MCLAREN CARO REGION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MCLAREN CARO REGION (EIN 38-3426063)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-06
IRS object ID: 201303109349301190
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 D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-06T13:46:33-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	383426063	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CARO COMMUNITY HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CARO	NameControl

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	401 N HOOPER ST PO BOX 435	AddressLine1
City	CARO	City
State	MI	State
ZIP Code	48723	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MARC AUGSBURGER	Name
Title	NEW PRESIDENT A	Title
Phone	9896733141	Phone
Date Signed	2013-11-04	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	WILLIAM P MILLER	NameOfPrincipalOfficerPerson
Gross Receipts	11802021	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CCH-MI.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1999	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	CARO COMMUNITY HOSPITAL, A COMMUNITY-MINDED HEALTHCARE SYSTEM, IS DEDICATED TO PROVIDING COMPASSIONATE CARE AND SERVICES TO ENHANCE THE HEALTH OF ALL THE PATIENTS WE SERVE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	167	TotalNbrEmployees
Total Nbr Volunteers	50	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	11012	ContributionsGrantsPriorYear
Contributions Grants Current Year	116290	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	12380423	ProgramServiceRevenuePriorYear
Program Service Revenue CY	11472060	ProgramServiceRevenueCY
Investment Income Prior Year	94093	InvestmentIncomePriorYear
Investment Income Current Year	37037	InvestmentIncomeCurrentYear
Other Revenue Prior Year	108984	OtherRevenuePriorYear
Other Revenue Current Year	137994	OtherRevenueCurrentYear
Total Revenue Prior Year	12594512	TotalRevenuePriorYear
Total Revenue Current Year	11763381	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	7548067	SalariesEtcPriorYear
Salaries Etc Current Year	6690544	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	5511652	OtherExpensePriorYear
Other Expenses Current Year	4731023	OtherExpensesCurrentYear
Total Expenses Prior Year	13059719	TotalExpensesPriorYear
Total Expenses Current Year	11421567	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-465207	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	341814	RevenuesLessExpensesCY
Total Assets BOY	6733270	TotalAssetsBOY
Total Assets EOY	7327985	TotalAssetsEOY
Total Liabilities BOY	3830419	TotalLiabilitiesBOY
Total Liabilities EOY	4033856	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2902851	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	3294129	NetAssetsOrFundBalancesEOY
Mission Description	CARO COMMUNITY HOSPITAL, A COMMUNITY-MINDED HEALTHCARE SYSTEM, IS DEDICATED TO PROVIDING COMPASSIONATE CARE AND SERVICES TO ENHANCE THE HEALTH OF ALL THE PATIENTS WE SERVE.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	8518506	Expense
Description	PROVISION OF NEEDED MEDICAL SERVICES TO THE COMMUNITY.	Description
Total Program Service Expense	8518506	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	true	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	32	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	167	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	6	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MI	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	RONALD D SREBINSKI CFO	NamePerson
Telephone Number	9896733141	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	401 N HOOPER ST PO BOX 435	AddressLine1
City	Caro	City
State	MI	State
ZIP Code	487230435	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
DALE PERZ
VICE CHAIRMAN	16.00	X	X	45225	0	0
DAN BRISTOL
CHAIRMAN	2.00	X	X	0	0	0
DR AFONSO FERREIRA
TRUSTEE	2.00	X		0	0	0
LYNN LAETHEM
SECRETARYTREASURER	2.00	X	X	0	0	0
RAYMOND BATES
TRUSTEE	2.00	X		0	0	0
RICK FULTON
TRUSTEE	2.00	X		0	0	0
RUBY REID
TRUSTEE	2.00	X		0	3080	0
WILLIAM P MILLER
PRESIDENT AND CEO	40.00	X	X	150536	0	30681	X	X
DR JULIE SAWADE
EMPLOYED PHYSICIAN	40.00			149518	0	14431		X
RONALD D SREBINSKI
CFO	40.00			102394	0	11323		X
SUE MORRIS
RISKCOMPLIANCE	40.00			110645	0	14963		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	558318	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3080	TotalReportableCompFrmRltdOrgs
Total Other Compensation	71398	TotalOtherCompensation
Number Individuals GT100 K	4	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Field	Value	IRS element (for citing)
Name Person	HOSPITAL MD	NamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	200 W PARK DRIVE STE 325	AddressLine1
City	PEACHTREE CITY	City
State	GA	State
ZIP Code	30269	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	E R PHYSICIANS	DescriptionOfServices
Compensation	760000	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
All Other Contributions	116290	AllOtherContributions
Total Contributions	116290	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE REV	Description
Business Code	900099	BusinessCode
Total Revenue Column	11472060	TotalRevenueColumn
Related Or Exempt Function Income	11472060	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	11472060	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	37037	TotalRevenueColumn
Related Or Exempt Function Income	37037	RelatedOrExemptFunctionIncome

