COREWELL HEALTH: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- COREWELL HEALTH (EIN 38-1359266)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-05-11
- IRS object ID
- 201101319349301810
- Schema version
- 2009v1.7
- 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 B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-11T11:40:26-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 EAST FRONT STREET SUITE 300 | AddressLine1 |
| City | TRAVERSE CITY | City |
| State | MI | State |
| ZIP Code | 49686 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381359266 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL MEDICAL CENTER OF WEST MICHIGAN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MEMO | NameControl |
| Phone | 2318432591 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE ATKINSON DRIVE | AddressLine1 |
| City | LUDINGTON | City |
| State | MI | State |
| ZIP Code | 49431 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KERRI L NELSON | Name |
| Title | Vice President of Finance | Title |
| Phone | 2318432591 | Phone |
| Date Signed | 2011-05-05 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL A BAKER CPA | Name |
| Phone | 2319477800 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | mark vipperman | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE ATKINSON DRIVE | AddressLine1 |
| City | LUDINGTON | City |
| State | MI | State |
| ZIP Code | 49431 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 53236126 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.mmcwm.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1906 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | TO ENHANCE LIFE THROUGH EXCEPTIONAL HEALTHCARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 593 | TotalNbrEmployees |
| Total Nbr Volunteers | 117 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 941943 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 168260 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 50043595 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 51151014 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 790064 | InvestmentIncomePriorYear |
| Investment Income Current Year | 290538 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1870619 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1429730 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 53646221 | TotalRevenuePriorYear |
| Total Revenue Current Year | 53039542 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 11800 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 20770 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 28073584 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 27034680 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 203943 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 24277588 | OtherExpensePriorYear |
| Other Expenses Current Year | 23133303 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 52362972 | TotalExpensesPriorYear |
| Total Expenses Current Year | 50188753 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1283249 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2850789 | RevenuesLessExpensesCY |
| Total Assets BOY | 60291564 | TotalAssetsBOY |
| Total Assets EOY | 62545651 | TotalAssetsEOY |
| Total Liabilities BOY | 30940283 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 31103022 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 29351281 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 31442629 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO ENHANCE LIFE THROUGH EXCEPTIONAL HEALTHCARE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 4488298 | Expense |
| Revenue | 3857135 | Revenue |
| Description | ROUTINE INPATIENT - SEE LINE 4D "OTHER PROGRAM SERVICES" FOR ADDITIONAL DESCRIPTION. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3957919 | Expense |
| Revenue | 10680302 | Revenue |
| Description | OPERATING ROOM - SEE LINE 4D "OTHER PROGRAM SERVICES" FOR ADDITIONAL DESCRIPTION. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2520910 | Expense |
| Revenue | 6700782 | Revenue |
