MGH WIND DOWN INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- MGH WIND DOWN INC (EIN 38-1358036)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-15
- IRS object ID
- 201221369349305017
- Schema version
- 2010v3.4
- 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 H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-15T13:24:52-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAKELA TOUTANT HILL & NARDI PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 W BLUFF STREET | AddressLine1 |
| City | MARQUETTE | City |
| State | MI | State |
| ZIP Code | 49855 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381358036 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARQUETTE GENERAL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MARQ | NameControl |
| Phone | 9062253450 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 W MAGNETIC STREET | AddressLine1 |
| City | MARQUETTE | City |
| State | MI | State |
| ZIP Code | 49855 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JERRY L WORDEN | Name |
| Title | SENIOR VP/CFO | Title |
| Phone | 9062253450 | Phone |
| Date Signed | 2012-05-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBIN A RAUVALA | Name |
| Phone | 9062283600 | 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 | JERRY L WORDEN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 W MAGNETIC STREET | AddressLine1 |
| City | MARQUETTE | City |
| State | MI | State |
| ZIP Code | 49855 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 332944962 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MGH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1897 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | TO BE A REGIONAL HEALTH RESOURCE, IMPROVING THE HEALTH OF THOSE WE SERVE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2867 | TotalNbrEmployees |
| Total Nbr Volunteers | 534 | TotalNbrVolunteers |
| Total Gross UBI | 7405347 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 664278 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 736486 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 323220852 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 316269301 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 752096 | InvestmentIncomePriorYear |
| Investment Income Current Year | -576946 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 817 | OtherRevenuePriorYear |
| Other Revenue Current Year | 17140 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 324638043 | TotalRevenuePriorYear |
| Total Revenue Current Year | 316445981 | 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 | 155517337 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 164687080 | 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 | 161525504 | OtherExpensePriorYear |
| Other Expenses Current Year | 143106091 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 317042841 | TotalExpensesPriorYear |
| Total Expenses Current Year | 307793171 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 7595202 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 8652810 | RevenuesLessExpensesCY |
| Total Assets BOY | 266525060 | TotalAssetsBOY |
| Total Assets EOY | 248826715 | TotalAssetsEOY |
| Total Liabilities BOY | 192888879 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 167162681 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 73636181 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 81664034 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO BE THE REGIONAL MEDICAL CENTER OF CHOICE BY PROVIDING EFFICIENTLY DELIVERED, HIGH QUALITY, COMPASSIONATE CARE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 202032086 | Expense |
| Revenue | 227297577 | Revenue |
| Description | HOSPITAL SERVICES ENCOMPASSING 10,535 INPATIENT ADMISSIONS; 55,511 INPATIENT DAYS AND 268,628 OUTPATIENT VISITS/REGISTRATIONS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 74523361 | Expense |
| Revenue | 67909667 | Revenue |
| Description | PHYSICIAN PRACTICES WITH 164,107 PATIENTS AND 351,030 VISITS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 5204232 | Expense |
| Revenue | 6510575 | Revenue |
| Description | HOME HEALTH SERVICES COVERING EIGHT COUNTIES, SERVING 1,906 PATIENTS WITH 38,777 HOME VISITS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 14200633 | Expense |
| Revenue | 14551482 | Revenue |
| Description | INCLUDES REVENUE FROM: THE SALE OF BLOOD PRODUCTS TO OTHER HOSPITALS; SALES TO EMPLOYEES AND GUESTS AT A CAFETERIA, COFFEE SHOP AND GIFT SHOP; PHARMACEUTICAL SALES TO EMPLOYEES AND GUESTS; INDIGENT CARE AGREEMENT WITH AN UNRELATED NON-PROFIT ORGANIZATION; RENTAL OF SPACE TO OTHER UNRELATED HEALTH CARE ORGANIZATIONS; TUITION REVENUE FOR THE HOSPITAL-RUN SCHOOL OF RADIOGRAPHY AND SCHOOL OF EMT; IT SERVICES TO OTHER UNRELATED HOSPITALS AND PHYSICIAN OFFICES; TELEHEALTH SERVICES TO OTHER UNRELATED HOSPITALS AND PHYSICIAN OFFICES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 14200633 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 14551482 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 295960312 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 187 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 2867 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JERRY L WORDEN SENIOR VPCFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9062253450 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 W MAGNETIC STREET | AddressLine1 |
