EATON RAPIDS MEDICAL CENTER: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- EATON RAPIDS MEDICAL CENTER (EIN 38-1559180)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-03-26
- IRS object ID
- 202600859349300135
- Schema version
- 2024v5.1
- 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 H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-03-26T13:05:31+00:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 331498605 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 SOUTH RIVERSIDE PLAZA 9TH FLOOR | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381559180 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EATON RAPIDS MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EATO | BusinessNameControlTxt |
| Phone | 5176632671 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 SOUTH MAIN STREET | AddressLine1Txt |
| City | EATON RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48827 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHARI GLYNN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2026-03-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID LOWENTHAL CPA | PreparerPersonNm |
| PTIN | P00378651 | PTIN |
| Phone | 3122071040 | PhoneNum |
| Preparation | 2026-03-23 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHARI GLYNN | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 SOUTH MAIN STREET | AddressLine1Txt |
| City | EATON RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48827 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $53,723,666 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.EATONRAPIDSMEDICALCENTER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | CARE. SERVE. INSPIRE. BY PROVIDING HEALTHCARE SERVICES IN EATON RAPIDS, MI | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 355 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $356,083 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,954 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $42,175,268 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $52,687,002 | CYProgramServiceRevenueAmt |
| PY Investment Income | $531,202 | PYInvestmentIncomeAmt |
| CY Investment Income | $913,025 | CYInvestmentIncomeAmt |
| PY Other Revenue | $108,430 | PYOtherRevenueAmt |
| CY Other Revenue | $115,343 | CYOtherRevenueAmt |
| PY Total Revenue | $43,170,983 | PYTotalRevenueAmt |
| CY Total Revenue | $53,721,324 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,224,573 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $24,669,274 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $19,110,379 | PYOtherExpensesAmt |
| CY Other Expenses | $25,981,604 | CYOtherExpensesAmt |
| PY Total Expenses | $40,334,952 | PYTotalExpensesAmt |
| CY Total Expenses | $50,650,878 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,836,031 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,070,446 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $48,070,997 | TotalAssetsBOYAmt |
| Total Assets EOY | $48,184,985 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,752,925 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,459,968 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $38,318,072 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $41,725,017 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CARE. SERVE. INSPIRE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $43,006,730 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $52,687,002 | RevenueAmt |
| Desc | EATON RAPIDS MEDICAL CENTER OPERATES A SHORT-TERM, ACUTE CARE HOSPITAL SERVING THE EATON RAPIDS, MICHIGAN COMMUNITY. THE HOSPITALS VISION IS TO BE THE HOSPITAL PATIENTS TRUST, PHYSICIANS PREFER, AND STAFF MEMBERS LOVE. EATON RAPIDS MEDICAL CENTER PROVIDES TOOLS AND EDUCATION TO HELP PATIENTS AND THE COMMUNITY LEAD HEALTHY LIFESTYLES THROUGH PROGRAMS SUCH AS: A HEALTHWORKS PROGRAM, AND HEALTH FAIRS. SUPPORT GROUPS AND SEMINARS ARE OFFERED ON CHRONIC DISEASES INCLUDING: A DIABETES SUPPORT GROUP AND ARTHRITIS CLASSES. PATIENTS ARE ALSO PROVIDED ASSISTANCE TO NAVIGATE THE HEALTH INSURANCE EXCHANGES AND ARE ASSISTED WITH THE ENROLLMENT PROCESS. IN FISCAL YEAR 2025, EATON RAPIDS MEDICAL CENTER SAW THE FOLLOWING VOLUME OF PATIENTS: - INPATIENT ADMISSIONS = 257, INPATIENT DAYS = 860, AND EMERGENCY ROOM VISITS = 8,346. - OUTPATIENT VISITS TOTALED: LABORATORY = 14,783, RADIOLOGY = 8,534, RESPIRATORY = 488, CARDIOLOGY = 1,631, REHAB = 8,774 AND CLINICS = 5,745. | Desc |
