BMH-WIND DOWN: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- BMH-WIND DOWN (EIN 38-1394903)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-15
- IRS object ID
- 201311359349307016
- Schema version
- 2011v1.5
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-15T14:50:42-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390758449 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 12237 | AddressLine1 |
| City | GREEN BAY | City |
| State | WI | State |
| ZIP Code | 543072237 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381394903 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BELL MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BELL | NameControl |
| Phone | 9064864431 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 LAKE SHORE DRIVE | AddressLine1 |
| City | ISHPEMING | City |
| State | MI | State |
| ZIP Code | 49849 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GERALD MESSANA | Name |
| Title | CFO | Title |
| Phone | 9064852643 | Phone |
| Date Signed | 2013-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TERRI REXRODE CPA MST | Name |
| PTIN | P00096513 | PTIN |
| Phone | 9206620016 | Phone |
| Date Prepared | 2013-05-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GERALD MESSANA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 LAKE SHORE DRIVE | AddressLine1 |
| City | ISHPEMING | City |
| State | MI | State |
| ZIP Code | 49849 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 47026342 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BELLHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1951 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | IMPROVE THE LIVES OF EVERYONE WE TOUCH. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 404 | TotalNbrEmployees |
| Total Nbr Volunteers | 150 | TotalNbrVolunteers |
| Total Gross UBI | 501519 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2363282 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 405615 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 43239019 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 46519556 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 863944 | InvestmentIncomePriorYear |
| Investment Income Current Year | 92102 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 46466245 | TotalRevenuePriorYear |
| Total Revenue Current Year | 47017273 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 3918967 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2570274 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 20814931 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 21514065 | 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 | 20261271 | OtherExpensePriorYear |
| Other Expenses Current Year | 23265233 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 44995169 | TotalExpensesPriorYear |
| Total Expenses Current Year | 47349572 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1471076 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -332299 | RevenuesLessExpensesCY |
| Total Assets BOY | 60880447 | TotalAssetsBOY |
| Total Assets EOY | 60602917 | TotalAssetsEOY |
| Total Liabilities BOY | 43234364 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 45821691 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 17646083 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 14781226 | NetAssetsOrFundBalancesEOY |
| Mission Description | BELL HOSPITAL'S MISSION IS TO IMPROVE THE LIVES OF EVERYONE WE TOUCH. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 35659462 | Expense |
| Revenue | 42425042 | Revenue |
| Description | EXPENSES WERE INCURRED IN PROVIDING HEALTHCARE SERVICES TO THE RESIDENTS OF ISHPEMING, MICHIGAN AND SURROUNDING AREAS IN FURTHERANCE OF THE HOSPITAL'S EXEMPT PURPOSE. BELL HOSPITAL IS DEDICATED TO BEING A LEADER IN PROVIDING AND PROMOTING HEALTH AND WELLNESS TO THE SURROUNDING COMMUNITY. BELL HOSPITAL IS A CONVENIENT AND COMPASSIONATE ACUTE CARE HOSPITAL OFFERING A FULL RANGE OF SERVICES. BELL HOSPITAL OFFERS KEY ANCILLARY SERVICES AND ADVANCED MEDICAL TECHNOLOGIES. JUST STEPS AWAY, THE SURGICAL CENTER PERFORMS PROCEDURES ON A DAILY BASIS. BELL HOSPITAL ALSO OFFERS REHABILITATION SERVICES, INCLUDING PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, AS WELL AS CORPORATE WELLNESS. | Description |
