MERCY-MEMORIAL HOSPITAL CORPORATION: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MERCY-MEMORIAL HOSPITAL CORPORATION (EIN 38-1984289)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-05
- IRS object ID
- 201121259349301242
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-05T14:55:01-05:00 | 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 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 RENAISSANCE CENTER SUITE 900 | AddressLine1 |
| City | DETROIT | City |
| State | MI | State |
| ZIP Code | 482431895 | 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 | 381984289 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MEMORIAL HOSPITAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MERC | NameControl |
| Phone | 7342404520 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 718 N Macomb Street | AddressLine1 |
| City | Monroe | City |
| State | MI | State |
| ZIP Code | 48162 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Thomas W Schilling | Name |
| Title | CFO & Senior VP of Finance | Title |
| Phone | 7342404520 | Phone |
| Date Signed | 2011-05-04 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3133963000 | 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 W Schilling | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 718 N Macomb Street | AddressLine1 |
| City | Monroe | City |
| State | MI | State |
| ZIP Code | 48162 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 200946494 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.mercymemorial.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1971 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | Mercy Memorial Hospital's mission is to provide outstanding health care services to the residents of Monroe County and surrounding areas. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1689 | TotalNbrEmployees |
| Total Nbr Volunteers | 788 | TotalNbrVolunteers |
| Total Gross UBI | 4356224 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -570522 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1335951 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1084161 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 157883257 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 162794123 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -58710 | InvestmentIncomePriorYear |
| Investment Income Current Year | 18995966 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2825 | OtherRevenuePriorYear |
| Other Revenue Current Year | 36243 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 159163323 | TotalRevenuePriorYear |
| Total Revenue Current Year | 182910493 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 15000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 3000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 74922436 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 77604281 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 79339 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 85909264 | OtherExpensePriorYear |
| Other Expenses Current Year | 83519962 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 160846700 | TotalExpensesPriorYear |
| Total Expenses Current Year | 161127243 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1683377 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 21783250 | RevenuesLessExpensesCY |
| Total Assets BOY | 146714281 | TotalAssetsBOY |
| Total Assets EOY | 166919072 | TotalAssetsEOY |
| Total Liabilities BOY | 79586619 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 87032573 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 67127662 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 79886499 | NetAssetsOrFundBalancesEOY |
| Mission Description | As an independent health care system Mercy Memorial Hospital provides high quality, comprehensive services to the people and communities we serve. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 135685618 | Expense |
| Grants | 1000 | Grants |
| Revenue | 158422603 | Revenue |
| Description | Hospital Based Healthcare Services-A multitude of health care services were provided by the Hospital to the people of Monroe County and surrounding areas. These program services included various aspects of inpatient, outpatient, and emergency care. This care was provided in a manner that respected the value, privacy, and dignity of individual patients and their families. Further, continuous efforts were made to identify and implement new and better ways to meet the physical, spiritual, emotional, and social needs of patients. During the year the Hospital provided: (a) 40,015 days of acute care for adult and pediatric inpatients (b) 1,512 days of acute care for newborns (c) Emergency care for 43,857 outpatients (d) 177,712 outpatient services registration. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 13565 | Expense |
| Grants | 2000 | Grants |
| Revenue | 96763 | Revenue |
| Description | Hospital Guild-117 members rendered services to the Hospital and its patients by operating a gift shop, knitting caps for newborns, making cradle pictures available, assisting in the internal transportation of patients and assisting in other patient related activities throughout the hospital. The gift shop and cradle pictures are primarily for the convenience of patients and visitors. The Guild also offers some nursing scholarships. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 35821 | Expense |
| Description | Hospital Medical Staff-280 members (1) Directed and reviewed hospital based healthcare services. (2) Participated in periodic meetings concerning the delivery of healthcare services including medical education. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 555 | Expense |
| Description | Mercy Memorial Hospital's participation in the Monroe Middle College helps high school students gain knowledge concerning healthcare services. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 555 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 135735559 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | 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 | 1 | FundraisingActivities |
| Gaming | 1 | 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 | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | 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 | 116 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 1 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1689 | 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 | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | 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 | Thomas W Schilling | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7342404520 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 718 N Macomb Street | AddressLine1 |
| City | Monroe | City |
| State | MI | State |
| ZIP Code | 48162 | 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 | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Phillips Annette | |||||||
| CEO | 40.00 | X | X | 370943 | 0 | 6806 | |
| Bellino Karen M Vuich | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Braunlich Paul E | |||||||
| Trustee (Partial Year) | 1.00 | X | 0 | 0 | 0 | ||
| Calender Kenyon S | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Carter Kurt L | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Heck Gerald W | |||||||
| CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | ||
| McNamee Kenneth J | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Miller James A | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Robbins Basil D | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | ||
| Ryan Janet | |||||||
| VICE CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | ||
| Sabo Deborah A | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | ||
| Spencer Donald A | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Walsh Arlene R | |||||||
| Trustee (Partial Year) | 1.00 | X | 0 | 0 | 0 | ||
| Wilburn Walter | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Worrell Mark G | |||||||
| Trustee (Partial Year) | 1.00 | X | 0 | 0 | 0 | ||
| Bennett Timothy S | |||||||
| Trustee (Partial Year) | 1.00 | X | 0 | 0 | 0 | ||
| Chaffin H Douglas | |||||||
| Trustee (Partial Year) | 1.00 | X | 0 | 0 | 0 | ||
| Kohler John D | |||||||
| Trustee (Partial Year) | 1.00 | X | 0 | 0 | 0 | ||
| Wszelaski Francis T | |||||||
| Trustee (Partial Year) | 1.00 | X | 0 | 0 | 0 | ||
| Darrow Kurt L | |||||||
| Trustee (Partial Year) | 1.00 | X | 0 | 0 | 0 | ||
| Amin Jatin | |||||||
| Vice Chief of Staff | 1.00 | X | 2700 | 0 | 0 | ||
| Javaid Muhammad | |||||||
| Chief of Staff | 1.00 | X | 0 | 0 | 0 | ||
| Peters Ruth Ann | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| Schilling Thomas | |||||||
| CFO/Senior VP-Finance | 40.00 | X | 308758 | 0 | 21028 | ||
| Burgos Gilbert | |||||||
| CMO & Senior VP | 40.00 | 353347 | 0 | 8342 | X | ||
| Sorosiak Michael J | |||||||
| CRNA | 40.00 | 292603 | 0 | 18393 | X | ||
| SEALWILLIAM L | |||||||
| CRNA | 40.00 | 262825 | 0 | 10486 | X | ||
| Moosa Mahmood F | |||||||
| Doctor | 40.00 | 253074 | 0 | 14974 | X | ||
| Memon Mubeen A | |||||||
| Doctor | 40.00 | 207978 | 0 | 13815 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2052228 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 93844 | TotalOtherCompensation |
| Number Individuals GT100 K | 49 | 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 |
|---|---|---|---|---|---|
| Contracting Resources LLC | |||||
| 403 E Grand River Suite C | Brighton | MI | 48116 | Construction Management | 4036837 |
| Auch George W Co | |||||
| 735 S Paddock | Pontiac | MI | 48341 | Construction Management | 1202186 |
| Crothall Services Group | |||||
| 955 Chesterbrook Blvd Suite 300 | Wayne | PA | 19087 | Housekeeping Services | 1200871 |
| Quest Diagnostics | |||||
| 4444 Giddings Road | Auburn Hills | MI | 48326 | Equipment Service | 791598 |
| GE Healthcare | |||||
| 101 Carnegie Center | Princeton | NJ | 08540 | Equipment Service | 721272 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 41 | NumberOfContractorsGT100K |
| Fundraising Events | 103314 | FundraisingEvents |
| Government Grants | 49361 | GovernmentGrants |
| All Other Contributions | 931486 | AllOtherContributions |
| Noncash Contributions | 50000 | NoncashContributions |
| Total Contributions | 1084161 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Hospital Based SVCS | 621990 | 158422603 | 158422603 | |
| Non-Patient Pharmacy | 446110 | 3984663 | 3984663 | |
| Reference Lab | 621500 | 371561 | 371561 | |
| Hospital Guild | 621990 | 15296 | 15296 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 162794123 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 877326 | TotalRevenueColumn |
| Exclusion | $877,326 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 951409 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1008866 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -57457 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -57457 | TotalRevenueColumn |
| Exclusion | -$57,457 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 34885463 | Securities |
| Other | 22420 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 16281463 | Securities |
| Other | 507780 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 18604000 | Securities |
| Other | -485360 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18118640 | TotalRevenueColumn |
| Exclusion | $18,118,640 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 53142 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 103314 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 66646 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -13504 | TotalRevenueColumn |
| Exclusion | -$13,504 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 36126 | GrossIncomeGaming |
| Gaming Direct Expenses | 10389 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 25737 | TotalRevenueColumn |
| Exclusion | $25,737 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 242324 | GrossSalesOfInventory |
| Cost Of Goods Sold | 160857 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 81467 | TotalRevenueColumn |
| Related Or Exempt Function Income | 81467 | RelatedOrExemptFunctionIncome |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 182910493 | TotalRevenueColumn |
| Related Or Exempt Function Income | 158519366 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 4356224 | UnrelatedBusinessRevenue |
| Exclusion | $18,950,742 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1000 | Total |
| Program Services | 1000 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2000 | Total |
| Program Services | 2000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 710235 | Total |
| Management And General | 710235 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61202650 | Total |
| Program Services | 52553544 | ProgramServices |
| Management And General | 8588566 | ManagementAndGeneral |
| Fundraising | 60540 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 548486 | Total |
| Program Services | 465572 | ProgramServices |
| Management And General | 82378 | ManagementAndGeneral |
| Fundraising | 536 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10608860 | Total |
| Program Services | 9005123 | ProgramServices |
| Management And General | 1593363 | ManagementAndGeneral |
| Fundraising | 10374 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4534050 | Total |
| Program Services | 3848640 | ProgramServices |
| Management And General | 680976 | ManagementAndGeneral |
| Fundraising | 4434 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 281557 | Total |
| Management And General | 281557 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 275335 | Total |
| Management And General | 275335 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 428592 | Total |
| Management And General | 428592 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12933 | Total |
| Management And General | 12933 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129985 | Total |
| Management And General | 129985 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13762406 | Total |
| Program Services | 11089202 | ProgramServices |
| Management And General | 2673204 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 316082 | Total |
| Program Services | 14555 | ProgramServices |
| Management And General | 300650 | ManagementAndGeneral |
| Fundraising | 877 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1574299 | Total |
| Program Services | 1009630 | ProgramServices |
| Management And General | 564669 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1688857 | Total |
| Management And General | 1688857 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2842955 | Total |
| Program Services | 2623286 | ProgramServices |
| Management And General | 219669 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 303113 | Total |
| Program Services | 216712 | ProgramServices |
| Management And General | 84486 | ManagementAndGeneral |
| Fundraising | 1915 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 155764 | Total |
| Program Services | 125678 | ProgramServices |
| Management And General | 30086 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2471306 | Total |
| Program Services | 2471306 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8728240 | Total |
| Program Services | 8053827 | ProgramServices |
| Management And General | 674413 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2113809 | Total |
| Program Services | 1960609 | ProgramServices |
| Management And General | 153200 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Hospital Supplies | 27149483 | 27149483 | ||
| Bad Debt | 15133827 | 15133827 | ||
| Miscellaneous | 6151419 | 11565 | 6139191 | 663 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 161127243 | Total |
| Program Services | 135735559 | ProgramServices |
| Management And General | 25312345 | ManagementAndGeneral |
| Fundraising | 79339 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4317959 | BOY |
| EOY | 7634118 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12172092 | BOY |
| EOY | 17355431 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24067813 | BOY |
| EOY | 21968851 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2397738 | BOY |
| EOY | 2489759 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1669123 | BOY |
| EOY | 1752094 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 170316519 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 95701586 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79757317 | BOY |
| EOY | 74614933 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21277631 | BOY |
| EOY | 39020475 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 396208 | BOY |
| EOY | 157643 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 658400 | BOY |
| EOY | 1925768 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 146714281 | BOY |
| EOY | 166919072 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33284579 | BOY |
| EOY | 41489181 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46302040 | BOY |
| EOY | 45543392 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79586619 | BOY |
| EOY | 87032573 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62153740 | BOY |
| EOY | 76779573 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4922397 | BOY |
| EOY | 3051924 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51525 | BOY |
| EOY | 55002 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67127662 | BOY |
| EOY | 79886499 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 146714281 | BOY |
| EOY | 166919072 | 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 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 | $12,933 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 12933 | 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 | The organization paid dues to organizations which performed lobbying activiites. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4973922 | BeginningOfYearBalance |
| Contributions | 1132367 | Contributions |
| Investment Earnings Or Losses | 168896 | InvestmentEarningsOrLosses |
| Other Expenditures | 3168259 | OtherExpenditures |
| End Of Year Balance | 3106926 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5308021 | BeginningOfYearBalance |
| Contributions | 1121436 | Contributions |
| Investment Earnings Or Losses | -178473 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 3000 | GrantsOrScholarships |
| Other Expenditures | 1274062 | OtherExpenditures |
| End Of Year Balance | 4973922 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.99000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.01000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12915114 | OtherCostOrOtherBasis |
| Book Value | 12915114 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 51456196 | OtherCostOrOtherBasis |
| Depreciation | 25065177 | Depreciation |
| Book Value | 26391019 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 104952146 | OtherCostOrOtherBasis |
| Depreciation | 70636409 | Depreciation |
| Book Value | 34315737 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 993063 | OtherCostOrOtherBasis |
| Book Value | 993063 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 74614933 | TotalOfBookValueLandBuildings |
| Total Revenue | 182910493 | TotalRevenue |
| Total Expenses | 161127243 | TotalExpenses |
| Excess Or Deficit For Year | 21783250 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 2316057 | NetUnrealizedGLOnInvestments |
| Donated Services And Facilities | 83500 | DonatedServicesAndFacilities |
| Other | -$11,423,970 | OtherAmount |
| Total Adjustments | -9024413 | TotalAdjustments |
| Excess Or Deficit Per FS | 12758837 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 186763137 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 2316057 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 83500 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 1580419 | OtherRevenues |
| Revenue Not Rptd F990 | 3979976 | RevenueNotRptdF990 |
| Revenue Subtotal | 182783161 | RevenueSubtotal |
| Other Revenues Not Included | 127332 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 127332 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 182910493 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 174004300 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 14705137 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 14705137 | ExpensesNotRptdF990 |
| Expenses Subtotal | 159299163 | ExpensesSubtotal |
| Other Expenses Not Included | 1828080 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1828080 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 161127243 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part V, Line 4: | Description of Intended Use of Endowment Funds: | True endowment funds are intended to be used for nursing scholarships. Quasi-endowment funds have been designated for various uses to further the hospital's mission to provide quality, comprehensive health care services. Some of these designations include hospice, chaplaincy, capital improvements, and pharmacy assistance. |
| Part XI, Line 8 - Other Adjustments: | Net assets released from Restrictions for capital: 3023989. income from bond fund not under hospital control : 202708. release restricted contributions : 155578. GUILD AND MEDICAL STAFF EXPENSES : 51264. NONCAP NONCASH CONTRIBUTION RELEASED : 26000. ENDOWMENT INVESTMENT INCOME : 22642. Equity Investment Loss MHV : -51040. GUILD & MED STAFF REVENUES : -62572. CONTRIBUTIONS : -1158367. Decrease in Temp Restricted Net Assets: -1866998. Pension Liability accrual : -11767174. | |
| Part XII, Line 2d - Other Adjustments: | Equity investment in MHV (loss): -51040. Released Restricted Contributions: 155578. Extraordinary item in gain on FS exp on 990: -1750816. Income from Bond fund not under hospital control: 202708. Net assets released from Restrictions for capital: 3023989. | |
| Part XII, Line 4b - Other Adjustments: | Rental Expenses: -1008865. Contributions: 1158367. Fundraising & Gaming Expenses: -62100. Endowment investment income: -22642. Guild & Med Staff Revenues: 62572. | |
| Part XIII, Line 2d - Other Adjustments: | Fundraising & Gaming Expenses : 62100. Rental Expenses: 1008865. Pension Liability accrual : 11767174. Decrease in Temp Restricted Net Assets: 1866998. | |