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	34085	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	38592	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-4507	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-4507	TotalRevenueColumn
Related Or Exempt Function Income	-4507	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	6856	GrossSalesOfInventory
Cost Of Goods Sold	48	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	6808	TotalRevenueColumn
Related Or Exempt Function Income	6808	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA	722210	11628	11628
HPSA PAYMENTS	900099	6937	6937

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	117128	TotalRevenueColumn
Related Or Exempt Function Income	117128	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	135693	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	11763381	TotalRevenueColumn
Related Or Exempt Function Income	11647091	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	340159	Total
Management And General	340159	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	4484163	Total
Program Services	3466945	ProgramServices
Management And General	1017218	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	146503	Total
Program Services	113689	ProgramServices
Management And General	32814	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1366660	Total
Program Services	1024494	ProgramServices
Management And General	342166	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	353059	Total
Program Services	258423	ProgramServices
Management And General	94636	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	121953	Total
Management And General	121953	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	15000	Total
Management And General	15000	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	987725	Total
Program Services	1021450	ProgramServices
Management And General	-33725	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	35729	Total
Management And General	35729	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	37174	Total
Program Services	40	ProgramServices
Management And General	37134	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	538817	Total
Program Services	486609	ProgramServices
Management And General	52208	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	19473	Total
Program Services	11464	ProgramServices
Management And General	8009	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	133262	Total
Program Services	133262	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	561797	Total
Program Services	392709	ProgramServices
Management And General	169088	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	83672	Total
Program Services	83672	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLY COSTS	1259421	1215852	43569
DUES AND SUBSCRIPTIONS	114373	9879	104494
State of Michigan QAAP TAX	337840		337840
PURCHASED SERVICES	466050	300018	166032

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	18737	Total
Management And General	18737	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	11421567	Total
Program Services	8518506	ProgramServices
Management And General	2903061	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	258998	BOY
EOY	1384529	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	849601	BOY
EOY	804695	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	335499	BOY
EOY	284688	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	50424	BOY
EOY	36426	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	12291497	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	8000793	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	4761269	BOY
EOY	4290704	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	477479	BOY
EOY	526943	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	6733270	BOY
EOY	7327985	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1046855	BOY
EOY	436770	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
EOY	386704	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2090495	BOY
EOY	1643908	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	693069	BOY
EOY	1566474	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3830419	BOY
EOY	4033856	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2902851	BOY
EOY	3294129	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2902851	BOY
EOY	3294129	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	6733270	BOY
EOY	7327985	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	341814	ReconcilationRevenueExpenses
Reconcilation Other Changes	49464	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	133521	OtherCostOrOtherBasis
Book Value	133521	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5564246	OtherCostOrOtherBasis
Depreciation	2600792	Depreciation
Book Value	2963454	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12112	OtherCostOrOtherBasis
Depreciation	11227	Depreciation
Book Value	885	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6581618	OtherCostOrOtherBasis
Depreciation	5388774	Depreciation
Book Value	1192844	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	4290704	TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescription	Book ValueBookValue
INT IN CCH ENDOWMENT FOUNDATIO	526943
ASSETS LIMITED AS TO USE

Field	Value	IRS element (for citing)
Total Book Value Other Assets	526943	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
ACCOUNT PAYABLE TO THIRD PARTI	$911,600
ACCRUED AND OTHER LIABILITIES	$654,874

Field	Value	IRS element (for citing)
Total Of Amounts	1566474	TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
D9	Other revenues non included on Form 990 Part XI line 2d	EXPENSES RELATING TO RENTAL COST OFFSET $38592 ON LINE 6B PART VIII EXPENSES RELATING TO AUXILIARY GIFT SHOP OFFSET $48 ON LINE 10B PART VIII
D10	Other revenues included on Form 990 Part XI line 4b	INTEREST INCOME $37037 CONTRIBUTIONS $116290
D11	Other expenses not included on Form 990 Part XII line 2d	EXPENSES RELATING TO RENTAL COST OFFSET $38592

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent350	X	Pcent350
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	false	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11004	TotalCommunityBenefitExpense
Net Community Benefit Expense	11004	NetCommunityBenefitExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1893130	TotalCommunityBenefitExpense
Direct Offsetting Revenue	963628	DirectOffsettingRevenue
Net Community Benefit Expense	929502	NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1904134	TotalCommunityBenefitExpense
Direct Offsetting Revenue	963628	DirectOffsettingRevenue
Net Community Benefit Expense	940506	NetCommunityBenefitExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	161910	TotalCommunityBenefitExpense
Direct Offsetting Revenue	100	DirectOffsettingRevenue
Net Community Benefit Expense	161810	NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	161910	TotalCommunityBenefitExpense
Direct Offsetting Revenue	100	DirectOffsettingRevenue
Net Community Benefit Expense	161810	NetCommunityBenefitExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2066044	TotalCommunityBenefitExpense
Direct Offsetting Revenue	963728	DirectOffsettingRevenue
Net Community Benefit Expense	1102316	NetCommunityBenefitExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$608,471	BadDebtExpenseAmount
Amount Attributable To	154710	AmountAttributableTo
Amount Reimbursed By Medicare	4593867	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	4593867	CostOfCareReimbursedByMedicare

