MCLAREN CARO REGION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MCLAREN CARO REGION (EIN 38-3426063)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-10
IRS object ID: 201143149349300749
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-10T15:53:09-05:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	383426063	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CARO COMMUNITY HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CARO	NameControl

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	401 N HOOPER ST PO BOX 435	AddressLine1
City	CARO	City
State	MI	State
ZIP Code	48723	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	WILLIAM P MILLER	Name
Title	PRESIDENT AND C	Title
Phone	9896733141	Phone
Date Signed	2011-11-09	DateSigned
Authorize Third Party	false	AuthorizeThirdParty

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	WILLIAM P MILLER	NameOfPrincipalOfficerPerson
Gross Receipts	14029550	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CCH-MI.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1999	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	CARO COMMUNITY HOSPITAL A COMMUNITY-MINDED HEALTHCARE SYSTEM IS DEDICATED TO PROVIDING COMPASSIONATE CARE AND SERVICES TO ENHANCE THE HEALTH OF ALL THE PATIENTS WE SERVE	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	4	NbrIndependentVotingMembers
Total Nbr Employees	201	TotalNbrEmployees
Total Nbr Volunteers	50	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	18774	ContributionsGrantsPriorYear
Contributions Grants Current Year	28433	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	13894996	ProgramServiceRevenuePriorYear
Program Service Revenue CY	13828051	ProgramServiceRevenueCY
Investment Income Prior Year	11011	InvestmentIncomePriorYear
Investment Income Current Year	36889	InvestmentIncomeCurrentYear
Other Revenue Prior Year	44441	OtherRevenuePriorYear
Other Revenue Current Year	94030	OtherRevenueCurrentYear
Total Revenue Prior Year	13969222	TotalRevenuePriorYear
Total Revenue Current Year	13987403	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	7172234	SalariesEtcPriorYear
Salaries Etc Current Year	7845505	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	6789859	OtherExpensePriorYear
Other Expenses Current Year	6570682	OtherExpensesCurrentYear
Total Expenses Prior Year	13962093	TotalExpensesPriorYear
Total Expenses Current Year	14416187	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	7129	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-428784	RevenuesLessExpensesCY
Total Assets BOY	7732770	TotalAssetsBOY
Total Assets EOY	7933659	TotalAssetsEOY
Total Liabilities BOY	4193281	TotalLiabilitiesBOY
Total Liabilities EOY	4618763	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3539489	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	3314896	NetAssetsOrFundBalancesEOY
Mission Description	CARO COMMUNITY HOSPITAL A COMMUNITY-MINDED HEALTHCARE SYSTEM IS DEDICATED TO PROVIDING COMPASSIONATE CARE AND SERVICES TO ENHANCE THE HEALTH OF ALL THE PATIENTS WE SERVE	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	11591747	Expense
Description	PROVISION OF NEEDED MEDICAL SERVICES TO THE COMMUNITY	Description
Total Program Service Expense	11591747	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	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	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	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	true	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	28	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	201	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	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	7	NbrVotingGoverningBodyMembers
Number Independent Voting Members	4	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	RONALD D SREBINSKI CFO	NamePerson
Telephone Number	9896733141	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	401 N HOOPER ST PO BOX 435	AddressLine1
City	CARO	City
State	MI	State
ZIP Code	48723	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
DALE PERZ
VICE CHAIRMAN	2.00	X	X	62378	0	0
DAN BRISTOL
CHAIRMAN	2.00	X	X	0	0	0
DON DUGGAR
TRUSTEE	2.00	X		0	0	0
DR AFONSO FERREIRA
TRUSTEE	2.00	X		0	0	0
LYNN LAETHEM
SECRETARYTREASURER	2.00	X	X	0	0	0
RUBY REID
TRUSTEE	2.00	X		0	2300	0
WILLIAM P MILLER
PRESIDENT AND CEO	40.00	X	X	157989	0	31371	X	X
DR JULIE SAWADE
EMPLOYED PHYSICIAN	40.00			166405	0	31871		X
DR RICHARD MOYER
EMPLOYED PHYSICIAN	32.00			228597	0	39144		X
JAMES SINGLES
VP OF FINANCE	40.00			117476	0	31120		X
MIKE MIHORA
VP OPERATIONS	40.00			101457	0	27675		X
SUE MORRIS
RISKCOMPLIANCE	40.00			115481	0	13256		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	949783	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2300	TotalReportableCompFrmRltdOrgs
Total Other Compensation	174437	TotalOtherCompensation
Number Individuals GT100 K	6	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
HOSPITAL MD
200 W PARK DRIVE STE 325	PEACHTREE CITY	GA	30269	E R PHYSICIANS	1098000
BAUMAN and BAUMAN
318 CHIP ROAD	AUBURN	MI	48611	ANESTHESIA SERVICE	210200

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	2	NumberOfContractorsGT100K
All Other Contributions	28433	AllOtherContributions
Total Contributions	28433	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE REV	Description
Business Code	900099	BusinessCode
Total Revenue Column	13828051	TotalRevenueColumn
Related Or Exempt Function Income	13828051	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	13828051	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	36889	TotalRevenueColumn
Exclusion	$36,889	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	37561	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	42147	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-4586	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-4586	TotalRevenueColumn
Related Or Exempt Function Income	-4586	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	2137	GrossSalesOfInventory

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2137	TotalRevenueColumn
Related Or Exempt Function Income	2137	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA	722210	18845	18845
HPSA PAYMENTS	900099	27617	27617

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	50017	TotalRevenueColumn
Related Or Exempt Function Income	50017	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	96479	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	13987403	TotalRevenueColumn
Related Or Exempt Function Income	13922081	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$36,889	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	157989	Total
Management And General	157989	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	5447749	Total
Program Services	4249728	ProgramServices
Management And General	1198021	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	230197	Total
Program Services	174513	ProgramServices
Management And General	55684	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1582617	Total
Program Services	1199787	ProgramServices
Management And General	382830	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	426953	Total
Program Services	324079	ProgramServices
Management And General	102874	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	61220	Total
Management And General	61220	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	31000	Total
Management And General	31000	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1389372	Total
Program Services	1389372	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	105166	Total
Management And General	105166	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	22915	Total
Program Services	59	ProgramServices
Management And General	22856	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	595020	Total
Program Services	544658	ProgramServices
Management And General	50362	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	45866	Total
Program Services	10807	ProgramServices
Management And General	35059	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	164000	Total
Program Services	164000	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	501130	Total
Program Services	501130	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	154114	Total
Program Services	154114	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLY COSTS	1495505	1416536	78969
DUES AND SUBSCRIPTIONS	86924	14554	72370
PROVISION FOR BAD DEBTS	961474	961474
PURCHASED SERVICES	558477	379711	178766
QAAP TAX PAYMENTS	281422		281422

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	117077	Total
Program Services	107225	ProgramServices
Management And General	9852	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	14416187	Total
Program Services	11591747	ProgramServices
Management And General	2824440	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1433181	BOY
EOY	802378	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	904530	BOY
EOY	1117800	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	363342	BOY
EOY	363055	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	47139	BOY
EOY	35052	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	11948446	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	6822389	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	4541522	BOY
EOY	5126057	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	443056	BOY
EOY	489317	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	7732770	BOY
EOY	7933659	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1020688	BOY
EOY	960379	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2146590	BOY
EOY	2427008	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1026003	BOY
EOY	1231376	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	4193281	BOY
EOY	4618763	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3534489	BOY
EOY	3304896	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	5000	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5000	BOY
EOY	5000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3539489	BOY
EOY	3314896	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	7732770	BOY
EOY	7933659	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-428784	ReconcilationRevenueExpenses
Reconcilation Other Changes	204191	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	false	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 D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5000	BeginningOfYearBalance
End Of Year Balance	5000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5000	BeginningOfYearBalance
Investment Earnings Or Losses	25	InvestmentEarningsOrLosses
Other Expenditures	25	OtherExpenditures
End Of Year Balance	5000	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	133521	OtherCostOrOtherBasis
Book Value	133521	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5616466	OtherCostOrOtherBasis
Depreciation	2284985	Depreciation
Book Value	3331481	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12112	OtherCostOrOtherBasis
Depreciation	10563	Depreciation
Book Value	1549	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6164568	OtherCostOrOtherBasis
Depreciation	4526841	Depreciation
Book Value	1637727	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	21779	OtherCostOrOtherBasis
Book Value	21779	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	5126057	TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescription	Book ValueBookValue
INT IN CCH ENDOWMENT FOUNDATIO	484317
ASSETS LIMITED AS TO USE	5000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	489317	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
ACCOUNT PAYABLE TO THIRD PARTI	$502,713
ACCRUED AND OTHER LIABILITIES	$728,663

Field	Value	IRS element (for citing)
Total Of Amounts	1231376	TotalOfAmounts
Total Revenue	13987403	TotalRevenue
Total Expenses	14416187	TotalExpenses
Excess Or Deficit For Year	-428784	ExcessOrDeficitForYear
Excess Or Deficit Per FS	-428784	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	13964228	TotRevenueEtcAuditedFinclStmt
Other Revenues	42147	OtherRevenues
Revenue Not Rptd F990	42147	RevenueNotRptdF990
Revenue Subtotal	13922081	RevenueSubtotal
Other Revenues Not Included	65322	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	65322	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	13987403	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	14458334	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	42147	OtherExpensesIncluded
Expenses Not Rptd F990	42147	ExpensesNotRptdF990
Expenses Subtotal	14416187	ExpensesSubtotal
Total Expenses Per Form990	14416187	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	ExplanationExplanation
Other revenues non included on Form 990 Part XII line 2d	EXPENSES RELATING TO RENTAL COST OFFSET 42147
02 Other revenues included on Form 990 Part XII line 4b	INTEREST INCOME 36889 CONTRIBUTIONS 28433
03 Other expenses not included on Form 990 Part XIII line 2d	EXPENSES RELATING TO RENTAL COST OFFSET 42147

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	false	FPGReferenceFreeCare
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	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	false	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	38650	TotalCommunityBenefitExpense
Net Community Benefit Expense	38650	NetCommunityBenefitExpense
Percent Of Total Expense	0.00300	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1911327	TotalCommunityBenefitExpense
Direct Offsetting Revenue	922661	DirectOffsettingRevenue
Net Community Benefit Expense	988666	NetCommunityBenefitExpense
Percent Of Total Expense	0.07730	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1949977	TotalCommunityBenefitExpense
Direct Offsetting Revenue	922661	DirectOffsettingRevenue
Net Community Benefit Expense	1027316	NetCommunityBenefitExpense
Percent Of Total Expense	0.0803	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	129229	TotalCommunityBenefitExpense
Direct Offsetting Revenue	200	DirectOffsettingRevenue
Net Community Benefit Expense	129029	NetCommunityBenefitExpense
Percent Of Total Expense	0.0101	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	129229	TotalCommunityBenefitExpense
Direct Offsetting Revenue	200	DirectOffsettingRevenue
Net Community Benefit Expense	129029	NetCommunityBenefitExpense
Percent Of Total Expense	0.0101	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2079206	TotalCommunityBenefitExpense
Direct Offsetting Revenue	922861	DirectOffsettingRevenue
Net Community Benefit Expense	1156345	NetCommunityBenefitExpense
Percent Of Total Expense	0.0904	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$670,917	BadDebtExpenseAmount
Amount Attributable To	186582	AmountAttributableTo
Amount Reimbursed By Medicare	4790476	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	4790476	CostOfCareReimbursedByMedicare

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

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	CARO COMMUNITY HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	401 N HOOPER STREET	AddressLine1
City	CARO	City
State	MI	State
ZIP Code	48723	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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CARO COMMUNITY HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	false	CHNAConducted
Explains Basis	false	ExplainsBasis
Includes Publicity Measures	false	IncludesPublicityMeasures
Collection Activities	false	CollectionActivities

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifier	ExplanationExplanation
01 Other charity care criteria description Part I line 3c	THE HOSPITAL UTILIZES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR DISCOUNTED CHARITY CARE SERVICES
02 Related organization annual community benefit report Part I line 6a	THE ANNUAL COMMUNITY BENEFIT REPORT IS PREPARED FOR INCLUSION IN THE MICHIGAN HOSPITAL ASSOCIATION COMMUNITY BENEFIT REPORT THE REPORT IS NOT RELEASED TO THE GENERAL PUBLIC
03 Bad debt description footnote Part III line 4	MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED UPON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE
04 Debt expense included Part I line 7 col f	BAD DEBT EXPENSE INCLUDED ON FORM 990 PART IX LINE 25 THAT IS REMOVED FOR PURPOSES OF SCHEDULE H LINE 7 COLUMN F IS 961474
05 Costing methodology explanation Part I line 7	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN LINES 7A-D IS BASED ON THE COST-TO-CHARGE RATIOS LINES 7E-I IS BASED ON ACTUAL COST
06 Collection practices Part III line 9b	IF THE PATIENT IS NOT ABLE TO MAKE PAYMENT ARRANGEMENTS THE STAFF WILL VERBALLY DETERMINE IF THE PATIENT IS POTENTIALLY ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL CHARITY CARE POLICY PATIENTS WHO APPEAR TO MEET THE CARO COMMUNITY HOSPITAL CRITERIA ARE REFERRED TO THE SOCIAL WORKER FOR FURTHER REVIEW IN ACCORDANCE WITH THE HOSPITAL CHARITY CARE POLICY
07 Needs assessment Part VI question 2	ORGANIZATION COMMUNICATED WITH STATE AND LOCAL AGENCIES TO DETERMINE THE HEALTHCARE NEEDS OF THE COMMUNITY EXAMPLES OF SERVICES PROVIDED BASED ON COMMUNITY NEEDS ARE IMMUNIZATIONS VACCINES SPORTS PHYSICALS SENIOR AND HEALTH FAIRS FIRST AID BOOTH AND DIABETIC CLASSES
08 Patient education Part VI question 3	EVERY UNINSURED PATIENT THAT IS AN INPATIENT OUTPATIENT SURGICAL OBSERVATION OR INCURS MORE THAN 5000 IN MEDICAL EXPENSES RECEIVES A CHARITY CARE PACKAGE THE PACKAGE INCLUDES A CHARITY CARE AND MEDICAID APPLICATION AND A HUMAN SERVICES REFERRAL FORM ALL OTHER NON-INSURED PATIENTS MAY REQUEST A CHARITY CARE APPLICATION AT ANY TIME
09 Community information Part VI question 4	ORGANIZATION IS LOCATED IN TUSCOLA COUNTY WHICH HAS A POPULATION OF APPROX 56000 CARO HAS A POPULATION OF APPROX 4200 TUSCOLA COUNTY CONSISTS OF MOSTLY FARMLAND WITH VERY FEW MANUFACTURING FACILITIES THE UNEMPLOYMENT RATE IN TUSCLOA COUNTY IS 16
10 Promoting community health Part VI question 5	ORGAINZATION PROVIDES SPECIAL CLINICS IN CARO SO PATIENTS DO NOT HAVE TO COMMUTE
11 Affiliated health care system Part VI question 6	NA
12 State filings Part VI question 7	NA

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 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
WILLIAM P MILLER
157989	0	0	0	0	0	0	0	31371	0	189360	0	183822	0
DR RICHARD MOYER
228597	0	0	0	0	0	0	0	39144	0	267741	0	258964	0
DR JULIE SAWADE
166405	0	0	0	0	0	0	0	31871	0	198276	0	181859	0

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	DALE PERZ - PERZPECTIVES	NamePerson

Field	Value	IRS element (for citing)
Relationship	BOARD MEMBER	Relationship
Amount Of Transaction	62378	AmountOfTransaction
Description Of Transaction	MARKETING SERVICES	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	ExplanationExplanation
01. Form 990 governing body review (Part VI, line 11)	EACH BOARD MEMBER WILL RECEIVE A COMPLETE COPY OF THE RETURN THE CEO AND CFO WILL REVIEW THE RETURN DURING THE NOVEMBER MEETING OF THE BOARD OF TRUSTEES
02. Conflict of interest policy compliance (Part VI, line 12c)	THE CONFLICT OF INTEREST POLICY IS MONITORED THROUGH DISCUSSION WITH THE CEO AND EACH BOARD MEMBER
03. CEO, executive director, top management comp (Part VI, line 15a)	THE BOARD UTILIZES THE MICHIGAN HEALTH AND HOSPITAL ANNUAL SURVEY TO DETERMINE THE COMPENSATION LEVEL FOR THE CEO
04. Governing documents, etc, available to public (Part VI, line 19)	THE GOVERNING DOCUMENTS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC
05. Explanation of other changes in net assets or fund balances (Part XI, line 5)	CCH FOUNDATION 46261 CONTRIBUTION OF PROPERTY-RADIO TOWER GRANT 143731 CONTRIBUTIONGRANT-EQUIPMENT 9199 TEMPORARY RESTRICTED CONTRIBUTION 5000

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
CCH HEALTH CARE ALLIANCE
401 N HOOPER ST	CARO	MI	487230435	383426058	PARENT TO CCH	MI	501C3	III-F1	NA	false
CCH ENDOWMENT FOUNDATION
401 N HOOPER ST	CARO	MI	487230435	382422995	FOUNDATION	MI	501C3	III-F1	NA	false

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg