MCLAREN CARO REGION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MCLAREN CARO REGION (EIN 38-3426063)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-06
IRS object ID: 201203119349301485
Schema version: 2011v1.2
Note: A later return for the same period supersedes this one.
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-06T19:07:44-05:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	383426063	EIN

Name Name

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

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

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	WILLIAM P MILLER	Name
Title	PRESIDENT AND C	Title
Phone	9896733141	Phone
Date Signed	2012-11-06	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	WILLIAM P MILLER	NameOfPrincipalOfficerPerson
Gross Receipts	13227544	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CCH-MI.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1999	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	CARO COMMUNITY HOSPITAL A COMMUNITY-MINDED HEALTHCARE SYSTEM IS DEDICATED TO PROVIDING COMPASSIONATE CARE AND SERVICES TO ENHANCE THE HEALTH OF ALL THE PATIENTS WE SERVE	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	197	TotalNbrEmployees
Total Nbr Volunteers	57	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	28433	ContributionsGrantsPriorYear
Contributions Grants Current Year	11012	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	13828051	ProgramServiceRevenuePriorYear
Program Service Revenue CY	12964413	ProgramServiceRevenueCY
Investment Income Prior Year	36889	InvestmentIncomePriorYear
Investment Income Current Year	94093	InvestmentIncomeCurrentYear
Other Revenue Prior Year	94030	OtherRevenuePriorYear
Other Revenue Current Year	108905	OtherRevenueCurrentYear
Total Revenue Prior Year	13987403	TotalRevenuePriorYear
Total Revenue Current Year	13178423	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	7845505	SalariesEtcPriorYear
Salaries Etc Current Year	7548067	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	6570682	OtherExpensePriorYear
Other Expenses Current Year	6343002	OtherExpensesCurrentYear
Total Expenses Prior Year	14416187	TotalExpensesPriorYear
Total Expenses Current Year	13891069	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-428784	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-712646	RevenuesLessExpensesCY
Total Assets BOY	7933659	TotalAssetsBOY
Total Assets EOY	7208747	TotalAssetsEOY
Total Liabilities BOY	4618763	TotalLiabilitiesBOY
Total Liabilities EOY	4556335	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3314896	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2652412	NetAssetsOrFundBalancesEOY
Mission Description	CARO COMMUNITY HOSPITAL A COMMUNITY-MINDED HEALTHCARE SYSTEM IS DEDICATED TO PROVIDING COMPASSIONATE CARE AND SERVICES TO ENHANCE THE HEALTH OF ALL THE PATIENTS WE SERVE	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	10945278	Expense
Description	PROVISION OF NEEDED MEDICAL SERVICES TO THE COMMUNITY	Description
Total Program Service Expense	10945278	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	true	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	31	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	197	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	7	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	MI	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
DALE PERZ
VICE CHAIRMAN	16.00	X	X	60300	0	0
DAN BRISTOL
CHAIRMAN	2.00	X	X	0	0	0
DON DUGGAR
TRUSTEE	2.00	X		0	0	0
DR AFONSO FERREIRA
TRUSTEE	2.00	X		0	0	0
LYNN LAETHEM
SECRETARYTREASURER	2.00	X	X	0	0	0
RUBY REID
TRUSTEE	2.00	X		0	2570	0
WILLIAM P MILLER
PRESIDENT AND CEO	40.00	X	X	154577	0	33205	X	X
DR JULIE SAWADE
EMPLOYED PHYSICIAN	40.00			180261		34193		X
DR RICHARD MOYER
EMPLOYED PHYSICIAN	32.00			220135		40427		X
SUE MORRIS
RISKCOMPLIANCE	40.00			116441		15763		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	731714	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2570	TotalReportableCompFrmRltdOrgs
Total Other Compensation	123588	TotalOtherCompensation
Number Individuals GT100 K	4	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

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

Address Of Contractor AddressOfContractor

Address US AddressUS

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

Field	Value	IRS element (for citing)
Description Of Services	E R PHYSICIANS	DescriptionOfServices
Compensation	1095000	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
All Other Contributions	11012	AllOtherContributions
Total Contributions	11012	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE REV	Description
Business Code	900099	BusinessCode
Total Revenue Column	12964413	TotalRevenueColumn
Related Or Exempt Function Income	12964413	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	12964413	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	94093	TotalRevenueColumn
Exclusion	$94,093	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	35370	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	43532	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-8162	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-8162	TotalRevenueColumn
Related Or Exempt Function Income	-8162	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	11965	GrossSalesOfInventory
Cost Of Goods Sold	5589	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	6376	TotalRevenueColumn
Related Or Exempt Function Income	6376	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA	722210	14272	14272
HPSA PAYMENTS	900099	24445	24445

