HILLSDALE COMMUNITY HEALTH CENTER: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- HILLSDALE COMMUNITY HEALTH CENTER (EIN 38-6005550)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-02-09
- IRS object ID
- 201140409349300304
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-02-09T09:27:02-06:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Plante & Moran PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 750 TRADE CENTRE WAY STE 300 | AddressLine1 |
| City | PORTAGE | City |
| State | MI | State |
| ZIP Code | 49002 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 386005550 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILLSDALE COMMUNITY HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HILL | NameControl |
| Phone | 5174374451 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 168 SOUTH HOWELL STREET | AddressLine1 |
| City | HILLSDALE | City |
| State | MI | State |
| ZIP Code | 49242 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | VALERIE FETTERS | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 5174374451 | Phone |
| Date Signed | 2011-02-03 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Carol LaLonde CPA | Name |
| Phone | 2695674500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DUKE ANDERSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 168 SOUTH HOWELL STREET | AddressLine1 |
| City | HILLSDALE | City |
| State | MI | State |
| ZIP Code | 49242 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 57961192 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.HCHC.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1950 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | SHORT-TERM, acute care hospital facility, including a skilled nursing unit providing inpatient and outpatient services in the Hillsdale, Michigan area. hchc averages over 3,000 admissions per year, 120,000 outpatient visits per year, and 25,000 emergency department visits per year. hchc gives back to the community in many ways, including supporting the free clinic and providing community scholarships for allied health professions. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 493 | TotalNbrEmployees |
| Total Nbr Volunteers | 75 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 158395 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 33832 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 54929279 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 56681810 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 269819 | InvestmentIncomePriorYear |
| Investment Income Current Year | 155366 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 814385 | OtherRevenuePriorYear |
| Other Revenue Current Year | 680238 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 56171878 | TotalRevenuePriorYear |
| Total Revenue Current Year | 57551246 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 23630692 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 23946601 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 32862181 | OtherExpensePriorYear |
| Other Expenses Current Year | 31800675 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 56492873 | TotalExpensesPriorYear |
| Total Expenses Current Year | 55747276 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -320995 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1803970 | RevenuesLessExpensesCY |
| Total Assets BOY | 44947965 | TotalAssetsBOY |
| Total Assets EOY | 45267496 | TotalAssetsEOY |
| Total Liabilities BOY | 26166540 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 23803846 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 18781425 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 21463650 | NetAssetsOrFundBalancesEOY |
| Mission Description | HILLSDALE COMMUNITY HEALTH CENTER IS AN INDEPENDENT, PROGRESSIVE HEALTH CARE TEAM. WE WILL CONTINUE TO UTILIZE THE LATEST TECHNOLOGY AND EXPERTISE WHILE DELIVERING COMPASSIONATE, QUALITY CARE. WE ARE LARGE ENOUGH TO BE OF SERVICE...SMALL ENOUGH TO CARE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 48688871 | Expense |
| Revenue | 56681810 | Revenue |
| Description | Short-term, acute care hospital facility including a skilled nursing unit and psychiatric unit providing inpatient and outpatient services to the Hillsdale, Michigan area. hchc averages over 3,000 admissions per year, 120,000 outpatient visits per year, and 25,000 emergency department visits per year. hchc gives back to the community in many ways, including supporting the free clinic and providing community scholarships for allied health professions. | Description |
| Total Program Service Expense | 48688871 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 90 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 493 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALERIE FETTERS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5174374451 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 168 S HOWELL STREET | AddressLine1 |
| City | HILLSDALE | City |
| State | MI | State |
| ZIP Code | 49242 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| beverly marks | |||||||
| secretary | 1.00 | X | X | 0 | 0 | 0 | |
| GREGORY BAILEY | |||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| PARKE HAYES | |||||||
| VICE CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| father THOMAS BUTLER | |||||||
| TRUSTEE (part year) | 1.00 | X | 0 | 0 | 0 | ||
| KEITH BARON MD | |||||||
| TRUSTEE (part year) | 1.00 | X | 0 | 0 | 0 | ||
| DEBRA LUSTY DO | |||||||
| TRUSTEE (part year) | 1.00 | X | 0 | 0 | 0 | ||
| ALFRED BEDIAKO MD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| CHARLES MAURER | |||||||
| treasurer | 1.00 | X | X | 0 | 0 | 0 | |
| CRAIG CONNOR | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| MURIEL ALEXANDROWSKI | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| DIANE PHILIPP | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| DAVID GOSSAGE DO | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| ROBERT HENTHORNE | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| DALE MCCRIRIE DO | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| VALERIE FETTERS | |||||||
| CFO | 40.00 | X | 140382 | 0 | 21058 | ||
| duke anderson | |||||||
| president & ceo | 40.00 | X | 219064 | 0 | 32859 | ||
| CYNTHIA MORGAN | |||||||
| RADIOLOGY MANAGER | 40.00 | 110582 | 0 | 16588 | X | ||
| JANET MARSH | |||||||
| HR MANAGER | 40.00 | 108052 | 0 | 16208 | X | ||
| daniel baxter | |||||||
| physician | 40.00 | 258334 | 0 | 38750 | X | ||
| KEVIN ANDERSON | |||||||
| PHYSICIAN | 40.00 | 497843 | 0 | 62750 | X | ||
| ravinder sharma | |||||||
| physician | 40.00 | 369825 | 0 | 55474 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1704082 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 243687 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| REYNOLDS PHARMACY CORP | |||||
| 5036 HARRIET DRIVe | JACKSON | MI | 49203 | PHARMACY MANAGEMENT | 979863 |
| CPSI | |||||
| 660 wall street | MOBILE | AL | 36695 | BILLING/COLLECTION SERVICES | 560535 |
| HILLSDALE PULMONARY CRITICAL CARE | |||||
| 451 hidden meadows dr | HILLSDALE | MI | 49242 | SLEEP LAB MANAGEMENT | 418500 |
| ANESTHESIA STAFFING CONSULTANTS | |||||
| 30200 telegraph ste 220 | BINGHAM FARMS | MI | 48025 | ANESTHESIA SERVICES | 397300 |
| hillsdale physical therapy | |||||
| 1500 meadow lane | hILLSDALE | MI | 49242 | physical therapist | 382002 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 10 | NumberOfContractorsGT100K |
| All Other Contributions | 33832 | AllOtherContributions |
| Total Contributions | 33832 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT REVENUE | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 56681810 | TotalRevenueColumn |
| Related Or Exempt Function Income | 56681810 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 56681810 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 342907 | TotalRevenueColumn |
| Exclusion | $342,907 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 4415 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 25240 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -20825 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -20825 | TotalRevenueColumn |
| Exclusion | -$20,825 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 192870 | Securities |
| Other | 707 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 290404 | Securities |
| Other | 90714 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -97534 | Securities |
| Other | -90007 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -187541 | TotalRevenueColumn |
| Exclusion | -$187,541 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 21895 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 3588 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18307 | TotalRevenueColumn |
| Exclusion | $18,307 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| OTHER INCOME | 900099 | 384458 | $384,458 |
| CAFETERIA SALES | 900099 | 172755 | $172,755 |
| EMPLOYEE PRESCRIPTION | 900099 | 125543 | $125,543 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 682756 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 57551246 | TotalRevenueColumn |
| Related Or Exempt Function Income | 56681810 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $835,604 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 359446 | Total |
| Management And General | 359446 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18567183 | Total |
| Program Services | 16359467 | ProgramServices |
| Management And General | 2207716 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 477707 | Total |
| Program Services | 412912 | ProgramServices |
| Management And General | 64795 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3132966 | Total |
| Program Services | 2708018 | ProgramServices |
| Management And General | 424948 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1409299 | Total |
| Program Services | 1218145 | ProgramServices |
| Management And General | 191154 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104200 | Total |
| Program Services | 89075 | ProgramServices |
| Management And General | 15125 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84000 | Total |
| Program Services | 71807 | ProgramServices |
| Management And General | 12193 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191 | Total |
| Management And General | 191 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7012595 | Total |
| Program Services | 5994875 | ProgramServices |
| Management And General | 1017720 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 244836 | Total |
| Program Services | 209298 | ProgramServices |
| Management And General | 35538 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1941187 | Total |
| Program Services | 1654148 | ProgramServices |
| Management And General | 287039 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 198710 | Total |
| Program Services | 169867 | ProgramServices |
| Management And General | 28843 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 584004 | Total |
| Program Services | 504791 | ProgramServices |
| Management And General | 79213 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2748193 | Total |
| Program Services | 2375435 | ProgramServices |
| Management And General | 372758 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| medical supplies | 12242640 | 10465611 | 1777029 |
| PROVISION FOR DOUBTFUL | 5367670 | 5367670 | |
| REPAIR AND MAINTENANCE | 1035320 | 885042 | 150278 |
| DUES | 237129 | 202710 | 34419 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55747276 | Total |
| Program Services | 48688871 | ProgramServices |
| Management And General | 7058405 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5710 | BOY |
| EOY | 118021 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3140304 | BOY |
| EOY | 5442415 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 151309 | BOY |
| EOY | 134245 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10845022 | BOY |
| EOY | 8356458 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1110278 | BOY |
| EOY | 1799362 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 314384 | BOY |
| EOY | 258392 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 232130 | BOY |
| EOY | 165269 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 44288256 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 30576384 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15577497 | BOY |
| EOY | 13711872 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8106303 | BOY |
| EOY | 9323288 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4300376 | BOY |
| EOY | 4528433 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1164652 | BOY |
| EOY | 1429741 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44947965 | BOY |
| EOY | 45267496 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9236525 | BOY |
| EOY | 8977020 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9221824 | BOY |
| EOY | 8876824 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5194700 | BOY |
| EOY | 4851478 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2513491 | BOY |
| EOY | 1098524 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26166540 | BOY |
| EOY | 23803846 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18570759 | BOY |
| EOY | 21292978 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 210666 | BOY |
| EOY | 170672 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18781425 | BOY |
| EOY | 21463650 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44947965 | BOY |
| EOY | 45267496 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | 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 D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 103162 | OtherCostOrOtherBasis |
| Book Value | 103162 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 26011342 | OtherCostOrOtherBasis |
| Depreciation | 18332883 | Depreciation |
| Book Value | 7678459 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1058407 | OtherCostOrOtherBasis |
| Depreciation | 745969 | Depreciation |
| Book Value | 312438 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16313105 | OtherCostOrOtherBasis |
| Depreciation | 11497532 | Depreciation |
| Book Value | 4815573 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 802240 | OtherCostOrOtherBasis |
| Book Value | 802240 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 13711872 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ASSETS LIMITED AS TO USE | Description |
| Book Value | 4528433 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 4528433 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | COST REPORT SETTLEMENTS | Description |
| Amount | $1,098,524 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1098524 | TotalOfAmounts |
| Total Revenue | 57551246 | TotalRevenue |
| Total Expenses | 55747276 | TotalExpenses |
| Excess Or Deficit For Year | 1803970 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 878255 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 878255 | TotalAdjustments |
| Excess Or Deficit Per FS | 2682225 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 58458329 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 878255 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 878255 | RevenueNotRptdF990 |
| Revenue Subtotal | 57580074 | RevenueSubtotal |
| Other Revenues Not Included | -28828 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -28828 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 57551246 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 55776104 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 28828 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 28828 | ExpensesNotRptdF990 |
| Expenses Subtotal | 55747276 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 55747276 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XII, Line 4b - Other Adjustments: | special events expenses: -3588. rental expenses: -25240. |
| Part XIII, Line 2d - Other Adjustments: | SPECIAL EVENTS EXPENSES: 3588. rental expenses: 25240. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF OUTING | NameOfEvent1 |
| Gross Receipts Event1 | 21895 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 21895 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 725 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 2074 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 789 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 21895 | GrossReceiptsTotal |
| Gross Revenue Total Events | 21895 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 725 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 2074 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 789 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 3588 | DirectExpenseSummaryEvents |
| Net Income Summary | 18307 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 0 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 567140 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 567140 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01020 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8278209 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9103027 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -824818 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8845349 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9103027 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -257678 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01020 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 650776 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 327279 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 323497 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00580 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15350 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 15350 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 666126 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 327279 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 338847 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00610 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9511475 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9430306 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 81169 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01630 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 237324 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 237324 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00430 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 237324 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 237324 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00430 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,684,000 | BadDebtExpenseAmount |
| Amount Attributable To | 1023373 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 16434505 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 16474987 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -40482 | MedicareSurplusOrShortfall |
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 | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|
| HILLSDALE COMMUNITY HEALTH CENTER | ||||||||
| 168 S HOWELL STREET | HILLSDALE | MI | 49242 | X | X | X | X | |
| CENTER FOR PSYCHIATRIC CARE | ||||||||
| 168 S HOWELL STREET | HILLSDALE | MI | 49242 | INPATIENT PYSCH UNIT | ||||
| MAC MCGUIRE SKILLED NURSING FACILITY | ||||||||
| 168 S HOWELL STREET | HILLSDALE | MI | 49242 | INPATIENT SNF UNIT | ||||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Needs Assessment | Part VI, Line 2: CURRENTLY THE NEEDS ARE ASSESSED THROUGH GENERAL CONVERSATIONS WITH THE HEALTH DEPARTMENT, THE FREE CLINIC, AND OTHER MEMBERS OF THE COMMUNITY. WE ARE WORKING ON INSTITUTING A FULL NEEDS ASSESSMENT. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: THE CHARITY CARE POLICY AND PAYMENT OPTIONS POLICY ARE LISTED ON OUR WEBSITE. THERE ARE PATIENT FINANCIAL COUNSELORS AVAILABLE IN AN OFFICE ADJACENT TO THE HOSPITAL LOBBY FOR HELP WITH BILLS AND A MEDICAID SPECIALIST ON SITE TO HELP WITH THE MEDICAID APPLICATION AND OTHER OPTIONS. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: HILLSDALE COMMUNITY HEALTH CENTER SERVES 47,000 RESIDENTS OF HILLSDALE COUNTY. THIS RURAL, FARMING COMMUNITY IS CURRENTLY AT 14.9% UNEMPLOYMENT RATE. WITH MANY LOCAL INDUSTRIES CLOSING ITS DOORS, IT HAS BEEN EXTREMELY DIFFICULT FOR OUR RESIDENTS TO MAINTAIN THEIR HOME MORTGAGES AND HEALTH INSURANCE. OUR PAYOR MIX IS CURRENTLY 60% MEDICARE AND 14% MEDICAID. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: HILLSDALE COMMUNITY HEALTH CENTER PROVIDES NUMEROUS COMMUNITY ACTIVITIES IN SUPPORT OF THE RESIDENTS OF HILLSDALE COUNTY, INCLUDING SENIOR SUNDAY WHERE LUNCH IS SERVED TO THE SENIOR COMMUNITY MEMBERS AND A SPEAKER DISCUSSES HEALTH ISSUES AND OTHER TOPICS RELATING TO THIS AGE GROUP. IN ADDITION, THERE ARE SEVERAL SUPPORT GROUPS AND CLASSES, INCLUDING THE BREAST CANCER SUPPORT GROUP, BREAST FEEDING CLASSES, BIRTHING CLASSES, NUTIRTION EDUCATION AND DIABETES EDUCATION CLASSES. THERE ARE PERIODIC HEALTH SCREENINGS SUCH AS VARICOSE VEIN, FOOT PAIN, CHOLESTEROL, AND COPD SCREENINGS. HILLSDALE COMMUNITY HEALTH CENTER ALSO PROVIDES FREE SUPPORT TO ST. PETER'S FREE CLINIC AND PARTICIPATES IN THE LOCAL ALLIED HEALTH STUDENT PROGRAM. NUMBEROUS HIGH SCHOOL AND COMMUNITY SCHOLARSHIPS HAVE BEEN GRANTED FOR FULL TUITION FOR ALLIED HEALTH DEGREES. | CommunityBuildingActivities |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VALERIE FETTERS | |||||||||||||
| 140382 | 0 | 0 | 0 | 0 | 0 | 2808 | 0 | 18250 | 0 | 161440 | 0 | 0 | 0 |
| duke anderson | |||||||||||||
| 219064 | 0 | 0 | 0 | 0 | 0 | 4381 | 0 | 28478 | 0 | 251923 | 0 | 0 | 0 |
| daniel baxter | |||||||||||||
| 258334 | 0 | 0 | 0 | 0 | 0 | 5167 | 0 | 33583 | 0 | 297084 | 0 | 0 | 0 |
| KEVIN ANDERSON | |||||||||||||
| 418334 | 0 | 0 | 0 | 79509 | 0 | 8367 | 0 | 54383 | 0 | 560593 | 0 | 0 | 0 |
| ravinder sharma | |||||||||||||
| 369825 | 0 | 0 | 0 | 0 | 0 | 7397 | 0 | 48077 | 0 | 425299 | 0 | 0 | 0 |
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 |
|---|---|---|---|---|---|---|
| MICHIGAN STATE HOSPITAL FINANCE AUTHORITY | ||||||
| 382889417 | NONEAVAIL | 2003-11-13 | 5000000 | NEW SPACE FOR SURGICAL SERVICES PLUS MISCELLANEOUS EQUIPMENT | 1 | 0 |
| MICHIGAN STATE HOSPITAL FINANCE AUTHORITY | ||||||
| 382889417 | NONEAVAIL | 2006-09-14 | 2200000 | NEW SPACE FOR INPATIENT PSYCHIATRIC UNIT | 1 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Amount UnspentAmountUnspent | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|
| 5000000 | 182351 | 57267 | 4760382 | 2005 | 0 | 0 | 1 | 1 |
| 2200000 | 305660 | 22522 | 1871818 | 2007 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 0 | 1 | 0 | 0 | 0 | 0 |
| 0 | 1 | 0 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section B, line 11 | THE 990 IS PRESENTED TO THE BOARD FOR REVIEW. CHANGES AND QUESTIONS ARE COMMUNICATED TO THE CFO. |
| Form 990, Part VI, Section B, line 12c | BOARD MEMBERS ARE REQUIRED TO DISCLOSE OF ANY CONFLICTS OF INTEREST ANNUALLY. |
| Form 990, Part VI, Section B, line 15 | THERE IS A SEPARATE COMPENSATION COMMITTEE OF THE GOVERNING BODY WHICH CONSULTS WITH THE COMPANY'S LEGAL FIRM FOR COMPARABILITY DATA. |
| Form 990, Part VI, Section C, line 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 2C: | THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR. |