| Total Program Service Expense | 35659462 | 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 | 0 | 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 | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 41 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 404 | 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 | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | 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 | 1 | 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 | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GERALD MESSANA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9064864431 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 LAKESHORE DRIVE | AddressLine1 |
| City | ISHPEMING | City |
| State | MI | State |
| ZIP Code | 49849 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JANICE ANDERSON | |||||||
| BOARD MEMBER | 4.00 | X | 0 | 0 | 0 | ||
| REVEREND RUDY KEMPPAINEN | |||||||
| VICE-CHAIR | 4.00 | X | 0 | 0 | 0 | X | |
| ROBERT DELLANGELO | |||||||
| TREASURER | 4.00 | X | 0 | 0 | 0 | X | |
| RICHARD GRAYBILL | |||||||
| CHAIRMAN | 4.00 | X | 0 | 0 | 0 | X | |
| MARLIN KITCHEN | |||||||
| SECRETARY | 4.00 | X | 0 | 0 | 0 | X | |
| BILL STREAM | |||||||
| BOARD MEMBER | 4.00 | X | 0 | 0 | 0 | ||
| JAMES HAYWARD DDS | |||||||
| BOARD MEMBER | 4.00 | X | 0 | 0 | 0 | ||
| KEN FARLEY | |||||||
| BOARD MEMBER | 4.00 | X | 0 | 0 | 0 | ||
| DOUGLAS LABELLE MD CMO | |||||||
| BOARD MEMBER/ER PHYSICIAN | 40.00 | X | 288986 | 0 | 26116 | ||
| TOM FLEURY | |||||||
| BOARD MEMBER | 4.00 | X | 0 | 0 | 0 | ||
| DAVID HOLLI | |||||||
| BOARD MEMBER | 4.00 | X | 0 | 0 | 0 | ||
| RON KATERS | |||||||
| BOARD MEMBER | 4.00 | X | 0 | 0 | 0 | ||
| BARBARA MEYER | |||||||
| BOARD MEMBER | 4.00 | X | 0 | 0 | 0 | ||
| RON MEYER | |||||||
| BOARD MEMBER | 4.00 | X | 0 | 0 | 0 | ||
| MICHAEL PREVOST MD COS | |||||||
| BOARD MEMBER | 4.00 | X | 0 | 209624 | 27967 | ||
| RICK AMENT | |||||||
| CEO | 40.00 | 248840 | 0 | 24432 | X | ||
| GERALD MESSANA | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 112089 | 0 | 22106 | X | ||
| BARBARA LARSON | |||||||
| COO | 40.00 | 122497 | 0 | 14216 | X | ||
| JUDD JOHNSTON MD | |||||||
| PATHOLOGIST | 40.00 | 262825 | 0 | 34050 | X | ||
| HAROLD HILDEBRAND MD | |||||||
| ER PHYSICIAN | 40.00 | 268004 | 0 | 33383 | X | ||
| LYLE VANDERSCHAAF MD | |||||||
| ER PHYSICIAN | 40.00 | 290164 | 0 | 26211 | X | ||
| MICHAEL MLSNA MD | |||||||
| ER PHYSICIAN | 40.00 | 240429 | 0 | 33704 | X | ||
| RENEE KNIOLA | |||||||
| ANESTHESIOLOGIST | 40.00 | 387784 | 0 | 22844 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2221618 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 209624 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 265029 | TotalOtherCompensation |
| Number Individuals GT100 K | 14 | 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 |
|---|---|---|---|---|---|
| MARQUETTE GENERAL HEALTH SYSTEM | |||||
| 420 W MAGNETIC STREET | MARQUETTE | MI | 49855 | LAB AND PATHOLOGY READING | 646195 |
| SUPERIOR THERAPY SERVICES | |||||
| 97 SOUTH FOURTH STREET SUITE B | ISHPEMING | MI | 49849 | SPEECH, OCCUPATIONAL AND PHYSICAL THERAP | 429612 |
| CARLOS MORENO | |||||
| 23916 OLD 16 ROAD | CENTREVILLE | MI | 49032 | ANESTHESIOLOGIST | 258697 |
| SIGNATURE PERFORMANCE | |||||
| 10330 REGENCY PARKWAY DRIVE SUITE | OMAHA | NE | 68114 | REVENUE CYCLE MANAGEMENT | 188957 |
| HHA SERVICES INC | |||||
| PO BOX 935695 | ATLANTA | GA | 31193 | DIETARY SERVICES | 169073 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Related Organizations | 400000 | RelatedOrganizations |
| All Other Contributions | 5615 | AllOtherContributions |
| Total Contributions | 405615 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|---|
| PATIENT REVENUE | 624100 | 42425042 | 42425042 | ||
| QAAP REVENUE | 623000 | 1906651 | $1,906,651 | ||
| EHR INCENTIVE REVENUE | 623990 | 799893 | $799,893 | ||
| MISCELLANEOUS | 900099 | 641415 | $641,415 | ||
| ASSISTED LIVING | 623000 | 501519 | 501519 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 245036 | TotalRevenueColumn |
| Exclusion | $245,036 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 46519556 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 100174 | TotalRevenueColumn |
