PROMEDICA COLDWATER REGIONAL HOSPITAL: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- PROMEDICA COLDWATER REGIONAL HOSPITAL (EIN 38-6108110)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2026-01-21
- IRS object ID
- 202640219349301174
- Schema version
- 2024v5.5
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-01-21T13:33:16-06:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 393647910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI ADVISORY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 386108110 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTER OF BRANCH COUNTY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 5172795400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 274 EAST CHICAGO ST | AddressLine1Txt |
| City | COLDWATER | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49036 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ATIF BAWAHAB | PersonNm |
| Person Title | PRESIDENT/DIRECTOR | PersonTitleTxt |
| Phone | 5172795400 | PhoneNum |
| Signature | 2026-01-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2026-01-20 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ATIF BAWAHAB | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 274 EAST CHICAGO ST | AddressLine1Txt |
| City | COLDWATER | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $85,977,006 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.INSIGHTCOLDWATER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2018 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | COMMUNITY HEALTH CENTER OF BRANCH COUNTY IS AN ACUTE CARE HOSPITAL THAT STRIVES TO BE THE DESIRED DESTINATION FOR HEALTHCARE SERVICES FOR EVERYONE, EVERY TIME IN BRANCH COUNTY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 553 | TotalEmployeeCnt |
| Total Volunteers | 39 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,356,237 | PYContributionsGrantsAmt |
| CY Contributions Grants | $22,420 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $79,122,028 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $85,890,014 | CYProgramServiceRevenueAmt |
| PY Investment Income | $18,984 | PYInvestmentIncomeAmt |
| CY Investment Income | $56,327 | CYInvestmentIncomeAmt |
| PY Other Revenue | $35,561 | PYOtherRevenueAmt |
| CY Other Revenue | $8,245 | CYOtherRevenueAmt |
| PY Total Revenue | $80,532,810 | PYTotalRevenueAmt |
| CY Total Revenue | $85,977,006 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $38,363,552 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $37,024,158 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $22,832 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $48,133,180 | PYOtherExpensesAmt |
| CY Other Expenses | $51,071,795 | CYOtherExpensesAmt |
| PY Total Expenses | $86,496,732 | PYTotalExpensesAmt |
| CY Total Expenses | $88,095,953 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$5,963,922 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,118,947 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $31,517,240 | TotalAssetsBOYAmt |
| Total Assets EOY | $41,722,239 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $27,143,505 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $38,722,893 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,373,735 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,999,346 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | COMMUNITY HEALTH CENTER OF BRANCH COUNTY PROVIDES A HIGH-QUALITY, PERSONALIZED EXPERIENCE TO SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $75,517,812 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $85,890,014 | RevenueAmt |
| Desc | COMMUNITY HEALTH CENTER OF BRANCH COUNTY (D/B/A INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER) (CRH) IS A MISSION-BASED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, AND FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS' ABILITY TO PAY.INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER (CRH) IS AN 87-BED, CRITICAL ACCESS, GENERAL ACUTE CARE HOSPITAL IN COLDWATER, MICHIGAN. THE 290,000-SQUARE-FOOT FACILITY PROVIDES HEALTHCARE SERVICES TO RESIDENTS IN THE MICHIGAN COUNTIES OF BRANCH AND HILLSDALE. IN DECEMBER 2024, CRH HAD A NEW MEMBER (FIRDAUS FOUNDATION). CRH OFFERS A BROAD RANGE OF SERVICES TO MEET THE COMMUNITY'S IDENTIFIED HEALTHCARE NEEDS, INCLUDING A 17-BED EMERGENCY CENTER, SURGICAL SERVICES, INPATIENT BEHAVIORAL HEALTH CARE, A FULL SPECTRUM OF ORTHOPEDIC SURGICAL SERVICES, AND CANCER SERVICES CONNECTED TO THE PROMEDICA CANCER INSTITUTE, THE REGION'S CANCER TREATMENT LEADER. IN 2021, CRH BEGAN OFFERING PAIN MANAGEMENT SERVICES AS WELL AS ORTHOPEDIC SURGERY.WOMEN'S HEALTH SERVICES INCLUDE DIAGNOSTIC BREAST MAMMOGRAPHY AND ULTRASOUND, DEXA BONE DENSITY SCREENING, BREAST MRI, AND PRIVATE BIRTHING SUITES THAT PROVIDE A FAMILY-FOCUSED BIRTHING EXPERIENCE. CRH ALSO ADDED A NEW GENIUS 3D MAMMOGRAPHY TECHNOLOGY FOR IMPROVED CLINICAL ACCURACY AND HIGH-RESOLUTION 3D IMAGES.MEDICAL OFFICE BUILDINGS ON THE HOSPITAL CAMPUS INCLUDE OFFICES FOR FAMILY PRACTICE AND INTERNAL MEDICINE PHYSICIAN GROUPS AS WELL AS CARDIOLOGY AND UROLOGY PRACTICES, AN ALLERGY AND ASTHMA CLINIC, GENERAL SURGERY OFFICES, HEMATOLOGY AND ONCOLOGY, AND ENT. OTHER SERVICES INCLUDE EMERGENCY MEDICINE, CARDIAC AND PULMONARY REHAB, VASCULAR CARE, PHYSICAL AND OCCUPATIONAL THERAPY, AND PODIATRY.CRH IS ACCREDITED BY THE JOINT COMMISSION, AND THE HOSPITAL'S WOUND CARE CENTER IS A CENTER OF DISTINCTION AWARD WINNER. IN THE SPRING OF 2024, CRH RECEIVED AN "A" HOSPITAL SAFETY GRADE FROM THE LEAPFROG GROUP IN THE SPRING AND A "C" IN THE FALL OF 2024, A NATIONAL NONPROFIT UPHOLDING THE STANDARD OF PATIENT SAFETY IN HOSPITALS AND AMBULATORY SURGERY CENTERS. CRH ALSO EARNED A FIVE-STAR RATING FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) AS PART OF ITS UPDATED OVERALL HOSPITAL QUALITY STAR RATING.IN 2024, THE HOSPITAL SERVED 2,275 INPATIENTS AND 97,678 OUTPATIENTS. ADDITIONALLY, 19,004 PEOPLE SOUGHT CARE THROUGH CRH'S EMERGENCY CENTER IN 2024. THE HOSPITAL CONTRIBUTED TO THE COMMUNITY THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE, AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE.AS A COMMUNITY-BASED HOSPITAL, CRH HOSTED VARIOUS SUPPORT GROUPS AND COMMUNITY OUTREACH ACTIVITIES. IN 2024, THIS INCLUDED EMPLOYEE DONATIONS OF MORE THAN 250 POUNDS OF FOOD TO THE BRANCH COUNTY FOOD PANTRY. CANCER CENTER SUPPORT GROUPS HELD VIRTUALLY, INCLUDING LOOK GOOD, FEEL BETTER AND THE SURVIVORS SUPPORT GROUP, COMMUNITY SPONSORSHIPS, CPR AND PALS CLASSES, COMMUNITY BLOOD DRIVES, AND THE BRANCH COUNTY UNITED WAY ANNUAL UNITED WE READ DAY. CRH ALSO PROVIDED FINANCIAL ASSISTANCE TO THE COMMUNITY THROUGHOUT 2024, OF WHICH $3,300,980 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT OF PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. COLDWATER HOSPITAL'S COST OF BAD DEBT FOR 2024 WAS $3,888,745.IN SUMMARY, COLDWATER HOSPITAL DEMONSTRATES INSIGHT'S MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES, RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY, PROVIDE APPROPRIATE FINANCIAL ASSISTANCE, OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS, AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS, AND OTHER OUTREACH ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE. | Desc |
| Total Program Service Expenses | $75,517,812 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 553 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NADIR IJAZ | PersonNm |
