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SOUTH BEND MEDICAL FOUNDATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SOUTH BEND MEDICAL FOUNDATION INC (EIN 35-0868178)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201143189349305574
Schema version
2010v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-14T16:00:23-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1330 E Jefferson BlvdAddressLine1
Address Line2PO Box 7AddressLine2
CitySouth BendCity
StateINState
ZIP Code466240007ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN350868178EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTH BEND MEDICAL FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone5742045291Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1530 North Lafayette BlvdAddressLine1
CitySouth BendCity
StateINState
ZIP Code46601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT TOMEC MDName
TitlePRESIDENT/EXECUTIVE VPTitle
Date Signed2011-11-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone5742323992Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1ROBERT TOMEC MDBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1530 North Lafayette BlvdAddressLine1
CitySouth BendCity
StateINState
ZIP Code46601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts94578686GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SBMF.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1946YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionSOUTH BEND MEDICAL FOUNDATION EXISTS FOR THE PURPOSE OF PROVIDING QUALITY AND COST EFFECTIVE LABORATORY AND BLOOD BANKING SERVICES TO HOSPITALS, PHYSICIANS, AND PATIENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees842TotalNbrEmployees
Total Nbr Volunteers26TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year94545973ProgramServiceRevenuePriorYear
Program Service Revenue CY94079057ProgramServiceRevenueCY
Investment Income Prior Year-106649InvestmentIncomePriorYear
Investment Income Current Year-56147InvestmentIncomeCurrentYear
Other Revenue Prior Year572985OtherRevenuePriorYear
Other Revenue Current Year533715OtherRevenueCurrentYear
Total Revenue Prior Year95012309TotalRevenuePriorYear
Total Revenue Current Year94556625TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year44489812SalariesEtcPriorYear
Salaries Etc Current Year46325689SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year49959859OtherExpensePriorYear
Other Expenses Current Year47747382OtherExpensesCurrentYear
Total Expenses Prior Year94449671TotalExpensesPriorYear
Total Expenses Current Year94073071TotalExpensesCurrentYear
Revenues Less Expenses Prior Year562638RevenuesLessExpensesPriorYear
Revenues Less Expenses CY483554RevenuesLessExpensesCY
Total Assets BOY55178604TotalAssetsBOY
Total Assets EOY53079665TotalAssetsEOY
Total Liabilities BOY37430194TotalLiabilitiesBOY
Total Liabilities EOY36874699TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17748410NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16204966NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSOUTH BEND MEDICAL FOUNDATION EXISTS FOR THE PURPOSE OF PROVIDING QUALITY AND COST EFFECTIVE LABORATORY AND BLOOD BANKING SERVICES TO HOSPITALS, PHYSICIANS, AND PATIENTS. (CONTINUED IN SCHEDULE O).MissionDescription
Significant ChangefalseSignificantChange
Expense77572999Expense
Grants0Grants
Revenue94417732Revenue
DescriptionSOUTH BEND MEDICAL FOUNDATION'S (SBMF) MORE THAN 750 EMPLOYEES PROVIDE A WIDE RANGE OF TOP-QUALITY, COST-EFFECTIVE HEALTH CARE SERVICES FOR COMMUNITIES IN INDIANA, MICHIGAN, KENTUCKY, OHIO, AND ILLINOIS. BY WORKING TOGETHER WITH LOCAL HEALTH CARE PROVIDERS, SBMF PRESERVES THE CRITICAL RELATIONSHIP BETWEEN LABORATORY, PHYSICIAN AND PATIENT. UNLIKE MANY LARGE COMMERCIAL LABORATORIES, SBMF OFFERS ITS SERVICES 24 HOURS A DAY, 365 DAYS A YEAR. SBMF PERSONNEL ARE DEDICATED TO BEING A TRUSTED PHYSICIAN RESOURCE, HANDLING EVERYTHING FROM ROUTINE OUTPATIENT ORDERS TO PROVIDING INPATIENT SERVICES AT HOSPITAL AND OTHER HEALTH CARE FACILITIES THROUGHOUT THE REGION. SBMF'S COMMITMENT TO DELIVERING CONSISTENT, RELIABLE, QUALITY MEDICAL CARE HAS PLAYED AN INSTRUMENTAL ROLE IN HELPING THE FOUNDATION ACHIEVE ITS POSITION OF LEADERSHIP AMONG THE NATION'S DIAGNOSTIC LABORATORIES. THE ALTRUISTIC ACTIVITIES OF THE ORGANIZATION ARE INTENDED TO RELIEVE DISEASE, SUFFERING, AND CONSTRAINT. MANY SERVICES ARE PROVIDED AS CHARITY OR PRO BONO. THE AMOUNT OF CHARITY CARE, PROVIDED AT SBMF'S ESTABLISHED RATES, WAS APPROXIMATELY $2.5 MILLION FOR THE YEAR ENDED DECEMBER 31, 2010.Description
