FURP.ORG / PUBLIC DATA EXPLORER

THUNDER BAY COMMUNITY HEALTH SERVICE INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
THUNDER BAY COMMUNITY HEALTH SERVICE INC (EIN 38-2290337)
Tax period
2022-03-01 to 2023-02-28
Filed
2023-10-02
IRS object ID
202312759349301611
Schema version
2022v5.0
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)
Return2023-10-02T12:42:09-04:00ReturnTs
Tax Period End2023-02-28TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN382963463PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1QUAST JANKE & CO CPA'S PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11010 N JOHNSONAddressLine1Txt
CityBAY CITYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48708ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-03-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN382290337EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THUNDER BAY COMMUNITY HEALTH SERVICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTHUNBusinessNameControlTxt
Phone9897424583PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line115774 STATE ST PO BOX 427AddressLine1Txt
CityHILLMANCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49746ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD BATESPersonNm
Person TitleINTERIM CEOPersonTitleTxt
Phone9893542197PhoneNum
Signature2023-09-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRICHARDPersonFirstNm
Person LastBATESPersonLastNm
FieldValueIRS element (for citing)
SSN888008888SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT E FRISKE CPAPreparerPersonNm
PTINP01083831PTIN
Phone9898924549PhoneNum
Preparation2023-09-14PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRICHARD BATESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18561 US 23 SOUTHAddressLine1Txt
CityOSSINEKECityNm
State AbbreviationMIStateAbbreviationCd
ZIP49766ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$27,436,724GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TBCHS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTHUNDER BAY COMMUNITY HEALTH SERVICE COMMITS ITS RESOURCES TO BUILDING HEALTHIER COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee280TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$10,268,542PYContributionsGrantsAmt
CY Contributions Grants$6,467,801CYContributionsGrantsAmt
PY Program Service Revenue$17,939,468PYProgramServiceRevenueAmt
CY Program Service Revenue$20,816,297CYProgramServiceRevenueAmt
PY Investment Income$5,281PYInvestmentIncomeAmt
CY Investment Income$6,174CYInvestmentIncomeAmt
PY Other Revenue$90,146PYOtherRevenueAmt
CY Other Revenue$146,452CYOtherRevenueAmt
PY Total Revenue$28,303,437PYTotalRevenueAmt
CY Total Revenue$27,436,724CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$15,772,403PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,082,288CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,993,800PYOtherExpensesAmt
CY Other Expenses$9,916,409CYOtherExpensesAmt
PY Total Expenses$24,766,203PYTotalExpensesAmt
CY Total Expenses$25,998,697CYTotalExpensesAmt
PY Revenues Less Expenses$3,537,234PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,438,027CYRevenuesLessExpensesAmt
Total Assets BOY$16,795,409TotalAssetsBOYAmt
Total Assets EOY$19,539,135TotalAssetsEOYAmt
Total Liabilities BOY$3,946,328TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,401,301TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$12,849,081NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$14,137,834NetAssetsOrFundBalancesEOYAmt
MissionTHUNDER BAY COMMUNITY HEALTH SERVICE COMMITS ITS RESOURCES TO BUILDING HEALTHIER COMMUNITIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$20,031,093ExpenseAmt
Revenue$20,816,297RevenueAmt
DescTHIS FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER HAD 18,384 PATIENTS AND PROVIDED 76,243 CLINICAL VISITS INCLUDING MEDICAL, DENTAL,OPTOMETRY AND BEHAVIORAL HEALTH SERVICES.Desc
Total Program Service Expenses$20,031,093TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document44IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee280EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLEIGHANN VIERSPersonNm
Phone9893542197PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 N RIPLEY SUITE EAddressLine1Txt
CityALPENACityNm
State AbbreviationMIStateAbbreviationCd
ZIP49707ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
MARION HAUTEA
CMO40.00Yes (X)$319,961$0$46,435
JEMELLEE JACALA-TADIAN
PHYSICIAN40.00$297,000$0$45,653Yes (X)
MANUEL HERNANDEZ
PHYSICIAN40.00$274,529$0$60,201Yes (X)
OSAMA AHMED
PHYSICIAN40.00$265,510$0$32,930Yes (X)
MUHAMMAD ABDELHAI
PHSICIAN40.00$264,809$0$27,764Yes (X)
MICHELLE STYMA