| Phone | 5868802427 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21230 DEQUINDRE RD | AddressLine1Txt |
| City | WARREN | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48091 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ATIF BAWAHAB | ||||||||
| PRESIDENT/DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BASEER TAJUDDIN | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ATIQ NAKRAWALA | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HARRIS AHMED | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RIAZULA HUDA | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JAWAD SHAH | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ABDULLAH WAHEED | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DARRIN ARQUETTE | ||||||||
| PRESIDENT MONROE REGIONAL HOSPITAL | 1.00 | Yes (X) | Yes (X) | $0 | $640,902 | $10,194 | 40.00 | |
| KATHLEEN MERRILL | ||||||||
| CHAIR/CHIEF MARKETING OFFICER (THRU 12.1.24) | 1.00 | Yes (X) | Yes (X) | $0 | $528,138 | $12,669 | 40.00 | |
| TERRY METZGER | ||||||||
| TREASURER (THRU 12.1.24) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| STEVE SADOWSKI | ||||||||
| SECRETARY (THRU 12.1.24) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MIKE BECKWITH | ||||||||
| TRUSTEE (THRU 12.1.24) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LAURA CAYWOOD | ||||||||
| TRUSTEE (THRU 12.1.24) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| HILLARY ELEY | ||||||||
| TRUSTEE (THRU 12.1.24) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH HUGHES | ||||||||
| TRUSTEE (THRU 12.1.24) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CINDY LONGSTREET | ||||||||
| TRUSTEE (THRU 12.1.24) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DEBORAH LOUNDS-BOWERS | ||||||||
| TRUSTEE (THRU 12.1.24) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JANINCE J GRABOWSKI | ||||||||
| TRUSTEE (THRU 12.1.24) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KENDRA DANIELSEN | ||||||||
| TRUSTEE (THRU 12.1.24) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| EVAN FREDERICK DDS | ||||||||
| TRUSTEE (THRU 12.1.24) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TIMOTHY MILLER DO | ||||||||
| TRUSTEE/EMT (THRU 12.1.24) | 1.00 | Yes (X) | $0 | $62,942 | $2,014 | |||
| CHARLES F WHITAKER IV MD | ||||||||
| TRUSTEE (THRU 12.1.24) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CATHERINE C HABERL | ||||||||
| TRUSTEE (THRU 12.1.24) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL SCHWANKE | ||||||||
| PRESIDENT | 40.00 | Yes (X) | $190,680 | $0 | $0 | |||
| ARTURO POLIZZI | ||||||||
| PRESIDENT AND CEO PROMEDICA HEALTH SYSTEM (THRU 12 | 1.00 | Yes (X) | $0 | $3,119,320 | $14,012 | 40.00 | ||
| TERRENCE METZGER | ||||||||
| CHIEF FINANCIAL OFFICER (THRU 12.1.24) | 1.00 | Yes (X) | $0 | $1,209,318 | $6,610 | 40.00 | ||
| STEPHEN SADOWSKI | ||||||||
| CHIEF LEGAL OFFICER (THRU 12.1.24) | 1.00 | Yes (X) | $0 | $1,180,376 | $6,038 | 40.00 | ||
| ONDREA WILLIAMS | ||||||||
| CHIEF NURSING OFFICER PROVIDER (THRU 12.1.24) | 1.00 | Yes (X) | $0 | $626,139 | $5,257 | 40.00 | ||
| DASA DZIERWA | ||||||||
| CP AVP NON CLINICAL (THRU 12.1.24) | 1.00 | Yes (X) | $0 | $182,969 | $0 | 40.00 | ||
| BARBARA MCGRATH | ||||||||
| ONCOLOGIST | 40.00 | $813,296 | $0 | $0 | Yes (X) | |||
| CHRISTOPHER HOGG | ||||||||
| ORTHOPEDIC SURGEON | 40.00 | $625,061 | $0 | $0 | Yes (X) | |||
| EDWARD JANKOWSKI | ||||||||
| OTOLARYNGOLOGIST | 40.00 | $435,090 | $0 | $0 | Yes (X) | |||
| KANWAR RANA | ||||||||
| PSYCHIATRIST | 40.00 | $417,837 | $0 | $0 | Yes (X) | |||
| NOLAN HERRINGTON | ||||||||
| PSYCHIATRIST | 40.00 | $357,144 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,839,108 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,550,104 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $56,794 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 45 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AYA HEALTHCARE INC | |||||
| 5930 CORNERSTONE COURT WEST | SAN DIEGO | CA | 92121 | TEMPORARY AGENCY | $3,357,489 |
| CLINICAL COLLEAGUES INC | |||||
| 1765 E NINE MILE ROAD | PENSACOLA | FL | 32514 | ANESTHESIA SERVICES | $2,435,542 |
| EPMG OF MICHIGAN PC | |||||
| 2000 GREEN ROAD | ANN ARBOR | MI | 48105 | PROVIDER SERVICES | $866,679 |
| KALAMAZOO FOOT AND ANKLE SPECIALISTS PLC | |||||
| 7971 MOORSBRIDGE ROAD | PORTAGE | MI | 49024 | PROVIDER SERVICES | $574,670 |
| PAIN MANAGEMENT GROUP LLC | |||||
| 229 WEST MAIN CROSS STREET | FINDLAY | OH | 45840 | PROFESSIONAL SERVICES | $365,442 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $22,420 | AllOtherContributionsAmt |
| Total Contributions | $22,420 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICES | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $85,890,014 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $85,890,014 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $85,890,014 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,327 | TotalRevenueColumnAmt |
| Exclusion | $56,327 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,245 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,245 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,245 | TotalRevenueColumnAmt |
| Exclusion | $8,245 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $85,977,006 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $85,890,014 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $64,572 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,438,851 | TotalAmt |
| Program Services | $24,754,474 | ProgramServicesAmt |
| Management And General | $4,671,944 | ManagementAndGeneralAmt |
| Fundraising | $12,433 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $867,826 | TotalAmt |
| Program Services | $729,735 | ProgramServicesAmt |
| Management And General | $137,724 | ManagementAndGeneralAmt |
| Fundraising | $367 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,690,965 | TotalAmt |
| Program Services | $3,944,528 | ProgramServicesAmt |
| Management And General | $744,456 | ManagementAndGeneralAmt |
| Fundraising | $1,981 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,026,516 | TotalAmt |
| Program Services | $1,704,052 | ProgramServicesAmt |
| Management And General | $321,608 | ManagementAndGeneralAmt |
| Fundraising | $856 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,143,172 | TotalAmt |
| Management And General | $1,143,172 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,108 | TotalAmt |
| Management And General | $109,108 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,120 | TotalAmt |
| Management And General | $8,120 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,687,236 | TotalAmt |
| Program Services | $10,721,504 | ProgramServicesAmt |
| Management And General | $2,965,732 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,478 | TotalAmt |
| Program Services | $34,736 | ProgramServicesAmt |
| Management And General | $119,742 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $558,187 | TotalAmt |
| Program Services | $125,510 | ProgramServicesAmt |
| Management And General | $432,677 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,090 | TotalAmt |
| Program Services | $12,821 | ProgramServicesAmt |
| Management And General | $6,269 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,076,583 | TotalAmt |
| Program Services | $1,044,301 | ProgramServicesAmt |
| Management And General | $32,282 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,585 | TotalAmt |
| Program Services | $6,708 | ProgramServicesAmt |
