MCLAREN PORT HURON: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MCLAREN PORT HURON (EIN 38-1369611)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-04
- IRS object ID
- 201121249349300247
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-04T12:59:35-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Plante & Moran PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 750 TRADE CENTRE WAY STE 300 | AddressLine1 |
| City | PORTAGE | City |
| State | MI | State |
| ZIP Code | 49002 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381369611 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | port huron hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PORT | NameControl |
| Phone | 8109875000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1221 PINE GROVE AVENUE | AddressLine1 |
| City | port huron | City |
| State | MI | State |
| ZIP Code | 48060 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | john liston | Name |
| Title | CFO | Title |
| Phone | 8109875000 | Phone |
| Date Signed | 2011-04-25 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Carol LaLonde CPA | Name |
| Phone | 2695674500 | 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 | THOMAS DEFAUW | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1221 PINE GROVE AVENUE | AddressLine1 |
| City | port huron | City |
| State | MI | State |
| ZIP Code | 48060 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 173785358 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.porthuronhospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1879 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | PROVISION OF ACUTE MEDICAL CARE. TO BE A LEADER IN HEALING, AND YOUR PARTNER IN HEALTH. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1642 | TotalNbrEmployees |
| Total Nbr Volunteers | 278 | TotalNbrVolunteers |
| Total Gross UBI | 2099382 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -635645 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 11102 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 296889 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 161585142 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 170339895 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -5049 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1152025 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2512639 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1996549 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 164103834 | TotalRevenuePriorYear |
| Total Revenue Current Year | 173785358 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 75927080 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 77880661 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 82697545 | OtherExpensePriorYear |
| Other Expenses Current Year | 84995297 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 158624625 | TotalExpensesPriorYear |
| Total Expenses Current Year | 162875958 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5479209 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 10909400 | RevenuesLessExpensesCY |
| Total Assets BOY | 130203552 | TotalAssetsBOY |
| Total Assets EOY | 147258456 | TotalAssetsEOY |
| Total Liabilities BOY | 95406795 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 111007610 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 34796757 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 36250846 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVISION OF ACUTE MEDICAL CARE | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 122639065 | Expense |
| Revenue | 168872719 | Revenue |
| Description | FOR THE YEAR ENDED JUNE 30, 2010, PORT HURON HOSPITAL PROVIDED HEALTH CARE SERVICES TO THE POOR AND TO THE BROADER COMMUNITY FOR WHICH THE COST OF PROVIDING SUCH SERVICES EXCEEDED THE RELATED REVENUE. CHARITY CARE IN THE AMOUNT OF $5,208,594 WAS PROVIDED DURING THE YEAR. PORT HURON HOSPITAL PROVIDED $259,116,565 IN THIRD PARTY DISCOUNTS. IN TOTAL, THIS REPRESENTS 61% PERCENT OF THE GROSS PATIENT REVENUE FOR THIS YEAR.PORT HURON HOSPITAL ALSO PROVIDED THE COMMUNITY WITH OPPORTUNITIES TO PARTICIPATE IN NUMEROUS EDUCATIONAL, WELLNESS, SCREENING, AND SUPPORTIVE PROGRAMS AT EITHER NO COST OR AT A NOMINAL CHARGE. THE HOSPITAL PROVIDED A TOTAL OF 43 PROGRAMS TO APPROXIMATELY 56,304 PEOPLE OF THE COMMUNITY. | Description |
