MUNISING MEMORIAL HOSPITAL ASSOCIATION: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MUNISING MEMORIAL HOSPITAL ASSOCIATION (EIN 38-1507046)
- Tax period
- 2009-04-01 to 2010-03-31
- Filed
- 2011-02-15
- IRS object ID
- 201120469349301857
- Schema version
- 2009v1.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-02-15T14:54:00-06:00 | Timestamp |
| Tax Period End Date | 2010-03-31 | 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 E FRONT ST 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 | 2009-04-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381507046 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MUNISING MEMORIAL HOSPITAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MUNI | NameControl |
| Phone | 9063874110 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 SAND POINT ROAD | AddressLine1 |
| City | MUNISING | City |
| State | MI | State |
| ZIP Code | 49862 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kevin Calhoun | Name |
| Title | ceo | Title |
| Phone | 9063874110 | Phone |
| Date Signed | 2011-02-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | kevin calhoun | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 SAND POINT ROAD | AddressLine1 |
| City | MUNISING | City |
| State | MI | State |
| ZIP Code | 49862 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 9602410 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.munisingmemorial.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1961 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE MEDICAL SERVICES TO THE COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 130 | TotalNbrEmployees |
| Total Nbr Volunteers | 20 | TotalNbrVolunteers |
| Total Gross UBI | 418410 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -24100 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 60212 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2947 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 8434971 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 9006941 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -325250 | InvestmentIncomePriorYear |
| Investment Income Current Year | 502186 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 47728 | OtherRevenuePriorYear |
| Other Revenue Current Year | 34065 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 8217661 | TotalRevenuePriorYear |
| Total Revenue Current Year | 9546139 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 500 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 500 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4736800 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4685351 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4656617 | OtherExpensePriorYear |
| Other Expenses Current Year | 5139598 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 9393917 | TotalExpensesPriorYear |
| Total Expenses Current Year | 9825449 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1176256 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -279310 | RevenuesLessExpensesCY |
| Total Assets BOY | 17955550 | TotalAssetsBOY |
| Total Assets EOY | 17764327 | TotalAssetsEOY |
| Total Liabilities BOY | 16593357 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 16327294 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1362193 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1437033 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE HEALTH CARE SERVICES TO ALL RESIDENTS OF THE GREATER MUNISING AREA, TO PROVIDE A LINK TO WELLNESS AND HEALTHCARE, AND TO SERVE AS AN INTEGRAL PART OF THE QUALITY OF LIFE IN THE ENTIRE REGION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 5981769 | Expense |
| Grants | 500 | Grants |
| Revenue | 7417686 | Revenue |
| Description | PROVIDE INPATIENT AND OUTPATIENT CARE TO THE COMMUNITY AND SURROUNDING AREA. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 911479 | Expense |
| Revenue | 752435 | Revenue |
| Description | BAY CARE PHYSICIAN OFFICE PROVIDING REGULAR OFFICE AND WALK-IN VISITS TO OUR PATIENTS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 442510 | Expense |
| Revenue | 418410 | Revenue |
| Description | HARBOUR VIEW ASSISTED LIVING FACILITY PROVIDING LIVING ACCOMMODATIONS, MEALS, AND ASSISTANCE TO THE ELDERLY - SEE 990-T FOR ADDITIONAL DETAIL. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 7335758 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | 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 | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 | 21 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 130 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| 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 | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | 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 | 1 | 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 | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | 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 | Lorraine Hawley | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9063874110 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 Sand Point Rd | AddressLine1 |