| Description | LAB - SEE LINE 4D "OTHER PROGRAM SERVICES" FOR ADDITIONAL DESCRIPTION. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 29255498 | Expense |
| Grants | 20770 | Grants |
| Revenue | 31198978 | Revenue |
| Description | MEMORIAL MEDICAL CENTER (38-1359266) PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY.Realizing that reimbursement for services rendered is critical to the ongoing operation and stability of Memorial Medical, we still recognize that not all individuals possess the ability to purchase essential medical services and further recognize that our mission is to serve the community with respect to providing healthcare services and healthcare education. Therefore, in keeping with our commitment to serve all members of the community: a. Free care and/or subsidized care, b. Care provided to persons covered by government programs at below cost, c. Health activities and programs to support the community will be considered where the need and/or an individual's ability to pay co-exists. These activities include wellness programs, community education programs, special programs for the elderly, and a variety of broad community support activities.Memorial Medical Center served 3,011 inpatients with 12,411 days of care, and provided over 95,000 outpatient services during fiscal year 2010.Our hospital provides care to people covered by governmental programs at less than what we must generate in order to maintain stability of operations. The unreimbursed value of providing care to these patients is $89,546,068. In addition, for patients not covered by a governmental program and also unable to pay for services, we recognized $597,955 in charity care.Our scope of community care went beyond the aforementioned responsibilities. In addition to community benefit expenditures, many reduced price services and free programs are offered throughout the year, based upon activities and services which Memorial Medical believes will serve community health needs. These are detailed as follows: SCREENING PR0GRAMS:- Monthly Blood Pressure and Blood Sugar Testing at 3 Community Locations- Participation in Tissue/Organ Donation Program in conjunction with Gift of Life- Worksite Wellness Screening at area Manufacturing OrganizationCOMMUNITY EDUCATION ONGOING PROGRAMS:- Prenatal and Maternal Classes- Nutrition Programs, monthly programs taught by registered dietitians for various organizations in Ludington and Hart.- Outpatient Diabetic Self Management Program- Family Fair (Health Fair) with area schoolsCOMMUNITY EDUCATIONAL PROGRAMS ON VARIOUS DISEASES & HEALTH TOPICS:- Done for various service organizations, schools, community groups Topics include: Stress Management, Healthy Eating, Understanding Cholesterol, Diabetes, Eye Diseases, Infection Control, Back Safety.- Annual Health Fair at Longfellow Towers, programs done by Home Care and Dietitians.- Teddy Bear Clinics for pre-school classes- Grade School tours and career focus day- High school health class tours with wellness focusSUPPORT GROUPS & OTHER SPONSORSHIPS:- Type 1 Diabetes Group - Type 2 Diabetes Group CLINICAL EXPERIENCE FOR STUDENT PROGRAMS:- West Shore Community College = LPN & RN Programs, Pre-Physician Therapy- West Shore Community College/Life EMS = EMS Programs- Mid Michigan College = Radiology Technician Students- Baker College, Muskegon = Surgical Scrub Technician Program, Medical Records Program, EMS, Phlebotomy Program, Pharmacy Program, Sterile Processing Program, Physical and Occupational Therapy Assistant- Baker College, Cadillac = Surgical Scrub Technician Program, EKG/Pulmonary Programs, Social Work, EMS- Muskegon Community College = Phlebotomy Program, Respiratory Therapy- Olympia Career Institute = Nursing Assistant Program- Central Michigan University = Physical Therapy Program, Food Services Administration, Physician Assistant Program- Grand Valley State University = Pre-physical Therapy/Physical Therapy, Occupational Therapy, Laboratory Technician, Nursing, Social Work- Ludington and Mason County Area Schools = Careers in Healthcare Program- Ross Medical Student Training Program = Medical Assistant Program- Mason-Lake ISD = Allied Health Programs- Western Michigan University = Physician Assistant