MCLAREN PORT HURON: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MCLAREN PORT HURON (EIN 38-1369611)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-06
- IRS object ID
- 201401269349301235
- Schema version
- 2012v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-06T14:55:22-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381357951 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 750 TRADE CENTRE WAY STE 300 | AddressLine1 |
| City | PORTAGE | City |
| State | MI | State |
| ZIP Code | 49002 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381369611 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PORT HURON HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PORT | NameControl |
| Phone | 8109875000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1221 PINE GROVE AVENUE | AddressLine1 |
| City | PORT HURON | City |
| State | MI | State |
| ZIP Code | 48060 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN LISTON | Name |
| Title | CFO | Title |
| Phone | 8109875000 | Phone |
| Date Signed | 2014-05-05 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CAROL LALONDE CPA | Name |
| PTIN | P00181637 | PTIN |
| Phone | 2695674500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | THOMAS DEFAUW | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1221 PINE GROVE AVENUE | AddressLine1 |
| City | PORT HURON | City |
| State | MI | State |
| ZIP Code | 48060 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 182866987 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PORTHURONHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1879 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | PROVISION OF ACUTE MEDICAL CARE. TO BE A LEADER IN HEALING, AND YOUR PARTNER IN HEALTH. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1639 | TotalNbrEmployees |
| Total Nbr Volunteers | 186 | TotalNbrVolunteers |
| Total Gross UBI | 1183806 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -414460 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 314723 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 948118 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 174641937 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 178174414 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1987172 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2505039 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1252371 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1239416 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 178196203 | TotalRevenuePriorYear |
| Total Revenue Current Year | 182866987 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 7319852 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 78945462 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 79752379 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 89127443 | OtherExpensePriorYear |
| Other Expenses Current Year | 90683218 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 168072905 | TotalExpensesPriorYear |
| Total Expenses Current Year | 177755449 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 10123298 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5111538 | RevenuesLessExpensesCY |
| Total Assets BOY | 153552195 | TotalAssetsBOY |
| Total Assets EOY | 152055193 | TotalAssetsEOY |
| Total Liabilities BOY | 96948501 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 78142448 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 56603694 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 73912745 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PROVISION OF ACUTE MEDICAL CARE | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 137149051 | Expense |
| Grants | 7319852 | Grants |
| Revenue | 177043307 | Revenue |
| Description | FOR THE YEAR ENDED JUNE 30, 2013, PORT HURON HOSPITAL PROVIDED HEALTH CARE SERVICES TO THE POOR AND TO THE BROADER COMMUNITY FOR WHICH THE COST OF PROVIDING SUCH SERVICES EXCEEDED THE RELATED REVENUE. CHARITY CARE IN THE AMOUNT OF $4,989,147 WAS PROVIDED DURING THE YEAR. PORT HURON HOSPITAL PROVIDED $309,179,968 IN THIRD PARTY DISCOUNTS. IN TOTAL, THIS REPRESENTS 63.27% PERCENT OF THE GROSS PATIENT REVENUE FOR THIS YEAR.PORT HURON HOSPITAL ALSO PROVIDED THE COMMUNITY WITH OPPORTUNITIES TO PARTICIPATE IN NUMEROUS EDUCATIONAL, WELLNESS, SCREENING, AND SUPPORTIVE PROGRAMS AT EITHER NO COST OR AT A NOMINAL CHARGE. THE HOSPITAL PROVIDED A TOTAL OF 328 PROGRAMS TO APPROXIMATELY 352,652 PEOPLE OF THE COMMUNITY. | Description |
| Total Program Service Expense | 137149051 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 91 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1639 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN LISTON CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8109893737 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1221 PINE GROVE AVENUE | AddressLine1 |
