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MERCY-MEMORIAL HOSPITAL CORPORATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MERCY-MEMORIAL HOSPITAL CORPORATION (EIN 38-1984289)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-11
IRS object ID
201211329349302711
Schema version
2010v3.4
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-11T13:51:05-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 307AddressLine1
CitySOUTHFIELDCity
StateMIState
ZIP Code480370307ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN381984289EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERCY MEMORIAL HOSPITAL CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMERCNameControl
Phone7342404520Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1718 N MACOMB STREETAddressLine1
CityMONROECity
StateMIState
ZIP Code48162ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTHOMAS W SCHILLINGName
TitleCFO & SR VP OF FINANCETitle
Phone7342404520Phone
Date Signed2012-05-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2483522500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTHOMAS W SCHILLINGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1718 N MACOMB STREETAddressLine1
CityMONROECity
StateMIState
ZIP Code48162ZIPCode
FieldValueIRS element (for citing)
Gross Receipts203313026GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MERCYMEMORIAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionAS AN INDEPENDENT HEALTH CARE SYSTEM, WE PROVIDE HIGH QUALITY, COMPREHENSIVE SERVICES TO THE PEOPLE AND COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees1720TotalNbrEmployees
Total Nbr Volunteers894TotalNbrVolunteers
Total Gross UBI4234019TotalGrossUBI
Net Unrelated Business Txbl Income-483940NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1084161ContributionsGrantsPriorYear
Contributions Grants Current Year1177458ContributionsGrantsCurrentYear
Program Service Revenue Prior Year162794123ProgramServiceRevenuePriorYear
Program Service Revenue CY169563395ProgramServiceRevenueCY
Investment Income Prior Year18995966InvestmentIncomePriorYear
Investment Income Current Year3027515InvestmentIncomeCurrentYear
Other Revenue Prior Year36243OtherRevenuePriorYear
Other Revenue Current Year-14714OtherRevenueCurrentYear
Total Revenue Prior Year182910493TotalRevenuePriorYear
Total Revenue Current Year173753654TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year77604281SalariesEtcPriorYear
Salaries Etc Current Year82143925SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year116329TotalFundrsngExpCurrentYear
Other Expense Prior Year83519962OtherExpensePriorYear
Other Expenses Current Year81430798OtherExpensesCurrentYear
Total Expenses Prior Year161127243TotalExpensesPriorYear
Total Expenses Current Year163578723TotalExpensesCurrentYear
Revenues Less Expenses Prior Year21783250RevenuesLessExpensesPriorYear
Revenues Less Expenses CY10174931RevenuesLessExpensesCY
Total Assets BOY166919072TotalAssetsBOY
Total Assets EOY188002099TotalAssetsEOY
Total Liabilities BOY87032573TotalLiabilitiesBOY
Total Liabilities EOY84143995TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY79886499NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY103858104NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAS AN INDEPENDENT HEALTH CARE SYSTEM, WE PROVIDE HIGH QUALITY, COMPREHENSIVE SERVICES TO THE PEOPLE AND COMMUNITIES WE SERVE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense137521235Expense
Grants0Grants
Revenue165314102Revenue
DescriptionHOSPITAL BASED HEALTHCARE SERVICES -A MULTITUDE OF HEALTH CARE SERVICES WERE PROVIDED BY THE HOSPITAL TO THE PEOPLE OF MONROE COUNTY AND SURROUNDING AREAS. THESE PROGRAM SERVICES INCLUDED VARIOUS ASPECTS OF INPATIENT, OUTPATIENT, AND EMERGENCY CARE. THIS CARE WAS PROVIDED IN A MANNER THAT RESPECTED THE VALUE, PRIVACY, AND DIGNITY OF INDIVIDUAL PATIENTS AND THEIR FAMILIES. FURTHER, CONTINUOUS EFFORTS WERE MADE TO IDENTIFY AND IMPLEMENT NEW AND BETTER WAYS TO MEET THE PHYSICAL, SPIRITUAL, EMOTIONAL, AND SOCIAL NEEDS OF PATIENTS. DURING THE YEAR THE HOSPITAL PROVIDED:[A] 39,571 DAYS OF ACUTE CARE FOR ADULT AND PEDIATRIC INPATIENTS,[B] 1,358 DAYS OF ACUTE CARE FOR NEWBORNS,[C] EMERGENCY CARE FOR 46,123 OUTPATIENTS, AND[D] 1,336,938 OUTPATIENT SERVICE REGISTRATIONS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense40409Expense
Grants4000Grants
Revenue97492Revenue
DescriptionHOSPITAL GUILD - 134 MEMBERS RENDERED SERVICES TO THE HOSPITAL AND ITS PATIENTS BY OPERATING A GIFT SHOP, KNITTING CAPS FOR NEWBORNS, MAKING CRADLE PICTURES AVAILABLE, ASSISTING IN THE INTERNAL TRANSPORTATION OF PATIENTS AND ASSISTING IN OTHER PATIENT RELATED ACTIVITIES THROUGHOUT THE HOSPITAL. THE GIFT SHOP AND CRADLE PICTURES ARE PRIMARILY FOR THE CONVENIENCE OF PATIENTS AND VISITORS. THE GUILD ALSO OFFERS SOME NURSING SCHOLARSHIPS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense34871Expense
Grants0Grants
Revenue0Revenue
DescriptionHOSPITAL MEDICAL STAFF - 310 MEMBERS [A] DIRECTED AND REVIEWED HOSPITAL BASED HEALTHCARE SERVICES AND [B] PARTICIPATED IN PERIODIC MEETINGS CONCERNING THE DELIVERY OF HEALTHCARE SERVICES, INCLUDING MEDICAL EDUCATION.Description
FieldValueIRS element (for citing)
Total Program Service Expense137596515TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming1Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096196NumberFormsTransmittedWith1096
Number W2 G Included1NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1720NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTHOMAS W SCHILLINGNamePerson