| Management And General | $22,877 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,394 | TotalAmt |
| Program Services | $11,394 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,089,827 | TotalAmt |
| Program Services | $4,575,464 | ProgramServicesAmt |
| Management And General | $514,363 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $775,408 | TotalAmt |
| Management And General | $775,408 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $12,412,982 | $12,412,982 |
| CORPORATE ALLOCATION | $5,415,836 | $5,415,836 |
| PROVIDER ASSESSMENT TAX | $4,537,531 | $4,537,531 |
| BAD DEBT EXPENSE | $4,179,932 | $4,179,932 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,863,326 | TotalAmt |
| Program Services | $1,306,304 | ProgramServicesAmt |
| Management And General | $549,827 | ManagementAndGeneralAmt |
| Fundraising | $7,195 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,095,953 | TotalAmt |
| Program Services | $75,517,812 | ProgramServicesAmt |
| Management And General | $12,555,309 | ManagementAndGeneralAmt |
| Fundraising | $22,832 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,020,246 | BOYAmt |
| EOY | $2,562,440 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,572,875 | BOYAmt |
| EOY | $8,830,410 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,563,773 | BOYAmt |
| EOY | $1,970,693 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $274,836 | BOYAmt |
| EOY | $1,457,970 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $40,949,577 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $23,228,926 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,916,451 | BOYAmt |
| EOY | $17,720,651 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $824,530 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,344,529 | BOYAmt |
| EOY | $9,180,075 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,517,240 | BOYAmt |
| EOY | $41,722,239 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,411,422 | BOYAmt |
| EOY | $7,682,170 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $30,418 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $10,394,702 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,732,083 | BOYAmt |
| EOY | $20,615,603 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,143,505 | BOYAmt |
| EOY | $38,722,893 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$85,311 | BOYAmt |
| EOY | -$1,453,000 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,459,046 | BOYAmt |
| EOY | $4,452,346 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,373,735 | BOYAmt |
| EOY | $2,999,346 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,517,240 | BOYAmt |
| EOY | $41,722,239 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,118,947 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$1,288,747 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $2,033,305 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $8,120 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $8,120 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | COMMUNITY HEALTH CENTER OF BRANCH COUNTY PAYS DUES TO THE MICHIGAN HEALTH AND HOSPITAL ASSOCIATION - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING BY THE ASSOCIATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $947,500 | OtherCostOrOtherBasisAmt |
| Book Value | $947,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,675,470 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,045,907 | DepreciationAmt |
| Book Value | $13,629,563 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,273,729 | OtherCostOrOtherBasisAmt |
| Depreciation | $890,168 | DepreciationAmt |
| Book Value | $383,561 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,923,250 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,292,851 | DepreciationAmt |
| Book Value | $2,630,399 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $129,628 | OtherCostOrOtherBasisAmt |
| Book Value | $129,628 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $17,720,651 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RIGHT OF USE ASSETS | $542,906 |
| 3RD PARTY SETTLEMENT RESERVE | $4,184,823 |
| BENEFICIAL INTEREST FOR FOUNDATION | $4,452,346 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $9,180,075 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| FIXED ASSET CLEARING | $15,712,692 |
| PROVIDER TAXES PAYABLE | $4,320,589 |
| FINANCE LEASE OBLIGATION | $564,922 |
| DUE TO AFFILIATES | $17,400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $20,615,603 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,058,110 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,058,110 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01260 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,970,987 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,218,827 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,752,160 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05660 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,029,097 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,218,827 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,810,270 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06920 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,029,097 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,218,827 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,810,270 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06920 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,179,932 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,300,981 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $9,843,836 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $11,512,124 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,668,288 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTER OF BRANCH COUNTY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 274 EAST CHICAGO ST | AddressLine1Txt |
| City | COLDWATER | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.INSIGHTCOLDWATER.ORG | WebsiteAddressTxt |
| State License | 1060000011 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTER OF BRANCH COUNTY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (1) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SUPPLEMENTAL INFORMATION | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.PROMEDICA.ORG/ABOUT-PROMEDICA/COMMUNITY | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS:///WWW.PROMEDICA.ORG/PAY-MY-BILL/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS:///WWW.PROMEDICA.ORG/PAY-MY-BILL/FINANCIAL-ASSISTANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS:///WWW.PROMEDICA.ORG/PAY-MY-BILL/FINANCIAL-ASSISTANCE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - PROMEDICA HOUGHTON FAMILY PHYSICAL THERA | ||||
| 320 E CHICAGO ST | COLDWATER | MI | 49036 | TOTAL REHAB |
| 2 - PROMEDICA PEDIATRIC & ADOLESCENT CLINIC | ||||
| 358 E CHICAGO ST STE 202 | COLDWATER | MI | 49036 | RHC PEDS |
| 3 - PROMEDICA COLDWATER REGIONAL HOSPITAL PA | ||||
| 360 E CHICAGO ST | COLDWATER | MI | 49036 | PAIN CLINIC |
| 4 - PROMEDICA COLDWATER FAMILY MEDICINE CLIN | ||||
| 370 E CHICAGO ST STE 200 | COLDWATER | MI | 49036 | RHC COLDWATER FM |
| 5 - PROMEDICA COLDWATER WOUND HEALING CENTER | ||||
| 370 E CHICAGO ST STE 700 | COLDWATER | MI | 49036 | WOUND CARE CLINIC |
| 6 - PROMEDICA COLDWATER REGIONAL CANCER CENT | ||||
| 370 E CHICAGO ST STE 100 | COLDWATER | MI | 49036 | ONCOLOGY |
| 7 - MAPLE LAWN | ||||