| Total Program Service Expenses | $43,006,730 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 52 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 355 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHARI GLYNN VP OF FINANCECFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5176639456 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 SOUTH MAIN STREET | AddressLine1Txt |
| City | EATON RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48827 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JULIE REINCKE | ||||||||
| SECRETARY | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LINDA VANDENBERG | ||||||||
| TREASURER | 1.0 | 0.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROBERT DICKINS | ||||||||
| VICE CHAIRPERSON | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RUSSELL HALSEY | ||||||||
| CHAIRPERSON | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TIMOTHY JOHNSON | ||||||||
| CEO | 40.0 | 1.0 | Yes (X) | Yes (X) | $354,871 | $0 | $15,457 | |
| ASHKOK K GUPTA MD | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| BEN BODKIN | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| DOUG REAVES | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| JODI BACKOFEN | ||||||||
| DIRECTOR | 1.0 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| KYLE BOOHER | ||||||||
| DIRECTOR | 1.0 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| NATE SKINNER | ||||||||
| DIRECTOR | 1.0 | 0.5 | Yes (X) | $0 | $0 | $0 | ||
| SARA ALLSWEDE | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM DARR | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| SHARI GLYNN | ||||||||
| CFO | 40.0 | 1.0 | Yes (X) | $229,322 | $0 | $12,380 | ||
| DONNA BROWN MD | ||||||||
| ED PHYSICIAN | 32.0 | 0 | $340,530 | $0 | $18,840 | Yes (X) | ||
| ESLI GOLLAPALLI MD | ||||||||
| ED PHYSICIAN | 36.0 | 0 | $370,958 | $0 | $29,545 | Yes (X) | ||
| JOHN FATA MD | ||||||||
| ED PHYSICIAN | 36.0 | 0 | $484,025 | $0 | $15,415 | Yes (X) | ||
| RYAN JONES MD | ||||||||
| ED PHYSICIAN | 36.0 | 0 | $375,628 | $0 | $29,932 | Yes (X) | ||
| TIMOTHY EKPO DO | ||||||||
| ORTHOPEDIC SURGEON | 40.0 | 0 | $1,346,354 | $0 | $22,294 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,501,688 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $143,863 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 39 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| LUTZ ENTERPRISES | ||||||
| 9103 WEST END DR | PORTAGE | MI | 49002 | ANESTHESIA SERVICES | $1,505,124 | |
| NET REVENUE ASSOCIATES | ||||||
| 1330 CORPORATE DRIVE | HUDSON | OH | 44236 | REVENUE RECOVERY SERVICES | $1,146,383 | SUITE 100 |
| FASTAFF LLC | ||||||
| PO BOX 209452 | DALLAS | TX | 75320 | HEALTHCARE SERVICES | $678,375 | |
| ALLIANCE HNI | ||||||
| PO BOX 772550 | DETROIT | MI | 48277 | IMAGING & RADIOLOGY SERVICES | $392,517 | |
| PGPA LLC | ||||||
| 3544 MERIDIAN CROSSING DR | OKEMOS | MI | 48864 | PHARMACY SERVICES | $368,703 | SUITE 120 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $5,954 | RelatedOrganizationsAmt |
| Total Contributions | $5,954 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $51,585,403 | $51,585,403 |
| LAB REVENUE | 621500 | $313,630 | $313,630 |
| PHYSICIAN STAFFING/SUPPORT | 621110 | $342,037 | $342,037 |
| 340B REVENUE | 621990 | $332,879 | $332,879 |
| SPECIALISTS RENTAL FEES | 621110 | $113,053 | $113,053 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $52,687,002 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $873,665 | TotalRevenueColumnAmt |
| Exclusion | $873,665 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $29,366 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,103 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $28,263 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,263 | TotalRevenueColumnAmt |
| Exclusion | $28,263 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $40,599 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,239 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $39,360 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,360 | TotalRevenueColumnAmt |
| Exclusion | $39,360 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA | 722514 | $80,290 | $80,290 |