| Total Program Service Expense | 122639065 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | 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 | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 | 1 | 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 | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 92 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1642 | 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 | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | 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 | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | john liston cfo | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8109893737 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1221 pine grove avenue | AddressLine1 |
| City | port huron | City |
| State | MI | State |
| ZIP Code | 48060 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| KAREN NIVER MD | ||||||||
| CHAIRMAN | 3.00 | X | X | 0 | 0 | 0 | ||
| MONA ARMSTRONg | ||||||||
| VICE CHAIRMAN | 3.00 | X | X | 0 | 0 | 0 | ||
| JOHN OGDEN | ||||||||
| SECRETARY | 3.00 | X | X | 0 | 0 | 0 | ||
| DAVID C WHIPPLE | ||||||||
| TREASURER | 3.00 | X | X | 0 | 0 | 0 | ||
| JOHN LISTON | ||||||||
| CFO | 40.00 | X | X | 227740 | 0 | 27916 | X | |
| MIKE TURNBULL | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| RONDA RYAN | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| BR REDDY MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| CLARE SCHEURER MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| TIM REGAN | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| FRANKLIN MORTIMER II | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JOHN V BROOKS MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| GEOERGE STOMMEL | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| BASHAR SAMMAN MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JAMES MARSH | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| KARL TOMION | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| BASSAM H NASR MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| PATRICK MORAN | ||||||||
| chairman - part year | 3.00 | X | X | 0 | 0 | 0 | ||
| david thompson | ||||||||
| secretary - part year | 3.00 | X | X | 0 | 0 | 0 | ||
| bashar nakhleh md | ||||||||
| TRUSTEE - PART YEAR | 1.00 | X | 0 | 0 | 0 | |||
| THOMAS D DEFAUW | ||||||||
| PRESIDENT & CEO | 40.00 | X | 442365 | 0 | 52769 | X | ||
| KATHLEEN METCALF | ||||||||
| DIRECTOR PEROPERATIVE SERV | 40.00 | 245481 | 0 | 0 | X | |||
| DR MICHAEL TAWNEY | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 275330 | 0 | 9862 | X | X | ||
| DAVID MCEWEN | ||||||||
| VP OF OPERATIONS | 40.00 | 202749 | 0 | 16956 | X | |||
| BRIAN BARKLEY | ||||||||
| CRNA | 40.00 | 254729 | 0 | 0 | X | |||
| TIMOTHY VANHOWE | ||||||||
| CRNA | 40.00 | 243771 | 0 | 0 | X | |||
| TROY REED | ||||||||
| CRNA | 40.00 | 240999 | 0 | 0 | X | |||
| THOMAS F BROZOVICH | ||||||||
| PHYSICIAN | 40.00 | 238455 | 0 | 9862 | X | |||
| Robert L Bauer | ||||||||
| Physician | 40.00 | 213270 | 0 | 9862 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2584889 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 127227 | TotalOtherCompensation |
| Number Individuals GT100 K | 43 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MICHIGAN CO-TENANCY LABORATORY | |||||
| 300 WEST TEXTILE ROAD | ANN ARBOR | MI | 48108 | LAB TESTING | 784940 |
| american healthcare staffing association | |||||
| PO BOX 945 | traverse city | MI | 49684 | CONTRACTED LABOR | 531795 |
| scan medical services | |||||
| 1571 burnside road | north branch | MI | 48461 | CONTRACTED LABOR | 472603 |
| blue water pathology pc | |||||
| po box 77556 | detroit | MI | 48277 | lab services | 330000 |
| ALLIANCE-HNV PETCT SERVICES LLC | |||||
| PO BOX 402209 | ATLANTA | GA | 30384 | PET/CT SERVICES | 246225 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 14 | NumberOfContractorsGT100K |
| Related Organizations | 253404 | RelatedOrganizations |
| Government Grants | 43485 | GovernmentGrants |
| Total Contributions | 296889 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT REVENUE | 621500 | 167161026 | 167161026 | |