| City | MARQUETTE | City |
| State | MI | State |
| ZIP Code | 49855 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (29 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 | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| TIMOTHY J LARSON | |||||||||
| CHAIRMAN | 3.00 | X | X | 0 | 0 | 0 | |||
| RICHARD R SCHAEFER | |||||||||
| CHAIRMAN | 3.00 | X | X | 0 | 0 | 0 | |||
| JUDITH WATSON-OLSON | |||||||||
| VICE-CHAIRMAN | 3.00 | X | X | 0 | 0 | 0 | |||
| MICHAEL L VONCK | |||||||||
| TREASURER | 3.00 | X | X | 0 | 0 | 0 | |||
| LOIS A MICHELIN | |||||||||
| SECRETARY | 3.00 | X | X | 0 | 0 | 0 | |||
| BRADLEY CORY | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| GARY LAPLANT | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| LARRY S LEWIS MD | |||||||||
| TRUSTEE | 50.00 | X | 331904 | 0 | 15620 | ||||
| JOHN P BARTLETT MD | |||||||||
| TRUSTEE | 5.00 | X | 20004 | 0 | 0 | ||||
| MARYANNE SHANNON | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| K MICHAEL SKYTTA | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| NANCY DWYER | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| DAN GREENLEE | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| SCOTT HERIOUX | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| RICHARD BLOTTER | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| A GARY MULLER | |||||||||
| PRESIDENT/CEO | 50.00 | X | X | 569487 | 0 | 112274 | |||
| JERRY L WORDEN | |||||||||
| SENIOR VP/CFO | 50.00 | X | 327257 | 0 | 54277 | ||||
| DAVID S GRASER | |||||||||
| SENIOR VP/COO | 50.00 | 266953 | 0 | 46784 | X | ||||
| THOMAS F NOREN MD | |||||||||
| SENIOR VP/CMO | 50.00 | 290185 | 0 | 44477 | X | ||||
| DAGMAR A RAICA | |||||||||
| VP/CHIEF NURSING OFFICER | 50.00 | 176177 | 0 | 14854 | X | ||||
| CRAIG COCCIA | |||||||||
| PHYSICIAN | 50.00 | 2049647 | 0 | 24320 | X | ||||
| PAUL LAHAYE | |||||||||
| PHYSICIAN | 50.00 | 1204178 | 0 | 24320 | X | ||||
| RICHARD ROVIN | |||||||||
| PHYSICIAN | 50.00 | 686952 | 0 | 29410 | X | ||||
| ANDREW JAHODA | |||||||||
| PHYSICIAN | 50.00 | 578111 | 0 | 15265 | X | ||||
| MARIANNE ANANICH | |||||||||
| PHYSICIAN | 50.00 | 567852 | 0 | 8181 | X | ||||
| MICHAEL J BECKSTROM | |||||||||
| FORMER OFFICER | 50.00 | 158986 | 0 | 15726 | X | ||||
| THOMAS A MOSER | |||||||||
| FORMER OFFICER | 50.00 | 185997 | 0 | 5460 | X | ||||
| DENNIS D BOE | |||||||||
| FORMER KEY EMPLOYEE | 50.00 | 159029 | 0 | 20981 | X | ||||
| FREDERICK P HOENKE MD | |||||||||
| FORMER KEY EMPLOYEE | 50.00 | 369200 | 0 | 40343 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7941919 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 472292 | TotalOtherCompensation |
| Number Individuals GT100 K | 179 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| REHAB CARE GROUP INC | |||||
| 7733 FORSYTH BLVD | ST LOUIS | MO | 63105 | THERAPY SERVICES | 5283257 |
| UPIMS LLC (CARDIOLOGY JOINT VENTURE) | |||||
| 1414 W FAIR AVE | MARQUETTE | MI | 49855 | IMAGING SERVICES | 3198183 |
| SOUND PHYSICIANS | |||||
| 1123 PACIFIC AVENUE | TACOMA | WA | 98402 | PHYSICIAN SERVICES | 1829032 |
| MAYO COLLABORATIVE SERVICES | |||||
| 3050 SUPERIOR DRIVE | ROCHESTOR | MN | 55901 | LAB SERVICES | 1051685 |
| DMS IMAGING | |||||
| 2101 N UNIVERSITY DR | FARGO | ND | 58102 | PET SCANNING | 911090 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 39 | NumberOfContractorsGT100K |
| Related Organizations | 436507 | RelatedOrganizations |
| Government Grants | 299979 | GovernmentGrants |
| Total Contributions | 736486 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| HOSPITAL SERVICES | 622110 | 227297577 | 219892230 | 7405347 | |
| PHYSICIAN PRACTICES | 621111 | 67909667 | 67909667 | ||
| HOME HEALTH SERVICES | 621610 | 6510575 | 6510575 | ||
| BLOOD PRODUCTS | 621511 | 1602703 | 1602703 | ||
| EMPLOYEE & GUEST MEALS | 722212 | 1220370 | $1,220,370 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11728409 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10222505 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,505,904 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 316269301 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 822645 | TotalRevenueColumn |
| Exclusion | $822,645 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 286555 | TotalRevenueColumn |