| EMPLOYEE PHARMACY SALES | 456110 | $6,790 | $6,790 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $87,080 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,721,324 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $52,687,002 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,028,368 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $613,178 | TotalAmt |
| Management And General | $613,178 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,540,624 | TotalAmt |
| Program Services | $16,214,657 | ProgramServicesAmt |
| Management And General | $3,325,967 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,825 | TotalAmt |
| Management And General | $204,825 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,002,905 | TotalAmt |
| Program Services | $2,458,608 | ProgramServicesAmt |
| Management And General | $544,297 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,307,742 | TotalAmt |
| Program Services | $1,053,572 | ProgramServicesAmt |
| Management And General | $254,170 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,062 | TotalAmt |
| Management And General | $40,062 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,175 | TotalAmt |
| Management And General | $110,175 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,635 | TotalAmt |
| Management And General | $5,635 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,126,294 | TotalAmt |
| Program Services | $7,100,400 | ProgramServicesAmt |
| Management And General | $1,025,894 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,558 | TotalAmt |
| Program Services | $2,405 | ProgramServicesAmt |
| Management And General | $143,153 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,137,124 | TotalAmt |
| Program Services | $705,184 | ProgramServicesAmt |
| Management And General | $431,940 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $394,805 | TotalAmt |
| Program Services | $52,253 | ProgramServicesAmt |
| Management And General | $342,552 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,985 | TotalAmt |
| Program Services | $3,265 | ProgramServicesAmt |
| Management And General | $5,720 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,577 | TotalAmt |
| Program Services | $124,896 | ProgramServicesAmt |
| Management And General | $27,681 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,611,334 | TotalAmt |
| Program Services | $1,319,000 | ProgramServicesAmt |
| Management And General | $292,334 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $312,554 | TotalAmt |
| Program Services | $245,245 | ProgramServicesAmt |
| Management And General | $67,309 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | $10,853,800 | $10,853,800 | |
| BAD DEBT EXPENSE | $2,253,701 | $2,253,701 | |
| QUALITY ASSURANCE TAXES | $385,519 | $385,519 | |
| MAINTENANCE & REPAIRS | $303,001 | $124,178 | $178,823 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,480 | TotalAmt |
| Program Services | $110,047 | ProgramServicesAmt |
| Management And General | $30,433 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,650,878 | TotalAmt |
| Program Services | $43,006,730 | ProgramServicesAmt |
| Management And General | $7,644,148 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $561,986 | BOYAmt |
| EOY | $2,232 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,404,232 | BOYAmt |
| EOY | $14,654,644 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,774,652 | BOYAmt |
| EOY | $7,331,285 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $862,301 | BOYAmt |
| EOY | $807,283 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,530,189 | BOYAmt |
| EOY | $2,898,176 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $39,903,946 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $25,785,500 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,366,209 | BOYAmt |
| EOY | $14,118,446 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,968,231 | BOYAmt |
| EOY | $5,966,233 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,922,245 | BOYAmt |
| EOY | $1,930,421 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,680,952 | BOYAmt |
| EOY | $476,265 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,070,997 | BOYAmt |
| EOY | $48,184,985 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,292,663 | BOYAmt |
