MCKENIZE MEMORIAL HOSPITAL: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- MCKENIZE MEMORIAL HOSPITAL (EIN 38-1738615)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-04-23
- IRS object ID
- 201911139349300821
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-04-23T13:31:00-06:00 | ReturnTs |
| Tax Period End | 2018-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381738615 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCKENZIE MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Business Name Line2 | MCKENZIE HEALTH SYSTEM | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % STEVE BARNETT | InCareOfNm |
| Business Name Control | MCKE | BusinessNameControlTxt |
| Phone | 8106483770 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 DELAWARE STREET | AddressLine1Txt |
| City | SANDUSKY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48471 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEVE BARNETT | PersonNm |
| Person Title | PRESIDENTCEO | PersonTitleTxt |
| Phone | 8106486171 | PhoneNum |
| Signature | 2019-04-23 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 208.99.236.18 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 21010520191131082945 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-04-23 | FederalOriginalSubmissionIdDt |
| Filing License Type | O | FilingLicenseTypeCd |
| At Submission Creation Device Id | 620F957C4DAE88EA7D0B2BCD00B9DB78168AFEBC | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | D9C0027E603974157D66046F4BCD11F0E8381769 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCKENZIE HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVE BARNETT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 DELWARE STREET | AddressLine1Txt |
| City | SANDUSKY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48471 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,260,180 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MCKENZIEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1961 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | FOUNDED AS A COMMUNITY HOSPITAL MCKENZIE MEMORIAL HOSPITAL EXISTS TO PROVIDE EXCELLENT COMPASSIONATE AND ESSENTIAL HEALTHCARE | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 307 | TotalEmployeeCnt |
| Total Volunteers | 40 | TotalVolunteersCnt |
| Total Gross UBI | $32,779 | TotalGrossUBIAmt |
| PY Contributions Grants | $109,431 | PYContributionsGrantsAmt |
| CY Contributions Grants | $106,661 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $21,765,293 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,021,651 | CYProgramServiceRevenueAmt |
| PY Investment Income | $21,925 | PYInvestmentIncomeAmt |
| CY Investment Income | $27,590 | CYInvestmentIncomeAmt |
| PY Other Revenue | $40,756 | PYOtherRevenueAmt |
| CY Other Revenue | $59,698 | CYOtherRevenueAmt |
| PY Total Revenue | $21,937,405 | PYTotalRevenueAmt |
| CY Total Revenue | $22,215,600 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,907,378 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,398,952 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $27,399 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,442,700 | PYOtherExpensesAmt |
| CY Other Expenses | $8,443,988 | CYOtherExpensesAmt |
| PY Total Expenses | $21,350,078 | PYTotalExpensesAmt |
| CY Total Expenses | $21,842,940 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $587,327 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $372,660 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,978,174 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,088,606 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,600,344 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,338,113 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,377,830 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,750,493 | NetAssetsOrFundBalancesEOYAmt |
| Mission | FOUNDED AS A COMMUNITY HOSPITAL, MCKENZIE MEMORIAL HOSPITAL EXISTS TO PROVIDE EXCELLENT, COMPASSIONATE AND ESSENTIAL HEALTHCARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $21,842,940 | ExpenseAmt |
| Revenue | $22,215,600 | RevenueAmt |
| Desc | PROVIDE INPATIENT, OUTPATIENT & EMERGENCY CARE SERVICES INPATIENT REGISTRATION = 154 OUTPATIENT REGISTRATION = 22,921 EMERGENCY ROOM = 5,972 AMBULANCE RUNS = 2,126 | Desc |
| Total Program Service Expenses | $21,842,940 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 30 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 307 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AMY RUEDISUELI | PersonNm |
| Phone | 8106486162 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 DELAWARE STREET | AddressLine1Txt |
| City | SANDUSKY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48471 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt |
|---|---|---|---|---|---|---|---|---|
| CHRISTOPHER CLARK | ||||||||
| Chairperson | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL DREYER | ||||||||
| ViceChairperson | Yes (X) | $0 | $0 | $0 | ||||
| SUE COOK | ||||||||
| SecretaryTreasurer | Yes (X) | $0 | $0 | $0 | ||||
| DANIEL BABCOCK | ||||||||
| Marlette CEO | Yes (X) | $0 | $0 | $0 | ||||