| City | PORT HURON | City |
| State | MI | State |
| ZIP Code | 48060 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| KAREN NIVER MD | |||||||||
| CHAIRMAN | 3.00 | 1.00 | X | X | 0 | 0 | 0 | ||
| MONA ARMSTRONG | |||||||||
| VICE CHAIRMAN | 3.00 | 1.00 | X | X | 0 | 0 | 0 | ||
| JOHN OGDEN | |||||||||
| TREASURER | 3.00 | 1.00 | X | X | 0 | 0 | 0 | ||
| KARL TOMION | |||||||||
| SECRETARY | 3.00 | 1.00 | X | X | 0 | 0 | 0 | ||
| THOMAS D DEFAUW | |||||||||
| PRESIDENT & CEO | 40.00 | 3.00 | X | X | 675721 | 0 | 92526 | ||
| JOHN LISTON | |||||||||
| ASST TREASURER | 40.00 | 4.00 | X | X | 314885 | 0 | 49333 | ||
| JANET TURNER LOMASNEY OD | |||||||||
| TRUSTEE | 3.00 | 1.00 | X | 0 | 0 | 0 | |||
| GLEN BETRUS MD | |||||||||
| TRUSTEE | 3.00 | 0.00 | X | 0 | 0 | 0 | |||
| JANICE ROSE | |||||||||
| TRUSTEE | 3.00 | 0.00 | X | 0 | 0 | 0 | |||
| F WILLIAM COOP MD | |||||||||
| TRUSTEE | 3.00 | 0.00 | X | 0 | 0 | 0 | |||
| FRANKLIN MORTIMER II | |||||||||
| TRUSTEE - PART YEAR | 3.00 | 1.00 | X | 0 | 0 | 0 | |||
| JOHN V BROOKS MD | |||||||||
| TRUSTEE, CHIEF OF STAFF | 3.00 | 0.00 | X | 0 | 0 | 0 | |||
| DAVID KEYES | |||||||||
| TRUSTEE | 3.00 | 0.00 | X | 0 | 0 | 0 | |||
| DAVID TRACY MD | |||||||||
| TRUSTEE | 3.00 | 0.00 | X | 0 | 0 | 0 | |||
| DAVID A THOMPSON | |||||||||
| TRUSTEE | 3.00 | 2.00 | X | 0 | 0 | 0 | |||
| BASSAM H NASR MD | |||||||||
| TRUSTEE | 3.00 | 0.00 | X | 0 | 0 | 0 | |||
| RICHARD LEVEILLE | |||||||||
| TRUSTEE | 3.00 | 1.00 | X | 0 | 0 | 0 | |||
| KATHLEEN METCALF | |||||||||
| DIRECTOR PEROPERATIVE SERV - PART YEAR | 40.00 | 0.00 | 265239 | 0 | 14440 | X | |||
| DR MICHAEL TAWNEY | |||||||||
| CHIEF MEDICAL DIRECTOR | 40.00 | 0.00 | 351802 | 0 | 55194 | X | |||
| DAVID MCEWEN | |||||||||
| VP OF OPERATIONS | 40.00 | 1.00 | 281392 | 0 | 51302 | X | |||
| JENNIFER MONTGOMERY | |||||||||
| VP OF NURSING | 40.00 | 0.00 | 289348 | 0 | 34555 | X | |||
| GARY LEROY | |||||||||
| VP OF ADMINISTRATION & PLA | 40.00 | 1.00 | 219486 | 0 | 43034 | X | |||
| DORIS SEIDL | |||||||||
| VP OF HUMAN RESOURCES | 40.00 | 0.00 | 198145 | 0 | 38257 | X | |||
| ROBERT L BAUER MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | 279829 | 0 | 24759 | X | |||
| THOMAS F BROZOVICH MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | 277330 | 0 | 19762 | X | |||
| TIMOTHY R VANHOWE | |||||||||
| CRNA | 40.00 | 0.00 | 243301 | 0 | 10933 | X | |||
| TROY C REED | |||||||||
| CRNA | 40.00 | 0.00 | 247449 | 0 | 11157 | X | |||
| JOSEPTH A GIZONI | |||||||||
| CRNA | 40.00 | 0.00 | 225101 | 0 | 24117 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3869028 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 469369 | TotalOtherCompensation |
| Number Individuals GT100 K | 59 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| AHSAAMERICAN HEALTHCARE STAFFING ASSOC | |||||
| PO BOX 945 | TRAVERSE CITY | MI | 49685 | CONTRACT LABOR | 753810 |
| MCLMICHIGAN CO-TENANCY LAB | |||||
| 300 WEST TEXTILE ROAD | ANN ARBOR | MI | 48108 | LAB TESTING | 705460 |
| HEALOGICS WOUND CARE & HYPERBARIC SERVIC | |||||
| 5220 BELFORT ROAD SUITE 130 | JACKSONVILLE | FL | 32256 | WOUND CARE TREATMENT | 439766 |
| PHYSICIAN HEALTHCARE NETWORK | |||||
| 3050 COMMERCE DRIVE | FORT GRATIOT | MI | 48059 | MEDICAL/LOANS | 348651 |
| BLUE WATER PATHOLOGY PC | |||||
| PO BOX 77556 | DETROIT | MI | 48277 | LAB SERVICES | 294600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 13 | NumberOfContractorsGT100K |
| Related Organizations | 948118 | RelatedOrganizations |
| Noncash Contributions | 1215 | NoncashContributions |
| Total Contributions | 948118 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT REVENUE | 621500 | 176600088 | 176600088 | |
| LABORATORY | 621500 | 1243735 | 112628 | 1131107 |
| OPERATING REVENUE | 621500 | 330591 | 330591 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 178174414 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1239233 | TotalRevenueColumn |
| Exclusion | $1,239,233 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1265806 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1265806 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1265806 | TotalRevenueColumn |
| Exclusion | $1,265,806 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| CAFETERIA | 722210 | 757781 | $757,781 | |
| MISCELLANEOUS | 900099 | 264199 | $264,199 | |
| LAUNDRY | 812300 | 217436 | $164,737 | 52699 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1239416 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 182866987 | TotalRevenueColumn |
| Related Or Exempt Function Income | 177043307 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1183806 | UnrelatedBusinessRevenue |
