THUNDER BAY COMMUNITY HEALTH SERVICE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: THUNDER BAY COMMUNITY HEALTH SERVICE INC (EIN 38-2290337)
Tax period: 2011-03-01 to 2012-02-29
Filed: 2012-09-28
IRS object ID: 201242729349300824
Schema version: 2011v1.2
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 I
Schedule J
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-09-28T15:03:42-05:00	Timestamp
Tax Period End Date	2012-02-29	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	YEO & YEO PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 3275	AddressLine1
City	SAGINAW	City
State	MI	State
ZIP Code	48605	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-03-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	382290337	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	THUNDER BAY COMMUNITY HEALTH	BusinessNameLine1
Business Name Line2	SERVICE	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	THUN	NameControl
Phone	9897424583	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	15774 STATE STREET PO BOX 427	AddressLine1
City	HILLMAN	City
State	MI	State
ZIP Code	49746	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MICHELLE STYMA	Name
Title	CEO	Title
Phone	9897424583	Phone
Date Signed	2012-09-27	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	BRIAN R DIXON	Name
Phone	9897939830	Phone
Date Prepared	2012-09-27	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MICHELLE STYMA	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	15774 STATE STREET PO BOX 427	AddressLine1
City	HILLMAN	City
State	MI	State
ZIP Code	49746	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	13297972	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.TBCHS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1981	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	THUNDER BAY COMMUNITY HEALTH SERVICE COMMITS ITS RESOURCES AND PASSION TO PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE SERVICES FOR PEOPLE OF ALL AGES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	121	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	5094718	ContributionsGrantsPriorYear
Contributions Grants Current Year	4536057	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	4557766	ProgramServiceRevenuePriorYear
Program Service Revenue CY	4452007	ProgramServiceRevenueCY
Investment Income Prior Year	-6889	InvestmentIncomePriorYear
Investment Income Current Year	8698	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2521045	OtherRevenuePriorYear
Other Revenue Current Year	3146690	OtherRevenueCurrentYear
Total Revenue Prior Year	12166640	TotalRevenuePriorYear
Total Revenue Current Year	12143452	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	82500	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	82500	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	6158922	SalariesEtcPriorYear
Salaries Etc Current Year	6353387	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	6107401	OtherExpensePriorYear
Other Expenses Current Year	5233061	OtherExpensesCurrentYear
Total Expenses Prior Year	12348823	TotalExpensesPriorYear
Total Expenses Current Year	11668948	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-182183	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	474504	RevenuesLessExpensesCY
Total Assets BOY	7664022	TotalAssetsBOY
Total Assets EOY	7615030	TotalAssetsEOY
Total Liabilities BOY	3978922	TotalLiabilitiesBOY
Total Liabilities EOY	3427426	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3685100	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	4187604	NetAssetsOrFundBalancesEOY
Mission Description	THUNDER BAY COMMUNITY HEALTH SERVICE COMMITS ITS RESOURCES AND PASSION TO PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE SERVICES FOR PEOPLE OF ALL AGES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	9339534	Expense
Grants	82500	Grants
Description	THE ORGANIZATION PROVIDED PRIMARY MEDICAL, DENTAL, BEHAVIORAL HEALTH, LAB AND X-RAY SERVICES TO MEDICALLY UNDERSERVED REGARDLESS OF THE PATIENTS' ABILITY TO PAY.	Description
Total Program Service Expense	9339534	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	true	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	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	1	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	121	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
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	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	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	LEIGHANN MILL	NamePerson
Telephone Number	9893542197	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	100 N RIPLEY SUITE B	AddressLine1
City	ALPENA	City
State	MI	State
ZIP Code	49707	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
MIKE WURTSMITH
CHAIR	1.00	X	0	0	0
NANCY DEXTROM
VICE CHAIR	1.00	X	0	0	0
TARRY DEO
DIRECTOR	1.00	X	0	0	0
ROD FULLERTON
DIRECTOR	1.00	X	0	0	0
BEN BOLSER
TREASURER	1.00	X	0	0	0
AL MOE
DIRECTOR		X	0	0	0
NINA KENNARD
DIRECTOR	1.00	X	0	0	0
SHANNA JOHNSON
DIRECTOR	1.00	X	0	0	0
MARION HAUTEA
MEDICAL DIRE	40.00		220000	0	20201	X
MICHELLE STYMA
CEO	40.00		158047	0	18221	X
SHARRON GALLOP
CFO	40.00		69168	0	4541	X
JEMELLEE JACALA-TADIAN
PHYSICIAN	40.00		180249	0	20606		X
TIMOTHY HAYES
PHYSICIAN	40.00		168103	0	8940		X
CHRISTOPHER GUNNELL
PHYSICIAN	40.00		167355	0	20723		X
AMY KANE
NURSE PRACTI	40.00		134006	0	19641		X
MICHAEL FAIRBANKS
PHYSICIAN	40.00		130714	0	19352		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1227642	TotalReportableCompFromOrg
Total Other Compensation	132225	TotalOtherCompensation
Number Individuals GT100 K	12	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Government Grants	2080901	GovernmentGrants
All Other Contributions	2455156	AllOtherContributions
Noncash Contributions	2454091	NoncashContributions
Total Contributions	4536057	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT FEES	Description
Business Code	624100	BusinessCode
Total Revenue Column	4452007	TotalRevenueColumn
Related Or Exempt Function Income	4452007	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	4452007	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4764	TotalRevenueColumn
Exclusion	$4,764	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	34807	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	24632	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	10175	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	10175	TotalRevenueColumn
Related Or Exempt Function Income	10175	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	39339	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	35405	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	3934	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3934	TotalRevenueColumn
Related Or Exempt Function Income	3934	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	3609435	GrossSalesOfInventory
Cost Of Goods Sold	1094483	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2514952	TotalRevenueColumn
Related Or Exempt Function Income	2514952	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	OTHER REVENUE	Description
Total Revenue Column	621563	TotalRevenueColumn
Related Or Exempt Function Income	621563	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	621563	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	12143452	TotalRevenueColumn
Related Or Exempt Function Income	7602631	RelatedOrExemptFunctionIncome
Exclusion	$4,764	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	82500	Total
Program Services	82500	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	447215	Total
Program Services	176000	ProgramServices
Management And General	271215	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	4540226	Total
Program Services	4046368	ProgramServices
Management And General	493858	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	136998	Total
Program Services	79459	ProgramServices
Management And General	57539	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	851092	Total
Program Services	494078	ProgramServices
Management And General	357014	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	377856	Total
Program Services	272143	ProgramServices
Management And General	105713	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1686	Total
Management And General	1686	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	26000	Total
Management And General	26000	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	785132	Total
Program Services	498239	ProgramServices
Management And General	286893	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	89601	Total
Program Services	66407	ProgramServices
Management And General	23194	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	141166	Total
Program Services	93344	ProgramServices
Management And General	47822	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	308881	Total
Program Services	228267	ProgramServices
Management And General	80614	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	120639	Total
Program Services	67580	ProgramServices
Management And General	53059	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	133051	Total
Management And General	133051	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	313267	Total
Management And General	313267	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	28522	Total
Program Services	17093	ProgramServices
Management And General	11429	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	3081227	3081227
REPAIR AND MAINTENANCE	120197	115452	4745
DUES AND SUBSCRIPTIONS	51539	17923	33616
OTHER	32153	3454	28699