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	71974	TotalRevenueColumn
Related Or Exempt Function Income	71974	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	110691	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	13178423	TotalRevenueColumn
Related Or Exempt Function Income	13073318	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$94,093	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	154577	Total
Management And General	154577	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	5154189	Total
Program Services	4029577	ProgramServices
Management And General	1124612	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	183605	Total
Program Services	138177	ProgramServices
Management And General	45428	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1662756	Total
Program Services	1262102	ProgramServices
Management And General	400654	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	392940	Total
Program Services	296199	ProgramServices
Management And General	96741	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	77386	Total
Management And General	77386	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	31000	Total
Management And General	31000	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1369738	Total
Program Services	1369738	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	52426	Total
Management And General	52426	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	30301	Total
Management And General	30301	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	554693	Total
Program Services	502573	ProgramServices
Management And General	52120	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	36159	Total
Program Services	13325	ProgramServices
Management And General	22834	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	142786	Total
Program Services	142786	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	616606	Total
Program Services	430743	ProgramServices
Management And General	185863	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	142675	Total
Program Services	142675	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLY COSTS	1413492	1362891	50601
DUES AND SUBSCRIPTIONS	101721	13579	88142
PROVISION FOR BAD DEBTS	891350	891350
PURCHASED SERVICES	501757	319925	181832

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	380912	Total
Program Services	29638	ProgramServices
Management And General	351274	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	13891069	Total
Program Services	10945278	ProgramServices
Management And General	2945791	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	802378	BOY
EOY	253998	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1117800	BOY
EOY	1268075	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	363055	BOY
EOY	335500	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	35052	BOY
EOY	50426	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	12260265	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	7438996	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	5126057	BOY
EOY	4821269	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	489317	BOY
EOY	479479	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	7933659	BOY
EOY	7208747	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	960379	BOY
EOY	1154297	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2427008	BOY
EOY	2090495	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1231376	BOY
EOY	1311543	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	4618763	BOY
EOY	4556335	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3304896	BOY
EOY	2647412	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5000	BOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5000	BOY
EOY	5000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3314896	BOY
EOY	2652412	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	7933659	BOY
EOY	7208747	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-712646	ReconcilationRevenueExpenses
Reconcilation Other Changes	50162	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	true	AccountantCompileOrReview
FS Audited	false	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 D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5000	BeginningOfYearBalance
End Of Year Balance	5000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5000	BeginningOfYearBalance
End Of Year Balance	5000	EndOfYearBalance

Field	Value	IRS element (for citing)
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

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

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5624246	OtherCostOrOtherBasis
Depreciation	2444959	Depreciation
Book Value	3179287	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12112	OtherCostOrOtherBasis
Depreciation	10895	Depreciation
Book Value	1217	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6461943	OtherCostOrOtherBasis
Depreciation	4983142	Depreciation
Book Value	1478801	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	28443	OtherCostOrOtherBasis
Book Value	28443	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	4821269	TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescription	Book ValueBookValue
INT IN CCH ENDOWMENT FOUNDATIO	474479
ASSETS LIMITED AS TO USE	5000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	479479	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
ACCOUNT PAYABLE TO THIRD PARTI	$618,474
ACCRUED AND OTHER LIABILITIES	$693,069

Field	Value	IRS element (for citing)
Total Of Amounts	1311543	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	ExplanationExplanation
Other revenues non included on Form 990 Part XII line 2d	EXPENSES RELATING TO RENTAL COST OFFSET 43532 ON LINE 6B PART VIII EXPENSES RELATING TO AUXILIARY GIFT SHOP OFFSET 55589 ON LINE 10B PART VIII
02 Other revenues included on Form 990 Part XII line 4b	INTEREST INCOME 94093 CONTRIBUTIONS 11012
03 Other expenses not included on Form 990 Part XIII line 2d	EXPENSES RELATING TO RENTAL COST OFFSET 43532

