2012-08-15T12:59:53-05:00 2011-09-30 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2010-10-01 381358390 GARDEN CITY HOSPITAL GARD 7344213300 6245 INKSTER ROAD GARDEN CITY MI 48135 TIMOTHY M JODWAY 2012-08-15 Joyce A Dulworth 2604604000 2010 2016-02-24 21:20:13Z MR GARY LEY 6245 INKSTER ROAD GARDEN CITY MI 48135 146509180 false X WWW.GCHOSP.ORG X 1947 MI GARDEN CITY HOSPITAL IS COMMITTED TO PROVIDING HEALTH CARE THAT IMPROVES THE WELL BEING OF THE WHOLE PERSON AND THE HEALTH STATUS OF THE COMMUNITY. 13 12 1574 172 1334077 -205136 51595 100395 139813907 144037141 2084971 855495 1240292 1028167 143190765 146021198 0 0 0 0 73206928 71171617 0 0 0 73543848 75862879 146750776 147034496 -3560011 -1013298 100665172 101688507 89736490 94375188 10928682 7313319 X GARDEN CITY HOSPITAL IS COMMITTED TO PROVIDING HEALTH CARE THAT IMPROVES THE WELL BEING OF THE WHOLE PERSON AND THE HEALTH STATUS OF THE COMMUNITY AT LARGE THROUGH THE PROVISION OF COMPREHENSIVE HEALTH CARE SERVICES, OSTEOPATHIC MEDICAL EDUCATION, AND HEALTH CARE RELATED PROGRAMS. false false 134197097 143532491 GARDEN CITY HOSPITAL (GCH) PROVIDED HEALTH CARE SERVICES TO APPROXIMATELY 10,200 INPATIENTS, 49,000 EMERGENCY VISITS, AND 80,000 OUTPATIENT VISITS. GCH'S RETAIL PHARMACY SERVICES PROVIDED 32,000 SCRIPTS FOR THE COMMUNITY. GCH ALSO PROVIDED FREE OR LOW COST SERVICES TO THE COMMUNITY SUCH AS HEALTH FAIRS, VARIOUS MEDICAL SCREENINGS, DIABETIC EDUCATION, CPR CLASSES, AND PRENATAL COUNSELING. 134197097 true true false true false false false false false false true false false true true false false true false false true false false false true false true true false false true true false false false false false false false false false false false false false false false true true true false false true 158 0 true 1574 true true true false false false false true true false false false false X 13 12 false false false false false false false true true false false true true true true true true true false true false MI X JANE HARDY 7344584733 6245 INKSTER ROAD GARDEN CITY MI 48135 FOUAD ASHKAR 1.0 X 0 0 0 LINDA BREAKIE 1.0 X 0 0 0 RITA BRINCAT 1.0 X 0 0 0 REUBEN ELIUK DO 1.0 X 0 215112 21560 CONWAY JEFFRESS PHD 1.0 X 0 0 0 VINCENT MARINO 1.0 X 0 0 0 DENISE ORCHER 1.0 X 0 0 0 JOHN O'SHEA 1.0 X 0 0 0 JOYCE PAPPAS 1.0 X 0 0 0 ANNE PAWLAK DO 1.0 X 0 0 0 TROY SMITH DO 1.0 X 0 0 0 EDMOND SWAD JR 1.0 X 0 0 0 BRIAN SUSKO 1.0 X 0 0 0 GARY LEY 40.0 X 353631 0 27346 ART GREENLEE 40.0 X 179524 0 28224 GARY MOORMAN 40.0 X 235324 0 19798 DEBBIE WILLIAMS 40.0 X 131580 0 22227 TIM JODWAY 40.0 X 120803 0 18625 KRISTEN WAARALA 40.0 X 173500 0 25566 SHERYL PARKS 40.0 X 440916 0 30063 WANDA ELLIOTT 40.0 X 271241 0 23947 INGRID WILSON-JOHNSON 40.0 X 287490 0 27324 CHADI HADDAD 40.0 X 283042 0 18110 RAINNA FURNARI-BRAZIL 40.0 X 273091 0 26590 2750142 215112 289380 45 false true false Caretech Solutions Inc PO Box 674271 DETROIT MI 48267 IT SUPPORT 3622169 Siemens Medical Solutions DEPT CH 14195 PALATINE IL 60055 IT SUPPORT 1507870 SUPPLEMENTAL HEALTH CARE PO BOX 27124 SALT LAKE CITY UT 84127 IMAGING SERVICES 1148546 ALLIANCE HNI 7647 COLLECTION CENTER DRIVE CHICAGO IL 60693 IMAGING SERVICES 842990 SODEXHO HEALTH CARE SERVICES MSC-410672 PO BOX 41500 NASHVILLE TN 37241 BIO-MEDICAL SERVICES 770398 110 6049 20000 74346 100395 PATIENT SERVICE 621400 140863496 139855635 1007861 RETAIL PHARMACY 446110 2558662 2232446 326216 HOME MEDICAL EQUIPMENT 621610 69740 69740 COMMUNITY SERVICE PROGRAMS 621400 545243 545243 144037141 686266 686266 169229 169229 0 