| LABORATORY | 621500 | 1959400 | 492224 | 1467176 |
| OPERATING REVENUE | 621500 | 1219469 | 1219469 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 170339895 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 837002 | TotalRevenueColumn |
| Exclusion | $837,002 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 39023 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 39023 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 39023 | TotalRevenueColumn |
| Exclusion | $39,023 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 315023 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 315023 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 315023 | TotalRevenueColumn |
| Exclusion | $315,023 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| laundry | 812300 | 799418 | 632206 | $167,212 |
| cafeteria | 722210 | 787313 | $787,313 | |
| MISCELLANEOUS | 900099 | 370795 | $370,795 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1957526 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 173785358 | TotalRevenueColumn |
| Related Or Exempt Function Income | 168872719 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2099382 | UnrelatedBusinessRevenue |
| Exclusion | $2,516,368 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1501168 | Total |
| Management And General | 1501168 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60455877 | Total |
| Program Services | 53943819 | ProgramServices |
| Management And General | 6512058 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4835292 | Total |
| Program Services | 4207618 | ProgramServices |
| Management And General | 627674 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6449391 | Total |
| Program Services | 5615258 | ProgramServices |
| Management And General | 834133 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4638933 | Total |
| Program Services | 4038956 | ProgramServices |
| Management And General | 599977 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131181 | Total |
| Management And General | 131181 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 361445 | Total |
| Management And General | 361445 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 502893 | Total |
| Management And General | 502893 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11833104 | Total |
| Program Services | 8442916 | ProgramServices |
| Management And General | 3390188 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 318276 | Total |
| Program Services | 2716 | ProgramServices |
| Management And General | 315560 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 895082 | Total |
| Program Services | 895082 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5130311 | Total |
| Program Services | 52854 | ProgramServices |
| Management And General | 5077457 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76809 | Total |
| Program Services | 2688 | ProgramServices |
| Management And General | 74121 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101133 | Total |
| Program Services | 90772 | ProgramServices |
| Management And General | 10361 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1340643 | Total |
| Management And General | 1340643 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8838536 | Total |
| Management And General | 8838536 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5087379 | Total |
| Management And General | 5087379 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| supply & minor equip | 28813972 | 27948789 | 865183 |
| Provision for Bad Debts | 11109051 | 11109051 | |
| qaap tax | 3490434 | 3490434 | |
| equip repair & maint | 2400401 | 2336079 | 64322 |
| utilities | 1637584 | 1637584 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2927063 | Total |
| Program Services | 2314883 | ProgramServices |
| Management And General | 612180 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162875958 | Total |
| Program Services | 122639065 | ProgramServices |
| Management And General | 40236893 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21464653 | BOY |
| EOY | 30697197 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12821803 | BOY |
| EOY | 22947795 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9120327 | BOY |
