2014-11-14T10:10:25-06:00 2013-12-31 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2013-01-01 383239057 CRITTENTON CANCER CENTER CRIT 2486525000 1101 WEST UNIVERSITY DRIVE ROCHESTER MI 48307 ROY POWELL CEO 2486525000 2014-11-13 1 CAROL LALONDECPA P00181637 2695674500 2013 2015-11-30 17:44:51Z ROY POWELL 1101 WEST UNIVERSITY DRIVE ROCHESTER MI 48307 1404069 0 X WWW.CRITTENTON.COM X 1996 MI CRITTENTON CANCER CENTER PROVIDES ADVANCED CANCER DIAGNOSTIC, TREATMENT PLANNING AND SERVICES TO PATIENTS IN MICHIGAN'S OAKLAND COUNTY AREA. IT ALSO PROVIDES CATSCAN, LABORATORY AND CLINIC SERVICES FOR ON-SITE PATIENT CONVENIENCE. 3 0 0 0 0 0 0 0 3964250 1404069 0 0 0 0 3964250 1404069 0 0 0 0 274787 272721 0 0 0 4875881 3185824 5150668 3458545 -1186418 -2054476 20612184 19517876 16580628 17540796 4031556 1977080 NONE 0 0 2775800 1327166 CRITTENTON CANCER CENTER PROVIDES ADVANCED RADIATION ONCOLOGY SERVICES TO MICHIGAN'S OAKLAND COUNTY AREA. CRITTENTON CANCER CENTER ALSO ENGAGES IN SCIENTIFIC RESEARCH, EDUCATION AND VARIOUS OTHER CHARITABLE ACTIVITIES WHICH ARE RELATED TO, AND DESIGNED TO PROMOTE AND IMPROVE THE GENERAL HEALTH AND WELFARE OF THE POPULATION. THE TOTAL LINEAR PROCEDURES FOR CRITTENTON CANCER CENTER'S RADIATION ONCOLOGY PROGRAM FOR THE YEAR WAS 5,271 AND THE TOTAL SEED PROCEDURES DONE BY CRITTENTON CANCER CENTER WAS 40. 274139 76903 CRITTENTON CANCER CENTER CONTINUES TO PROVIDE LEASED SPACE TO PARTNER ORGANIZATIONS FOR THE CONVENIENCE OF PROVIDING LABORATORY SERVICES TO CANCER PATIENTS OF THE ORGANIZATION. 3049939 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 6 0 1 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 0 1 0 0 0 MI X KIM HAUSCHILD 2486525780 1101 WEST UNIVERSITY DRIVE ROCHESTER MI 48307 DONNA KOPINSKI TREASURER 4.00 36.00 X X 0 214718 41455 ROY POWELL PRESIDENT 4.00 36.00 X X 0 201121 22921 MICHAEL CLARK SECRETARY 4.00 36.00 X X 0 149545 43461 FRANK SOTTILE MD PRESIDENT - THROUGH NOVEMBER 2013 4.00 36.00 X X 0 412043 42945 LYNN ORFGEN FORMER CHAIRMAN AND PRESIDENT 1.00 39.00 X 0 637670 24181 0 1615097 174963 0 1 1 0 MICHIGAN RADIATION ASSOCIATES PLLC 261 E MAPLE RD BIRMINGHAM MI 48009 PHYSICIAN SERVICES 296907 VARIAN MEDICAL SYSTEMS 70140 NETWORK PLACE CHICAGO IL 60673 MAINT EQPT CONTRACT 221727 2 TREATMENT REVENUE 621400 1327166 1327166 AFFILIATE REVENUE 621400 76903 76903 1404069 1404069 1404069 0 0 X 247928 222563 25365 24793 22256 2537 157709 157709 3996 3996 1176671 1117861 58810 47650 453 47197 45661 45661 274139 274139 1347120 1297905 49215 13244 13244 MEDICAL SUPPLIES 50377 50377 BAD DEBT 48294 48294 REPAIRS AND MAINTENANCE 17018 17018 DUES AND MEMBERSHIPS 1600 1600 2345 1247 1098 3458545 3049939 408606 0 198577 407965 501427 518109 223040 249782 20682598 2340578 19689140 18342020 20612184 19517876 270961 347724 16309667 17193072 16580628 17540796 X 4031556 1977080 4031556 1977080 20612184 19517876 -2054476 0 X X 0 1 X 1 0 X 72 25000 25072 4854806 3682043 5686171 3964250 1404069 19591339 4854878 3707043 5686171 3964250 1404069 19616411 0 0 0 19616411 5015 502 11 5528 5015 502 11 5528 130 75 205 4860023 3707620 5686182 3964250 1404069 19622144 0.99970 0.99530 0.00030 0.00460 X 16800000 1108211 15691789 3699572 1211736 2487836 183026 20631 162395 18342020 DUE TO CRITTENTON HOSPITAL MEDICAL CENTER 17193072 17193072 X PART X, LINE 2: CHMC, THE FOUNDATION, AND CCC ARE NONPROFIT, TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, THE HOSPITAL IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE OR LOCAL, OR NON-U.S. INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2010. 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 DECEMBER 31, 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. CDC IS A TAXABLE CORPORATION. INCOME TAXES ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. 