STURGIS HOSPITAL INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- STURGIS HOSPITAL INC (EIN 35-2362438)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-14
- IRS object ID
- 201202279349302960
- Schema version
- 2010v3.7
- 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 D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-14T13:55:39-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 E Main St Suite 700 | AddressLine1 |
| City | Fort Wayne | City |
| State | IN | State |
| ZIP Code | 46802 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352362438 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STURGIS HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STUR | NameControl |
| Phone | 2696594400 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 916 MYRTLE AVENUE | AddressLine1 |
| City | STURGIS | City |
| State | MI | State |
| ZIP Code | 49091 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT J LABARGE | Name |
| Title | CHIEF EXECUTIVE OFFICER | Title |
| Date Signed | 2012-07-11 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Joyce A Dulworth | Name |
| Phone | 2604604000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROBERT J LABARGE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 916 MYRTLE AVENUE | AddressLine1 |
| City | STURGIS | City |
| State | MI | State |
| ZIP Code | 49091 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 43682992 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.STURGISHOSPITAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2009 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | STURGIS HOSPITAL IS AN 84-BED LICENSED, ACUTE CARE FACILITY SERVING A POPULATION OF APPROXIMATELY 50,000 PEOPLE. STURGIS HOSPITAL, INC EXISTS TO ENSURE THAT THE COMMUNITY HAS ADEQUATE ACCESS TO HEALTHCARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 421 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 59150 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 466484 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 42000120 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 42576586 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 40842 | InvestmentIncomePriorYear |
| Investment Income Current Year | 13825 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 493733 | OtherRevenuePriorYear |
| Other Revenue Current Year | 346678 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 42593845 | TotalRevenuePriorYear |
| Total Revenue Current Year | 43403573 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 22403078 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 22235964 | 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 | 21441831 | OtherExpensePriorYear |
| Other Expenses Current Year | 21449641 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 43844909 | TotalExpensesPriorYear |
| Total Expenses Current Year | 43685605 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1251064 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -282032 | RevenuesLessExpensesCY |
| Total Assets BOY | 34154882 | TotalAssetsBOY |
| Total Assets EOY | 35489638 | TotalAssetsEOY |
| Total Liabilities BOY | 18025860 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 17560469 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 16129022 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 17929169 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | STURGIS HOSPITAL INC. IS COMMITTED TO THE PROVISION OF THE HIGHEST QUALITY PRIMARY AND SECONDARY HEALTHCARE TO THE COMMUNITIES WE SERVE. STURGIS HOSPITAL, INC STRIVES, IN ALL CIRCUMSTANCES TO PROVIDE ACUTE AND PREVENTATIVE CARE THAT IS CONSISTENT WITH THE VALUES AND NEEDS OF THE UNIQUE SEGMENTS OF OUR POPULATION. BY EXERCISING RESPONSIBLE STEWARDSHIP OF OUR RESOURCES STURGIS HOSPITAL INC. WILL ALSO ENDEAVOR TO MAXIMIZE THE BREADTH AND DEPTH OF CARE PROVIDED TO OUR COMMUNITY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 34745021 | Expense |
| Revenue | 42823477 | Revenue |
| Description | Sturgis Hospital is a 84-bed licensed, acute care facility. Nearly 40 active Medical Staff members, available within the Sturgis and surrounding communities, represent a wide variety of specialties including Anesthesiology, Family Practice, General Surgery, Gynecology, Internal Medicine, Obstetrics, Ophthalmology, Orthopaedics, Pathology, Pediatrics, Podiatry, Radiology, Urology and Vascular Surgery. Additional specialties are offered through the Hospital's Courtesy, Consulting and Affiliate Medical Staff members. These services include Cardiology, Neurology, Neurosurgery, Oncology, and Pulmonary medicine. Medical/Surgical care is offered on an inpatient and outpatient level. Both laser and laparoscopic procedures are performed in the Hospital's three room Surgical Suite. A four-bed Coronary/Intensive Care Unit is also available for critical patients. The 12-bed Obstetrical Department offers Labor/Delivery/Recovery/Postpartum rooms for the expectant Mom and her family. Emergency services are available 24 hours a day, 365 days a year, with full-time medical staff coverage. Cardiac Rehabilitation and Physical Therapy programs as well as community education programs designed to help our community