| EOY | 5691494 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11769243 | BOY |
| EOY | 12550065 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4048229 | BOY |
| EOY | 4367192 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2824849 | BOY |
| EOY | 2718252 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 154336362 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 111505816 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44389922 | BOY |
| EOY | 42830546 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10520028 | BOY |
| EOY | 11819481 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9968680 | BOY |
| EOY | 9698459 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3275818 | BOY |
| EOY | 3937975 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130203552 | BOY |
| EOY | 147258456 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62085047 | BOY |
| EOY | 76067813 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23545900 | BOY |
| EOY | 22685326 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 349985 | BOY |
| EOY | 204763 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9425863 | BOY |
| EOY | 12049708 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95406795 | BOY |
| EOY | 111007610 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34796757 | BOY |
| EOY | 36250846 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34796757 | BOY |
| EOY | 36250846 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130203552 | BOY |
| EOY | 147258456 | 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 Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1625341 | OtherCostOrOtherBasis |
| Book Value | 1625341 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 83633227 | OtherCostOrOtherBasis |
| Depreciation | 62750161 | Depreciation |
| Book Value | 20883066 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 658773 | OtherCostOrOtherBasis |
| Depreciation | 103810 | Depreciation |
| Book Value | 554963 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 61425973 | OtherCostOrOtherBasis |
| Depreciation | 45035246 | Depreciation |
| Book Value | 16390727 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6993048 | OtherCostOrOtherBasis |
| Depreciation | 3616599 | Depreciation |
| Book Value | 3376449 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 42830546 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| cash and marketable securities restricted for construction and debt service | 4383524 | F |
| INVESTMENT IN OTHER ENTITIES | 5314935 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 9698459 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| claim liability | $10,598,000 |
| accrued interest | $351,365 |
| cost report settlement payable | $1,100,343 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 12049708 | TotalOfAmounts |
| Total Revenue | 173785358 | TotalRevenue |
| Total Expenses | 162875958 | TotalExpenses |
| Excess Or Deficit For Year | 10909400 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -213162 | NetUnrealizedGLOnInvestments |
| Other | -$9,242,149 | OtherAmount |
| Total Adjustments | -9455311 | TotalAdjustments |
| Excess Or Deficit Per FS | 1454089 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part XI, Line 8 - Other Adjustments: | Identifier |
| Explanation | change in additional minimum pension liability: -9242149. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 394 | PersonsServed |
| Total Community Benefit Expense | 1733488 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1733488 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01060 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 2345 | PersonsServed |
| Total Community Benefit Expense | 23307551 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22917743 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 389808 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 65 | PersonsServed |
| Total Community Benefit Expense | 469686 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 57789 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 411897 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00250 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 2804 | PersonsServed |