| LARRY MICHELL | ||||||||
| Director | Yes (X) | $0 | $0 | $0 | ||||
| JOAN NAGELKIRK | ||||||||
| Director | Yes (X) | $0 | $0 | $0 | ||||
| SCOTT ORR | ||||||||
| Director | Yes (X) | $0 | $0 | $0 | ||||
| LORAINE REISH | ||||||||
| Director | Yes (X) | $0 | $0 | $0 | ||||
| ORIN CAMPBELL | ||||||||
| Director | Yes (X) | $0 | $0 | $0 | ||||
| GLEN KAMPMAN | ||||||||
| Director | Yes (X) | $0 | $0 | $0 | ||||
| STEVE BARNETT | ||||||||
| CEOPresident | Yes (X) | $207,643 | $0 | $26,310 | 40 | Yes (X) | ||
| AMY RUEDISUELI | ||||||||
| CFO | $140,719 | $0 | $7,533 | 40 | Yes (X) | |||
| MICHAEL MERKLER | ||||||||
| Physician | $267,379 | $0 | $9,358 | 40 | Yes (X) | |||
| JAMES SAMS | ||||||||
| Chief of Staff | Yes (X) | $227,496 | $0 | $12,431 | 40 | |||
| MATTHEW GORMLEY | ||||||||
| Physician | $218,683 | $0 | $28,619 | 40 | Yes (X) | |||
| MARK ENGLISH | ||||||||
| Physician | $172,937 | $0 | $27,785 | 40 | Yes (X) | |||
| GINA PATTERSON | ||||||||
| Director of Pharmacy | $130,320 | $20,886 | $20,926 | 32 | Yes (X) | 8 | ||
| BILLI JO HENNIKA | ||||||||
| COO | $123,793 | $0 | $22,212 | 40 | Yes (X) | |||
| JAMES KOSIUR | ||||||||
| Physician | $405,645 | $0 | $16,758 | 40 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,894,615 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $20,886 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $171,932 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 19 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MICHIGAN EMERGENCY PHYSICI | |||||
| PO BOX 674579 | DETROIT | MI | 482674579 | ER PHYSICIANS | $1,595,938 |
| ORTHO-CLINICAL DIAG INC | |||||
| PO BOX 3655 | CAROL STREAM | IL | 601323655 | SUPPLIES | $349,099 |
| MCKESSON | |||||
| 38220 PLYMOUTH ROAD | LIVONIA | MI | 48150 | DRUGS | $329,195 |
| INTEGRATED SYSTEMS CONSULT | |||||
| 3333 CASS ROAD Ste SUITE A | TRAVERSE CITY | MI | 49684 | IT CONSULTANTS | $239,572 |
| OWENS & MINOR | |||||
| 12199 COLLECTION CENTER DR | CHICAGO | IL | 60693 | SUPPLIES | $220,365 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $106,661 | AllOtherContributionsAmt |
| Total Contributions | $106,661 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Other Income | 900099 | $1,835,578 | $1,835,578 |
| Inpatient Outpatient | 621400 | $31,433,938 | $31,433,938 |
| Provider Office Rev | 621110 | $3,761,229 | $3,761,229 |
| RHC Revenue | 621110 | $1,151,367 | $1,151,367 |
| Contractual Adjust | 621400 | -$15,399,347 | -$15,399,347 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$761,114 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$761,114 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,021,651 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,225 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,225 | RelatedOrExemptFuncIncomeAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $32,779 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $32,779 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,779 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $32,779 | UnrelatedBusinessRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,365 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,365 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,365 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,365 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $71,499 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $44,580 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,919 | TotalRevenueColumnAmt |
| Exclusion | $26,919 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,215,600 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,049,241 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $32,779 | UnrelatedBusinessRevenueAmt |
| Exclusion | $26,919 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $608,885 | TotalAmt |
| Management And General | $608,885 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,489,866 | TotalAmt |
| Program Services | $8,232,129 | ProgramServicesAmt |
| Management And General | $2,242,005 | ManagementAndGeneralAmt |
| Fundraising | $15,732 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,105 | TotalAmt |
| Program Services | $91,476 | ProgramServicesAmt |
| Management And General | $204,629 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,220,063 | TotalAmt |
| Program Services | $234,766 | ProgramServicesAmt |
| Management And General | $985,297 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $784,033 | TotalAmt |
| Program Services | $572,092 | ProgramServicesAmt |
| Management And General | $210,815 | ManagementAndGeneralAmt |
| Fundraising | $1,126 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,438,406 | TotalAmt |
| Program Services | $2,809,699 | ProgramServicesAmt |
| Management And General | $628,707 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,827 | TotalAmt |
| Management And General | $118,827 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,250 | TotalAmt |
| Management And General | $44,250 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,893 | TotalAmt |
| Program Services | $17,969 | ProgramServicesAmt |