| Exclusion | $286,555 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 114631 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 97491 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 17140 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17140 | TotalRevenueColumn |
| Exclusion | $17,140 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 14547416 | Securities |
| Other | 167928 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 15836965 | Securities |
| Other | 564525 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -1289549 | Securities |
| Other | -396597 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1686146 | TotalRevenueColumn |
| Exclusion | -$1,686,146 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 316445981 | TotalRevenueColumn |
| Related Or Exempt Function Income | 306137680 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 7405347 | UnrelatedBusinessRevenue |
| Exclusion | $2,166,468 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2576887 | Total |
| Program Services | 461934 | ProgramServices |
| Management And General | 2114953 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1064604 | Total |
| Program Services | 779299 | ProgramServices |
| Management And General | 285305 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123322244 | Total |
| Program Services | 119622307 | ProgramServices |
| Management And General | 3699937 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8675109 | Total |
| Program Services | 8414856 | ProgramServices |
| Management And General | 260253 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20662884 | Total |
| Program Services | 20042997 | ProgramServices |
| Management And General | 619887 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8385352 | Total |
| Program Services | 8133791 | ProgramServices |
| Management And General | 251561 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 292348 | Total |
| Program Services | 29235 | ProgramServices |
| Management And General | 263113 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 743382 | Total |
| Program Services | 371691 | ProgramServices |
| Management And General | 371691 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 118191 | Total |
| Management And General | 118191 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55096 | Total |
| Program Services | 53443 | ProgramServices |
| Management And General | 1653 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28704175 | Total |
| Program Services | 27843050 | ProgramServices |
| Management And General | 861125 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 778610 | Total |
| Program Services | 755252 | ProgramServices |
| Management And General | 23358 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68686167 | Total |
| Program Services | 66625582 | ProgramServices |
| Management And General | 2060585 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3844982 | Total |
| Program Services | 3729633 | ProgramServices |
| Management And General | 115349 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7425494 | Total |
| Program Services | 7202729 | ProgramServices |
| Management And General | 222765 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2340369 | Total |
| Program Services | 2270158 | ProgramServices |
| Management And General | 70211 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 475809 | Total |
| Program Services | 461535 | ProgramServices |
| Management And General | 14274 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3486480 | Total |
| Program Services | 3381886 | ProgramServices |
| Management And General | 104594 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11017283 | Total |
| Program Services | 10686765 | ProgramServices |
| Management And General | 330518 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1202039 | Total |
| Program Services | 1165978 | ProgramServices |
| Management And General | 36061 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| UNCOMPENSATED CARE | 13686490 | 13686490 | |
| QUALITY ASSURANCE ASSES | 6543990 | 6347670 | 196320 |
| MAINTENANCE CONTRACTS | 3959109 | 3840336 | 118773 |
| LEASED EQUIPMENT | 1783823 | 1730308 | 53515 |
| PENSION CURTAILMENT | -16054262 | -15572634 | -481628 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4016516 | Total |
| Program Services | 3896021 | ProgramServices |
| Management And General | 120495 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 307793171 | Total |
| Program Services | 295960312 | ProgramServices |
| Management And General | 11832859 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36710985 | BOY |
| EOY | 28458445 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49943474 | BOY |
| EOY | 36555737 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 143572 | BOY |
| EOY | 46700 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8490577 | BOY |
| EOY | 8118566 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2447369 | BOY |