lead a healthier lifestyle, are also available. Sturgis Hospital has a commitment to maintain state-of-the-art diagnostic technology, which includes Angiography, 64-slice CT Scanning, Mammography, Mobile MRI, a Sleep Disorder Laboratory and Spect Imaging and Ultrasound. Sturgis Home Health Care--a Top 500 Agency in the nation--is a division of Sturgis Hospital. It works closely with physicians to provide quality home health care services following discharge from a hospital or for those with special medical needs that do not require hospitalization. These services include nursing assistance, aids, companions, physical, occupational, speech and language therapies, as well as a medical social worker. Hospice of Sturgis provides support and care for persons in the last phases of an incurable disease. These services can be provided in a patient's home, nursing home or adult foster care setting. The Hospice team includes physicians, nurses, therapists, aides, social workers, nutritionists, volunteers and clergy, as well as bereavement and support groups. | Description |
| Total Program Service Expense | 34745021 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| 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 | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | 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 | true | 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 | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | 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 | false | 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 | false | 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 | 73 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 421 | 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 |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | 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 | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ROBERT J LABARGE | NamePerson |
| Telephone Number | 2696594400 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 916 MYRTLE AVENUE | AddressLine1 |
| City | STURGIS | City |
| State | MI | State |
| ZIP Code | 49091 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| KEYUR PATEL MD | |||||||
| MEDICAL STAFF PRESIDENT | 40.0 | X | X | 463589 | 0 | 30242 | |
| JOSE ALBARRAN | |||||||
| BOARD DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| JEANNIE GERCHOW | |||||||
| BOARD DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| P JOSEPH HAAS JR | |||||||
| BOARD DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| MEREDITH HUNT | |||||||
| BOARD DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| FLOYD KUNCE | |||||||
| BOARD VICE PRESIDENT | 1.0 | X | X | 0 | 0 | 0 | |
| DAVID LOCEY | |||||||
| BOARD DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| JOHN MAYER | |||||||
| BOARD PRESIDENT | 1.0 | X | X | 0 | 0 | 0 | |
| ERIC WYNES | |||||||
| BOARD DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| THOMAS ROCK | |||||||
| BOARD DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| BHARAT VAKHARIA MD | |||||||
| BOARD DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| PHILIP WARD | |||||||
| BOARD SECRETARY/TREASURER | 1.0 | X | X | 0 | 0 | 0 | |
| CATHIE MURRAY | |||||||
| DIRECTOR OF PHYSICIAN SVCS | 40.0 | X | 79431 | 0 | 11349 | ||
| MARY KAY SCHULTZ | |||||||
| DIRECTOR OF HUMAN RESOURCES | 40.0 | X | 92915 | 0 | 20811 | ||
| SHARI RANSBERGER | |||||||
| DIRECTOR OF QUALITY MANAGEMENT | 40.0 | X | 94933 | 0 | 20428 | ||
| SANDRA COLE | |||||||
| DIRECTOR OF PATIENT SERVICES | 40.0 | X | 112116 | 0 | 21531 | ||
| ASHISH VERMA | |||||||
| PHYSICIAN | 40.0 | 454082 | 0 | 30242 | X | ||
| WILSON SAWA | |||||||
| PHYSICIAN | 40.0 | 263558 | 0 | 30242 | X | ||
| ELIEZER MELENDEZ | |||||||
| PHYSICIAN | 40.0 | 402075 | 0 | 30242 | X | ||
| JAMES GRANNELL | |||||||
| PHYSICIAN | 40.0 | 448284 | 0 | 30242 | X | ||
| THOMAS BRENNER MD | |||||||
| PHYSICIAN | 40.0 | 184423 | 30242 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2595406 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 255571 | TotalOtherCompensation |
| Number Individuals GT100 K | 14 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| QUORUM HEALTH RESOURCES | |||||
| PO BOX 305172 | NASHVILLE | TN | 37230 | MANAGEMENT | 595388 |
| LOCUMTENENSCOM LLC | |||||
| PO BOX 405547 | ATLANTA | GA | 30384 | ANESTHESIA SERVICES | 413507 |
| SOUTH BEND MEDICAL FOUNDATION | |||||
| PO BOX 2030 | MISHAWAKA | IN | 46546 | LAB SERVICES | 404121 |
| PT SERVICES REHABILITATION | |||||
| PO BOX 833 | TIFFIN | OH | 44883 | REHAB SERVICES | 402025 |
| SODEXO OPERATIONS LLC | |||||
| 4880 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | DIETARY MAINT. MGMT. | 384442 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 14 | NumberOfContractorsGT100K |
| Fundraising Events | 17345 | FundraisingEvents |
| Related Organizations | 17347 | RelatedOrganizations |
| Government Grants | 422062 | GovernmentGrants |
| All Other Contributions | 9730 | AllOtherContributions |
| Total Contributions | 466484 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| INPATIENT REVENUE | 900099 | 19842782 | 19842782 |
| OUTPATIENT REVENUE | 900099 | 13565462 | 13565462 |