| Management And General | $49,226 | ManagementAndGeneralAmt |
| Fundraising | $6,698 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,250,572 | TotalAmt |
| Program Services | $1,032,839 | ProgramServicesAmt |
| Management And General | $216,584 | ManagementAndGeneralAmt |
| Fundraising | $1,149 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $286,163 | TotalAmt |
| Program Services | $33,009 | ProgramServicesAmt |
| Management And General | $253,154 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $336,584 | TotalAmt |
| Program Services | $326,936 | ProgramServicesAmt |
| Management And General | $9,648 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,395 | TotalAmt |
| Program Services | $132,691 | ProgramServicesAmt |
| Management And General | $28,288 | ManagementAndGeneralAmt |
| Fundraising | $2,416 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,786 | TotalAmt |
| Program Services | $28,025 | ProgramServicesAmt |
| Management And General | $19,761 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,016 | TotalAmt |
| Program Services | $9,647 | ProgramServicesAmt |
| Management And General | $4,369 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $721,123 | TotalAmt |
| Program Services | $613,096 | ProgramServicesAmt |
| Management And General | $108,027 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,108 | TotalAmt |
| Program Services | $105,602 | ProgramServicesAmt |
| Management And General | $13,506 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Drugs | $767,578 | $767,578 | |
| Food, Laundry | $482,420 | $34,104 | $448,316 |
| Taxes & Licenses | $250,538 | $250,538 | |
| Implants/Blood | $231,669 | $213,260 | $18,409 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,660 | TotalAmt |
| Program Services | $37,718 | ProgramServicesAmt |
| Management And General | $59,664 | ManagementAndGeneralAmt |
| Fundraising | $278 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,842,940 | TotalAmt |
| Program Services | $15,543,174 | ProgramServicesAmt |
| Management And General | $6,272,367 | ManagementAndGeneralAmt |
| Fundraising | $27,399 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $264,346 | BOYAmt |
| EOY | $200,481 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,274,949 | BOYAmt |
| EOY | $1,993,389 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,697,098 | BOYAmt |
| EOY | $3,162,991 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $488,893 | BOYAmt |
| EOY | $463,727 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $260,121 | BOYAmt |
| EOY | $298,643 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,640,110 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,670,735 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,992,767 | BOYAmt |
| EOY | $3,969,375 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,978,174 | BOYAmt |
| EOY | $10,088,606 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,958,631 | BOYAmt |
| EOY | $1,943,286 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,236,022 | BOYAmt |
| EOY | $1,023,859 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $405,691 | BOYAmt |
| EOY | $370,968 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,600,344 | BOYAmt |
| EOY | $3,338,113 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,303,648 | BOYAmt |
| EOY | $6,700,016 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,182 | BOYAmt |
| EOY | $50,477 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,377,830 | BOYAmt |
| EOY | $6,750,493 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,978,174 | BOYAmt |
| EOY | $10,088,606 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $372,660 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
| Public Support Total170 | $0 | PublicSupportTotal170Amt |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Org Leg Ctrl | false | DisclosedOrgLegCtrlInd |
| Disclosed For Charitable Prps | false | DisclosedForCharitablePrpsInd |
| Written Policy Monitoring | false | WrittenPolicyMonitoringInd |
| Section170h Rqr Stsfd | false | Section170hRqrStsfdInd |
| Solicited Assets Sale | false | SolicitedAssetsSaleInd |
| Agent Trustee Etc | false | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $133,080 | OtherCostOrOtherBasisAmt |
| Book Value | $133,080 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,722,111 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,554,457 | DepreciationAmt |
| Book Value | $2,167,654 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $138,279 | OtherCostOrOtherBasisAmt |
| Depreciation | $128,939 | DepreciationAmt |
| Book Value | $9,340 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,646,640 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,987,339 | DepreciationAmt |
| Book Value | $1,659,301 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,969,375 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $22,054,428 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $22,054,428 | RevenueSubtotalAmt |