| City | MUNISING | City |
| State | MI | State |
| ZIP Code | 49862 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 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 | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| PETE KELTO | ||||||||
| Treasurer | 0.30 | X | X | 0 | 0 | 0 | ||
| JOHN BARNHART | ||||||||
| TRUSTEE | 0.30 | X | 0 | 0 | 0 | |||
| KIRT HARMON | ||||||||
| VIce President | 0.30 | X | X | 0 | 0 | 0 | ||
| JAMES BROGAN | ||||||||
| President | 0.30 | X | X | 0 | 0 | 0 | ||
| TARI JOHNSON | ||||||||
| Trustee | 0.30 | X | 0 | 0 | 0 | |||
| HELEN PETERS | ||||||||
| Secretary | 0.30 | X | X | 2090 | 0 | 0 | ||
| DEBORAH NEDEAU | ||||||||
| TRUSTEE | 0.30 | X | 0 | 0 | 0 | |||
| Allison Bowerman-Johnson | ||||||||
| TruSTEE | 0.30 | X | 0 | 0 | 0 | |||
| MARK ARRIERI | ||||||||
| TRUSTEE | 0.30 | X | 0 | 0 | 0 | |||
| Kevin Calhoun | ||||||||
| CEO | 40.00 | X | 141240 | 0 | 12104 | |||
| LORRAINE HAWLEY | ||||||||
| CFO | 40.00 | X | 86681 | 0 | 9360 | |||
| Mark Gerold | ||||||||
| physician | 40.00 | 159815 | 0 | 21991 | X | |||
| Christine Krueger | ||||||||
| PHYSICIAN | 40.00 | 163744 | 0 | 22170 | X | |||
| Michael Johnson | ||||||||
| Physician assistant | 40.00 | 127265 | 0 | 17788 | X | |||
| CARL VELTE | ||||||||
| FORMER CEO | 58337 | 0 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 739172 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 83413 | TotalOtherCompensation |
| Number Individuals GT100 K | 4 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ELSI BACCARI MD | |||||
| 4621 S NICOLET ROAD | SAULT STE MARIE | MI | 49783 | ER PHYS. COVERAGE | 231746 |
| LARRY F CARLYON MD | |||||
| 7 CHILMAN LANE | ISHPEMING | MI | 49849 | ER PHYS. COVERAGE | 143581 |
| PLANTE & MORAN PLLC | |||||
| 16060 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | CONSULTING | 103933 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| All Other Contributions | 2947 | AllOtherContributions |
| Total Contributions | 2947 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| HEALTH SERVICES | 900099 | 8350300 | 8350300 | |
| ASSISTED LIVING | 623990 | 418410 | 418410 | |
| OTHER RELATED REVENUE | 900099 | 238231 | 238231 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 9006941 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 49362 | TotalRevenueColumn |
| Exclusion | $49,362 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 29755 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 30209 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -454 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -454 | TotalRevenueColumn |
| Exclusion | -$454 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 475736 | Securities |
| Other | 3150 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 26062 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 449674 | Securities |
| Other | 3150 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 452824 | TotalRevenueColumn |
| Exclusion | $452,824 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CAFETERIA SALES | Description |
| Business Code | 722210 | BusinessCode |
| Total Revenue Column | 34519 | TotalRevenueColumn |
| Exclusion | $34,519 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 34519 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9546139 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8588531 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 418410 | UnrelatedBusinessRevenue |
| Exclusion | $536,251 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 500 | Total |
| Program Services | 500 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 252579 | Total |
| Management And General | 252579 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3588037 | Total |
| Program Services | 3036672 | ProgramServices |
| Management And General | 551365 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 167230 | Total |
| Program Services | 132125 | ProgramServices |
| Management And General | 35105 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 418558 | Total |
| Program Services | 345662 | ProgramServices |
| Management And General | 72896 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 258947 | Total |
| Program Services | 206554 | ProgramServices |
| Management And General | 52393 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3358 | Total |
| Management And General | 3358 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81600 | Total |
| Management And General | 81600 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1026711 | Total |
| Program Services | 913961 | ProgramServices |
| Management And General | 112750 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40055 | Total |