674713 479352 195361 195361 195361 0 12009 6049 8630 3379 3379 0 0 CAFETERIA 722100 461313 461313 ALL OTHER REVENUE 900099 368114 368114 829427 146021198 143532491 1334077 1054235 0 0 0 0 1334513 1334513 0 54094278 53306808 787470 1421569 1421569 10165736 8793911 1371825 4155521 4015397 140124 0 273468 273468 217072 217072 41000 41000 0 0 10162695 8604798 1557897 1264213 1264213 21584721 21156888 427833 4604370 4199204 405166 0 1560085 1274094 285991 0 0 110552 100858 9694 2822917 2822917 0 8600758 5849132 2751626 0 BAD DEBT 15412518 15412518 REBILLABLE PROSTHESIS 5338567 5338567 RESIDENTS & INTERNS MEALS 125253 125253 EDUCATION REIMBURSE & STIPEND 112906 112906 BLOOD COSTS 928855 928855 2702929 2154991 547938 147034496 134197097 12837399 0 1300 1400 7422064 9456459 10136078 12636948 1414910 1502858 2013217 2074428 135457564 88147717 51956192 47309847 21637707 19297426 6083704 9409141 100665172 101688507 11699161 12087987 54066108 53209051 23971221 29078150 89736490 94375188 X 10766887 7151524 161795 161795 10928682 7313319 100665172 101688507 X -1013298 -2602065 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 41000 41000 false false LOBBYING EXPENSE SCHEDULE C, PART II-B LINE 1I GARDEN CITY HOSPITAL HIRES A LOBBYIST TO TRACK AND KEEP THEM INFORMED OF PERTINENT HEALTH CARE LEGISLATION DEVELOPMENTS. 867282 867282 69875655 33162631 36713024 0 63811566 54196951 9614615 903061 788135 114926 47309847 DUE FROM RELATED PARTIES 1879040 DEFERRED BOND COSTS 751519 INVESTMENT-MULTIPROV CAPTIVE 6360665 INVESTMENT-GC HOME MED EQUIP 277917 INVESTMENT-MCHI 40000 INVESTMENT-PULSE 100000 9409141 0 RESERVE FOR PROF LIAB CLAIMS 5097213 PENSION LIABILITY 22995474 OBLIGATIONS UNDER CAPITAL LEASE 577210 DUE TO 3RD PARTY PAYORS 408253 29078150 146021198 147034496 -1013298 -2602065 -2602065 -3615363 146509180 487982 487982 146021198 146021198 147522478 487982 487982 147034496 147034496 SCHEDULE D FIN 48 FOOTNOTE MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. PART XI, LINE 8 RESTRICTED CONTRIBUTIONS (87,319) PENSION ADJUSTMENT (2,185,678) TRANSFERS TO AFFILIATES (329,068) TOTAL (2,602,065) PART XII, LINE 2D & PART XIII, LINE 2D RENT EXPENSE 479,352 FUNDRAISING EXPENSE 8,630 TOTAL 487,982 Central America and the Caribbean 1 1 Program Services CAPTIVE INSURANCE CO 1577336 Central America and the Caribbean 1 1 Program Services CAPTIVE INSURANCE CO 2727427 2 2 2 2 4304763 4304763 true false true false false false CARDIAC REHAB 18058 6049 12009 3500 5130 0 18058 6049 12009 3500 5130 8630 3379 true true true X false true true false true false 154979 154979 0.00120 25697333 21336597 4360736 0.03310 25852312 21336597 4515715 0.03430 524860 524860 0.00400 6270181 6168837 101344 0.00080 464817 298352 166465 0.00130 49390 49390 0.00040 7309248 6467189 842059 0.00650 33161560 27803786 5357774 0.04080 25704 25704 0.00020 1210 14210 15000 15000 0.00010 41914 54914 0.00030 true 6342251 3266259 71768832 60430074 11338758 X true true GCH HOME MEDICAL LLC PROVIDE MEDICAL EQUIPMENT 0.50000 0.00000 0.00000 1 1 GARDEN CITY HOSPITAL

6245 INKSTER ROAD GARDEN CITY MI 48135

