THUNDER BAY COMMUNITY HEALTH SERVICE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: THUNDER BAY COMMUNITY HEALTH SERVICE INC (EIN 38-2290337)
Tax period: 2010-03-01 to 2011-02-28
Filed: 2011-10-13
IRS object ID: 201112869349300301
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 D
Schedule I
Schedule J
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-10-13T07:37:19-05:00	Timestamp
Tax Period End Date	2011-02-28	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	2010-03-01	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 SERVIC	BusinessNameLine1

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	2011-10-10	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	THOMAS E HOLLERBACK	Name
Phone	9897939830	Phone
Date Prepared	2011-10-10	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	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	13426100	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	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	119	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	2224773	ContributionsGrantsPriorYear
Contributions Grants Current Year	5094718	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	6748766	ProgramServiceRevenuePriorYear
Program Service Revenue CY	4557766	ProgramServiceRevenueCY
Investment Income Prior Year	262043	InvestmentIncomePriorYear
Investment Income Current Year	-6889	InvestmentIncomeCurrentYear
Other Revenue Prior Year	88787	OtherRevenuePriorYear
Other Revenue Current Year	2521045	OtherRevenueCurrentYear
Total Revenue Prior Year	9324369	TotalRevenuePriorYear
Total Revenue Current Year	12166640	TotalRevenueCurrentYear
Grants And Similar Amnts CY	82500	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	5381885	SalariesEtcPriorYear
Salaries Etc Current Year	6158922	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	3431225	OtherExpensePriorYear
Other Expenses Current Year	6107401	OtherExpensesCurrentYear
Total Expenses Prior Year	8813110	TotalExpensesPriorYear
Total Expenses Current Year	12348823	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	511259	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-182183	RevenuesLessExpensesCY
Total Assets BOY	7870367	TotalAssetsBOY
Total Assets EOY	7664022	TotalAssetsEOY
Total Liabilities BOY	4003084	TotalLiabilitiesBOY
Total Liabilities EOY	3978922	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3867283	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	3685100	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	9879783	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	9879783	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	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	24	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	119	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	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	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
States Where Copy Of Return Is Filed	MI	StatesWhereCopyOfReturnIsFiled
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 (18 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
TERRY DEO
DIRECTOR	1.00	X	0	0	0
BEACH HALL
DIRECTOR	1.00	X	0	0	0
BEN BOLSER
TREASURER	1.00	X	0	0	0
AL MOE
DIRECTOR	1.00	X	0	0	0
JOHN FALLOT
SECRETARY	1.00	X	0	0	0
SHANNA JOHNSON
DIRECTOR	1.00	X	0	0	0
MICHELLE MILBOCKER
DIRECTOR	1.00	X	0	0	0
KATIE JARVIS
DIRECTOR	1.00	X	0	0	0
MARION HAUTEA
MEDICAL DIRE	40.00		210522	0	21301	X
MICHELLE STYMA
CEO	40.00		155548	0	21173	X
SHARRON GALLOP
CFO	40.00		66424	0	0	X
JEMELLEE JACALA-TADIAN
PHYSICIAN	40.00		179756	0	20302		X
DONALD HILLMAN
PHYSICIAN	40.00		170235	0	17904		X
CHRISTOPHER GUNNELL
PHYSICIAN	40.00		165317	0	19818		X
AMY KANE
NURSE PRACTI	40.00		131319	0	0		X
MICHAEL FAIRBANKS
PHYSICIAN	32.00		129670	0	0		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1208791	TotalReportableCompFromOrg
Total Other Compensation	100498	TotalOtherCompensation
Number Individuals GT100 K	7	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Field	Value	IRS element (for citing)
Name Person	BRUCE DIETZ	NamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	105 GLENRIDGE	AddressLine1
City	ALPENA	City
State	MI	State
ZIP Code	49707	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	CONTRACT/LOANS	DescriptionOfServices
Compensation	168602	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
Government Grants	2550367	GovernmentGrants
All Other Contributions	2544351	AllOtherContributions
Noncash Contributions	2539825	NoncashContributions
Total Contributions	5094718	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT FEES	Description
Business Code	624100	BusinessCode
Total Revenue Column	4557766	TotalRevenueColumn
Related Or Exempt Function Income	4557766	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	4557766	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	57136	TotalRevenueColumn
Related Or Exempt Function Income	47327	RelatedOrExemptFunctionIncome
Exclusion	$9,809	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	35582	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	19312	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	16270	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	16270	TotalRevenueColumn
Related Or Exempt Function Income	16270	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	123016	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	187041	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-64025	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-64025	TotalRevenueColumn
Related Or Exempt Function Income	-64025	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	3472059	GrossSalesOfInventory
Cost Of Goods Sold	1053107	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2418952	TotalRevenueColumn
Related Or Exempt Function Income	2418952	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	OTHER REVENUE	Description
Total Revenue Column	85823	TotalRevenueColumn
Related Or Exempt Function Income	85823	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	85823	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	12166640	TotalRevenueColumn
Related Or Exempt Function Income	7062113	RelatedOrExemptFunctionIncome
Exclusion	$9,809	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	432494	Total
Program Services	168418	ProgramServices
Management And General	264076	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	4418797	Total
Program Services	3939270	ProgramServices
Management And General	479527	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	922104	Total
Program Services	545063	ProgramServices
Management And General	377041	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	385527	Total
Program Services	278576	ProgramServices
Management And General	106951	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	4795	Total
Management And General	4795	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	31414	Total
Management And General	31414	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	927795	Total
Program Services	589781	ProgramServices
Management And General	338014	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	45632	Total
Management And General	45632	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	156244	Total
Program Services	114704	ProgramServices
Management And General	41540	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	266364	Total
Program Services	204710	ProgramServices
Management And General	61654	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	118423	Total
Program Services	76567	ProgramServices
Management And General	41856	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	135737	Total
Management And General	135737	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	292234	Total
Management And General	292234	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	29762	Total
Program Services	19195	ProgramServices
Management And General	10567	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	3685871	3685871
REPAIR AND MAINTENANCE	199258	103898	95360
RECRUITMENT	116536		116536
DUES AND SUBSCRIPTIONS	51807	50679	1128
OTHER	45529	20551	24978

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	12348823	Total
Program Services	9879783	ProgramServices
Management And General	2469040	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	211033	BOY
EOY	50008	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1128485	BOY
EOY	658958	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	533	BOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	779066	BOY
EOY	906918	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	116982	BOY
EOY	104772	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	88399	BOY
EOY	95176	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	7515381	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1667191	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	5545549	BOY
EOY	5848190	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	320	BOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	7870367	BOY
EOY	7664022	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	611877	BOY
EOY	722353	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	3391207	BOY
EOY	3256569	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	4003084	BOY
EOY	3978922	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3865897	BOY
EOY	3684567	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1386	BOY
EOY	533	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3867283	BOY
EOY	3685100	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	7870367	BOY
EOY	7664022	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-182183	ReconcilationRevenueExpenses
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 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	5731544	OtherCostOrOtherBasis
Depreciation	920637	Depreciation
Book Value	4810907	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12976	OtherCostOrOtherBasis
Depreciation	12812	Depreciation
Book Value	164	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1407020	OtherCostOrOtherBasis
Depreciation	733742	Depreciation
Book Value	673278	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	5848190	TotalOfBookValueLandBuildings
Total Revenue	12166640	TotalRevenue
Total Expenses	12348823	TotalExpenses
Excess Or Deficit For Year	-182183	ExcessOrDeficitForYear
Excess Or Deficit Per FS	-182183	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	13239059	TotRevenueEtcAuditedFinclStmt
Other Revenues	1072419	OtherRevenues
Revenue Not Rptd F990	1072419	RevenueNotRptdF990
Revenue Subtotal	12166640	RevenueSubtotal
Total Revenue Per Form990	12166640	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	13421242	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	1072419	OtherExpensesIncluded
Expenses Not Rptd F990	1072419	ExpensesNotRptdF990
Expenses Subtotal	12348823	ExpensesSubtotal
Total Expenses Per Form990	12348823	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 1,053,107 RENTAL EXPENSES 19,312 COST OF GOODS SOLD -1,053,107 RENTAL EXPENSES -19,312
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 2D	COST OF GOODS SOLD 1,053,107 RENTAL EXPENSES 19,312
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XIII, LINE 2D	COST OF GOODS SOLD 1,053,107 RENTAL EXPENSES 19,312

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 (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg
MARION HAUTEA
210522	6353	14948	231823	213455
MICHELLE STYMA
155548	6353	14820	176721	149987
JEMELLEE JACALA-TADIAN
179756	5400	14902	200058
DONALD HILLMAN
170235	5088	12816	188139	171939
CHRISTOPHER GUNNELL
165317	4950	14868	185135	162200

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	2539825	NoncashContribsRptdF990

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.