2013-03-21T11:52:28-05:00 2012-06-30 MYLER & SZCZYPKA PC PO BOX 435 ANN ARBOR MI 481060435 990 2011-07-01 381415390 DECKERVILLE COMMUNITY HOSPITAL INC DECK 8103762835 3559 PINE STREET DECKERVILLE MI 484270126 VALERIE BRYANT 8103762835 2013-02-20 true K G SZCZYPKA 7349305500 2013-03-07 2011 2016-02-25 16:41:14Z VALERIE BRYANT 3559 PINE STREET DECKERVILLE MI 484270126 7958554 false X WWW.DECKERVILLEHOSP.ORG X 1968 MI TO PROVIDE HIGH QUALITY AND COST-EFFECTIVE HEALTH CARE SERVICES CLOSE TO HOME IN A PATIENT-CENTERED ENVIRONMENT, PROVIDE COORDINATION OF SPECIALTY AND TERTIARY CARE, AND PROVIDE SYSTEMS OF CARE THAT ASSIST PATIENTS AS THEY TRANSITION THROUGH VARIOUS CARE CONTINUUMS. ALSO PROVIDE HEALTH CARE ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY IN MEETING THE NEEDS OF THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND ECONOMICALLY DISADVANTAGED IN ITS SERVICE AREA. 3 3 107 0 8911 18333 6074099 7553546 1713 2593 665178 384082 6749901 7958554 0 0 3224468 3583122 0 0 2649059 2784872 5873527 6367994 876374 1590560 2194151 3299609 2592756 2091663 -398605 1207946 X TO PROVIDE HIGH QUALITY AND COST-EFFECTIVE HEALTH CARE SERVICES CLOSE TO HOME IN A PATIENT-CENTERED ENVIRONMENT, PROVIDE COORDINATION OF SPECIALTY AND TERTIARY CARE, AND PROVIDE SYSTEMS OF CARE THAT ASSIST PATIENTS AS THEY TRANSITION THROUGH VARIOUS CARE CONTINUUMS. ALSO PROVIDE HEALTH CARE ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY IN MEETING THE NEEDS OF THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND ECONOMICALLY DISADVANTAGED IN ITS SERVICE AREA. false false 5424595 TO PROVIDE HIGH QUALITY AND COST-EFFECTIVE HEALTH CARE SERVICES CLOSE TO HOME IN A PATIENT-CENTERED ENVIRONMENT, PROVIDE COORDINATION OF SPECIALTY AND TERTIARY CARE, AND PROVIDE SYSTEMS OF CARE THAT ASSIST PATIENTS AS THEY TRANSITION THROUGH VARIOUS CARE CONTINUUMS. ALSO PROVIDE HEALTH CARE ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY IN MEETING THE NEEDS OF THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND ECONOMICALLY DISADVANTAGED IN ITS SERVICE AREA. DURING THE FISCAL YEAR ENDED JUNE 30, 2012, THE HOSPITAL SERVICED 121 INPATIENTS, 1,664 EMERGENCY ROOM PATIENTS, AND OVER 14,295 OUTPATIENTS THROUGH ITS CLINICS, OFFICE PRACTICES, AND ANCILLARY DEPARTMENTS. 5424595 true false false false false false false false false true true false false true true false true false false false false false false false false false true true false false true false false false true false false false false false false false false false false false false false false true 25 0 true 107 true false false false false false false X 3 3 false true false false false false false true true false false false true true false true true true true false X VALERIE BRYANT 8103767018 3559 PINE STREET DECKERVILLE MI 48427 DAVID L WEST 40.00 X X 91472 0 0 ANGELA MCCONNACHIE 40.00 X 45813 0 0 BRAD KREINER 1.00 X 0 0 0 VALERIE BRYANT 40.00 X 12500 0 0 GERALD SCHELL 1.00 X 0 0 0 MATT CAMPBELL 1.00 X 0 0 0 DR BASSAM AFANEH 40.00 X 407568 0 1393 DR PANNY DECOSSARD 40.00 X 337429 0 1393 894782 2786 2 false true false CARDINAL HEALTH 44425 PHOENIX DR STERLING HEIGHTS MI 48314 SUPPLIES 260686 AMENDIA INC 1755 WEST OAK PARKWAY MARIETTA GA 30062 SUPPLIES 212519 SIEMENS CORP 300 NEW JERSEY AVE STE 1000 WASHINGTON DC 20001 SUPPLIES 121245 3 18333 18333 NET PATIENT REVENUE 7553546 7553546 7553546 2593 2593 OTHER REVENUE 333109 333109 CLINIC REVENUE 30625 