| EOY | $5,476,703 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,930,402 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,529,860 | BOYAmt |
| EOY | $983,265 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,752,925 | BOYAmt |
| EOY | $6,459,968 | EOYAmt |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,318,072 | BOYAmt |
| EOY | $41,725,017 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,318,072 | BOYAmt |
| EOY | $41,725,017 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,070,997 | BOYAmt |
| EOY | $48,184,985 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,070,446 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $336,499 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $5,635 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,635 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | PORTION OF ANNUAL DUES TO MICHIGAN HEALTH & HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION THAT ARE USED TOWARD LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $724,719 | OtherCostOrOtherBasisAmt |
| Book Value | $724,719 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,021,857 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,108,964 | DepreciationAmt |
| Book Value | $8,912,893 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,603,080 | OtherCostOrOtherBasisAmt |
| Depreciation | $866,989 | DepreciationAmt |
| Book Value | $736,091 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,266,889 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,809,547 | DepreciationAmt |
| Book Value | $3,457,342 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $287,401 | OtherCostOrOtherBasisAmt |
| Book Value | $287,401 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,118,446 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal Income Taxes | |
| COST REPORT SETTLEMENT PAYABLE | $507,000 |
| RIGHT OF USE LEASE LIABILITY | $476,265 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $983,265 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $51,425,000 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $336,499 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $336,499 | RevenueNotReportedAmt |
| Revenue Subtotal | $51,088,501 | RevenueSubtotalAmt |
| Other Revenues Not Included | $2,632,823 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,632,823 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $53,721,324 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $48,018,055 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $48,018,055 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,632,823 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,632,823 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $50,650,878 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements | BAD DEBT EXPENSE - 2253701 EXPENSES RECORDED AGAINST INCOME - 379122 |
| Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements | BAD DEBT EXPENSE - 2253701 EXPENSES RECORDED AGAINST INCOME - 379122 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 133 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,322 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,322 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00021 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,118,061 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,494,265 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $4,128,383 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,494,265 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,322 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00021 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $4,128,383 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,494,265 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,322 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00021 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,253,701 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $450,740 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $5,295,466 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,393,171 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$97,705 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EATON RAPIDS MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 SOUTH MAIN STREET | AddressLine1Txt |
