2012-09-28T15:03:42-05:00 2012-02-29 YEO & YEO PC PO BOX 3275 SAGINAW MI 48605 990 2011-03-01 382290337 THUNDER BAY COMMUNITY HEALTH SERVICE THUN 9897424583 15774 STATE STREET PO BOX 427 HILLMAN MI 49746 MICHELLE STYMA 9897424583 2012-09-27 true BRIAN R DIXON 9897939830 2012-09-27 2011 2016-02-24 21:20:13Z MICHELLE STYMA 15774 STATE STREET PO BOX 427 HILLMAN MI 49746 13297972 false X WWW.TBCHS.ORG X 1981 MI THUNDER BAY COMMUNITY HEALTH SERVICE COMMITS ITS RESOURCES AND PASSION TO PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE SERVICES FOR PEOPLE OF ALL AGES. 8 8 121 0 5094718 4536057 4557766 4452007 -6889 8698 2521045 3146690 12166640 12143452 82500 82500 0 6158922 6353387 0 0 6107401 5233061 12348823 11668948 -182183 474504 7664022 7615030 3978922 3427426 3685100 4187604 THUNDER BAY COMMUNITY HEALTH SERVICE COMMITS ITS RESOURCES AND PASSION TO PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE SERVICES FOR PEOPLE OF ALL AGES. false false 9339534 82500 THE ORGANIZATION PROVIDED PRIMARY MEDICAL, DENTAL, BEHAVIORAL HEALTH, LAB AND X-RAY SERVICES TO MEDICALLY UNDERSERVED REGARDLESS OF THE PATIENTS' ABILITY TO PAY. 9339534 true true false false false false false false false false true false false false false false true false false false false false false false false false false true false true false false false false false false false false true false false false false false false false false false true 1 0 true 121 true false false false false false false X 8 8 false false false false false false false true true false false true true true true true true true true false X LEIGHANN MILL 9893542197 100 N RIPLEY SUITE B ALPENA MI 49707 MIKE WURTSMITH 1.00 X 0 0 0 NANCY DEXTROM 1.00 X 0 0 0 TARRY DEO 1.00 X 0 0 0 ROD FULLERTON 1.00 X 0 0 0 BEN BOLSER 1.00 X 0 0 0 AL MOE X 0 0 0 NINA KENNARD 1.00 X 0 0 0 SHANNA JOHNSON 1.00 X 0 0 0 MARION HAUTEA 40.00 X 220000 0 20201 MICHELLE STYMA 40.00 X 158047 0 18221 SHARRON GALLOP 40.00 X 69168 0 4541 JEMELLEE JACALA-TADIAN 40.00 X 180249 0 20606 TIMOTHY HAYES 40.00 X 168103 0 8940 CHRISTOPHER GUNNELL 40.00 X 167355 0 20723 AMY KANE 40.00 X 134006 0 19641 MICHAEL FAIRBANKS 40.00 X 130714 0 19352 1227642 132225 12 false true false 2080901 2455156 2454091 4536057 PATIENT FEES 624100 4452007 4452007 4452007 4764 4764 34807 24632 10175 10175 10175 39339 35405 3934 3934 3934 3609435 1094483 2514952 2514952 OTHER REVENUE 621563 621563 621563 12143452 7602631 4764 82500 82500 447215 176000 271215 4540226 4046368 493858 136998 79459 57539 851092 494078 357014 377856 272143 105713 1686 1686 26000 26000 785132 498239 286893 89601 66407 23194 141166 93344 47822 308881 228267 80614 120639 67580 53059 133051 133051 313267 313267 28522 17093 11429 MEDICAL SUPPLIES 3081227 3081227 REPAIR AND MAINTENANCE 120197 115452 4745 DUES AND SUBSCRIPTIONS 51539 17923 33616 OTHER 32153 3454 28699 11668948 9339534 2329414 0 50008 124809 658958 831643 906918 821311 104772 109124 95176 108018 7396666 1776541 5848190 5620125 7664022 7615030 722353 510615 3256569 2916811 3978922 3427426 X 3684567 4187071 533 533 3685100 4187604 7664022 7615030 474504 28000 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false 363841 363841 5758385 1131676 4626709 24677 13435 11242 1249763 631430 618333 5620125 12143452 11668948 474504 28000 28000 502504 13290567 28000 1119115 1147115 12143452 12143452 12788063 1119115 1119115 11668948 11668948 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 false ALCONA HEALTH CENTER 177 NORTH BARLOW RD LINCOLN MI 48742 382170985 82500 BEHAVIORAL HEALTH X X X false false false false false false false false false 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 X 1 2257900 X 1 196191 false false false 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.