| Other Revenues Not Included | $161,172 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $161,172 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $22,215,600 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $21,842,940 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $21,842,940 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $21,842,940 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| P11, Ln 4b | INTEREST INCOME; $25,204, GAIN ON SALE OF ASSET; $2,365 |
| P11, Ln 4b | CONTRIB NET OF FUNDRAISING; $102,532, CONT OF PP&E; $30,744 |
| P11, Ln 4b | ASSETS RELEASED FROM RESTRICT; $304, INTEREST $21, MISC. ADJ; $2. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | HOSP AUXILI | Event1Nm |
| Gross Receipts Event1 | $42,834 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $42,834 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $35,699 | OtherDirectExpensesEvent1Amt |
| Event2 | BENFT DINNR | Event2Nm |
| Gross Receipts Event2 | $28,665 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $28,665 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $8,881 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $71,499 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $71,499 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $44,580 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $44,580 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $26,919 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
| Report Publically Available | false | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 26 | PersonsServedCnt |
| Total Community Benefit Expns | $20,333 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,333 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0009 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 4721 | PersonsServedCnt |
| Total Community Benefit Expns | $4,273,762 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,139,069 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,134,692 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0977 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 4747 | PersonsServedCnt |
| Total Community Benefit Expns | $4,294,095 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,139,069 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,155,025 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0986 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 136 | ActivitiesOrProgramsCnt |
| Persons Served | 5352 | PersonsServedCnt |
| Total Community Benefit Expns | $81,109 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,956 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $37,154 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0017 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 36 | PersonsServedCnt |
| Total Community Benefit Expns | $23,761 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $23,761 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0011 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 205 | PersonsServedCnt |
| Total Community Benefit Expns | $1,422 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,422 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 143 | ActivitiesOrProgramsCnt |
| Persons Served | 5593 | PersonsServedCnt |
| Total Community Benefit Expns | $106,292 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,956 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $62,337 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0029 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 145 | ActivitiesOrProgramsCnt |
| Persons Served | 10340 | PersonsServedCnt |
| Total Community Benefit Expns | $4,400,387 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,183,025 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,217,362 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1015 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $411 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $411 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 330 | PersonsServedCnt |
| Total Community Benefit Expns | $920 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $920 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 40 | PersonsServedCnt |
| Total Community Benefit Expns | $79 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $79 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 750 | PersonsServedCnt |
| Total Community Benefit Expns | $2,439 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,439 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 1120 | PersonsServedCnt |
| Total Community Benefit Expns | $3,849 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,849 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $699,944 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $5,848,118 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,942,966 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$94,848 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCKENZIE HEALTH SYSTEM | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 DELAWARE STREET | AddressLine1Txt |