Telephone Number7342404520TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1718 N MACOMB STREETAddressLine1
CityMONROECity
StateMIState
ZIP Code48162ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
BELLINO KAREN M VUICH
TRUSTEE1.00X000
BHURGRI MD AAMER
CHIEF OF STAFF - EX OFFICIO W/VOTING RIGHTS4.00X4740700
BRAUNLICH PAUL E
TRUSTEE1.00X000
CALENDER KENYON S
TRUSTEE1.00X000
CARTER KURT W
TRUSTEE1.00X000
CHARBONEAU DO MICHAEL
VICE CHIEF OF STAFF - EX OFFICIO W/VOTING RIGHTS1.00X000
DARROW KURT L
TRUSTEE1.00X000
FRANZEN VICKI L
TRUSTEE1.00X000
KABIR MD ABDUL
TRUSTEE4.00X2259600
MCNAMEE MD KENNETH J
TRUSTEE1.00X205200
PETERS RUTH ANN
GUILD PRESIDENT - EX OFFICIO W/VOTING RIGHTS1.00X000
PHILLIPS ANNETTE S
PRESIDENT & CEO - EX OFFICIO W/VOTING RIGHTS40.00X448314014126X
ROBBINS BASIL D
TREASURER1.00X000X
RYAN SISTER JANET
CHAIR1.00X000X
SABO CPA DEBORAH A
SECRETARY1.00X000X
SPENCER EDD DONALD A
VICE CHAIR1.00X000X
WALSH ARLENE R
TRUSTEE1.00X000
WILBURN WALTER
TRUSTEE1.00X000
WORRELL MARK G
TRUSTEE1.00X000
HECK GERALD
TRUSTEE (PARTIAL YEAR)1.00X000
MILLER JAMES
TRUSTEE (PARTIAL YEAR)1.00X000
AMIN JATIN
VICE CHIEF OF STAFF - EX OFFICIO W/VOTING (PART)1.00X000
JAVAID MUHAMMAD
CHIEF OF STAFF - EX OFFICIO W/VOTING RIGHTS (PART)1.00X000
SCHILLING THOMAS W
CFO SENIOR VP FINANCE40.00347872023946X
LENKEVICH ELLEN
CNO & SENIOR VP40.00224718017051X
PROCHNOW TODD
PHYSICIAN40.00497246015628X
SOROSIAK MICHAEL
CERTIFIED RN ANESTH.40.00287874021057X
SEAL WILLIAM
CERTIFIED RN ANESTH.40.00220515011497X
KIBBLE JOHN
VP BUSINESS DEVELOPMENT40.0022947305112X
BURGOS GILBERT
CMO & SENIOR VP40.0038227107350X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2710338TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation115767TotalOtherCompensation
Number Individuals GT100 K47NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AUCH GEORGE W CO
735 S PADDOCKPONTIACMI48341CONSTRUCTION MGT.1202186
GE HEALTHCARE
101 CARNEGIE CENTERPRINCETONNJ08540EQUIPMENT SERVICES1087545
MICHIGAN CO-TENANCY LABS
DEPT CH 14271PALATINEIL60055LABORATORY SERVICES989430
CONTRACTING RESOURCES
403 E GRAND RIVER SUITE CBRIGHTONMI48116CONSTRUCTION MGT.913704
ECLIPSYS
3 RAVINA DRIVEATLANTAGA30346SOFTWARE SERVICES857458
FieldValueIRS element (for citing)
Number Of Contractors GT100 K48NumberOfContractorsGT100K
Membership Dues23720MembershipDues
Fundraising Events173235FundraisingEvents
Government Grants34058GovernmentGrants
All Other Contributions946445AllOtherContributions
Noncash Contributions55554NoncashContributions
Total Contributions1177458TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
HOSPITAL BASED HEALTHC621990165314102165314102
NON-PATIENT PHARMACY44611038925133892513
NON-PATIENT REF. LAB621500341506341506
HOSPITAL GUILD6219901527415274
FieldValueIRS element (for citing)
Total Program Service Revenue169563395TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1340630TotalRevenueColumn
Exclusion$1,340,630ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real921301Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real951474Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-30173Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-30173TotalRevenueColumn
Exclusion-$30,173ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities29872781Securities
Other22257Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities28201170Securities
Other6983Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1671611Securities
Other15274Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1686885TotalRevenueColumn
Exclusion$1,686,885ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events143524GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events173235CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses212954FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-69430TotalRevenueColumn
Exclusion-$69,430ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming23723GrossIncomeGaming
Gaming Direct Expenses21052GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column2671TotalRevenueColumn
Exclusion$2,671ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory247957GrossSalesOfInventory
Cost Of Goods Sold165739CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column82218TotalRevenueColumn
Related Or Exempt Function Income82218RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column173753654TotalRevenueColumn
Related Or Exempt Function Income165411594RelatedOrExemptFunctionIncome
Unrelated Business Revenue4234019UnrelatedBusinessRevenue
Exclusion$2,930,583ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total4000Total
Program Services4000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1097525Total
Program Services201755ProgramServices
Management And General895770ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total64998016Total
Program Services55545035ProgramServices
Management And General9380442ManagementAndGeneral
Fundraising72539Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1352644Total
Program Services1161555ProgramServices
Management And General189554ManagementAndGeneral
Fundraising1535Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9929921Total
Program Services8392308ProgramServices
Management And General1526681ManagementAndGeneral
Fundraising10932Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4765819Total
Program Services4021953ProgramServices
Management And General738630ManagementAndGeneral
Fundraising5236Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total206389Total
Management And General206389ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total240062Total
Management And General240062ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total323496Total
Management And General323496ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total17519Total
Management And General17519ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total235465Total
Management And General235465ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total16173226Total
Program Services11306966ProgramServices
Management And General4862604ManagementAndGeneral
Fundraising3656Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total175607Total
Program Services32392ProgramServices
Management And General143215ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1690095Total
Program Services1094856ProgramServices
Management And General592651ManagementAndGeneral
Fundraising2588Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total999378Total
Management And General999378ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2887863Total
Program Services2664724ProgramServices
Management And General223139ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total385697Total
Program Services233388ProgramServices
Management And General151138ManagementAndGeneral
Fundraising1171Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total218273Total
Program Services16043ProgramServices
Management And General202230ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2453612Total
Program Services2453612ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8447473Total
Program Services7794754ProgramServices
Management And General652719ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2294709Total
Program Services2096829ProgramServices
Management And General197880ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
HOSPITAL SUPPLIES2703542127035421
PROVISION FOR BAD DEBTS1267818612678186
QUALITY ASSURANCE ASSES39793803979380
DIETARY SUPPLIES826329826329
FUNDRAISING / RESTRICTE1867218672

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total143946Total
Program Services36409ProgramServices
Management And General107537ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total163578723Total
Program Services137596515ProgramServices
Management And General25865879ManagementAndGeneral
Fundraising116329Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7634118BOY
EOY3036485EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY17355431BOY
EOY17543562EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY21968851BOY
EOY21344529EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2489759BOY
EOY2728503EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1752094BOY
EOY1982485EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis186520408LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec106947148LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY74614933BOY
EOY79573260EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY39020475BOY
EOY58853299EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY157643BOY
EOY226230EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1925768BOY
EOY2713746EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY166919072BOY
EOY188002099EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY41489181BOY
EOY36548154EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY45543392BOY
EOY44695841EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY2900000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY87032573BOY
EOY84143995EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY76779573BOY
EOY100604017EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3051924BOY
EOY3198335EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY55002BOY
EOY55752EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY79886499BOY
EOY103858104EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY166919072BOY
EOY188002099EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses10174931ReconcilationRevenueExpenses
Reconcilation Other Changes13796674ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$17,519OtherActivitiesAmount
Total Lobbying Expenditures IIB17519TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationTHE ORGANIZATION PAID DUES TO ORGANIZATIONS WHICH PERFORMED LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance3106926BeginningOfYearBalance
Contributions1263779Contributions
Investment Earnings Or Losses87576InvestmentEarningsOrLosses
Other Expenditures1204194OtherExpenditures
End Of Year Balance3254087EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance4973922BeginningOfYearBalance
Contributions1132367Contributions
Investment Earnings Or Losses168896InvestmentEarningsOrLosses
Other Expenditures3168259OtherExpenditures
End Of Year Balance3106926EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5308021BeginningOfYearBalance
Contributions1121436Contributions
Investment Earnings Or Losses-178473InvestmentEarningsOrLosses
Grants Or Scholarships3000GrantsOrScholarships
Other Expenditures1274062OtherExpenditures
End Of Year Balance4973922EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.98000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.02000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis14807903OtherCostOrOtherBasis
Book Value14807903BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis56717925OtherCostOrOtherBasis
Depreciation29314023Depreciation
Book Value27403902BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis111256840OtherCostOrOtherBasis
Depreciation77633125Depreciation
Book Value33623715BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3737740OtherCostOrOtherBasis
Book Value3737740BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings79573260TotalOfBookValueLandBuildings

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:Identifier
Return ReferencePART V, LINE 4:ReturnReference
ExplanationTRUE ENDOWMENT FUNDS ARE INTENDED TO BE USED FOR NURSING SCHOLARSHIPS. QUASI-ENDOWMENT FUNDS HAVE BEEN DESIGNATED FOR VARIOUS USES TO FURTHER THE HOSPITAL'S MISSION TO PROVIDE QUALITY, COMPREHENSIVE HEALTH CARE SERVICES. SOME OF THESE DESIGNATIONS INCLUDE HOSPICE, CHAPLAINCY, CAPITAL IMPROVEMENTS, AND PHARMACY ASSISTANCE.Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedPROGRAM SERVICETypeOfActivitiesConducted
Specific Services ProvidedOWNERSHIP IN FOREIGN INSURANCE COMPANIES THAT PROVIDE INSURANCE TO HOSPITAL.SpecificServicesProvided
Total Expenditures1036542TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent1036542SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent1036542TotalAmountSpent
Transfer To Foreign Corp1TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp1OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierMETHOD USED TO ACCCOUNT FOR EXPENDITURES:Identifier
ExplanationSCHEDULE F, PART I, LINE 3: CASH - ACTUAL AMOUNTS PAID.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1FANTASY OF TREES 2010NameOfEvent1
Gross Receipts Event1163527GrossReceiptsEvent1
Charitable Contributions Event197940CharitableContributionsEvent1
Gross Revenue Event165587GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event154277NonCashPrizesEvent1
Rent Facility Costs Event12120RentFacilityCostsEvent1
Food And Beverage Event116900FoodAndBeverageEvent1
Entertainment Event1975EntertainmentEvent1
Other Direct Expenses Event128108OtherDirectExpensesEvent1
Name Of Event2CANCER CENTER GALANameOfEvent2
Gross Receipts Event246237GrossReceiptsEvent2
Charitable Contributions Event233336CharitableContributionsEvent2
Gross Revenue Event212901GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event24431NonCashPrizesEvent2
Rent Facility Costs Event211509RentFacilityCostsEvent2
Food And Beverage Event225251FoodAndBeverageEvent2
Entertainment Event21100EntertainmentEvent2
Other Direct Expenses Event210761OtherDirectExpensesEvent2
Total Number Of Other Events6TotalNumberOfOtherEvents
Gross Receipts Other Events106995GrossReceiptsOtherEvents
Charitable Contrib Other Events41959CharitableContribOtherEvents
Gross Revenue Other Events65036GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events10997NonCashPrizesOtherEvents
Rent Facility Costs Other Events645RentFacilityCostsOtherEvents
Food And Beverage Other Events18737FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Other Direct Expenses Other Events27143OtherDirectExpensesOtherEvents
Gross Receipts Total316759GrossReceiptsTotal
Charitable Contributions Total173235CharitableContributionsTotal
Gross Revenue Total Events143524GrossRevenueTotalEvents
Non Cash Prizes Total Events69705NonCashPrizesTotalEvents
Rent Facility Costs Total Events14274RentFacilityCostsTotalEvents
Food And Beverage Total Events60888FoodAndBeverageTotalEvents
Entertainment Total Events2075EntertainmentTotalEvents
Other Direct Expenses Total Events66012OtherDirectExpensesTotalEvents
Direct Expense Summary Events212954DirectExpenseSummaryEvents
Net Income Summary-69430NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming23723GrossRevenueOtherGaming
Cash Prizes Other Gaming500CashPrizesOtherGaming
Non Cash Prizes Other Gaming18301NonCashPrizesOtherGaming
Rent Facility Costs Other Gaming0RentFacilityCostsOtherGaming
Other Direct Expenses Other Gaming2251OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming1VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming23723GrossRevenueTotalGaming
Cash Prizes Total Gaming500CashPrizesTotalGaming
Non Cash Prizes Total Gaming18301NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming2251OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming21052DirectExpenseSummaryGaming
Net Gaming Income Summary2671NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedMIStatesWhereGamingConducted
Licensed1Licensed
License Suspended Etc0LicenseSuspendedEtc
Gaming With Nonmembers1GamingWithNonmembers
Member Of Other Entity0MemberOfOtherEntity
Percentage Of Gaming Own Facility0.10000PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility0.90000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonMOLLY MOORENameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line1718 N MACOMB STREETAddressLine1
CityMONROECity
StateMIState
ZIP Code48162ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam Rev0ContractWith3rdPartyForGamRev
Charitable Distrib Required0CharitableDistribRequired

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care0FPGReferenceDiscountedCare
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1810294TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1810294NetCommunityBenefitExpense
Percent Of Total Expense0.01200PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense26744065TotalCommunityBenefitExpense
Direct Offsetting Revenue20156770DirectOffsettingRevenue
Net Community Benefit Expense6587295NetCommunityBenefitExpense
Percent Of Total Expense0.04370PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense28554359TotalCommunityBenefitExpense