| PHYSICIAN OFFICE REVENUE | 900099 | 9168342 | 9168342 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 42576586 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13825 | TotalRevenueColumn |
| Exclusion | $13,825 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 361439 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 274171 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 87268 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 87268 | TotalRevenueColumn |
| Exclusion | $87,268 | ExclusionAmount |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 17767 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 17345 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 5248 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12519 | TotalRevenueColumn |
| Exclusion | $12,519 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| CAFETERIA | 900099 | 88180 | 88180 |
| OTHER OPERATING REVENUE | 900099 | 158711 | 158711 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 246891 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 43403573 | TotalRevenueColumn |
| Related Or Exempt Function Income | 42823477 | RelatedOrExemptFunctionIncome |
| Exclusion | $113,612 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2410985 | Total |
| Program Services | 1928788 | ProgramServices |
| Management And General | 482197 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15065464 | Total |
| Program Services | 11594094 | ProgramServices |
| Management And General | 3471370 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 485492 | Total |
| Program Services | 388394 | ProgramServices |
| Management And General | 97098 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3037198 | Total |
| Program Services | 2429758 | ProgramServices |
| Management And General | 607440 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1236825 | Total |
| Program Services | 989460 | ProgramServices |
| Management And General | 247365 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 339573 | Total |
| Program Services | 271658 | ProgramServices |
| Management And General | 67915 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131653 | Total |
| Program Services | 105322 | ProgramServices |
| Management And General | 26331 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68552 | Total |
| Program Services | 54842 | ProgramServices |
| Management And General | 13710 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4982931 | Total |
| Program Services | 3230695 | ProgramServices |
| Management And General | 1752236 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175091 | Total |
| Program Services | 1029 | ProgramServices |
| Management And General | 174062 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5492409 | Total |
| Program Services | 4106677 | ProgramServices |
| Management And General | 1385732 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 192676 | Total |
| Program Services | 154141 | ProgramServices |
| Management And General | 38535 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2275989 | Total |
| Program Services | 2196334 | ProgramServices |
| Management And General | 79655 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42137 | Total |
| Program Services | 33710 | ProgramServices |
| Management And General | 8427 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 73099 | Total |
| Program Services | 51759 | ProgramServices |
| Management And General | 21340 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 617236 | Total |
| Program Services | 493789 | ProgramServices |
| Management And General | 123447 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1782388 | Total |
| Program Services | 1511454 | ProgramServices |
| Management And General | 270934 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71443 | Total |
| Program Services | 57154 | ProgramServices |
| Management And General | 14289 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBTS | 3471710 | 3471710 | 0 | 0 |
| MISC | 296503 | 238002 | 58501 | 0 |
| MEDICAL SUPPLIES | 1436251 | 1436251 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43685605 | Total |
| Program Services | 34745021 | ProgramServices |
| Management And General | 8940584 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 650 | BOY |
| EOY | 650 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3223079 | BOY |
| EOY | 2122270 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6341273 | BOY |
| EOY | 5972542 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 767427 | BOY |
| EOY | 825063 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 361368 | BOY |
| EOY | 747426 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 47296281 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 27745670 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20080036 | BOY |
| EOY | 19550611 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 255265 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1397544 | BOY |
| EOY | 1773908 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1728240 | BOY |
| EOY | 4497168 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34154882 | BOY |