| Exclusion | $100,174 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 997 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 9069 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -8072 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -8072 | TotalRevenueColumn |
| Exclusion | -$8,072 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 47017273 | TotalRevenueColumn |
| Related Or Exempt Function Income | 42425042 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 501519 | UnrelatedBusinessRevenue |
| Exclusion | $3,685,097 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2570274 | Total |
| Program Services | 2570274 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 816303 | Total |
| Program Services | 299354 | ProgramServices |
| Management And General | 516949 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15840710 | Total |
| Program Services | 12656476 | ProgramServices |
| Management And General | 3184234 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1364424 | Total |
| Program Services | 1064663 | ProgramServices |
| Management And General | 299761 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2375232 | Total |
| Program Services | 1895065 | ProgramServices |
| Management And General | 480167 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1117396 | Total |
| Program Services | 871906 | ProgramServices |
| Management And General | 245490 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 141287 | Total |
| Management And General | 141287 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2804944 | Total |
| Program Services | 1072252 | ProgramServices |
| Management And General | 1732692 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 200978 | Total |
| Management And General | 200978 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9894027 | Total |
| Program Services | 7212955 | ProgramServices |
| Management And General | 2681072 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 782555 | Total |
| Program Services | 526423 | ProgramServices |
| Management And General | 256132 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60461 | Total |
| Program Services | 30870 | ProgramServices |
| Management And General | 29591 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1923250 | Total |
| Program Services | 1293766 | ProgramServices |
| Management And General | 629484 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2733302 | Total |
| Program Services | 1838686 | ProgramServices |
| Management And General | 894616 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 261655 | Total |
| Program Services | 168387 | ProgramServices |
| Management And General | 93268 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 3963508 | 3963508 | |
| DUES, LICENSES, & SUBSC | 364978 | 87321 | 277657 |
| MISCELLANEOUS | 134288 | 107556 | 26732 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47349572 | Total |
| Program Services | 35659462 | ProgramServices |
| Management And General | 11690110 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10270679 | BOY |
| EOY | 9250049 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4481493 | BOY |
| EOY | 6169751 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1560414 | BOY |
| EOY | 1428171 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 381269 | BOY |
| EOY | 420061 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 57721423 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 17357289 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42698696 | BOY |
| EOY | 40364134 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 933888 | BOY |
| EOY | 1048443 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 554008 | BOY |
| EOY | 1922308 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60880447 | BOY |
| EOY | 60602917 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3497078 | BOY |
| EOY | 3938394 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 820204 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33243432 | BOY |
| EOY | 32379488 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6493854 | BOY |
| EOY | 8683605 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43234364 | BOY |
| EOY | 45821691 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17494015 | BOY |
| EOY | 14392518 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 152068 | BOY |
| EOY | 388708 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17646083 | BOY |
