2011-08-15T14:15:44-05:00 2010-09-30 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2009-10-01 381358390 Garden City Hospital GARD 7344213300 6245 Inkster Road Garden City MI 48135 TIMOTHY M JODWAY 7344213300 2011-08-15 true Joyce A Dulworth 2604604000 2009 2016-02-24 21:20:13Z MR GARY LEY 6245 INKSTER ROAD GARDEN CITY MI 48135 143624291 false X WWW.GCHOSP.ORG X 1947 MI GARDEN CITY HOSPITAL IS COMMITTED TO PROVIDING HEALTH CARE THAT IMPROVES THE WELL BEING OF THE WHOLE PERSON AND THE HEALTH STATUS OF THE COMMUNITY. 14 13 1642 154 1543553 78357 51595 143977256 139813907 1356049 2084971 2594913 1240292 148006575 143190765 0 0 0 0 74209736 73206928 0 0 5735 72231107 73543848 146440843 146750776 1565732 -3560011 105553095 100660380 85208830 89736490 20344265 10923890 GARDEN CITY HOSPITAL IS COMMITTED TO PROVIDING HEALTH CARE THAT IMPROVES THE WELL BEING OF THE WHOLE PERSON AND THE HEALTH STATUS OF THE COMMUNITY AT LARGE THROUGH THE PROVISION OF COMPREHENSIVE HEALTH CARE SERVICES, OSTEOPATHIC MEDICAL EDUCATION, AND HEALTH CARE RELATED PROGRAMS. false false 136663892 139292675 GARDEN CITY HOSPITAL (GCH) PROVIDED HEALTH CARE SERVICES TO APPROXIMATELY 9,000 INPATIENTS, 45,000 EMERGENCY VISITS, AND 80,000 OUTPATIENT VISITS. GCH'S RETAIL PHARMACY SERVICES PROVIDED 30,000 SCRIPTS FOR THE COMMUNITY. GCH ALSO PROVIDED FREE OR LOW COST SERVICES TO THE COMMUNITY SUCH AS HEALTH FAIRS, VARIOUS MEDICAL SCREENINGS, DIABETIC EDUCATION, CPR CLASSES, AND PRENATAL COUNSELING. 136663892 true true false true false false false false false true false true false false true false false false true false true false false true true false false false false false false false false false false false false false false false true true false false true 163 0 true 1642 true true true false false false false true true false false false 14 13 false false false false false false false true true false false true true true true true true true false true false X JANE HARDY 7344584733 6245 INKSTER ROAD GARDEN CITY MI 48135 FOUAD ASHKAR 1.0 X 0 0 0 LINDA BREAKIE 1.0 X 0 0 0 RITA BRINCAT 1.0 X 0 0 0 REUBEN ELIUK DO 1.0 X 0 209110 14413 CONWAY JEFFRESS PHD 1.0 X 0 0 0 VINCENT MARINO 1.0 X 0 0 0 DENISE ORCHER 1.0 X 0 0 0 JOHN O'SHEA 1.0 X 0 0 0 JOYCE PAPPAS 1.0 X 0 0 0 ANNE PAWLAK DO 1.0 X 0 0 0 THERESE PEACE 1.0 X 0 0 0 TROY SMITH DO 1.0 X 0 0 0 EDMOND SWAD JR 1.0 X 0 0 0 BRIAN SUSKO 1.0 X 0 0 0 GARY LEY 40.0 X 336647 0 36449 DAN BABB 40.0 X 179437 0 30464 ART GREENLEE 40.0 X 178011 0 30478 GARY MOORMAN 40.0 X 224409 0 13402 DEBBIE WILLIAMS 40.0 X 133230 0 22512 TIM JODWAY 40.0 X 0 0 0 SHERYL PARKS 40.0 X 409162 0 31946 WANDA ELLIOTT 40.0 X 352275 0 25667 INGRID WILSON-JOHNSON 40.0 X 241507 0 30813 CHADI HADDAD 40.0 X 255306 0 18277 RAINNA FURNARI-BRAZIL 40.0 X 251218 0 26519 2561202 209110 280940 30 false true false Caretech Solutions Inc PO Box 674271 DETROIT MI 48267 IT SUPPORT 2814833 Blue Care Network PO BOX 33608 DETROIT MI 48232 HEALTH INSURANCE 1636147 Siemens Medical Solutions DEPT CH 14195 PALATINE IL 60055 IT SUPPORT 1401363 SUPPLEMENTAL HEALTH CARE PO BOX 27124 SALT LAKE CITY UT 84127 IMAGING SERVICES 987111 AIMS 31805 W EIGHT MILE ROAD LIVONIA MI 48152 CONSTRUCTION 977948 42 5445 25000 21150 51595 PATIENT SERVICE 621400 136847819 135792284 1055535 RETAIL PHARMACY 446110 2513854 2025836 488018 HOME MEDICAL EQUIPMENT 621610 137788 137788 NEUROSURGERY 621110 301664 301664 COMMUNITY SERVICE PROGRAMS 621400 12782 12782 139813907 1891338 1891338 191518 191518 0 642816 423966 218850 218850 218850 2115 2115 2115 2115 10796 5445 9560 1236 6681 0 0 CAFETERIA 722100 522796 522796 ALL OTHER REVENUE 900099 497410 497410 1020206 143190765 139292675 1543553 2308387 0 0 0 0 1051734 1051734 0 56634804 55601193 1031901 1710 1834502 1834502 9455236 9083803 368693 2740 4230652 4097461 133191 0 276045 276045 311402 311402 114546 114546 0 0 9577247 8736488 840759 570320 570320 23438989 22894243 543461 1285 4233430 4065325 168105 0 1726903 1507735 219168 0 0 138026 125153 12873 2888300 2888300 0 6108070 6108070 2234633 2234633 BAD DEBT 13246791 13246791 REBILLABLE PROSTHESIS 6312231 6312231 RESIDENTS & INTERNS MEALS 128017 128017 EDUCATION REIMBURSE & STIPEND 103743 103743 BLOOD COSTS 927860 927860 1207295 837479 369816 146750776 136663892 10081149 5735 1160 1300 6723629 7417272 9254264 10136078 1344765 1414910 1897649 2013217 134301745 82345553 53669331 51956192 25234168 21637707 7428129 6083704 105553095 100660380 11441272 11699161 54860961 54066108 18906597 23971221 85208830 89736490 X 20228620 10762095 115645 161795 20344265 10923890 105553095 100660380 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 114546 114546 false false LOBBYING EXPENSE SCHEDULE C, PART II-B LINE 1I GARDEN CITY HOSPITAL ENGAGED LOBBYING CONSULTANTS TO INFLUENCE LEGISLATORS. 0 867282 867282 0 69826182 30530780 39235404 0 62621544 51183564 11497980 0 986737 631211 355526 51956192 DUE FROM RELATED PARTIES 1224901 DEFERRED BOND COSTS 798534 INVESTMENT-MULTIPROV CAPTIVE 3805986 INVESTMENT-GC HOME MED EQUIP 214283 INVESTMENT-MCHI 40000 6083704 0 RESERVE FOR PROF LIAB CLAIMS 2381324 PENSION LIABILITY 20387913 OBLIGATIONS UNDER CAPTIAL LEASE 1055690 DUE TO 3RD PARTY PAYORS 146294 23971221 143190765 146750776 -3560011 -5860367 -5860367 -9420378 143624291 433526 433526 143190765 143190765 147184302 433526 433526 146750776 146750776 SCHEDULE D FIN 48 FOOTNOTE THE CORPORATION, FOUNDATION, UNITED HOME HEALTH SERVICES, INC. AND ADVANCE NURSING CENTER HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE ORGANIZATIONS AS DESCRIBED UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND AS SUCH, ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER CODE SECTION 501(A). AMERIGARD DEVELOPMENT, INC., UNITED HOME CARE SERVICES, INC. AND AMERIGARD DIAGNOSTIC CENTRE ARE SUBJECT TO CORPORATE INCOME TAXES. THERE ARE NO MATERIAL CHANGES IN THE CORPORATION'S UNRECOGNIZED INCOME TAX BENEFITS AT SEPTEMBER 30, 2010. THE CORPORATION IS UNAWARE OF ANY TAX POSITIONS, FOR WHICH IT IS REASONABLY POSSIBLE, THAT THE TOTAL OF UNRECOGNIZED TAX POSITIONS WILL SIGNIFICANTLY INCREASE OR DECREASE WITHIN THE NEXT YEAR. PART XI LINE 8 $(5,369,310) ACCRUED PENSION + $(491,057) TRANSFER TO AFFILIATES = $(5,860,367) PART XII & XIII LINE 2D $9,560 SPECIAL EVENTS EXPENSE + $423,966 RENTAL EXPENSE = $433,526 Central America and the Caribbean 1 1 Program Services CAPTIVE INSURANCE CO 3377437 Central America and the Caribbean 1 1 Program Services CAPTIVE INSURANCE CO 8351150 2 2 11728587 CARDIO REHAB 16241 5445 10796 4490 5070 0 16241 5445 10796 4490 5070 9560 1236 true true true X false true true true false true false 320380 0 320380 0.00220 22599847 17330618 5269229 0.03590 0 0 0 0.00000 22920227 17330618 5589609 0.03810 519937 519937 0.00350 6680723 3941912 2738811 0.01870 398631 233268 165363 0.00110 41959 41959 0.00030 7641250 4175180 3466070 0.02360 30561477 21505798 9055679 0.06170 16266 16266 1000 1000 20000 20000 37266 37266 true 5555704 70372565 62698784 7673781 X true true GCH HOME MEDICAL LLC PROVIDE MEDICAL EQUIPMENT 0.50000 GARDEN CITY HOSPITAL

6245 INKSTER ROAD GARDEN CITY MI 48135

X X X X The organization's audited financial statements do not contain a footnote that describes bad debt expense. Bad debt is classified as an operating expense. This treatment is consistent with the HFMA principles and practices Board statement NO. 15 and with the AICPA Audit and Accounting Guide for Health Care Organizations. An aggregate cost to charge ratio was used to provide bad debt at cost for Line 2. Used cost to charge ratio on worksheet 2. Patients known to qualify for charity care of financial assistance are not sent to a collection agency. The organization repeatedly offers patients access to financial help during their hospital stay and after, as well as with each billing notice (information is printed directly on the patient bill). A needs assessment of the Garden City hospital (GCH) community was performed in August 2010. The assessment was performed by GCH staff and included review of community health reports and national community surveys. The assessment looked at the GCH community's demographic, socioeconomic, health status and chronic disease profiles. In addition, the hospital and physicians identify community needs based on admission/discharge and other hospital data. Based on this data and information, the hospital assesses and continually responds to changing community needs. All uninsured patients that are admitted to the hospital as inpatients are screened and interviewed for Medicaid eligibility by a third party vendor. Uninsured patients seen in the Emergency Department are contacted by phone after the visit and screened for Medicaid eligibility. If the patients are not Medicaid eligible, they are given information regarding the hospital's Charity Care Program. In addition, all set pay patient billing statements contain information on the guidelines and how to obtain a charity care application. GCH serves approximately one-fourth of the population residing in Wayne County. The population has a unique mix of minorities who reside in specific districts of the community. Unemployment is higher than the national average. The percentage of uninsured is higher than Michigan's average. The population is older than the average for both the nation and for Michigan; the percentage of children under 18 is less than 16 percent, compared to the national average of 18 percent. Heart disease and cancer are the leading causes of death. The hospital promotes community building through economic development, community support and coalition building. The hospital provides both staff and financial support to the local chamber of commerce as part of its economic development activities. The hospital also contributes by assisting in disaster preparedness and donating to local community groups. In addition, the hospital staff is very involved in organizations, both local and national, such as the SEM Red Cross, AOA committee members and task forces, Region 2 South Emergency Preparedness, ARN Board member, etc. This involvement helps keep staff up to date and provides valuable resources to the hospital and to the local community. The hospital operates an emergency room open to all persons regardless of ability to pay. The hospital participates in Medicaid, Medicare and other government sponsored health programs. The hospital has an open medical staff with privileges available to all qualified in the area. The majority of the governing body consists of independent persons representative of the community served by the hospital. The hospital serves as a clinical experience site for a large number of residents. In addition, students in other health care professions such as nursing, pharmacy, dietary, and emergency technicians are trained here. X X X false false false false false false false false false GARY LEY 335819 0 0 0 828 0 7350 0 29099 0 373096 0 0 0 DAN BABB 179185 0 0 0 252 0 5242 0 25040 0 209719 0 0 0 ART GREENLEE 177625 0 0 0 386 0 5424 0 25054 0 208489 0 0 0 GARY MOORMAN 223454 0 0 0 955 0 6708 0 6694 0 237811 0 0 0 DEBBIE WILLIAMS 133230 0 0 0 0 0 3997 0 18515 0 155742 0 0 0 SHERYL PARKS 408337 0 0 0 825 0 7350 0 24596 0 441108 0 0 0 WANDA ELLIOTT 352088 0 0 0 187 0 7350 0 18317 0 377942 0 0 0 INGRID WILSON-JOHNSON 241038 0 0 0 469 0 7305 0 23508 0 272320 0 0 0 CHADI HADDAD 255133 0 0 0 173 0 7350 0 10927 0 273583 0 0 0 RAINNA FURNARI-BRAZIL 251038 0 0 0 180 0 7042 0 19477 0 277737 0 0 0 REUBEN ELIUK DO 0 209110 0 0 0 0 0 0 0 14413 0 223523 0 0 GCH FINANCE AUTHORITY HOSPITAL BONDS SERIES 2007A 386004685 365128AH0 2007-03-15 46689664 FINANCE FACILITIES & SURGERY CTR false true 46689664 2236979 587857 43864828 30848786 2008 true true true true false false false false false false POLICIES PART VI, SECTION A LINE 1B REUBEN ELIUK D.O. IS A PAID EMPLOYEE OF GARDEN CITY HOSPITAL. SECTION B LINE 11B THE ORGANIZATION'S FINANCE DEPARTMENT ACCUMULATES INFORMATION AND DATA NECESSARY TO COMPLETE THE FEDERAL FORM 990. AUDITED FINANCIAL DATA AND BOARD APPROVED POLICIES AND PROCEDURES ARE USED AS INPUT TO COMPLETE THE FORM. A DRAFT RETURN IS PREPARED AND REVIEWED BY THE ORGANIZATION'S INDEPENDENT OUTSIDE ACCOUNTANTS. THE FINANCE STAFF REVIEWS THE FORM 990 PRIOR TO FILING WITH THE IRS. AN ELECTRONIC COPY OF FORM 990 IS PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. LINE 12C EACH MONTH THE BOARD MEMBERS ASK THE GROUP IF THERE ARE ANY CONFLICTS OF INTEREST. IF THERE ARE ANY CONFLICTS THE BOARD WILL DISCUSS, INVESTIGATE, AND TAKE APPROPRIATE ACTION IF NECESSARY. DELIBERATIONS AND DECISIONS ARE MADE AT THE BOARD LEVEL TO DETERMINE WHETHER OR NOT A CONFLICT EXISTS. MEMBERS WILL RECUSE THEMSELVES FROM THE DISCUSSION IF A CONFLICT DOES EXIST. LINES 15A & 15B THE BOARD OF TRUSTEES ENGAGES AN OUTSIDE CONSULTING FIRM TO SURVEY THE MARKET FOR APPROPRIATE PLANS AND LEVELS OF COMPENSATION. APPROPRIATE PLANS AND COMPENSATION ARE THEN NEGOTIATED WITH TOP MANAGEMENT PERSONNEL. ONCE THIS IS DONE, THE COMPENSATION PLAN IS SENT TO THE COMPLIANCE ATTORNEY FOR REVIEW AND THEN TO THE BOARD FOR FINAL APPROVAL. ALL BOARD MEMBERS INVOLVED IN THIS PROCESS ARE INDEPENDENT MEMBERS. DISCLOSURE PART VI SECTION C LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC. ALL INQUIRIES FOR COPIES OF FINANCIALS STATEMENTS ARE DIRECTED TO THE THIRD PARTY WEBSITE. GARDEN CITY HOSPITAL FOUNDATION 6245 INKSTER ROAD GARDEN CITY MI 48135 382645157 FUNDRAISING MI 501(C)(3) 11 NA UNITED HOME HEALTH SERVICES 6245 INKSTER ROAD GARDEN CITY MI 48135 382453621 HOME HEALTH MI 501(C)(3) 11 NA GARDEN NURSING CENTER 6245 N INKSTER ROAD GARDEN CITY MI 48135 382410850 DISSOLVING MI 501(C)3 9 N/A GARDEN CITY HOME MEDICAL EQUIPMENT 6245 INKSTER ROAD GARDEN CITY MI 48135 262052696 HOME MED EQUIP MI NA RELATED 14762 211702 false 0 true AMERIGARD DEVELOPMENT 6245 INKSTER ROAD GARDEN CITY MI 48135 382695779 PHYSICIAN OFFCS MI NA C CORP 6094544 1667899 1.00000 AMERIGARD DIAGNOSTIC CENTER 6245 INKSTER ROAD GARDEN CITY MI 48135 383162092 DIAGNOSTIC TEST MI NA C CORP 835363 212060 1.00000 GCH ASSURANCE COMPANY LTD PO BOX 1159 KY-1102 GRAND CAYMAN CAYMAN ISLANDS CJ 980608598 INSURANCE CJ NA C CORP 3377437 8161952 1.00000 true true false false false false true true true true false true true true true true false false AMERIGARD DEVELOPMENT CORPORATION B 508558 AMERIGARD DEVELOPMENT CORPORATION J 210910 AMERIGARD DEVELOPMENT CORPORATION P 1850000 AMERIGARD DEVELOPMENT CORPORATION A 60976 AMERIGARD DEVELOPMENT CORPORATION I 62809 AMERIGARD DEVELOPMENT CORPORATION N 74250 UNITED HOME HEALTH N 57876 GARDEN CITY HOSPITAL FOUNDATION O 264142