Program- Shelby Public Schools = Michigan Works Program for Adults- Michigan State University = Social Work, Nurse Practitioner- Ferris State University = Healthcare Administration, Allied Health, Medical Transcription, Medical Coding, Nursing, Nuclear Medicine, Ultrasound, Pharmacy, Phlebotomy, Health Information- Michigan Tech = Pre-Laboratory- Davenport University = Allied Health/Health Information Management- Ingham Medical Education = Physician Residency Program- Numerous Job Shadowing Experiences = for High School through College Level Students Throughout the Hospital- Phlebotomy Education Inc. = Phlebotomy- Orchard View Business and Industry Workforce = Medical AssistantSPEAKERS BUREAU:- Topics and Speakers Listing available upon request- Lectures for area Agencies done on health related subjects on a request basis by Home Care, Education, Dietitian, Cardiac Rehab, Medical/Surgical, and E.R. staff. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 29255498 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 20770 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 31198978 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 40222625 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 26 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 593 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KATIE STEWART DIRECTOR OF FISCAL SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2318453603 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE ATKINSON DRIVE | AddressLine1 |
| City | LUDINGTON | City |
| State | MI | State |
| ZIP Code | 49431 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| MARK VIPPERMAN | |||||||
| PRESIDENT & CEO | 40.00 | X | X | 264768 | 0 | 32337 | |
| JEANNE OAKES | |||||||
| CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 | |
| ALLEN DEERING | |||||||
| VICE CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| CHARLES DILLON | |||||||
| SECRETARY | 0.50 | X | X | 0 | 0 | 0 | |
| KENNETH ROCCO | |||||||
| TREASURER | 0.50 | X | X | 0 | 0 | 0 | |
| CONNIE KRUSNIAK | |||||||
| IMMEDIATE PAST CHAIRMAN | 0.50 | X | 0 | 0 | 0 | ||
| ANTHONY FABAZ DO | |||||||
| TRUSTEE | 0.50 | X | 0 | 0 | 0 | ||
| JDEAN GUSTAFSON | |||||||
| TRUSTEE | 0.50 | X | 0 | 0 | 0 | ||
| MARC LENZ | |||||||
| TRUSTEE | 0.50 | X | 0 | 0 | 0 | ||
| ANTHONY MONTON | |||||||
| TRUSTEE | 0.50 | X | 0 | 0 | 0 | ||
| ALLAN NELSON MD | |||||||
| TRUSTEE | 0.50 | X | 3439 | 0 | 0 | ||
| STANLEY SEUFERER DO | |||||||
| CHIEF OF STAFF | 0.50 | X | 75000 | 0 | 0 | ||
| MARGARET GUSTAFSON MD | |||||||
| TRUSTEE | 0.50 | X | 0 | 0 | 0 | ||
| JAMES SCATENA | |||||||
| TRUSTEE | 0.50 | X | 0 | 0 | 0 | ||
| TIMOTHY O'CALLAGHAN DO | |||||||
| VICE CHIEF OF STAFF | 0.50 | X | 0 | 0 | 0 | ||
| BRUNO BETTIN | |||||||
| VICE PRESIDENT & CFO | 40.00 | X | 167456 | 0 | 18086 | ||
| TIMOTHY HEINRICH | |||||||
| VICE PRESIDENT & COO | 40.00 | X | 197834 | 0 | 45038 | ||
| MICHAEL GUNBERG | |||||||
| DIRECTOR OF PHARMACY | 40.00 | 163766 | 0 | 14561 | X | ||
| JOHN COONEY DO | |||||||
| PHYSICIAN | 40.00 | 153143 | 0 | 17095 | X | ||
| HELEN JOHNSON | |||||||
| VP OF PATIENT SERVICES | 40.00 | 130769 | 0 | 7633 | X | ||
| DAVID ANDERSON | |||||||
| PHARMACIST | 40.00 | 130585 | 0 | 6640 | X | ||
| JAMES WOOD | |||||||
| DIRECTOR OF HUMAN RESOURCES | 40.00 | 124274 | 0 | 22000 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1411034 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 163390 | TotalOtherCompensation |
| Number Individuals GT100 K | 13 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| QUEST DIAGNOSTICS | |||||
| 13138 COLLECTIONS CTR DRIVE | LUDINGTON | MI | 49431 | LAB SERVICES | 715982 |
| ANESTHESIOLOGY ASSOCIATES OF WEST MICHIG | |||||
| ONE ATKINSON DRIVE | LUDINGTON | MI | 49431 | ANESTHESIA SERVICES | 555716 |
| GEORGE KELEN MD | |||||
| 300 S RATH AVE | LUDINGTON | MI | 49431 | PHYSICIAN | 272434 |
| DANNIE GENTRY MD PC | |||||
| 250 N NELSON ROAD | LUDINGTON | MI | 49431 | PHYSICIAN | 169498 |
| HOSPITAL SLEEP SERVICES | |||||
| 1375 DAGGET RD | SAND LAKE | MI | 49343 | SLEEP LAB | 133400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Fundraising Events | 163053 | FundraisingEvents |