| Management And General | 40055 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 883771 | Total |
| Program Services | 656734 | ProgramServices |
| Management And General | 227037 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1175653 | Total |
| Program Services | 873633 | ProgramServices |
| Management And General | 302020 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 151324 | Total |
| Management And General | 151324 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Supplies | 737179 | 646688 | 90491 |
| Provision for Bad Debts | 342700 | 342700 | |
| Utilities | 341914 | 341914 | |
| Other Expenses | 227288 | 180529 | 46759 |
| QUALITY ASSURANCE TAXES | 128045 | 128045 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9825449 | Total |
| Program Services | 7335758 | ProgramServices |
| Management And General | 2489691 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 365417 | BOY |
| EOY | 300317 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 354577 | BOY |
| EOY | 353449 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1047559 | BOY |
| EOY | 1656889 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53149 | BOY |
| EOY | 40353 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68600 | BOY |
| EOY | 62500 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 109854 | BOY |
| EOY | 96851 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 17427832 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4380884 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14038785 | BOY |
| EOY | 13046948 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1263757 | BOY |
| EOY | 1497236 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 653852 | BOY |
| EOY | 709784 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17955550 | BOY |
| EOY | 17764327 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1092842 | BOY |
| EOY | 1323879 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38242 | BOY |
| EOY | 30597 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14010000 | BOY |
| EOY | 13760000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1452273 | BOY |
| EOY | 1212818 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16593357 | BOY |
| EOY | 16327294 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1362193 | BOY |
| EOY | 1437033 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1362193 | BOY |
| EOY | 1437033 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17955550 | BOY |
| EOY | 17764327 | 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 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 | $967 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 967 | 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 | 20275 | OtherCostOrOtherBasis |
| Book Value | 20275 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13246361 | OtherCostOrOtherBasis |
| Depreciation | 2023500 | Depreciation |
| Book Value | 11222861 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4159696 | OtherCostOrOtherBasis |
| Depreciation | 2357384 | Depreciation |
| Book Value | 1802312 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1500 | OtherCostOrOtherBasis |
| Book Value | 1500 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 13046948 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| FAIR VALUE OF INTEREST RATE SWAP | $1,145,818 |
| OTHER ACCRUED LIABILITIES | $67,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1212818 | TotalOfAmounts |
| Total Revenue | 9546139 | TotalRevenue |
| Total Expenses | 9825449 | TotalExpenses |
| Excess Or Deficit For Year | -279310 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 236786 | NetUnrealizedGLOnInvestments |
| Other | $117,364 | OtherAmount |
| Total Adjustments | 354150 | TotalAdjustments |
| Excess Or Deficit Per FS | 74840 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 9930498 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 236786 | NetUnrealizedGainsInvestments |
| Other Revenues | 147573 | OtherRevenues |
| Revenue Not Rptd F990 | 384359 | RevenueNotRptdF990 |
| Revenue Subtotal | 9546139 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 9546139 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 9855658 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 30209 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 30209 | ExpensesNotRptdF990 |
| Expenses Subtotal | 9825449 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 9825449 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XI, Line 8 - Other Adjustments: | Change in value of Interest Rate Swap: 117364. |
| Part XII, Line 2d - Other Adjustments: | Change in fair value of interest rate swap agreements: 117364. RENTAL EXPENSES INCLUDED ON FORM 990, PART VIII: 30209. |
| Part XIII, Line 2d - Other Adjustments: | RENTAL EXPENSES INCLUDED ON FORM 990, PART VIII: 30209. |
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 |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 0 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 42 | PersonsServed |