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	11668948	Total
Program Services	9339534	ProgramServices
Management And General	2329414	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	50008	BOY
EOY	124809	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	658958	BOY
EOY	831643	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	906918	BOY
EOY	821311	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	104772	BOY
EOY	109124	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	95176	BOY
EOY	108018	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	7396666	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1776541	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	5848190	BOY
EOY	5620125	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	7664022	BOY
EOY	7615030	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	722353	BOY
EOY	510615	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	3256569	BOY
EOY	2916811	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3978922	BOY
EOY	3427426	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3684567	BOY
EOY	4187071	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	533	BOY
EOY	533	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3685100	BOY
EOY	4187604	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	7664022	BOY
EOY	7615030	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	474504	ReconcilationRevenueExpenses
Reconcilation Other Changes	28000	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	363841	OtherCostOrOtherBasis
Book Value	363841	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5758385	OtherCostOrOtherBasis
Depreciation	1131676	Depreciation
Book Value	4626709	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	24677	OtherCostOrOtherBasis
Depreciation	13435	Depreciation
Book Value	11242	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1249763	OtherCostOrOtherBasis
Depreciation	631430	Depreciation
Book Value	618333	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	5620125	TotalOfBookValueLandBuildings
Total Revenue	12143452	TotalRevenue
Total Expenses	11668948	TotalExpenses
Excess Or Deficit For Year	474504	ExcessOrDeficitForYear
Donated Services And Facilities	28000	DonatedServicesAndFacilities
Total Adjustments	28000	TotalAdjustments
Excess Or Deficit Per FS	502504	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	13290567	TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities	28000	DonatedSrvcAndUseOfFacilities
Other Revenues	1119115	OtherRevenues
Revenue Not Rptd F990	1147115	RevenueNotRptdF990
Revenue Subtotal	12143452	RevenueSubtotal
Total Revenue Per Form990	12143452	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	12788063	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	1119115	OtherExpensesIncluded
Expenses Not Rptd F990	1119115	ExpensesNotRptdF990
Expenses Subtotal	11668948	ExpensesSubtotal
Total Expenses Per Form990	11668948	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
RECONCILIATION OF CHANGES - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 8	COST OF GOODS SOLD 1,094,483 RENTAL EXPENSES 24,632 COST OF GOODS SOLD -1,094,483 RENTAL EXPENSES -24,632
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 2D	COST OF GOODS SOLD 1,094,483 RENTAL EXPENSES 24,632
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XIII, LINE 2D	COST OF GOODS SOLD 1,094,483 RENTAL EXPENSES 24,632