| City | Sandusky | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48471 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCKENZIE HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | Yes (true) | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.mckenziehealth.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.mckenziehealth.org/wp-content/uploads/2016/12/2 | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.mckenziehelath.org/patien | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.mckenziehealth.o | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.mckenzieh | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (20 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 5 | Hospital focus groups include reps from Sandusky City Council, Thumb Elite |
| 5 | athletics, Sandusky Arts Council, City Police Dept., parents, educational |
| 5 | Professionals & churches. Key stakeholders interviewed with a rep from MI |
| 5 | Dept of health & human services, Sanilac County Mental health & Sanilac ISD |
| 6a | Marlette Regional Hospital, Scheurer Hospital, Deckerville Hospital, Caro |
| 6a | Community Hospital, Huron Medical Center & Hills & Dales Hospital. |
| 6b | Sanilac County HD, Tuscola County HD, Huron County HD |
| 7d | CHNA was distributed to Lions Club, MHS BOD, Sanilac County Mental Health, |
| 7d | Sanilac County Transportation, Sanilac County Dept of Health & Human Serv. |
| 7d | Great Start collaborative, Blue water Center for Rural living, Sanilac Lit. |
| 7d | Sanilac probation & Sanilac County Sherif's Dept. |
| 11 | Committees address significant needs identified by the CHNA, including; |
| 11 | more evening & weekend provider hours, more specialists, lack of health ins |
| 11 | awareness of health resources and services, jobs with livable wages, avail |
| 11 | of mental health services, crime & safety, cost of ins. youth/adult obesity |
| 11 | committees work with local orgs, such as; law enforcement, mental health, |
| 11 | schools, Sanilac transportation, specialty practices in surrounding areas, |
| 11 | tele-health options, nurse hotlines and local media to advertise services |
| 11 | and programs |
| 38-1738615 | 5 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| MCKENZIE HEALTH & WELLNESS | ||||
| 170 W ARGYLE STREET | Sandusky | MI | 48471 | PROVIDER OFFICE |
| MCKENZIE RURAL HEALTH CLIN | ||||
| 75 DAWSON STREET | Sandusky | MI | 48471 | PROVIDER OFFICE |
| MCKENZIE FAMILY HEALTHCARE | ||||
| 109 N DELAWARE STREET | Sandusky | MI | 48471 | PROVIDER OFFICE |
| LAKESHORE INTERNAL MEDICIN | ||||
| 7307 CHERRY STREET | Port Sanilac | MI | 48469 | PROVIDER OFFICE |
| CROSWELL CLINIC | ||||
| 8 N HOWARD STREET | Croswell | MI | 48422 | PROVIDER OFFICE |
| PECK MEDICAL CLINIC | ||||
| 251 E PECK ROAD | Peck | MI | 48466 | PROVIDER OFFICE |
| MCKENZIE AFTER-HOURS CLINI | ||||
| 115 DELAWARE STREET | Sandusky | MI | 48471 | PROVIDER OFFICE |
| SANILAC MEDICAL PLAZA | ||||
| 100 W ARGYLE STREET | Sandusky | MI | 48471 | PROVIDER OFFICE/RENTAL |
Supplemental Information Detail SupplementalInformationDetail (26 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I LINE 6A | A community benefit report was prepared during the 2015 tax year. |
| Part I line 7 | Schedule H worksheets were used to prepare the cost to charge ratio. |
| Part II | McKenzie promoted Community health through various activities, such as; |
| Part II | Senior fair, school tours, County 4-H fair, & various showcases. |
| Part III line 2 | Bad debts are est by the allowance method & indp. audited annually; listed |
| Part III line 2 | net of discounts and payments rec'd on account post bad debt determination. |
| Part III Line 4 | See attached audited Financial Statements, page 11 & 14, note 1. |
| Part III line 8 | McKenzie is a critical access Hospital under medicare reg., reimbursed |
| Part III line 8 | based on cost. |
| Part III line 8 | The shortfall of $94,848 consists of 2% sequestration. |
| Part III line 8 | Medicare cost report data was used to calculate these figures. |
| Part III line 9b | Collection ploicy references the FAP for those patients that are eligable |
| Part III line 9b | for assistence as a method of payment for Hospital accounts. |
| Part VI-2 | In addition to items in SCH H part V sec B, CNHA describes how identified |
| Part VI-2 | needs were prioritized & strategy was implemented. MHS also continuously |
| Part VI-2 | monitors quality scores and patient satisfaction surveys. MHS leadership |
| Part VI-2 | is in constant contact with other healthcare agencies in the community and |
| Part VI-2 | accesses any findings indentified through collaboration. |
| Part VI-3 | Uninsured patients receive a Financial policy brochure from staff. Dir. of |
| Part VI-3 | Human Services then follows up with the patient to help apply for medicare/ |
| Part VI-3 | Medicaid and apply for FAP program; this info is also available in brochure |
| Part VI-3 | website, patient statement, hospital lobby, ER & patient fin. services. |
| Part VI-4 | MHS is a CAH located in Sandusky County; population 41,587, 1,600 sq miles |
| Part VI-4 | and 90% rural. 52% of population is uninsured. Unemployment rate is 6.6% |
| Part VI-4 | and 23% of children live in poverty. |
| Part VI-5 | Gov. by board of directors, Serv.; Geriatrics, immunization, physicals, etc |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|
