FURP.ORG / PUBLIC DATA EXPLORER

THUNDER BAY COMMUNITY HEALTH SERVICE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
THUNDER BAY COMMUNITY HEALTH SERVICE INC (EIN 38-2290337)
Tax period
2021-03-01 to 2022-02-28
Filed
2022-09-29
IRS object ID
202212729349300831
Schema version
2021v4.0
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)
Return2022-09-29T11:59:34-04:00ReturnTs
Tax Period End2022-02-28TaxPeriodEndDt

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 Begin2021-03-01TaxPeriodBeginDt

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)
PersonMICHELLE STYMAPersonNm
Person TitleCEOPersonTitleTxt
Phone9893542197PhoneNum
Signature2022-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHELLEPersonFirstNm
Person LastSTYMAPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT E FRISKE CPAPreparerPersonNm
PTINP01083831PTIN
Phone9898924549PhoneNum
Preparation2022-09-26PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHELLE STYMAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18855 N M 65AddressLine1Txt
CityPOSENCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49776ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$28,303,437GrossReceiptsAmt
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 Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee286TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$8,881,359PYContributionsGrantsAmt
CY Contributions Grants$10,268,542CYContributionsGrantsAmt
PY Program Service Revenue$15,622,817PYProgramServiceRevenueAmt
CY Program Service Revenue$17,939,468CYProgramServiceRevenueAmt
PY Investment Income$33,479PYInvestmentIncomeAmt
CY Investment Income$5,281CYInvestmentIncomeAmt
PY Other Revenue-$6,859PYOtherRevenueAmt
CY Other Revenue$90,146CYOtherRevenueAmt
PY Total Revenue$24,530,796PYTotalRevenueAmt
CY Total Revenue$28,303,437CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,346,218PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$15,772,403CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,466,762PYOtherExpensesAmt
CY Other Expenses$8,993,800CYOtherExpensesAmt
PY Total Expenses$21,812,980PYTotalExpensesAmt
CY Total Expenses$24,766,203CYTotalExpensesAmt
PY Revenues Less Expenses$2,717,816PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,537,234CYRevenuesLessExpensesAmt
Total Assets BOY$17,514,993TotalAssetsBOYAmt
Total Assets EOY$16,795,409TotalAssetsEOYAmt
Total Liabilities BOY$8,041,838TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,946,328TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,473,155NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,849,081NetAssetsOrFundBalancesEOYAmt
MissionTHUNDER BAY COMMUNITY HEALTH SERVICE COMMITS ITS RESOURCES TO BUILDING HEALTHIER COMMUNITIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$18,675,160ExpenseAmt
Revenue$17,939,468RevenueAmt
DescTHIS FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER HAD 17,704 PATIENTS AND PROVIDED 74,709 CLINICAL VISITS INCLUDING MEDICAL, DENTAL,OPTOMETRY AND BEHAVIORAL HEALTH SERVICES.Desc
Total Program Service Expenses$18,675,160TotalProgramServiceExpensesAmt
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 LiabilitiesfalseReportOtherLiabilitiesInd
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 Document43IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee286EmployeeCnt
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
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 (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
MANUEL HERNANDEZ
PHYSICIAN40.00Yes (X)$264,333$0$52,006
JEMELLEE JACALA-TADIAN
PHYSICIAN40.00Yes (X)$270,431$0$38,003
MARION HAUTEA
CMO40.00$264,740$0$41,628Yes (X)
MICHELLE STYMA
CEO40.00$235,555$0$34,657Yes (X)
JEFFREY TAYLOR
DENTIST40.00Yes (X)$233,767$0$32,791
WAYNE MCEWEN
PHSICIAN ASS40.00Yes (X)$183,060$0$32,323
EMILY HILL
DENTIST40.00Yes (X)$154,446$0$30,153
LEIGHANN VIERS
CFO40.00$103,607$0$25,909Yes (X)
KAYLA BERRY
COO40.00$99,939$0$24,517Yes (X)
BEN BOLSER
CHAIR2.00$0$0$0Yes (X)
MICHAEL FAIRBANKS
DIRECTOR2.00$0$0$0Yes (X)
BEACH HALL
DIRECTOR2.00$0$0$0Yes (X)
SHANNA JOHNSON
VICE CHAIR2.00$0$0$0Yes (X)
JULIE KENDRICK
DIRECTOR2.00$0$0$0Yes (X)
NINA KENNARD
TREASURER2.00$0$0$0Yes (X)
CARRIE LOHMAN
DIRECTOR2.00$0$0$0Yes (X)
AL MOE
DIRECTOR2.00$0$0$0Yes (X)
SUSAN STACEY
SECRETARY2.00$0$0$0Yes (X)
TOMMIE WOLFF
DIRECTOR2.00$0$0$0Yes (X)
MIKE WURTSMITH
DIRECTOR2.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,809,878TotalReportableCompFromOrgAmt
Total Other Compensation$311,987TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K25IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
COMMERICIAL CONTRACTING NORTH
181 N INDUSTRIAL HWYALPENAMI49707CONSTRUCTION$593,394
SOUTH ARM CONSTRUCTION
PO BOX 1069EAST JORDANMI49727CONSTRUCTION$283,550
BRUCE DIETZ DEVELPER
100 N RIPLEYALPENAMI49707CONSTRUCTION$186,117
BRUCE DIETZ
430 S STATE AVEALPENAMI49707RENT$134,553
JOHN ALEXANDER
4530 MARSH WOOD CT SESOUTHPORTNC28461PROF SERVICES$105,158
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$10,263,633GovernmentGrantsAmt
All Other Contributions$4,909AllOtherContributionsAmt
Total Contributions$10,268,542TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT FEES$9,642,773$9,642,773
PHARMACY SALES$7,574,229$7,574,229
INCENTIVES$410,029$410,029
OTHER PROGRAM REVENUE$154,445$154,445
SCHOOL NURSE$103,395$103,395