| EOY | 2609834 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 311931594 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 219988643 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100913805 | BOY |
| EOY | 91942951 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39372126 | BOY |
| EOY | 59596589 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19066010 | BOY |
| EOY | 12975901 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9437142 | BOY |
| EOY | 8521992 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 266525060 | BOY |
| EOY | 248826715 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44238277 | BOY |
| EOY | 39661534 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63426933 | BOY |
| EOY | 61072089 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4457289 | BOY |
| EOY | 476036 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80766380 | BOY |
| EOY | 65953022 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 192888879 | BOY |
| EOY | 167162681 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70934334 | BOY |
| EOY | 78348751 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2701847 | BOY |
| EOY | 3315283 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73636181 | BOY |
| EOY | 81664034 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 266525060 | BOY |
| EOY | 248826715 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 8652810 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -624957 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7494807 | OtherCostOrOtherBasis |
| Book Value | 7494807 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 147582699 | OtherCostOrOtherBasis |
| Depreciation | 93674075 | Depreciation |
| Book Value | 53908624 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 152507826 | OtherCostOrOtherBasis |
| Depreciation | 124122069 | Depreciation |
| Book Value | 28385757 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4346262 | OtherCostOrOtherBasis |
| Depreciation | 2192499 | Depreciation |
| Book Value | 2153763 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 91942951 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INVESTMENT IN UP HEALTH NETWORK | 10263645 | C |
| INVESTMENT IN UP MEDICAL CENTER | 2712256 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 12975901 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PROFESSIONAL LIAB AND W/C RESERVES | $5,480,036 |
| ACCRUED LT EMPLOYEE COMP AND BENE | $3,686,809 |
| ACCRUED LT PENSION LIABILITY | $51,837,385 |
| INTEREST RATE SWAP AGREEMENT | $4,948,792 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 65953022 | TotalOfAmounts |
| Total Revenue | 316445981 | TotalRevenue |
| Total Expenses | 307793171 | TotalExpenses |
| Excess Or Deficit For Year | 8652810 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 2145587 | NetUnrealizedGLOnInvestments |
| Other | -$2,770,544 | OtherAmount |
| Total Adjustments | -624957 | TotalAdjustments |
| Excess Or Deficit Per FS | 8027853 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 319025791 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 2145587 | NetUnrealizedGainsInvestments |
| Other Revenues | 336732 | OtherRevenues |
| Revenue Not Rptd F990 | 2482319 | RevenueNotRptdF990 |
| Revenue Subtotal | 316543472 | RevenueSubtotal |
| Other Revenues Not Included | -97491 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -97491 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 316445981 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 311611374 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 3818203 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 3818203 | ExpensesNotRptdF990 |
| Expenses Subtotal | 307793171 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 307793171 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CONTRIBUTION RECEIVED - RESTRICTED PROPERTY 131,204. PENSION LIABILITY ADJUSTMENT -1,738,697. INCREASE IN TEMPORARILY RESTRICTED NET ASSETS 613,436. NET ASSETS RELEASED FROM RESTRICTIONS 205,528. TRANSFER TO AFFILIATE (SHP) -1,982,015. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CONTRIBUTION RECEIVED - RESTRICTED 131,204. NET ASSETS RELEASED FROM RESTRICTIONS 205,528. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSE -97,491. |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | PENSION LIABILITY ADJUSTMENT 1,738,697. TRANSFER TO AFFILIATE (SHP) 1,982,015. RENT 97,491. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1127934 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1127934 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 42673688 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 30161229 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12512459 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04250 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1125301 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 624015 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 501286 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 44926923 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 30785244 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14141679 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04800 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1026308 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 144004 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 882304 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00300 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6903041 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4900646 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2002395 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00680 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27220157 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22016515 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5203642 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01770 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 432258 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26435 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 405823 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 207857 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 207857 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 35789621 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27087600 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8702021 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02960 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 80716544 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 57872844 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22843700 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07760 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 80 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 80 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1610 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1610 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 367 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 367 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 36711 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 36711 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 38768 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 38768 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $5,562,819 | BadDebtExpenseAmount |
| Amount Attributable To | 3687535 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 88040813 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 70709890 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 17330923 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 UP IMAGING MANAGEMENT SERVICES LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | OUTPATIENT NON-INVASIVE DIAGNOSTIC CARDIOVASCULAR IMAGING SERVICES | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.60000 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.40000 | 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 | MARQUETTE GENERAL HOSPITAL INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 W MAGNETIC ST | AddressLine1 |
| City | MARQUETTE | City |
| State | MI | State |
| ZIP Code | 49855 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Research Facility | X | ResearchFacility |
| 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 | MARQUETTE GENERAL HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 0 | CHNAConducted |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Other Factors | X | OtherFactors |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Lien On Residence | X | LienOnResidence |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 14 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (14 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| MARQUETTE MEDICAL CLINIC | ||||
| 1414 WEST FAIR AVENUE | MARQUETTE | MI | 49855 | OUTPATIENT CLINIC |
| MARQUETTE GENERAL HEMOTOLOGYONCOLOGY | ||||
| 1711 SOUTH STEPHENSON AVE SUITE 315 | IRON MOUNTAIN | MI | 49801 | OUTPATIENT CLINIC |
| CHIPPEWA MEDICAL ASSOCIATES | ||||
| AVERY SQUARE 510 ASHUM SUITE 5 | SAULT STE MARIE | MI | 49783 | OUTPATIENT CLINIC |
| MARQUETTE SPECIALTY CLINIC | ||||
| 800 EAST BOULEVARD | KINGSFORD | MI | 49802 | OUTPATIENT CLINIC |
| LAKEWOOD MEDICAL ASSOCIATES | ||||
| 5087 US 41 SOUTH | MARQUETTE | MI | 49855 | OUTPATIENT CLINIC |
| MARQUETTE MEDICAL CLINIC | ||||
| 2500 7TH AVE SOUTH | ESCANABA | MI | 49829 | OUTPATIENT CLINIC |
| MARQUETTE MEDICAL CLINIC | ||||
| 405 US 41 EAST | NEGAUNEE | MI | 49866 | OUTPATIENT CLINIC |
| MARQUETTE MEDICAL CLINIC | ||||
| 1500 W ICE LAKE RD | IRON RIVER | MI | 49935 | OUTPATIENT CLINIC |
| MARQUETTE MEDICAL CLINIC | ||||
| 2002 MINNEAPOLIS AVE | GLADSTONE | MI | 49837 | OUTPATIENT CLINIC |
| MARQUETTE MEDICAL CLINIC | ||||
| 500 CAMPUS DRIVE SUITE 5 | HANCOCK | MI | 49930 | OUTPATIENT CLINIC |
| ONTONAGON COMMUNITY HEALTH CENTER | ||||