X X X X GARDEN CITY HOSPITAL 1 PART III LINE 4A The organization's audited financial statements do not contain a footnote that describes bad debt expense. Bad debt is classified as an operating expense. This treatment is consistent with the HFMA principles and practices Board statement NO. 15 and with the AICPA Audit and Accounting Guide for Health Care Organizations. LINE 4B An aggregate cost to charge ratio was used to provide bad debt at cost for Line 2. LINE 7 The organization has a Medicare surplus for the year and believes this is reasonable given that Medicare revenue also assists the organization cover the costs associated with treating patients who should be eligible under Medicare. In many situations, a patient's charges are recorded to bad debts when the patient does not complete the process of qualifying under Medicaid. LINE 8A USED COST TO CHARGE RATIO ON WORKSHEET 2. LINE 9B Patients known to qualify for charity care of financial assistance are not sent to a collection agency. The organization repeatedly offers patients access to financial help during their hospital stay and after, as well as with each billing notice (information is printed directly on the patient bill). NEEDS ASSESSMENT A needs assessment of the GARDEN CITY HOSPITAL (GCH) community was performed in August 2010. The assessment was performed by GCH staff and included review of community health reports and national community surveys. The assessment looked at the GCH community's demographic, socioeconomic, health status and chronic disease profiles. In addition, the hospital and physicians identify community needs based on admission/discharge and other hospital data. Based on this data and information, the hospital assesses and continually responds to changing community needs. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE All uninsured patients that are admitted to the hospital as inpatients are screened and interviewed for Medicaid eligibility by a third party vendor. Uninsured patients seen in the Emergency Department are contacted by phone after the visit and screened for Medicaid eligibility. If the patients are not Medicaid eligible, they are given information regarding the hospital's Charity Care Program. Patient billing statements contain information on the guidelines and how to obtain a charity care application. COMMUNITY INFORMATION GCH serves approximately one-fourth of the population residing in Wayne County. The population has a unique mix of minorities who reside in specific districts of the community. Unemployment is higher than the national average. The percentage of uninsured is higher than Michigan's average. The population is older than the average for both the nation and for Michigan; the percentage of children under 18 is less than 16 percent, compared to the national average of 18 percent. Heart disease and cancer are the leading causes of death. PROMOTION OF COMMUNITY HEALTH The hospital operates an emergency room open to all persons regardless of ability to pay. The hospital participates in Medicaid, Medicare and other government sponsored health programs. The hospital has an open medical staff with privileges available to all qualified in the area. The majority of the governing body consists of independent persons representative of the community served by the hospital. The hospital serves as a clinical experience for a large number of residents. In addition, students in other health care professions such as nursing, pharmacy, dietary, and emergency technicians are trained here. STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI MICHIGAN X X X true false false false false false false false false GARY LEY 353631 0 0 0 0 0 7350 0 19996 0 380977 0 0 0 ART GREENLEE 179524 0 0 0 0 0 5386 0 22838 0 207748 0 0 0 GARY MOORMAN 235324 0 0 0 0 0 7060 0 12738 0 255122 0 0 0 DEBBIE WILLIAMS 131580 0 0 0 0 0 3947 0 18280 0 153807 0 0 0 SHERYL PARKS 440916 0 0 0 0 0 7350 0 22713 0 470979 0 0 0 WANDA ELLIOTT 271241 0 