| 50 SANDERSON LANE | COLDWATER | MI | 49036 | LAB |
| 8 - PROMEDICA UNION CITY MEDICAL CENTER | ||||
| 624 M 60 | UNION CITY | MI | 49094 | RHC UNION CITY FM |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE HOSPITAL FACILITY USES INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY STATUS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. |
| PART I, LINE 7: | COMMUNITY HEALTH CENTER OF BRANCH COUNTY CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2: RATIO OF PATIENT CARE COST TO CHARGES. OTHER BENEFIT AMOUNTS REPORTED ON LINE 7 WERE RECALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED UNDER OTHER BENEFITS. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 4,179,932. |
| PART III, LINE 2: | COMMUNITY HEALTH CENTER OF BRANCH COUNTY'S ANALYSIS AND ASSESSMENT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED BAD DEBT EXPENSE USES A RECEIPTS "LOOK-BACK" METHOD. THIS METHOD UTILIZES HISTORICAL PAYMENT DATA ON ACCOUNTS, INCLUDING CONTRACTUAL ADJUSTMENTS FOR PAYER DISCOUNTS AS WELL AS PATIENT PAYMENTS SUCH AS COPAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY. |
| PART III, LINE 3: | COMMUNITY HEALTH CENTER OF BRANCH COUNTY ESTIMATED THE POSSIBLE AMOUNT OF FINANCIAL ASSISTANCE WITHIN BAD DEBT EXPENSE BY REVIEWING ACCOUNTS THAT WERE INTERNALLY CODED AS HAVING BEEN PROVIDED A FINANCIAL ASSISTANCE APPLICATION. THESE WERE CASES IN WHICH THE APPLICATION WAS NOT ADEQUATELY COMPLETED BY THE PATIENT OR GUARANTOR, AND THE ACCOUNT WAS SUBSEQUENTLY WRITTEN OFF TO BAD DEBT. |
| PART III, LINE 4: | PROVISION FOR BAD DEBTS AND ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE DISCUSSED ON PAGE 16 AND 17 OF THE ATTACHED PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES CONSOLIDATED FINANCIAL REPORT WITH SUPPLEMENTAL INFORMATION. |
| PART III, LINE 8: | COMMUNITY HEALTH CENTER OF BRANCH COUNTY USED THE MEDICARE ALLOWABLE COSTS PER ITS 2024 FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF APPLICABLE. ALLOWABLE COSTS ARE RECALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE-GENERATING UNITS WITHIN THE HOSPITAL. IT IS IMPORTANT TO NOTE THAT THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS. |
| PART III, LINE 9B: | FINANCIAL ASSISTANCE DISCOUNTS ARE GRANTED FOR MEDICALLY NECESSARY SERVICES WHEN IT IS DETERMINED THAT THE PATIENT AND FAMILY INCOME MEETS THE ESTABLISHED CRITERIA. PATIENTS WHO HAVE INSURANCE COVERAGE OR WHO ARE ENTITLED TO GOVERNMENTAL ASSISTANCE ARE IDENTIFIED TO ENSURE REIMBURSEMENT CAN BE OBTAINED. ALL PATIENTS WITH SELF-PAY BALANCES AFTER INSURANCE MAY OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS IF THEY PROVIDE APPROPRIATE DOCUMENTATION DEMONSTRATING THAT THEY MEET THE INCOME GUIDELINES. VERIFICATION OF FINANCIAL ASSISTANCE ELIGIBILITY IS PURSUED THROUGHOUT THE INTERNAL COLLECTION PROCESS UNTIL ALL OPTIONS HAVE BEEN EXHAUSTED. ALL PATIENTS WITH A SELF-PAY BALANCE INCLUDING THOSE WHO MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE RECEIVE BILLING STATEMENTS AND PAYMENT REMINDERS. THESE STATEMENTS INFORM PATIENTS OF THE OPPORTUNITY TO SEEK A FINANCIAL ASSISTANCE ADJUSTMENT FOR MEDICALLY NECESSARY SERVICES, THE ELIGIBILITY CRITERIA, AND THE METHOD TO APPLY. IF A FINANCIAL ASSISTANCE APPLICATION HAS NOT BEEN COMPLETED AND/OR REQUESTED INCOME VERIFICATION HAS NOT BEEN RECEIVED FROM A PATIENT WHO COULD POTENTIALLY QUALIFY, THE PATIENT WILL CONTINUE TO RECEIVE BILLING STATEMENTS THROUGH THE NORMAL COLLECTION PROCESS. IF A PATIENT DOES NOT HAVE INSURANCE, A PRESUMPTIVE CHARITY DETERMINATION MAY BE MADE USING PUBLICLY AVAILABLE DATA SUCH AS DEMOGRAPHIC INFORMATION, CREDIT HISTORY, AND OTHER RELEVANT INDICATORS TO ASSIST WITH QUALIFYING FOR FINANCIAL ASSISTANCE. ONCE IT HAS BEEN DETERMINED THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, AN ADJUSTMENT IS PROCESSED. THE PATIENT ACCOUNT ANALYST WILL DETERMINE ELIGIBILITY AND CALCULATE THE ADJUSTMENT BASED ON POLICY GUIDELINES. AN ADJUSTMENT FORM IS PREPARED AND APPROVED ACCORDING TO POLICY. UNINSURED PATIENTS MAY BE REQUIRED TO COMPLETE AN APPLICATION AND PROVIDE REQUIRED DOCUMENTATION, INCLUDING ANY MATERIALS NECESSARY TO DETERMINE ELIGIBILITY. UNINSURED PATIENTS ARE NOTIFIED IN WRITING WHETHER OR NOT THEY QUALIFY FOR ANY FINANCIAL ASSISTANCE ADJUSTMENT FOR WHICH THEY HAVE SUBMITTED AN APPLICATION, ALONG WITH ANY REMAINING BALANCE OWED. THE ADJUSTMENT IS THEN APPLIED TO THE PATIENT'S ACCOUNT. PATIENTS MAY BE OFFERED PAYMENT PLANS WHEN APPROPRIATE, BASED ON DOCUMENTED FINANCIAL NEED AND CIRCUMSTANCES. LONGER PAYMENT PLANS MAY BE OFFERED ON AN EXCEPTION BASIS FOR CASES WITH UNUSUALLY HIGH BALANCES OR SPECIAL CIRCUMSTANCES DEMONSTRATING AN INABILITY TO PAY. ONCE THE INTERNAL COLLECTION PROCESS HAS BEEN COMPLETED, PATIENT ACCOUNTS MAY BE REFERRED TO AN EXTERNAL COLLECTION AGENCY IF THE PATIENT HAS NOT CONTACTED THE HOSPITAL REGARDING THEIR DESIRE TO APPLY FOR FINANCIAL ASSISTANCE, HAS NOT SUBMITTED A FINANCIAL ASSISTANCE APPLICATION, HAS NOT RESPONDED TO REQUESTS FOR ADDITIONAL INFORMATION, OR IF THE HOSPITAL IS UNABLE TO MAKE A PRESUMPTIVE CHARITY DETERMINATION. IT IS THE EXPECTATION THAT THE EXTERNAL COLLECTION AGENCY, AS THEY WORK THE ACCOUNTS, WILL OFFER FINANCIAL ASSISTANCE WHEN APPLICABLE. THROUGHOUT THE COLLECTION PROCESS, THE AGENCY WILL INFORM UNINSURED PATIENTS OF THE CRITERIA TO OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS BASED ON FAMILY INCOME AND FAMILY SIZE. FOR PATIENTS WHO SUBMIT THE REQUIRED DOCUMENTATION, THE AGENCY WILL FORWARD APPLICATIONS TO THE CENTRAL BUSINESS OFFICE FOR PROCESSING. |
| PART VI, LINE 2: | INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER DEMONSTRATE A COMMITMENT TO THE COMMUNITIES THEY SERVE AND, THEREFORE, BELIEVE IT IS CRITICAL TO UNDERSTAND THE HEALTHCARE NEEDS OF THEIR PRIMARY SERVICE AREAS. TO THAT END, INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER CONDUCT NEEDS ASSESSMENTS IN THEIR PRIMARY SERVICE AREAS USING A VARIETY OF METHODOLOGIES TO ASSESS EACH COUNTY'S HEALTHCARE DATA, IDENTIFY GAPS IN HEALTHCARE INITIATIVES, AND MAKE RECOMMENDATIONS FOR THE BETTERMENT OF GENERAL COMMUNITY HEALTH.ANALYSIS OF PUBLISHED COUNTY HEALTH DATA, INTERVIEWS WITH KEY STAKEHOLDERS, AND REVIEW OF HISTORICAL AND EXISTING INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER COMMUNITY ASSESSMENTS ARE ALL METHODS USED TO DEVELOP RECOMMENDATIONS FOR INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANS. THIS INFORMATION IS REVIEWED AND APPROVED BY HOSPITAL GOVERNANCE LEADERSHIP TO ENSURE THAT PLANS ARE DEVELOPED TO MEET THE NEEDS OF THE COMMUNITY.PUBLISHED COUNTY HEALTH DATA WERE OBTAINED FROM SEVERAL SOURCES, INCLUDING THE OHIO DEPARTMENT OF HEALTH DATA WAREHOUSE, THE MICHIGAN DEPARTMENT OF HEALTH, AND FORMAL COUNTY ASSESSMENTS CONDUCTED WITHIN INDIVIDUAL COUNTIES. ALTHOUGH MOST COUNTIES CONDUCTING A FORMAL ASSESSMENT UTILIZE THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) QUESTIONNAIRE DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AS THE BASIS OF THE COUNTY QUESTIONNAIRE, COUNTY COMMITTEES TYPICALLY ADD AND/OR CHANGE QUESTIONS TO MEET THE COUNTY'S PERCEIVED NEEDS.INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER COMMUNITY GOALS ARE SET BASED ON THIS DATA. OVERALL, INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER COMMUNITY HEALTH PLAN PLACES EMPHASIS ON CLINICAL PROGRAMS FOCUSED ON LEADING CAUSES OF DEATH CHRONIC DISEASES, MENTAL HEALTH, AND HUNGER/OBESITY DUE TO THE LARGE NUMBER OF INDIVIDUALS AFFECTED BY THESE CONDITIONS. THE PRIMARY FOCUS FOR COMMUNITY HEALTH ACTIVITIES RELATES TO EDUCATION, SCREENING, AND PREVENTION OF CHRONIC DISEASES, MENTAL HEALTH ISSUES, AND HUNGER/OBESITY, AS WELL AS IMPROVING RELATED CONDITIONS THAT RESULT IN HIGH MORBIDITY AND MORTALITY IN OUR COMMUNITIES, WITH SPECIAL EMPHASIS PLACED ON SERVING UNDERSERVED POPULATIONS.INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER IS ALSO COMMITTED TO WORKING BEYOND ITS FOUR WALLS, ADDRESSING THE SOCIAL AND ECONOMIC ISSUES THAT IMPACT HEALTH. IN ADDITION, INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER STRATEGIC PLANNING CONTINUES TO DEVELOP PATIENT-CENTERED, INTEGRATED CLINICAL SERVICE LINES INCLUDING CANCER, CARDIOVASCULAR, BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, AND MATERNAL-FETAL MEDICINE. |