| All Other Contributions | 5207 | AllOtherContributions |
| Total Contributions | 168260 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PROGRAM SERVICE REVENU | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 51151014 | TotalRevenueColumn |
| Related Or Exempt Function Income | 51151014 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 51151014 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 429347 | TotalRevenueColumn |
| Exclusion | $429,347 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1300 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 140109 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -138809 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -138809 | TotalRevenueColumn |
| Exclusion | -$138,809 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 36747 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 163053 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 56475 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -19728 | TotalRevenueColumn |
| Exclusion | -$19,728 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| MISCELLANEOUS | 900099 | 1286183 | 1286183 | |
| CAFETERIA SALES | 722210 | 163275 | $163,275 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1449458 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 53039542 | TotalRevenueColumn |
| Related Or Exempt Function Income | 52437197 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $434,085 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20770 | Total |
| Program Services | 20770 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 774918 | Total |
| Program Services | 78439 | ProgramServices |
| Management And General | 696479 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19741321 | Total |
| Program Services | 16981269 | ProgramServices |
| Management And General | 2593408 | ManagementAndGeneral |
| Fundraising | 166644 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1830462 | Total |
| Program Services | 1454174 | ProgramServices |
| Management And General | 376288 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3217916 | Total |
| Program Services | 2589441 | ProgramServices |
| Management And General | 628475 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1470063 | Total |
| Program Services | 1167863 | ProgramServices |
| Management And General | 302200 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80678 | Total |
| Management And General | 80678 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66693 | Total |
| Management And General | 66693 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 261739 | Total |
| Program Services | 7902 | ProgramServices |
| Management And General | 252489 | ManagementAndGeneral |
| Fundraising | 1348 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 461975 | Total |
| Program Services | 354925 | ProgramServices |
| Management And General | 107050 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 210736 | Total |
| Program Services | 150835 | ProgramServices |
| Management And General | 59339 | ManagementAndGeneral |
| Fundraising | 562 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 206898 | Total |
| Program Services | 164365 | ProgramServices |
| Management And General | 42533 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2529903 | Total |
| Program Services | 2009819 | ProgramServices |
| Management And General | 520084 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 384754 | Total |
| Management And General | 384754 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| SUPPLIES | 8328446 | 7479226 | 845062 | 4158 |
| PROVISION FOR BAD DEBTS | 3773653 | 3773653 | ||
| PROFESSIONAL SERVICES & | 3759394 | 3022750 | 725598 | 11046 |
| DSH EXPENSES | 973544 | 973544 | ||
| QUALITY ASSURANCE TAXES | 933058 | 933058 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1161832 | Total |
| Program Services | 34136 | ProgramServices |
| Management And General | 1107511 | ManagementAndGeneral |
| Fundraising | 20185 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50188753 | Total |
| Program Services | 40222625 | ProgramServices |
| Management And General | 9762185 | ManagementAndGeneral |
| Fundraising | 203943 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1155 | BOY |
| EOY | 1155 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18047152 | BOY |
| EOY | 16100463 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 989715 | BOY |
| EOY | 699157 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5940659 | BOY |
| EOY | 5989181 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 328670 | BOY |
| EOY | 968826 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 684618 | BOY |
| EOY | 746634 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 51907240 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 30701218 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19721456 | BOY |
| EOY | 21206022 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7203697 | BOY |
| EOY | 8085579 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7374442 | BOY |
| EOY | 8748634 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60291564 | BOY |
| EOY | 62545651 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5070635 | BOY |
| EOY | 4041161 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5988809 | BOY |
| EOY | 4715309 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 2077920 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19880839 | BOY |
| EOY | 20268632 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30940283 | BOY |
| EOY | 31103022 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29351281 | BOY |
| EOY | 31442629 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29351281 | BOY |
| EOY | 31442629 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60291564 | BOY |
| EOY | 62545651 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $3,054 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 3054 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | PORTION OF ANNUAL DUES TO MICHIGAN HEALTH & HOSPITAL ASSOCIATION THAT ARE USED TOWARD LOBBYING ACTIVITIES | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3347111 | OtherCostOrOtherBasis |
| Book Value | 3347111 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 17498215 | OtherCostOrOtherBasis |
| Depreciation | 9252588 | Depreciation |
| Book Value | 8245627 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1235744 | OtherCostOrOtherBasis |
| Depreciation | 675006 | Depreciation |
| Book Value | 560738 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 29309599 | OtherCostOrOtherBasis |
| Depreciation | 20773624 | Depreciation |
| Book Value | 8535975 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 516571 | OtherCostOrOtherBasis |
| Book Value | 516571 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 21206022 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| PHYSICIAN GUARANTEE ASSET | 571478 |
| PREPAID PENSION | 7887156 |
| COST REPORT SETTLEMENTS RECEIVABLE | 290000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 8748634 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED INSURANCE | $778,441 |
| ACCRUED POST-RETIREMENT BENEFIT | $17,850,217 |
| COST REPORT SETTLEMENTS PAYABLE | $1,068,496 |
| PHYSICIAN GUARANTEE LIABILITY | $571,478 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 20268632 | TotalOfAmounts |
| Total Revenue | 53039542 | TotalRevenue |
| Total Expenses | 50188753 | TotalExpenses |
| Excess Or Deficit For Year | 2850789 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 625497 | NetUnrealizedGLOnInvestments |
| Other | -$1,384,938 | OtherAmount |
| Total Adjustments | -759441 | TotalAdjustments |
| Excess Or Deficit Per FS | 2091348 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 53721514 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 625497 | NetUnrealizedGainsInvestments |
| Other Revenues | 56475 | OtherRevenues |
| Revenue Not Rptd F990 | 681972 | RevenueNotRptdF990 |
| Revenue Subtotal | 53039542 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 53039542 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 51630166 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 1441413 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1441413 | ExpensesNotRptdF990 |
| Expenses Subtotal | 50188753 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 50188753 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XI, Line 8 - Other Adjustments: | PENSION LIABILITY ADJUSTMENT: -1384938. |
| Part XII, Line 2d - Other Adjustments: | SPECIAL EVENT EXPENSES NETTED WITH REVENUE: 56475. |
| Part XIII, Line 2d - Other Adjustments: | PENSION LIABILITY ADJUSTMENT REPORTED ON SCHEDULE D, PART XI: 1384938. SPECIAL EVENT EXPENSES NETTED WITH REVENUE: 56475. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | BENEFIT BALL 2010 | NameOfEvent1 |
| Gross Receipts Event1 | 145180 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 111430 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 33750 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 1526 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 750 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 48018 | OtherDirectExpensesEvent1 |
| Name Of Event2 | TEAM SPIRIT WEEK 2010 | NameOfEvent2 |
| Gross Receipts Event2 | 45724 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 45724 | CharitableContributionsEvent2 |
| Non Cash Prizes Event2 | 2612 | NonCashPrizesEvent2 |
| Other Direct Expenses Event2 | 846 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 8896 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 5899 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 2997 | GrossRevenueOtherEvents |
| Non Cash Prizes Other Events | 58 | NonCashPrizesOtherEvents |
| Other Direct Expenses Other Events | 2665 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 199800 | GrossReceiptsTotal |
| Charitable Contributions Total | 163053 | CharitableContributionsTotal |
| Gross Revenue Total Events | 36747 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 4196 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 750 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 51529 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 56475 | DirectExpenseSummaryEvents |
| Net Income Summary | -19728 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1166437 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 993428 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 173009 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00370 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7122731 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6309196 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 813535 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01750 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8289168 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7302624 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 986544 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02120 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1972000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1972000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04250 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 33000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 33000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2005000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2005000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04320 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10294168 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7302624 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2991544 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06440 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 874 | NumberOfActivitiesOrPrograms |
| Persons Served | 31491 | PersonsServed |
| Total Community Building Expense | 431300 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 431300 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00930 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 874 | NumberOfActivitiesOrPrograms |
| Persons Served | 31491 | PersonsServed |
| Total Community Building Expense | 431300 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 431300 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00930 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,319,163 | BadDebtExpenseAmount |