| EOY | 14781226 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60880447 | BOY |
| EOY | 60602917 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -332299 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2532558 | 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 |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 | $2,851 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 2851 | 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 | MHA AND AHA LOBBYING DUES | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2194046 | OtherCostOrOtherBasis |
| Book Value | 2194046 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 38615682 | OtherCostOrOtherBasis |
| Depreciation | 6663848 | Depreciation |
| Book Value | 31951834 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3524 | OtherCostOrOtherBasis |
| Depreciation | 3524 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16906016 | OtherCostOrOtherBasis |
| Depreciation | 10689917 | Depreciation |
| Book Value | 6216099 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2155 | OtherCostOrOtherBasis |
| Book Value | 2155 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 40364134 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PROFESSIONAL AND OTHER LIABILITIES | $425,436 |
| FAS 87 LIABILITY | $5,147,026 |
| OTHER- FMV OF INTEREST RATE SWAPS | $2,967,264 |
| LEASES PAYABLE | $143,879 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 8683605 | TotalOfAmounts |
| Total Revenue | 47017273 | TotalRevenue |
| Total Expenses | 47349572 | TotalExpenses |
| Excess Or Deficit For Year | -332299 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 114555 | NetUnrealizedGLOnInvestments |
| Other | -$2,647,113 | OtherAmount |
| Total Adjustments | -2532558 | TotalAdjustments |
| Excess Or Deficit Per FS | -2864857 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 46236460 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 114555 | NetUnrealizedGainsInvestments |
| Other Revenues | -489753 | OtherRevenues |
| Revenue Not Rptd F990 | -375198 | RevenueNotRptdF990 |
| Revenue Subtotal | 46611658 | RevenueSubtotal |
| Other Revenues Not Included | 405615 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 405615 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 47017273 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 44775766 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | -5615 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | -5615 | ExpensesNotRptdF990 |
| Expenses Subtotal | 44781381 | ExpensesSubtotal |
| Other Expenses Not Included | 2568191 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 2568191 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 47349572 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE ORGANIZATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS. THE ORGANIZATION RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS IN FISCAL 2012 AND 2011. FEDERAL INCOME TAX RETURNS FOR THE FISCAL YEARS ENDED 2009 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -489,753. PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS -2,394,000. CHANGE IN INTEREST OF NET ASSETS OF THE CHARITABLE FOUNDATION 236,640. TOTAL TO SCHEDULE D, PART XI, LINE 8: -2,647,113. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -489,753. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | CONTRIBUTIONS FROM FOUNDATION 400,000. GRANT 5,615. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | GRANT REVENUE -5,615. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | TRANSFER TO AFFILIATE 2,568,191. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 626712 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 626712 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01440 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4043377 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3383949 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 659428 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01520 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3998161 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1592995 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2405166 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05540 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8668250 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4976944 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3691306 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08500 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 142357 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 780 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 141577 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00330 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 367000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 367000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00850 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 58634 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 58634 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 567991 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 780 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 567211 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01320 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9236241 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4977724 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4258517 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09820 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 455 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 455 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3892 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3892 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 29969 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 29969 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 8981 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 8981 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 4974 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4974 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3800 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3800 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 4551 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4551 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 45 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 45 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 56667 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 56667 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,890,076 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 12465720 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 11238231 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1227489 | 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 | 0 | 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 | BELL MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 LAKESHORE DRIVE | AddressLine1 |
| City | ISHPEMING | City |
| State | MI | State |
| ZIP Code | 49849 | 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 |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BELL MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 0 | CHNAConducted |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | 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 |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 0 | IncludesPublicityMeasures |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 3C: N/A | ||
| PART I, L7 COL(F): BELL MEMORIAL HOSPITAL TAKES ACTUAL GROSS CHARGES OF BAD DEBT EXPENSES AND APPLIES THE RATIO OF PATIENT CARE COST TO CHARGES. THE COST TO CHARGE RATIO METHOD WAS USED FROM WORKSHEET 2.BAD DEBT EXPENSE OF $3,963,508 INCLUDED ON FORM 990, PART IX, LINE 25 WAS EXCLUDED FROM THE DENOMINATOR PER INSTRUCTIONS WHEN CALCULATING THE PERCENT OF TOTAL EXPENSES ON SCHEDULE H. | ||
| PART II: BELL HOSPITAL'S SENIOR MANAGEMENT, DIRECTORS, MANAGERS, PHYSICIANS, AND NURSES CONTRIBUTED MORE THAN 1,500 STAFF HOURS AND A TOTAL OF $99,665 TOTAL COMMUNITY BUILDING EXPENSES WITH NO OFFSETTING REVENUE TO PROVIDE LEADERSHIP AND RESOURCES TO EQUIP COMMUNITY ORGANIZATIONS WITH THE SKILLS NEEDED TO CREATE HEALTHY COMMUNITIES. OUR STAFF PARTICIPATE ON BOARDS, ADVISORY COMMITTEES, AND COMMISSIONS. FOR EXAMPLE, OUR VICE PRESIDENT OF OPERATIONS SERVES IN TWO KIWANIS ORGANIZATIONS AND IS A MEMBER OF THE ACHIEVE COUNCIL, USING TIME THAT WOULD OTHERWISE BE ALLOCATED FOR OTHER ACTIVITIES AT BELL HOSPITAL. | ||