| Exclusion | $3,691,756 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7319852 | Total |
| Program Services | 7319852 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2978213 | Total |
| Management And General | 2978213 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63965140 | Total |
| Program Services | 58255873 | ProgramServices |
| Management And General | 5709267 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2337283 | Total |
| Program Services | 2041280 | ProgramServices |
| Management And General | 296003 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5606113 | Total |
| Program Services | 5105631 | ProgramServices |
| Management And General | 500482 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4865630 | Total |
| Program Services | 4249427 | ProgramServices |
| Management And General | 616203 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 232333 | Total |
| Management And General | 232333 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169718 | Total |
| Management And General | 169718 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19761 | Total |
| Management And General | 19761 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 485279 | Total |
| Management And General | 485279 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15100137 | Total |
| Program Services | 8108952 | ProgramServices |
| Management And General | 6991185 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 330019 | Total |
| Program Services | 1971 | ProgramServices |
| Management And General | 328048 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1292642 | Total |
| Program Services | 1292642 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6347335 | Total |
| Program Services | 55800 | ProgramServices |
| Management And General | 6291535 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135615 | Total |
| Program Services | 87545 | ProgramServices |
| Management And General | 48070 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55327 | Total |
| Program Services | 37968 | ProgramServices |
| Management And General | 17359 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 497496 | Total |
| Management And General | 497496 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8442579 | Total |
| Management And General | 8442579 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1468571 | Total |
| Management And General | 1468571 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLY & MINOR EQUIP | 33581907 | 33521849 | 60058 |
| PROVISION FOR BAD DEBTS | 11295882 | 11295882 | |
| QAAP TAX | 4342686 | 4342686 | |
| UTILITIES | 1763971 | 1763971 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5121960 | Total |
| Program Services | 4010408 | ProgramServices |
| Management And General | 1111552 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 177755449 | Total |
| Program Services | 137149051 | ProgramServices |
| Management And General | 40606398 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26039687 | BOY |
| EOY | 28900575 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26830946 | BOY |
| EOY | 35624403 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6717202 | BOY |
| EOY | 6234525 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12129091 | BOY |
| EOY | 4666657 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4622589 | BOY |
| EOY | 4917340 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1953321 | BOY |
| EOY | 1486658 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 160610924 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 114166908 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46310129 | BOY |
| EOY | 46444016 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14707687 | BOY |
| EOY | 12971774 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9064260 | BOY |
| EOY | 5839006 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5177283 | BOY |
| EOY | 4970239 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153552195 | BOY |
| EOY | 152055193 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67967588 | BOY |
| EOY | 51342179 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16806614 | BOY |
| EOY | 13138609 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 508118 | BOY |
| EOY | 366923 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11666181 | BOY |
| EOY | 13294737 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 96948501 | BOY |
| EOY | 78142448 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56603694 | BOY |
| EOY | 73912745 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56603694 | BOY |
| EOY | 73912745 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153552195 | BOY |
| EOY | 152055193 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 5111538 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 1171531 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 11025982 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $19,761 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 19761 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | A PORTION OF DUES PAID TO MHA AND AHA ARE ALLOCATED TO LOBBYING EXPENSES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2150711 | OtherCostOrOtherBasis |
| Book Value | 2150711 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 79323059 | OtherCostOrOtherBasis |
| Depreciation | 61958595 | Depreciation |
| Book Value | 17364464 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 658773 | OtherCostOrOtherBasis |
| Depreciation | 288649 | Depreciation |
| Book Value | 370124 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 71264423 | OtherCostOrOtherBasis |
| Depreciation | 47114262 | Depreciation |
| Book Value | 24150161 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7213958 | OtherCostOrOtherBasis |
| Depreciation | 4805402 | Depreciation |
| Book Value | 2408556 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 46444016 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CLAIM LIABILITY | $6,844,010 |
| COST REPORT SETTLEMENT PAYABLE | $6,450,727 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 13294737 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 183768618 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1171531 | NetUnrealizedGainsInvestments |
| Other Revenues | 11025982 | OtherRevenues |
| Revenue Not Rptd F990 | 12197513 | RevenueNotRptdF990 |
| Revenue Subtotal | 171571105 | RevenueSubtotal |
| Other Revenues Not Included | 11295882 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 11295882 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 182866987 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 166459567 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 166459567 | ExpensesSubtotal |
| Other Expenses Not Included | 11295882 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 11295882 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 177755449 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE INTERNAL REVENUE SERVICE HAS RULED THAT THE HOSPITAL AND ITS SUBSIDIARIES, ASIDE FROM WILLOW ENTERPRISES, INC., ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. WILLOW ENTERPRISES, INC. IS A TAXABLE CORPORATION. INCOME TAX PROVISIONS FOR THIS ENTITY ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL AND HAS CONCLUDED THAT AS OF JUNE 30, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURSIDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO JUNE 30, 2010. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN PENSION 11,025,982. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT NETTED WITH REVENUE 11,295,882. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT NETTED WITH REVENUE 11,295,882. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent350 | X | Pcent350 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 1221 | PersonsServed |
| Total Community Benefit Expense | 1560371 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1560371 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00940 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 1969 | PersonsServed |
| Total Community Benefit Expense | 25952794 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22799363 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3153431 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01890 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 3190 | PersonsServed |
| Total Community Benefit Expense | 27513165 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22799363 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4713802 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02830 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 282 | NumberOfActivitiesOrPrograms |
| Persons Served | 349355 | PersonsServed |
| Total Community Benefit Expense | 504948 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26041 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 478907 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00290 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 75745 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 75745 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 286 | NumberOfActivitiesOrPrograms |
| Persons Served | 349355 | PersonsServed |
| Total Community Benefit Expense | 580693 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26041 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 554652 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00340 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 289 | NumberOfActivitiesOrPrograms |