Total Program Service Expense77572999TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109663NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees842NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1James B MyersBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5742045206TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1118 W Edison RoadAddressLine1
CityMishawakaCity
StateINState
ZIP Code46545ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (42 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
KURT H STIVER
CHAIRMAN1XX000
MICHELLE A MIGLIORE
VICE CHAIRMAN1XX000
ALAN B ENGEL
BOARD MEMBER1X000
BARBARA L WILLIAMS
BOARD MEMBER1X000
BRIAN SUCHARETZA
BOARD MEMBER1X000
CHARLES E PETERSON
BOARD MEMBER1X000
DAVID E VAN RYN
BOARD MEMBER1X000
FREDERICK J FERLIC
BOARD MEMBER1X000
JOSE A BUFILL
BOARD MEMBER1X000
STARLA D GRABER
BOARD MEMBER1X000
STEPHEN F MITROS
BOARD MEMBER1X000
ANN SULLIVAN
VP OF FINANCE40X219547032655
DIANE JANOWIAK
VP OF CENTRAL LAB OPERATIONS40X219823020412
JAMES FRAIN
VP OF HUMAN RESOURCES40X218635032915
ROBERT KING
SENIOR VP40X241289021532
ROBERT TOMEC MD
PRESIDENT/EXECUTIVE VP40X376500023687
WILLIAM KALINEY
VICE PRESIDENT/EXECUTIVE VP40X362340023720
ALFONSO CARDENAS
PATHOLOGIST40358191020426X
AMOBI EZENEKWE
PATHOLOGIST40232927033317X
BLAIR CHRENKA
PATHOLOGIST40218088032084X
BOBBIE SUTTON
PATHOLOGIST40269578012477X
C K KIM
PATHOLOGIST40356323026016X
DAVID JENTZ
PATHOLOGIST40355980023650X
DERRICK FORCHETTI
PATHOLOGIST40247812025740X
FRANCISCO DEOGRACIAS
PATHOLOGIST40343699022426X
FRED BUSSE
PATHOLOGIST40237212023981X
JAMES DYER
PATHOLOGIST40233696011717X
JOHN LANDGRAF
PATHOLOGIST40239975020081X
JOSEPH PRAHLOW
PATHOLOGIST40249731029119X
JOYCE SIMPSON
PATHOLOGIST40248946012280X
KRISTEN JACOBS
PATHOLOGIST24201055028675X
LUIS GALUP
PATHOLOGIST40360785035405X
NICOLE ANEST
PATHOLOGIST40213628025657X
NITA GERIG
PATHOLOGIST32278395032280X
ODETA LAPKUS
PATHOLOGIST40237068025672X
RICKY HOOVER
PATHOLOGIST40339171032609X
CARRIE ROBINSON
REGIONAL MARKETING DIRECTOR40100971027110X
DEBORAH SUN
DIRECTOR - NEW TECHNOLOGY AND TEST DEVELOPMENT40167102027459X
KAY BEAM
DIRECTOR, INFORMATION TECHNOLOGY, DATABASE MANAGEMENT4010218603000X
KIM LAMAR
HOSPITAL DIVISION DIRECTOR40100160020329X
MARY SWIFT
REGIONAL MARKETING MANAGER40110591018512X
PRENTISS JONES
DIRECTOR - TOXICOLOGY40145449018956X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7586853TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation743899TotalOtherCompensation
Number Individuals GT100 K31NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ASSOC REG AND UNIV PATHOLOGISTS
PO BOX 27964SALT LAKE CITYUT84127REFERENCE LAB2282903
PARKVIEW PROFESSIONAL PROGRAMS
PO BOX 2504FORT WAYNEIN46801REFERENCE LAB825286
MICHIANA HEALTH INFORMATION NETWORK
220 W COLFAX AVENUE SUITE 300SOUH BENDIN46601COMMUNITY BASED CLINICAL INFO SYSTEM696000
THERMO ASSET MANAGEMENT SERVICES INC
PO BOX 712224CINCINNATIOH452712224EQUIPMENT MAINTENANCE / REPAIR532999
CERNER CORPORATION
PO BOX 412702KANSA CITYMO641172551EQUIPMENT MAINTENANCE / REPAIR526925
FieldValueIRS element (for citing)
Number Of Contractors GT100 K20NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET OPERATING REVENUESDescription
Total Revenue Column94079057TotalRevenueColumn
Related Or Exempt Function Income94079057RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue94079057TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column-69086TotalRevenueColumn
Exclusion-$69,086ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other35000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other22061Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other12939Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column12939TotalRevenueColumn
Exclusion$12,939ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
CLINICAL PATHOLOGY FEES338675338675
MISCELLANEOUS118633$118,633
TEACHING FEES76407$76,407

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue533715TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column94556625TotalRevenueColumn
Related Or Exempt Function Income94417732RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$138,893ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total7518207Total
Program Services6152889ProgramServices
Management And General1365318ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total27140024Total