| PART III, LINE 4: AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL LOSS 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 UNCOLLECTIBLE ACCOUNTS IN THE PERIOD THEY ARE DEEMED TO BE UNCOLLECTIBLE. THE ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS 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. BELL HOSPITAL USES A COST-TO-CHARGE RATIO BASED FOR DETERMINING BAD DEBT EXPENSE AMOUNTS. FURTHER, BELL HOSPITAL USES THE KNOWLEDGE OF ITS ACCOUNTING STAFF TO HELP ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. | ||
| PART III, LINE 8: AS MOST OF THE MEDICARE CLIENTELE ARE FROM MARQUETTE COUNTRY, THE COST-TO-CHARGE RATIO PERCENTAGE ON THE SHORTFALL IS BELIEVED TO BE A COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED WAS THE COST-TO-CHARGE RATIO. | ||
| PART III, LINE 9B: THE DEBT COLLECTION POLICY MAY APPLY TO PATIENTS WHO QUALIFY UNDER THE CHARITY CARE POLICY. FOR EXAMPLE, IF THE CHARITY CARE POLICY COVERED 80% OF THE MEDICAL COSTS UNDER THE SLIDING SCALE OF THE FEDERAL POVERTY GUIDELINES, BELL HOSPITAL WOULD USE DEBT COLLECTION PRACTICES TO COLLECT THE REMAINING 20%. BELL HOSPITAL USES THE SAME DEBT COLLECTION PRACTICES FOR ALL INDIVIDUALS. | ||
| PART VI, LINE 2: BELL MEMORIAL HOSPITAL DOES NOT CONDUCT ITS OWN NEEDS ASSESSMENT. THE LOCAL COUNTY HEALTH DEPARTMENT ALONG WITH LOCAL COALITIONS HAVE CONDUCTED NEEDS ASSESSMENTS AND HAVE PUBLISHED THE INFORMATION. BELL MEMORIAL HOSPITAL USES THIS INFORMATION TO DEVELOP PROGRAMS AND INITIATIVES TO IMPROVE THE HEALTH OF THE COMMUNITY. | ||
| PART VI, LINE 3: AT THE POINT OF REGISTRATION IT IS DETERMINED WHETHER A PATIENT HAS INSURANCE COVERAGE OR IS A "SELF-PAY" PATIENT. IF A "SELF-PAY" PATIENT, THEY ARE MADE AWARE OF THEIR RESPONSIBILITY FOR PAYMENT AND REFERRED TO A HOSPITAL FINANCIAL COUNSELOR TO DETERMINE ELIGIBILITY. FOR ALL INPATIENTS NOTED AS "SELF-PAY", A FINANCIAL COUNSELOR WILL MEET THEM IN PERSON WHILE AT THE HOSPITAL AND REVIEW ELIGIBILITY OPTIONS. FURTHER, A CHARITY CARE FLYER IS INSERTED IN THEIR BILLING STATEMENT, AS WELL AS, THE FINANCIAL COUNSELOR'S CONTACT INFORMATION. ALSO, EACH BILLING STATEMENT SENT TO THE INDIVIDUAL IS STAMPED WITH COUNSELOR'S PHONE NUMBER AND STATES TO CALL THEM IF UNABLE TO PAY IN 30 DAYS. | ||
| PART VI, LINE 4: BELL HOSPITAL IS A NOT-FOR-PROFIT COMMUNITY HOSPITAL THAT HAS BEEN DEDICATED TO SERVING THE AREA'S HEALTH CARE NEEDS FOR OVER A CENTURY. BELL HOSPITAL IS THE WESTERN MOST HOSPITAL WITHIN MARQUETTE COUNTY; THEREFORE, IT RECEIVES A NUMBER OF PATIENTS WITHIN ITS AMBULANCE ROUTE, WHICH INCLUDES THE NEAREST TWO CITIES AND TEN TOWNSHIPS (ISHPEMING, ELY, TILDEN, REPUBLIC, NEGAUNEE, CHAMPION, HUMBOLDT, RICHMOND, MICHIGAMME AND SPURR). OVER 22,000 RESIDENTS LIVE IN THESE AREAS AND SEEK MEDICAL ATTENTION. | ||
| PART VI, LINE 5: THE ACHIEVE PROGRAM:THE ACHIEVE CHART TEAM OF MARQUETTE COUNTY'S VISION IS TO ASSIST OUR RESIDENTS TO ACHIEVE HIGHER LEVELS OF GOOD HEALTH BY MAKING THE HEALTHY CHOICE, THE EASY CHOICE. IT DOES THIS BY: 1. PROMOTING HEALTH AND WELLNESS ACTIVITIES WITHIN THE COMMUNITY; 2. PROVIDING OR COORDINATING OPPORTUNITIES THAT EDUCATES INDIVIDUALS ABOUT HEALTHY LIFESTYLES; 3. PROMOTING ENVIRONMENTAL AND POLICY CHANGES WITHIN THE COMMUNITY THAT MAKE IT EASIER TO BE PHYSICALLY ACTIVE, PRACTICE GOOD NUTRITION, LIVE TOBACCO FREE, AND AVOID SECOND HAND SMOKE. THE PRIMARY PURPOSE OF THE ACHIEVE CHART TEAM OF MARQUETTE COUNTY IS TO COLLABORATIVELY WORK IN THE COMMUNITY TO PROMOTE THE MAINTENANCE AND IMPROVEMENT OF THE HEALTH OF MARQUETTE COUNTY RESIDENTS THROUGH ENVIRONMENTAL AND POLICY CHANGES THAT SUPPORT REGULAR PHYSICAL ACTIVITY, GOOD NUTRITION, AND TOBACCO FREE LIVING, AS WELL AS THE ELIMINATION OF SECOND HAND SMOKE.BELL HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING AN ANNUAL STRENGTH FROM WITHIN PROGRAM THAT TARGETS LOCAL YOUTHS FROM GRADES 6-8 TO PROVIDE A STRUCTURED HEALTHY LIVING PROGRAM INCLUDING EXERCISE, NUTRITION AND COMMUNITY SERVICE. THE SFW PROGRAM AWARDS A YEAR OF TUITION TO THE LOCAL UNIVERSITY.BELL HOSPITAL ALSO CONDUCTS AN ANNUAL WOMEN'S HEALTH EXPO FREE OF CHARGE. THE STAFF, MANAGEMENT AND PHYSICIANS OF BELL HOSPITAL PROVIDE HEALTH SCREENINGS, HEALTH AND WELLNESS DEMONSTRATIONS AND PHYSICIAN PRESENTATIONS ALL FREE OF CHARGE FOR THE WOMEN OF THE COMMUNITY. THE STAFF AND MANAGEMENT CONTRIBUTED OVER 200 HOURS AND RESULTED IN NEARLY $8,000 IN EXPENSES WITH NO OFFSETTING REVENUE. SINCE A MAJORITY OF THE COMMUNITY IS IN THE MINING