| 751 S 7TH ST | ONTONAGON | MI | 49953 | OUTPATIENT CLINIC |
| MARQUETTE MEDICAL CLINIC | ||||
| COMMUNITY BUILDING | TRENARY | MI | 49891 | OUTPATIENT CLINIC |
| MARQUETTE MEDICAL CLINIC | ||||
| BURT TOWNSHIP HALL | GRAND MARAIS | MI | 49839 | OUTPATIENT CLINIC |
| MARQUETTE MEDICAL CLINIC | ||||
| 205 OSCEOLA ST | LAURIUM | MI | 49913 | OUTPATIENT CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 7: ROW A - CHARITY CARE: COST TO CHARGE RATIO.ROW B - MEDICAID: COST TO CHARGE RATIO USING MEDICARE COST REPORT RULES.ROW C - UNREIMBURSED COSTS: COST TO CHARGE RATIO USING MEDICARE COST REPORT RULES.ROW E TO J - OTHER BENEFITS: DIRECT CHARGE OF TIME AND COSTS. | |
| PART I, LINE 7G: THE SYSTEM PROVIDES SUBSIDIZED HEALTH SERVICES FOR BEHAVIORAL HEALTH, FAMILY PRACTICE CLINICS IN MEDICALLY UNDERSERVED AREAS, NICU, AND WOMEN'S SERVICES. COSTS OF SUBSIDIZED HEALTH SERVICES FOR PHYSICIAN CLINICS INCLUDED IN LINE 7B ARE $11,914,302. | |
| PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 13686490. | |
| PART II: COMMUNITY BUILDING ACTIVITIES INCLUDE PARTICIPATION IN COLLABORATIVE PARTNERSHIPS WITH COMMUNITY GROUPS, RECRUITMENT OF PROFESSIONALS FOR AREAS IDENTIFIED AS MEDICALLY UNDERSERVED, REGIONAL ECONOMIC DEVELOPMENT GROUPS AND PROGRAMS. | |
| PART III, LINE 4: FOOTNOTE TEXT: AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE SYSTEM'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS.COSTING METHODOLOGY: GROSS BAD DEBT EXPENSE WAS $13,686,490 WITH A COST OF $5,562,819 WHICH WAS CALCULATED USING THE ORGANIZATION'S RATIO OF PATIENT CARE COST TO CHARGES. AN ATTORNEY REVIEWED THE ACCOUNTS TO DETERMINE THE PERCENTAGE THAT WOULD HAVE QUALIFIED FOR CHARITY CARE. | |
| PART III, LINE 8: MEDICARE COSTS ARE FROM THE MEDICARE COST REPORT, WHICH UTILIZES MEDICARE ALLOWABLE COST AND THEN RATIO OF COST TO CHARGES BY HCFA LINE NUMBER. MEDICARE ALLOWABLE COST IS DETERMINED BY INCLUDING ALL DIRECT AND INDIRECT EXPENSES IN WORKSHEET A AND THEN OFFSETTING ANY NON-ALLOWABLE COSTS AND MISCELLANEOUS REVENUES. NON-ALLOWABLE COSTS INCLUDE ANY EXPENSE NOT NECESSARY FOR PATIENT CARE OR THOSE DEEMED A LUXURY OR EXCESSIVE. TYPICAL OFFSETS INCLUDE PATIENT TELEVISIONS AND TELEPHONES, PAYMENTS TO PROVIDER BASED PHYSICIANS IN EXCESS OF REASONABLE LIMITS, AND NON-PATIENT REVENUE, TO NAME A FEW. OVERHEAD IS STEPPED-DOWN TO THE REIMBURSABLE AND NON-REIMBURSABLE HCFA LINES. TOTAL COST IS THEN DETERMINED USING RATIO OF COST TO CHARGES. | |
| PART V, SECTION B, LINE 11H: CREDIT REPORT, LIVING ARRANGEMENTS/HOME LIFE, CONVERSATIONS WITH PATIENT OR PATIENT'S FAMILY. | MARQUETTE GENERAL HOSPITAL INC |
| PART V, SECTION B, LINE 13G: REGISTRATION PERSONNEL REFER UNINSURED AND LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE POLICY. ALSO, A THIRD PARTY COLLECTOR WILL DISCUSS THE POLICY WITH PATIENTS HAVING PAST DUE ACCOUNTS. | MARQUETTE GENERAL HOSPITAL INC |
| PART V, SECTION B, LINE 17E: REGISTRATION PERSONNEL, FINANCIAL COUNSELORS, AND THE THIRD PARTY COLLECTOR REVIEW PATIENT AND/OR ACCOUNT INFORMATION TO DETERMINE IF PATIENTS MAY QUALIFY FOR STATE OR FEDERAL ASSISTANCE. | MARQUETTE GENERAL HOSPITAL INC |
| PART V, SECTION B, LINE 19D: ALL PATIENTS ARE CHARGED THE SAME FIXED GROSS RATES FOR SERVICES. DISCOUNTS ARE APPLIED IF QUALIFICATIONS ARE MET AND THE PATIENT FOLLOWS THE FINANCIAL ASSISTANCE POLICY PROCESS. | MARQUETTE GENERAL HOSPITAL INC |
| PART V, SECTION B, LINE 21: ALL PATIENTS ARE CHARGED THE SAME FIXED GROSS RATES FOR SERVICES. DISCOUNTS ARE APPLIED IF QUALIFICATIONS ARE MET AND THE PATIENT FOLLOWS THE FINANCIAL ASSISTANCE POLICY PROCESS. | MARQUETTE GENERAL HOSPITAL INC |
| PART VI, LINE 2: THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY UTILIZING NEEDS ASSESSMENTS CONDUCTED BY MULTIPLE AGENCIES PROVIDING HEALTH CARE TO THE SERVICE AREA POPULATION, AS WELL AS CONDUCTING AND DIRECTING QUALITATIVE (FOCUS GROUPS AND INDIVIDUAL, IN PERSON INTERVIEWS) AND QUANTITATIVE (PHONE SURVEYS) MARKET RESEARCH OF THE SERVICE AREA POPULATION. RESEARCH IS ALSO CONDUCTED VIA INTERVIEWS AND FOCUS GROUPS WITH PHYSICIANS AND MID-LEVELS TO DETERMINE HEALTH CARE NEEDS. | |
| PART VI, LINE 3: IN-HOUSE MEDICAL ASSISTANCE EXPERTS EXPLAIN PROGRAMS TO PATIENTS AND ASSIST WITH THE APPLICATION PROCESS. PATIENT ACCESS IDENTIFIES SELF-PAY AND UNDERINSURED PATIENTS AND REFERS THEM TO IN-HOUSE FINANCIAL COUNSELORS. FINANCIAL ASSISTANCE INFORMATION AND APPLICATIONS ARE AVAILABLE ON-LINE. | |
| PART VI, LINE 4: THE SYSTEM SERVES THE RESIDENTS OF THE UPPER PENINSULA OF MICHIGAN. | |
| PART VI, LINE 6: THE MAJORITY (11 OF 15) OF THE ORGANIZATION'S BOARD MEMBERS ARE INDEPENDENT AND RESIDE AND/OR WORK IN MARQUETTE COUNTY, THE ORGANIZATION'S PRIMARY SERVICE AREA. MANY LOCAL PHYSICIANS NOT EMPLOYED BY THE HOSPITAL HAVE PRIVILEGES AT THE HOSPITAL. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LARRY S LEWIS MD | |||||||||||||
| 331904 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 15881 | 0 | 347785 | 0 | 0 | 0 |