0 0 0 0 7350 0 16597 0 295188 0 0 0 INGRID WILSON-JOHNSON 287490 0 0 0 0 0 7350 0 19974 0 314814 0 0 0 CHADI HADDAD 283042 0 0 0 0 0 7350 0 10760 0 301152 0 0 0 RAINNA FURNARI-BRAZIL 273091 0 0 0 0 0 7350 0 19240 0 299681 0 0 0 REUBEN ELIUK DO 0 215112 0 0 0 0 0 7350 0 14210 0 236672 0 0 KRISTEN WAARALA 173500 0 0 0 0 0 5205 0 20361 0 199066 0 0 0 LINE 4A ART GREENLEE RECEIVED A SERVERANCE PACKAGE FROM GARDEN CITY HOSPITAL STARTING NOVEMBER 2010. GCH FINANCE AUTHORITY HOSPITAL BONDS SERIES 2007A 386004685 365128AH0 2007-03-15 46689664 FINANCE FACILITIES & SURGERY CENTE false true false 0 46689664 2236979 587857 43864828 30848786 2008 true true true true false false false false false false false false POLICIES PART VI, SECTION A LINE 1B REUBEN ELIUK D.O. IS A PAID EMPLOYEE OF GARDEN CITY HOSPITAL. SECTION B LINE 11B THE ORGANIZATION'S FINANCE DEPARTMENT ACCUMULATES INFORMATION AND DATA NECESSARY TO COMPLETE THE FEDERAL FORM 990. AUDITED FINANCIAL DATA AND BOARD APPROVED POLICIES AND PROCEDURES ARE USED AS INPUT TO COMPLETE THE FORM. A DRAFT RETURN IS PREPARED AND REVIEWED BY THE ORGANIZATION'S INDEPENDENT OUTSIDE ACCOUNTANTS. THE FINANCE STAFF REVIEWS THE FORM 990 PRIOR TO FILING WITH THE IRS. AN ELECTRONIC COPY OF FORM 990 IS PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. LINE 12C EACH MONTH THE BOARD MEMBERS ASK THE GROUP IF THERE ARE ANY CONFLICTS OF INTEREST. IF THERE ARE ANY CONFLICTS THE BOARD WILL DISCUSS, INVESTIGATE, AND TAKE APPROPRIATE ACTION IF NECESSARY. DELIBERATIONS AND DECISIONS ARE MADE AT THE BOARD LEVEL TO DETERMINE WHETHER OR NOT A CONFLICT EXISTS. MEMBERS WILL RECUSE THEMSELVES FROM THE DISCUSSION IF A CONFLICT DOES EXIST. LINES 15A & 15B THE BOARD OF TRUSTEES ENGAGES AN OUTSIDE CONSULTING FIRM TO SURVEY THE MARKET FOR APPROPRIATE PLANS AND LEVELS OF COMPENSATION. APPROPRIATE PLANS AND COMPENSATION ARE THEN NEGOTIATED WITH TOP MANAGEMENT PERSONNEL. ONCE THIS IS DONE, THE COMPENSATION PLAN IS SENT TO THE COMPLIANCE ATTORNEY FOR REVIEW AND THEN TO THE BOARD FOR FINAL APPROVAL. ALL BOARD MEMBERS INVOLVED IN THIS PROCESS ARE INDEPENDENT MEMBERS. DISCLOSURE PART VI SECTION C LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC. ALL INQUIRIES FOR COPIES OF FINANCIALS STATEMENTS ARE DIRECTED TO THE THIRD PARTY WEBSITE. PART XI LINE 5 RESTRICTED CONTRIBUTIONS (87,319) PENSION ADJUSTMENT (2,185,678) TRANSFERS TO/FROM AFFILIATES (329,068) TOTAL (2,602,065) GARDEN CITY HOSPITAL FOUNDATION 6245 INKSTER ROAD GARDEN CITY MI 48135 382645157 FUNDRAISING MI 501(C)(3) 11 GC HOSPITAL UNITED HOME HEALTH SERVICES 6245 INKSTER ROAD GARDEN CITY MI 48135 382453621 HOME HEALTH MI 501(C)(3) 11 GC HOSPITAL GARDEN NURSING CENTER 6245 N INKSTER ROAD GARDEN CITY MI 48135 382410850 DISSOLVING MI 501(C)(3) 9 GC HOSPITAL AMERIGARD DEVELOPMENT 6245 INKSTER ROAD GARDEN CITY MI 48135 382695779 PHYSICIAN OFF MI NA C CORP 6187323 2149489 1.00000 AMERIGARD DIAGNOSTIC CENTER 6245 INKSTER ROAD GARDEN CITY MI 48135 383162092 DIAGNOSTIC TE MI NA C CORP 827913 305277 1.00000 GCH ASSURANCE COMPANY LTD PO BOX 1159 KY-1102 GRAND CAYMAN CAYMAN ISLANDS CJ 980608598 INSURANCE CJ NA C CORP 3177760 12694587 1.00000 true true true false false false false false true true false true true true false true false false AMERIGARD DEVELOPMENT CORPORATION A 52506 AMERIGARD DEVELOPMENT CORPORATION B 340000 AMERIGARD DEVELOPMENT CORPORATION L 143402 AMERIGARD DEVELOPMENT CORPORATION N 81000 UNITED HOME HEALTH SERVICES N 53000 AMERIGARD DEVELOPMENT CORPORATION P 2085000 GARDEN CITY HOSPITAL FOUNDATION P 65000