| City | EATON RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48827 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.EATONRAPIDSMEDICALCENTER.ORG | WebsiteAddressTxt |
| State License | 1060000161 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EATON RAPIDS MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.eatonrapidsmedicalcenter.org/about/community/ | OwnWebsiteURLTxt |
| Other Website URL | https://www.healthycapitalcounties.org/ | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 25 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.HEALTHYCAPITALCOUNTIES.ORG/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 133.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.eatonrapidsmedicalcenter.org/financial-assistance/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.eatonrapidsmedicalcenter.org/financial-assistance/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.eatonrapidsmedicalcenter.org/financial-assistance/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3 Facility , 1 | Facility , 1 - EATON RAPIDS MEDICAL CENTER: PART V, SECTION B, LINE 3J:. THE CHNA INCLUDES OPPORTUNITY MEASURES; SOCIAL, ECONOMIC AND ENVIRONMENTAL FACTORS; BEHAVIORS, STRESS AND PHYSICAL CONDITIONS; AND HEALTH OUTCOMES. IT ALSO INCLUDES FOCUS GROUPS AND SURVEY RESULTS. |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - EATON RAPIDS MEDICAL CENTER: PART V, SECTION B, LINE 5:. PARTNERS FOR THE END OF THE 2022-24 AND THE UPCOMING 2025-27 HEALTHY CAPITAL COUNTIES (HICC) WORKGROUP INCLUDE BIMONTHLY MEETINGS WITH REPRESENTATION FROM EATON RAPIDS MEDICAL CENTER, MCLAREN GREATER LANSING, UNIVERSITY OF MICHIGAN/SPARROW HOSPITAL HEALTH SYSTEM, MID-MICHIGAN DISTRICT HEALTH DEPARTMENT (CLINTON COUNTY), BARRY-EATON DISTRICT HEALTH DEPARTMENT, AND THE INGHAM COUNTY HEALTH DEPARTMENT. DATA MAPPING, ADDITIONAL INFOMATION, AND INPUT WAS OBTAINED FROM THE TRI-COUNTY REGION PLANNING COMMISSION, CAPITAL AREA HOUSING PARTNERSHIP, REGIONAL STRATEGY SESSIONS WITH COMMUNITY LEADERS, ELECTED OFFICIALS AND THE PUBLIC, COMMUNITY AND TARGETED SURVEYS, A STRATEGY SESSION DATA PARTY IN JULY 2024 WITH PRELIMINARY FINDINGS IN FALL OF 2024. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - EATON RAPIDS MEDICAL CENTER: PART V, SECTION B, LINE 6A:. MCLAREN GREATER LANSING UNIVERSITY OF MICHIGAN HEALTH-SPARROW |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - EATON RAPIDS MEDICAL CENTER: PART V, SECTION B, LINE 6B:. BARRY-EATON DISTRICT HEALTH DEPARTMENT INGHAM COUNTY HEALTH DEPARTMENT MID-MICHIGAN DISTRICT HEALTH DEPARTMENT |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - EATON RAPIDS MEDICAL CENTER: PART V, SECTION B, LINE 11:. EATON RAPIDS MEDICAL CENTER SUPPORTS HEALTH CAPITAL COUNTIES (HICC) GOALS BY ACTIVELY PARTICIPATING IN THE PLANNING PROCESS AND IDENTIFYING OPPORTUNITIES FOR US TO ADDRESS THE HEALTH NEEDS OF OUR COMMUNITY. AS WE CLOSE OUT THE 2022-24 CYCLE, WE HAVE SUPPORTED THE GOALS BY EXPANDING OUR SERVICES (NEW ORTHOPEDIC CLINIC AND PROVIDER, SWING BED PROGRAM, ETC.), RECRUITING NEW PROVIDERS AND HEALTHCARE STAFF, HOSTING BLOOD DRIVES, PARTICIPATION IN COMMUNITY EVENTS TO PROMOTE HEALTH AND WELLNESS, FOCUSING ON EXCEEDING QUALITY BENCHMARKS, AND PLANNING TO EXPAND OUR INPATIENT UNIT TO ADDRESS THE FUTURE HEALTHCARE NEEDS OF THIS COMMUNITY. ACCESS TO MENTAL HEALTH SERVICES AND HOUSING NEEDS ARE BEING ADDRESSED VIA REFERRAL TO AVAILABLE PROVIDERS AND LOCAL RESOURCES AND ARE OPPORTUNITIES FOR GROWTH. WE ARE CURRENTLY IN THE PROCESS OF IDENTIFYING ORGANIZATIOAL STRATEGIES AND ACTIVITIES TO SPECIFICALLY ADDRESS THE 2025-27 COMMUNITY HEALTH IMPROVEMENT PLAN GOALS. THE FOCUS AREAS IDENTIFIED INCLUDE HOUSING, ACCESS TO CARE, AND BEHAVIORAL HEALTH. |
| Schedule H, Part V, Section B, Line 15 Facility , 1 | Facility , 1 - EATON RAPIDS MEDICAL CENTER: PART V, SECTION B, LINE 15E:. EATON RAPIDS MEDICAL CENTER HAS STAFF ONSITE AVAILABLE TO ASSIST PATIENTS WITH THE COMPLETION OF THE FINANCIAL ASSISTANCE FORMS FOR BOTH CHARITY CARE AND WHEN POSSIBLE WITH OTHER PROGRAMS SUCH AS MEDICAID AND MEDICARE PART D. |