| A GARY MULLER | |||||||||||||
| 543434 | 0 | 0 | 0 | 26053 | 0 | 88550 | 0 | 33544 | 0 | 691581 | 0 | 0 | 0 |
| JERRY L WORDEN | |||||||||||||
| 322173 | 0 | 0 | 0 | 5084 | 0 | 41240 | 0 | 22363 | 0 | 390860 | 0 | 0 | 0 |
| DAVID S GRASER | |||||||||||||
| 263122 | 0 | 0 | 0 | 3831 | 0 | 35307 | 0 | 15411 | 0 | 317671 | 0 | 0 | 0 |
| THOMAS F NOREN MD | |||||||||||||
| 283820 | 0 | 0 | 0 | 6365 | 0 | 33000 | 0 | 15720 | 0 | 338905 | 0 | 0 | 0 |
| DAGMAR A RAICA | |||||||||||||
| 174461 | 0 | 0 | 0 | 1716 | 0 | 10442 | 0 | 6647 | 0 | 193266 | 0 | 0 | 0 |
| CRAIG COCCIA | |||||||||||||
| 1999801 | 0 | 49846 | 0 | 0 | 0 | 9800 | 0 | 16530 | 0 | 2075977 | 0 | 0 | 0 |
| PAUL LAHAYE | |||||||||||||
| 1164608 | 0 | 15216 | 0 | 24354 | 0 | 9800 | 0 | 16736 | 0 | 1230714 | 0 | 0 | 0 |
| RICHARD ROVIN | |||||||||||||
| 639806 | 0 | 47146 | 0 | 0 | 0 | 9800 | 0 | 21630 | 0 | 718382 | 0 | 0 | 0 |
| ANDREW JAHODA | |||||||||||||
| 566660 | 0 | 11451 | 0 | 0 | 0 | 9800 | 0 | 7475 | 0 | 595386 | 0 | 0 | 0 |
| MARIANNE ANANICH | |||||||||||||
| 567852 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 11115 | 0 | 578967 | 0 | 0 | 0 |
| MICHAEL J BECKSTROM | |||||||||||||
| 137609 | 0 | 0 | 0 | 21377 | 0 | 1206 | 0 | 16380 | 0 | 176572 | 0 | 0 | 0 |
| THOMAS A MOSER | |||||||||||||
| 61254 | 0 | 0 | 0 | 124743 | 0 | 2470 | 0 | 3195 | 0 | 191662 | 0 | 0 | 0 |
| DENNIS D BOE | |||||||||||||
| 157291 | 0 | 0 | 0 | 1738 | 0 | 9669 | 0 | 14890 | 0 | 183588 | 0 | 0 | 0 |
| FREDERICK P HOENKE MD | |||||||||||||
| 268184 | 0 | 100000 | 0 | 1016 | 0 | 19715 | 0 | 23700 | 0 | 412615 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINES 4A-B | ReturnReference |
| Explanation | PART I, LINES 4A-B: SEVERANCE PAYMENT MADE TO: THOMAS A MOSER $117,692 SUPPLEMENTAL RETIREMENT PAYMENTS MADE FOR: A GARY MULLER $78,750 JERRY L WORDEN $31,440 DAVID S GRASER $25,507 THOMAS F NOREN $27,500 | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| MI STATE HOSPITAL FINANCE AUTHORITY | |||||||
| 382889417 | 59465HBA3 | 2005-05-04 | 29102140 | FACILITY IMPROV & EQUIP | 0 | 0 | 0 |
| MI STATE HOSPITAL FINANCE AUTHORITY | |||||||
| 382889417 | 59465HDX1 | 2006-08-23 | 37000000 | FACILITY IMPROV & EQUIP | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Credit EnhancementCreditEnhancement |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4460000 | 29613931 | 2251777 | 101094 | 275951 | 26985109 | 2006 | 0 | 0 | 1 | 1 | |
| 37211671 | 4020680 | 50434 | 484965 | 31887507 | 2007 | 0 | 0 | 1 | 1 | 995420 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 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 | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|
| 1 | 0 | 0 | 0 | 1 | 0.00250 | 0.00250 | 1 |
| 0 | 0 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated |
|---|---|---|---|---|---|---|---|---|---|
| SOCIETE GENERALE | |||||||||
| 0 | 0 | 0 | 1 | 28.000000000000 | 1 | 0 | 1 | ||
| SEE PART V | |||||||||
| 0 | 1 | 1 | 1 | 15.700000000000 | 1 | 0 | 1 | 0 | 0 |
Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART II, LINE 3, TOTAL PROCEEDS OF ISSUE: | THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. |
| PART IV, COLUMN B, LINE 3B: | DEUTSCHE BANK (SWAP), JP MORGAN (RATE LOCK AGREEMENT TERMINATED ON 8/23/06 ISSUE DATE) |
| PART IV, COLUMN B, LINE 3C: | 15.8 YEARS (SWAP), 13.1 YEARS (RATE LOCK AGREEMENT TERMINATED ON 8/23/06 ISSUE DATE) |
Schedule L IRS990ScheduleL
Loan Table LoanTable (2 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| CRAIG COCCIA | ||||||
| SIGNING BONUS | X | $240,000 | 24000 | 0 | 1 | 1 |
| RICHARD ROVIN | ||||||
| SIGNING BONUS | X | $227,000 | 22700 | 0 | 1 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 46700 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| CINDY MASSIE | |||
| FAMILY MEMBER OF CURRENT BOARD MEMBER, TIMOTHY J LARSON | 49750 | EMPLOYMENT | 0 |
| HELEN LAPLANT | |||
| FAMILY MEMBER OF CURRENT BOARD MEMBER, GARY LAPLANT | 21235 | EMPLOYMENT | 0 |
| JESSICA BLEAU-WORDEN | |||
| FAMILY MEMBER OF CURRENT OFFICER, JERRY WORDEN | 55650 | EMPLOYMENT | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | UNDER THE CURRENT ARTICLES OF INCORPORATION, THE GOVERNING BODY MEMBERS (BOARD OF TRUSTEES) ARE THE ONLY MEMBERS OF THE ORGANIZATION. | |
| FORM 990, PART VI, SECTION B, LINE 11 | ONCE FORM 990 HAS BEEN PREPARED, IT IS REVIEWED BY THE VP OF FINANCE, THE CFO, AND THE CEO. IT IS THEN PRESENTED TO THE FINANCE COMMITTEE. UPON APPROVAL BY THE FINANCE COMMITTEE, THE COMPLETED TAX RETURN IS PRESENTED TO THE BOARD OF TRUSTEES BEFORE FILING. | |
| EACH MEMBER OF THE BOARD OF TRUSTEES SIGNS A CONFLICT OF INTEREST STATEMENT ANNUALLY. EMPLOYEES WHO ALSO SERVE ON THE BOARD OR WHO ARE OFFICERS ARE REMINDED AT THEIR ANNUAL EVALUATIONS TO ABIDE BY THE CODE OF CONDUCT AND ALSO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. | FORM 990, PART VI, SECTION B, LINE 12C | |