Program Services21551397ProgramServices
Management And General5588627ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total728088Total
Program Services578175ProgramServices
Management And General149913ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8697960Total
Program Services6906878ProgramServices
Management And General1791082ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2241410Total
Program Services1786830ProgramServices
Management And General454580ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total76559Total
Management And General76559ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total79948Total
Management And General79948ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1734247Total
Program Services963511ProgramServices
Management And General770736ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total27769965Total
Program Services24067879ProgramServices
Management And General3702086ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2030119Total
Program Services2006400ProgramServices
Management And General23719ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total628883Total
Program Services541109ProgramServices
Management And General87774ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total994034Total
Program Services30286ProgramServices
Management And General963748ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3967588Total
Program Services3523319ProgramServices
Management And General444269ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total849307Total
Management And General849307ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REFERENCE LAB43690904369090
BAD DEBT40153314015331
LICENSES40108536109439991
COMMUNITY SUPPORT228462228462
BLOOD DONOR PROGRAMS209748209748

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total393016Total
Program Services280601ProgramServices
Management And General112415ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total94073071Total
Program Services77572999ProgramServices
Management And General16500072ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY849BOY
EOY855EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6781264BOY
EOY9062803EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12918357BOY
EOY11333965EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1238178BOY
EOY1439582EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1192277BOY
EOY1188618EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis100080023LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec70698976LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY32253795BOY
EOY29381047EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY588111BOY
EOY480611EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY205773BOY
EOY192184EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY55178604BOY
EOY53079665EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8153622BOY
EOY8185225EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY13255000BOY
EOY12445000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY756250BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY15265322BOY
EOY16244474EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY37430194BOY
EOY36874699EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17748410BOY
EOY16204966EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17748410BOY
EOY16204966EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY55178604BOY
EOY53079665EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses483554ReconcilationRevenueExpenses
Reconcilation Other Changes-2026998ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Total0Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years99550711CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years94299025CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years92391025CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year94545973CurrentTaxYearMinus1Year
Current Tax Year94079057CurrentTaxYear
Total474865791Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years193765CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year238981CurrentTaxYearMinus1Year
Current Tax Year195040CurrentTaxYear
Total627786Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years99550711CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years94299025CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years92584790CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year94784954CurrentTaxYearMinus1Year
Current Tax Year94274097CurrentTaxYear