| Persons Served | 352545 | PersonsServed |
| Total Community Benefit Expense | 28093858 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22825404 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5268454 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03170 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 53857 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 53857 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 44 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 14511 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 14511 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 236 | NumberOfActivitiesOrPrograms |
| Persons Served | 107 | PersonsServed |
| Total Community Building Expense | 27204 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 27204 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 16 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 4562 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4562 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 16 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 1333 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1333 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 861 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 861 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 328 | NumberOfActivitiesOrPrograms |
| Persons Served | 107 | PersonsServed |
| Total Community Building Expense | 102328 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 102328 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $11,295,882 | BadDebtExpenseAmount |
| Amount Attributable To | 545139 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 55988044 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 59904908 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3916864 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PORT HURON HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1221 PINE GROVE AVENUE | AddressLine1 |
| City | PORT HURON | City |
| State | MI | State |
| ZIP Code | 48060 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PORT HURON HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 11 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 350.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Other Factors | X | OtherFactors |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 11295882. | ||
| PART II: FOR MANY YEARS, OUR COMMUNITY LEADERS - WHICH HAVE ALWAYS INCLUDED PORT HURON HOSPITAL LEADERS - HAVE BELIEVED THAT "COMMUNITY BUILDING" IS AN INTEGRAL PART OF CREATING A FOUNDATION FOR BETTER HEALTH. UNHEALTHY CHARACTERISTICS OF OUR SERVICE AREA, SUCH AS CHRONIC HIGH UNEMPLOYMENT, OBESITY RATES, BINGE DRINKING RATES, DEPRESSION, LOW HOME OWNERSHIP RATES, ETC. ARE REDUCED BY OVERALL IMPROVEMENT IN KEY INDICES OF "HEALTHY COMMUNITIES": EMPLOYMENT, MEDIAN HOUSEHOLD INCOME, EDUCATION LEVEL, FRESH FRUITS AND VEGETABLES, RECREATION OPPORTUNITY, CULTURAL DIVERSITY. OUR MANAGEMENT TEAM, COMPRISED OF SOME 60 PEOPLE (NOT COUNTING OVER 1400 ADDITIONAL NON-MANAGMENT EMPLOYEES), IS INVOLVED IN, AND OFTEN PROVIDES LEADERSHIP TO, OVER 50 COMMUNITY ORGANIZATIONS SUCH AS THE ROTARY CLUB, YMCA, CHAMBERS OF COMMERCE (VARIOUS COMMUNITIES), SCHOOL BOARDS, CHILD ABUSE AND NEGLECT COUNCIL, UNITED WAY, SALVATION ARMY, ST. CLAIR COUNTY, COMMUNITY FOUNDATION, FAITH-BASED ORGANIZATIONS, GIRLS SCOUTS, HUMAN SERVICES COORDINATING BODY, HOSPICE HOUSE, ECONOMIC DEVELOPMENT AUTHORITY, AND PORT HURON AREA MUSEUM. MANY OF THOSE ORGANIZATIONS WERE INVITED TO PARTICIPATE IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT. ALL MANAGERS ARE REQUESTED TO BECOME INVOLVED IN AT LEAST ONE COMMUNITY ORGANIZATION AS A WAY TO "GIVE BACK" TO OUR COMMUNITY, IMPACT COMMUNITY BUILDING, AND STAY "IN TOUCH" WITH THE COMMUNITIES WE SERVE. FURTHERMORE, PORT HURON HOSPITAL TAKES PRIDE IN HIGH LEVELS OF PARTICIPATION IN AREA FUNDRAISERS AND COMMUNITY BUILDING ACTIVITIES SUCH AS MARCH OF DIMES, JAIL AND BAIL, WALK AMERICA, AMERICAN HEART WALK, UNITED WAY, WALK FOR WARMTH, ANNUAL BACK-TO-SCHOOL BACKPACK GIVEAWAY, AND THE CHILD ABUSE & NEGLECT ROOFSIT. SOME OF THOSE EVENTS ARE OPPORTUNITIES FOR HEALTH EDUCATION, SCREENING AND PROMOTION OUTREACH PROVIDED BY OUR EMPLOYEES. | ||
| PART III, LINE 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS.THE COST TO CHARGE RATIO WAS USED IN DETERMINING THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS WHO POTENTIALLY WOULD HAVE QUALIFIED UNDER THE ORGANIZATION'S CHARITY CARE POLICY. | ||
| PART III, LINE 8: PORT HURON HOSPITAL APPLIES THE COST TO CHARGE RATIO METHODOLOGY AS REQUIRED. ALL OF THE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. | ||
| PART III, LINE 9B: IF A PATIENT PARTICIPATES IN THE CHARITY CARE PROCESS, THE ACCOUNT IS WRITTEN OFF THE CHARITY AS PER THE CHARITY CARE PROCESS. HOWEVER, IF THE PATIENT IS NON-PARTICIPATIVE IN THE CHARITY CARE PROCESS, THE NORMAL COLLECTION PROCESS WILL ENSUE. | ||
| PART V, SECTION B, LINE 3: USING INITAL (PRE-FINAL) RULE GUIDANCE, ENGAGED A CONSULTANT, UTILIZED THE COUNTY-WIDE HEALTH ASSESSMENT PROFILE 2010 (IN WHICH HOSPITAL HAD PARTNERED) FOR BEHAVIORAL RISK FACTOR SURVEY STATISTICAL FINDING AND COMPARISONS, REVIEWED LOCAL DEMOGRAPHICS AND VITAL HEALTH STATISTICS. DIALOGUED WITH THE COUNTY HEALTH DEPARTMENT ON APPROACH. CONDUCTED SEVERAL KEY IMFORMANT INTERVIEWS. CONDUCTED COMMUNITY STAKEHOLDERS ROUNDTABLE TO OBTAIN KEY INPUT REGARDING COMMUNITY HEALTH PRIORITIES. ASSESSED CURRENT COMMUNITY HEALTH OFFERINGS. AND DEVELOPED A COMMUNITY HEALTH NEEDS ASSESSMENT AND ACTION PLAN THAT WAS PRESENTED TO THE HOSPITAL BOARD OF TRUSTEES FOR APPROVAL. THE ACTION PLAN WAS FURTHER UPDATED IN MARCH, 2013 BY THE BOARD. | PORT HURON HOSPITAL | |
| PART V, SECTION B, LINE 7: THE HOSPITAL HAS SELECTED ONLY SOME OF THE NEEDS IDENTIFIED IN THE NEEDS ASSESSMENT TO ADDRESS IN THE PLAN, THOSE NEEDS THAT FITS ITS PURPOSE AND FOR WHICH THE HOSPITAL HAS A COMPARATIVE ADVANTAGE RELATIVE TO THE OTHER LOCAL AGENCIES OR RESOURCES. FURTHERMORE, THE CHNA PLAN IS INTENDED TO SPAN AS MUCH AS 3 YEARS AND AS SUCH NOT ALL OF THE NEEDS IDENTIFIED IN THE CHNA HAVE YET BEEN ADDRESSED. | PORT HURON HOSPITAL | |
| PART V, SECTION B, LINE 12H: PROPENSITY TO PAY | PORT HURON HOSPITAL | |
| PART V, SECTION B, LINE 14G: PAMPHLETS ARE DISPLAYED AND AVAILABLE IN EMERGENCY ROOM | PORT HURON HOSPITAL | |
| PART V, SECTION B, LINE 20D: UPON REQUEST WE OFFER 20% PROMPT PAY DISCOUNT FOR NON CO-PAY AND DEDUCTIBLE PORTIONS AND 20% UNINSURED DISCOUNT. IF THE PERSON IS STILL UNABLE TO PAY, WE REVIEW FOR CHARITY CARE OR CATASTROPHIC CARE. | PORT HURON HOSPITAL | |
| PART VI, LINE 2: THE HOSPITAL ASSESSES HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY VARIOUS ONGOING AND AD HOC PROCESSES:-PARTICIPATION IN PERIODIC (ST. CLAIR) COUNTYWIDE NEEDS ASSESSMENT COORDINATED BY ST. CLAIR COUNTY HEALTH DEPARTMENT.-ANNUAL GAP ANALYSIS OF OUTMIGRATION FOR HEALTH CARE SERVICES THROUGH THE MICHIGAN INPATIENT DATA BASE.-PERIODIC CONSUMER PERCEPTION AND PREFERENCES SURVEYS CONDUCTED BY INDEPENDENT PROFESSIONAL SURVEY FIRMS, E.G. EPIC - MRA, LANSING, MI.-ANNUAL STRATEGIC PLANNING PROCESS INCLUDING STRATEGIC PLANNING EVENTS INVOLVING TRUSTEES, PHYSICIANS, AND MANAGEMENT TO REVIEW ENVIRONMENTAL ASSESSMENTS AND KEY STAKEHOLDER FEEDBACK TOWARD DEVELOPING HOSPITAL INITIATIVES FOR THE NEXT OPERATING CYCLE.-HOSPITAL-SPONSORED ADVISORY AND MEMBERSHIP GROUPS SUCH AS "55 PLUS" AND "WOMEN'S WELLNESS ADVISORY TEAM" WHICH PROVIDE INPUT AS TO HOSPITAL DIRECTION ON BETTER ADDRESSING COMMUNITY HEALTH NEEDS.-COMMITMENT TO ONGOING CONTINUOUS IMPROVEMENT. FOR OVER 20 YEARS, THE HOSPITAL HAS BEEN COMMITTED TO THE PRINCIPLE OF CONTINUOUS IMPROVEMENT. APPLIED TO ONGOING MANAGEMENT PLANNING, NUMEROUS OPPORTUNITIES TO BETTER SERVE OUR COMMUNITIES HAVE BEEN IDENTIFIED AND PURSUED. SEVERAL OF THOSE PURSUITS CONTINUE TODAY AND ARE ENUMERATED ON THE IRS 990 SCHEDULE H WORKSHEET INCLUDED HERE: THE LANG (HEALTH) LIBRARY INCORPORATED INTO THE HOSPITAL ENTRANCE ATRIUM PROVIDED SPECIAL HEALTH INFORMATION RESOURCES TO SCHOOLS, EDUCATORS, AND HEALTH CARE PROFESSIONALS; TODAY'S HEALTH WEEKLY HEALTH INFORMATION TELEVISION SHOW OVER THE LOCAL CABLE CHANNEL; AND HEALTH ACCESS, OUR HEALTH INFORMATION AND REFERRAL SERVICE OPERATING 80 HOURS PER WEEK, STAFFED BY RNS AND FIELDING 23,000 CALLS PER YEAR.-PARTICIPATION IN AD HOC COMMUNITY INITIATIVES FOR THE PURPOSE OF ADDRESSING SPECIFIC COMMUNITY HEALTH GAPS SUCH AS (1) RECENT UNITED WAY - ST. CLAIR COUNTY HEALTH DEPARTMENT INITIATIVE ON ESTABLISHING AN ADULT INDIGENT DENTAL CLINIC, AND (2) HELMET SAFETY INITIATIVE DEVELOPED THOUGH PHH FOUNDATION'S COMMUNITY BENEFIT COMMITTEE THAT INCLUDED SCHOOL DISTRICT AND POLICE REPRESENTATIVES. | ||
| PART VI, LINE 3: THE HOSPITAL HAS BROCHURES AVAILABLE FOR PATIENTS REGARDING THEIR OPTIONS. THE HOSPITAL ALSO COMMUNICATES THAT A PATIENT MAY CALL IF THEY NEED FINANCIAL ASSISTANCE VIA PHONE CALLS AND BILLING STATEMENTS. THE HOSPITAL HAS A REPRESENTATIVE THAT IS WILLING TO WORK WITH THE PATIENTS TO HELP THEM TRY TO GET INSURANCE OR OTHER FORMS OF ASSISTANCE. | ||
| PART VI, LINE 4: PORT HURON HOSPITAL AND ITS AFFILIATES SERVE A THREE-SIDED MARKET "HALF MOON", LIMITED TO THE EAST BY LAKE HURON AND THE ONATRIO, CA BORDER. THAT MARKET IS DESCRIBED GENERALLY AS ST. CLAIR COUNTY, SANILAC COUNTY, PLUS LESSER PARTS OF FOUR CONTINUOUS COUNTIES: HURON, LAPEER, TUSCOLA, AND MACOMB. THIS AREA IS LARGELY RURAL WITH THE LARGEST CITY, PORT HURON, CLAIMING A POPULATION OF AROUND 36,000. IT CAN BE DESCRIBED AS A BLUE COLLAR COMMUNITY. SOME 25-30% OF WORKERS WHO RESIDE IN ST. CLAIR COUNTY COMMUTE OUT OF COUNTY TO JOBS. IN TOTAL, THE MARKET INCLUDES APPROXIMATELY 220,000 RESIDENTS, OF WHOM THREE QUARTERS RESIDE IN ST. CLAIR COUNTY.OUR MARKET FOLLOWS THE STATE AVERAGES DEMOGRAPHICALLY WITH SOME EXCEPTIONS: A LOWER PERCENTAGE OF AFRICAN-AMERICANS, A HIGHER PERCENTAGE OF NATIVE-AMERICANS, A LOWER AVERAGE HOUSEHOLD INCOME, A HIGHER PERCENTAGE OF OVER AGE 65 POPULATION. | ||
| PART VI, LINE 5: N/A | ||
| MI | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARKVIEW PROPERTY MANAGEMENT CORPORATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5011 | AddressLine1 |
| City | PORT HURON | City |
| State | MI | State |
| ZIP Code | 48060 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 382467310 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 7319852 | AmountOfCashGrant |
| Purpose Of Grant | FORGIVENESS OF DEBT | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS D DEFAUW | ||||||||||||||
| PRESIDENT & CEO | 490676 | 0 | 126906 | 0 | 58139 | 0 | 71567 | 0 | 20959 | 0 | 768247 | 0 | 0 | 0 |
| JOHN LISTON | ||||||||||||||
| ASST TREASURER | 262230 | 0 | 47171 | 0 | 5484 | 0 | 32945 | 0 | 16388 | 0 | 364218 | 0 | 0 | 0 |
| KATHLEEN METCALF | ||||||||||||||
| DIRECTOR PEROPERATIVE SERV - PART YE | 256466 | 0 | 8773 | 0 | 0 | 0 | 13500 | 0 | 940 | 0 | 279679 | 0 | 0 | 0 |
| DR MICHAEL TAWNEY | ||||||||||||||
| CHIEF MEDICAL DIRECTOR | 291482 | 0 | 51525 | 0 | 8795 | 0 | 27789 | 0 | 27405 | 0 | 406996 | 0 | 0 | 0 |
| DAVID MCEWEN | ||||||||||||||
| VP OF OPERATIONS | 237181 | 0 | 38664 | 0 | 5547 | 0 | 29288 | 0 | 22014 | 0 | 332694 | 0 | 0 | 0 |
| JENNIFER MONTGOMERY | ||||||||||||||
| VP OF NURSING | 241086 | 0 | 43200 | 0 | 5062 | 0 | 30541 | 0 | 4014 | 0 | 323903 | 0 | 0 | 0 |
| GARY LEROY | ||||||||||||||
| VP OF ADMINISTRATION & PLA | 156034 | 0 | 26455 | 0 | 36997 | 0 | 29958 | 0 | 13076 | 0 | 262520 | 0 | 0 | 0 |
| DORIS SEIDL | ||||||||||||||
| VP OF HUMAN RESOURCES | 162580 | 0 | 27900 | 0 | 7665 | 0 | 27881 | 0 | 10376 | 0 | 236402 | 0 | 0 | 0 |
| ROBERT L BAUER MD | ||||||||||||||
| PHYSICIAN | 279829 | 0 | 0 | 0 | 0 | 0 | 13500 | 0 | 11259 | 0 | 304588 | 0 | 0 | 0 |
| THOMAS F BROZOVICH MD | ||||||||||||||
| PHYSICIAN | 277330 | 0 | 0 | 0 | 0 | 0 | 19762 | 0 | 0 | 0 | 297092 | 0 | 0 | 0 |
| TIMOTHY R VANHOWE | ||||||||||||||
| CRNA | 243301 | 0 | 0 | 0 | 0 | 0 | 10933 | 0 | 0 | 0 | 254234 | 0 | 0 | 0 |
| TROY C REED | ||||||||||||||
| CRNA | 247449 | 0 | 0 | 0 | 0 | 0 | 11157 | 0 | 0 | 0 | 258606 | 0 | 0 | 0 |
| JOSEPTH A GIZONI | ||||||||||||||
| CRNA | 225101 | 0 | 0 | 0 | 0 | 0 | 11855 | 0 | 12262 | 0 | 249218 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | HEALTH CLUB BENEFITS WERE PROVIDED TO THE CHIEF EXECUTIVE OFFICER AND TREATED AS TAXABLE COMPENSATION. TRAVEL FOR COMPANIONS WAS PROVIDED TO THE CHIEF EXECUTIVE OFFICER AND TREATED AS TAXABLE INCOME. |
| PART I, LINE 4B | THE FOLLOWING INDIVIDUALS MADE CONTRIBUTIONS A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: DAVID MCEWEN $15,788 DR. MICHAEL TAWNEY $21,039 THOMAS DEFAUW $58,067 JOHN LISTON $19,445 JENNIFER MONTGOMERY $17,808 DORIS SEIDL $11,827 |
| PART I, LINE 6 | PORT HURON HOSPITAL OFFERS AN ANNUAL INCENTIVE PROGRAM TO THE EXECUTIVE TEAM (PRESIDENT/CEO AND VICE-PRESIDENTS). THE EXECUTIVE COMPENSATION COMMITTEE OVERSEES THE ESTABLISHMENT, IMPLEMENTATION, AND APPROVAL OF THE INCENTIVE PROGRAMS. THE ANNUAL INCENTIVE PROGRAM PLAN CONTAINS 2 SETS OF MEASURES: CIRCUIT BREAKER AND ORGANIZATION INCENTIVE PROGRAM MEASURERS, STANDARDS, AND WEIGHTS. CIRCUIT BREAKER MEASURERS INCLUDE BOTH PATIENT SATISFACTION AND OPERATING INCOME PLUS A RESERVE FOR INCENTIVE COMPENSATION. THE SECOND SET OF MEASURES INCLUDES UP TO 5 MEASURES IMPORTANT TO THE ORGANIZATION. THE INCENTIVE PAYOUT IS CALCULATED AS A PERCENTAGE OF BASE SALARY, FROM A RANGE OF PERCENTAGES. THE PRESIDENT/CEO INCENTIVE RANGES FROM 18.5% TO 37% AND THE VICE PRESIDENTS RANGE FROM 12% TO 24%. FAILURE TO PERFORM AT BELOW THRESHOLD LEVELS FOR THE CIRCUIT BREAKER MEASURES RESULTS IN A CURTAILED OR ELIMINATED INCENTIVE PAYMENT. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| MICHIGAN STATE HOSPITAL FINANCE AUTHORITY | ||||||||
| A | 382889417 | 59465HKZ8 | 2009-05-12 | 14645000 | FACILITY IMPROVEMENTS, EQUIPMENT ACQUISITIONS, CURRENT REFUNDINGS | 0 | 0 | 0 |
| MICHIGAN FINANCE AUTHORITY | ||||||||
| B | 800596186 | 59447PDV0 | 2011-03-24 | 23815000 | FACILITY IMPROVEMENTS, EQUIPMENT ACQUISITIONS, CURRENT REFUNDINGS | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capitalized InterestCapitalizedInterest | Amount UnspentAmountUnspent |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 12326228 | 14646627 | 192540 | 6393895 | 8060193 | 2012 | 1 | 0 | 1 | 1 | ||