| TO DETERMINE EXECUTIVE COMPENSATION FOR THE CEO, VICE PRESIDENTS AND OFFICERS OF THE CORPORATION, THE ORGANIZATION USES AN INDEPENDENT CONSULTANT TO CONDUCT SALARY SURVEYS OF THE HEALTH CARE MARKET. THE INDEPENDENT CONSULTANT REVIEWS FINDINGS AND MAKES RECOMMENDATIONS TO THE COMPENSATION COMMITTEE OF THE BOARD. | FORM 990, PART VI, SECTION B, LINE 15 | |
| THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATION WEBSITE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE WITHIN CONTINUING DISCLOSURES FOR BOND ISSUANCES AT WWW.FIRSTRIVER.COM. THE ORGANIZATION DOES NOT MAKE PUBLICLY AVAILABLE ITS CONFLICT OF INTEREST POLICY. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 2,145,587. CONTRIBUTION RECEIVED - RESTRICTED PROPERTY 131,204. PENSION LIABILITY ADJUSTMENT -1,738,697. INCREASE IN TEMPORARILY RESTRICTED NET ASSETS 613,436. NET ASSETS RELEASED FROM RESTRICTIONS 205,528. TRANSFER TO AFFILIATE (SHP) -1,982,015. TOTAL TO FORM 990, PART XI, LINE 5: -624,957. | FORM 990, PART XI, LINE 5: |
| SECTION 409A DOCUMENT CORRECTION UNDER SECTION IX OF NOTICE 2010-6 | 1. NAME OF EACH SERVICE PROVIDER AFFECTED BY THE DOCUMENT FAILURE: A. DAVID S GRASER B. A GARY MULLER C. THOMAS NOREN D. JERRY L WORDEN 2. NAME OF THE NONQUALIFIED DEFERRED COMPENSATION PLAN WITH RESPECT TO WHICH THE DOCUMENT FAILURE OCCURRED: MARQUETTE GENERAL HOSPITAL INC 457(F) SUPPLEMENTAL RETIREMENT PLAN. 3. REQUIRED STATEMENTS FOR THE DOCUMENT FAILURE - PLAN PROVISIONS PROVIDING FOR IMPERMISSIBLE INITIAL DEFERRAL ELECTION. A. THE DOCUMENT FAILURE IS ELIGIBLE FOR CORRECTION UNDER NOTICE 2010-6. B. THE SECTION OF NOTICE 2010-6 UNDER WHICH THE DOCUMENT FAILURE IS CORRECTED IS SECTION IX. C. MARQUETTE GENERAL HEALTH SYSTEM HAS TAKEN ALL ACTIONS REQUIRED AND HAS OTHERWISE MET ALL REQUIREMENTS FOR THE PROPOSED CORRECTION AS OF THE LAST DAY OF MARQUETTE GENERAL HEALTH SYSTEM'S TAXABLE YEAR IN WHICH THE CORRECTION IS MADE (2010). D. THE DATE OF CORRECTION WAS OCTOBER 19, 2010. E. THE AMOUNT INVOLVED IN THE DOCUMENT FAILURE WAS $0, SINCE THE PLAN PROVISION PROVIDING FOR AN IMPERMISSIBLE INITIAL DEFERRAL ELECTION WAS NOT APPLIED. F. NO AMOUNT WAS REPORTED BY MARQUETTE GENERAL HEALTH SYSTEM AS INCLUDIBLE IN INCOME UNDER SECTION 409(A) AS PART OF THE CORRECTION. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATTSON MANAGEMENT GROUP LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 W MAGNETIC ST | AddressLine1 |
| City | MARQUETTE | City |
| State | MI | State |
| ZIP Code | 49855 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300136373 | EIN |
| Primary Activities | LANDHOLDING | PrimaryActivities |
| Legal Domicile State | MI | LegalDomicileState |
| Total Income | 0 | TotalIncome |
| EOY Assets | 124735 | EOYAssets |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| RAMPART EMERGENCY MEDICAL SERVICES INC | ||||||||||
| 828 SHERIDAN ROAD | ESCANABA | MI | 49829 | 382413139 | EMERGENCY MEDICAL SERVICES | MI | 501(C)(3) | 9 | N/A | 1 |
| MARQUETTE GENERAL FOUNDATION | ||||||||||
| 420 W MAGNETIC ST | MARQUETTE | MI | 49855 | 203615349 | FUNDRAISING FOR MARQUETTE GENERAL HOSPITAL | MI | 501(C)(3) | 11A TYPE I | N/A | 1 |
| UPPER PENINSULA HEALTH PLAN INC | ||||||||||
| 228 W WASHINGTON ST | MARQUETTE | MI | 49855 | 383379956 | MEDICAID HMO | MI | 501(C)(4) | N/A | N/A | 1 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UPPER PENINSULA MANAGED CARE LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 228 W WASHINGTON ST | AddressLine1 |
| City | MARQUETTE | City |
| State | MI | State |
| ZIP Code | 49855 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383323620 | EIN |
| Primary Activity | MANAGEMENT COMPANY OF UP HEALTH PLAN | PrimaryActivity |
| Legal Domicile State | MI | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 1185066 | ShareOfTotalIncome |
| Share Of EOY Assets | 1917851 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.56270 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ICE LAKE MEDICAL ARTS BUILDING | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 W MAGNETIC ST | AddressLine1 |
| City | MARQUETTE | City |
| State | MI | State |
| ZIP Code | 49855 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382206384 | EIN |
| Primary Activity | LEASING OF BUILDING SPACE | PrimaryActivity |
| Legal Domicile State | MI | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 5560 | ShareOfTotalIncome |
| Share Of EOY Assets | 69504 | ShareOfEOYAssets |
| Percentage Ownership | 0.66670 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MARQUETTE GENERAL FOUNDATION | ||
| C | 436507 | AUDITED F/S |
| MARQUETTE GENERAL FOUNDATION | ||
| K | 459359 | AUDITED F/S |
| MARQUETTE GENERAL FOUNDATION | ||
| M | 42825 | AUDITED F/S |
| RAMPART EMERGENCY MEDICAL SERVICES INC | ||
| P | 968961 | REVIEW GL DETAIL |
| UPPER PENINSULA MANAGED CARE LLC | ||
| R | 799290 | REVIEW GL DETAIL |
| UPPER PENINSULA HEALTH PLAN INC | ||
| R | 7918031 | REVIEW GL DETAIL |