Total475493577Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total509475493577PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years187634CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years844996CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years60887CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-108281CurrentTaxYearMinus1Year
Current Tax Year-69086CurrentTaxYear
Total916150Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years187634CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years844996CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years60887CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-108281CurrentTaxYearMinus1Year
Current Tax Year-69086CurrentTaxYear
Total916150Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years544586CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years496466CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years353784CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year334004CurrentTaxYearMinus1Year
Current Tax Year338675CurrentTaxYear
Total2067515Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years100282931CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years95640487CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years92999461CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year95010677CurrentTaxYearMinus1Year
Current Tax Year94543686CurrentTaxYear
Total478477242Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99380PublicSupportPercentage509
Prior Year Support Percentage0.99199PriorYearSupportPercentage
Investment Income Percentage0.00190InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00226PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, SCHEDULE A, PART III, SECTION B, LINE 12, MISCELLANEOUS INCOME RECEIVED IN FURTHERANCE OF THE ORGANIZATION'S TAX EXEMPT PURPOSE: 2006 - $544,586 2007 - $496,466 2008 - $353,784 2009 - $334,004 2010 - $338,675,GeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Exmpt Function Expenditures0TotalExmptFunctionExpenditures
Total Lobbying Expenditures IIB0TotalLobbyingExpendituresIIB
Non Ded Lobby Political Total0NonDedLobbyPoliticalTotal

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1006181OtherCostOrOtherBasis
Book Value1006181BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis48128010OtherCostOrOtherBasis
Depreciation27755338Depreciation
Book Value20372672BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1142037OtherCostOrOtherBasis
Depreciation650580Depreciation
Book Value491457BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis49760295OtherCostOrOtherBasis
Depreciation42293058Depreciation
Book Value7467237BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis43500OtherCostOrOtherBasis
Book Value43500BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings29381047TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION AND POSTRETIREMENT BENEFITS$13,724,183
FAIR VALUE OF INTEREST RATE SWAP$2,241,134
CAPITAL LEASE OBLIGATION$279,157
FieldValueIRS element (for citing)
Total Of Amounts16244474TotalOfAmounts
Total Revenue94556625TotalRevenue
Total Expenses94073071TotalExpenses
Excess Or Deficit For Year483554ExcessOrDeficitForYear
Net Unrealized GL On Investments-65870NetUnrealizedGLOnInvestments
Other-$1,961,128OtherAmount
Total Adjustments-2026998TotalAdjustments
Excess Or Deficit Per FS-1543444ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt92529627TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-65870NetUnrealizedGainsInvestments
Other Revenues-1961128OtherRevenues
Revenue Not Rptd F990-2026998RevenueNotRptdF990
Revenue Subtotal94556625RevenueSubtotal
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99094556625TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt94073071TotExpensesEtcAuditedFinclStmt
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal94073071ExpensesSubtotal
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99094073071TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2THE FOUNDATION IS A NOT-FOR-PROFIT ORGANIZATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES PURSUANT TO SECTION 501(A). ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REFLECTED IN THE FOUNDATION'S FINANCIAL STATEMENTS. THE FOUNDATION FOLLOWS GUIDANCE ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD WITH RESPECT TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. A TAX POSITION IS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED.
