPLE FOR 2011. LINE 4B AN AGGREGATE COST TO CHARGE RATIO WAS USED TO PROVIDE BAD DEBT AT COST FOR LINE 2. LINE 8A FROM COST REPORT LINE 9B PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OF FINANCIAL ASSISTANCE ARE NOT SENT TO A COLLECTION AGENCY. THE ORGANIZATION REPEATEDLY OFFERS PATIENTS ACCESS TO FINANCIAL HELP DURING THEIR HOSPITAL STAY AND AFTER, AS WELL AS WITH EACH BILLING NOTICE (INFORMATION IS PRINTED DIRECTLY ON THE PATIENT BILL). PART V LINE 13G Financial counselor & Medicaid application vendor discusses charity care options with the uninsured patients. LINE 19D ALL UNINSURED PATIENTS RECEIVED A 30% DISCOUNT FROM THE HOSPITAL FACILITY. UNINSURED PATIENTS RECEIVED ADDITIONAL DISCOUNTS WHICH RESULT IN CHARGES BEING AT OR BELOW THE TYPICAL COMMERCIAL RATE. THE HOSPITAL FACILITY DETERMINES EACH PATIENT'S ABILITY TO PAY ON AN INDIVIDUAL BASIS. NEEDS ASSESSMENT A NEEDS ASSESSMENT OF THE GARDEN CITY HOSPITAL (GCH) COMMUNITY WAS PERFORMED IN AUGUST 2010. THE ASSESSMENT WAS PERFORMED BY GCH STAFF AND INCLUDED REVIEW OF COMMUNITY HEALTH REPORTS AND NATIONAL COMMUNITY SURVEYS. THE ASSESSMENT LOOKED AT THE GCH COMMUNITY'S DEMOGRAPHIC, SOCIOECONOMIC, HEALTH STATUS AND CHRONIC DISEASE PROFILES. IN ADDITION, THE HOSPITAL AND PHYSICIANS IDENTIFY COMMUNITY NEEDS BASED ON ADMISSION/DISCHARGE AND OTHER HOSPITAL DATA. BASED ON THIS DATA AND INFORMATION, THE HOSPITAL ASSESSES AND CONTINUALLY RESPONDS TO CHANGING COMMUNITY NEEDS. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ALL UNINSURED PATIENTS THAT ARE ADMITTED TO THE HOSPITAL AS INPATIENTS ARE SCREENED AND INTERVIEWED FOR MEDICAID ELIGIBILITY BY A THIRD PARTY VENDOR. UNINSURED PATIENTS SEEN IN THE EMERGENCY DEPARTMENT ARE CONTACTED BY PHONE AFTER THE VISIT AND SCREENED FOR MEDICAID ELIGIBILITY. IF THE PATIENTS ARE NOT MEDICAID ELIGIBLE, THEY ARE GIVEN INFORMATION REGARDING THE HOSPITAL'S CHARITY CARE PROGRAM. PATIENT BILLING STATEMENTS CONTAIN INFORMATION ON THE GUIDELINES AND HOW TO OBTAIN A CHARITY CARE APPLICATION. COMMUNITY INFORMATION GCH SERVES APPROXIMATELY ONE-FOURTH OF THE POPULATION RESIDING IN WAYNE COUNTY. THE POPULATION HAS A UNIQUE MIX OF MINORITIES WHO RESIDE IN SPECIFIC DISTRICTS OF THE COMMUNITY. UNEMPLOYMENT IS HIGHER THAN THE NATIONAL AVERAGE. THE PERCENTAGE OF UNINSURED IS HIGHER THAN MICHIGAN'S AVERAGE. THE POPULATION IS OLDER THAN THE AVERAGE FOR BOTH THE NATION AND FOR MICHIGAN; THE PERCENTAGE OF CHILDREN UNDER 18 IS LESS THAN 16 PERCENT, COMPARED TO THE NATIONAL AVERAGE OF 18 PERCENT. HEART DISEASE AND CANCER ARE THE LEADING CAUSES OF DEATH. PROMOTION OF COMMUNITY HEALTH THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. THE HOSPITAL PARTICIPATES IN MEDICAID, MEDICARE AND OTHER GOVERNMENT SPONSORED HEALTH PROGRAMS. THE HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY SERVED BY THE HOSPITAL. THE HOSPITAL SERVES AS A CLINICAL EXPERIENCE FOR A LARGE NUMBER OF RESIDENTS. IN ADDITION, STUDENTS IN OTHER HEALTH CARE PROFESSIONS SUCH AS NURSING, PHARMACY, DIETARY, AND EMERGENCY TECHNICIANS ARE TRAINED HERE. STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI MI, X X X true false false false false false false false false LEY GARY 362326 0 0 0 0 0 7350 0 20542 0 390218 0 MOORMAN GARY 150665 0 0 0 0 0 6372 0 4792 0 161829 0 WILLIAMS DEBBIE 132180 0 0 0 0 0 3906 0 20097 0 156183 0 JODWAY TIM 223274 0 0 0 0 0 1523 0 20303 0 245100 0 PARKS SHERYL 334963 0 0 0 0 0 7554 0 20277 0 362794 0 WILSON-JOHNSON INGRID 252392 0 0 0 0 0 5785 0 20303 0 278480 0 HADDAD CHADI 280337 0 0 0 0 0 6273 0 7032 0 293642 0 ELIAS GEORGE 273708 0 0 0 0 0 7379 