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,597TotalRevenueColumnAmt
Related Or Exempt Func Income$54,597RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$17,939,468TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,281TotalRevenueColumnAmt
Related Or Exempt Func Income$5,281RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MI COMM HEALTH NETWORK$161,308$161,308
LOSS ON ASSET DISPOSAL-$71,162-$71,162
FieldValueIRS element (for citing)
Other Revenue Total$90,146OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,303,437TotalRevenueColumnAmt
Related Or Exempt Func Income$18,034,895RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$703,841TotalAmt
Program Services$264,740ProgramServicesAmt
Management And General$439,101ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,392,378TotalAmt
Program Services$8,553,456ProgramServicesAmt
Management And General$2,838,922ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,748,319TotalAmt
Program Services$1,800,576ProgramServicesAmt
Management And General$947,743ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$927,865TotalAmt
Program Services$681,147ProgramServicesAmt
Management And General$246,718ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,197,658TotalAmt
Program Services$1,640,503ProgramServicesAmt
Management And General$557,155ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$170,016TotalAmt
Program Services$149,119ProgramServicesAmt
Management And General$20,897ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$630,467TotalAmt
Program Services$312,270ProgramServicesAmt
Management And General$318,197ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$516,937TotalAmt
Program Services$282,660ProgramServicesAmt
Management And General$234,277ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$241,047TotalAmt
Program Services$108,246ProgramServicesAmt
Management And General$132,801ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$136,817TotalAmt
Program Services$122,528ProgramServicesAmt
Management And General$14,289ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$667,134TotalAmt
Program Services$588,134ProgramServicesAmt
Management And General$79,000ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$42,973TotalAmt
Program Services$23,091ProgramServicesAmt
Management And General$19,882ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$3,832,054$3,832,054
REPAIR AND MAINT$296,445$273,727$22,718
DUES AND LICENSES$187,440$41,298$146,142
OTHER$74,812$1,611$73,201

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$24,766,203TotalAmt
Program Services$18,675,160ProgramServicesAmt
Management And General$6,091,043ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,239,946BOYAmt
EOY$4,335,647EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,306,303BOYAmt
EOY$479,035EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$200,544BOYAmt
EOY$340,547EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,601,550BOYAmt
EOY$1,781,440EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$217,945BOYAmt
EOY$193,984EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$233,273BOYAmt
EOY$269,161EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,266,649LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,042,417LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,563,220BOYAmt
EOY$9,224,232EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$140,212BOYAmt
EOY$159,363EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,514,993BOYAmt
EOY$16,795,409EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,246,581BOYAmt
EOY$1,198,625EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,536,902BOYAmt
EOY$183,939EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,258,355BOYAmt
EOY$2,563,764EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,041,838BOYAmt
EOY$3,946,328EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,473,155BOYAmt
EOY$12,849,081EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,473,155BOYAmt
EOY$12,849,081EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,514,993BOYAmt
EOY$16,795,409EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,537,234ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$161,308OtherChangesInNetAssetsAmt
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$10,311,094OtherCostOrOtherBasisAmt
Depreciation$3,821,804DepreciationAmt
Book Value$6,489,290BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,273,586OtherCostOrOtherBasisAmt
Depreciation$157,879DepreciationAmt
Book Value$1,115,707BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,236,948OtherCostOrOtherBasisAmt
Depreciation$1,062,734DepreciationAmt
Book Value$1,174,214BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,224,232TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$28,235,229TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$93,100DonatedServicesAndUseFcltsAmt
Revenue Not Reported$93,100RevenueNotReportedAmt
Revenue Subtotal$28,142,129RevenueSubtotalAmt
Other Revenues Not Included$161,308OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$161,308RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$28,303,437TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$24,859,303TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$93,100DonatedServicesUseFcltsAmt
Expenses Not Reported$93,100ExpensesNotReportedAmt
Expenses Subtotal$24,766,203ExpensesSubtotalAmt
Total Expenses Per Form990$24,766,203TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 4, PART XI, LINE 4BFormAndLineReferenceDesc
ExplanationMI COMMUNITY HEALTH NETWORK K-1 161,308ExplanationTxt

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 (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
MANUEL HERNANDEZ
PHYSICIAN$264,333$28,988$23,018$316,339
JEMELLEE JACALA-TADIAN
PHYSICIAN$270,431$34,821$3,182$308,434
MARION HAUTEA
CMO$264,740$35,077$6,551$306,368
MICHELLE STYMA
CEO$235,555$31,699$2,958$270,212
JEFFREY TAYLOR
DENTIST$233,767$27,650$5,141$266,558
WAYNE MCEWEN
PHSICIAN ASSISTANT$183,060$29,522$2,801$215,383
EMILY HILL
DENTIST$154,446$27,177$2,976$184,599

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 COMMUNITY HEALTH NETWORK K-1 -161,308