| Total Community Benefit Expense | 25510725 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22975532 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2535193 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01550 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 408 | NumberOfActivitiesOrPrograms |
| Persons Served | 53500 | PersonsServed |
| Total Community Benefit Expense | 663458 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 52023 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 611435 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 181366 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 181366 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 35952 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 35952 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 411 | NumberOfActivitiesOrPrograms |
| Persons Served | 53500 | PersonsServed |
| Total Community Benefit Expense | 880776 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 52023 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 828753 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 416 | NumberOfActivitiesOrPrograms |
| Persons Served | 56304 | PersonsServed |
| Total Community Benefit Expense | 26391501 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23027555 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3363946 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02060 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 10 | NumberOfActivitiesOrPrograms |
| Persons Served | 769 | PersonsServed |
| Total Community Building Expense | 13180 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 7415 | DirectOffsettingRevenue |
| Net Community Building Expense | 5765 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 10 | NumberOfActivitiesOrPrograms |
| Persons Served | 769 | PersonsServed |
| Total Community Building Expense | 13180 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 7415 | DirectOffsettingRevenue |
| Net Community Building Expense | 5765 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $3,697,237 | BadDebtExpenseAmount |
| Amount Attributable To | 1216006 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 54412483 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 54301547 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 110936 | 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 | PORT HURON HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1221 PINE GROVE AVENUE | AddressLine1 |
| City | PORT HURON | City |
| State | MI | State |
| ZIP Code | 48060 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Footnote | Part III, Line 4: THE COSTING METHODOLOGY USED IS THE COST TO CHARGE RATIO IN DETERMINING THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: THE COSTING METHODOLOGY USED IS THE COST TO CHARGE RATIO IN DETERMINING THE MEDICARE ALLOWABLE COSTS OF CARE. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: IF A PATIENT PARTICIPATES IN THE CHARITY CARE PROCESS, THE ACCOUNT IS WRITTEN OFF THE CHARITY AS PER THE CHARITY CARE PROCESS. HOWEVER, IF THE PATIENT IS NON-PARTICIPATIVE IN THE CHARITY CARE PROCESS, THE NORMAL COLLECTION PROCESS WILL ENSUE. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: THE HOSPITAL ASSESSES HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY VARIOUS ONGOING AND AD HOC PROCESSES:-PARTICIPATION IN PERIODIC (ST. CLAIR) COUNTYWIDE NEEDS ASSESSMENT COORDINATED BY ST. CLAIR COUNTY HEALTH DEPARTMENT.-ANNUAL GAP ANALYSIS OF OUTMIGRATION FOR HEALTH CARE SERVICES THROUGH THE MICHIGAN INPATIENT DATA BASE.-PERIODIC CONSUMER PERCEPTION AND PREFERENCES SURVEYS CONDUCTED BY INDEPENDENT PROFESSIONAL SURVEY FIRMS, E.G. EPIC - MRA, LANSING, MI.-ANNUAL 10-STEP STRATEGIC PLANNING PROCESS INCLUDING STRATEGIC PLANNING EVENTS INVOLVING TRUSTEES, PHYSICIANS, AND MANAGEMENT TO REVIEW ENVIRONMENTAL ASSESSMENTS AND KEY STAKEHOLDER FEEDBACK TOWARD DEVELOPING HOSPITAL INITIATIVES FOR THE NEXT OPERATING CYCLE.-HOSPITAL-SPONSORED ADVISORY AND MEMBERSHIP GROUPS SUCH AS "55 PLUS" AND "WOMEN'S WELLNESS ADVISORY TEAM" WHICH PROVIDE INPUT AS TO HOSPITAL DIRECTION ON BETTER ADDRESSING COMMUNITY HEALTH NEEDS.