Direct Offsetting Revenue20156770DirectOffsettingRevenue
Net Community Benefit Expense8397589NetCommunityBenefitExpense
Percent Of Total Expense0.05570PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs573NumberOfActivitiesOrPrograms
Persons Served12028PersonsServed
Total Community Benefit Expense356911TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense356911NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs28NumberOfActivitiesOrPrograms
Persons Served428PersonsServed
Total Community Benefit Expense140049TotalCommunityBenefitExpense
Net Community Benefit Expense140049NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Persons Served101PersonsServed
Total Community Benefit Expense138966TotalCommunityBenefitExpense
Direct Offsetting Revenue9181DirectOffsettingRevenue
Net Community Benefit Expense129785NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense39153TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense39153NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs601NumberOfActivitiesOrPrograms
Persons Served12557PersonsServed
Total Community Benefit Expense675079TotalCommunityBenefitExpense
Direct Offsetting Revenue9181DirectOffsettingRevenue
Net Community Benefit Expense665898NetCommunityBenefitExpense
Percent Of Total Expense0.00450PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs601NumberOfActivitiesOrPrograms
Persons Served12557PersonsServed
Total Community Benefit Expense29229438TotalCommunityBenefitExpense
Direct Offsetting Revenue20165951DirectOffsettingRevenue
Net Community Benefit Expense9063487NetCommunityBenefitExpense
Percent Of Total Expense0.06020PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense4440TotalCommunityBuildingExpense
Net Community Building Expense4440NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense3021TotalCommunityBuildingExpense
Net Community Building Expense3021NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense1411TotalCommunityBuildingExpense
Net Community Building Expense1411NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense29747TotalCommunityBuildingExpense
Net Community Building Expense29747NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense6857TotalCommunityBuildingExpense
Net Community Building Expense6857NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1209TotalCommunityBuildingExpense
Net Community Building Expense1209NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense46685TotalCommunityBuildingExpense
Net Community Building Expense46685NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$4,902,563BadDebtExpenseAmount
Amount Attributable To538823AmountAttributableTo
Amount Reimbursed By Medicare43737382AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare44620348CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-882966MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERCY MEMORIAL HOSPITAL CORPORATIONBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1718 N MACOMB STREETAddressLine1
CityMONROECity
StateMIState
ZIP Code48162ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NOT REQUIREDBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities28NumberOfOtherFacilities

Other Facilities OtherFacilities (28 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
DIAGNOSTIC CENTER
901 N MACOMB STREETMONROEMI48162DIAGNOSTIC, CARDIOPULMONARY, LAB
MMH REHAB
650 STEWART ROADMONROEMI48162REHAB SERVICES
HOME CARE CONNECTION
721/725 N MONROE STREETMONROEMI48162HOME CARE SERVICES
MMH OUTPATIENT SURGERY CENTER
750 STEWART ROADMONROEMI48162AMBULATORY SURGERY CENTER
MERCY MEMORIAL HOSPICE
721/725 N MONROE STREETMONROEMI48162HOSPICE SERVICES
MMH POB
730 N MACOMB STREETMONROEMI48162OUTPATIENT CLINIC
PHLEBOTOMY-DELISLE CENTER
1056 N MONROE STREETMONROEMI48162OUTREACH LAB
PHLEBOTOMYXRAY-DRKABIR
219 W FRONT STREETMONROEMI48162OUTREACH LAB
PHLEBOTOMY-DR MALOOD
3160 LEWIS ROADIDAMI48140OUTREACH LAB
WESTSIDE MEDICAL
100 POWELLDUNDEEMI48131DIAGNOSTIC THERAPY, LAB
PHLEBOTOMY-DR STEWART
811 N MONROE STREETMONROEMI48162OUTREACH LAB
DR AHADI OFFICE COMPLEX
55 COLE ROADMONROEMI48162OUTREACH LAB
SLEEP LAB MACOMB
717 N MACOMB STREETMONROEMI48162SLEEP LAB SERVICES
PHLEBOTOMY-DR DONA
7505 GRAFTON ROAD SUITE 5MONROEMI48162OUTREACH LAB
NEWPORT MEDICAL
7825 NORTH DIXIENEWPORTMI48166PATIENT ACCOUNTING, LAB
KARPENKO
323 STEWART ROADMONROEMI48162OUTREACH LAB
DR DANIEL OLENCHAK
730 N MACOMB STREET SUITE 419MONROEMI48162DOCTOR OFFICE
DR TODD PROCHNOW
730 N MACOMB STREET SUITE 419MONROEMI48162DOCTOR OFFICE
PHLEBOTOMY-DR QURESHI
5290 W BROOKSHIRE ROADMONROEMI48161OUTREACH LAB
PHLEBOTOMY-DR ROECKER
14430 LAPLAISANCE ROADMONROEMI48162OUTREACH LAB
OUTPATIENT THERAPY
214 ELM STREETMONROEMI48162OCCUPATIONAL THERAPY SERVICES
TEMPERANCE
1715 W DEAN ROADTEMPERANCEMI48182SLEEP LAB, LAB SERVICES
PHLEBOTOMY-CARLETON FAMILY MEDICAL
130 MEDICAL CENTERCARLETONMI48117OUTREACH LAB
DR GANESH RAMASWAMI
730 N MACOMB STREET SUITE 300MONROEMI48162DOCTOR OFFICE
DR MICHAEL CHARBONEAU
730 N MACOMB STREETMONROEMI48162DOCTOR OFFICE
DR JAMES DOYLE
920 N MACOMB STREETMONROEMI48162DOCTOR OFFICE
DR BETTY RUMSCHLAG
7470 SECOR ROADLAMBERTVILLEMI48144DOCTOR OFFICE
DR LAURA GRIMA
110 MAIN STREETDUNDEEMI48131DOCTOR OFFICE

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 6A: N/A - NO IDENTIFIED RELATED PARTIES.
PART I, LINE 7: A COST TO CHARGE RATIO, DERIVED FROM WORKSHEET 2, IS USED FOR LINES 7A AND 7B. ACTUAL COSTS FROM THE COST ACCOUNTING SYSTEM AND ACCOUNTING RECORDS ARE USED FOR LINES 7E THROUGH 7I.