CEO40.00$253,174$0$38,759Yes (X)
JEFFREY TAYLOR
DENTIST40.00$231,947$0$31,139Yes (X)
LEIGHANN VIERS
CFO40.00Yes (X)$127,967$0$27,697
KAYLA BERRY
COO40.00Yes (X)$105,159$0$24,414
RICHARD BATES
INTERIM CEO40.00Yes (X)$37,500$0$1,365
BEN BOLSER
CHAIR2.00$0$0$0Yes (X)
BRENDAN CONBOY
BOARD MEMBER2.00$0$0$0Yes (X)
MICHAEL FAIRBANKS
BOARD MEMBER2.00$0$0$0Yes (X)
BEACH HALL
BOARD MEMBER2.00$0$0$0Yes (X)
SHANNA JOHNSON
TREASURER2.00$0$0$0Yes (X)
JULIE KENDRICK
BOARD MEMBER2.00$0$0$0Yes (X)
NINA KENNARD
SECRETARY2.00$0$0$0Yes (X)
CARRIE LOHMAN
BOARD MEMBER2.00$0$0$0Yes (X)
AL MOE
BOARD MEMBER2.00$0$0$0Yes (X)
SUSAN STACEY
VICE CHAIR2.00$0$0$0Yes (X)
MARVIN TAYLOR
BOARD MEMBER2.00$0$0$0Yes (X)
TOMMIE WOLFF
BOARD MEMBER2.00$0$0$0Yes (X)
MIKE WURTSMITH
BOARD MEMBER2.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,177,556TotalReportableCompFromOrgAmt
Total Other Compensation$336,357TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K29IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
JOHN ALEXANDER
4530 MARSH WOOD CT SESOUTHPORTNC28461PROF SERVICES$151,847
BRUCE DIETZ
430 S STATE AVEALPENAMI49707RENT$137,640
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$6,458,806GovernmentGrantsAmt
All Other Contributions$8,995AllOtherContributionsAmt
Total Contributions$6,467,801TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT FEES$11,531,057$11,531,057
PHARMACY SALES$8,882,464$8,882,464
INCENTIVES$139,067$139,067
SCHOOL NURSE$97,935$97,935
OTHER PROGRAM REVENUE$78,858$78,858

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$86,916TotalRevenueColumnAmt
Related Or Exempt Func Income$86,916RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$20,816,297TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,174TotalRevenueColumnAmt
Related Or Exempt Func Income$6,174RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMI COMM HEALTH NETWORKDesc
Total Revenue Column$146,452TotalRevenueColumnAmt
Related Or Exempt Func Income$146,452RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$146,452OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,436,724TotalRevenueColumnAmt
Related Or Exempt Func Income$20,968,923RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$590,587TotalAmt
Program Services$319,961ProgramServicesAmt
Management And General$270,626ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$253,174TotalAmt
Management And General$253,174ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,453,206TotalAmt
Program Services$8,533,965ProgramServicesAmt
Management And General$2,919,241ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,873,729TotalAmt
Program Services$1,941,575ProgramServicesAmt
Management And General$932,154ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$911,592TotalAmt
Program Services$648,918ProgramServicesAmt
Management And General$262,674ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,418,131TotalAmt
Program Services$1,945,809ProgramServicesAmt
Management And General$472,322ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$153,739TotalAmt
Program Services$130,780ProgramServicesAmt
Management And General$22,959ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$338,318TotalAmt
Program Services$203,706ProgramServicesAmt
Management And General$134,612ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$455,252TotalAmt
Program Services$262,585ProgramServicesAmt
Management And General$192,667ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$233,644TotalAmt
Program Services$138,243ProgramServicesAmt
Management And General$95,401ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$115,079TotalAmt
Program Services$95,519ProgramServicesAmt
Management And General$19,560ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$813,082TotalAmt
Program Services$678,281ProgramServicesAmt
Management And General$134,801ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$48,489TotalAmt
Program Services$23,837ProgramServicesAmt
Management And General$24,652ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$4,669,561$4,669,561
REPAIR AND MAINT$388,032$359,825$28,207
DUES AND LICENSES$190,472$62,101$128,371
OTHER$92,610$16,427$76,183

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$25,998,697TotalAmt
Program Services$20,031,093ProgramServicesAmt
Management And General$5,967,604ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$479,035BOYAmt
EOY$415,458EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,335,647BOYAmt
EOY$5,228,528EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$340,547BOYAmt
EOY$394,918EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,781,440BOYAmt
EOY$1,961,081EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$193,984BOYAmt
EOY$194,759EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$269,161BOYAmt
EOY$305,416EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$16,442,085LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,778,299LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,224,232BOYAmt
EOY$10,663,786EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$5,000EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$12,000BOYAmt
EOY$14,000EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$175,556EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$159,363BOYAmt
EOY$180,633EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,795,409BOYAmt
EOY$19,539,135EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,198,625BOYAmt
EOY$1,299,276EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$183,939BOYAmt
EOY$360,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,563,764BOYAmt
EOY$3,580,610EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$161,415EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,946,328BOYAmt
EOY$5,401,301EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,849,081BOYAmt
EOY$14,137,834EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,849,081BOYAmt
EOY$14,137,834EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,795,409BOYAmt
EOY$19,539,135EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,438,027ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$2,822PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$146,452OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$445,021OtherCostOrOtherBasisAmt
Book Value$445,021BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,856,300OtherCostOrOtherBasisAmt
Depreciation$4,395,259DepreciationAmt
Book Value$8,461,041BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$966,891OtherCostOrOtherBasisAmt
Depreciation$150,448DepreciationAmt
Book Value$816,443BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,173,873OtherCostOrOtherBasisAmt
Depreciation$1,232,592DepreciationAmt
Book Value$941,281BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,663,786TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ROU - FINANCE LEASES$85,662
ROU - OPERATING LEASE$75,753
FieldValueIRS element (for citing)
Total Liability$161,415TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$27,389,872TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$99,600DonatedServicesAndUseFcltsAmt
Revenue Not Reported$99,600RevenueNotReportedAmt
Revenue Subtotal$27,290,272RevenueSubtotalAmt
Other Revenues Not Included$146,452OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$146,452RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$27,436,724TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$26,098,297TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$99,600DonatedServicesUseFcltsAmt
Expenses Not Reported$99,600ExpensesNotReportedAmt
Expenses Subtotal$25,998,697ExpensesSubtotalAmt
Total Expenses Per Form990$25,998,697TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 4, PART XI, LINE 4BFormAndLineReferenceDesc
ExplanationMI COMMUNITY HEALTH NETWORK K-1 146,452ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
MARION HAUTEA
CMO$319,961$37,112$9,323$366,396
JEMELLEE JACALA-TADIAN
PHYSICIAN$297,000$36,386$9,267$342,653
MANUEL HERNANDEZ
PHYSICIAN$274,529$30,499$29,702$334,730
OSAMA AHMED
PHYSICIAN$265,510$29,845$3,085$298,440
MUHAMMAD ABDELHAI
PHSICIAN$264,809$23,387$4,377$292,573
MICHELLE STYMA
CEO$253,174$34,481$4,278$291,933
JEFFREY TAYLOR
DENTIST$231,947$27,831$3,308$263,086
LEIGHANN VIERS
CFO$127,967$25,584$2,113$155,664

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, PART I, LINE 6BOARD MEMBERS ARE ALL VOLUNTEERS IN ADDITION TO COMMUNITY MEMBERS WHO DONATE TIME FOR VARIOUS CENTER ACTIVITIES
FORM 990, PAGE 6, PART VI, LINE 11BAUDITOR REVIEWS RETURN WITH FINANCE COMMITTEE AND PRESENTS REVIEW TO ENTIRE BOARD PRIOR TO SUBMISSION
FORM 990, PAGE 6, PART VI, LINE 12CBOARD MEMBERS SUBMIT WRITTEN STATEMENTS TO EXECUTIVE TEAM FOR REVIEW ON ANY CONFLICT OF INTEREST ISSUES
FORM 990, PAGE 6, PART VI, LINE 15ACEO COMPENSATION IS DETERMINED BY EXECUTIVE COMMITTEE BASED UPON COMPARABILITY DATA FOR SIMILIAR POSTION. ENTIRE BOARD MAKES FINAL APPROVAL OF WAGE DETERMINATION
FORM 990, PAGE 6, PART VI, LINE 15BBOARD APPROVES WAGES OF CEO AND KEY EMPLOYEES BASED UPON BOARD APPROVED WAGE SCALE
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST, PREFERABLY IN WRITING. THE ORGANIZATION MAKES COPIES OF THE REQUESTED DOCUMENTS AND MAKES THEM AVAILABLE FOR PICK UP OR MAIL TO THE REQUESTEE.
FORM 990, PART XI, LINE 9MI COMM HEALTH NETWORK -146,452