| EOY | 35489638 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4678528 | BOY |
| EOY | 4062326 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12236742 | BOY |
| EOY | 11956055 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1110590 | BOY |
| EOY | 1542088 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18025860 | BOY |
| EOY | 17560469 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16085549 | BOY |
| EOY | 17902398 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43473 | BOY |
| EOY | 26771 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16129022 | BOY |
| EOY | 17929169 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34154882 | BOY |
| EOY | 35489638 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -282032 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 2082179 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | 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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 109943 | OtherCostOrOtherBasis |
| Book Value | 109943 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27706541 | OtherCostOrOtherBasis |
| Depreciation | 11202318 | Depreciation |
| Book Value | 16504223 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4497 | OtherCostOrOtherBasis |
| Depreciation | 4497 | Depreciation |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 19008088 | OtherCostOrOtherBasis |
| Depreciation | 16263569 | Depreciation |
| Book Value | 2744519 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 467213 | OtherCostOrOtherBasis |
| Depreciation | 275287 | Depreciation |
| Book Value | 191926 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 19550611 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| EST. DUE FROM THIRD PARTY | 2025171 |
| DEFERRED FINANCING COSTS | 289064 |
| PENSION ASSET | 2182933 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 4497168 | TotalBookValueOtherAssets |
| Total Revenue | 43403573 | TotalRevenue |
| Total Expenses | 43685605 | TotalExpenses |
| Excess Or Deficit For Year | -282032 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 134000 | NetUnrealizedGLOnInvestments |
| Other | $1,948,179 | OtherAmount |
| Total Adjustments | 2082179 | TotalAdjustments |
| Excess Or Deficit Per FS | 1800147 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 45765171 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 134000 | NetUnrealizedGainsInvestments |
| Other Revenues | 2227598 | OtherRevenues |
| Revenue Not Rptd F990 | 2361598 | RevenueNotRptdF990 |
| Revenue Subtotal | 43403573 | RevenueSubtotal |
| Total Revenue Per Form990 | 43403573 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 43965024 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 279419 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 279419 | ExpensesNotRptdF990 |
| Expenses Subtotal | 43685605 | ExpensesSubtotal |
| Total Expenses Per Form990 | 43685605 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION | PART XI, LINE 8 | CHANGE IN DEFINED BENEFIT PENSION PLAN GAINS $1,948,179 SPECIAL EVENTS EXPENSE 5,248 RENT EXPENSE 274,171 TOTAL: $2,227,598 PART XIII, LINE 2D SPECIAL EVENTS EXPENSE 5,248 RENT EXPENSE 274,171 TOTAL: $279,419 |
| FIN 48 FOOTNOTE | Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | MURDER MYSTERY | NameOfEvent1 |
| Gross Receipts Event1 | 35112 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 17345 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 17767 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 4766 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 483 | OtherDirectExpensesEvent1 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 35112 | GrossReceiptsTotal |
| Charitable Contributions Total | 17345 | CharitableContributionsTotal |
| Gross Revenue Total Events | 17767 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 4766 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 483 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 5249 | DirectExpenseSummaryEvents |
| Net Income Summary | 12518 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1382727 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 448194 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 934533 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02140 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8641110 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6404640 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2236470 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05120 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10023837 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6852834 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3171003 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07260 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 69575 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2710 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 66865 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10794 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 435 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10359 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 19807 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 19807 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 100176 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3145 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 97031 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10124013 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6855979 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3268034 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07500 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 35 | PersonsServed |
| Total Community Building Expense | 349 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 349 | NetCommunityBuildingExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 58 | PersonsServed |
| Total Community Building Expense | 480 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 480 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 93 | PersonsServed |
| Total Community Building Expense | 829 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 829 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,646,740 | BadDebtExpenseAmount |
| Amount Attributable To | 500000 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 11767309 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 11669315 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 97994 | 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 | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | QUORUM HEALTH RSRCS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | MANAGEMENT OF OPERATIONS | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.00000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.00000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | STURGIS HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 916 MYRTLE AVENUE | AddressLine1 |
| City | STURGIS | City |
| State | MI | State |
| ZIP Code | 49091 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STURGIS HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (6 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART I | LINE 3C Sturgis Hospital Acknowledges that all individuals are not equally capable of withstanding the burden of payment for healthcare services. The Hospital provides and promotes access to emergency and medically necessary services without regard to ability to pay. According to the Hospital's existing public policy, all patients receiving medically necessary services are eligible for financial assistance. Eligibility criteria is based on the need of the patients, lack of existing insurance, and other resources required for payment. Eligibility criteria is further based on the Federal Poverty Guidelines at a level of 200% of that guideline. LINE 6A STURGIS HOSPITAL PUBLISHES ITS ANNUAL REPORT WHICH INCLUDES ALL RELATED ORGANIZATIONS' PROGRAMS AND SERVICES DESIGNED TO LEAD THE COMMUNITY TO IMPROVED HEALTH AND PROMOTE HEALTHY LIFESTYLES. THE REPORT IS AVAILABLE ON STURGIS'S WEBSITE. LINE 7G Subsidized health services included within the Hospital is the obstetrics services. LINE 7 COLUMN F BAD DEBT EXPENSE IN THE AMOUNT OF $3,471,710 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) ("TOTAL FUNCTIONAL EXPENSES"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. THE ORGANIZATION USES A COMBINATION OF THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 OF SCHEDULE H AND DIRECT COSTING METHOD OF CERTAIN PROGRAMS. |
| PART III | LINE 4 The Hospital reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients and others. The Hospital provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. As a service to the patient, the Hospital bills third-party payers directly and bills the patient when the patients liability is determined. Patient accounts receivable are due in full when billed. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account. Charges are reported at 100%, and the amount written off to bad DEBT is reduced to cost by applying the cost to charge ratio. LINE 8 Costing Methodology to determine the Medicare allowable costs reported in the MCR is a statistical step down allocation method. Any shortfall should be treated as a community benefit since the hospital provides these services as a community benefit despite the fact that they are provided at a financial loss. LINE 9B Once a the evaluation is completed and a determination has been made that patients qualify for financial assistance, no collection efforts are made. Consideration for assistance is also given to other types of patients if felt need for assistance is required. |
| NEEDS ASSESSMENT | |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | The organization informs and educates patients and persons who may be billed for patient care about their eligibility and availability of financial assistance by: Posting the organizations charity care policy in access and registration areas within the Hospital Individual interview of patients by financial counselors and preadmission staff with discussions concerning financial assistance, availability of various government benefits and assistance with the application for assistance. The Hospital has entered a memorandum of understanding with the County whereas the Hospital makes a commitment to provide3 health care services to low income residents of the County (public record) The Hospital does not include a copy of the policy as part of the intake or discharge process, nor is it included in the patient bill |
| COMMUNITY INFORMATION | As of 2010, Sturgis Metro Area's population is 62,490 people. Since 2000, it has had a population growth of 0.08 percent. The median home cost in Sturgis Metro Area is $96,330. Home appreciation the last year has been -5.92 percent. Compared to the rest of the country, Sturgis Metro Area's cost of living is 17.90% lower than the U.S. average. Sturgis Metro Area public schools spend $4,838 per student. The average school expenditure in the U.S. is $5,678. There are about 16.7 students per teacher in Sturgis Metro Area. The unemployment rate in Sturgis Metro Area is 13.40 percent(U.S. avg. is 10.20%). Recent job growth is negative. Sturgis Metro Area jobs have decreased by 7.17 percent. |
| COMMUNITY BENEFIT REPORT | The Hospital further it exempt purpose and mission as demonstrated by: A majority of the Organizations governing body is compromised by persons who reside in the organizations primary service area, who are neither employees nor contractors of the organization, nor family members thereof. The organization extends medical staff privileges to all qualified physicians in its community (open medical staff). All surplus funds are reinvested into the organization to promote service enhancement to its community as well as capital replacement and service development. The Organization further promotes its mission by participation in health care screening, health care education and certain services made to the community at no cost to the community. Organization has entered into memorandum of understanding with St. Joseph County committing to provide services to the community regardless of the ability to pay for those services. Community Benefit report would be filed only in the State of Michigan. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ASHISH VERMA | |||||||||||||
| 453902 | 0 | 0 | 0 | 180 | 0 | 14700 | 0 | 15542 | 0 | 484324 | 0 | 0 | 0 |
| WILSON SAWA | |||||||||||||
| 263378 | 0 | 0 | 0 | 180 | 0 | 14700 | 0 | 15542 | 0 | 293800 | 0 | 0 | 0 |
| KEYUR PATEL MD | |||||||||||||
| 463427 | 0 | 0 | 0 | 162 | 0 | 14700 | 0 | 15542 | 0 | 493831 | 0 | 0 | 0 |
| ELIEZER MELENDEZ | |||||||||||||
| 401661 | 0 | 0 | 0 | 414 | 0 | 14700 | 0 | 15542 | 0 | 432317 | 0 | 0 | 0 |
| JAMES GRANNELL | |||||||||||||
| 447510 | 0 | 0 | 0 | 774 | 0 | 14700 | 0 | 15542 | 0 | 478526 | 0 | 0 | 0 |
| THOMAS BRENNER MD | |||||||||||||
| 183235 | 0 | 1188 | 14700 | 15542 | 214665 | 0 | |||||||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART I LINE 3 | Identifier |
| Explanation | THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS ARE LEASED FROM A MANAGEMENT COMPANY. THEREFORE, THEIR COMPENSATION IS DETERMINED AND PAID BY THIS MANAGEMENT COMPANY. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| CITY OF STURGIS BUILDING AUTHORITY | |||||||
| 386004653 | 864108BE4 | 2004-12-29 | 10000000 | HOSPITAL EXPANSION PROJECT | false | false | false |
| CITY OF STURGIS BUILDING AUTHORITY | |||||||
| 386004653 | 864108CK9 | 2005-08-11 | 995000 | HOSPITAL EXPANSION PROJECT | false | false | false |
| CITY OF STURGIS FACILITIES & HOSPITAL AUTHORITY | |||||||
| 386004653 | 2010-04-28 | 2334795 | HOSPITAL EXPANSION PROJECT | false | false | false | |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|
| 170000 | 10044029 | 279030 | 9646199 | 2006 | false | false | true | true |
| 20000 | 1001184 | 42584 | 958600 | 2007 | false | false | true | true |
| 83390 | 2334795 | 43541 | 2291254 | 2012 | false | false | false | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| false | false | false | false | false | false |
| false | false | false | false | false | false |
| false | true | false | false | false | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| GOVERNING BODY & MANAGEMENT | PART VI, SECTION A | QUESTION 1B: KAYUR PATEL, M.D. IS A PAID EMPLOYEE OF THE HOSPITAL AND IS THEREFORE CONSIDERED NON-INDEPENDENT. QUESTION 3: Board of Trustees has engaged Quorum Health Resources to provide management services under the strict policies and bylaws adopted by the Board of Trustees. |
| POLICIES | PART VI, SECTION B | QUESTION 11: THE FORM 990 IS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM AND FORM 990 AND RELATED SCHEDULES ARE PROVIDED TO THE FULL BOARD PRIOR TO FILING WITH THE IRS. QUESTION 12: BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE POTENTIAL CONFLICTS OF INTEREST. DISCLOSURES ARE REVIEWED TO DETERMINE WHETHER A CONFLICT EXISTS. IF A CONFLICT EXISTS, BOARD MEMBERS ARE ASKED TO RECUSE THEMSELVES FROM DISCUSSIONS RELATING TO THE CONFLICT. QUESTION 15: COMPENSATION LEVELS ARE DETERMINED AT THE BOARD LEVEL UTILIZING VARIOUS SALARY SURVEYS FROM STATE HOSPITAL ASSOCIATION AS WELL AS THE MANAGEMENT COMPANY'S DATA BASE OF SALARY SCALES AND PROFESSIONAL RECRUITMENT FIRMS. QUESTION 19: STURGIS HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
| PART XI | LINE 5 CHANGE IN DEFINED BENEFIT PENSION PLAN GAINS 1,948,179 UNREALIZED GAIN ON INVESTMENTS 134,000 TOTAL: $2,082,179 |
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