30625 CONSULTING REVENUE 20348 20348 384082 7958554 7553546 386675 149785 45813 103972 2813203 2399562 413641 620134 514711 105423 12042 12042 15500 15500 190827 120221 70606 667149 500362 166787 57278 40095 17183 203189 172711 30478 21326 20046 1280 50709 50709 238714 236208 2506 79629 75648 3981 MEDICAL SUPPLIES 1151010 1151010 MAINTENANCE & REPAIRS 94406 94406 DUES & SUBSCRIPTIONS 3093 3093 6367994 5424595 943399 0 150 367889 845527 757196 1053392 6263 11433 141303 159910 52832 75705 4398860 3813794 808404 585066 60264 568426 2194151 3299609 2108552 1611459 50000 46000 250000 250000 184204 184204 2592756 2091663 X -454494 1164900 12194 194 43695 42852 -398605 1207946 2194151 3299609 1590560 15991 X false false X false false false false false false false 55889 -310 12000 533 43046 46756 9133 55889 41199 5557 46756 0.00010 0.99990 true false false 58998 58998 1383171 1311199 71972 34874 34874 2921817 2467721 454096 585066 ADVANCE PAYMENTS 525380 ENDOWMENT FUND 43046 568426 DEBIT IN DISPUTE 184204 184204 7958554 6367994 1590560 1590560 7958554 7958554 7958554 6367994 6367994 6367994 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 TO BE USED TO PROVIDE SUPPORT TO DECKERVILLE COMMUNITY HOSPITAL TO CARRY OUT ITS ROLE AND MISION AS DESIRED BY ITS GOVERNING DOCUMENTS. true true false true X false false false 29570 29570 0.00460 369578 1420351 -1050773 3947904 10450677 -6502773 4347052 11871028 -7523976 0.00460 4347052 11871028 -7523976 0.00460 true 149366 6030246 2758060 3272186 X true true 1 1 DECKERVILLE COMMUNITY HOSPITAL INC

3559 PINE STREET DECKERVILLE MI 48427

X X DECKERVILLE COMMUNITY HOSPITAL INC 1 false false false false false false false false true false false X X X X false false false false false false false false false DR BASSAM AFANEH 407568 1393 408961 DR PANNY DECOSSARD 337429 1393 338822 KATHERINE GOHEEN X 130000 46000 true true true 46000 ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION TO PROVIDE HIGH QUALITY AND COST-EFFECTIVE HEALTH CARE SERVICES CLOSE TO HOME IN A PATIENT-CENTERED ENVIRONMENT, PROVIDE COORDINATION OF SPECIALTY AND TERTIARY CARE, AND PROVIDE SYSTEMS OF CARE THAT ASSIST PATIENTS AS THEY TRANSITION THROUGH VARIOUS CARE CONTINUUMS. ALSO PROVIDE HEALTH CARE ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY IN MEETING THE NEEDS OF THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED, AND ECONOMICALLY DISADVANTAGED IN ITS SERVICE AREA. MANAGEMENT DELEGATED FORM 990, PAGE 6, PART VI, LINE 3 THE ENTIY CONTRACTED IN DECEMBER 2010 WITH MICHIGAN RURAL HEALTHCARE PRESERVATION, INC. TO OVERSEE AND ASSIST IN THE DAILY MANAGEMENT DUTIES OF THE HOSPITAL. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE RETURN IS PREPARED BY OUTSIDE PROFESSIONALS AND REVIEWED BY HOSPITAL PERSONNEL RESPONSIBLE FOR THE INFORMATION THAT IS RELEVANT TO ITS PREPARATION. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT'S SALARIES ARE REVIEWED BY THE BOARD OF DIRECTORS, THESE ARE COMPARED TO THE SALARIES OF SOMEONE IN A SIMILAR POSITION, AND DOCUMENTED IN THE MINUTES OF THE BOARD MEETING. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B THE OFFICERS OR KEY EMPLOYEE'S SALARIES ARE REVIEWED BY THE BOARD OF DIRECTORS, THESE ARE COMPARED TO THE SALARIES OF SOMEONE IN A SIMILAR POSITION, AND DOCUMENTED IN THE MINUTES OF THE BOARD MEETING. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE ENTITY MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.