1 0 0 0 0 0 0 0 0 DONNA KOPINSKI TREASURER 0 194368 0 20000 0 350 0 23000 0 18455 0 256173 0 0 ROY POWELL PRESIDENT 0 194407 0 6000 0 714 0 15000 0 7921 0 224042 0 0 MICHAEL CLARK SECRETARY 0 147685 0 0 0 1860 0 22516 0 20945 0 193006 0 0 FRANK SOTTILE MD PRESIDENT - THROUGH NOVEMBER 2013 0 382043 0 26316 0 3684 0 22000 0 20945 0 454988 0 0 LYNN ORFGEN FORMER CHAIRMAN AND PRESIDENT 0 517173 0 115000 0 5497 0 15600 0 8581 0 661851 0 0 PART I, LINE 3 COMPENSATION 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 4A LYNN ORFGEN RECEIVED A SEVERANCE PAYMENT OF $519,314 IN 2013. THERE IS A SEVERANCE AGREEMENT SIGNED BY BOTH THE EMPLOYER AND EMPLOYEE DETAILING THE TERMS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF OF THE ORGANIZATION IS CRITTENTON HOSPITAL MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A APPROVAL BY THE MEMBER OF THE CORPORATION SHALL BE REQUIRED FOR GOVERNANCE DECISIONS AND HAS THE POWER TO ELECT AND APPROVE BOARD MEMBERS UNDER THE ARTICLES OF INCORPORATION. FORM 990, PART VI, SECTION A, LINE 8B CRITTENTON CANCER CENTER DOES NOT HAVE ANY COMMITTEES SET UP THEREFORE THIS QUESTION IS NOT APPLICABLE. FORM 990, PART VI, SECTION B, LINE 11 THE 990 RETURN WAS GIVEN TO EACH OF THE BOARD MEMBERS FOR REVIEW WITH TIME TO BE ABLE TO ASK QUESTIONS AND/OR MAKE COMMENTS REGARDING ANY ITEM ON THE RETURN PRIOR TO IT BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE 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 15 COMPENSATION 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 19 THIS INFORMATION IS SENT OUT UPON REQUEST EITHER IN HARD COPY OR ELECTRONIC FORM AS INDICATED IN EACH REQUEST. FORM 990, PART IX, LINE 11G CONTRACT SERVICES - PHYSICIANS: PROGRAM SERVICE EXPENSES 393,048. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 393,048. CONTRACT SERVICES - HEALTH CARE PROF.: PROGRAM SERVICE EXPENSES 120,681. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 120,681. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 503,765. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 503,765. GROUNDS MAINTENANCE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 33,683. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,683. HOUSEKEEPING AND LAUNDRY: PROGRAM SERVICE EXPENSES 61,425. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,425. COLLECTION FEES: PROGRAM SERVICE EXPENSES 38,942. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,942. CONTRACT SERVICES - CLERICAL: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 25,127. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,127. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS. CRITTENTON HOSPITAL MEDICAL CENTER 1101 W UNIVERSITY DR ROCHESTER MI 48307 381359247 GENERAL HOSPITAL MI 501(C)(3) LINE 3 N/A 0 CRITTENTON HOSPITAL MEDICAL CENTER FOUNDATION 1101 W UNIVERSITY DR ROCHESTER MI 48307 382627336 SUPPORTING MI 501(C)(3) LINE 11A, I CRITTENTON HOSPITAL MEDICAL CENTER 1 CRITTENTON MEDICAL EQUIPMENT 161 S LIVERNOIS RD ROCHESTER HILLS MI 48307 383433794 MEDICAL EQUIPMENT SALES MI N/A HBC INFUSIONS 1101 W UNIVERSITY DR ROCHESTER MI 48307 753123093 INFUSION SERVICES MI N/A BALD MOUNTAIN SURGICAL CENTER 1375 S LAPEER RD STE 3109 LAKE ORION MI 48360 030444972 SURGICAL SERVICES MI N/A CRITTENTON DEVELOPMENT CORPORATION 2251 N SQUIRREL RD STE 310 AUBURN HILLS MI 48326 382594115 REAL ESTATE MI N/A C 0 CRITTENTON MEDICAL PHARMACY 1101 W UNIVERSITY DR ROCHESTER MI 48307 203773341 PHARMACY SALES MI N/A C 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 1 0 1 0 0 CRITTENTON HOSPITAL MEDICAL CENTER K 153000 ACTUAL COST INCURRED CRITTENTON HOSPITAL MEDICAL CENTER O 272721 ACTUAL COST INCURRED CRITTENTON HOSPITAL MEDICAL CENTER Q 45147 ACTUAL COST INCURRED CRITTENTON HOSPITAL MEDICAL CENTER E 17193072 ACTUAL COST INCURRED