INDUSTRY OR FAMILY OF SUCH MINERS, BELL HOSPITAL CONDUCTS AN ANNUAL CLIFFS HEALTH EXPO FREE OF CHARGE FOR EMPLOYEES AND FAMILIES OF CLIFFS NATURAL RESOURCES. THE HEALTH EXPO PROVIDED HEALTH SCREENINGS, HEALTH AND WELLNESS DEMONSTRATIONS WHICH MANAGEMENT AND STAFF CONTRIBUTED 290 HOURS OF TIME AND $8,000 IN EXPENSES WITH NO OFFSETTING REVENUE.BELL HOSPITAL SPONSORS THE WEEKLY "MEDICAL MINUTE" SERIES ON A LOCAL TELEVISION STATION. DURING THE MEDICAL MINUTE, A PHYSICIAN PROVIDES MEDICAL INFORMATION ON A VARIETY OF ISSUES EACH WEEK.THE AMBULANCE/EMS SERVICE AT BELL IS DEDICATED STAFF AT ALL LOCAL HIGH SCHOOL SPORTING EVENTS AND SERVICES OUR LIFELINE CALLS, AND EMERGENCY UNITS AT NO CHARGE. OUR SPORTS MEDICINE PROGRAM ALSO PROVIDES DEDICATED STAFF FOR LOCAL SPORTING EVENTS. THESE RESOURCES AMOUNTED TO NEARLY 1,300 STAFF HOURS AND $46,000 IN STAFF COSTS WITH NO OFFSETTING REVENUE.BELL HOSPITAL SPONSORS THE FOLLOWING LOCAL COMMUNITY EVENTS:LAKE SUPERIOR COMMUNITY PARTNERSHIP AND GREATER ISHPEMING-NEGAUNEE CHAMBER OF COMMERCESERVICE CLUB ORGANIZATIONS AND EVENTSPIGS-N-HEAT FIRE RELIEF FUNDCOMMUNITY BABY SHOWER (PROVIDES BABY ESSENTIALS FOR LOW INCOME MOMS TO BE)MUD PLUNGEANNUAL SUMMER AND WINTER COMMUNITY EVENTS | ||
| PART VI, LINE 6: 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 | BELL MEDICAL CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 LAKESHORE DRIVE | AddressLine1 |
| City | ISHPEMING | City |
| State | MI | State |
| ZIP Code | 49849 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 382124042 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 2568191 | AmountOfCashGrant |
| Purpose Of Grant | TO SUPPORT THE OPERATIONS OF BELL MEDICAL CENTER IN ITS CHARITABLE PURPOSE. | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: ALL OF THE GRANTS WERE GIVEN TO MEMBERS OF OUR AFFILIATED GROUP. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | 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 (8 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOUGLAS LABELLE MD CMO | |||||||||||||
| 288986 | 0 | 0 | 0 | 0 | 0 | 13025 | 0 | 13091 | 0 | 315102 | 0 | 0 | 0 |
| MICHAEL PREVOST MD COS | |||||||||||||
| 0 | 159344 | 0 | 50280 | 0 | 0 | 0 | 14742 | 0 | 13225 | 0 | 237591 | 0 | 0 |
| RICK AMENT | |||||||||||||
| 212317 | 0 | 0 | 0 | 36523 | 0 | 11207 | 0 | 13225 | 0 | 273272 | 0 | 0 | 0 |
| JUDD JOHNSTON MD | |||||||||||||
| 250893 | 0 | 11932 | 0 | 0 | 0 | 20825 | 0 | 13225 | 0 | 296875 | 0 | 0 | 0 |
| HAROLD HILDEBRAND MD | |||||||||||||
| 268004 | 0 | 0 | 0 | 0 | 0 | 20158 | 0 | 13225 | 0 | 301387 | 0 | 0 | 0 |
| LYLE VANDERSCHAAF MD | |||||||||||||
| 290164 | 0 | 0 | 0 | 0 | 0 | 12986 | 0 | 13225 | 0 | 316375 | 0 | 0 | 0 |
| MICHAEL MLSNA MD | |||||||||||||
| 240429 | 0 | 0 | 0 | 0 | 0 | 20479 | 0 | 13225 | 0 | 274133 | 0 | 0 | 0 |
| RENEE KNIOLA | |||||||||||||
| 387784 | 0 | 0 | 0 | 0 | 0 | 9619 | 0 | 13225 | 0 | 410628 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4A | ReturnReference |
| Explanation | RICK AMENT: $36,523 | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| ECONOMIC DEVELOPMENT CORP OF THE COUNTY OF MARQUETTE MI | |||||||
| 382401335 | 57147NAC7 | 2007-03-29 | 32825000 | ACQUISITION, CONTRUCTION AND EQUIPPING OF A NEW CRITICAL ACCESS HOSPITAL | 0 | 0 | 0 |
| ECONOMIC DEVELOPMENT CORP OF THE COUNTY OF MARQUETTE MI | |||||||
| 382401335 | 57147NAD5 | 2007-08-28 | 3700000 | CONTRUCTION OF WATER, SEWER AND UTILITY EXTENSIONS FOR NEW HOSPITAL | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|
| 3570000 | 33767401 | 492809 | 432814 | 2008 | 0 | 0 | 1 | 1 |
| 340000 | 3733927 | 74000 | 46924 | 2008 | 1 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|
| 0 | 0 | 1 | 0 | 0 | 0.04190 | 0.04190 | 0 |
| 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Business Name Line2NameOfHedgeProvider/BusinessNameLine2 | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|---|---|
| CHARTER ONE BANK | |||||||||
| 0 | 1 | 1 | NA | 9.800000000000 | 0 | 0 | 0 | 0 | 1 |
| CHARTER ONE BANK | |||||||||
| 0 | 1 | 1 | NA | 9.900000000000 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FORM 990, SCHEDULE K | Identifier |
| Explanation | SCHEDULE K, PART II, LINE 3, BOND ISSUE B: THE CURRENT REFUNDING ESCROW WAS EXPENDED ON NOVEMBER 7, 2007. SCHEDULE K, PART II, LINE 7, BOND ISSUE A: OF THE TOTAL COSTS OF ISSUANCE OF THE BONDS, $492,809 WAS FOR CREDIT ENHANCEMENT AND $432,814 WAS FOR COSTS OF ISSUANCE. SCHEDULE K, PART II, LINE 7, BOND ISSUE B: OF THE TOTAL COSTS OF ISSUANCE OF THE BONDS, $46,924 WAS FOR CREDIT ENHANCEMENT AND $74,000 WAS FOR COSTS OF ISSUANCE. SCHEDULE K, PART III, LINE 3A, BOND ISSUE A: THE ORGANIZATION HAS DETERMINED THAT ITS ARRANGEMENT OR SERVICE CONTRACTS MEET THE SAFE HARBOR UNDER REV PROC 97-13, 1997-1 C B 632. SCHEDULE K, PART III, LINE 7, THE ORGANIZATION WILL SEEK TO ADOPT ARRANGEMENT PRACTICES TO ENSURE POST-ISSUANCE COMPLIANCE THIS UP-COMING YEAR. SCHEDULE K, PART IV, LINE 6, BOND ISSUES A AND B: THE ORGANIZATION REASONABLY BELIEVES THAT THE BOND ISSUES QUALIFIED FOR AN EXCEPTION TO REBATE AND HAS HIRED A REBATE ANALYST TO CONFIRM. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | SUPERIOR HEALTHCARE SYSTEM IN THE SOLE MEMBER (100% OWNER) OF BELL MEMORIAL HOSPITAL. | |
| FORM 990, PART VI, SECTION A, LINE 7A | MANY OF THE BOARD MEMBERS OF SUPERIOR HEALTHCARE SYSTEM ARE ALSO BOARD MEMBERS OF BELL MEMORIAL HOSPITAL, THEREFORE IT CAN BE SAID THAT SUPERIOR HEALTHCARE SYSTEM HAS THE ABILITY TO ELECT MEMBERS OF THE GOVERNING BODY. | |
| FORM 990, PART VI, SECTION A, LINE 7B | MANY OF THE BOARD MEMBERS OF SUPERIOR HEALTHCARE SYSTEM ARE ALSO BOARD MEMBERS OF BELL MEMORIAL HOSPITAL, THEREFORE IT CAN BE SAID THAT SUPERIOR HEALTHCARE SYSTEM HAS APPROVAL OVER DECISIONS OF THE GOVERNING BODY. | |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO BEING SUBMITTED TO THE IRS. QUESTIONS AND COMMENTS WERE SOLICITED FROM THE BOARD OF DIRECTORS TO ENSURE THE COMPLETENESS AND ACCURACY OF THE FORM. | |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS REVIEW AND SIGN THE CONFLICT OF INTEREST DISCLOSURES ANNUALLY. THESE STATEMENTS ARE REVIEWED BY THE ORGANIZATION'S LEGAL COUNSEL TO ENSURE COMPLIANCE WITH THE POLICY. IF A BOARD MEMBER IS FOUND TO HAVE A CONFLICT, THEY ARE REQUIRED TO REMOVE THEMSELVES FROM ANY DISCUSSIONS OF THE MATTER. IF THE CONFLICT COULD NOT BE DEALT WITH THE BOARD WOULD HAVE TO CONSIDER WHETHER THE BOARD MEMBER SHOULD STAY A MEMBER OF THE BOARD OF DIRECTORS TO DATE, THE ORGANIZATION HAS NOT HAD ANY BOARD MEMBERS WITH CONFLICTS OF INTEREST. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION USES COMPENSATION SURVEYS AND MHA DATA TO ENSURE COMPENSATION DATA IS COMPARABLE. DETERMINATION OF THE OFFICER'S AND CHIEF OF STAFF'S COMPENSATION PACKAGES WERE LAST CONDUCTED IN 2010 USING AFOREMENTIONED DATA. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 114,555. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -489,753. PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS -2,394,000. CHANGE IN INTEREST OF NET ASSETS OF THE CHARITABLE FOUNDATION 236,640. TOTAL TO FORM 990, PART XI, LINE 5: -2,532,558. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C: | THE AUDIT PROCESS HAS NOT CHANGED IN THE CURRENT YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SUPERIOR HEALTHCARE SYSTEMS | |||||||||||
| 901 LAKESHORE DR | ISHPEMING | MI | 49849 | 383040126 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 3 | N/A | 0 | |
| BELL MEDICAL CENTER | |||||||||||
| 901 LAKESHORE DR | ISHPEMING | MI | 49849 | 382124042 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 11B, II | 1 | BELL MEMORIAL HOSPITAL | |
| BELL FOUNDATION | |||||||||||
| 97 S FOURTH ST | ISHPEMING | MI | 49849 | 383040125 | FUND RAISING | MI | 501(C)(3) | LINE 11B, II | 1 | BELL MEMORIAL HOSPITAL | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUPERIOR ENTERPRISES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 97 S FOURTH ST | AddressLine1 |
| City | ISHPEMING | City |
| State | MI | State |
| ZIP Code | 49849 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383112668 | EIN |
| Primary Activity | REHABILITATION SERVICES | PrimaryActivity |
| Legal Domicile State | MI | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | 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 |
| 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 | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| BELL MEDICAL CENTER | ||
| B | 2568191 | FMV |
| BELL FOUNDATION | ||
| C | 400000 | FMV |
| BELL MEDICAL CENTER | ||
| N | 62073 | FMV |
| BELL FOUNDATION | ||
| N | 68695 | FMV |
| SUPERIOR ENTERPRISES | ||
| N | 16250 | FMV |
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