| Amount Attributable To | 132000 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 17456914 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 17303659 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 153255 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|
| MEMORIAL MEDICAL CENTER OF WEST MICHIGAN | |||||||
| ONE ATKINSON DRIVE | LUDINGTON | MI | 49431 | X | X | X | |
| MEMORIAL FAMILY CARE CENTER | |||||||
| 2481 N 72 AVE | HART | MI | 49420 | PHYSICIAN OFFICE | |||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | Part I, Line 3c: MEMORIAL MEDICAL CENTER DOES NOT CURRENTLY HAVE A SELF-PAY DISCOUNT. | IncomeBasedCriteria |
| Costing Method Used | Part I, Line 7: A COST TO CHARGE RATIO, DERIVED FROM WORKSHEET 2, IS USED. | CostingMethodUsed |
| Percent Of Total Expense Expln | Part I, Line 7f: THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25A - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE COLUMN F PERCENTAGE EQUALS $3,773,653. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE:AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CENTER'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS.BAD DEBT AT COST, $1,319,163, IS CALCULATED BASED ON A COST TO CHARGE RATIO.UNDER THE CURRENT POLICY, THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, $132,000, IS EQUAL TO APPROXIMATELY 10 PERCENT OF BAD DEBT EXPENSE AT COST. THE HOSPITAL IS IN THE PROCESS OF UPDATING ITS CURRENT CHARITY CARE POLICY TO BETTER TRACK ACCOUNTS THAT SHOULD BE CLASSIFIED AS CHARITY. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: THE HOSPITAL IS A LICENSED MEDICARE AND MEDICAID PROVIDER WITH APPROXIMATELY 67% OF ITS PATIENT BASE QUALIFYING FOR ONE OF THESE TWO PROGRAMS. AT PRESENT, THE REIMBURSEMENT RATES FOR BOTH PROGRAMS DO NOT FULLY COVER THE COST OF PROVIDER CARE TO THESE PATIENTS. THIS REPRESENTS THE ESTIMATED "SHORTFALL" CREATED WHEN A FACILITY RECEIVES PAYMENTS BELOW THE COSTS OF TREATING MEDICARE AND MEDICAID BENEFICIARIES. THE COST TO CHARGE RATIO METHOD IS USED. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: ALL PATIENTS/GUARANTORS WITH A BALANCE FOR CARE PROVIDED ARE SENT A LETTER REGARDING THE BALANCE. A STATEMENT IS THEN SENT AFTER 30 DAYS. A SECOND STATEMENT IS SENT IF THERE IS A REMAINING BALANCE. IF NO PAYMENT IS RECEIVED AFTER THE THIRD NOTIFICATION THE ACCOUNT IS SENT TO PRE-COLLECTION STATUS. A FINAL LETTER IS SENT TO THE PATIENT/GUARANTOR IF NOTHING HAS BEEN RECEIVED. IF THERE IS NO RESPONSE THEN THE ACCOUNT IS SENT TO COLLECTIONS. IF A PAYMENT IS RECEIVED AT ANY TIME DURING THIS PROCESS THE PROCESS IS REPEATED UNTIL THE ACCOUNT IS PAID IN FULL OR IT IS SENT TO A COLLECTION AGENCY. | DebtCollectionPolicy |
| Number Of Facility Type Expln | Part V: | NumberOfFacilityTypeExpln |
| Needs Assessment | Part VI, Line 2: THE MASON COUNTY HEALTH DEPARTMENT CONDUCTS A HEALTH NEEDS ASSESSMENT OF THE COMMUNITY. MEMORIAL MEDICAL CENTER THEN WORKS ALONG SIDE THE HEALTH DEPARTMENT TO ANALYZE THOSE NEEDS TO ENSURE THAT THOSE NEEDS ARE BEING MET. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: MEMORIAL MEDICAL CENTER PATIENTS HAVE A HOSPITAL FINANCIAL COUNSELOR THAT THEY MEET WITH. DURING THAT MEETING THE PATIENTS ARE INTERVIEWED TO ASSESS THEIR FINANCIAL ABILITY OR ASSISTANCE NEEDS. THEY ARE INFORMED AT THAT TIME IF THEY MAY BE POSSIBLE CANDIDATES FOR FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR THE HOPITAL'S CHARITY CARE PROGRAM. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: MEMORIAL MEDICAL CENTER SERVES A RURAL COMMUNITY THAT IS LOCATED ON THE COAST OF LAKE MICHIGAN. BECAUSE THE LOCATION IS A SEASONAL TOURIST ATTRACTION THE POPULATION OF THE COMMUNITY SIGNIFICANTLY CHANGES WITH THE SEASONS. ALSO SEASONALLY DRIVEN, BECAUSE OF THE AGRICULTURAL EMPLOYMENT OPPORTUNITIES, IS A MIGRANT POPULATION. A LARGE PART OF THE HOSPITAL PATIENTS ARE COVERED BY EITHER MEDICARE OR MEDICAID. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: MEMORIAL MEDICAL CENTER PARTICIPATES IN A MULTITUDE OF COMMUNITY BUILDING ACTIVITIES WHICH PROMOTE THE HEALTH OF THE COMMUNITY SUCH AS SEVERAL HEALTH FAIRS, BLOOD DRIVES, PRENATAL AND CHILDBIRTH EDUCATION, NUTRITION EDUCATION WITH LOCAL SCHOOLS AND SPORTS GROUPS, EDUCATIONAL PRESENTATIONS RELATED TO MEDICATIONS AND INTERACTIVE HEALTH LIBRARY FOR PUBLIC EDUCATION, DISTRIBUTES COMMUNITY HEALTH NEWSLETTERS, PROVIDES DIABETES TESTING AND COMMUNITY EVENTS, AND ASSIST WITH MANY DIFFERENT SUPPORT GROUPS. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: NONE | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: N/A | AffiliatedHealthCareSystem |
| Reports Filed With States | MI | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
| No Grant More Than5000 | X | NoGrantMoreThan5000 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: WHEN GRANTS ARE GIVEN TO PUBLIC CHARITIES, THE HOSPITAL REVIEWS EACH ORGANIZATION TO ENSURE THAT THEY ARE EXEMPT. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARK VIPPERMAN | |||||||||||||
| 257498 | 0 | 0 | 0 | 7270 | 0 | 25601 | 0 | 6736 | 0 | 297105 | 0 | 0 | 0 |
| BRUNO BETTIN | |||||||||||||
| 167456 | 0 | 0 | 0 | 0 | 0 | 11748 | 0 | 6338 | 0 | 185542 | 0 | 0 | 0 |
| TIMOTHY HEINRICH | |||||||||||||
| 197834 | 0 | 0 | 0 | 0 | 0 | 38500 | 0 | 6538 | 0 | 242872 | 0 | 0 | 0 |
| MICHAEL GUNBERG | |||||||||||||
| 163766 | 0 | 0 | 0 | 0 | 0 | 8291 | 0 | 6270 | 0 | 178327 | 0 | 0 | 0 |
| JOHN COONEY DO | |||||||||||||
| 153143 | 0 | 0 | 0 | 0 | 0 | 10793 | 0 | 6302 | 0 | 170238 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 1a | ReturnReference |
| Explanation | TRAVEL FOR COMPANIONS: MARK VIPPERMAN, ALLOWED FOR IN HIS EMPLOYEMENT CONTRACT. TREATED AS TAXABLE COMPENSATION. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: MARK VIPPERMAN AND BOB JOHNSON, LINCOLN HILLS DUES. BOB JOHNSON, ROTARY CLUB DUES. MARK VIPPERMAN, TIM HEINRICH, HELEN JOHNSON, BOB JOHNSON, ECONOMIC CLUB OF WEST MICHIGAN DUES. SOCIAL CLUB DUES ARE NOT TREATED AS TAXABLE COMPENSATION. THE ONLY REASON THE STAFF MEMBERS OBTAIN A MEMBERSHIP TO THE LOCAL SOCIAL CLUBS, IS SO MEMORIAL MEDICAL CENTER CAN USE THE SOCIAL CLUB FACILITIES FOR HOSPITAL SPONSORED EVENTS SUCH AS THE BENEFIT BALL, EMPLOYEE SERVICE AWARDS DINNER, ETC. THE MEMBERSHIP WAS NOT UTILIZED FOR PERSONAL BENEFIT. MEMORIAL MEDICAL CENTER DOES NOT PAY FOR HEALTH CLUB DUES. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section B, line 11 | THE 990 IS PLACED ON THE AGENDA FOR THE BOARD MEETING AND EACH BOARD MEMBER HAS A CHANCE TO REVIEW THE 990 AND THEN ASK QUESTIONS REGARDING DATA WITHIN THE FORM BEFORE IT IS FILED. THIS REVIEW IS DOCUMENTED IN THE MINUTES OF THE MEETING. |
| Form 990, Part VI, Section B, line 12c | THE HOSPITAL HAS THE OFFICERS AND TRUSTEES OF THE BOARD SIGN A DOCUMENT DISCLOSING THEIR CONFLICTS OF INTEREST. THE DOCUMENTS ARE REVIEWED ONCE A YEAR BY THE BOARD MEMBERS AND THEY WOULD DETERMINE WHETHER A CONFLICT EXISTS. ANY PERSON WHO IS DEEMED TO HAVE A CONFLICT OF INTEREST WOULD BE PROHIBITED FROM PARTICIPATING IN ANY DELIBERATION AND DECISIONS REGARDING THE RELATED TRANSACTION. |
| Form 990, Part VI, Section B, line 15a | ONCE A YEAR THE BOARD EXECUTIVE COMMITTEE REVIEWS THE CEO'S EMPLOYMENT AND PERFORMANCE AND RECOMMENDS TO THE FULL BOARD A CONTINUATION OF EMPLOYMENT AND ANY COMPENSATION INCREASES OR CHANGES. MEMORIAL MEDICAL CENTER'S HUMAN RESOURCES DIRECTOR COMPILES COMPARABILITY DATA FROM A NUMBER OF DIFFERENT COMPENSATION SURVEYS, THE BOARD COMPLETES AN EVALUATION FORM ON THE CEO'S PERFORMANCE, HUMAN RESOURCES COMPILES ALL OF THE DATA FROM THE SURVEYS AND PROVIDES THAT DATA - ALONG WITH THE COMPENSATION COMPARABILITY DATA TO THE BOARD. THIS WAS LAST PERFORMED IN NOVEMBER 2009. THE REVIEW FOR THE CEO'S 10/01/09 - 09/30/10 PERFORMANCE AND THE REVIEW OF COMPENSATION COMPARABILITIY DATA TO DETERMINE THE NEXT FISCAL YEARS OFFICER COMPENSATION WAS PERFORMED AT THE 12/14/2010 BOARD MEETING. |
| Form 990, Part VI, Section C, line 19 | THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 2C | NO CHANGES FROM PRIOR YEAR |
| FORM 990, PART X: | FOR TAX RETURN PURPOSES, PREPAID PENSION HAS BEEN CLASSIFIED AS AN ASSET VERSUS NETTING AGAINST THE PENSION LIABILITY. DUE TO THIS, BALANCE SHEET ASSETS AND LIABILITIES ON THE 990 ARE HIGHER THAN THE AUDITED FINANCIAL STATEMENTS BY $7,887,156 AND $6,596,573 AS OF SEPTEMBER 30, 2010 AND 2009, RESPECTIVELY. |