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	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	CARO COMMUNITY HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	401 N HOOPER STREET PO BOX 43	AddressLine1
City	CARO	City
State	MI	State
ZIP Code	487230435	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Critical Access Hospital	X	CriticalAccessHospital
Er24 Hours	X	Er24Hours
Facility Reporting Group	1	FacilityReportingGroup

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CARO COMMUNITY HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	false	CHNAConducted
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	1.5000	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	2.50000	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Uninsured Discount	X	UninsuredDiscount
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted In Emergency Room	X	PostedInEmergencyRoom
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	false	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Collection Activities	true	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
H01	Other charity care criteria description Part I line 3c	THE HOSPITAL UTILIZES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR DISCOUNTED CHARITY CARE SERVICES.
H02	Related organization annual community benefit report Part I line 6a	THE ANNUAL COMMUNITY BENEFIT AMOUNT RELATES TO THE VALUE OF SALARIES AND FRINGE BENEFITS OF THE HOSPITAL HEALTH SERVIVES DEPARTMENT WHICH PROVIDES SPECIALITY PHYSICIANS TO THE CARO COMMUNITY BY RENTING CLINIC SPACE AND PROVIDE RECEPTIONIST SERVICE TO THE PATIENTS OF TUSCOLA COUNTY AREA WHO WOULD HAVE TO DRIVE 35 TO 50 MILES OR EVEN TAKE THE DAY OFF FROM WORK TO RECEIVE ROUTINE SPECIALIST PHYSICIAN SERVICES. $153,185. ALSO THE COMMUNITY BENEFIT COST ASSOCIATED WITH PARTICIPATING IN BLOOD DRIVES, DOING SPORTS PHYSICALS,COMMUNITY CRAFT PROGRAMS, SENIOR FAIRS, HEALTH EVENTS AT THE FAIR,HOSPITAL AND AROUND THE CARO AREA IS $7,288. TOTAL COOMUNITY BENEFIT VALUE IS $160,473.
H03	Bad debt description footnote Part III line 4	MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED UPON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE. THE HOSPITAL COST TO CHARGE RATIO IS UTILIZED IN DETERMINING THE COST OF BAD DEBTS. BAD DEBT EXPENSE INCLUDED ON FORM 990 PART IX LINE 25 THAT IS REMOVED FOR PURPOSES OF SCHEDULE H LINE 7 COLUMN F IS $990511. COST OF THE NET BAD DEBT EXPENSE IS $608471. THEREFORE THE COST AT 61.43%
H04	Subsidized health services costs Part I line 7g	N/A
H05	Debt expense included Part I line 7 col f	N/A
H06	Costing methodology explanation Part I line 7	THE ESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO INDIVIDUALS THAT MAY QUALIFY FOR CHARITY CARE WAS CALCULATED BASED UPON THE AMOUNT OF SELF PAY EMERGENCY ROOM PATIENT CHARGES TIMES 20%, WHICH IS THE AMOUNT THAT PATIENTS WOULD QUALIFY FOR A DISCOUNT. THE BALANCE OF THE PATIENT ACCOUNTS WOULD THEN BE SUBJECTED TO CHARITY CARE GUIDELINES OF EARNINGS OF 200% OR LESS OF THE FEDERAL POVERTY GUIDELINES. $154710. THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN LINES 7(A)-(D) IS BASED ON THE COST-TO-CHARGE RATIOS. LINES 7(E)-(I) IS BASED ON ACTUAL COST.
H07	Collection practices Part III line 9b	IF THE PATIENT IS NOT ABLE TO MAKE PAYMENT ARRANGEMENTS, THE STAFF WILL VERBALLY DETERMINE IF THE PATIENT IS POTENTIALLY ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL CHARITY CARE POLICY. PATIENTS WHO APPEAR TO MEET THE CARO COMMUNITY HOSPITAL CRITERIA ARE REFERRED TO THE SOCIAL WORKER FOR FURTHER REVIEW IN ACCORDANCE WITH THE HOSPITAL CHARITY CARE POLICY.
H08	Needs assessment Part VI question 2	ORGANIZATION COMMUNICATED WITH STATE AND LOCAL AGENCIES TO DETERMINE THE HEALTHCARE NEEDS OF THE COMMUNITY. EXAMPLES OF SERVICES PROVIDED BASED ON COMMUNITY NEEDS ARE IMMUNIZATIONS, VACCINES, SPORTS PHYSICALS, SENIOR AND HEALTH FAIRS, FIRST AID BOOTH, AND DIABETIC CLASSES. CARO COMMUNITY HOSPITAL HAS CURRENTLY JOINED THE MICHIGAN RURAL HEALTH GROUP WHO WILL CONDUCT THE COMMUNTY HEALTH NEEDS ASSESSMENT FOR THE HOSPITAL IN 2013. THE HEALTH NEEDS ASSESSMENT IS NOT DUE UNTIL 2013 AND IS CURRENTLY IN PROCESS.
H09	Patient education Part VI question 3	EVERY UNINSURED PATIENT THAT IS AN INPATIENT, OUTPATIENT, SURGICAL, OBSERVATION, OR INCURS MORE THAN $5000 IN MEDICAL EXPENSES, RECEIVES A CHARITY CARE PACKAGE. THE PACKAGE INCLUDES A CHARITY CARE AND MEDICAID APPLICATION AND A HUMAN SERVICES REFERRAL FORM. ALL OTHER NON-INSURED PATIENTS MAY REQUEST A CHARITY CARE APPLICATION AT ANY TIME.
H10	Community information Part VI question 4	ORGANIZATION IS LOCATED IN TUSCOLA COUNTY WHICH HAS A POPULATION OF APPROX. 56000, CARO HAS A POPULATION OF APPROX. 4200. TUSCOLA COUNTY CONSISTS OF MOSTLY FARMLAND WITH VERY FEW MANUFACTURING FACILITIES. THE UNEMPLOYMENT RATE IN TUSCLOA COUNTY IS HIGH BECAUSE OF THE LOSS OF MANY SMALL AUTOMOTIVE RELATED JOBS AND IS AT OR ABOVE THE STATE OF MICHIGAN9S UNEMPLOYMENT RATE.
H11	Promoting community health Part VI question 5	ORGAINZATION PROVIDES SPECIAL CLINICS IN CARO SO PATIENTS DO NOT HAVE TO COMMUTE.
H12	Affiliated health care system Part VI question 6	NA
H13	State filings Part VI question 7	NA TILL 2013
H14	Eligible patients billed Part V question 21	All patients are elgible for financial assistance of an extented payment plan depending on the dollar amount of the bill owed. In 2012 emergent patients without any type of coverage were also extended a 20% discount plus offered an extended payment plan if needed. The discount plan established in 2012 was based on the average total commercial coverage and one goverment plan which was workers compensation and the average came to 20% dicounted.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
WILLIAM P MILLER
PRESIDENT AND CEO	150536	30681	181217
DR JULIE SAWADE
EMPLOYED PHYSICIAN	149518	14431	163949