| B | 5146110 | 23817405 | 195084 | 6296919 | 12522332 | 2014 | 1 | 0 | 0 | 1 | 292633 | 4510437 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| B | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHYSICIAN HEALTHCARE INVESTORS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | BASSAM H. NASR, MD, BOARD MEMBER OF PHH AND PART OWNER | Relationship |
| Amount Of Transaction | 80495 | AmountOfTransaction |
| Description Of Transaction | RENTAL/LEASE SLEEP CENTER | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THIS CORPORATION IS BLUE WATER HEALTH SERVICES CORPORATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO APPOINT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 WAS PROVIDED TO THE BOARD FOR REVIEW PRIOR TO FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL TRUSTEES AND DIRECTORS ANNUALLY COMPLETE THE CONFLICT OF INTEREST POLICY. THE GOVERNANCE REVIEWS THE CONLFICT OF INTEREST POLICY ANNUALLY AND DISCLOSES ANY POTENTIAL CONFLICTS AT THAT TIME. ANY PERCEIVED OR POTENTIAL CONFLICTS ARE SHARED WITH THE BOARD CHAIR AND VICE-CHAIR FOR ANY DISCUSSION OR ACTION IF A CONFLICT SHOULD ARISE. | |
| FORM 990, PART VI, SECTION B, LINE 15A | THE EXECUTIVE COMPENSATION COMMITTEE IS A SUBCOMMITTEE OF THE BOARD OF DIRECTORS RESPONSIBLE FOR ANNUALLY EVALUATING THE PERFORMANCE AND COMPENSATION OF THE CHIEF EXECUTIVE OF THE CORPORATION. THEY ARE RESPONSIBLE FOR ENSURING PORT HURON HOSPITAL CAN ATTRACT, RETAIN AND MOTIVATE TALENTED EXECUTIVES WHO ARE ENTRUSTED TO ACHIEVE PERFORMANCE OBJECTIVES AND TO FULFILL THE HOSPITAL'S MISSION. THE COMMITTEE UTILIZES THE SERVICES OF AN INDEPENDENT CONSULTANT TO ANALYZE TOTAL REMUNERATION AND COMPARATIVE STUDIES TO ENSURE TOTAL COMPENSATION IS REASONABLE AND COMPETITIVE. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2013. | |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST. | |
| FORM 990, PART XI, LINE 9: | CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY 11,025,982. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C: | THERE HAVE BEEN NO CHANGES FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BLUE WATER HEALTH SERVICES CORPORATION | |||||||||||
| 1221 PINE GROVE AVENUE | PORT HURON | MI | 48060 | 382453295 | MANAGEMENT CORP | MI | 501(C)(3) | LINE 9 | N/A | 0 | |
| PORT HURON HOSPITAL FOUNDATION | |||||||||||
| PO BOX 5011 | PORT HURON | MI | 48061 | 382777750 | SUPPORTING ORG | MI | 501(C)(3) | LINE 11A, I | 1 | PORT HURON HOSPITAL | |
| MARWOOD MANOR NURSING HOME | |||||||||||
| PO BOX 5011 | PORT HURON | MI | 48061 | 382683251 | NURSING HOME | MI | 501(C)(3) | LINE 9 | 1 | BLUE WATER HEALTH SERVICES | |
| PARKVIEW PROPERTY MANAGEMENT CORP | |||||||||||
| PO BOX 5011 | PORT HURON | MI | 48061 | 382467310 | MANAGEMENT CORP | MI | 501(C)(3) | LINE 11A, I | 1 | PORT HURON HOSPITAL | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLOW ENTERPRISES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5011 | AddressLine1 |
| City | PORT HURON | City |
| State | MI | State |
| ZIP Code | 48061 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382491659 | EIN |
| Primary Activity | RENT/SALE OF MEDICAL EQUIPMENT | PrimaryActivity |
| Legal Domicile State | MI | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PORT HURON HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 361733 | ShareOfTotalIncome |
| Share Of EOY Assets | 2638627 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| PARKVIEW PROPERTY MANAGEMENT CORP | ||
| J | 520612 | ALLOCATION OF COST |
| PORT HURON HOSPITAL FOUNDATION | ||
| C | 948118 | CASH |
| PARKVIEW PROPERTY MANAGEMENT CORP | ||
| B | 7319852 | CASH |
| PORT HURON HOSPITAL FOUNDATION | ||
| L | 99455 | ALLOCATION OF COST |
| PARKVIEW PROPERTY MANAGEMENT CORP | ||
| L | 31275 | ALLOCATION OF COST |
| MARWOOD MANOR NURSING HOME | ||
| L | 114473 | ALLOCATION OF COST |
| WILLOW ENTERPRISES | ||
| L | 71176 | ALLOCATION OF COST |
| WILLOW ENTERPRISES | ||
| K | 62148 | ALLOCATION OF COST |
| WILLOW ENTERPRISES | ||
| O | 2578743 | ALLOCATION OF COST |
| PARKVIEW PROPERTY MANAGEMENT CORP | ||
| O | 159710 | ALLOCATION OF COST |
| WILLOW ENTERPRISES | ||
| P | 72157 | ALLOCATION OF COST |
| WILLOW ENTERPRISES | ||
| Q | 27842 | ALLOCATION OF COST |
| PORT HURON HOSPITAL FOUNDATION | ||
| O | 327595 | ALLOCATION OF COST |
| MARWOOD MANOR NURSING HOME | ||
| Q | 323337 | ALLOCATION OF COST |
| PARKVIEW PROPERTY MANAGEMENT CORP | ||
| A | 115966 | ALLOCATION OF COST |
| WILLOW ENTERPRISES | ||
| J | 37475 | ALLOCATION OF COST |
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