Other changes in net assetsSchedule D, Part XI, Line 8PENSION AND POSTRETIREMENT BENEFIT - RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST - -1961128;
Other revenues in audited financial statements not in form 990Schedule D, Part XII, Line 2dPENSION AND POSTRETIREMENT BENEFIT - RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST - -1961128;

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (27 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANN SULLIVAN
2158090680367008650317900252202000
DIANE JANOWIAK
21852107301230000204120240236000
JAMES FRAIN
21580906802758011250317900251550000
ROBERT KING
229200068012021000215320262821000
ROBERT TOMEC MD
37083006805602018650218220400187000
WILLIAM KALINEY
35579606806475018180219020386059000
ALFONSO CARDENAS
35438006803743000204260378617000
AMOBI EZENEKWE
230625073022290930332240266244000
BLAIR CHRENKA
21341506804605000320840250172000
BOBBIE SUTTON
2686770730828013670111100282055000
C K KIM
35163407304615017760242400382338000
DAVID JENTZ
35212806803784017760218740379630000
DERRICK FORCHETTI
2473840680360000257400273552000
FRANCISCO DEOGRACIAS
33901606804615000224260366125000
FRED BUSSE
23305207204088012070227740261193000
JAMES DYER
23085407302769000117170245413000
JOHN LANDGRAF
23695206802955012070188740260056000
JOSEPH PRAHLOW
24652907303129012460278730278850000
JOYCE SIMPSON
2483620700513012720110080261225000
KRISTEN JACOBS
1979090680307809030277720229730000
LUIS GALUP
35368207307030013760340290396190000
NICOLE ANEST
21021307003346011030245540239286000
NITA GERIG
27555407002771014210308590310675000
ODETA LAPKUS
2364740680526000256720262740000
RICKY HOOVER
33531906803784015770310320371780000
DEBORAH SUN
1670340680008650265940194561000
PRENTISS JONES
14538106800000189560164405000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Tax indemnification and gross-up paymentsSchedule J, Part I, Line 1aTHE ORGANIZATION PROVIDES A GROSS-UP BENEFIT THAT IS INCLUDED IN TAXABLE COMPENSATION FOR THE PERSONAL USE OF SBMF-OWNED AUTOMOBILES. THIS BENEFIT IS PROVIDED FOR THE ORGANIZATION'S REGIONAL MARKETING DIRECTOR.
Health or social club dues or initiation feesSchedule J, Part I, Line 1aTHE ORGANIZATION INCLUDES THE PERSONAL USE OF SOCIAL CLUB DUES IN TAXABLE COMPENSATION FOR THE ORGANIZATION'S VICE PRESIDENT OF FINANCE AND VICE PRESIDENT OF CENTRAL LAB OPERATIONS. PERSONAL USE IS DETERMINED BY SIGNED ACKNOWLEDGEMENT OF EACH OFFICER.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bTHE ORGANIZATION HAS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THAT WAS DESIGNED TO REPLACE RETIREMENT BENEFITS LOST BY INDIVIDUALS DUE TO 1998 CHANGES IN PENSION LAWS AND A REDESIGN OF THE PENSION PLAN TO MAXIMIZE BENEFITS FOR LOWER COMPENSATED EMPLOYEES. THE ORGANIZATION'S BOARD OF DIRECTORS ELECTED TO FREEZE THIS PLAN, AND THEREFORE NO BENEFITS WERE PROVIDED DURING 2010.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MICHIANA FAMILY MEDICINE PC (MFM)
M. MIGLIORE, SBMF'S VICE CHAIRMAN, IS A KEY EMPLOYEE OF MFM.299680MFM REFERS LAB TESTING TO SBMF, WHICH IS BILLED THROUGH A 3RD PARTY INSURANCE PROVIDER.false
NEPHROLOGY PHYSICIANS LLC (NEPHROLOGY)
B. SUCHARETZA, A SBMF BOARD MEMBER, IS A KEY EMPLOYEE WITH AN OWNERSHIP INTEREST IN NEPHROLOGY.555069NEPHROLOGY REFERS LAB TESTING TO SBMF, WHICH IS BILLED THROUGH A 3RD PARTY INSURANCE PROVIDER.false
FAMILY MEDICINE OF SOUTH BEND PC (FMSB)
THE SPOUSES OF A. CARDENAS AND K. JACOBS, SBMF KEY EMPLOYEES, ARE KEY EMPLOYEES OF FMSB.542176FMSB REFERS LAB TESTING TO SBMF, WHICH IS BILLED THROUGH A 3RD PARTY INSURANCE PROVIDER.false
MICHIANA HEALTH INFORMATION NETWORK LLC (MHIN)
R. TOMEC AND R. KING, SBMF OFFICERS, ARE MHIN BOARD MEMBERS.696000SBMF OWNS AN INTEREST IN MHIN, A JOINT VENTURE THAT MAINTAINS A COMMUNITY-BASED MEDICAL INFORMATION SYSTEM AND CLINICAL DATA DEPOSITORY. SBMF PURCHASED SERVICES AT FMV FROM MHIN DURING 2010.false
MICHIANA HEMATOLOGY ONCOLOGY PC (MHO)
J. BUFILL, A SBMF BOARD MEMBER, IS AN OFFICER AND PARTNER OF MHO.1807024MHO REFERS LAB TESTING TO SBMF, WHICH IS BILLED THROUGH A 3RD PARTY INSURANCE PROVIDER. LAB TEST BILLINGS FOR 2010 TOTALED $1,333,125. IN ADDITION, SBMF PAYS MHO FOR RENTAL OF SPACE AND HEALTH SERVICES. TOTAL FMV RENTAL AND HEALTH PAYMENTS FOR 2010 WERE $476,899.false
RIVER OAKS OBGYN ASSOCIATES PC (RIVER OAKS)
S. GRABER, A SBMF BOARD MEMBER, IS A PHYSICIAN AND PARTNER WITH RIVER OAKS.849190RIVER OAKS REFERS LAB TESTING TO SBMF, WHICH IS BILLED THROUGH A 3RD PARTY INSURANCE PROVIDER.false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1(CONTINUED FROM PART III) TO FULFILL OUR MISSION WE SHALL: (I) PROVIDE THE HOSPITALS WE SERVICE WITH THE HIGHEST QUALITY LABORATORY RESOURCES AND--TAKING INTO ACCOUNT THAT LENGTH OF STAY IS CRUCIAL FOR INPATIENT CARE--WITH THE SHORTEST RESPONSE TIME WHILE ACHIEVING A HIGH DEGREE OF COST EFFECTIVENESS. (II) PROVIDE OUR PHYSICIAN CUSTOMERS WITH THE HIGHEST QUALITY LABORATORY RESULTS UTILIZING THE LATEST TECHNOLOGY AND MAKING AVAILABLE TO THEM READILY ACCESSIBLE CONSULTATIVE OPPORTUNITIES IN THE MEDICAL AND ADMINISTRATIVE ASPECTS OF THEIR PRACTICES. (III) CREATE AND MAINTAIN A WORK ENVIRONMENT WHERE EMPLOYEES CAN GROW PERSONALLY AND PROFESSIONALLY WITH COMPENSATION AND BENEFIT SYSTEMS THAT ARE COMPETITIVE, EQUITABLE AND COST EFFECTIVE AS WELL AS AN ENVIRONMENT WHERE EMPLOYEES ARE PROVIDED STABLE EMPLOYMENT AND EACH INDIVIDUAL IS TREATED WITH RESPECT AND DIGNITY. (IV) PROVIDE TO THE PATIENT POPULATION IN THE COMMUNITIES WE SERVE READILY ACCESSIBLE, REASONABLY PRICED LABORATORY SERVICES, WITH AS WIDE A SCOPE AND VARIETY AS POSSIBLE TO MEET ALL THEIR NEEDS LOCALLY. (V) RECOGNIZING OUR SOCIAL RESPONSIBILITIES TO THE COMMUNITY, PROVIDE SERVICES WITHIN OUR MEANS TO THOSE LESS FORTUNATE, AND SUPPORT PUBLIC AND PRIVATE EFFORTS DIRECTED TO IMPROVE OUR HEALTH CARE ENVIRONMENT.
