Crittenton Cancer Center: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
Crittenton Cancer Center (EIN 38-3239057)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201603209349315855
Schema version
2015v2.1
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)
Return2016-11-15T17:02:21-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1750 TRADE CENTRE WAY STE 300AddressLine1Txt
CityPORTAGECityNm
State AbbreviationMIStateAbbreviationCd
ZIP49002ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383239057EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CRITTENTON CANCER CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCRITBusinessNameControlTxt
Phone2486525000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 WEST UNIVERSITY DRIVEAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48307ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDONNA KOPINSKIPersonNm
Person TitleTREASURERPersonTitleTxt
Phone2486525000PhoneNum
Signature2016-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCAROL LALONDECPAPreparerPersonNm
PTINP00181637PTIN
Phone2695674500PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARGARET DIMONDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 WEST UNIVERSITY DRIVEAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48307ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,652,313GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CRITTENTON.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionCRITTENTON CANCER CENTER LEASES OUT ITS BUILDING FOR ADVANCED CANCER DIAGNOSTIC, TREATMENT PLANNING AND SERVICES TO PATIENTS IN MICHIGAN'S OAKLAND AREA. IT ALSO PROVIDES CATSCAN,LABORATORY AND CLINIC SERVICES FOR ON-SITE PATIENT CONVENIENCE.ActivityOrMissionDesc
Voting Members Governing Body1VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers400TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,462,015PYProgramServiceRevenueAmt
CY Program Service Revenue$1,208,461CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue-$818,602PYOtherRevenueAmt
CY Other Revenue-$845,444CYOtherRevenueAmt
PY Total Revenue$643,413PYTotalRevenueAmt
CY Total Revenue$363,017CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$64,965PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,438,133PYOtherExpensesAmt
CY Other Expenses$839,012CYOtherExpensesAmt
PY Total Expenses$1,503,098PYTotalExpensesAmt
CY Total Expenses$839,012CYTotalExpensesAmt
PY Revenues Less Expenses-$859,685PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$475,995CYRevenuesLessExpensesAmt
Total Assets BOY$19,144,061TotalAssetsBOYAmt
Total Assets EOY$18,496,866TotalAssetsEOYAmt
Total Liabilities BOY$18,026,666TotalLiabilitiesBOYAmt
Total Liabilities EOY$18,984,676TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,117,395NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$487,810NetAssetsOrFundBalancesEOYAmt
MissionNONEMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$697,169ExpenseAmt
Revenue$1,208,115RevenueAmt
DescCRITTENTON CANCER CENTER PROVIDES LEASED SPACE/EQUIPMENT TO ST JOHN'S FOR CARE OF CANCER PATIENTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$30,171ExpenseAmt
Revenue$346RevenueAmt
DescCRITTENTON CANCER CENTER PROVIDED ADVANCED RADIATION ONCOLOGY SERVICES TO MICHIGAN'S TRI-COUNTY AREA.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$727,340TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members1GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing Body0MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KIM HAUSCHILDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2486525780PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 WEST UNIVERSITY DRIVEAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48307ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ROY POWELL
PRESIDENT - PART YEAR1.0039.00Yes (X)Yes (X)$0$527,563$35,778
MICHAEL CLARK
SECRETARY - PART YEAR1.0039.00Yes (X)Yes (X)$0$199,326$36,932
DONNA KOPINSKI
TREASURER1.0039.00Yes (X)Yes (X)$0$263,120$41,605
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$990,009TotReportableCompRltdOrgAmt
Total Other Compensation$114,315TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VARIAN MEDICAL SYSTEMSBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line170140 NETWORK PLACEAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60673ZIPCd
FieldValueIRS element (for citing)
ServicesMAINT EQPT CONTRACTServicesDesc
Compensation$220,077CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RENTAL REVENUE531120$1,208,115$1,208,115
TREATMENT REVENUE621400$346$346
FieldValueIRS element (for citing)
Total Program Service Revenue$1,208,461TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Personal$443,852PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Personal$1,289,296PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Personal-$845,444PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$845,444TotalRevenueColumnAmt
Exclusion-$845,444ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$363,017TotalRevenueColumnAmt
Related Or Exempt Func Income$1,208,461RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$845,444ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,200TotalAmt
Management And General$4,200ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$92,039TotalAmt
Program Services$59,510ProgramServicesAmt
Management And General$32,529ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,059TotalAmt
Management And General$11,059ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$260,772TotalAmt
Program Services$260,772ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$450,358TotalAmt
Program Services$405,018ProgramServicesAmt
Management And General$45,340ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
REPAIRS AND MAINTENANCE$18,544$18,544
RENTALS-EQUIPMENT$1,129$1,129
MISCELLANEOUS EXPENSE$875$875
COLLECTION EXPENSES$25$25

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$11TotalAmt
Program Services$11ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$839,012TotalAmt
Program Services$727,340ProgramServicesAmt
Management And General$111,672ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$49,811BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,849,007BOYAmt
EOY$17,238EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$250,344BOYAmt
EOY$347,825EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,855,349LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$336,780LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$16,994,899BOYAmt
EOY$14,518,569EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$3,613,234EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$19,144,061BOYAmt
EOY$18,496,866EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$295,370BOYAmt
EOY$72,867EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$113,546BOYAmt
EOY$207,526EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,617,750BOYAmt
EOY$18,704,283EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,026,666BOYAmt
EOY$18,984,676EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,117,395BOYAmt
EOY-$487,810EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,117,395BOYAmt
EOY-$487,810EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,144,061BOYAmt
EOY$18,496,866EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$475,995ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$1,129,210OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,686,171CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,964,250CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,404,069CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,462,015CurrentTaxYearMinus1YearAmt
Current Tax Year$1,208,461CurrentTaxYearAmt
Total$13,724,966TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,686,171CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,964,250CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,404,069CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,462,015CurrentTaxYearMinus1YearAmt
Current Tax Year$1,208,461CurrentTaxYearAmt
Total$13,724,966TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$1,169,009CurrentTaxYearMinus1YearAmt
Current Tax Year$1,158,546CurrentTaxYearAmt
Total$2,327,555TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$1,169,009CurrentTaxYearMinus1YearAmt
Current Tax Year$1,158,546CurrentTaxYearAmt
Total$2,327,555TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$11,397,411PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$333,091CurrentTaxYearMinus1YearAmt
Current Tax Year$443,852CurrentTaxYearAmt
Total$776,954TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$333,091CurrentTaxYearMinus1YearAmt
Current Tax Year$443,852CurrentTaxYearAmt
Total$776,954TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,686,182CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,964,250CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,404,069CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,795,106CurrentTaxYearMinus1YearAmt
Current Tax Year$1,652,313CurrentTaxYearAmt
Total$14,501,920TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.78590PublicSupportCY509Pct
Public Support PY5090.90920PublicSupportPY509Pct
Investment Income CY0.05360InvestmentIncomeCYPct
Investment Income PY0.02010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$291,819OtherCostOrOtherBasisAmt
Book Value$291,819BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,934,680OtherCostOrOtherBasisAmt
Depreciation$110,526DepreciationAmt
Book Value$12,824,154BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,628,850OtherCostOrOtherBasisAmt
Depreciation$226,254DepreciationAmt
Book Value$1,402,596BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$14,518,569TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM CRITTENTON HOSPITAL MEDICAL CENTERDesc
Book Value$3,613,234BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,613,234TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO CRITTENTON HOSPITAL MEDICAL CENTERDesc
Amt$18,704,283Amt
FieldValueIRS element (for citing)
Total Liability$18,704,283TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROY POWELL
PRESIDENT - PART YEAR$0$514,057$0$10,000$0$3,506$0$18,173$0$17,605$0$563,341$0$0
MICHAEL CLARK
SECRETARY - PART YEAR$0$159,670$0$20,000$0$19,656$0$19,327$0$17,605$0$236,258$0$0
DONNA KOPINSKI
TREASURER$0$243,120$0$20,000$0$0$0$24,000$0$17,605$0$304,725$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3COMPENSATION IS DETERMINED BY A RELATED PARTY WHO USES A COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE IN ORDER TO ESTABLISH COMPENSATION FOR THE PRESIDENT.
PART I, LINE 4AROY POWELL AND MICHAEL CLARK RECEIVED $3,505 AND $18,270, RESPECTIVELY IN SEVERANCE PAYMENTS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4THE GOVERNING DOCUMENTS OF CRITTENTON CANCER CENTER CHANGED WITH THE ACQUISITION BY ASCENSION MICHIGAN. CRITTENTON HOSPITAL MEDICAL CENTER REMAINS THE SOLE MEMBER OF CRITTENTON CANCER CENTER ON 10/1/15. THE GOVERNING DOCUMENTS WERE AMENDED TO CONFORM WITH THIS ACQUISITION. THE PHILOSOPHY OF CRITTENTON CANCER CENTER IS THAT OF ASCENSION SPONSOR IN THAT IT WILL BE IN ACCORDANCE WITH THE OFFICIAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES, AS APPROVED. THERE ARE POWERS AND RESPONSIBILITIES RESERVED FOR ASCENSION.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE ORGANIZATION IS CRITTENTON HOSPITAL MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 8ACRITTENTON CANCER CENTER DOES NOT HAVE ANY COMMITTEES SET UP THEREFORE THIS QUESTION IS NOT APPLICABLE.
FORM 990, PART VI, SECTION A, LINE 8BCRITTENTON CANCER CENTER DOES NOT HAVE ANY COMMITTEES SET UP THEREFORE THIS QUESTION IS NOT APPLICABLE.
FORM 990, PART VI, SECTION B, LINE 11THE 990 RETURN WAS NOT GIVEN TO EACH OF THE BOARD MEMBERS FOR REVIEW PRIOR TO BEING FILED WITH THE IRS AS THEY ARE NO LONGER WITH THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 12CTHE SECRETARY OF THE BOARD IS THE HOSPITAL'S COMPLIANCE OFFICER. THE HOSPITAL POLICY STATES THAT ALL EMPLOYEES HAVE A CONTINUOUS OBLIGATION TO DISCLOSE CONFLICTS OF INTEREST, AN ACTUAL IMPROPRIETY, AND/OR AN APPEARANCE OF IMPROPRIETY. EMPLOYEES AT THE MANAGER LEVEL AND ABOVE EACH SIGN A STATEMENT ON AN ANNUAL BASIS ACKNOWLEDGING THEIR UNDERSTANDING OF THE POLICY AND VERIFYING THEIR APPROPRIATE DISCLOSURE OF ANY CONFLICTS. ALL REPORTED CONFLICTS SHALL BE REVIEWED BY THE CEO IN CONJUNCTION WITH THE COMPLIANCE OFFICER AND DEPARTMENT OF LEGAL AFFAIRS. IF IT IS DETERMINED THAT A CONFLICT EXISTS THE EMPLOYEE SHALL DISCONTINUE ALL ACTIVITIES SURROUNDING THAT CONFLICT. THE EMPLOYEE MAY ALSO SEEK A WAIVER OF THE CONFLICT FROM THE CEO. CHMC ALSO HAS A QUESTIONNAIRE FOR INDIVIDUALS AND THEIR IMMEDIATE FAMILY MEMBERS REGARDING CONFLICTS OF INTEREST AND THIS MUST BE SIGNED BY THE INDIVIDUALS. THE QUESTIONNAIRE INCLUDES THE FOLLOWING: 1. IDENTIFY YOUR SERVICE ON ANY BOARD OF DIRECTORS OR TRUSTEES OF ANY OF THE COMPANY'S WITH WHICH CHMC OR ANY OF ITS AFFILIATES DOES BUSINESS. 2. IDENTIFY WHETHER YOU ARE ASSOCIATED DIRECTLY OR INDIRECTLY OR HOLD A POSITION OR FINANCIAL INTEREST IN ANY OUTSIDE ORGANIZATION OR CONCERN WITH WHICH CRITTENTON DOES BUSINESS. 3. IDENTIFY WHETHER YOU DIRECT, MANAGE, OR PROVIDE SERVICES OR CONSULTATION TO ANY OUTSIDE ORGANIZATION OR CONCERN THAT DOES BUSINESS WITH OR COMPETES WITH CRITTENTON. 4. IDENTIFY ANY ACTIVITIES IN WHICH YOU ARE ENGAGED THAT MIGHT BE REGARDED AS CONSTITUTING A POTENTIAL CONFLICT OF INTEREST WITH CRITTENTON. 5. DISCLOSE ANY DIRECT OR INDIRECT COMPENSATION THAT YOU RECEIVE, OR ANTICIPATE RECEIVING, FROM ANY PERSON, FIRM, CORPORATION, OR MARKET IN ANY WAY RELATED TO YOUR POSITION WITH CRITTENTON. IF AT ANY TIME THERE IS A MATTER UNDER CONSIDERATION WHICH MAY CREATE A DIRECT OR INDIRECT CONFLICT OF INTEREST, IT IS THE INDIVIDUAL'S OBLIGATION TO DISCLOSE THE FACTS SURROUNDING THE POSSIBLE CONFLICT TO THE CORPORATE COMPLIANCE OFFICER OR DEPARTMENT OF HUMAN RESOURCES AND THAT THE INDIVIDUAL AGREES TO PROMPTLY REPORT ANY NEW SITUATIONS THAT REQUIRE DISCLOSURE UNDER THIS QUESTIONNAIRE. THERE IS A SIGNED WRITTEN AGREEMENT/DOCUMENTATION FOR ANY BOARD MEMBER OR OFFICER IF A CONFLICT OF INTEREST ARISES. CURRENTLY THERE HAVE NOT BEEN ANY RESTRICTIONS PLACED ON ANY BOARD MEMBER OR OFFICER AS AN ISSUE HAS NOT ARISEN TO WARRANT THIS.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION OF CRITTENTON CANCER CENTER'S MANAGEMENT IS PAID BY A RELATED ORGANIZATION, CRITTENTON HOSPITAL MEDICAL CENTER(CHMC). THE HUMAN RESOURCES DEPARTMENT OF CHMC CONDUCTS A BI-ANNUAL WAGE SURVEY OF SELECT POSITIONS TO DETERMINE MARKET COMPETITIVENESS. SURVEYS ARE CONDUCTED ON BEHALF OF CHMC BY A THIRD PARTY TO ASSURE COMPARABILITY OF POSITION SCOPE, SPAN OF CONTROL AND ACCOUNTABILITY WHEN OBTAINING SURVEY RESULTS FROM OTHER LOCAL AREA HEALTH CARE INSTITUTIONS. THE THIRD PARTY COMPILES SURVEY RESULTS AND SUBMITS THEM TO HUMAN RESOURCES FOR REVIEW, ANALYSIS AND RECOMMENDATIONS. HUMAN RESOURCES PREPARES SALARY RECOMMENDATIONS AND REVIEWS THEM WITH THE LEADERSHIP TEAM FOR IMPLEMENTATION SUBJECT TO FUNDING.
FORM 990, PART VI, SECTION C, LINE 19THIS INFORMATION IS SENT OUT UPON REQUEST EITHER IN HARD COPY OR ELECTRONIC FORM AS INDICATED IN EACH REQUEST.
FORM 990, PART IX, LINE 11GCOLLECTION FEES: PROGRAM SERVICE EXPENSES 1,709. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,709. CONTRACT SERVICES - HEALTH CARE PROF.: PROGRAM SERVICE EXPENSES 13,511. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,511. GROUNDS MAINTENANCE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 32,529. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,529. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 44,290. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,290.
FORM 990, PART XI, LINE 9:FAIR MARKET VALUE ADJUSTMENT ON FIXED ASSETS -1,129,210.
FORM 990, PART XII, LINE 2C:CRITTENTON HOSPITAL MEDICAL CENTER WAS PURCHASED BY ASCENSION HEALTH AS OF 10/1/15. THE COMMITTEE THAT USED TO BE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT NO LONGER EXISTS UNDER CRITTENTON. ASCENSION HEALTH NOW HANDLES THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITORS. AS PART OF ASCENSION, CRITTENTON DID NOT HAVE AN AUDIT AT 12/31/15, BUT RATHER HAD ONE COVERING 10/1/15-6/30/16.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CRITTENTON HOSPITAL MEDICAL CENTER
1101 W UNIVERSITY DRROCHESTERMI48307381359247GENERAL HOSPITALMI501(C)(3)LINE 3N/A0
CRITTENTON HOSPITAL MEDICAL CENTER FOUNDATION
1101 W UNIVERSITY DRROCHESTERMI48307382627336SUPPORTINGMI501(C)(3)LINE 11A, IYes (1)CRITTENTON HOSPITAL MEDICAL CENTER

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
CRITTENTON MEDICAL EQUIPMENT
161 S LIVERNOIS RDROCHESTER HILLSMI48307383433794MEDICAL EQUIPMENT SALESMIN/A
HBC INFUSIONS
1101 W UNIVERSITY DRROCHESTERMI48307753123093INFUSION SERVICESMIN/A
BALD MOUNTAIN SURGICAL CENTER
1375 S LAPEER RD STE 3109LAKE ORIONMI48360030444972SURGICAL SERVICESMIN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
CRITTENTON DEVELOPMENT CORPORATION
2251 N SQUIRREL RD STE 310AUBURN HILLSMI48326382594115REAL ESTATEMIN/AC0
CRITTENTON MEDICAL PHARMACY
1101 W UNIVERSITY DRROCHESTERMI48307203773341PHARMACY SALESMIN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CRITTENTON HOSPITAL MEDICAL CENTER
K$153,000ACTUAL COST INCURRED
CRITTENTON HOSPITAL MEDICAL CENTER
Q$61,023ACTUAL COST INCURRED
CRITTENTON HOSPITAL MEDICAL CENTER
E$933,533ACTUAL COST INCURRED

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