| Total Community Benefit Expense | 43785 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 43785 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00460 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1114999 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 363967 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 751032 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07920 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 42 | PersonsServed |
| Total Community Benefit Expense | 1158784 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 363967 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 794817 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08380 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 42 | PersonsServed |
| Total Community Benefit Expense | 1158784 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 363967 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 794817 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08380 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 602 | PersonsServed |
| Total Community Building Expense | 90841 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 47543 | DirectOffsettingRevenue |
| Net Community Building Expense | 43298 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00460 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 602 | PersonsServed |
| Total Community Building Expense | 90841 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 47543 | DirectOffsettingRevenue |
| Net Community Building Expense | 43298 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00460 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $260,607 | BadDebtExpenseAmount |
| Amount Attributable To | 7673 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 2815570 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 2788412 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 27158 | 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 | 1 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Munising Memorial Hospital Association | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 Sand Point Rd | AddressLine1 |
| City | Munising | City |
| State | MI | State |
| ZIP Code | 49862 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | Part I, Line 3c: | 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 24B - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $342,700. | 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 HOSPITAL'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, $260,607, IS CALCULATED BASED ON A COST TO CHARGE RATIO.THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $7,673. THE HOSPITAL'S BEST ESTIMATE WAS BASED ON SELF-PAY REVENUE AS A PERCENTAGE OF TOTAL REVENUE (2.86%) MULTIPLIED BY BAD DEBT EXPENSE AT COST x THE COST TO CHARGE RATIO FROM WORKSHEET 2. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: THE AMOUNTS REPORTED FOR MEDICARE ARE FROM THE MEDICARE COST REPORT, WHICH DO NOT SHOW A SHORTFALL. THE HOSPITAL USED THE METHODOLOGY REQUIRED FOR COMPLETING THE COST REPORT. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: ALL PATIENTS OR THEIR INSURANCE COMPANIES ARE BILLED FOR SERVICES. STATEMENTS ARE SENT MONTHLY TO ALL PATIENTS WITH THE EXCEPTION OF THE MEDICAID PATIENTS.THOSE THAT ARE QUALIFIED FOR FINANCIAL ASSISTANCE ARE NOT BILLED OR RECEIVE STATEMENTS. IF WE ARE WAITING FOR PENDING INFORMATION FROM THE RESPONSIBLE PARTY SUCH AS DETERMINATION ON APPLICATION OF DHS, THEN STATMENTS ARE SENT BUT FURTHER COLLECTION WILL NOT BE INITIATED. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: THE HOSPITAL PROVIDES OFFICE SPACE WITHIN THE HOSPITAL FOR (AMAC) ALGER MEDICAL ACCESS COALITION. THEY SCREEN PATIENTS WHO NEED ACCESS TO MEDICAL CARE BUT DO NOT HAVE THE MEANS TO PAY. THEY PROVIDE ASSISTANCE TO THE RESIDENTS OF THE COMMUNITY TO OBTAIN DRUGS THAT ARE NEEDED, BUT THEY ARE UNABLE TO PAY FOR THEM. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: PAMPHLETS AND FINANCIAL ASSISTANCE APPLICATIONS ARE AVAILABLE IN ADMISSION, WHICH DESCRIBE THE HOSPITALS COLLECTION POLICY AND FINANCIAL ASSISTANCE PROGRAM. THE PAMPHLET EXPLAINS WHAT RESOURCES MUST BE EXHAUSTED AND WHAT QUALIFIES. IF A PATIENT APPLIES FOR FINANCIAL ASSISTANCE, THEIR APPLICATION IS REVIEWED AND THEY ARE NOTIFIED IF THEY QUALIFY AND FOR HOW MUCH. THE ADMISSION PERSON ONLY GIVES THEM THE PAMPHLETS AND TELLS THEM IT IS AVAILABLE. THE POLICY IS ALSO ON THE HOSPITAL WEB SITE. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: MUNISING MEMORIAL HOSPITAL SERVES THE RESIDENTS OF ALGER COUNTY MICHIGAN IN THE CENTRAL UPPER PENINSULA. ALGER COUNTY IS A RURAL AND RELATIVELY ISOLATED GEOGRAPHY WITH A POPULATION OF 9,862. THE RURAL NATURE OF THE COUNTY IS DEMONSTRATED BY THE POPULATION'S DENSITY OF 11 PEOPLE PER SQUARE MILE. THE ALGER COUNTY ECONOMY IS PRIMARILY DEPENDENT UPON TOURISM, LUMBER HARVESTING, MANUFACTURING AND A LARGE STATE PRISON.THE NEAREST FULL SERVICE ACUTE CARE HOSPITAL IS 45 MILES FROM THE ALGER COUNTY POPULATION, ACCESSIBLE ONLY BY TWO LANE HIGHWAY THAT IS FREQUENTLY CLOSED IN THE WINTER DUE TO WEATHER.THE POPULATION OF ALGER COUNTY IS TYPICAL OF RURAL COMMUNITIES WITH LARGER THAN NORMAL PERCENTAGE OF OLDER THAN 65 POPULATION AND SIGNIFICANTLY LOWER THAN NORMAL PERCENTAGE OF POPULATION BETWEEN THE AGES OF 20-40. THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY 70% OF THE NATIONAL AND STATE MEDIAN HOUSEHOLD INCOME.MUNISING MEMORIAL HOSPITAL PROVIDES ESSENTIAL PRIMARY CARE MEDICAL SERVICES, AMBULATORY CARE, DIAGNOSTIC AND THERAPY SERVICES, AND LOCAL HOSPITALIZATION, PRIMARILY FOR THE ELDERLY.MUNISING MEMORIAL HOSPITAL SERVICES ARE NOT ONLY ESSENTIAL TO THE HEALTH AND WELLBEING OF THE COMMUNITY, BUT AS TYPICAL IN RURAL COMMUNITIES; MUNISING MEMORIAL IS ONE OF THE LARGEST EMPLOYERS IN ALGER COUNTY. IN ADDITION TO BELOW NATIONAL AND STATE MEDIAN INCOMES, ALGER COUNTY UNEMPLOYMENT TYPICALLY RUNS BETWEEN 50 - 100% HIGHER THAN THE NATIONAL AND STATE UNEMPLOYMENT PERCENTAGE. CONSEQUENTLY, MUNISING MEMORIAL EMPLOYMENT PROVIDES ECONOMIC STABILITY TO THE COMMUNITY. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: BY PROVIDING SPACE FOR AMAC THIS GIVES THE UNINSURED AND UNDERINSURED ASSISTANCE IN PREPARING FINANCIAL ASSISTANCE APPLICATIONS AND A MEANS OF OBTAINING DRUGS THROUGH THE PHARMACY COMPANIES THAT WOULD NOT BE AVAILABLE TO THEM. THE UNISURED ARE NOTIFIED OF THE VARIOUS OPPORTUNITES THAT ARE AVAILABLE TO THEM TO SEEK MEDICAL CARE. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: MUNISING MEMORIAL HOSPITAL'S DIETICIAN HAS PARTICIPATED IN A COMMUNITY ADVISORY BOARD FOR THE PAST SEVERAL YEARS WITH MEMBERS OF THE COMMUNITY. THE ADVISORY BOARD SENT OUT SURVEYS OF APPROXIMATELY 150 QUESTIONS RELATING TO GENERAL HEALTH, ACCESS TO HEALTHCARE, NUTRITION, PHYSICAL & MENTAL HEALTH, LIFESTYLE, EXERCISE, ETC. THE DIETICIAN USED THIS DATA TO IMPROVE DIABETES EDUCATION PROGRAMS AND TO HELP BRING THE ALGER COUNTY MEDICAL ACCESS PROGRAM (ACMA) TO ALGER COUNTY. IN JUNE OF 2009 ACMA OPENED THEIR DOORS IN OFFICE SPACE WITHIN THE HOSPITAL -- THAT IS PROVIDED TO THEM BY THE HOSPTIAL. THROUGH THIS PROGRAM THE HOSPITAL PROVIDES MEDICAL VISITS TO PATIENTS FREE OF CHARGE. ACMA ALSO OFFERS A PRESCRIPTION ASSISTANCE PROGRAM TO THEIR CLIENTS. THIS BOARD MET THROUGH 2009; THEY DISBANDED AFTER THE ACMA OFFICE WAS UP AND RUNNING. | OtherInformation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| 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 (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kevin Calhoun | |||||||||||||
| 141240 | 0 | 0 | 0 | 0 | 0 | 7150 | 0 | 4954 | 0 | 153344 | 0 | 0 | 0 |
| Mark Gerold | |||||||||||||
| 159815 | 0 | 0 | 0 | 0 | 0 | 8310 | 0 | 13681 | 0 | 181806 | 0 | 0 | 0 |
| Christine Krueger | |||||||||||||
| 163744 | 0 | 0 | 0 | 0 | 0 | 8490 | 0 | 13680 | 0 | 185914 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Michigan State Hospital Finance Authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 382889417 | IssuerEIN |
| CUSIP Number | 59465HDW3 | CUSIPNumber |
| Date Issued | 2006-09-27 | DateIssued |
| Issue Price | 14200000 | IssuePrice |
| Description Of Purpose | Construction | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 14200000 | TotalProceeds |
| Issuance Costs From Proceeds | 867442 | IssuanceCostsFromProceeds |
| Capital Expenditures | 12834918 | CapitalExpenditures |
| Year Of Subst Completion | 2008 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 1 | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 1 | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOVERIGN BANK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 16.000000000000 | TermOfHedge |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 1 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | THE 990 IS E-MAILED TO EACH BOARD MEMBER AND GIVEN A DEADLINE TO WHICH THEY NEED TO RESPOND. THEY EACH HAVE A CHANCE TO REVIEW THE 990 AND ASK QUESTIONS REGARDING DATA WITHIN THE FORM BEFORE IT IS FILED. THIS REVIEW IS DOCUMENTED VIA E-MAIL RECORDS. | |
| Form 990, Part VI, Section B, line 12c | INDIVIDUALS REQUIRED TO COMPLY WITH THE CONFLICT OF INTEREST POLICY INCLUDE THE CHIEF EXECUTIVE OFFICER, THE CHIEF FINANICAL OFFICER, AND ALL OF THE MEMBERS OF THE BOARD. ON AN ANNUAL BASIS, DOCUMENTS ARE DISTRIBUTED AND SIGNED BY EACH INDIVIDUAL DISCLOSING ALL CONFLICTS. IF THERE IS A CONFLICT INDENTIFIED, THAT INDIVIDIUAL CANNOT VOTE ON THE MATTER AND IT MUST BE INDICATED IN THE MEETING MINUTES THAT A DISCLOSURE WAS MADE AND THE BOARD MEMBER ABSTAINED FROM VOTING. | |
| Form 990, Part VI, Section C, line 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| Form 990, Part VII | CARL VELTE - 870 Clearview Drive, Port Charlotte, FL 33953. | Contact Addresses for Officers, Directors, Etc |
| FORM 990, PART XI, LINE 2C: | NO CHANGES FROM PRIOR YEAR |