| PART VI, LINE 3: | THE OPPORTUNITY FOR FINANCIAL ASSISTANCE ADJUSTMENTS IS COMMUNICATED TO PATIENTS AT INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER THROUGH THE FOLLOWING METHODS:A. DURING THE PRE-REGISTRATION PROCESS FOR SCHEDULED INPATIENT AND HIGH-DOLLAR OUTPATIENT CASES, THE CENTRALIZED PRE-REGISTRATION STAFF WILL NOTIFY A PATIENT FINANCIAL ADVOCATE TO CONTACT THE PATIENT PRIOR TO SERVICE. THIS OUTREACH IS INTENDED TO DISCUSS POTENTIAL ELIGIBILITY FOR GOVERNMENT PROGRAMS AND FINANCIAL ASSISTANCE. THE PRE-SERVICE FUNCTION INCLUDES ACCOUNT REGISTRATION, INSURANCE VERIFICATION, PRE-CERTIFICATION, AND FINANCIAL COUNSELING.B. ADMITTING LOCATIONS HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE WHEN REGISTERED AS UNINSURED. AT THE TIME OF ADMITTING, UNINSURED PATIENTS ARE INFORMED OF THE OPPORTUNITY TO SEEK FINANCIAL ASSISTANCE.C. PATIENT FINANCIAL ADVOCATES ARE AVAILABLE AT THE HOSPITALS TO ASSIST UNINSURED PATIENTS IN COMPLETING THE FORMS. THESE ADVOCATES ATTEMPT TO MEET WITH IN-HOUSE PATIENTS TO ASSESS ELIGIBILITY, ASSIST WITH APPLICATIONS FOR GOVERNMENT ASSISTANCE PROGRAMS, EXPLAIN PATIENT LIABILITY FOR CHARGES, PROVIDE ESTIMATES OF CHARGES WHEN FEASIBLE, EXPLAIN THE OPPORTUNITY FOR FINANCIAL ASSISTANCE INCLUDING THE CRITERIA AND APPLICATION METHOD, AND DISCUSS PAYMENT OPTIONS.D. A MESSAGE IS PRINTED ON PATIENT BILLING STATEMENTS TO NOTIFY UNINSURED PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. THE MESSAGE EXPLAINS THE ELIGIBILITY CRITERIA AND DESCRIBES THE METHOD TO APPLY.E. A SUMMARY OF THE POLICY FOR UNINSURED PATIENTS IS INCLUDED IN THE STATEMENTS OF UNINSURED PATIENTS, AVAILABLE VIA THE INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER WEBSITE, AT HOSPITAL REGISTRATION LOCATIONS, OR BY CALLING THE INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER CUSTOMER SERVICE DEPARTMENT. BUSINESS OFFICE PERSONNEL ALSO NOTIFY UNINSURED PATIENTS OF THE FINANCIAL ADJUSTMENT POLICY THROUGH THE CUSTOMER SERVICE AND COLLECTIONS DEPARTMENTS. |
| PART VI, LINE 4: | INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER, LOCATED IN COLDWATER, MICHIGAN, SERVES AN AREA PRIMARILY CENTERED AROUND BRANCH COUNTY. APPROXIMATELY 19% OF THE SERVICE AREA POPULATION IS AGE 65 OR OLDER, WHILE 58% FALLS BETWEEN THE AGES OF 18 AND 64. THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $60,000, AND 89% OF THE ADULT POPULATION AGED 25 AND OLDER HAS A HIGH SCHOOL DEGREE OR LOWER.BRANCH COUNTY HAS A POPULATION OF APPROXIMATELY 45,000, WITH AROUND 18% OF FAMILIES LIVING BELOW THE POVERTY LEVEL. ABOUT 9% OF THE COUNTY'S POPULATION IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR BRANCH COUNTY IN 2023 WAS 5.0%.THE LEADING CAUSES OF DEATH IN BRANCH COUNTY, BASED ON AGE-ADJUSTED MORTALITY RATES, INCLUDE HEART DISEASE, CANCER, COVID-19, UNINTENTIONAL INJURIES/ACCIDENTS, STROKE, LUNG DISEASE, ALZHEIMER'S DISEASE, AND DIABETES.ACCORDING TO THE 2023 COUNTY HEALTH RANKINGS, BRANCH COUNTY RANKED 57TH OUT OF 83 COUNTIES FOR HEALTH OUTCOMES AND 51ST OUT OF 83 FOR HEALTH FACTORS.THERE ARE FIVE HOSPITALS WITHIN A 30-MILE RADIUS OF COLDWATER REGIONAL HOSPITAL: STURGIS HOSPITAL, CAMERON MEMORIAL COMMUNITY HOSPITAL IN ANGOLA, HILLSDALE HOSPITAL, CAMERON HOSPITAL IN FREMONT, AND OAKLAWN HOSPITAL. |
| PART VI, LINE 5: | INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER IS AN INTEGRAL PART OF INSIGHT HEALTH SYSTEM, INC., WHICH PROMOTES THE HEALTH OF THE COMMUNITY AS AN INTEGRATED DELIVERY SYSTEM.INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER MEDICAL STAFF PRIVILEGES WERE EXTENDED TO ALL QUALIFIED PHYSICIANS AT ITS METRO TOLEDO AND REGIONAL HOSPITALS. WHILE QUALIFICATIONS MAY VARY BY HOSPITAL, ANY PHYSICIAN WHO MET THOSE QUALIFICATIONS WAS GRANTED PRIVILEGES UPON REQUEST.AS PART OF INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER ELECTRONIC HEALTH RECORD (EHR) JOURNEY, THE INFORMATION TECHNOLOGY SERVICES TEAM COMPLETED TWO SYSTEM-WIDE UPGRADES TO THE EPIC PLATFORM. THESE UPGRADES ENABLED T INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER TO TAKE ADVANTAGE OF ENHANCEMENTS MADE TO EPIC'S SOFTWARE BASED ON USER INPUT.INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER PRIMARY CARE PROVIDERS CONTINUED SCREENING PATIENTS FOR RISK FACTORS RELATED TO SOCIAL DETERMINANTS OF HEALTH BY ASKING QUESTIONS ABOUT EDUCATION, EMPLOYMENT, FOOD SECURITY, HOUSING, TRANSPORTATION, AND EXPOSURE TO VIOLENCE. PATIENTS WHO SCREENED POSITIVE FOR ANY OF THESE FACTORS WERE CONNECTED TO COMMUNITY PROGRAMS AND RESOURCES FOR ASSISTANCE.INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER SENIOR CARE SKILLED NURSING FACILITIES, ALONG WITH ITS HOME HEALTH AND HOSPICE AGENCIES, PROVIDE UNIQUE SERVICES TO VETERANS, HOLIDAY SUPPORT, SUPPORT GROUPS, AND WORKSHOPS FOR ANYONE IN THE COMMUNITY NEEDING HELP COPING WITH THE LOSS OF A LOVED ONE. PATIENTS AND RESIDENTS' WISHES ARE GRANTED THROUGH THE ORGANIZATION'S HEART'S DESIRE PROGRAM. THROUGH GRANTS FROM THE HOSPICE MEMORIAL FUND, GRIEF CAMPS FOR CHILDREN AND ADULTS ARE OFFERED, ALONG WITH EDUCATIONAL SESSIONS AND LIFE CELEBRATION EVENTS. THE FUND ALSO PROVIDES STABILIZING RESOURCES FOR HOSPICE PATIENTS AND FAMILIES EXPERIENCING FINANCIAL DISTRESS DUE TO THE LOSS OR REDUCTION OF INCOME FROM TERMINAL ILLNESS OR DISEASE.INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER CONTINUE TO EXPAND ITS OPTIONS FOR HOSPITAL-LEVEL CARE IN THE COMFORT OF A PATIENT'S HOME. INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER ACUTE CARE AT HOME COMBINES THE ORGANIZATION'S EXTENSIVE NETWORK OF IN-HOME CARE PROVIDERS WITH A SOPHISTICATED TECHNOLOGY PLATFORM TO DELIVER SEAMLESS AND EFFECTIVE CARE AT HOME FOR PATIENTS WITH SELECT CHRONIC CONDITIONS OR DIAGNOSES SUCH AS HEART FAILURE, PNEUMONIA, OR COPD. RECENTLY, INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER ACUTE CARE AT HOME EXPANDED ITS SERVICES TO INCLUDE CARE FOR SELECT ONCOLOGY PATIENTS BY COLLABORATING WITH THE INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER CANCER CENTER. THE CARE TEAM CONSISTS OF PHYSICIANS, NURSE PRACTITIONERS, REGISTERED NURSES, AND MAY INCLUDE OTHER HEALTHCARE PROFESSIONALS SUCH AS PHYSICAL OR OCCUPATIONAL THERAPISTS, AS NEEDED. |
| PART VI, LINE 6: | INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER IS A MISSION-BASED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION THAT WAS FORMED IN FLINT, MICHIGAN. DURING THE FIRST 11 MONTHS OF THE YEAR, THE ORGANIZATION WAS A PART OF THE PROMEDICA HEALTH SYSTEM AND MUCH OF THE ACTIVITY INCLUDED ON THIS ENTIRE SCHEDULE H REFLECTS THE POLICIES IN PLACE IN STEP WITH THAT HEALTH SYSTEM. AS AN INTEGRATED DELIVERY SYSTEM, INSIGHT HOSPITAL AND MEDICAL CENTER COLDWATER PROVIDERS SHARE RESOURCES SUCH AS ADVANCED TECHNOLOGY, QUALITY STANDARDS, SAFETY PRACTICES, MEDICAL EXPERTISE, AND SPECIALTY SERVICES TO ENSURE COMMUNITY MEMBERS HAVE READY ACCESS TO HIGH-QUALITY CARE IN THE MOST APPROPRIATE SETTING, WHILE ALSO PROVIDING COST-EFFICIENT SERVICES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ARTURO POLIZZI | ||||||||||||||
| PRESIDENT AND CEO PROMEDICA HEALTH S | $0 | $1,585,940 | $0 | $1,530,880 | $0 | $2,500 | $0 | $0 | $0 | $14,012 | $0 | $3,133,332 | $0 | $0 |
| TERRENCE METZGER | ||||||||||||||
| CHIEF FINANCIAL OFFICER (THRU 12.1.2 | $0 | $771,258 | $0 | $438,060 | $0 | $0 | $0 | $0 | $0 | $6,610 | $0 | $1,215,928 | $0 | $0 |
| STEPHEN SADOWSKI | ||||||||||||||
| CHIEF LEGAL OFFICER (THRU 12.1.24) | $0 | $618,697 | $0 | $561,679 | $0 | $0 | $0 | $0 | $0 | $6,038 | $0 | $1,186,414 | $0 | $0 |
| BARBARA MCGRATH | ||||||||||||||
| ONCOLOGIST | $813,296 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $813,296 | $0 | $0 | $0 |
| DARRIN ARQUETTE | ||||||||||||||
| PRESIDENT MONROE REGIONAL HOSPITAL | $0 | $329,393 | $0 | $308,712 | $0 | $2,797 | $0 | $0 | $0 | $10,194 | $0 | $651,096 | $0 | $0 |
| ONDREA WILLIAMS | ||||||||||||||
| CHIEF NURSING OFFICER PROVIDER (THRU | $0 | $434,521 | $0 | $188,788 | $0 | $2,830 | $0 | $0 | $0 | $5,257 | $0 | $631,396 | $0 | $0 |
| CHRISTOPHER HOGG | ||||||||||||||
| ORTHOPEDIC SURGEON | $625,061 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $625,061 | $0 | $0 | $0 |
| KATHLEEN MERRILL | ||||||||||||||
| CHAIR/CHIEF MARKETING OFFICER (THRU | $0 | $285,891 | $0 | $239,700 | $0 | $2,547 | $0 | $0 | $0 | $12,669 | $0 | $540,807 | $0 | $0 |
| EDWARD JANKOWSKI | ||||||||||||||
| OTOLARYNGOLOGIST | $435,090 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $435,090 | $0 | $0 | $0 |
| KANWAR RANA | ||||||||||||||
| PSYCHIATRIST | $417,837 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $417,837 | $0 | $0 | $0 |
| NOLAN HERRINGTON | ||||||||||||||
| PSYCHIATRIST | $357,144 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $357,144 | $0 | $0 | $0 |
| DANIEL SCHWANKE | ||||||||||||||
| PRESIDENT | $190,680 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $190,680 | $0 | $0 | $0 |
| DASA DZIERWA | ||||||||||||||
| CP AVP NON CLINICAL (THRU 12.1.24) | $0 | $155,252 | $0 | $27,417 | $0 | $300 | $0 | $0 | $0 | $0 | $0 | $182,969 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3: | FormAndLineReferenceDesc |
| Explanation | AS OF 12.1.24 THERE WAS A MEMBER SUBSTATION AGREEMENT IN WHICH PROMEDICA HEALTH SYSTEM, INC. IS NO LONGER THE MEMBER. INDIVIDUALS LISTED THRU 12.1.24 RECEIVED COMPENSATION FROM PROMEDICA HEALTH SYSTEMS, INC. AND RELATED ENTITIES. THE ORGANIZATION DETERMINES TOP MANAGEMENT COMPENSATION THROUGH A COMPENSATION COMMITTEE, AN INDEPENDENT CONSULTANT, SURVEYS OR STUDIES, OR BOARD/COMMITTEE APPROVAL. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER: ATIF BAWAHAB, BASEER TAJUDDIN, ATIQ NAKRAWALA, AND JAWAD SHAH. |
| FORM 990, PART VI, SECTION A, LINE 4 | EFFECTIVE DECEMBER 1, 2024, A MEMBER SUBSTITUTION OCCURRED. FIRDAUS FOUNDATION IS THE NEW MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 6 | AS A MICHIGAN NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7A | PROMEDICA HEALTH SYSTEM POLICY: WHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM, INC. RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS, INCLUDING ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, EXPENDITURES FOR ITEMS INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS THAT EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, INCURRENCE, ASSUMPTION, OR GUARANTEE OF ANY INDEBTEDNESS, SALE, LEASE, OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION, OR LIQUIDATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | PROMEDICA HEALTH SYSTEM POLICY: WHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM, INC. RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, (II) EXPENDITURES FOR NONBUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (III) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (IV) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (V) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER AND (VI) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE RETURN IS REVIEWED BY MANAGEMENT BEFORE BEING PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO FILING. ANY COMMENTS OR QUESTIONS FROM THE BOARD ARE REVIEWED AND INCORPORATED INTO THE RETURN, IF APPROPRIATE. FINAL RETURNS ARE PROVIDED TO A PRINCIPAL OFFICER FOR SIGNATURE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | ON AN ANNUAL BASIS, AND MORE OFTEN, AS APPROPRIATE TO KEEP THE INFORMATION CURRENT, ALL PERSONNEL MUST INDIVIDUALLY ATTEST TO THE ACCURACY OF THE MOST RECENT CONFLICTS OF INTEREST ATTESTATION ON FILE. EACH NEW MEMBER OF THE BOARD AND PERSONNEL MUST REVIEW THIS POLICY AND COMPLETE, SIGN AND DATE THE CONFLICTS OF INTEREST ATTESTATION ATTACHED HERETO WITHIN SIXTY (60) DAYS OF HIS OR HER APPOINTMENT, EMPLOYMENT OR ENGAGEMENT. IN THE EVENT THAT IN THE PERIOD BETWEEN EXECUTING THE LAST ANNUAL CONFLICTS OF INTEREST ATTESTATION AND EXECUTING THE NEXT ANNUAL ATTESTATION, AN INDIVIDUAL'S CONFLICTS OF INTEREST ATTESTATION CEASES TO BE ACCURATE OR COMPLETE, THE AFFECTED PERSONNEL OR MEMBER OF THE BOARD MUST IMMEDIATELY COMPLETE, SIGN AND DATE A NEW ATTESTATION. IT IS THE RESPONSIBILITY OF SUCH PERSONNEL OR THE BOARD TO ENSURE THAT THE ATTESTATION IS PROMPTLY UPDATED. ALL ATTESTATIONS INDICATING A POTENTIAL CONFLICT MUST BE PROMPTLY PROVIDED TO THE CHIEF COMPLIANCE OFFICER (CCO) WHO WILL REVIEW THE ATTESTATIONS AND MAINTAIN THE RECORDS IN COMPLIANCE WITH THE HOSPITAL'S DOCUMENT RETENTION POLICIES. THE CCO WILL REVIEW ALL CONFLICTS OF INTEREST DISCLOSURES IN WHICH A POTENTIAL CONFLICT IS IDENTIFIED (WHETHER IN THE FORM OF THE ATTESTATION OR OTHERWISE) AND, WITH THE ASSISTANCE OF THE OFFICE OF THE GENERAL COUNSEL, AS APPROPRIATE, DETERMINE WHETHER THE AFFECTED INDIVIDUAL MUST RECUSE HIMSELF OR HERSELF FROM THE MATTER OR DECISION OR TAKE SOME OTHER ACTION IN THE BEST INTERESTS OF THE ORGANIZATION. THE CCO SHALL PROVIDE DAY-TO-DAY GUIDANCE WITH RESPECT TO MATTERS FALLING UNDER THIS POLICY. THE FAILURE TO FULLY, ACCURATELY AND PROMPTLY DISCLOSE ACTUAL, POTENTIAL OR PERCEIVED CONFLICTS OF INTEREST MAY RESULT IN CORRECTIVE ACTION, INCLUDING, WITHOUT LIMITATION, DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION. AS SET FORTH ABOVE, ALL CONFLICTS OF INTEREST ATTESTATIONS, AS WELL AS ALL OTHER DISCLOSURES OR DOCUMENTS RELATING TO CONFLICTS OF INTEREST AND THEIR RESOLUTION SHALL BE MAINTAINED IN THE PERSONNEL FILES IN COMPLIANCE WITH INSIGHT'S DOCUMENT RETENTION POLICIES. COMPLIANCE WITH THIS POLICY SHALL BE MONITORED AND AUDITED IN COMPLIANCE WITH INSIGHT'S MONITORING AND AUDITING POLICIES. SUCH MONITORING AND AUDITING SHALL BE DOCUMENTED IN THE COMPLIANCE PROGRAM FILES AND MAINTAINED IN COMPLIANCE WITH INSIGHT'S DOCUMENT RETENTION POLICIES. |
| FORM 990, PART VI, SECTION B, LINE 15 | PROMEDICA HEALTH SYSTEM POLICY: COMMUNITY HEALTH CENTER OF BRANCH COUNTY'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS FOR THESE INDIVIDUALS ARE MADE BY A COMPENSATION COMMITTEE OF PHS. EACH YEAR, INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED ON MARKET DATA. THIS DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE, AND OTHER FORMS OF COMPENSATION ARE APPROVED BASED ON PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR. |
| FORM 990, PART VI, SECTION C, LINE 19 | COMMUNITY HEALTH CENTER OF BRANCH COUNTY PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 1,173,837. MANAGEMENT AND GENERAL EXPENSES 325,590. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,499,427. SERVICE CONTRACT FEES: PROGRAM SERVICE EXPENSES 3,545,011. MANAGEMENT AND GENERAL EXPENSES 983,289. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,528,300. OTHER FEES: PROGRAM SERVICE EXPENSES 6,002,656. MANAGEMENT AND GENERAL EXPENSES 1,656,853. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,659,509. |
| FORM 990, PART XI, LINE 9: | CHANGE IN NET ASSETS MEMBER SUBSTITUTION 2,033,305. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (45 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BAY PARK COMMUNITY HOSPITAL | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 341883132 | HOSPITAL | OH | 501(C)(3) | LINE 3 | PROMEDICA HEALTH SYSTEM INC | Yes (1) |
| DEFIANCE HOSPITAL AUXILIARY | ||||||||||
| 1200 RALSTON | DEFIANCE | OH | 43512 | 510173779 | HOSPITAL / FOUNDATION SUPPORT | OH | 501(C)(3) | LINE 10 | DEFIANCE HOSPITAL INC | Yes (1) |
| DEFIANCE HOSPITAL INC | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 344446484 | HOSPITAL | OH | 501(C)(3) | LINE 3 | PROMEDICA HEALTH SYSTEM INC | Yes (1) |
| EMMA L BIXBY MEDICAL CENTER | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 382796005 | HOSPITAL | OH | 501(C)(3) | LINE 3 | PROMEDICA HEALTH SYSTEM INC | Yes (1) |
| EMMA L BIXBY MEDICAL CENTER AUXILIARY | ||||||||||
| 818 RIVERSIDE AVE | ADRIAN | MI | 43604 | 382149602 | HOSPITAL / FOUNDATION SUPPORT | MI | 501(C)(3) | LINE 12B, II | EMMA L BIXBY MEDICAL CENTER | Yes (1) |
| FIRDAUS FOUNDATION | ||||||||||
| 4800 S SAGINAW | FLINT | MI | 48507 | 271658793 | RELIGIOUS ORGANIZATION | MI | 501(C)(3) | LINE 10 | INSIGHT HEALTH SYSTEMS | Yes (1) |
| FOSTORIA HOSPITAL ASSOCIATION | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 340898745 | HOSPITAL | OH | 501(C)(3) | LINE 3 | PROMEDICA HEALTH SYSTEM INC | Yes (1) |
| FOSTORIA HOSPITAL AUXILIARY | ||||||||||
| PO BOX 907 | FOSTORIA | OH | 44830 | 346517634 | HOSPITAL / FOUNDATION SUPPORT | OH | 501(C)(3) | LINE 10 | FOSTORIA HOSPITAL ASSOCIATION | Yes (1) |
| HCR MANORCARE FOUNDATION | ||||||||||
| 444 N SUMMIT ST | TOLEDO | OH | 43604 | 522031975 | FOUNDATION | OH | 501(C)(3) | LINE 12B, II | PROMEDICA FOUNDATION | Yes (1) |
| HCR MANORCARE INC | ||||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43699 | 825373223 | SKILLED NURSING FACILITIES | OH | 501(C)(3) | LINE 10 | PROMEDICA HEALTH SYSTEM INC | Yes (1) |
| HEARTLAND HOSPICE MEMORIAL FUND | ||||||||||
| 444 N SUMMIT ST | TOLEDO | OH | 46304 | 270497199 | FOUNDATION | OH | 501(C)(3) | LINE 12B, II | PROMEDICA FOUNDATION | Yes (1) |
| HERRICK MEDICAL CENTER AUXILIARY | ||||||||||
| 500 E POTTAWATAMIE ST | TECUMSEH | MI | 49286 | 383076105 | HOSPITAL / FOUNDATION SUPPORT | MI | 501(C)(3) | LINE 12B, II | HERRICK MEMORIAL HOSPITAL INC | Yes (1) |
| HERRICK MEMORIAL HOSPITAL INC | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 383049015 | HOSPITAL | OH | 501(C)(3) | LINE 3 | PROMEDICA HEALTH SYSTEM INC | Yes (1) |
| KAITLYN'S COTTAGE INC | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 454781053 | RESPITE CARE | OH | 501(C)(3) | LINE 10 | DEFIANCE HOSPITAL INC | Yes (1) |
| LENAWEE LONG TERM CARE | ||||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43604 | 382879330 | LONG TERM CARE | OH | 501(C)(3) | LINE 10 | HCR MANORCARE INC | Yes (1) |
| MANOR CARE OF GIG HARBOR WA ASSOCIATION | ||||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43699 | 260624719 | SKILLED NURSING FACILITY | DE | 501(C)(3) | LINE 10 | HCR MANORCARE INC | Yes (1) |
| MANOR CARE OF LACEY WA ASSOCIATION | ||||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43699 | 260624391 | SKILLED NURSING FACILITY | DE | 501(C)(3) | LINE 10 | HCR MANORCARE INC | Yes (1) |
| MANOR CARE OF LYNNWOOD WA ASSOCIATION | ||||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43699 | 260624675 | SKILLED NURSING FACILITY | DE | 501(C)(3) | LINE 10 | HCR MANORCARE INC | Yes (1) |
| MANOR CARE OF SALMON CREEK WA ASSOCIATION | ||||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43699 | 260624375 | SKILLED NURSING FACILITY | DE | 501(C)(3) | LINE 10 | HCR MANORCARE INC | Yes (1) |
| MANOR CARE OF SPOKANE WA ASSOCIATION | ||||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43699 | 260624687 | SKILLED NURSING FACILITY | DE | 501(C)(3) | LINE 10 | HCR MANORCARE INC | Yes (1) |
| MANOR CARE OF TACOMA WA ASSOCIATION | ||||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43699 | 260624696 | SKILLED NURSING FACILITY | DE | 501(C)(3) | LINE 10 | HCR MANORCARE INC | Yes (1) |
| MEMORIAL HOSPITAL | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 344430849 | HOSPITAL | OH | 501(C)(3) | LINE 3 | PROMEDICA HEALTH SYSTEM INC | Yes (1) |
| MEMORIAL PROFESSIONAL SERVICES | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 273763993 | PHYSICIAN HEALTH CARE SERVICES | OH | 501(C)(3) | LINE 10 | PROMEDICA PHYSICIAN GROUP INC | Yes (1) |
| MERCY MEMORIAL HOSPITAL CORPORATION | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 381984289 | HOSPITAL | MI | 501(C)(3) | LINE 3 | PROMEDICA HEALTH SYSTEM INC | Yes (1) |
| MONROE COMMUNITY HEALTH SERVICES | ||||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43699 | 382934134 | LONG TERM CARE | MI | 501(C)(3) | LINE 10 | HCR MANORCARE INC | Yes (1) |
| PARAMOUNT ADVANTAGE | ||||||||||
| 1901 INDIAN WOOD CIR | MAUMEE | OH | 43537 | 203376102 | HEALTH INSURANCE | OH | 501(C)(3) | LINE 10 | PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES | Yes (1) |
| PROMEDICA CENTRAL PHYSICIANS | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 341881137 | PHYSICIAN HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | PROMEDICA PHYSICIAN GROUP INC | Yes (1) |
| PROMEDICA CHILDRENS SPECIALISTS | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 208734161 | PHYSICIAN HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | PROMEDICA PHYSICIAN GROUP INC | Yes (1) |
| PROMEDICA CONTINUING CARE SERVICES CORP | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 344492440 | LONG TERM AND HOME HEALTH CARE | OH | 501(C)(3) | LINE 10 | PROMEDICA CONTINUUM SERVICES | Yes (1) |
| PROMEDICA CONTINUUM SERVICES | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 341880767 | PHYSICIAN MANAGEMENT SERVICES | OH | 501(C)(3) | LINE 12B, II | PROMEDICA HEALTH SYSTEM INC | Yes (1) |
| PROMEDICA COURIER SERVICES INC | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 260324790 | COURIER SERVICE | OH | 501(C)(3) | LINE 12B, II | PROMEDICA CONTINUUM SERVICES | Yes (1) |
| PROMEDICA FOUNDATION | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 341517672 | FOUNDATION | OH | 501(C)(3) | LINE 12B, II | PROMEDICA HEALTH SYSTEM INC | Yes (1) |
| PROMEDICA GENITO-URINARY SURGEONS | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 461120436 | PHYSICIAN HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | PROMEDICA PHYSICIAN GROUP INC | Yes (1) |
| PROMEDICA HEALTH SYSTEM INC | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 341517671 | PARENT COMPANY OF HEALTH SERVICES | OH | 501(C)(3) | LINE 12B, II | 0 | |
| PROMEDICA INDEMNITY CORP | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 341931936 | PROFESSIONAL & GENERAL LIABILITY | VT | 501(C)(3) | LINE 12B, II | PROMEDICA HEALTH SYSTEM INC | Yes (1) |
| PROMEDICA MONROE CARDIOLOGY | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 272920342 | PHYSICIAN HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | PROMEDICA PHYSICIAN GROUP INC | Yes (1) |