0 20106 0 301193 0 FARHAT IBRAHIM 270009 0 0 0 0 0 5482 0 16521 0 292012 0 WAARALA KRISTEN 182250 0 0 0 0 0 5193 0 20193 0 207636 0 0 0 GCH FINANCE AUTHORITY HOSPITAL BONDS SERIES 2007A 386004685 365128AH0 2007-03-15 46689664 FINANCE FACILITIES & SURGERY CENTE false true false 0 0 46689664 2236979 0 0 587857 0 43864828 30848786 0 0 2008 true true true true false false false false false false 0.00000 0.00000 0.00000 true false false false 0 false false false 0 false false POLICIES PART VI, SECTION B LINE 11B THE ORGANIZATION'S FINANCE DEPARTMENT ACCUMULATES INFORMATION AND DATA NECESSARY TO COMPLETE THE FEDERAL FORM 990. AUDITED FINANCIAL DATA AND BOARD APPROVED POLICIES AND PROCEDURES ARE USED AS INPUT TO COMPLETE THE FORM. A DRAFT RETURN IS PREPARED AND REVIEWED BY THE ORGANIZATION'S INDEPENDENT OUTSIDE ACCOUNTANTS. THE FINANCE STAFF REVIEWS THE FORM 990 PRIOR TO FILING WITH THE IRS. AN ELECTRONIC COPY OF FORM 990 IS PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. LINE 12C EACH MONTH THE BOARD MEMBERS ASK THE GROUP IF THERE ARE ANY CONFLICTS OF INTEREST. IF THERE ARE ANY CONFLICTS THE BOARD WILL DISCUSS, INVESTIGATE, AND TAKE APPROPRIATE ACTION IF NECESSARY. DELIBERATIONS AND DECISIONS ARE MADE AT THE BOARD LEVEL TO DETERMINE WHETHER OR NOT A CONFLICT EXISTS. MEMBERS WILL RECUSE THEMSELVES FROM THE DISCUSSION IF A CONFLICT DOES EXIST. LINES 15A & 15B THE BOARD OF TRUSTEES ENGAGES AN OUTSIDE CONSULTING FIRM TO SURVEY THE MARKET FOR APPROPRIATE PLANS AND LEVELS OF COMPENSATION. APPROPRIATE PLANS AND COMPENSATION ARE THEN NEGOTIATED WITH TOP MANAGEMENT PERSONNEL. ONCE THIS IS DONE, THE COMPENSATION PLAN IS SENT TO THE COMPLIANCE ATTORNEY FOR REVIEW AND THEN TO THE BOARD FOR FINAL APPROVAL. ALL BOARD MEMBERS INVOLVED IN THIS PROCESS ARE INDEPENDENT MEMBERS. DISCLOSURE PART VI SECTION C LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC. ALL INQUIRIES FOR COPIES OF FINANCIALS STATEMENTS ARE DIRECTED TO THE THIRD PARTY WEBSITE. PART XI LINE 5 RESTRICTED CONTRIBUTIONS (15,467) PENSION ADJUSTMENT (9,479,644) TOTAL (9,495,111) OTHER EXPENSES FORM 990 PART IX DESCRIPTION:DUES & SUBSCRIPTIONS TOTAL EXPENSES:1484189 PROGRAM SERVICES:841640 MANAGEMENT AND GENERAL:642549 OTHER EXPENSES FORM 990 PART IX DESCRIPTION:BAD DEBTS TOTAL EXPENSES:14745082 PROGRAM SERVICES:14745082 OTHER EXPENSES FORM 990 PART IX DESCRIPTION:MEDICAL SUPPLIES TOTAL EXPENSES:15792776 PROGRAM SERVICES:15792776 OTHER EXPENSES FORM 990 PART IX DESCRIPTION:OTHER - LESS THAN 5% OF TOTAL TOTAL EXPENSES:1991283 PROGRAM SERVICES:1695956 MANAGEMENT AND GENERAL:295327 GARDEN CITY HOSPITAL FOUNDATION 6245 INKSTER ROAD GARDEN CITY MI 48135 382645157 FUNDRAISING MI 501(C)(3) 11 GC HOSPITAL true UNITED HOME HEALTH SERVICES 6245 INKSTER ROAD GARDEN CITY MI 48135 382453621 HOME HEALTH MI 501(C)(3) 11 GC HOSPITAL true GARDEN NURSING CENTER 6245 INKSTER ROAD GARDEN CITY MI 48135 382410850 DISSOLVING MI 501(C)(3) 9 GC HOSPITAL true AMERIGARD DEVELOPMENT 6245 INKSTER ROAD GARDEN CITY MI 48135 382695779 PHYSICIAN OFF MI NA C CORP 5273647 2344961 1.00000 AMERIGARD DIAGNOSTIC CENTER 6245 INKSTER ROAD GARDEN CITY MI 48135 383162092 DIAGNOSTIC TE MI NA C CORP 739505 303904 1.00000 GCH ASSURANCE COMPANY LTD PO BOX 1159 KY-1102 GRAND CAYMAN CJ 980608598 INSURANCE CJ NA C CORP 2701452 12829831 1.00000 true true true true false false false false true true false true true true false true false false AMERIGARD DEVELOPMENT CORPORATION L 130527 FMV AMERIGARD DEVELOPMENT CORPORATION N 67500 FMV UNITED HOME HEALTH SERVICES N 57876 FMV AMERIGARD DEVELOPMENT CORPORATION P 1290000 FMV