-COMMITMENT TO ONGOING CONTINUOUS IMPROVEMENT. FOR 20 YEARS, THE HOSPITAL HAS BEEN COMMITTED TO THE PRINCIPLE OF CONTINUOUS IMPROVEMENT. APPLIED TO ONGOING MANAGEMENT PLANNING, NUMEROUS OPPORTUNITIES TO BETTER SERVE OUR COMMUNITIES HAVE BEEN IDENTIFIED AND PURSUED. SEVERAL OF THOSE PURSUITS CONTINUE TODAY AND ARE ENUMERATED ON THE IRS 990 SCHEDULE H WORKSHEET INCLUDED HERE: BREATHER'S CLUB, A SERVICE UNDER 55 PLUS MEETING THE DESPERATE NEEDS OF COPD SUFFERERS FOR SUPERVISED EXERCISE; THE LANG (HEALTH) LIBRARY INCORPORATED INTO THE HOSPITAL ENTRANCE ATRIUM PROVIDED SPECIAL HEALTH INFORMATION RESOURCES TO SCHOOLS, EDUCATORS, AND HEALTH CARE PROFESSIONALS; TODAY'S HEALTH WEEKLY HEALTH INFORMATION TELEVISION SHOW OVER THE LOCAL CABLE CHANNEL; AND HEALTH ACCESS, OUR HEALTH INFORMATION AND REFERRAL SERVICE OPERATING 80 HOURS PER WEEK, STAFFED BY RNS AND FIELDING 35,000 CALLS PER YEAR.-PARTICIPATION IN AD HOC COMMUNITY INITIATIVES FOR THE PURPOSE OF ADDRESSING SPECIFIC COMMUNITY HEALTH GAPS SUCH AS (1) RECENT UNITED WAY - ST. CLAIR COUNTY HEALTH DEPARTMENT INITIATIVE ON ESTABLISHING AN ADULT INDIGENT DENTAL CLINIC, AND (2) HELMET SAFETY INITIATIVE DEVELOPED THOUGH PHH FOUNDATION'S COMMUNITY BENEFIT COMMITTEE THAT INCLUDED SCHOOL DISTRICT AND POLICE REPRESENTATIVES. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: THE HOSPITAL HAS BROCHURES AVAILABLE FOR PATIENTS REGARDING THEIR OPTIONS. THE HOSPITAL ALSO COMMUNICATES THAT A PATIENT MAY CALL IF THEY NEED FINANCIAL ASSISTANCE VIA PHONE CALLS AND BILLING STATEMENTS. THE HOSPITAL HAS A REPRESENTATIVE THAT IS WILLING TO WORK WITH THE PATIENTS TO HELP THEM TRY TO GET INSURANCE OR OTHER FORMS OF ASSISTANCE. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: PORT HURON HOSPITAL AND ITS AFFILIATES SERVE A THREE-SIDED MARKET, LIMITED TO THE EAST BY LAKE HURON AND THE ONATRIO, CA BORDER. THAT MARKET IS DESCRIBED GENERALLY AS ST. CLAIR COUNTY, SANILAC COUNTY, PLUS LESSER PARTS OF FOUR CONTINUOUS COUNTIES: HURON, LAPEER, TUSCOLA, AND MACOMB. THIS AREA IS LARGELY RURAL WITH THE LARGEST CITY, PORT HURON, CLAIMING A POPULATION OF AROUND 36,000. SOME 25-30% OF WORKERS WHO RESIDE IN ST. CLAIR COUNTY COMMUTE OUT OF COUNTY TO JOBS. IN TOTAL, THE MARKET INCLUDES APPROXIMATELY 220,000 RESIDENTS, OF WHOM THREE QUARTERS RESIDE IN ST. CLAIR COUNTY.OUR MARKET FOLLOWS THE STATE AVERAGES DEMOGRAPHICALLY WITH SOME EXCEPTIONS: A LOWER PERCENTAGE OF AFRICAN-AMERICANS, A HIGHER PERCENTAGE OF NATIVE-AMERICANS, A LOWER AVERAGE HOUSEHOLD INCOME, A HIGHER PERCENTAGE OF OVER AGE 65 POPULATION. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: N/A | CommunityBuildingActivities |
| Reports Filed With States | MI | ReportsFiledWithStates |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN LISTON | |||||||||||||
| 223823 | 0 | 0 | 0 | 3917 | 0 | 11085 | 0 | 16831 | 0 | 255656 | 0 | 0 | 0 |
| THOMAS D DEFAUW | |||||||||||||
| 416446 | 0 | 0 | 0 | 25919 | 0 | 36295 | 0 | 16474 | 0 | 495134 | 0 | 0 | 0 |
| KATHLEEN METCALF | |||||||||||||
| 245481 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 245481 | 0 | 0 | 0 |
| DR MICHAEL TAWNEY | |||||||||||||
| 270765 | 0 | 0 | 0 | 4565 | 0 | 0 | 0 | 9862 | 0 | 285192 | 0 | 0 | 0 |
| DAVID MCEWEN | |||||||||||||
| 200312 | 0 | 0 | 0 | 2437 | 0 | 0 | 0 | 16956 | 0 | 219705 | 0 | 0 | 0 |
| BRIAN BARKLEY | |||||||||||||
| 254729 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 254729 | 0 | 0 | 0 |
| TIMOTHY VANHOWE | |||||||||||||
| 243771 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 243771 | 0 | 0 | 0 |
| TROY REED | |||||||||||||
| 240999 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 240999 | 0 | 0 | 0 |
| THOMAS F BROZOVICH | |||||||||||||
| 238455 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9862 | 0 | 248317 | 0 | 0 | 0 |
| Robert L Bauer | |||||||||||||
| 213270 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9862 | 0 | 223132 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | HEALTH CLUB BENEFITS WERE PROVIDED TO THE CHIEF EXECUTIVE OFFICER. |
| Part I, Line 4a | THOMAS DEFAUW AND JOHN LISTON CONTRIBUTED $36,044 AND $11,085, RESPECTIVELY, TO A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. |
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 | 59465HKZ8 | CUSIPNumber |
| Date Issued | 2009-05-12 | DateIssued |
| Issue Price | 14645000 | IssuePrice |
| Description Of Purpose | RENOVATIONS, EQUIPMENT, CURRENT REFUNDING | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 14645000 | TotalProceeds |
| Amount Defeased | 8060193 | AmountDefeased |
| Amount Unspent | 2091558 | AmountUnspent |
| Issuance Costs From Proceeds | 192540 | IssuanceCostsFromProceeds |
| Capital Expenditures | 4300709 | CapitalExpenditures |
| Year Of Subst Completion | 2011 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | 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 | 0 | BondCounselRoutinelyEngaged |
| 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 | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHYSICIAN INVESTMENT GROUP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | BASSAM H. NASR, MD, BOARD MEMBER OF PHH AND PART OWNER | Relationship |
| Amount Of Transaction | 79426 | AmountOfTransaction |
| Description Of Transaction | RENTAL/LEASE SLEEP CENTER | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 6 | THE SOLE MEMBER OF THIS COPRORATION IS BLUE WATER HEALTH SERVICES CORPORATION. |
| Form 990, Part VI, Section A, line 7a | THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO APPOINT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES. |
| Form 990, Part VI, Section B, line 11 | THE FORM 990 WAS PROVIDED TO THE BOARD FOR REVIEW. |
| Form 990, Part VI, Section B, line 12c | THE BOARD REVIEWS THE CONFLICT OF INTEREST POLICY ANNUALLY AND DISCLOSES ANY POTENTIAL CONFLICTS AT THAT TIME. |
| Form 990, Part VI, Section B, line 15a | THE EXECUTIVE COMPENSATION COMMITTEE IS A SUBCOMMITTEE OF THE BOARD OF DIRECTORS RESPONSIBLE FOR ANNUALLY EVALUATING THE PERFORMANCE AND COMPENSATION OF THE CHIEF EXECUTIVE OF THE CORPORATION. THEY ARE RESPONSIBLE FOR ENSURING PORT HURON HOSPITAL CAN ATTRACT, RETAIN AND MOTIVATE TALENTED EXECUTIVES WHO ARE ENTRUSTED TO ACHIEVE PERFORMANCE OBJECTIVES AND TO FULFILL THE HOSPITALS MISSION. THE COMMITTEE UTILIZES THE SERVICES OF AN INDEPENDENT CONSULTANT TO ANALYZE TOTAL REMUNERATION AND COMPARATIVE STUDIES TO ENSURE TOTAL COMPENSATION IS REASONABLE AND COMPETITIVE. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2010. |
| Form 990, Part VI, Section C, line 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 2C: | THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| BLUE WATER HEALTH SERVICES CORPORATION | ||||||||||
| 1221 PINE GROVE AVENUE | PORT HURON | MI | 48060 | 382453295 | MANAGEMENT CORP | MI | 501(c)(3) | Line 9 | N/A | |
| PORT HURON HOSPITAL FOUNDATION | ||||||||||
| PO BOX 5011 | PORT HURON | MI | 48061 | 382777750 | SUPPORTING ORG | MI | 501(c)(3) | Line 11a, I | PORT HURON HOSPITAL | |
| MARWOOD MANOR NURSING HOME | ||||||||||
| PO BOX 5011 | PORT HURON | MI | 48061 | 382683251 | NURSING HOME | MI | 501(c)(3) | Line 9 | BLUE WATER HEALTH SERVICES | |
| PARKVIEW PROPERTY MANAGEMENT CORP | ||||||||||
| PO BOX 5011 | PORT HURON | MI | 48061 | 382467310 | MANAGEMENT CORP | MI | 501(c)(3) | Line 11a, I | PORT HURON HOSPITAL | |
| TRI-HOSPITAL MRI | ||||||||||
| PO BOX 610988 | PORT HURON | MI | 48061 | 382884297 | HOSPITAL | MI | 501(c)(3) | Line 3 | PORT HURON HOSPITAL | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLOW ENTERPRISES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5011 | AddressLine1 |
| City | PORT HURON | City |
| State | MI | State |
| ZIP Code | 48061 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382491659 | EIN |
| Primary Activity | RENT/SALE OF MEDICAL EQUIPMENT | PrimaryActivity |
| Legal Domicile State | MI | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PORT HURON HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 105297 | ShareOfTotalIncome |
| Share Of EOY Assets | 3633220 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| WILLOW ENTERPRISES | |
| N | 1522456 |
| PARKVIEW PROPERTY MANAGEMENT CORP | |
| J | 731023 |
| TRI-HOSPITAL MRI | |
| L | 131751 |
| PORT HURON HOSPITAL FOUNDATION | |
| C | 298417 |
| PORT HURON HOSPITAL FOUNDATION | |
| K | 57769 |
| PARKVIEW PROPERTY MANAGEMENT CORP | |
| K | 223751 |
| MARWOOD MANOR NURSING HOME | |
| N | 49863 |
| MARWOOD MANOR NURSING HOME | |
| K | 326123 |
| WILLOW ENTERPRISES | |
| A | 36970 |
| WILLOW ENTERPRISES | |
| K | 2867056 |
| WILLOW ENTERPRISES | |
| P | 101405 |
| TRI-HOSPITAL MRI | |
| I | 160302 |
| TRI-HOSPITAL MRI | |
| K | 879158 |
| tRI-HOSPITAL MRI | |
| P | 176813 |