| PROMEDICA MONROE PHYSICIANS | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 461111822 | PHYSICIAN HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | PROMEDICA PHYSICIAN GROUP INC | Yes (1) |
| PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 454976786 | PHYSICIAN HEALTH CARE SERVICES | OH | 501(C)(3) | LINE 10 | PROMEDICA PHYSICIAN GROUP INC | Yes (1) |
| PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 263888045 | PHYSICIAN HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | PROMEDICA PHYSICIAN GROUP INC | Yes (1) |
| PROMEDICA PHYSICIAN GROUP INC | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 341899439 | PHYSICIAN HEALTH CARE SERVICES | OH | 501(C)(3) | LINE 10 | PROMEDICA HEALTH SYSTEM INC | Yes (1) |
| PROMEDICA PHYSICIANS AT HOME INC | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 852181349 | PHYSICIAN HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | PROMEDICA PHYSICIAN GROUP INC | Yes (1) |
| PROMEDICA PRIMARY CARE PROVIDERS | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 831731861 | PHYSICIAN HEALTH CARE SERVICES | OH | 501(C)(3) | LINE 10 | PROMEDICA PHYSICIAN GROUP INC | Yes (1) |
| THE HUG FUND | ||||||||||
| 444 N SUMMIT ST | TOLEDO | OH | 46304 | 202272848 | FOUNDATION | OH | 501(C)(3) | LINE 12B, II | PROMEDICA FOUNDATION | Yes (1) |
| THE TOLEDO HOSPITAL | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 344428256 | HOSPITAL | OH | 501(C)(3) | LINE 3 | PROMEDICA HEALTH SYSTEM INC | Yes (1) |
| VISITING NURSE HOSPICE AND HEALTH CARE | ||||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 341831624 | HOSPICE HOME CARE | OH | 501(C)(3) | LINE 10 | HCR MANORCARE INC | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| NORMAN SPECIALTY HOSPITAL LLC | |||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43604 | 421627672 | HEALTH CARE | DE | N/A | 0 | Yes (1) |
| MERCYMANOR PARTNERSHIP | |||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43604 | 521931012 | SKILLED NURSING | PA | N/A | 0 | Yes (1) |
| THE SURGICAL INSTITUTE OF MONROE AMBULATORY SURGERY CENTER LLC | |||||||||
| 1051 S TELEGRAPH RD MONROE | MONROE | MI | 48161 | 270843485 | AMBULATORY SURGICAL CENTER | MI | N/A | 0 | 0 |
| PROMEDICA SENIOR CARE OF GEORGIA LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 871802834 | SKILLED NURSING | OH | N/A | 0 | Yes (1) |
| PROMEDICA VENTURES INNOVATION FUND III LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 873197533 | HOLDING COMPANY | OH | N/A | 0 | 0 |
| ROCKET VENTURE FUND II LLC | |||||||||
| 2865 N REYNOLDS RD STE 220 | TOLEDO | OH | 43615 | 475603627 | INVESTMENT FUND | OH | N/A | 0 | 0 |
| SENIOR & REHAB CARE AT METROHEALTH LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 872465544 | SKILLED NURSING | OH | N/A | 0 | Yes (1) |
| AIR DIVERTER SOLUTIONS LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 853725776 | DEVELOPMENT | OH | N/A | 0 | 0 |
| PROMEDICA DOWNTOWN CAMPUS LANDLORD LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 473163945 | REAL ESTATE | OH | N/A | 0 | Yes (1) |
| NORTHWEST OHIO DEDICATED BREAST MRI LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 260679898 | MEDICAL DIAGNOSTICS | OH | N/A | 0 | Yes (1) |
| PROMEDICA INTUITIVE MANAGEMENT OF OHIO LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 852085627 | HEALTH CARE | MI | N/A | 0 | 0 |
| REYNOLDS ROAD SURGICAL CENTER LTD | |||||||||
| 2865 N REYNOLDS RD | TOLEDO | OH | 43615 | 311569454 | FREESTANDING AMBULATORY SURGICAL CENTER | OH | N/A | 0 | 0 |
| WEST CENTRAL SURGICAL CENTER LLC | |||||||||
| 7055 W CENTRAL | TOLEDO | OH | 43617 | 200088459 | AMBULATORY SURGICAL CENTER | OH | N/A | 0 | Yes (1) |
| PROMEDICA MASTER TENANT LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 475288490 | REAL ESTATE | OH | N/A | 0 | Yes (1) |
| ARROWHEAD BEHAVIORAL HEALTH LLC | |||||||||
| 367 SOUTH GULPH ROAD PO BOX 61558 | PRUSSIA | PA | 19406 | 270608044 | HEALTH CARE | PA | N/A | 0 | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| HERRICK MEMORIAL DEVELOPMENT CORP | |||||||||
| 500 E POTTAWATAMIE TR | ADRIAN | MI | 49221 | 383146907 | FACILITY LEASING | MI | N/A | C | Yes (1) |
| LENAWEE CLINICAL PARTNERS | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 821072356 | PHYSICIAN SUPPORT | OH | N/A | C | Yes (1) |
| PROMEDICA SENIOR CARE OF PISCATAWAY NJ LLC | |||||||||
| PO BOX 10086 ATTN TAX-5 | TOLEDO | OH | 43699 | 861179270 | SKILLED NURSING | NJ | N/A | C | Yes (1) |
| HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION | |||||||||
| 818 RIVERSIDE AVE | ADRIAN | MI | 49221 | 383639616 | FACILITY MANAGEMENT | MI | N/A | C | Yes (1) |
| MONROE HEALTH VENTURES INC | |||||||||
| 718 N MACOMB | MONROE | MI | 48164 | 382704426 | PHARMACY | MI | N/A | C | Yes (1) |
| PROMEDICA MANAGER MEMBER LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 475168737 | REAL ESTATE | OH | N/A | C | Yes (1) |
| PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES | |||||||||
| 1901 INDIAN WOOD CIR MAUMEE | MAUMEE | OH | 43537 | 341570675 | HEALTH CARE INSURANCE | OH | N/A | C | Yes (1) |
| PROMEDICA INNOVATIONS LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 301221601 | INVESTMENT COMPANY | OH | N/A | C | Yes (1) |
| PROMEDICA HEALTH NETWORK INC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 474006496 | PHYSICIAN MANAGEMENT SERVICES | OH | N/A | C | Yes (1) |
| PHS TOLEDO INNOVATION CENTER HOLDINGS LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 871433009 | HOLDING COMPANY | OH | N/A | C | Yes (1) |
| FORT INDUSTRY JV PARTNER LLC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 844675266 | REAL ESTATE | OH | N/A | C | Yes (1) |
| PROMEDICA NORTH PHYSICIAN CORPORATION | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 383482148 | PHYSICIAN HEALTH CARE SERVICES | OH | N/A | C | Yes (1) |
| PROMEDICA AT HOME INC | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 852320857 | PHYSICIAN SUPPORT | MI | N/A | C | Yes (1) |
| PROMEDICA CENTRAL CORPORATION OF MICHIGAN | |||||||||
| 100 MADISON AVE | TOLEDO | OH | 43604 | 383322278 | PHYSICIAN HEALTH CARE SERVICES | OH | N/A | C | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | THE ORGANIZATION HAS HISTORICALLY COMPLIED WITH FILING REQUIREMENTS FOR FORM 990 AND RELATED INFORMATION REPORTING ON A TIMELY BASIS. THE LATE FILING OF FORM 990 FOR THE YEAR ENDED DECEMBER 31, 2024, WAS AN ISOLATED IRREGULARITY.FOR TAX YEAR 2024, THE ORGANIZATION EXPERIENCED A TRANSITION IN MEMBERSHIP BETWEEN TWO MEMBER ORGANIZATIONS. THE PRIOR MEMBER ORGANIZATION SERVED FOR THE MAJORITY OF THE YEAR. THIS LED TO CONFUSION REGARDING RESPONSIBILITY FOR THE EXTENSION AND FILING. ONCE THE NEW MEMBER ORGANIZATION UNDERSTOOD THAT THE FILING OBLIGATION RESTED WITH THEM, THEY PROMPTLY ENGAGED A CPA FIRM TO PREPARE THE RETURN.TO ENSURE A COMPLETE AND ACCURATE RETURN, THE ORGANIZATION RELIED ON CERTAIN INFORMATION FROM THE PRIOR MEMBER ORGANIZATION, INCLUDING COMPENSATION DETAILS. THERE WERE DELAYS IN RECEIVING THIS INFORMATION, WHICH FURTHER IMPACTED THE TIMELINE. THE ORGANIZATION PRIORITIZED ACCURACY AND COMPLETENESS OVER SPEED, RESULTING IN THE RETURN BEING FILED AFTER THE ORIGINAL DUE DATE BUT WITHIN THE TYPICAL EXTENDED DUE DATE PERIOD.BASED ON THE ORGANIZATION'S HISTORY OF ROUTINE COMPLIANCE AND THE CIRCUMSTANCES DESCRIBED, WE RESPECTFULLY REQUEST THAT ANY PROPOSED INTEREST AND PENALTIES BE ABATED AND THAT THE IRS RECOGNIZE REASONABLE CAUSE IN THIS MATTER. | ExplanationTxt |