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	CCH ENDOWMENT FOUNDATION	NamePerson
Purpose Of Loan	LOAN FOR DIGITAL MAM	PurposeOfLoan
Original Principal	$136,835	OriginalPrincipalAmount
Balance Due	101134	BalanceDue
Default	false	Default
Approved By Board	true	ApprovedByBoard
Written Agreement	true	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	101134	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	DALE PERZ - PERZPECTIVES	NamePerson

Field	Value	IRS element (for citing)
Relationship	BOARD MEMBER	Relationship
Amount Of Transaction	45225	AmountOfTransaction
Description Of Transaction	MARKETING SERVICES	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
O01	Form 990 governing body review Part VI line 11	EACH BOARD MEMBER WILL RECEIVE A COMPLETE COPY OF THE RETURN. THE CEO AND CFO WILL REVIEW THE RETURN DURING THE NOVEMBER MEETING OF THE BOARD OF TRUSTEES.
O02	Conflict of interest policy compliance Part VI line 12c	THE CONFLICT OF INTEREST POLICY IS MONITORED THROUGH DISCUSSION WITH THE CEO AND EACH BOARD MEMBER.
O03	CEO executive director top management comp Part VI line 15a	THE BOARD UTILIZES THE MICHIGAN HEALTH AND HOSPITAL ANNUAL SURVEY TO DETERMINE THE COMPENSATION LEVEL FOR THE CEO.
O04	Governing documents etc available to public Part VI line 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC.
O05	Explanation of other changes in net assets or fund balances Part XI line 9	CCH FOUNDATION $0 donation for 2012 NET CHANGE IN CCH ENDOWMENT FOUNDATION $49464

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 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
CCH HEALTH CARE ALLIANCE
401 N HOOPER ST	CARO	MI	487230435	383426058	PARENT TO CCH	MI	501C3	III-F1	N/A	false
CCH ENDOWMENT FOUNDATION
401 N HOOPER ST	CARO	MI	487230435	382422995	FOUNDATION	MI	501C3	III-F1	N/A	false