| CHRISTOPHER CLARK | ||||||
| Chairperson | ||||||
| MICHAEL DREYER | ||||||
| ViceChairperson | ||||||
| SUE COOK | ||||||
| SecretaryTreasurer | ||||||
| DANIEL BABCOCK | ||||||
| Marlette CEO | ||||||
| LARRY MICHELL | ||||||
| Director | ||||||
| JOAN NAGELKIRK | ||||||
| Director | ||||||
| SCOTT ORR | ||||||
| Director | ||||||
| LORAINE REISH | ||||||
| Director | ||||||
| ORIN CAMPBELL | ||||||
| Director | ||||||
| GLEN KAMPMAN | ||||||
| Director | ||||||
| STEVE BARNETT | ||||||
| CEOPresident | $207,643 | $8,026 | $18,284 | $233,953 | ||
| AMY RUEDISUELI | ||||||
| CFO | $140,719 | $5,292 | $2,241 | $148,252 | ||
| MICHAEL MERKLER | ||||||
| Physician | $267,379 | $9,358 | $276,737 | |||
| JAMES SAMS | ||||||
| Chief of Staff | $227,496 | $7,914 | $4,517 | $239,927 | ||
| MATTHEW GORMLEY | ||||||
| Physician | $218,683 | $8,143 | $20,476 | $247,302 | ||
| MARK ENGLISH | ||||||
| Physician | $172,937 | $6,530 | $21,255 | $200,722 | ||
| GINA PATTERSON | ||||||
| Director of Pharmacy | $130,320 | $5,364 | $15,562 | $151,246 | $20,886 | $20,886 |
| BILLI JO HENNIKA | ||||||
| COO | $123,793 | $5,182 | $17,030 | $146,005 | ||
| JAMES KOSIUR | ||||||
| Physician | $405,645 | $7,979 | $8,779 | $422,403 | ||
Schedule L IRS990ScheduleL
Disqualified Person Ex Bnft Tr DisqualifiedPersonExBnftTrGrp (6 entries)
| Transaction CorrectedTransactionCorrectedInd |
|---|
| false |
| false |
| false |
| false |
| false |
| false |
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (10 entries)
| DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|
| false | false | false |
| false | false | false |
| false | false | false |
| false | false | false |
| false | false | false |
| false | false | false |
| false | false | false |
| false | false | false |
| false | false | false |
| false | false | false |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (10 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| BARNETT ANESTHESIA | |||
| CEO'S SPOUSE | $112,288 | CRNA SERVICES | false |
| JOAN NAGELKIRK | |||
| DIRECTOR | $80,618 | MARKETING SERVICES & SUPPLIES | false |
| (no name) | |||
| false | |||
| (no name) | |||
| false | |||
| (no name) | |||
| false | |||
| (no name) | |||
| false | |||
| (no name) | |||
| false | |||
| (no name) | |||
| false | |||
| (no name) | |||
| false | |||
| (no name) | |||
| false | |||
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part VI Line 6 | Classes of Members make up the Board of Directors. |
| Part VI Line 7a | Board Members must be approved by the Board of United Healthcare Partners |
| Part VI Line 7a | to become MHS board Members. |
| Part VI Line 7b | United Healthcare Partners must approve any financial transaction above |
| Part VI Line 7b | $1 million dollars prior to being taken to MHS Board of Directors. |
| Part VI Line 11b | Finance Committee first reviews the 990-T & 990 with all schedules, when |
| Part VI Line 11b | approved; forms are then reviewed by MHS Board of Directors. |
| Part VI Line 12c | Board and Committee Members are required to annually fill out a conflict of |
| Part VI Line 12c | interest policy and abstain from any conflicting vote. |
| Part VI Line 15a or b | Compensation is approved by the full MHS Board, based on recommendations |
| Part VI Line 15a or b | and recent compensation surveys. |
| Part VI Line 19 | All documents are available for review by the request at the |
| Part VI Line 19 | CEO/President's office. |
| Part VII | Compensation is provided for the 2017 tax (calendar) year. |
| Part IX Line 24e | Misc. Total expenses - $97660.00 Program service expenses - $37718.00 Mgmt and general expenses - $59664.00 Fundraising expenses - $278.00 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MARLETTE REGIONAL HOSPITAL | ||||||||||
| 2770 MAIN STREET PO BOX 307 | Marlette | MI | 48453 | 381507302 | HEALTHCARE | MI | 501 C | 3 | UNITED HEALTHCARE PARTNER | false |
| UNITED HEALTHCARE PARTNERS | ||||||||||
| 120 DELAWARE STREET | Sandusky | MI | 48471 | 465444203 | HEALTHCARE | MI | 501 C | 3 | ITSELF | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANILAC SERVICES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 78 ELK STREET | AddressLine1Txt |
| City | Sandusky | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48471 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382774983 | EIN |
| Primary Activities | RETAIL PHARMACY | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCKENZIE MEMORIAL HOSPITA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C corp | EntityTypeTxt |
| Share Of Total Income | -$140,153 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $869,851 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SANILAC SERVICES INC | ||
| L | $75,000 | COST BASIS |
| (no name) | ||
| S | $270,407 | COST BASIS |
| MARLETTE REGIONAL HOSPITAL | ||
| O | $215,376 | COST BASIS |
| (no name) | ||
| P | $104,758 | COST BASIS |
| Marlette | ||
| Q | $26,837 | COST BASIS |
| UNITED HEALTHCARE PARTNERS | ||
| D | $100,458 | COST BASIS |
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