PART I, LINE 7G: N/A - THE HOSPITAL DID NOT LIST ANY SUBSIDIZED HEALTH SERVICES.
PART I, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24B - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THIS SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $12,678,186.
PART II: PARTICIPATION IN TASK FORCES AND COMMITTEES ASSURES A MORE COORDINATED APPROACH TO SERVICES FOR AN AGING POPULATION. EMERGENCY PREPAREDNESS AND COORDINATION OF EFFORT AMONG AGENCIES PROVIDING HUMAN SERVICES. SPECIFIC AREAS OF IMPROVEMENT INCLUDE PRE-HOSPITAL AMBULANCE CARE, REFERRAL OF SENIORS TO SUPPORTIVE COMMUNITY SERVICES, SUICIDE PREVENTION, SUBSTANCE ABUSE, AND BREASTFEEDING FOR IMPROVED CHILD HEALTH.
PART III, LINE 4: ACCOUNT RECEIVABLE FINANCIAL STATEMENT FOOTNOTE:THE PROVISION FOR BAD DEBTS IS BASED UP ON MANAGEMENT'S ASSESSMENT OF THE HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTABLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST DUE PATIENT BALANCES WITH COLLECTION AGENCIES.THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO BAD DEBT EXPENSE, NET OF RECOVERIES, TO ARRIVE AT THE ESTIMATED COST OF BAD DEBT $4,902,563.THE AMOUNT OF BAD DEBT ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS ESTIMATED AT 10 PERCENT OF BAD DEBT AT COST, WHICH WAS COMPUTED USING THE COST TO CHARGE RATIO FROM THE 2010 FINALIZED COST REPORT.
PART III, LINE 8: THE SHORTFALL SHOULD BE CONSIDERED AND INCLUDED IN THE COMMUNITY BENEFIT AS THE REIMBURSEMENT DID NOT MEET THE "COST" OF THE EXPENSE BASED ON REASONABLE COSTING METHODOLOGIES. THIS IS BASED ON THE METHODOLOGY REQUIRED FOR COMPLETING THE MEDICARE COST REPORT.
PART VI, LINE 2: TO IDENTIFY COMMUNITY NEEDS TO BE ADDRESSED IN THE ORGANIZATION'S 2010-2013 STRATEGIC PLAN: INTERVIEWS WITH ELECTED COMMUNITY LEADERS, EMPLOYERS, PHYSICIANS AND THE PUBLIC; SUPPLEMENTED ANALYSIS OF DATA FROM SOURCES SUCH AS THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH BEHAVIORAL RISK FACTOR SURVEY, ROBERT WOOD JOHNSON FOUNDATION COUNTY HEALTH RANKINGS, AND THE HHS COMMUNITY HEALTH STATUS REPORT FOR MONROE COUNTY.
PART VI, LINE 3: WHEN IT IS DETERMINED THAT A PATIENT IS UNABLE TO PAY FOR SERVICES (EITHER BEFORE OR AFTER SERVICES ARE RENDERED) A FINANCIAL COUNSELOR WILL SPEAK TO THE PATIENT TO EXPLAIN FINANCIAL ASSISTANCE. THE FIRST OPTION OFFERED IS STATE MEDICAID. THE PATIENT IS ASSESSED FOR MEDICAID QUALIFICATION AND IF IT IS DETERMINED THE PATIENT DOES NOT QUALIFY, THEY ARE OFFERED CHARITY CARE ASSISTANCE. THE PATIENT IS GIVEN A CHARITY CARE APPLICATION AND REQUESTED TO COMPLETE AND RETURN TO THE FINANCIAL COUNSELOR WITH THE APPROPRIATE DOCUMENTATION. ONCE THE APPLICATION IS RETURNED TO THE FINANCIAL COUNSELOR, IT IS ASSEMBLED AND SENT TO THE PATIENT ACCOUNTING OFFICE FOR APPROVAL. DEPENDING ON THE AMOUNT, VARYING LEVELS OF APPROVAL ARE REQUIRED.
PART VI, LINE 4: CONSISTENT WITH THE US CENTERS FOR MEDICARE AND MEDICAID SERVICES, THE PRIMARY SERVICE AREA INCLUDES CONTIGUOUS ZIP CODES FOR THE CITY OF MONROE AND NEWPORT THAT PROVIDE 75 % OF MERCY MEMORIAL HOSPITAL'S DISCHARGES. THE SECONDARY SERVICE AREA IS THE REMAINDER OF MONROE COUNTY. IN 2010 THE TOTAL COUNTY POPULATION WAS ESTIMATED AT 152,021 WITH APPROXIMATELY 45% RESIDING IN THE PRIMARY SERVICE AREA. UNEMPLOYMENT WITH OUTMIGRATION HAVE RESULTED IN A SLIGHT DECLINE OVER THIS LAST DECADE. THE MOST RAPIDLY GROWING COHORT IN A POPULATION THAT'S APPROXIMATELY 95% WHITE AND 2.5% EACH BLACK AND HISPANIC. SOME NORTHERN AND SOUTHERN PORTIONS OF MONROE COUNTY ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS.