| Schedule H, Part V, Section B, Line 16 Facility , 1 | Facility , 1 - EATON RAPIDS MEDICAL CENTER: PART V, SECTION B, LINE 16J:. LINE 16I DISCLOSURE - THE HOSPITAL FACILITY HAS REVIEWED THE POPULATION OF ITS COMMUNITY AND CONCLUDED THAT ENGLISH IS THE ONLY PRIMARY LANGUAGE AS DEFINTED BY THE REGULATIONS OF MORE THAN 5% OR 1,000 PERSONS. THEREFORE, THE FAP, FAP APPLICATION FORM, OR PLAIN LANGUAGE SUMMARY HAVE NOT BEEN TRANSLATED INTO ANOTHER LANGUAGE. THE HOSPITAL FACILITY WILL CONTINUE TO MONITOR THIS GOING FORWARD AS NEW CENSUS DATA BECOMES AVAILABLE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 22 PART V LINE 22B: | BASED ON INTERNAL LIMITATIONS THE AMOUNTS GENERALLY BILLED COMPUTATION MAY NOT HAVE TAKEN INTO ACCOUNT THE COMBINED AMOUNT OF MEDICARE AND PRIVATE INSURANCE. |
| Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation | 2253701 |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | COSTING METHODOLOGY IS A COST TO CHARGE RATIO AS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE. |
| Schedule H, Part II Community Building Activities | THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY IT SERVES THROUGH A FREE HEALTH FAIR, FREE HEALTH SCREENINGS, DIABETES SUPPORT GROUP, EDUCATIONAL TOURS FOR SECOND GRADERS, ARTICLES IN THE NEWSPAPER ABOUT MEDICAL CONDITIONS AND HEALTHY LIVING, TRAINING FOR STUDENTS IN THE HEALTHCARE FIELD, FREE EDUCATIONAL SEMINARS, FREE FITNESS, NUTRITION AND CONFIDENCE PROGRAM FOR 4TH THROUGH 6TH GRADERS, CONTRIBUTIONS TO ORGANIZATIONS SUCH AS EATON COMMUNITY HOSPICE AND MEALS ON WHEELS, COALITION BUILDING PARTICIPATION AND CONTRIBUTIONS TO ORGANIZATIONS SUCH AS EATON RAPIDS ROTARY AND LIONS CLUB AS WELL AS THE CHAMBER OF COMMERCE, HOSTING BABYSITTING AND CPR CLASSES, AND HOSTING TWO AMERICAN RED CROSS BLOOD DRIVES PER YEAR. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY, $450,740 IS EQUAL TO APPROXIMATELY 20 PERCENT OF BAD DEBT EXPENSE. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE CENTER'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CENTER'S ABILITY TO COLLECT OUTSTANDING AMOUNTS FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE CENTER RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE MEDICARE SURPLUS (SHORTFALL), FROM THE MEDICARE COST REPORT, WAS CALCULATED BY UTILIZING A COST TO CHARGE RATIO. ANY SHORTFALLS WOULD BE CONSIDERED COMMUNITY BENEFIT. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | ALL PATIENTS' COLLECTIONS ARE TREATED THE SAME. |
| Schedule H, Part V, Section B, Line 16a FAP website | - EATON RAPIDS MEDICAL CENTER: Line 16a URL: https://www.eatonrapidsmedicalcenter.org/financial-assistance/; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - EATON RAPIDS MEDICAL CENTER: Line 16b URL: https://www.eatonrapidsmedicalcenter.org/financial-assistance/; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - EATON RAPIDS MEDICAL CENTER: Line 16c URL: https://www.eatonrapidsmedicalcenter.org/financial-assistance/; |
| Schedule H, Part VI, Line 2 Needs assessment | THE ORGANIZATION ASSESSES NEEDS THROUGH PATIENT SATISFACTION SURVEYS, SUGGESTIONS FROM EMPLOYEES THAT RESIDE IN OUR SERVICE AREA, RESPONSES FROM FOCUS GROUP PARTICIPANTS, COMMENTS ON OUR SOCIAL MEDIA PAGES, SUGGESTION BOXES, AND REQUESTS FROM COMMUNITY GROUPS. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | INFORMATION REGARDING ELIGIBILITY IS PROVIDED AT TIME OF SERVICE AS WELL AS ATTACHED TO BILLING INVOICES, POSTED IN THE ADMISSIONS OFFICE, AND AVAILABLE UPON REQUEST. |
| Schedule H, Part VI, Line 4 Community information | EATON RAPIDS MEDICAL CENTER'S IMMEDIATE SERVICE AREA INCLUDES EATON RAPIDS, SPRINGPORT, AND ONONDAGA. WE ALSO DRAW PATIENTS FROM LESLIE, MASON, DIAMONDALE AND CHARLOTTE. 13% OF OUR PATIENTS ARE AGES 0-17, 11% OF PATIENTS AGES 18-34, 15% OF PATIENTS AGES 35-50, 22% OF PATIENTS AGES 51-64, 29% OF PATIENTS AGES 65-79, AND 10% OF PATIENTS AGES 80+. PATIENT INSURANCE DEMOGRAPHICS ARE MEDICARE 52%, MEDICAID 11%, COMMERCIAL 8%, HMO/PPO 2%, BLUE CROSS 26%, AND SELF-PAY 1%. |
| Schedule H, Part VI, Line 5 Promotion of community health | THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY IT SERVES THROUGH A FREE HEALTH FAIR, FREE HEALTH SCREENINGS, DIABETES SUPPORT GROUP, EDUCATIONAL TOURS FOR SECOND GRADERS, FARMERS MARKET HELD ON HOSPITAL GROUNDS, ARTICLES IN NEWSPAPERS ABOUT MEDICAL CONDITIONS AND HEALTHY LIVING, TRAINING FOR STUDENTS IN THE HEALTH CARE FIELD, FREE EDUCATIONAL SEMINARS, FREE FITNESS, NUTRITION AND SELF-CONFIDENCE PROGRAM FOR 4TH THROUGH 6TH GRADERS, CONTRIBUTIONS TO ORGANIZATIONS SUCH AS EATON COMMUNITY HOSPICE AND MEALS ON WHEELS, COALITION BUILDING PARTICIPATION AND CONTRIBUTIONS TO ORGANIZATIONS SUCH AS THE EATON RAPIDS ROTARY AND LIONS CLUB AS WELL AS THE CHAMBER OF COMMERCE, HOSTING BABYSITTING AND CPR CLASSES, AND HOSTING TWO AMERICAN RED CROSS BLOOD DRIVES EACH YEAR. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | MI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TIMOTHY JOHNSON | ||||||||||||||
| CEO | $314,871 | $0 | $40,000 | $0 | $0 | $0 | $6,847 | $0 | $8,610 | $0 | $370,328 | $0 | $0 | $0 |
| SHARI GLYNN | ||||||||||||||
| CFO | $218,722 | $0 | $10,600 | $0 | $0 | $0 | $4,581 | $0 | $7,799 | $0 | $241,702 | $0 | $0 | $0 |
| TIMOTHY EKPO DO | ||||||||||||||
| ORTHOPEDIC SURGEON | $1,346,154 | $0 | $200 | $0 | $0 | $0 | $0 | $0 | $22,294 | $0 | $1,368,648 | $0 | $0 | $0 |
| JOHN FATA MD | ||||||||||||||
| ED PHYSICIAN | $483,825 | $0 | $200 | $0 | $0 | $0 | $0 | $0 | $15,415 | $0 | $499,440 | $0 | $0 | $0 |
| RYAN JONES MD | ||||||||||||||
| ED PHYSICIAN | $375,428 | $0 | $200 | $0 | $0 | $0 | $0 | $0 | $29,932 | $0 | $405,560 | $0 | $0 | $0 |
| ESLI GOLLAPALLI MD | ||||||||||||||
| ED PHYSICIAN | $370,758 | $0 | $200 | $0 | $0 | $0 | $0 | $0 | $29,545 | $0 | $400,503 | $0 | $0 | $0 |
| DONNA BROWN MD | ||||||||||||||
| ED PHYSICIAN | $340,330 | $0 | $200 | $0 | $0 | $0 | $0 | $0 | $18,840 | $0 | $359,370 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 7 Non-fixed payments | FormAndLineReferenceDesc |
| Explanation | THE CEO BONUS IS DETERMINED BY THE BOARD AND THE REMAINING BONUSES ARE DETERMINED BY THE EXECUTIVE MANAGEMENT COUNCIL AND APPROVED BY THE BOARD. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 IS REVIEWED BY ACCOUNTING STAFF AND PRESENTED TO THE FINANCE COMMITTEE PRIOR TO SUBMISSION. THE FORM 990 IS NOT PROVIDED TO THE FULL BOARD PRIOR TO FILING. |
| Form 990, Part VI, Line 12c Conflict of interest policy | IN ACCORDANCE WITH EATON RAPIDS MEDICAL CENTER'S CONFLICT OF INTEREST POLICY, CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE SIGNED ANNUALLY BY THE HOSPITAL'S BOARD. THE FORMS ARE REVIEWED BY THE CEO WHO TRACKS AND MONITORS THE CONFLICTS THAT ARISE. THE CEO NOTIFIES THE BOARD OF ANY CONFLICTS AND THOSE PERSONS ARE PROHIBITED FROM PARTICIPATING IN THE DELIBERATIONS AND DECISIONS, INCLUDING BEING ASKED TO LEAVE THE ROOM. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | CURRENTLY THE BOARD REVIEWS COMPENSATION STUDIES FROM SIMILAR HOSPITALS AND THE COMMITTEE USES THAT TO DETERMINE THE COMPENSATION FOR THE CEO. THIS IS DOCUMENTED IN THE BOARD MINUTES. THE BOARD ALSO DETERMINES COMPENSATION BASED ON PRIOR YEAR PERFORMANCE. A COMPARABILITY STUDY WAS LAST DONE FOR THE CEO, OTHER OFFICERS AND KEY EMPLOYEES IN 2025. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC. |
| Form 990, Part IX, Line 11g Other Fees | PURCHASED SERVICES: - Total Expense: 3490861, Program Service Expense: 2943675, Management and General Expenses: 547186, Fundraising Expenses: ; MAINTENANCE CONTRACTS: - Total Expense: 1078015, Program Service Expense: 637140, Management and General Expenses: 440875, Fundraising Expenses: ; CONTRACT SERVICES: - Total Expense: 2152551, Program Service Expense: 2152551, Management and General Expenses: , Fundraising Expenses: ; PHYSICIAN SERVICES: - Total Expense: 365165, Program Service Expense: 365165, Management and General Expenses: , Fundraising Expenses: ; PROFESSIONAL SERVICES: - Total Expense: 1039702, Program Service Expense: 1001869, Management and General Expenses: 37833, Fundraising Expenses: ; |
| Form 990, Part XII, Line 2c Change of oversight process or selection process | THE PROCESS FOR THE COMMITTEE THAT ASSUMES THE RESPONSIBILITY OF OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITORS HAS NOT CHANGED. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EATON RAPIDS MEDICAL CENTER FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 SOUTH MAIN ST | AddressLine1Txt |
| City | EATON RAPIDS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48827 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383582316 | EIN |
| Primary Activities | TO RECEIVE AND ADMINISTER FUNDS AND USE THEM FOR EATON RAPIDS MEDICAL CENTER | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Type I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EATON RAPIDS MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |