2024-11-14T16:11:47-06:00 2023-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2023-01-01 381901104 MADISON COMMUNITY HOSPITAL INC C/O BEHAVIORAL CENTER OF MICHIGAN MADI 2486196771 4050 E 12 MILE ROAD WARREN MI 48092 RYAN GUNABALAN CEO 2486196771 2024-11-13 1 1 KAREN A GRIES P00078514 6128764500 2024-10-30 2023 2024-10-15 13:58:12Z RYAN GUNABALAN 4050 E 12 MILE ROAD WARREN MI 48092 16460186 0 X HTTP://SAMARITANBC.COM X 1969 MI A NONPROFIT ORGANIZATION THAT MAKES AVAILABLE SHORT TERM INPATIENT AND OUTPATIENT ACUTE HEALTH CARE AND PSYCHIATRIC CARE IN A HOSPITAL SETTING IN ADDITION TO PHARMACY. 6 3 0 6 0 0 0 0 17219630 16460186 0 0 0 0 17219630 16460186 0 0 0 0 6510437 7075276 0 0 0 9298457 10346399 15808894 17421675 1410736 -961489 5958365 4837406 1770652 1611182 4187713 3226224 A NONPROFIT ORGANIZATION THAT MAKES AVAILABLE SHORT TERM INPATIENT AND OUTPATIENT ACUTE HEALTH CARE AND PSYCHIATRIC CARE IN A HOSPITAL SETTING IN ADDITION TO PHARMACY. 0 0 12788738 15165685 PROVIDING MEDICAL SERVICES FOR OUTPATIENTS, SHORT-TERM INPATIENT AND OUTPATIENT PSYCHIATRIC CARE IN A 55-BED HOSPITAL SETTING PRIMARILY FOR INPATIENTS REGARDLESS OF RACE, CREED, OR SEX, OR NATIONAL ORIGIN, COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COSTS, OR TO SUBSCRIBERS OF COMMERCIAL INSURANCE, WHERE PAYMENT IS ACCEPTED AT LESS THAN THE CHARGES AS PAYMENT, OR AT NO CHARGE TO PATIENTS AND WRITING OFF THE DIFFERENCE. 1366141 1294501 PROVIDING MEDICAL SERVICES FOR OUTPATIENTS, SHORT-TERM INPATIENT AND OUTPATIENT PHARMACY SERVICES IN A 55-BED HOSPITAL SETTING PRIMARILY FOR INPATIENTS REGARDLESS OF RACE, CREED, OR SEX, OR NATIONAL ORIGIN, COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COSTS, OR TO SUBSCRIBERS OF COMMERCIAL INSURANCE, WHERE PAYMENT IS ACCEPTED AT LESS THAN THE CHARGES AS PAYMENT, OR AT NO CHARGE TO PATIENTS AND WRITING OFF THE DIFFERENCE. 14154879 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 3 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X RYAN GUNABALAN 5862612266 4050 E 12 MILE ROAD WARREN MI 48092 ROBERT CLEMENTE TRUSTEE 2.00 X X 0 0 0 TIMOTHY DENGEL TRUSTEE 2.00 X X 0 0 0 RYAN GUNABALAN TRUSTEE 2.00 X X 0 147508 33696 TOM KOCHIS TRUSTEE 1.00 X 0 0 0 ANDREW MUNRO TRUSTEE 1.00 X 0 0 0 LAURIE SALL TRUSTEE 1.00 X 0 0 0 0 147508 33696 0 0 1 0 7 PSYCHIATRIC CARE 624100 15165685 15165685 PHARMACIES 456110 1294501 1294501 16460186 16460186 16460186 0 0 X 6151053 6151053 455475 455475 468748 468748 3251000 3251000 26952 26952 3007201 3007201 312075 312075 551640 551640 1521 1521 19478 19478 25225 25225 97113 97113 300960 300960 PHARMACEUTICALS 1150516 1150516 SUPPLIES - KITCHEN 758869 758869 REPAIR & MAINTENANCE 381750 371094 10656 MISCELLANEOUS 179545 179545 282554 278935 3619 17421675 14154879 3266796 0 1038487 36057 440625 859783 3138456 2697267 82982 82982 107201 107816 2839990 1786489 1150614 1053501 5958365 4837406 639385 801054 780371 734007 350896 76121 1770652 1611182 X 4187713 3226224 4187713 3226224 5958365 4837406 -961489 0 X 1 X 0 1 0 X 2152337 1309957 842380 315853 215931 99922 371800 260601 111199 1053501 1 1 X 0 0 1 0 0 52 250 0.00000 0.00000 0.00000 52 250 52 50 0.00000 0.00000 0.00000 0.00000 0.00000 52 50 104 300 0 1 1 1 T & G CORPORATION INC MANAGEMENT OF OPERATING EXPENSES 0.00000 1.00000 0.00000 2 1 SAMARITAN BEHAVIORAL CENTER 5555 CONNER AVENUE DETROIT MI 48213 HTTP://SAMARITANBC.COM X 55-BED PSYCHIATRIC HOSPITAL 2 BC RX OF MICHIGAN 4050 E 12 MILE ROAD WARREN MI 48092 X PHARMACY SAMARITAN BEHAVIORAL CENTER 1 0 0 1 X X X X X X X X 22 1 1 0 1 X HTTP://SAMARITANBC.COM X 0 0 1 X 100.000000000000 0.000000000000 1 1 X 1 X HTTP://SAMARITANBC.COM X 1 X X 0 X 1 X 0 0 BC RX OF MICHIGAN 2 0 0 1 X X X X X X X X 22 1 1 0 1 X HTTP://SAMARITANBC.COM X 0 0 1 X 100.000000000000 0.000000000000 1 1 X 1 X HTTP://SAMARITANBC.COM X 1 X X 0 X 1 X 0 0 SAMARITAN BEHAVIORAL CENTER PART V, SECTION B, LINE 5: THE HOSPITAL'S LEADERSHIP CONSULTS WITH COMMUNTY LEADERS THROUGH REACHING OUT TO INSURANCE PROVIDERS, COUNTY OFFICIALS AND RECEIVING COMMUNITY SURVEYS. BC RX OF MICHIGAN PART V, SECTION B, LINE 5: THE HOSPITAL'S LEADERSHIP CONSULTS WITH COMMUNTY LEADERS THROUGH REACHING OUT TO INSURANCE PROVIDER, COUNTY OFFICIALS AND RECIVING COMMUNITY SURVEYS. SAMARITAN BEHAVIORAL CENTER PART V, SECTION B, LINE 11: BASED ON THE QUANTITATIVE TRENDS IDENTIFIED IN THE DEMOGRAPHIC AND COMMUNITY HEALTH DATA, AS WELL AS QUALITATIVE INFORMATION RECEIVED FROM THE COMMUNITY STAKEHOLDERS, THE AREAS OF PRIORITY DETAILED BELOW WERE IDENTIFIED FOR THE COMMUNITY SAMARITAN BEHAVIORAL CENTER SERVES. SAMARITAN BEHAVIORAL CENTER COMMUNITY HEALTH ASSESSMENT GOALS:I. MENTAL HEALTH SERVICES/SUICIDE PREVENTION II. HOUSING AND COMMUNITY PLACEMENT SERVICES FOR DISCHARGED PATIENTSIII. TRANSPORTATIONIV. EDUCATION BC RX OF MICHIGAN PART V, SECTION B, LINE 11: BASED ON THE QUANTITATIVE TRENDS IDENTIFIED IN THE DEMOGRAPHIC AND COMMUNITY HEALTH DATA, AS WELL AS QUALITATIVE INFORMATION RECEIVED FROM THE COMMUNITY STAKEHOLDERS, THE AREAS OF PRIORITY DETAILED BELOW WERE IDENTIFIED FOR THE COMMUNITY SAMARITAN BEHAVIORAL CENTER SERVES. SAMARITAN BEHAVIORAL CENTER COMMUNITY HEALTH ASSESSMENT GOALS:I. MENTAL HEALTH SERVICES/SUICIDE PREVENTION II. HOUSING AND COMMUNITY PLACEMENT SERVICES FOR DISCHARGED PATIENTS. III. TRANSPORTATIONIV. EDUCATION PART III, LINE 9B: MADISON COMMUNITY HOSPITAL HAS A STRONG COMMITMENT TO PROVIDE QUALITY PATIENT CARE FOR ALL INDIVIDUALS. OUR MISSION IS TO PROVIDE HEALTH CARE TO EVERYONE WHO COMES TO OUR DOOR, REGARDLESS OF THEIR ABILITY TO PAY. EVERYONE IS CHARGED THE SAME, IF THEY CAN'T PAY THEY WILL BE ON A PAYMENT AGREEMENT. PART VI, LINE 2: NEEDS ASSESSMENT: AT THE SAMARITAN BEHAVIORAL CENTER, OUR VISION IS TO BE THE TRUSTED PARTNER IN PSYCHIATRIC CARE, LEADING THE COMMUNITY IN QUALITY CARE AND MENTAL HEALTH SERVICES. TO BE TRULY TRANSFORMATIVE FOR THE COMMUNITIES WE SERVE, IT IS IMPERATIVE THAT AS AN ORGANIZATION, WE LISTEN TO THE VOICES OF THOSE WE SERVE. THE CITY OF DETROIT AND WAYNE COUNTY ARE DIVERSE COMMUNITIES AND POPULATIONS WITH UNIQUE CHARACTERISTICS, CHALLENGES, NEEDS, AND STRENGTHS. TO ACHIEVE THIS VISION, SAMARITAN BEHAVIORAL CENTER MUST BUILD TRUSTED RELATIONSHIPS WITH OUR PATIENTS AND COMMUNITY MEMBERS AND ASSURE THOSE WE SERVE THAT THEIR NEEDS INFORM OUR PRACTICES, POLICIES, AND ALLOCATION OF RESOURCES. ASSESSING AND RESPONDING TO THE CHANGING NEEDS OF OUR PATIENTS IS VITAL TO DEVELOPING AND MAINTAINING TRUSTED RELATIONSHIPS AS WE WORK TOWARD A COMMON GOAL TO IMPROVE THE BEHAVIORAL HEALTH STATUS AND OVERALL MENTAL HEALTH OF THE COMMUNITY. PART VI, LINE 3: MADISON COMMUNITY HOSPITAL DOES NOT PURSUE COLLECTIONS FROM MEDICAID ONLY PATIENTS. PART VI, LINE 4: COMMUNITY INFORMATION: PAGE 5-6 OF OUR COMMUNITY BENEFIT PACKAGE WHICH IS LOCATED ON OUR WEBSITE. PART VI, LINE 5: PAGE 7-12 OF OUR COMMUNITY BENEFIT PACKAGE WHICH IS LOCATED ON OUR WEBSITE. PART VI, LINE 7, REPORTS FILED WITH STATES MI X 1 1 0 0 0 0 0 0 0 0 0 RYAN GUNABALAN TRUSTEE 0 147508 0 0 0 0 0 0 0 33696 0 181204 0 0 PART I, LINE 1B NORMAL EXPENSE REPORTING PROCEDURES. T & G CORPORATION INC MANAGER WORKING CAPITAL X 2084896 2697267 0 1 1 2697267 T & G CORPORATIONINC BOARD MEMBER OF SBC, 70% OWNER T&G 1366141 INCURRED OVERHEAD EXPENSES 0 FORM 990, SCHEDULE L, PART IV, LINE 1: BOARD MEMBER OF SBC HAS A 70% OWNERSHIP IN T & G. FORM 990, PART VI, SECTION A, LINE 7A COPIES ARE PROVIDED TO MEMBERS WHO READ AND DISCUSS IT. FORM 990, PART VI, SECTION B, LINE 11B ON WEBSITE OR UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 12C AT TRUSTEE MEETINGS DISCUSSIONS ARE HELD AND IF NECESSARY INDIVIDUAL TAX RETURNS REVIEWED AND WRITTEN STATEMENTS OBTAINED. FORM 990, PART VI, SECTION C, LINE 19 CURRENTLY THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. THE PUBLIC DISCLOSURE OF THESE DOCUMENTS IS NOT REQUIRED BY THE INTERNAL REVENUE CODE. THE ORGANIZATION'S FINANCIAL INFORMATION IS DISCLOSED ON THIS FORM 990. FORM 990, PART IX, LINE 11G OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 260,516. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 260,516. CONSULTING: PROGRAM SERVICE EXPENSES 308,464. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 308,464. PAYROLL ADMINISTRATION: PROGRAM SERVICE EXPENSES 31,957. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,957. LAUNDRY SERVICES - FACILITIES: PROGRAM SERVICE EXPENSES 64,139. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 64,139. PHYSICIAN FEES - INPATIENT: PROGRAM SERVICE EXPENSES 619,830. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 619,830. LABORATORY & X-RAY: PROGRAM SERVICE EXPENSES 75,801. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,801. AGENCY FEES FOR NURSING SERVICES: PROGRAM SERVICE EXPENSES 1,646,494. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,646,494.