| Part XIII, Line 4b - Other Adjustments: | Settlement included in Rev & Gains on FS: 1750816. NonCap Noncash contribution Released: 26000. Guild & Medical Staff Expenses: 51264. |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America & the Caribbean | Region |
| Type Of Activities Conducted | Insurance | TypeOfActivitiesConducted |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Total Amount Spent | 0 | TotalAmountSpent |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Fantasy of Trees 2009 | NameOfEvent1 |
| Gross Receipts Event1 | 74900 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 66900 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 8000 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 197 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 3618 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 7741 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 800 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 10347 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Golf Outing 2010 | NameOfEvent2 |
| Gross Receipts Event2 | 34621 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 18821 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 15800 | GrossRevenueEvent2 |
| Cash Prizes Event2 | 600 | CashPrizesEvent2 |
| Non Cash Prizes Event2 | 4762 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 9607 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 8023 | FoodAndBeverageEvent2 |
| Other Direct Expenses Event2 | 196 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 3 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 46934 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 17593 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 29341 | GrossRevenueOtherEvents |
| Rent Facility Costs Other Events | 1547 | RentFacilityCostsOtherEvents |
| Food And Beverage Other Events | 1665 | FoodAndBeverageOtherEvents |
| Entertainment Other Events | 150 | EntertainmentOtherEvents |
| Other Direct Expenses Other Events | 17393 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 156455 | GrossReceiptsTotal |
| Charitable Contributions Total | 103314 | CharitableContributionsTotal |
| Gross Revenue Total Events | 53141 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 600 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 4959 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 14772 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 17429 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 950 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 27936 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 66646 | DirectExpenseSummaryEvents |
| Net Income Summary | -13505 | NetIncomeSummary |
Gaming Information GamingInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | 36126 | GrossRevenueOtherGaming |
| Cash Prizes Other Gaming | 500 | CashPrizesOtherGaming |
| Non Cash Prizes Other Gaming | 9889 | NonCashPrizesOtherGaming |
| Volunteer Labor Other Gaming | 1 | VolunteerLaborOtherGaming |
| Volunteer Labor Prcnt Other Gaming | 1.00000 | VolunteerLaborPrcntOtherGaming |
| Gross Revenue Total Gaming | 36126 | GrossRevenueTotalGaming |
| Cash Prizes Total Gaming | 500 | CashPrizesTotalGaming |
| Non Cash Prizes Total Gaming | 9889 | NonCashPrizesTotalGaming |
| Direct Expense Summary Gaming | 10389 | DirectExpenseSummaryGaming |
| Net Gaming Income Summary | 25737 | NetGamingIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | MI | StatesWhereGamingConducted |
| Licensed | 1 | Licensed |
| License Suspended Etc | 0 | LicenseSuspendedEtc |
| Gaming With Nonmembers | 0 | GamingWithNonmembers |
| Member Of Other Entity | 0 | MemberOfOtherEntity |
| Percentage Of Gaming Own Facility | 0.10000 | PercentageOfGamingOwnFacility |
| Percentage Of Gaming Othr Facility | 0.90000 | PercentageOfGamingOthrFacility |
Name Of Gaming Rec Keeper Bus NameOfGamingRecKeeperBus
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Molly Moore | BusinessNameLine1 |
Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 718 N Macomb Street | AddressLine1 |
| City | Monroe | City |
| State | MI | State |
| ZIP Code | 48162 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contract With3rd Party For Gam Rev | 0 | ContractWith3rdPartyForGamRev |
| Charitable Distrib Required | 0 | CharitableDistribRequired |
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 | 0 | FPGReferenceDiscountedCare |
| 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) |
|---|---|---|
| Total Community Benefit Expense | 808890 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 808890 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00550 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27120707 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17225738 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9894969 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06780 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27929597 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17225738 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10703859 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07330 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 258470 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 59733 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 198737 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11095 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 11095 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 116878 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15230 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 101648 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 106019 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 106019 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 492462 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 74963 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 417499 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00290 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 28422059 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17300701 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11121358 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07620 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 7293 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 7293 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 16540 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 16540 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 11100 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 11100 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 34933 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 34933 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $7,491,244 | BadDebtExpenseAmount |
| Amount Attributable To | 749124 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 44719028 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 46493718 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1774690 | 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 (21 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|
| Mercy Memorial Hospital | |||||||
| 718 N Macomb Street | Monroe | MI | 48162 | X | X | X | |
| MMH POB | |||||||
| 730 N Macomb Street | Monroe | MI | 48162 | X | |||
| MMH Rehab | |||||||
| 650 Stewart Rd | Monroe | MI | 48162 | Rehab Services | |||
| Westside Medical | |||||||
| 100 Powell | Dundee | MI | 48131 | Diagnostic, Therapy, Lab Services, Sleep Lab | |||
| Newport Medical | |||||||
| 7825 North Dixie | Newport | MI | 48166 | Sleep Lab & lab services, Also Patient Accounting && Centralized Scheduling | |||
| Dr Ahadi Office Complex | |||||||
| 55 Cole Road | Monroe | MI | 48162 | Outreach Lab Services | |||
| Phlebotomy- Dr Dona's | |||||||
| 7505 Grafton Rd Suite 5 | Newport | MI | 48166 | Outreach Lab Services | |||
| Phlebotomy - Dr Stewart | |||||||
| 811 N Macomb | Monroe | MI | 48162 | Outreach Lab Services | |||
| Outpatient Therapy | |||||||
| 214 Elm St | Monroe | MI | 48162 | Occupational Therapy Services | |||
| Sleep Lab Macomb | |||||||
| 717 N Monroe | Monroe | MI | 48162 | Sleep Lab Services | |||
| Diagnostic Center | |||||||
| 901 N Macomb Street | Monroe | MI | 48162 | Diagnostic, Cardiopulmonary, Lab Services | |||
| Phlebotomy - Delisle Center | |||||||
| 1056 N Monroe | Monroe | MI | 48162 | Outreach Lab Services | |||
| Phlebotomy - Dr Qureshi | |||||||
| 5290 W Brookshire | Monroe | MI | 48161 | Outreach Lab Services | |||
| Temperance | |||||||
| 1715 W Dean Rd | Temperance | MI | 48182 | Sleep Lab & lab services | |||
| Phlebotomy - Dr Roecker | |||||||
| 14430 Laplaisance Rd | Monroe | MI | 48161 | Outreach Lab Services | |||
| Phlebotomy-Carleton Family Medical | |||||||
| 130 Medical Center | Carleton | MI | 48117 | Outreach Lab Services | |||
| Phlebotomy - Dr Kabir | |||||||
| 219 W Front Street | Monroe | MI | 48162 | Outreach Lab Services | |||
| Karpenko | |||||||
| 323 Stewart Rd | Monroe | MI | 48162 | Outreach Lab Services | |||
| Homecare Connection | |||||||
| 1070 N Monroe | Monroe | MI | 48162 | Homecare Services | |||
| Mercy Memorial Hospice | |||||||
| 1070 N Monroe | Monroe | MI | 48162 | Hospice Services | |||
| Home Respiratory Care | |||||||
| 811 N Macomb | monroe | MI | 48162 | Home Respiratory Care (DME) | |||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Costing Method Used | Part I, Line 7: COST TO CHARGE RATIO FROM FILED 2010 MEDICARE COST REPORT. | CostingMethodUsed |
| Bad Debt Footnote | Part III, Line 4: The provision for bad debts is based upon management's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category. The results of this review are then used to make any modifications to the provision for bad debts to establish an appropriate allowance for uncollectible receivables. After satisfaction of amounts due from insurance, the Corporation follows established guidelines for placing certain past-due patient balances with collection agencies. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: ALL OF THE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT, INCLUDING A PROFIT MARGIN WHICH WAS ADDED TO COVER THE REPLACEMENT OF CAPITAL. THE NUMBERS ARE 100% MEDICARE COST REPORT. The MHA and the industry in general have always looked at Medicare underpayment of cost as being community benefit, it is the same as Medicaid underpayment of cost. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: OUR EARLY OUT VENDOR RETURNS ANY ACCOUNTS THAT QUALIFY FOR CHARITY CARE TO US FOR ADJUSTMENT. The industry does not demand that all self pay patients must fill out a charity care application to see if they qualify for free or reduced care. Some patients do not present the required information until after they are in bad debt. Most never present the required information. | DebtCollectionPolicy |
| Number Of Facility Type Expln | Part V: 1 REHAB FACILITY, 1 SKILLED NURSING FACILITY, 1 DIAGNOSTIC CENTER | NumberOfFacilityTypeExpln |
| Needs Assessment | Part VI, Line 2: TO IDENTIFY COMMUNITY NEEDS TO BE ADDRESSED IN THE ORGANIZATION'S 2010-2013 STRATEGIC PLAN INTERVIEWS WITH ELECTED COMMUNITY LEADERS, EMPLOYERS, PHYSICIANS AND THE PUBLIC SUPPLEMENTED ANALYSIS OF DATA FROM SOURCES SUCH AS THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH BEHAVIORAL RISK FACTOR SURVEY, ROBERT WOOD JOHNSON FOUNDATION COUNTY HEALTH RANKINGS, AND THE HHS COMMUNITY HEALTH STATUS REPORT FOR MONROE COUNTY. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: WHEN IT IS DETERMINED THAT A PATIENT IS UNABLE TO PAY FOR SERVICES (EITHER BEFORE OR AFTER SERVICES ARE RENDERED) A FINANCIAL COUNSELOR WILL SPEAK TO THE PATIENT TO EXPLAIN FINANCIAL ASSISTANCE. THE FIRST OPTION OFFERED IS STATE MEDICAID. THE PATIENT IS ASSESSED FOR MEDICAID QUALIFICATION AND IF IT IS DETERMINED THE PATIENT DOES NOT QUALIFY, THEY ARE OFFERED CHARITY CARE ASSISTANCE. THE PATIENT IS GIVEN A CHARITY CARE APPLICATION AND REQUESTED TO COMPLETE AND RETURN TO THE FINANCIAL COUNSELOR WITH THE APPROPRIATE DOCUMENTATION. ONCE THE APPLICATION IS RETURNED TO THE FINANCIAL COUNSELOR, IT IS ASSEMBLED AND SENT TO THE PATIENT ACCOUNTING OFFICE FOR APPROVAL. SUPERVISOR APPROVAL IS DONE FOR ANY AMOUNT UP TO $24,999, THE DIRECTOR FOR $25,000 TO $49,999 AND THE CFO FOR ALL ACCOUNTS OVER $50,000. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: CONSISTENT WITH THE US CENTERS FOR MEDICARE AND MEDICAID SERVICES, THE PRIMARY SERVICE AREA INCLUDES CONTIGUOUS ZIP CODES FOR THE CITY OF MONROE AND NEWPORT THAT PROVIDE 75 PERCENT OF MERCY MEMORIAL HOSPITALS DISCHARGES. THE SECONDARY SERVICE AREA IS THE REMAINDER OF MONROE COUNTY. IN 2009 THE TOTAL COUNTY POPULATION WAS ESTIMATED AT 152,721 WITH APPROXIMATELY 45% RESIDING IN THE PRIMARY SERVICE AREA. UNEMPLOYMENT WITH OUTMIGRATION HAVE RESULTED IN A SLIGHT DECLINE OVER THE PAST DECADE. THE MOST RAPIDLY GROWING COHORT IN A POPULATION THAT'S APPROXIMATELY 95% WHITE AND 2.5% EACH BLACK AND HISPANIC, IS THE 65+ AGE GROUP. SOME NORTHERN AND SOUTHERN PORTIONS OF MONROE COUNTY ARE FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: PARTICIPATION IN TASK FORCES AND COMMITTEES ASSURES A MORE COORDINATED APPROACH TO SERVICES FOR AN AGING COUNTY POPULATION, EMERGENCY PREPAREDNESS AND COORDINATION OF EFFORT AMONG AGENCIES PROVIDING HUMAN SERVICES. SPECIFIC AREAS OF IMPROVEMENT INCLUDE PRE-HOSPITAL AMBULANCE CARE, REFERRAL OF SENIORS TO SUPPORTIVE COMMUNITY SERVICES, SUICIDE PREVENTION, SUBSTANCE ABUSE, AND BREASTFEEDING FOR IMPROVED CHILD HEALTH. THE ORGANIZATION PROVIDED TRAINING FOR MENTALLY CHALLENGED YOUNG ADULTS TO PREPARE THEM FOR GAINFUL EMPLOYMENT AND SELF-SUPPORT. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: OPEN MEDICAL STAFF WITH ACTIVE RECRUITMENT OF PHYSICIANS IN SPECIALTY AREAS OF IDENTIFIED COMMUNITY NEED AND PLACEMENT OF PHYSICIANS IN COUNTY TO ENHANCE PATIENT ACCESS, PURSUIT OF GRANTS TO SUPPORT MAMMOGRAPHY SCREENING FOR INDIGENT WOMEN. SUPPORT OF EMPLOYEE VOLUNTARY EFFORTS TO SUPPLY FOOD BANKS FOR IMPROVED NUTRITION AND HEALTH PRODUCTS TO ENHANCE HYGIENE, PRO-ACTIVELY EDUCATING AND ENROLLING ELIGIBLE PEOPLE IN MEDICAID. SOLICITING DONATIONS TO SUBSIDIZE PRESCRIPTIONS AND TRANSPORTATION FOR PEOPLE IN NEED. THE ORGANIZATION'S EMPLOYEES SERVE ON VARIOUS HUMAN SERVICE AGENCY BOARDS THAT IMPACT SOCIAL OR MEDICAL ASPECTS OF HEALTH. | OtherInformation |
| Reports Filed With States | MI | ReportsFiledWithStates |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Phillips Annette | |||||||||||||
| 299354 | 0 | 64550 | 0 | 7039 | 0 | 4933 | 0 | 1873 | 0 | 377749 | 0 | 0 | 0 |
| Schilling Thomas | |||||||||||||
| 241675 | 0 | 57563 | 0 | 9520 | 0 | 923 | 0 | 20105 | 0 | 329786 | 0 | 0 | 0 |
| Burgos Gilbert | |||||||||||||
| 288601 | 0 | 62121 | 0 | 2625 | 0 | 7350 | 0 | 992 | 0 | 361689 | 0 | 0 | 0 |
| Sorosiak Michael J | |||||||||||||
| 290103 | 0 | 2500 | 0 | 0 | 0 | 7350 | 0 | 11043 | 0 | 310996 | 0 | 0 | 0 |
| SEALWILLIAM L | |||||||||||||
| 260325 | 0 | 2500 | 0 | 0 | 0 | 6595 | 0 | 3891 | 0 | 273311 | 0 | 0 | 0 |
| Moosa Mahmood F | |||||||||||||
| 176439 | 0 | 68817 | 0 | 7818 | 0 | 0 | 0 | 14974 | 0 | 268048 | 0 | 0 | 0 |
| Memon Mubeen A | |||||||||||||
| 197978 | 0 | 10000 | 0 | 0 | 0 | 1361 | 0 | 12454 | 0 | 221793 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 1a | ReturnReference |
| Explanation | SCHEDULE J PART I ITEM 1A THE HOSPITAL MAINTAINS A MEMBERSHIP WITH A COMMUNITY GOLF / COUNTRY CLUB. THE MEMBERSHIP IS INTENDED FOR THE GENERAL USE OF THE HOSPITAL, AND IS MAINTAINED UNDER THE NAME OF THE CEO (AS A REPRESENTATIVE MUST BE NAMED IN THIS INSTANCE). USE OF THE MEMBERSHIP IS MADE AVAILABLE FOR BUSINESS PURPOSES ONLY, AND PERSONAL USE IS PROHIBITED. FACILITIES AT THE COUNTRY CLUB ARE USED FOR HOSPITAL FUNCTIONS, BUSINESS MEETINGS, VOLUNTEER RECOGNITION, AND FUND RAISING. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | County of Monroe Hospital Finance Authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 386004873 | IssuerEIN |
| CUSIP Number | 610648AR8 | CUSIPNumber |
| Date Issued | 2006-06-15 | DateIssued |
| Issue Price | 50405076 | IssuePrice |
| Description Of Purpose | CONSTRUCTION PROJECT ADDING 58,995 SQ FEET; RENOVATING 66,910 SQ FT. | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 52639779 | TotalProceeds |
| Amount In Reserve Fund | 3812411 | AmountInReserveFund |
| Issuance Costs From Proceeds | 709013 | IssuanceCostsFromProceeds |
| Capital Expenditures | 36382719 | CapitalExpenditures |
| Year Of Subst Completion | 2009 | YearOfSubstCompletion |
| Current Refunding | 1 | 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 | 1 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 0 | 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 | 0 | 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 (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| MARY CARTER | |||
| FAMILY MEMBER OF KURT CARTER, BOARD MEMBER | 19898 | EMPLOYMENT | 0 |
| LARRY CSOKASY | |||
| FAMILY MEMBER OF KURT CARTER, BOARD MEMBER | 98161 | EMPLOYMENT | 0 |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 22750 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Cost or selling price | MethodOfDeterminingRevenues |
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 6 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 3250 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Cost or selling price | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | other | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 24000 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | OPINIONS OF EXPERTS | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 2 | Board members and officers of Mercy Memorial Hospital also serve on the board of Monroe Health Ventures (a 100% owned subsidiary). Dr. Kenneth McNamee and Dr. James Miller are both part-owners of Monroe Equipment Leasing. |
| Form 990, Part VI, Section B, line 11 | Data was analyzed and reviewed by controller and submitted to certified public accounting firm for preparation. The completed 990 form was returned by the firm to the CFO and CEO for final review and approval. The 990 form was provided to the governing board before it was filed. |
| Form 990, Part VI, Section B, line 12c | On an annual basis, the hospital's conflict of interest policy and questionnaire is distributed to officers, employees, and trustees. Potential conflicts of interest are analyzed by the hospital's legal department and are given rankings of low, moderate and severe risk. This analysis is given to the board chair and the hospital's chief executive officer. Any member with an identified conflict of interest is excused from the meeting during discussions pertaining to the issue of conflict, and the member is not permitted to vote on any issue of conflict. |
| Form 990, Part VI, Section B, line 15 | The Executive Compensation Committee of the Board of Trustees determines and approves all compensation for those designated in senior leadership positions such as: CEO and President, Chief Medical Officer and Vice President of Medical Affairs, Chief Financial Officer and Senior Vice President of Finance, Senior Vice President of Clinical Operations and Chief Nursing officer, and other vice-presidents. The independent board committee retains an outside consultant to analyze and assist in making these determinations through a variety of market surveys/studies. This process is undertaken annually. |
| Form 990, Part VI, Section C, line 19 | DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |
| Schedule K : Supplemental information | Bond issue price was $50,405,076.35 with a redemption price of $49,550,000 at maturity. Proceeds of the issue were used for issuance costs, required reserve fund, refund prior issue bonds and indebtedness (02/01/1994 bonds) and building expansion and equipment. |
| Schedule R, Part V, Line 2: | The cost of the services or items purchased for a related organization are recorded at market value. |
| FORM 990, PART VI, SECTION A,LINE 6 : | THE SOLE MEMBER HAS THE POWERS AND VOTING RIGHTS TO: (a) APPOINT, ELECT, AND REMOVE TRUSTEES; (b) APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION; (c) ADOPT, AMEND, OR REPEAL THE BYLAWS; (d) APPROVE EACH BUDGET AND LONG-RANGE PLAN;(e) APPROVE CONTRACT OR LOAN OBLIGATING THE CORPORATION TO EXPEND/REPAY AN AMOUNT IN EXCESS OF $50,000 WHICH WAS NOT INCLUDED IN PREVIOUSLY APPROVED BUDGET; (f) APPROVE CONTRACT OUTSIDE THE ORDINARY COURSE OF THE BUSINESS OF THE CORPORATION; (g) APPROVE ALL PLANS OF MERGER OR CONSOLIDATION; (h) APPROVE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE CORPORATION; AND (i) APPROVE A VOLUNTARY DISSOLUTION OF THE CORPORATION. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONROE COMMUNITY HEALTH SERVICES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 718 N MACOMB STREET | AddressLine1 |
| City | MONROE | City |
| State | MI | State |
| ZIP Code | 48164 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382934134 | EIN |
| Primary Activities | SKILLED NURSING AND OUTPATIENT SURGERY | PrimaryActivities |
| Legal Domicile State | MI | LegalDomicileState |
| Exempt Code Section | Section 501(c)(3) | ExemptCodeSection |
| Public Charity Status | LINE 9: 509(a)(2) | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONROE HEALTH VENTURES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 718 N MACOMB STREET | AddressLine1 |
| City | MONROE | City |
| State | MI | State |
| ZIP Code | 48164 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382704426 | EIN |
| Primary Activity | PHARMACY | PrimaryActivity |
| Legal Domicile State | MI | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | -51040 | ShareOfTotalIncome |
| 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 | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | 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 | 1 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Monroe Health Ventures | |
| P | 117717 |
| Monroe Health Ventures | |
| A | 26195 |
| Monroe Health Ventures | |
| G | 288047 |
| Monroe Health Ventures | |
| B | 162917 |
| Monroe Community Health Services | |
| P | 2377592 |
| Monroe Community Health Services | |
| K | 72426 |
| Monroe Community Health Services | |
| R | 165321 |
| Monroe Community Health Services | |
| Q | 2241409 |