Family/business relationships amongst interested personsForm 990, Part VI, Section A, Line 2BOB SUTTON (HUSBAND OF BOBBIE SUTTON) AND FRED BUSSE - BUSINESS RELATIONSHIP, ANA CARDENAS (WIFE OF ALFONSO CARDENAS) AND JOHN JACOBS (HUSBAND OF KRISTEN JACOBS) - BUSINESS RELATIONSHIP
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bPRIOR TO NOVEMBER 15, 2011, EACH BOARD MEMBER WAS PROVIDED A COPY OF THE RETURN FOR THEIR REVIEW AND INSTRUCTED TO SUBMIT ANY QUESTIONS OR COMMENTS TO THE VP OF FINANCE. AFTER COMMENTS AND QUESTIONS ARE REVIEWED, THE RETURN WAS COMPLETED AND FILED WITH THE IRS ON OR BEFORE NOVEMBER 15, 2011.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cANNUAL CONFLICT OF INTEREST QUESTIONNAIRES ARE COMPLETED BY ALL BOARD MEMBERS, OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES. THE ORGANIZATION'S VICE PRESIDENT OF HUMAN RESOURCES AND TAX ADVISORS REVIEW ALL RESPONSES TO DETERMINE WHETHER OR NOT A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS. IF AN ACTUAL CONFLICT OF INTEREST IS DETERMINED TO EXIST, PERSONS WITH A CONFLICT ARE RECUSED FROM VOTING ON THE CONFLICTING ISSUE.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aON AN ANNUAL BASIS, THE ORGANIZATION'S COMPENSATION COMMITTEE REVIEWS AND APPROVES COMPENSATION FOR THE PRESIDENT/EXECUTIVE VICE PRESIDENT, AS WELL AS OTHER OFFICERS, ADMINISTRATORS, AND PROFESSIONAL STAFF, INCLUDING KEY EMPLOYEES. THE COMMITTEE REVIEWS CURRENT SALARIES AND PAY STRUCTURES AGAINST VARIOUS SOURCES OF COMPARABILITY DATA, INCLUDING: THE COLLEGE OF AMERICAN PATHOLOGY PATHOLOGISTS COMPENSATION SURVEY; PATHOLOGY COMPENSATION DATA FOR PATHOLOGISTS, WHICH OUTLINES PATHOLOGY AND PHYSICIAN SALARIES BY SPECIALTY, PROVIDED FROM MERRITT HAWKINS AND ASSOCIATES; THE GUIDESTAR NATIONAL COMENSATION REPORT; AND COMPENSATION REPORTED ON LOCAL AREA HOSPITALS' FORMS 990. IN ADDITION, THE ORGANIZATION HAD A COMPENSATION SURVEY PERFORMED BY SLOANE PARTNERS, WHICH WAS USED IN DETERMINING COMPENSATION FOR 2010. AFTER REVIEWING THE COMPARABILITY DATA, THE COMMITTEE DISCUSSES THE CURRENT ECONOMY AND FINANCIAL POSITION OF THE ORGANIZATION TO DETERMINE THE AMOUNT OF ANY COMPENSATION INCREASES AND/OR DECREASES, IF ANY, THAT WILL BE GIVEN. THIS PROCESS IS DOCUMENTED IN THE COMPENSATION COMMITTEE'S MEETING MINUTES AND WAS LAST UNDERTAKEN IN 2010 AND AGAIN IN 2011.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bSEE NARRATIVE FOR FORM 990, PART VI, SECTION B, LINE 15A.
Public DisclosureForm 990, Part VI, Section C, Line 19WHEN REQUESTS FOR THE ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE, THE DATA IS PROVIDED ONSITE. WHEN REQUESTS FOR THE ORGANIZATION'S GOVERNING DOCUMENTS ARE MADE, THE PERSON IS REFERRED TO WWW.IRS.GOV, WHERE COPIES ARE AVAILABLE. THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC ONSITE.
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -65870; PENSION AND POST RETIREMENT BENEFIT - RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST - -1961128;