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	false	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	ALCONA HEALTH CENTER	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	177 NORTH BARLOW RD	AddressLine1
City	LINCOLN	City
State	MI	State
ZIP Code	48742	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	382170985	EINOfRecipient
Amount Of Cash Grant	82500	AmountOfCashGrant
Purpose Of Grant	BEHAVIORAL HEALTH	PurposeOfGrant

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
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 (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg
MARION HAUTEA
220000	17624	2577	240201	210522
MICHELLE STYMA
158047	15765	2456	176268	155548
JEMELLEE JACALA-TADIAN
180249	18076	2530	200855	179756
TIMOTHY HAYES
168103	7075	1865	177043
CHRISTOPHER GUNNELL
167355	18226	2497	188078	165317
AMY KANE
134006	17226	2415	153647	131319
MICHAEL FAIRBANKS
130714	17117	2235	150066

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990
X	1	2257900
X	1	196191

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE FINANCE COMMITTEE REVIEWS THE FORM 990 BEFORE IT IS FILED AND PRESENTS IT TO THE BOARD.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	EMPLOYEES AND BOARD MEMBERS MUST SUBMIT IN WRITING IF THEY HAVE A CONFLICT OF INTEREST FOR EXECUTIVE TEAM REVIEW.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	FOR THE CEO,THE HUMAN RESOURCES DEPARTMENT RESEARCHES PREVAILING WAGE RATES FROM FOUR SOURCES AND REPORTS THEM TO THE EXECUTIVE TEAM. THE EXECUTIVE TEAM REPORTS TO THE FINANCE COMMITTEE AND DETERMINES A WAGE TO BE PRESENTED AND APPROVED BY THE BOARD.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	COMPENSATION OF OFFICERS AND KEY EMPLOYEES IS BASED OFF THE BOARD APPROVED WAGE SCALE.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.