PART VI, LINE 6: OPEN MEDICAL STAFF WITH ACTIVE RECRUITMENT OF PHYSICIANS IN SPECIALTY AREAS OF IDENTIFIED COMMUNITY NEED AND PLACEMENT OF PHYSICIANS IN THE COUNTY TO ENHANCE PATIENT ACCESS, PURSUIT OF GRANTS TO SUPPORT MAMMOGRAPHY SCREENING FOR INDIGENT WOMEN, SUPPORT OF EMPLOYEE VOLUNTARY EFFORTS TO SUPPLY FOOD BANKS FOR IMPROVED NUTRITION AND HEALTH PRODUCTS TO ENHANCE HYGIENE, PRO-ACTIVELY EDUCATING AND ENROLLING ELIGIBLE PEOPLE IN MEDICAID, AND SOLICITING DONATIONS TO SUBSIDIZE PRESCRIPTIONS AND TRANSPORTATION FOR PEOPLE IN NEED. THE ORGANIZATION'S EMPLOYEES SERVE ON VARIOUS HUMAN SERVICE AGENCY BOARDS THAT IMPACT SOCIAL OR MEDICAL ASPECTS OF HEALTH.
PART VI, LINE 7: N/A - NOT AFFILIATED.
MIREPORTS FILED WITH STATESPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PHILLIPS ANNETTE S
30107401399790726107350067760462440000
SCHILLING THOMAS W
24709409250008278073500165960371818000
LENKEVICH ELLEN
156550056000012168047540122970241769000
PROCHNOW TODD
47694602030000000156280512874000
SOROSIAK MICHAEL
2844990337500043810166760308931000
SEAL WILLIAM
22014003750004584069130232012000
KIBBLE JOHN
1756440490290480005112000234585000
BURGOS GILBERT
2751190997500740207350000389621000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 1AReturnReference
ExplanationTHE HOSPITAL MAINTAINS A MEMBERSHIP WITH A COMMUNITY GOLF / COUNTRY CLUB. THE MEMBERSHIP IS INTENDED FOR THE GENERAL USE OF THE HOSPITAL, AND IS MAINTAINED UNDER THE NAME OF THE CHIEF EXECUTIVE OFFICER (AS A REPRESENTATIVE MUST BE NAMED IN THIS INSTANCE). USE OF THE MEMBERSHIP IS MADE AVAILABLE FOR BUSINESS PURPOSES ONLY, AND PERSONAL USE IS PROHIBITED. FACILITIES AT THE COUNTRY CLUB ARE USED FOR HOSPITAL FUNCTIONS, BUSINESS MEETINGS, VOLUNTEER RECOGNITION, AND FUNDRAISING. THIS BENEFIT IS NOT TREATED AS TAXABLE COMPENSATION.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF MONROE HOSPITAL FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN386004873IssuerEIN
CUSIP Number610648AR8CUSIPNumber
Date Issued2006-06-15DateIssued
Issue Price50405076IssuePrice
Description Of PurposeCONSTRUCTION PROJECT ADDING 58,995 SQ FT; RENOVATING 66,910 SQ FTDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds52639779TotalProceeds
Amount In Reserve Fund3812411AmountInReserveFund
Issuance Costs From Proceeds709013IssuanceCostsFromProceeds
Capital Expenditures36382719CapitalExpenditures
Year Of Subst Completion2009YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty1MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged0BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE K, PART I, BOND ISSUES:MONROE COMMUNITY HEALTH SERVICES IS A MEMBER OF THE MERCY MEMORIAL HOSPITAL CORPORATION OBLIGATED GROUP OF WHICH MONROE COMMUNITY HEALTH SERVICES HAS BEEN ALLOCATED FUNDS FROM THIS 2006 BOND ISSUANCE.
SCHEDULE K, PART I, BOND ISSUES:THE BOND ISSUE PRICE WAS $50,405,076.58 WITH A REDEMPTION PRICE OF $49,550,000 AT MATURITY. PROCEEDS OF THE ISSUE WERE USED FOR BOND ISSUANCE COSTS, REQUIRED RESERVE FUND, REFUND PRIOR ISSUE BONDS AND INDEBTEDNESS (02/01/1994 BONDS) AND BUILDING EXPANSION AND EQUIPMENT.
SCHEDULE K, PART IV, LINE 1:A FORM 8038-T, ARBITRAGE REBATE, YIELD REDUCTION AND PENALTY IN LIEU OF ARBITRAGE REBATE, WAS FILED IN AUGUST 2011 - AFTER THE HOSPITAL'S FISCAL YEAR END. ACCORDINGLY, WE HAVE ANSWERED THIS QUESTION AS 'NO'.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MARY CARTER
FAMILY MEMBER OF BOARD MEMBER KURT CARTER.21013EMPLOYMENT0
LARRY CSOKASY
FAMILY MEMBER OF BOARD MEMBER KURT CARTER.73297EMPLOYMENT0
MONROE HEALTH CENTER
>35% OWNED BY BOARD MEMBER AAMER BHURGRI.161418LEASE OF PROPERTY0
MONROE EQUIPMENT LEASING
BOARD MEMBER ABDUL KABIR IS AN OFFICER OF MONROE EQUIPMENT LEASING857750MRI LEASE0

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99049977NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALESMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions24NumberOfContributions
Noncash Contribs Rptd F9905577NoncashContribsRptdF990
Method Of Determining RevenuesCOMPARABLE SALESMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2BOARD MEMBER DR. KENNETH MCNAMEE AND BOARD MEMBER DR. JAMES MILLER HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 INPUT DATA IS REVIEWED AND ANALYZED BY THE CONTROLLER AND THEN SUBMITTED TO THE CERTIFIED PUBLIC ACCOUNTING FIRM FOR PREPARATION. THE COMPLETED FORM 990 IS THEN RETURNED TO THE CFO AND THE CEO FOR FINAL REVIEW AND APPROVAL BEFORE THE BOARD MEETING. BEFORE THE RETURN IS FILED, THE FORM 990 IS REVIEW BY THE BOARD. ALL MEMBERS RECEIVE A COPY OF THE FORM 990, EVEN THOSE THAT ARE UNABLE TO ATTEND THE SCHEDULED MEETING. THE REVIEW IS PERFORMED DURING ONE OF THE MONTHLY BOARD MEETINGS, WHERE EACH MEMBER HAS A CHANGE TO ASK QUESTIONS. THIS REVIEW IS DOCUMENTED VIA MINUTES TO THE MEETING.
THE CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS, OFFICERS AND EMPLOYEES OF THE HOSPITAL. ON AN ANNUAL BASIS, THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE IS DISTRIBUTED TO OFFICERS, EMPLOYEES, AND TRUSTEES OF MERCY MEMORIAL HOSPITAL CORPORATION. POTENTIAL CONFLICTS OF INTEREST ARE ANALYZED BY THE HOSPITAL'S LEGAL DEPARTMENT AND ARE GIVEN RANKINGS OF LOW, MODERATE, AND SEVERE RISK. THIS ANALYSIS IS GIVEN TO THE BOARD CHAIR AND THE HOSPITAL'S CHIEF EXECUTIVE OFFICER. ANY MEMBER WITH AN IDENTIFIED CONFLICT OF INTEREST IS EXCUSED FROM THE MEETING DURING DISCUSSIONS PERTAINING TO THE ISSUE OF CONFLICT, AND THE MEMBER IS NOT PERMITTED TO VOTE ON ANY ISSUE OF CONFLICT.FORM 990, PART VI, SECTION B, LINE 12C
THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES DETERMINES AND APPROVES ALL COMPENSATION FOR THOSE DESIGNATED IN SENIOR LEADERSHIP POSITIONS SUCH AS THE CHIEF EXECUTIVE OFFICER & PRESIDENT, THE CHIEF MEDICAL OFFICER & VICE PRESIDENT OF MEDICAL AFFAIRS, THE CHIEF FINANCIAL OFFICER & SENIOR VICE PRESIDENT OF FINANCE, THE CHIEF NURSING OFFICER & SENIOR VICE PRESIDENT OF CLINICAL OPERATIONS, AND OTHER VICE PRESIDENTS. THE INDEPENDENT BOARD COMMITTEE RETAINS AN OUTSIDE CONSULTANT TO ANALYZE AND ASSIST IN MAKING THESE DETERMINATIONS THROUGH A VARIETY OF MARKET SURVEYS/STUDIES. THIS PROCESS IS UNDERTAKEN ANNUALLY AND WAS LAST PERFORMED IN 2011.FORM 990, PART VI, SECTION B, LINE 15
DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 3,820,292. SURGERY CENTER EQUITY TRANSFER 3,843,704. PENSION LIABILITY ADJUSTMENT 5,986,191. INCOME FROM PROCEEDS OF BOND ISSUE NOT UNDER THE CONTROL OF THE HOSPITAL 146,487. TOTAL TO FORM 990, PART XI, LINE 5: 13,796,674.FORM 990, PART XI, LINE 5:
THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS FROM THE PRIOR YEAR.FORM 990, PART XII, LINE 2C:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MONROE COMMUNITY HEALTH SERVICESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1718 N MACOMB STREETAddressLine1
CityMONROECity
StateMIState
ZIP Code48164ZIPCode
FieldValueIRS element (for citing)
EIN382934134EIN
Primary ActivitiesSKILLED NURSING AND OUTPATIENT SURGERYPrimaryActivities
Legal Domicile StateMILegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 9PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MERCY MEMORIAL HOSPITAL CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org1ControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MONROE HEALTH VENTURESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1718 N MACOMB STREETAddressLine1
CityMONROECity
StateMIState
ZIP Code48164ZIPCode
FieldValueIRS element (for citing)
EIN382704426EIN
Primary ActivityPHARMACYPrimaryActivity
Legal Domicile StateMILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MERCY MEMORIAL HOSPITAL CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MONROE COMMUNITY HEALTH SERVICES
K122733ACTUAL ALLOCATED COST
MONROE COMMUNITY HEALTH SERVICES
L150021ACTUAL ALLOCATED COST
MONROE COMMUNITY HEALTH SERVICES
P4163923ACTUAL ALLOCATED COST
MONROE COMMUNITY HEALTH SERVICES
Q3628899ACTUAL ALLOCATED COST
MONROE COMMUNITY HEALTH SERVICES
R3843704COST ON BOOKS