SPARROW CARSON HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: SPARROW CARSON HOSPITAL (EIN 38-1490180)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-15
IRS object ID: 201113199349302041
Schema version: 2010v3.2
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 C
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-15T09:00:25-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE HORWATH LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	70 West Madison Street	AddressLine1
Address Line2	Suite 700	AddressLine2
City	Chicago	City
State	IL	State
ZIP Code	606024903	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	381490180	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CARSON CITY HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CARS	NameControl
Phone	9895843971	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	406 E Elm Street	AddressLine1
Address Line2	PO Box 879	AddressLine2
City	Carson City	City
State	MI	State
ZIP Code	48811	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DUANE C MILLER	Name
Title	CFO	Title
Date Signed	2011-11-14	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3128997000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

Field	Value	IRS element (for citing)
Business Name Line1	BRUCE L TRAVERSE	BusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	406 E Elm Street	AddressLine1
City	Carson City	City
State	MI	State
ZIP Code	48811	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	59424550	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CARSONCITYHOSPITAL.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1938	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	THE MISSION OF CARSON CITY HOSPITAL (CCH) IS TO PROVIDE HIGH QUALITY & ACCESSIBLE HEALTH CARE SERVICES TO COMMUNITIES WE SERVE. IN CONJUNCTION, CCH PROVIDES CHARITY CARE TO PATIENTS WHO MEET CERTAIN CRITERIA.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	705	TotalNbrEmployees
Total Nbr Volunteers	207	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	208713	ContributionsGrantsPriorYear
Contributions Grants Current Year	173923	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	56127926	ProgramServiceRevenuePriorYear
Program Service Revenue CY	56098857	ProgramServiceRevenueCY
Investment Income Prior Year	-161522	InvestmentIncomePriorYear
Investment Income Current Year	268368	InvestmentIncomeCurrentYear
Other Revenue Prior Year	614451	OtherRevenuePriorYear
Other Revenue Current Year	544801	OtherRevenueCurrentYear
Total Revenue Prior Year	56789568	TotalRevenuePriorYear
Total Revenue Current Year	57085949	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	29461637	SalariesEtcPriorYear
Salaries Etc Current Year	29805940	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	25979611	OtherExpensePriorYear
Other Expenses Current Year	25973959	OtherExpensesCurrentYear
Total Expenses Prior Year	55441248	TotalExpensesPriorYear
Total Expenses Current Year	55779899	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1348320	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1306050	RevenuesLessExpensesCY
Total Assets BOY	46397599	TotalAssetsBOY
Total Assets EOY	46633993	TotalAssetsEOY
Total Liabilities BOY	25401539	TotalLiabilitiesBOY
Total Liabilities EOY	23285826	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	20996060	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	23348167	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE MISSION OF CARSON CITY HOSPITAL (CCH) IS TO PROVIDE HIGH QUALITY AND ACCESSIBLE HEALTH CARE SERVICES TO THE COMMUNITIES WE SERVE AND TO PROVIDE CHARITY CARE TO PATIENTS WHO MEET CERTAIN CRITERIA.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	39152348	Expense
Revenue	49025245	Revenue
Description	CCH IS A 77-BED, ACUTE CARE HOSPITAL LOCATED IN CENTRAL MICHIGAN. IT IS THE OLDEST OSTEOPATHIC HOSPITAL IN MICHIGAN, FOUNDED IN 1936 BY EMMETT BINKERT, DO. SINCE THIS TIME, CCH HAS BEEN COMMITTED TO SERVING THE RESIDENTS IN A FOUR-COUNTY AREA. CCH CURRENTLY OPERATES A SHORT-TERM, ACUTE-CARE FACILITY AND SEVERAL SATELLITE CLINICS OFFERING INPATIENT AND OUTPATIENT HEALTHCARE SERVICES, PSYCHIATRIC SERVICES, PHYSICIAN SERVICES, AND HOME HEALTH CARE, PRIMARILY TO PATIENTS IN THE CARSON CITY, MICHIGAN AREA, INCLUDING GRATIOT, MONTCALM, CLINTON, AND IONIA COUNTIES. CCH PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. BECAUSE CCH DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. UNDER ARRANGEMENTS WITH VARIOUS GOVERNMENTAL INSURANCE PROGRAMS, CCH PROVIDES SIGNIFICANT CARE TO THE LOCAL INDIGENT POPULATION FOR WHICH REIMBURSEMENT FOR SERVICES RENDERED IS GENERALLY LESS THAN THE COST OF PROVIDING SUCH SERVICES. AS PART OF ITS OBLIGATION TO THE LOCAL COMMUNITY, CCH ALSO PROVIDES NUMEROUS OTHER SERVICES, WHICH BENEFIT THE COMMUNITY AND ARE GENERALLY PERFORMED AT NO CHARGE AND PROVIDES SERVICES TO INDIGENT PATIENTS UNDER THE MEDICAID PROGRAM AT PAYMENT AMOUNTS LESS THAN THE COST OF THE SERVICES PROVIDED. FOR THE YEAR ENDED DECEMBER 31, 2010, CCH PROVIDED OVER $3 MILLION IN UNCOMPENSATED CARE. DURING THE YEAR ENDED DECEMBER 31, 2010, CCH PROVIDED 7,010 PATIENT DAYS, WITH AN AVERAGE LENGTH OF STAY OF 3.17 DAYS. THERE WERE ALSO 12,739 EMERGENCY ROOM VISITS, 70,293 OUTPATIENT HOSPITAL VISITS, 1,978 HOSPITAL ADMISSIONS, AND 351 BIRTHS DURING THE YEAR. CCH PERFORMED 5,537 SURGERIES, 236,286 LAB TESTS, 15,845 DIAGNOSTIC IMAGING EXAMS, 5,260 CT SCANS, AND 2,918 M.R.I. SCANS. THE ESTIMATED TOTAL LOCAL ECONOMIC IMPACT FOR THE YEAR WAS $22,611,875.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	1746145	Expense
Revenue	1731715	Revenue
Description	ITHACA FAMILY CARE CENTER (IFCC) IS AN OFFICE WITH 3 PHYSICIANS AND 1 PHYSICIAN ASSISTANT THAT FOCUSES ON FAMILY PRACTICE FOR GRATIOT COUNTY. IFCC PROVIDES OUTPATIENT SERVICES SUCH AS AUDIOMETRY, BLOOD PRESSURE CHECK, EAR EXAMINATION, EKG, EXCISION, FOREIGN BODY REMOVAL, GYNECOLOGICAL EXAMINATIONS, HEALTH EDUCATION, HEMOCCULT, IMMUNIZATION, LACERATION, OFFICE VISITS, OSTEOPATHIC MANIPULATIVE THERAPY, PATIENT COUNSELING, PHYSICAL EXAMINATIONS AND PREMARITAL COUNSELING. THEY ALSO PROVIDE LABORATORY SERVICES SUCH AS BLOOD SUGAR, HEMOGLOBIN, PREGNANCY TESTING, UA (DIPSTICK) AND WET PREP.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	1418652	Expense
Revenue	1377774	Revenue
Description	CARSON FAMILY CARE CENTER (CFCC) IS AN OFFICE WITH 2 PHYSICIANS AND 1 NURSE PRACTITIONER THAT FOCUSES ON FAMILY PRACTICE FOR MONTCALM COUNTY. CFCC PROVIDES OUTPATIENT SERVICES SUCH AS ASTHMA SERVICES, AUDIOMETRY, BLOOD PRESSURE CHECKS, DISABILITY/IMPAIRMENT EVALUATIONS, DRUG AND ALCOHOL SCREENING, EAR EXAMINATION, EKG, EMPLOYEE SCREENING, EXCISION, FOREIGN BODY REMOVAL, GYNECOLOGICAL EXAMINATION, HEALTH EDUCATION, IMMUNIZATION, IMMUNOTHERAPY, INJURY MANAGEMENT WORK RELATED INJURIES, LACERATION, LASER COSMETICS, OFFICE VISITS, OSTEPATHIC MANIPULATIVE THERAPY, PATIENT COUNSELING, PHYSICAL EXAMINATIONS, PRE-EMPLOYMENT PHYSICALS, PREMARITAL COUNSELING, SAFETY PROGRAMS AND WORK SITE VISITS. THEY ALSO PROVIDE LABORATORY SERVICES SUCH AS BLOOD SUGAR, HEMOCCULT, HEMOGLOBIN, PREGNANCY TESTING, UA (DIPSTICK) AND WET PREP.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	2798181	Expense
Revenue	4684123	Revenue
Description	OTHER PROGRAM SERVICES INCLUDE THE OPERATION OF THE FOLLOWING FACILITIES: ASHLEY FAMILY CARE CENTER CARSON BEHAVIORAL CARE CENTER CARSON CITY HOSPITAL ORTHOPEDICS AND GENERAL SURGERY PHYSICAL REHABILITATION CENTER FOWLER FAMILY CARE CENTER GREENVILLE FAMILY CARE CENTER HOSPITALISTS LYONS FAMILY CARE CENTER PEDIATRIC AND ADOLESCENT SPECIALISTS STANTON FAMILY CARE CENTER CARSON HOME CARE INTERNAL MEDICINE SPECIALISTS (CLOSED EFFECTIVE 5/10/2010)	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	2798181	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	4684123	TotalOfOtherProgramServiceRev
Total Program Service Expense	45115326	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
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	true	ReportOtherLiabilities
Report Fin48 Footnote	true	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	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	false	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
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	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	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	168	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	705	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
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	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	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	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