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	false	ExpensesExceededBudget
Annual Community Benefit Report	false	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4116	TotalCommunityBenefitExpense
Net Community Benefit Expense	4116	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1830833	TotalCommunityBenefitExpense
Direct Offsetting Revenue	769566	DirectOffsettingRevenue
Net Community Benefit Expense	1061267	NetCommunityBenefitExpense
Percent Of Total Expense	0.07990	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1834949	TotalCommunityBenefitExpense
Direct Offsetting Revenue	769566	DirectOffsettingRevenue
Net Community Benefit Expense	1065383	NetCommunityBenefitExpense
Percent Of Total Expense	0.0802	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	160473	TotalCommunityBenefitExpense
Net Community Benefit Expense	160473	NetCommunityBenefitExpense
Percent Of Total Expense	0.0121	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	160473	TotalCommunityBenefitExpense
Net Community Benefit Expense	160473	NetCommunityBenefitExpense
Percent Of Total Expense	0.0121	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1995422	TotalCommunityBenefitExpense
Direct Offsetting Revenue	769566	DirectOffsettingRevenue
Net Community Benefit Expense	1225856	NetCommunityBenefitExpense
Percent Of Total Expense	0.0923	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$602,107	BadDebtExpenseAmount
Amount Attributable To	136775	AmountAttributableTo
Amount Reimbursed By Medicare	5126295	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	5126295	CostOfCareReimbursedByMedicare

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

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

Address Address

Field	Value	IRS element (for citing)
Address Line1	401 N HOOPER STREET	AddressLine1
City	CARO	City
State	MI	State
ZIP Code	48723	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	CARO COMMUNITY HOSPITAL	BusinessNameLine1

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

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifier	ExplanationExplanation
01 Other charity care criteria description Part I line 3c	THE HOSPITAL UTILIZES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR DISCOUNTED CHARITY CARE SERVICES
02 Related organization annual community benefit report Part I line 6a	THE ANNUAL COMMUNITY BENEFIT AMOUNT RELATES TO THE VALUE OF SALARIES AND FRINGE BENEFITS OF THE HOSPITAL HEALTH SERVIVES DEPARTMENT WHICH PROVIDES SPECIALITY PHYSICIANS TO THE CARO COMMUNITY BY RENTING CLINIC SPACE AND PROVIDE RECEPTIONIST SERVICE TO THE PATIENTS OF TUSCOLA COUNTY AREA WHO WOULD HAVE TO DRIVE 35 TO 50 MILES OR EVEN TAKE THE DAY OFF FROM WORK TO RECEIVE ROUTINE SPECIALIST PHYSICIAN SERVICES 153185 ALSO THE COMMUNITY BENEFIT COST ASSOCIATED WITH PARTICIPATING IN BLOOD DRIVES DOING SPORTS PHYSICALSCOMMUNITY CRAFT PROGRAMS SENIOR FAIRS HEALTH EVENTS AT THE FAIRHOSPITAL AND AROUND THE CARO AREA IS 7288 TOTAL COOMUNITY BENEFIT VALUE IS 160473
03 Bad debt description footnote Part III line 4	MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED UPON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE
04 Subsidized health services costs Part I line 7g	NA
05 Debt expense included Part I line 7 col f	NA
06 Costing methodology explanation Part I line 7
07 Collection practices Part III line 9b	IF THE PATIENT IS NOT ABLE TO MAKE PAYMENT ARRANGEMENTS THE STAFF WILL VERBALLY DETERMINE IF THE PATIENT IS POTENTIALLY ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL CHARITY CARE POLICY PATIENTS WHO APPEAR TO MEET THE CARO COMMUNITY HOSPITAL CRITERIA ARE REFERRED TO THE SOCIAL WORKER FOR FURTHER REVIEW IN ACCORDANCE WITH THE HOSPITAL CHARITY CARE POLICY
08 Needs assessment Part VI question 2	ORGANIZATION COMMUNICATED WITH STATE AND LOCAL AGENCIES TO DETERMINE THE HEALTHCARE NEEDS OF THE COMMUNITY EXAMPLES OF SERVICES PROVIDED BASED ON COMMUNITY NEEDS ARE IMMUNIZATIONS VACCINES SPORTS PHYSICALS SENIOR AND HEALTH FAIRS FIRST AID BOOTH AND DIABETIC CLASSES
09 Patient education Part VI question 3	EVERY UNINSURED PATIENT THAT IS AN INPATIENT OUTPATIENT SURGICAL OBSERVATION OR INCURS MORE THAN 5000 IN MEDICAL EXPENSES RECEIVES A CHARITY CARE PACKAGE THE PACKAGE INCLUDES A CHARITY CARE AND MEDICAID APPLICATION AND A HUMAN SERVICES REFERRAL FORM ALL OTHER NON-INSURED PATIENTS MAY REQUEST A CHARITY CARE APPLICATION AT ANY TIME
10 Community information Part VI question 4	ORGANIZATION IS LOCATED IN TUSCOLA COUNTY WHICH HAS A POPULATION OF APPROX 56000 CARO HAS A POPULATION OF APPROX 4200 TUSCOLA COUNTY CONSISTS OF MOSTLY FARMLAND WITH VERY FEW MANUFACTURING FACILITIES THE UNEMPLOYMENT RATE IN TUSCLOA COUNTY IS HIGH BECAUSE OF THE LOSS OF MANY SMALL AUTOMOTIVE RELATED JOBS AND IS AT OR ABOVE THE STATE OF MICHIGANS UNEMPLOYMENT RATE
11 Promoting community health Part VI question 5	ORGAINZATION PROVIDES SPECIAL CLINICS IN CARO SO PATIENTS DO NOT HAVE TO COMMUTE
12 Affiliated health care system Part VI question 6	NA
13 State filings Part VI question 7	NA
14 Eligible patients billed Part V question 20	All patients are elgible for financial assistance of an extented payment plan depending on the dollar amount of the bill owed In 2012 emergent patients without any type of coverage were also extended a 20 discount plus offered an extended payment plan if needed The discount plan established in 2012 was based on the average total commercial coverage and one goverment plan which was workers compensation and the average came to 20 dicounted

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (3 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
WILLIAM P MILLER
154577	0	0	0	0	0	0	0	33205	0	187782	0	0	0
DR RICHARD MOYER
220135	0	0	0	0	0	0	0	40427	0	260562	0	0	0
DR JULIE SAWADE
180261	0	0	0	0	0	0	0	34193	0	214454	0	0	0

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	CCH ENDOWMENT FOUNDATION	NamePerson
Purpose Of Loan	LOAN FOR DIGITAL MAM UNIT	PurposeOfLoan
Original Principal	$136,835	OriginalPrincipalAmount
Balance Due	126569	BalanceDue
Default	false	Default
Approved By Board	true	ApprovedByBoard
Written Agreement	true	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	126569	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

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

Field	Value	IRS element (for citing)
Relationship	BOARD MEMBER	Relationship
Amount Of Transaction	60300	AmountOfTransaction
Description Of Transaction	MARKETING SERVICES	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	ExplanationExplanation
01. Form 990 governing body review (Part VI, line 11)	EACH BOARD MEMBER WILL RECEIVE A COMPLETE COPY OF THE RETURN THE CEO AND CFO WILL REVIEW THE RETURN DURING THE NOVEMBER MEETING OF THE BOARD OF TRUSTEES
02. Conflict of interest policy compliance (Part VI, line 12c)	THE CONFLICT OF INTEREST POLICY IS MONITORED THROUGH DISCUSSION WITH THE CEO AND EACH BOARD MEMBER
03. CEO, executive director, top management comp (Part VI, line 15a)	THE BOARD UTILIZES THE MICHIGAN HEALTH AND HOSPITAL ANNUAL SURVEY TO DETERMINE THE COMPENSATION LEVEL FOR THE CEO
04. Governing documents, etc, available to public (Part VI, line 19)	THE GOVERNING DOCUMENTS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC
05. Explanation of other changes in net assets or fund balances (Part XI, line 5)	CCH FOUNDATION 60000 donation for digital mam NET CHANGE IN CCH ENDOWMENT FOUNDATION 9838

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
CCH HEALTH CARE ALLIANCE
401 N HOOPER ST	CARO	MI	487230435	383426058	PARENT TO CCH	MI	501C3	III-F1	NA	false
CCH ENDOWMENT FOUNDATION
401 N HOOPER ST	CARO	MI	487230435	382422995	FOUNDATION	MI	501C3	III-F1	NA	false

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg