Civic Intelligence

Chippewa Medical Associates Inc

EIN 26-4280439 • 501(c)3 • Sault Ste Marie, MI

Profile

NONE

500 Osborn BoulevardSault Ste Marie, MI 49783

www.warmemorialhospital.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2014

Liabilities / Revenue

20th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $1M-$5M nonprofits • Source year 2014

Net Margin

4th percentile

-91%

Higher net margin than 4% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2014

Top Officer Pay

40th percentile

$0

Higher top officer pay than 40% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2014

Asset Growth

2nd percentile

-100%

Faster asset growth than 2% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Revenue Growth

3rd percentile

-69%

Faster revenue growth than 3% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Assets

Down

$0

Down $72,822 (-100%) from 2013

Liabilities

Down

$0

Down $1,832,415 (-100%) from 2013

Net Assets

Up

$0

Up $1,759,593 (+100%) from 2013

Revenue

Down

$1,179,510

Down $2,582,869 (-69%) from 2013

Expenses

Down

$2,257,864

Down $3,264,108 (-59%) from 2013

Net Income

Up

-$1,078,354

Up $681,239 (+39%) from 2013

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$2.0M$1.0M$0-$1.0M-$2.0MAssets 2010: $0Liabilities 2010: $226,058Net Assets 2010: -$226,0582010Assets 2011: $186,683Liabilities 2011: $831,290Net Assets 2011: -$644,6072011Assets 2012: $152,108Liabilities 2012: $1,488,747Net Assets 2012: -$1,336,6392012Assets 2013: $72,822Liabilities 2013: $1,832,415Net Assets 2013: -$1,759,5932013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2014

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$10M$5.0M$0-$5.0MExpenses 2010: $6,785,5612010Expenses 2011: $6,654,5592011Expenses 2012: $6,962,3792012Revenue 2013: $3,762,379Expenses 2013: $5,521,972Net Income 2013: -$1,759,5932013Revenue 2014: $1,179,510Expenses 2014: $2,257,864Net Income 2014: -$1,078,3542014

Highlighted filing

2014

Revenue$1,179,510
Expenses$2,257,864
Net Income-$1,078,354

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Oct 20, 2015
Return Version
2014v5.0
Gross Receipts
$1,179,510
Mission and Program Overview

Mission

NONE

Medical diagnosis and treatment of patients in chippewa county, michigan. Treatments include the following services: oncology, nephrology, cardiology, pulmonology, infectious disease and internal medicine.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$72,822--
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$-1,759,593$0▲ $1,759,593
Total Assets$72,822$0▼ $72,822
Liabilities
Accounts Payable and Accrued Expenses$1,832,415--
Total Liabilities$1,832,415$0▼ $1,832,415
Net Assets / Fund Balance
Total Net Assets Fund Balance$-1,759,593$0▲ $1,759,593
Total Liabilities and Net Assets / Fund Balance$72,822$0▼ $72,822
Compensation and Service Providers

Board Members and Trustees

NameTitle
Scott TumaPresident
David JahnVice President
Kevin KalchikCFO
Marla BunkerSecretary
Donald SimilaTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,179,510
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-1,078,354
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,257,864
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$1,515,967--$1,515,967
Occupancy$101,246--$101,246
Depreciation Depletion$44,663--$44,663
Insurance$9,006$5,097-$14,103
Travel$12,805--$12,805
Office Expenses$6,290--$6,290
Conferences and Meetings$4,967--$4,967
Fees for Services Accounting-$3,500-$3,500
Other Expenses$2,500--$2,500
Information Technology$1,817--$1,817
All Other Expenses$1,086--$1,086
Total Functional Expenses$2,249,267$8,597$0$2,257,864
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The organization has two members, chippewa county war memorial hospital and dlp marquette jv, llc.

Form 990, Part VI, Section A, Line 7A

All four members of the governing body shall be elected by the two members' board of directors on an annual basis. The members elect two governing body members each.