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	9895843971	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	406 E Elm Street	AddressLine1
City	Carson City	City
State	MI	State
ZIP Code	48811	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee	Key EmployeeKeyEmployee	OfficerOfficer
ROBERT SEALS DO
BOARD MEMBER/PHYSICIAN	40	X	229683	0	10846
JANMEET SAHOTA
PHYSICIAN	40		499504	0	18525	X
MICHAEL H MULLINS
PHYSICIAN	40		299767	0	7919	X
EVAN C YOUNG
PHYSICIAN	40		350002	0	8904	X
CHRISTOPHER E HERALD
ER DIRECTOR	40		270320	0	16470		X
MATTHEW J THOMPSON
COO	40		132529	0	6034			X
RICHARD D TERRY
CIO	40		93576	0	6049			X
GARY REETZ
BOARD MEMBER	2	X	0	0	0
MARK BRETT
BOARD MEMBER	2	X	0	0	0
DEBBY CASSADY
BOARD MEMBER	2	X	0	0	0
TOM MACDONALD
BOARD MEMBER	2	X	0	0	0
TOM OSTRANDER
BOARD MEMBER	2	X	0	0	0
REX A RIMMEL DO
BOARD MEMBER	2	X	0	0	0
JAE EVANS
VICE CHAIR	2	X	0	0	0			X
BRENT WILSON
CHAIR	2	X	0	0	0			X
PATRICK E BURNS
SECRETARY/TREASURER	2	X	0	0	0			X
BRUCE L TRAVERSE
PRESIDENT/CEO	40		175790	0	16783			X
JAMES D BANNER DO
BOARD MEMBER/PATHOLOGIST	40	X	227060	0	14578
DAVID FREESTONE MD
BOARD MEMBER/PHYSICIAN	40	X	246715	0	14641
RODERICK COY
BOARD MEMBER	2	X	0	0	0
DUANE C MILLER
CFO	40		137859	0	13375			X
BRUCE MURRAY
PHYSICIAN	40		275266	0	7276	X
RISHI MAHABIR
PHYSICIAN	40		232957	0	15443	X
NANCY A WEAVER
DIRECTOR OF PATIENT SERVICES	40		133858	0	11952			X
NATALIE W BUSLEPP
DIRECTOR OF MEDICAL SERVICES GROUP	40		108107	0	11854			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3412993	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	180649	TotalOtherCompensation
Number Individuals GT100 K	37	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
US PAIN MANAGEMENT PC
430 S FIRST STREET	CARSON CITY	MI	48811	PAIN MANAGEMENT CONSULTING FEES	285536
PHARMACY SYSTEMS INC
PO BOX 71-0716	COLUMBUS	OH	43271	PHARMACY CONSULTING SERVICES	239170
GARY RALPH
400 WILDWOOD DR	EAST LANSING	MI	48823	CONTRACT PSYCHIATRY PHYSICIAN	178200
JUDY FOLEY
PO BOX 4463	EAST LANSING	MI	48826	PATIENT REGISTRATIONS CONSULTING SERVICES	168980
GOLDFISH LOCUM TENENS
5741 LEGACY DRIVE SUITE 200	PLANO	TX	75024	PHYSICIAN CONTRACTING SERVICES	150270

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	7	NumberOfContractorsGT100K
Fundraising Events	38700	FundraisingEvents
Government Grants	35608	GovernmentGrants
All Other Contributions	99615	AllOtherContributions
Noncash Contributions	3167	NoncashContributions
Total Contributions	173923	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE REVENUE	Description
Total Revenue Column	56098857	TotalRevenueColumn
Related Or Exempt Function Income	56098857	RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	56098857	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	158636	TotalRevenueColumn
Exclusion	$158,636	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	586569	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	510360	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	76209	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	76209	TotalRevenueColumn
Exclusion	$76,209	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1925923	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	1816191	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	109732	Securities
Other	0	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	109732	TotalRevenueColumn
Exclusion	$109,732	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	14704	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	38700	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	12050	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	2654	TotalRevenueColumn
Exclusion	$2,654	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	501	GrossIncomeGaming

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	501	TotalRevenueColumn
Exclusion	$501	ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA/COFFEE SHOP/VENDING	333856	$333,856
MISCELLANEOUS	131581	$131,581

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	465437	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	57085949	TotalRevenueColumn
Related Or Exempt Function Income	56098857	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$813,169	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1878079	Total
Program Services	743523	ProgramServices
Management And General	1134556	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	23581701	Total
Program Services	21390124	ProgramServices
Management And General	2191577	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	792614	Total
Program Services	512945	ProgramServices
Management And General	279669	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1789056	Total
Program Services	1156058	ProgramServices
Management And General	632998	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1764490	Total
Program Services	1539281	ProgramServices
Management And General	225209	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	87588	Total
Management And General	87588	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	89478	Total
Management And General	89478	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	41438	Total
Management And General	41438	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4842832	Total
Program Services	2490344	ProgramServices
Management And General	2352488	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	416134	Total
Program Services	37385	ProgramServices
Management And General	378749	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	8871065	Total
Program Services	8320782	ProgramServices
Management And General	550283	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	543199	Total
Program Services	154843	ProgramServices
Management And General	388356	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2931064	Total
Program Services	1508124	ProgramServices
Management And General	1422940	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	92385	Total
Program Services	90238	ProgramServices
Management And General	2147	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	431780	Total
Program Services	431780	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1769032	Total
Program Services	1769032	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	616583	Total
Program Services	100367	ProgramServices
Management And General	516216	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT EXPENSE	3583931	3583931
PROVIDER/OTHER TAXES	1121572	1045902	75670
RECRUITING	193046		193046
EDUCATION & DEVELOPMENT	109726	65711	44015
DUES, LICENSES, & SUBSCRIPTIONS	108371	51276	57095

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	124735	Total
Program Services	123680	ProgramServices
Management And General	1055	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	55779899	Total
Program Services	45115326	ProgramServices
Management And General	10664573	ManagementAndGeneral
Fundraising	0	Fundraising

Total Joint Costs TotalJointCosts

Field	Value	IRS element (for citing)
Total	0	Total

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3762	BOY
EOY	4202	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	6121583	BOY
EOY	6202651	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	163641	BOY
EOY	50900	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	7715928	BOY
EOY	8138330	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	105190	BOY
EOY	59492	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	821011	BOY
EOY	1065956	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1629302	BOY
EOY	1230733	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	48200093	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	24286853	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	24432889	BOY
EOY	23913240	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	4593063	BOY
EOY	5100698	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	239804	BOY
EOY	239804	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	571426	BOY
EOY	627987	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	46397599	BOY
EOY	46633993	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3651702	BOY
EOY	4213919	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	79025	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	16599173	BOY
EOY	15904911	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2041344	BOY
EOY	1492963	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	27510	BOY
EOY	25010	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	3002785	BOY
EOY	1649023	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	25401539	BOY
EOY	23285826	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	20454234	BOY
EOY	23141058	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	541826	BOY
EOY	207109	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	20996060	BOY
EOY	23348167	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	46397599	BOY
EOY	46633993	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	1306050	ReconcilationRevenueExpenses
Reconcilation Other Changes	1046057	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Exmpt Function Expenditures	0	TotalExmptFunctionExpenditures
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$3,456	OtherActivitiesAmount
Total Lobbying Expenditures IIB	3456	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Non Ded Lobby Political Total	0	NonDedLobbyPoliticalTotal

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Description of other lobbying activities	Identifier
Return Reference	Schedule C, Part II-B, Line 1i	ReturnReference
Explanation	THE ORGANIZATION INDIRECTLY INFLUENCED LEGISLATION THOUGH ITS ANNUAL DUES PAID TO THE MICHIGAN HEALTH AND HOSPITAL ASSOCIATION; 14.81% OF DUES PAID WERE USED FOR SPECIFIC LOBBYING PURPOSES.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	731643	OtherCostOrOtherBasis
Book Value	731643	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	32003885	OtherCostOrOtherBasis
Depreciation	13364357	Depreciation
Book Value	18639528	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1471761	OtherCostOrOtherBasis
Depreciation	471928	Depreciation
Book Value	999833	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13896283	OtherCostOrOtherBasis
Depreciation	10450568	Depreciation
Book Value	3445715	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	96521	OtherCostOrOtherBasis
Book Value	96521	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	23913240	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
DEFINED BENEFIT PENSION LIABILITY	$735,773
ESTIMATED 3RD PARTY PAYOR SETTLEMENTS	$913,250

Field	Value	IRS element (for citing)
Total Of Amounts	1649023	TotalOfAmounts
Total Revenue	57085949	TotalRevenue
Total Expenses	55779899	TotalExpenses
Excess Or Deficit For Year	1306050	ExcessOrDeficitForYear
Net Unrealized GL On Investments	243269	NetUnrealizedGLOnInvestments
Other	$329,075	OtherAmount
Total Adjustments	572344	TotalAdjustments
Excess Or Deficit Per FS	1878394	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	58407653	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	243269	NetUnrealizedGainsInvestments
Other Revenues	1123040	OtherRevenues
Revenue Not Rptd F990	1366309	RevenueNotRptdF990
Revenue Subtotal	57041344	RevenueSubtotal
Investment Expenses Not Included	41438	InvestmentExpensesNotIncluded
Other Revenues Not Included	3167	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	44605	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	57085949	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	56529259	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	790798	OtherExpensesIncluded
Expenses Not Rptd F990	790798	ExpensesNotRptdF990
Expenses Subtotal	55738461	ExpensesSubtotal
Investment Expenses Not Included2	41438	InvestmentExpensesNotIncluded2
Other Expenses Not Included	0	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	41438	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	55779899	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FIN 48 (ASC 740) footnote	Schedule D, Part X, Line 2	CARSON CITY HOSPITAL IS A NONPROFIT, TAX-EXEMPT ORGANIZATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM INCOME TAXES ON RELATED INCOMES PURSUANT TO SECTION 501(A). ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE FINANCIAL STATEMENTS. HOWEVER, INCOME NOT DIRECTLY RELATED TO THE HOSPITAL'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. EFFECTIVE JANUARY 1, 2009, THE HOSPITAL ADOPTED THE PROVISIONS OF FASB ASC 740, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. IN ACCORDANCE WITH FASB ASC 740, A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE MORE LIKELY THAN NOT TEST, NO TAX BENEFIT IS RECORDED. THE ADOPTION HAD NO EFFECT ON THE FINANCIAL STATEMENTS. THE HOSPITAL RECOGNIZES INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX LIABILITIES AND INCLUDES THESE IN INTEREST AND INCOME TAX EXPENSE. THE HOSPITAL HAS NO AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AS OF DECEMBER 31, 2010 OR 2009. THE HOSPITAL DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX LIABILITIES TO SIGNIFICANTLY CHANGE OVER THE NEXT TWELVE MONTHS. THE HOSPITAL IS NO LONGER SUBJECT TO EXAMINATION BY TAXING AUTHORITIES FOR YEARS BEFORE 2007.
Other changes in net assets	Schedule D, Part XI, Line 8	PENSION ADJUSTMENT - 124741; CARSON APOTHECARY SHOPPE NET INCOME (JANUARY 1 - NOVEMBER 30) - 207501; AUXILIARY CONTRIBUTIONS - -3167;
Other revenues in audited financial statements not in form 990	Schedule D, Part XII, Line 2d	PENSION ADJUSTMENT - 124741; FUNDRAISING EXPENSES - 12050; CARSON APOTHECARY SHOPPE REVENUE (JANUARY 1 - NOVEMBER 30) - 986249;
Other revenues in form 990 not in audited financial statements	Schedule D, Part XII, Line 4b	AUXILIARY CONTRIBUTIONS - 3167;
Other expenses in audited financial statements not in form 990	Schedule D, Part XIII, Line 2d	FUNDRAISING EXPENSES - 12050; CARSON APOTHECARY SHOPPE EXPENSES (JANUARY 1 - NOVEMBER 30) - 778748;

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	SUMMER DANCE PARTY	NameOfEvent1
Gross Receipts Event1	53404	GrossReceiptsEvent1
Charitable Contributions Event1	38700	CharitableContributionsEvent1
Gross Revenue Event1	14704	GrossRevenueEvent1
Food And Beverage Event1	1086	FoodAndBeverageEvent1
Other Direct Expenses Event1	10964	OtherDirectExpensesEvent1
Gross Revenue Event2	0	GrossRevenueEvent2
Gross Revenue Other Events	0	GrossRevenueOtherEvents
Gross Receipts Total	53404	GrossReceiptsTotal
Charitable Contributions Total	38700	CharitableContributionsTotal
Gross Revenue Total Events	14704	GrossRevenueTotalEvents
Cash Prizes Total Events	0	CashPrizesTotalEvents
Non Cash Prizes Total Events	0	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	0	RentFacilityCostsTotalEvents
Food And Beverage Total Events	1086	FoodAndBeverageTotalEvents
Entertainment Total Events	0	EntertainmentTotalEvents
Other Direct Expenses Total Events	10964	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	12050	DirectExpenseSummaryEvents
Net Income Summary	2654	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	1651993	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1511176	DirectOffsettingRevenue
Net Community Benefit Expense	140817	NetCommunityBenefitExpense
Percent Of Total Expense	0.00270	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	10653569	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7819800	DirectOffsettingRevenue
Net Community Benefit Expense	2833769	NetCommunityBenefitExpense
Percent Of Total Expense	0.05350	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	12305562	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9330976	DirectOffsettingRevenue
Net Community Benefit Expense	2974586	NetCommunityBenefitExpense
Percent Of Total Expense	0.05620	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	62	NumberOfActivitiesOrPrograms
Persons Served	5015	PersonsServed
Total Community Benefit Expense	53127	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	53127	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	24	NumberOfActivitiesOrPrograms
Persons Served	259	PersonsServed
Total Community Benefit Expense	6500	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23844	DirectOffsettingRevenue
Net Community Benefit Expense	-17344	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	15	NumberOfActivitiesOrPrograms
Persons Served	85520	PersonsServed
Total Community Benefit Expense	11220085	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10268952	DirectOffsettingRevenue
Net Community Benefit Expense	951133	NetCommunityBenefitExpense
Percent Of Total Expense	0.01800	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	101	NumberOfActivitiesOrPrograms
Persons Served	90794	PersonsServed
Total Community Benefit Expense	11279712	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10292796	DirectOffsettingRevenue
Net Community Benefit Expense	986916	NetCommunityBenefitExpense
Percent Of Total Expense	0.01870	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	103	NumberOfActivitiesOrPrograms
Persons Served	90794	PersonsServed
Total Community Benefit Expense	23585274	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19623772	DirectOffsettingRevenue
Net Community Benefit Expense	3961502	NetCommunityBenefitExpense
Percent Of Total Expense	0.07490	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$1,589,731	BadDebtExpenseAmount
Amount Attributable To	53886	AmountAttributableTo
Amount Reimbursed By Medicare	8323927	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	9521419	CostOfCareReimbursedByMedicare

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
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	CARSON CITY HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	406 E ELM STREET	AddressLine1
City	CARSON CITY	City
State	MI	State
ZIP Code	48811	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Critical Access Hospital	X	CriticalAccessHospital
Er24 Hours	X	Er24Hours
Er Other	X	ErOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CARSON CITY HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

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
PHYSICAL REHABILITATION CENTER
602 E ELM STREET	CARSON CITY	MI	48811	OUTPATIENT REHABILITATION CLINIC
ITHACA FAMILY CARE CENTER
114 N MAIN ST	ITHACA	MI	48847	GENERAL MEDICAL OUTPATIENT CLINIC
CARSON CITY HOSPITAL ORTHOPEDICS AND GENERAL SURGERY
102 S THIRD ST STE 400 BOX 326	CARSON CITY	MI	48811	GENERAL MEDICAL/SURGICAL OUTPATIENT CLINIC
CARSON FAMILY CARE CENTER
102 S THIRD ST STE 100 BOX 277	CARSON CITY	MI	48811	GENERAL MEDICAL OUTPATIENT CLINIC
GREENVILLE FAMILY CARE CENTER
1014 E WASHINGTON	GREENVILLE	MI	48838	GENERAL MEDICAL OUTPATIENT CLINIC
PEDIATRIC & ADOLESCENT SPECIALISTS
245 S SECOND ST BOX 847	CARSON CITY	MI	48811	GENERAL MEDICAL OUTPATIENT CLINIC
CARSON HOME CARE
406 E ELM ST	CARSON CITY	MI	48811	HOME HEALTH CARE
STANTON FAMILY CARE CENTER
545 N STATE ST BOX 638	STANTON	MI	48888	GENERAL MEDICAL OUTPATIENT CLINIC
ASHLEY FAMILY CARE CENTER
320 S STERLING ST BOX 96	ASHLEY	MI	48806	GENERAL MEDICAL OUTPATIENT CLINIC
FOWLER FAMILY CARE CENTER
11017 W THIRD ST BOX 19	FOWLER	MI	48835	GENERAL MEDICAL OUTPATIENT CLINIC
LYONS FAMILY CARE CENTER
505 E BRIDGE ST BOX 186	LYONS	MI	48851	GENERAL MEDICAL OUTPATIENT CLINIC
CARSON BEHAVIORAL HEALTH CENTER
102 S THIRD ST STE 500 BOX 417	CARSON CITY	MI	48811	BEHAVIORAL HEALTH CLINIC
HOSPITALISTS
406 E ELM ST	CARSON CITY	MI	48811	GENERAL MEDICAL OUTPATIENT CLINIC
INTERNAL MEDICINE SPECIALISTS
245 S 2ND ST STE 100	CARSON CITY	MI	48811	GENERAL MEDICAL OUTPATIENT CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Subsidized Health Services	Schedule H, Part I, Line 7g	THE COMMUNITY BENEFITS REPORT TAKES THE WHOLE HOSPITAL, WHICH ALSO TAKES THE MEDICAL SERVICES GROUP PHYSICIAN CLINICS INTO CONSIDERATION. SOME ITEMS CAN ONLY BE DONE IN THE HOSPITAL WHILE MANY OTHERS CAN BE DONE IN A PHYSICIAN CLINIC SETTING. OF THE $9,173,050 REVENUE THAT IS BROUGHT IN FROM THE PHYSICIAN CLINIC SETTING, $4,500 IS FROM SPORTS PHYSICALS, $100 FROM BLOOD PRESSURE CHECKS, $2,000 FROM CANCER/PROSTRATE SCREENINGS, AND $500 FROM CHOLESTEROL TESTING.
Bad Debt Expense excluded from financial assistance calculation	Schedule H, Part I, Line 7, column(f)	3,583,931
Costing Methodology used to calculate financial assistance	Schedule H, Part I, Line 7	THE DEFINITION OF A COMMUNITY BENEFIT IS A SERVICE OR PROGRAM THAT THE HOSPITAL PROVIDES TO PROMOTE HEALTH AND HEALING AS A RESPONSE TO COMMUNITY NEEDS. COMMUNITY BENEFITS USUALLY GENERATE A LOW OR NEGATIVE FINANCIAL RETURN, RESPOND TO PUBLIC HEALTH NEEDS, INVOLVE EDUATION OR RESEARCH THAT IMPROVES THE OVERALL COMMUNITY HEALTH, AND RESPOND TO THE NEEDS OF SPECIAL POPULATIONS SUCH AS PERSONS LIVING IN POVERTY AND OTHER DISENFRANCHISED PERSONS. THE COSTING METHODOLOGY USED IS COST TO CHARGE RATIO. THE COST TO CHARGE RATIO IS FIGURED BY TAKING THE TOTAL EXPENSES EXCLUSIVE OF BAD DEBT AND DIVIDING THAT BY GROSS PATIENT REVENUE AND OTHER OPERATING REVENUE.
Bad debt expense - financial statement footnote	Schedule H, Part III, Line 4	THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE THE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE AND RECORDED AS A COMMUNITY BENEFIT. UNDER ARRANGEMENTS WITH VARIOUS GOVERNMENTAL INSURANCE PROGRAMS, THE HOSPITAL PROVIDES SIGNIFICANT CARE TO THE LOCAL INDIGENT POPULATION FOR WHICH REIMBURSEMENT FOR SERVICES RENDERED IS GENERALLY LESS THAN THE COST OF PROVIDING SUCH SERVICES. AS PART OF ITS OBLIGATION TO THE LOCAL COMMUNITY, THE HOSPITAL ALSO PROVIDES NUMEROUS OTHER SERVICES, WHICH BENEFIT THE COMMUNITY AND ARE GENERALLY PERFORMED AT NO CHARGE, AND PROVIDES SERVICES TO INDIGENT PATIENTS UNDER THE MEDICAID PROGRAM AT PAYMENT AMOUNTS LESS THAN THE COST OF THE SERVICES PROVIDED. THE DEFINITION OF A COMMUNITY BENEFIT IS A SERVICE OR PROGRAM THAT THE HOSPITAL PROVIDES TO PROMOTE HEALTH AND HEALING AS A RESPONSE TO COMMUNITY NEEDS. COMMUNITY BENEFITS USUALLY GENERATE A LOW OR NEGATIVE FINANCIAL RETURN, RESPOND TO PUBLIC HEALTH NEEDS, INVOLVE EDUCATION OR RESEARCH THAT IMPROVES THE OVERALL COMMUNITY HEALTH, AND RESPOND TO THE NEEDS OF SPECIAL POPULATIONS SUCH AS PERSONS LIVING IN POVERTY AND OTHER DISENFRANCHISED PERSONS.
Community benefit & methodology for determining medicare costs	Schedule H, Part III, Line 8	THE COSTING METHODOLOGY USED IS COST TO CHARGE RATIO. THE COST TO CHARGE RATIO IS FIGURED BY TAKING THE TOTAL EXPENSES EXCLUSIVE OF BAD DEBT AND DIVIDING THAT BY GROSS PATIENT REVENUE AND OTHER OPERATING REVENUE.
Collection practices for patients eligible for financial assistance	Schedule H, Part III, Line 9b	CARSON CITY HOSPITAL INITIATES COLLECTION AT THE POINT OF SERVICE THROUGH THE PATIENT ACCESS DEPARTMENT. PATIENTS ARE ADVISED OF THEIR CO-PAY AND DEDUCTIBLE AND ASKED FOR A DEPOSIT ON THESE SELF-PAY CONTRIBUTIONS. PATIENTS WHO DO NOT HAVE INSURANCE ARE ADVISED OF ESTIMATED COST, AND ASSISTANCE PROGRAMS ARE OFFERED ALONG WITH CONTACT INFORMATION TO OBTAIN FURTHER INFORMATION. THE PATIENTS BILL IS CHARGED, CODED, AND PROCESSED WITH THE APPROPRIATE PAYORS, IF APPLICABLE, AND AT THE POINT ALL THIRD PARTY PAYORS HAVE MADE PAYMENT, THE REMAINING BALANCE IS BILLED ON A STATEMENT TO THE PATIENT. AT THE POINT THAT THE PATIENT RECEIVES THE STATEMENT, THEY MAY CHOOSE TO MAKE PAYMENT ARRANGEMENTS THROUGH A PAYMENT PLAN, OR MAY CHOOSE TO APPLY FOR ASSISTANCE. THE PATIENT WHO DOES NOT MAKE PAYMENT ARRANGEMENTS OR DOES NOT APPLY FOR ASSISTANCE, WILL RECEIVE THREE STATEMENTS OVER 90 DAYS. IF NO RESOLUTION IS ACHIEVED THE ACCOUNT WILL BE REFERRED TO AN OUTSIDE AGENCY FOR COLLECTION. THE PATIENT HAS 60 DAYS AT THE AGENCY BEFORE THEIR ACCOUNT IS RECORDED AS BAD DEBT. THE PATIENT STILL HAS THE OPTION OF APPLYING FOR ASSISTANCE OR MAKING PAYMENT ARRANGEMENTS WITH THE AGENCY.
Needs assessment.	Schedule H, Part VI, Line 2	CARSON CITY HOSPITAL RESPONDS TO THE HEALTHCARE NEEDS OF ITS ENTIRE SERVICE AREA. ITS DOORS ARE OPEN TO ALL THOSE WHO NEED HEALTHCARE SERVICES. INFORMATION ABOUT HEALTHCARE NEEDS IS RECEIVED THROUGH PARTNERSHIPS WITH LOCAL NON-PROFITS, GOVERNMENT AGENCIES AND OTHER HEALTHCARE ORGANIZATIONS, SUCH AS THE MID-MICHIGAN DISTRICT HEALTH DEPARTMENT AND THE IONIA COUNTY HEALTH DEPARTMENT - WHICH, TOGETHER, MONITOR THE MORTALITY RATES AND CAUSES IN CLINTON, GRATIOT, IONIA AND MONTCALM COUNTIES. HOSPITAL SERVICE RECORDS AND PATIENT SATISFACTION SURVEYS - MANAGED BY PRESS GANEY - ALSO PROVIDE FEEDBACK TO HOSPITAL STAFF ABOUT THE NEEDS OF THE COMMUNITY.
Patient education of eligibility for assistance.	Schedule H, Part VI, Line 3	CARSON CITY HOSPITAL OFFERS SEVERAL OPTIONS FOR ASSISTING PATIENTS WITH THEIR BILLS; THIS ASSISTANCE INFORMATION IS OFFERED AT THE TIME OF REGISTRATION, THROUGH PHONE CONTACT, AND IS ADVISED ON THE PATIENTS STATEMENTS. A TOLL FREE NUMBER IS PROVIDED FOR PATIENTS TO CALL AND INQUIRE ABOUT ASSISTANCE IF PERSONAL CONTACT WAS NOT AVAILABLE AT THE TIME THE PATIENT RECEIVED SERVICES. CARSON CITY HOSPITAL, THROUGH A PARTNERSHIP WITH MONTCALM COUNTY DEPARTMENT OF HUMAN SERVICES, PROVIDES DIRECT ON-SITE ACCESS TO A MARA (MEDICAID ASSISTANCE REVIEW AGREEMENT) WORKER (DHS TRAINED STAFF MEMBER) WHO ASSISTS THE PATIENT WITH THE APPLICATION PROCESS FOR STATE OR COUNTY PROGRAMS, AND IF THE PATIENT DOES NOT MEET THE REQUIREMENTS FOR THESE TYPES OF ASSISTANCE, PROVIDES THE PATIENT WITH THE CHARITY CARE APPLICATION. THIS APPLICATION IS PROCESSED BY THE HOSPITAL BILLING DEPARTMENT AND IF APPROVED FOR ASSISTANCE PROVIDES CHARITY CARE AT 200% OF THE FEDERAL POVERTY GUIDELINES. THE ASSISTANCE PROGRAM INFORMATION FOR PATIENTS IS HANDED OUT AT THEIR TIME OF SERVICE BY THE RESPECTED DEPARTMENTS (RADIOLOGY, LABORATORY, PRE-ADMISSION TESTING, ETC). AN ON-SITE MARA (MEDICAID ASSISTANCE REVIEW AGREEMENT) WORKER IS ON-SITE FOR INDIVIDUALS THAT DO SEEK ASSISTANCE.
Community information.	Schedule H, Part VI, Line 4	CARSON CITY HOSPITAL (CCH) IS A 77-BED, ACUTE CARE HOSPITAL LOCATED IN CENTRAL MICHIGAN. IT IS THE OLDEST OSTEOPATHIC HOSPITAL IN MICHIGAN, FOUNDED IN 1936 BY EMMETT BINKERT, DO. SINCE THIS TIME CCH HAS BEEN COMMITTED TO SERVING THE RESIDENTS OF COMMUNITIES IN A FOUR-COUNTY AREA. IN THE FALL OF 1996, CARSON BECAME A PART OF CARSON HEALTH NETWORK (CHN). CHN WAS INTRODUCED TO WORK AS AN UMBRELLA UNDER WHICH ALL THE INDIVIDUAL HEALTHCARE ENTITIES ARE CONTAINED. CHN INCLUDES CARSON CITY HOSPITAL, FAMILY MEDICINE PRACTICES AND SEVERAL SPECIALTY CLINICS OFFERING A WIDE VARIETY OF SERVICES. THE FAMILY MEDICINE PROFESSIONAL MEDICAL STAFF, IN COOPERATION WITH HOSPITAL BASED SPECIALISTS, SERVES PATIENTS IN ASHLEY, CARSON CITY, FOWLER, GREENVILLE, ITHACA, LYONS, MAPLE RAPIDS AND STANTON. THESE OFFICES FALL INTO 4 COUNTIES WHICH INCLUDE MONTCALM, IONIA, CLINTON AND GRATIOT COUNTIES. ALL AREAS ARE DESIGNATED AS RURAL BASED WITH AN AVERAGE OF 21,750 HOUSEHOLDS WITH AN AVERAGE HOUSEHOLD SIZE OF 2.7 PEOPLE. THE AVERAGE INCOME PER HOUSEHOLD IS $47,355 WHILE 13.75% OF ALL FAMILIES ARE BELOW THE POVERTY LEVEL. ALSO INCLUDED IN THIS GEOGRAPHIC AREA ARE 5 OTHER HOSPITALS, SPARROW CLINTON HOSPITAL, SPARROW IONIA HOSPITAL, SPECTRUM HEALTH UNITED CAMPUS, SHERIDAN COMMUNITY HOSPITAL, AND GRATIOT MEDICAL CENTER. IN ADDITION TO ACUTE HOSPITAL CARE, CCH PROVIDES A VARIETY OF ADVANCED SERVICES, RANGING FROM AN INTENSIVE/CORONARY CARE UNIT TO A BEHAVIORAL HEALTH UNIT AND MULTIPLE OUTPATIENT SERVICES. CCH ALSO PROVIDES 24-HOUR EMERGENCY ROOM CARE. PHYSICIANS ARE AVAILABLE TO YOU ANY TIME AT THE HOSPITAL, DAY OR NIGHT FOR EMERGENCY OR NON-EMERGENCY MEDICAL ASSISTANCE.
Promotion of community health	Schedule H, Part VI, Line 5	CARSON CITY HOSPITAL PROVIDES A SPEAKERS BUREAU LIST OF PHYSICIANS AND STAFF MEMBERS WHO ARE WILLING TO GO OUT INTO THE COMMUNITY AND SPEAK ON A VARIETY OF HEALTHCARE, QUALITY-OF-LIFE, AND GENERAL-INTEREST TOPICS TO SCHOOLCHILDREN, BUSINESS CLUBS, AND OTHER NON-PROFIT ORGANIZATIONS. THE HOSPITAL ALSO MAINTAINS A MONTHLY BROWN BAG LUNCH SERIES FEATURING SIMILAR TOPICS, WHICH IS HELD INSIDE THE HOSPITAL AND OPEN TO THE COMMUNITY. CARSON CITY HOSPITAL'S ACTIVITIES PROMOTE THE HEALTHCARE OF THE COMMUNITY BY EDUCATING AND PROVIDING EASY ACCESSIBLE HEALTHCARE WITH A 24-HOUR EMERGENCY DEPARTMENT. OUTSIDE PHYSICIANS CAN APPLY FOR PRIVILEGES AT CARSON CITY HOSPITAL THROUGH A PROCESS TO TREAT AND PROVIDE MEDICAL CARE AT THE HOSPITAL. IN ADDITION, CARSON CITY HOSPITAL IS COMPRISED OF SEVEN HOSPITAL-OWNED PHYSICIAN CLINICS IN A RURAL SETTING. FREE AND REDUCED RATE SPORTS PHYSICALS ARE PROVIDED AT SELECTED CLINICS.
Affiliated health care system	Schedule H, Part VI, Line 6	IN JANUARY 1997, CHN BECAME AFFILIATED WITH THE SPARROW HEALTH SYSTEM OF LANSING, MICHIGAN. THIS AFFILIATION HAS MANY BENEFITS INCLUDING HOLDING DOWN HEALTH CARE COSTS, IMPROVED ACCESS TO SPECIALIZED SERVICES, ACCESS TO INFORMATION SYSTEMS, MANAGED CARE CONTRACTS AND NEW PHYSICIAN RECRUITMENT. CCH IS A MEMBER OF THE MICHIGAN HEALTH AND HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION, AND THE MICHIGAN OSTEOPATHIC ASSOCIATION.
State filing of community benefit report	Schedule H, Part VI, Line 7	MI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
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	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 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
ROBERT SEALS DO
229083	0	0	0	600	0	7060	0	3786	0	240529	0	0	0
JANMEET SAHOTA
499504	0	0	0	0	0	7350	0	11175	0	518029	0	0	0
MICHAEL H MULLINS
299767	0	0	0	0	0	7350	0	569	0	307686	0	0	0
EVAN C YOUNG
350002	0	0	0	0	0	7350	0	1554	0	358906	0	0	0
CHRISTOPHER E HERALD
270320	0	0	0	0	0	7350	0	9120	0	286790	0	0	0
BRUCE L TRAVERSE
162494	0	11783	0	1513	0	5499	0	11284	0	192573	0	0	0
JAMES D BANNER DO
226460	0	0	0	600	0	7038	0	7540	0	241638	0	0	0
DAVID FREESTONE MD
190290	0	55825	0	600	0	7350	0	7291	0	261356	0	0	0
DUANE C MILLER
136103	0	1756	0	0	0	4343	0	9032	0	151234	0	0	0
BRUCE MURRAY
275266	0	0	0	0	0	0	0	7276	0	282542	0	0	0
RISHI MAHABIR
232957	0	0	0	0	0	7084	0	8359	0	248400	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Housing allowance or residence for personal use	Schedule J, Part I, Line 1a	MATTHEW J. THOMSON (COO) RECEIVED A HOUSING ALLOWANCE IN THE AMOUNT OF $3,750 DURING 2010. THE AMOUNT WAS INCLUDED IN HIS 2010 FORM W-2 AS TAXABLE COMPENSATION.
Non-fixed payments	Schedule J, Part I, Line 7	BRUCE L. TRAVERSE (PRESIDENT/CEO) RECEIVED A DISCRETIONARY QUARTERLY STIPEND IN THE AMOUNT OF $9,500 DURING 2010. THE AMOUNT WAS INCLUDED IN HIS 2010 FORM W-2 AS TAXABLE COMPENSATION.

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
MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
382889417	54965HKS4	2006-02-01	18000000	HOSPITAL EQUIPMENT LOAN PROGRAM (HELP)	false	false	true
MICHIGAN STATE HOSPITAL FINANCE AUTHORITY
382889417	594654GG5	2007-12-18	455937	HOSPITAL EQUIPMENT LOAN PROGRAM (HELP)	false	false	true

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
1818769	0	18000000	0	0	0	133000	0	0	14012600	0	0	2009	false	false	true	true
37995	0	455937	0	0	0	0	0	0	0	0	0	2007	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	0.0000	0.0000	0.0000	true
false	false	false	false	0.0000	0.0000	0.0000	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Term Of GICTermOfGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
NA
false	true	false	0.0	false	NA	0.0	false	true
NA
false	true	false	0.0	false	NA	0.0	false	true

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Identifier	TOTAL PROCEEDS OF ISSUE	Identifier
Return Reference	SCHEDULE K, PART II, LINE 3	ReturnReference
Explanation	THE ORGANIZATION SPENT ITS OWN OPERATING FUNDS AND IN TURN WAS REIMBURSED WITH THE BOND PROCEEDS; THEREFORE THERE ARE NO INTEREST EARNINGS ON THE PROCEEDS.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	SPARROW HEALTH SYSTEM	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	M. BRETT, T. OSTRANDER AND G. REETZ ARE CCH BOARD MEMBERS AND SPARROW OFFICERS	Relationship
Amount Of Transaction	444519	AmountOfTransaction
Description Of Transaction	MARK BRETT, TOM OSTRANDER AND GARY REETZ, CARSON CITY HOSPITAL BOARD MEMBERS, SERVE AS THE VICE PRESIDENT AND INTERIM CHIEF OPERATING OFFICER, VICE PRESIDENT OF HUMAN RESOURCES AND CONTROLLER, RESPECTIVELY, FOR SPARROW HEALTH SYSTEM, AN UNRELATED ORGANIZATION. FOR THE YEAR ENDED DECEMBER 31, 2010, CARSON CITY HOSPITAL MADE PAYMENTS TO SPARROW HEALTH SYSTEM IN THE AMOUNT OF $444,519 FOR REIMBURSEMENT OF SUPPLIES AND PHARMACEUTICAL, LABORATORY, AND HEMATOLOGY ONCOLOGY SERVICE.	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
New program services	Form 990, Part III, Line 2	PRIOR TO DECEMBER 1, 2010, CARSON CITY HOSPITAL (CCH) OWNED 100% OF THE CARSON APOTHECARY SHOPPE, INC. (CAS) AND CCH AND CAS OPERATED UNDER THEIR OWN EMPLOYER IDENTIFICATION NUMBERS. EFFECTIVE DECEMBER 1, 2010, CAS WAS REORGANIZED UNDER COMMON OWNERSHIP AND BECAME A DEPARTMENT OF CCH OPERATING UNDER CCH'S EMPLOYER IDENTIFICATION NUMBER. CAS IS LOCATED INSIDE CARSON CITY HOSPITAL AND OFFERS A FULL LINE OF PRESCRIPTION DRUGS AND OTHER HEALTH CARE ITEMS.
Description of other program services	Form 990, Part III, Line 4d	OTHER PROGRAM SERVICES INCLUDE THE OPERATION OF THE FOLLOWING FACILITIES: ASHLEY FAMILY CARE CENTER CARSON BEHAVIORAL CARE CENTER CARSON CITY HOSPITAL ORTHOPEDICS AND GENERAL SURGERY PHYSICAL REHABILITATION CENTER FOWLER FAMILY CARE CENTER GREENVILLE FAMILY CARE CENTER HOSPITALISTS LYONS FAMILY CARE CENTER PEDIATRIC AND ADOLESCENT SPECIALISTS STANTON FAMILY CARE CENTER CARSON HOME CARE INTERNAL MEDICINE SPECIALISTS (CLOSED EFFECTIVE 5/10/2010)
Classes of members or stockholders	Form 990, Part VI, Section A, Line 6	CARSON CITY HOSPITAL (CCH) IS ORGANIZED ON A MEMBERSHIP BASIS. THERE ARE TWO CLASSES OF MEMBERS: CLASS A MEMBERSHIP CONSISTS OF THE ORIGINAL DIRECTORS OF CCH, EXCLUDING THOSE DIRECTORS WHO ARE ELECTED OR APPOINTED BY THE CLASS B MEMBER; THE CLASS B MEMBER IS SPARROW HEALTH SYSTEM (SPARROW), AN UNRELATED MICHIGAN NONPROFIT CORPORATION. OTHER THAN SPARROW, THERE SHALL BE NO ADDITIONAL CLASS B MEMBERSHIP INTERESTS WITHOUT THE CONSENT OF SPARROW.
Members or stockholders electing members of governing body	Form 990, Part VI, Section A, Line 7a	CLASS A MEMBERS EACH HAVE ONE VOTE FOR PURPOSES OF VOTING BY MEMBERS; THE NUMBER OF VOTES HELD BY THE CLASS B MEMBER (SPARROW) IS PROPORTIONATE TO THE SPARROW PERCENTAGE INTEREST MULTIPLIED BY THE VOTES HELD IN THE AGGREGATE BY BOTH CLASS A AND CLASS B MEMBERS. AT THE ANNUAL MEETING OF THE MEMBERS, THE CLASS A MEMBERS ELECT 9 DIRECTORS OF THE BOARD OF DIRECTORS BY MAJORITY VOTE OF THE CLASS A MEMBERS, AND THE CLASS B MEMBER (SPARROW) ELECTS A NUMBER OF DIRECTORS OF THE BOARD OF DIRECTORS THAT IS CONSISTENT WITH THE CURRENT SPARROW PERCENTAGE INTEREST.
Decisions requiring approval by members or stockholders	Form 990, Part VI, Section A, Line 7b	THE FOLLOWING ACTIVITIES REQUIRE THE AFFIRMATIVE VOTE OF THE CLASS B MEMBER (SPARROW): 1. AMENDMENTS TO THE ARTICLES OF INCORPORATION AND THE BYLAWS; 2. THE DISSOLUTION, MERGER, SALE, SALE OF SUBSTANTIALLY ALL OF THE ASSETS, LEASE, OR TRANSFER OF CONTROL; 3. THE SALE OF A MAJORITY OWNERSHIP INTEREST IN CCH; 4. THE PUBLICLY RECOGNIZED "AFFILIATION" WITH ANY ORGANIZATION OTHER THAN THE CLASS B MEMBER (SPARROW); 5. APPROVAL OF CCH'S ANNUAL OPERATING BUDGET, WHEN SUCH BUDGET REFLECTS A TOTAL MARGIN OF LESS THAN 2% OF NET REVENUE; 6. APPROVAL OF CCH'S ANNUAL CAPITAL BUDGET, WHEN SUCH BUDGET ANTICIPATES AN ADDITIONAL CAPITAL CONTRIBUTION FROM THE CLASS B MEMBER (SPARROW) BEYOND ITS ORIGINAL CAPITAL CONTRIBUTION; 7. THE INCURRENCE OF ANY DEBT OBLIGATION IN THE AGGREGATE GREATER THAN $500,000; 8. THE APPROVAL OF CAPITAL EXPENDITURES IN EXCESS OF $500,000 (EXCEPT AS TO REPLACE EQUIPMENT); AND 9. ANY ACTION THAT ALLOWS OR FACILITATES THE CREATION OF A NEW CLASS OF MEMBERS OR CREATION OF A MEMBERSHIP INTEREST IN CCH.
Review of form 990 by governing body	Form 990, Part VI, Section B, Line 11b	THE FORM 990 IS REVIEWED IN DETAIL BY THE ORGANIZATION'S MANAGEMENT. A BOARD MEETING IS HELD WITH OUR TAX ADVISORS WHERE A COPY OF THE FULL FORM 990, INCLUDING ALL APPLICABLE SCHEDULES, IS PROVIDED TO EACH MEMBER OF THE GOVERNING BODY FOR REVIEW BEFORE THE RETURN IS FILED WITH THE IRS. THE BOARD IS GIVEN A SUMMARY OF KEY POINTS REGARDING THE FORM 990, AND IS ALLOWED TO ASK ANY QUESTIONS THEY MAY HAVE. ONCE ALL BOARD MEMBERS HAVE REVIEWED THE RETURN, IT IS THEN SUBMITTED TO THE IRS.
Conflict of interest policy	Form 990, Part VI, Section B, Line 12c	CONFLICT OF INTEREST QUESTIONNAIRES ARE DISTRIBUTED TO ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES TO DETERMINE WHETHER ANY POTENTIAL CONFLICTS OF INTEREST EXIST. THE HOSPITAL EXECUTIVE COMMITTEE, WHICH INCLUDES THE PRESIDENT OF THE BOARD OF DIRECTORS, DISCUSSES THE CONFLICT OF INTEREST QUESTIONNAIRES TO DETERMINE WHETHER AN ACTUAL CONFLICT EXISTS. IF A CONFLICT IS DETERMINED TO EXIST, THE PERSON WITH THE CONFLICT IS RECUSED FROM TAKING PART IN ANY DECISIONS CONCERNING THE CONFLICTING ISSUE.
Process used to establish compensation of top management official	Form 990, Part VI, Section B, Line 15a	THE ORGANIZATION'S BOARD OF DIRECTORS ANNUALLY REVIEWS AND APPROVES THE COMPENSATION FOR THE ORGANIZATION'S PRESIDENT/CEO. THE BOARD PRESIDENT/CEO IS REMOVED FROM THE BOARD DISCUSSIONS TO PREVENT HIM FROM DISCUSSING AND DETERMINING HIS OWN COMPENSATION. THE BOARD OF DIRECTORS USES COMPENSATION STUDIES AND WAGE SURVEYS IN DETERMINING THE AMOUNT OF COMPENSATION FOR THE CEO, AND THEIR DISCUSSIONS ARE DOCUMENTED IN THE BOARD MEETING MINUTES. THE 2010 COMPENSATION WAS REVIEWED AND APPROVED AT THE END OF 2009 DURING THE ANNUAL BUDGETING PROCESS.
Process used to establish compensation of other officers/key employees	Form 990, Part VI, Section B, Line 15b	THE ORGANIZATION'S BOARD OF DIRECTORS ANNUALLY REVIEWS AND APPROVES THE COMPENSATION FOR ALL POSITIONS, INCLUDING OTHER OFFICERS AND KEY EMPLOYEES. THE BOARD OF DIRECTORS USES COMPENSATION STUDIES AND WAGE SURVEYS IN DETERMINING THE AMOUNT OF COMPENSATION FOR ALL POSITIONS, AND THEIR DISCUSSIONS ARE DOCUMENTED IN THE BOARD MEETING MINUTES. THE 2010 COMPENSATION WAS REVIEWED AND APPROVED AT THE END OF 2009 DURING THE ANNUAL BUDGETING PROCESS.
Public Disclosure	Form 990, Part VI, Section C, Line 19	AN ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.
Other changes in net assets or fund balances	Form 990, Part XI, Line 5	NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 243269; PENSION ADJUSTMENT - 124741; CARSON APOTHECARY SHOPPE NET INCOME (JANUARY 1 - NOVEMBER 30) - 207501; AUXILIARY CONTRIBUTIONS - -3167; CARSON APOTHECARY SHOPPE NET ASSETS (PRIOR TO REORGANIZATION) - 473713;