Form 990, Part VI, Section A, Line 7B

The organization's two members, chippewa county war memorial hospital and dlp marquette jv, llc, each have one vote on matters submitted to the members for a vote. Each member appoints two trustees of the organization's four-member board of trustees. According to the bylaws, unanimous action by the full board is required to carry out significant transactions. The organization is prohibited from carrying on any activities that would jeopardize its tax-exempt status.

Form 990, Part VI, Section B, Line 11

The member finance department (chippewa county war memorial hospital) works with the associated entity to provide relevant information to the preparer of the 990 (an outside firm specializing in tax preparation). Review and discussion of all information takes place between finance department and entity staff and board. The member finance director and cfo then reviews the final copy and signs the return. The tax return was provided via e-mail to the entity board for acceptance before the return was filed.

Form 990, Part VI, Section B, Line 12C

The conflict of interest policy is reviewed and discussed annually. Each board member reads the policy and completes a questionnaire. Further the member (chippewa county war memorial hospital) ceo and cfo monitor potential board conflicts and discuss any concerns at the board level. If instances arise that would create a perceived conflict, it is discussed, and if deemed a conflict, the board member would abstain from the matter.

Form 990, Part VI, Section C, Line 19

Financial statements, conflict of interest policy and governing documents are made available upon request.

Form 990, Part VII

Donald simila - 580 w. College avenue, marquette, mi 49855. Scott tuma - 580 w. College avenue, marquette, mi 49855.

Filing and Contact Details

Filer

Filer Name
Chippewa Medical Associates Inc
EIN
26-4280439
Phone
9066354460
Address
500 OSBORN BOULEVARD, SAULT STE MARIE, MI 49783

Signing Officer

Name
David Jahn
Title
Vice President
Phone
9066354460
Signed
2015-10-20
Discuss with paid preparer
Yes

Organization Details

Principal Officer
David Jahn
Formed
2008
Legal Domicile
Mi
Voting Board Members
4
Independent Board Members
4
Employees
0
Volunteers
4

Preparer

Firm
Plante & Moran Pllc
Address
600 E FRONT ST SUITE 300, TRAVERSE CITY, MI 49686
Preparer
Michael a Baker
Phone
2319477800
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Contracted labor: program service expenses 1,085,764. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,085,764. Professional fees: program service expenses 345,717. Management and general expenses 0. Fundraising expenses 0. Total expenses 345,717. Purchased services: program service expenses 84,486. Management and general expenses 0. Fundraising expenses 0. Total expenses 84,486.

FORM 990, PART XI, LINE 9:

Capital contribution from members - 2013 losses 1,759,593. Adjustment for prior bad debt expenses 158,194. Capital contribution from members - 2014 losses 920,160.

Raw XML Appendix364 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION HAS TWO MEMBERS, CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL AND DLP MARQUETTE JV, LLC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ALL FOUR MEMBERS OF THE GOVERNING BODY SHALL BE ELECTED BY THE TWO MEMBERS' BOARD OF DIRECTORS ON AN ANNUAL BASIS. THE MEMBERS ELECT TWO GOVERNING BODY MEMBERS EACH.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION'S TWO MEMBERS, CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL AND DLP MARQUETTE JV, LLC, EACH HAVE ONE VOTE ON MATTERS SUBMITTED TO THE MEMBERS FOR A VOTE. EACH MEMBER APPOINTS TWO TRUSTEES OF THE ORGANIZATION'S FOUR-MEMBER BOARD OF TRUSTEES. ACCORDING TO THE BYLAWS, UNANIMOUS ACTION BY THE FULL BOARD IS REQUIRED TO CARRY OUT SIGNIFICANT TRANSACTIONS. THE ORGANIZATION IS PROHIBITED FROM CARRYING ON ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE MEMBER FINANCE DEPARTMENT (CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL) WORKS WITH THE ASSOCIATED ENTITY TO PROVIDE RELEVANT INFORMATION TO THE PREPARER OF THE 990 (AN OUTSIDE FIRM SPECIALIZING IN TAX PREPARATION). REVIEW AND DISCUSSION OF ALL INFORMATION TAKES PLACE BETWEEN FINANCE DEPARTMENT AND ENTITY STAFF AND BOARD. THE MEMBER FINANCE DIRECTOR AND CFO THEN REVIEWS THE FINAL COPY AND SIGNS THE RETURN. THE TAX RETURN WAS PROVIDED VIA E-MAIL TO THE ENTITY BOARD FOR ACCEPTANCE BEFORE THE RETURN WAS FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE CONFLICT OF INTEREST POLICY IS REVIEWED AND DISCUSSED ANNUALLY. EACH BOARD MEMBER READS THE POLICY AND COMPLETES A QUESTIONNAIRE. FURTHER THE MEMBER (CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL) CEO AND CFO MONITOR POTENTIAL BOARD CONFLICTS AND DISCUSS ANY CONCERNS AT THE BOARD LEVEL. IF INSTANCES ARISE THAT WOULD CREATE A PERCEIVED CONFLICT, IT IS DISCUSSED, AND IF DEEMED A CONFLICT, THE BOARD MEMBER WOULD ABSTAIN FROM THE MATTER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6DONALD SIMILA - 580 W. COLLEGE AVENUE, MARQUETTE, MI 49855. SCOTT TUMA - 580 W. COLLEGE AVENUE, MARQUETTE, MI 49855.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7CONTRACTED LABOR: PROGRAM SERVICE EXPENSES 1,085,764. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,085,764. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 345,717. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 345,717. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 84,486. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,486.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8CAPITAL CONTRIBUTION FROM MEMBERS - 2013 LOSSES 1,759,593. ADJUSTMENT FOR PRIOR BAD DEBT EXPENSES 158,194. CAPITAL CONTRIBUTION FROM MEMBERS - 2014 LOSSES 920,160.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VII
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART IX, LINE 11G
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART XI, LINE 9:
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0MI
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt072822
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt072822
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt08597
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt02249267
IRS990/TotalFunctionalExpensesGrp/TotalAmt02257864
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt01832415
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt01832415
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-1759593
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt02249267
IRS990/TotalProgramServiceRevenueAmt01179510
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt01179510
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01179510
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt04
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt072822
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ProgramServicesAmt012805
IRS990/TravelGrp/TotalAmt012805
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0500 OSBORN BOULEVARD
IRS990/USAddress/CityNm0SAULT STE MARIE
IRS990/USAddress/StateAbbreviationCd0MI
IRS990/USAddress/ZIPCd049783
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt04
IRS990/WebsiteAddressTxt0WWW.WARMEMORIALHOSPITAL.ORG
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02016-03-07 17:11:31Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0DAVID JAHN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0VICE PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum09066354460
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-10-20
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CHIPPEWA MEDICAL ASSOCIATES INC
ReturnHeader/Filer/BusinessNameControlTxt0CHIP
ReturnHeader/Filer/EIN0264280439
ReturnHeader/Filer/PhoneNum09066354460
ReturnHeader/Filer/USAddress/AddressLine1Txt0500 OSBORN BOULEVARD
ReturnHeader/Filer/USAddress/CityNm0SAULT STE MARIE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MI
ReturnHeader/Filer/USAddress/ZIPCd049783
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0381357951
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0PLANTE & MORAN PLLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0600 E FRONT ST SUITE 300
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0TRAVERSE CITY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MI
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd049686
ReturnHeader/PreparerPersonGrp/PhoneNum02319477800
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0MICHAEL A BAKER
ReturnHeader/ReturnTs02015-11-06T09:25:45-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02014-01-01
ReturnHeader/TaxPeriodEndDt02014-12-31
ReturnHeader/TaxYr02014

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