Civic Intelligence

Memorial Hospital

EIN 38-1358208 • 501(c)3 • Owosso, MI

View Organization Page

Profile

To promote health and provide quality compassionate healthcare in our region through a commitment to service excellence, teamwork and innovation.

826 West King StreetOwosso, MI 48867

www.memorialhealthcare.org

Siviq Scores

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

Liabilities / Assets

64th percentile

0.45x

Higher debt load relative to assets than 64% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

32nd percentile

0.28x

Higher debt load relative to revenue than 32% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

49th percentile

3.3%

Higher net margin than 49% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

74th percentile

$1,268,733

Higher top officer pay than 74% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2022

Asset Growth

69th percentile

9.7%

Faster asset growth than 69% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

77th percentile

18%

Faster revenue growth than 77% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets64th percentile

Assets

Up

$215,085,800

Up $18,951,053 (+9.7%) from 2023

Liabilities

Up

$97,104,342

Up $9,039,316 (+10%) from 2023

Net Assets

Up

$117,981,458

Up $9,911,737 (+9.2%) from 2023

Operations
Liabilities / Revenue32nd percentileNet Margin49th percentile

Revenue

Up

$352,399,300

Up $53,818,424 (+18%) from 2023

Expenses

Up

$340,798,423

Up $48,333,978 (+17%) from 2023

Net Income

Up

$11,600,877

Up $5,484,446 (+90%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth69th percentile

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

$300M$200M$100M$0Assets 2010: $102,087,011Liabilities 2010: $27,312,920Net Assets 2010: $74,774,0912010Assets 2011: $109,034,835Liabilities 2011: $27,941,994Net Assets 2011: $81,092,8412011Assets 2012: $117,721,017Liabilities 2012: $28,629,167Net Assets 2012: $89,091,8502012Assets 2013: $124,885,441Liabilities 2013: $31,998,027Net Assets 2013: $92,887,4142013Assets 2014: $123,448,319Liabilities 2014: $33,399,503Net Assets 2014: $90,048,8162014Assets 2015: $124,608,509Liabilities 2015: $37,838,474Net Assets 2015: $86,770,0352015Assets 2016: $123,741,956Liabilities 2016: $35,475,914Net Assets 2016: $88,266,0422016Assets 2017: $134,533,060Liabilities 2017: $37,352,224Net Assets 2017: $97,180,8362017Assets 2018: $139,002,846Liabilities 2018: $40,101,296Net Assets 2018: $98,901,5502018Assets 2019: $155,656,152Liabilities 2019: $42,200,112Net Assets 2019: $113,456,0402019Assets 2020: $227,811,494Liabilities 2020: $110,093,522Net Assets 2020: $117,717,9722020Assets 2021: $220,221,745Liabilities 2021: $103,605,519Net Assets 2021: $116,616,2262021Assets 2022: $191,179,125Liabilities 2022: $91,371,330Net Assets 2022: $99,807,7952022Assets 2023: $196,134,747Liabilities 2023: $88,065,026Net Assets 2023: $108,069,7212023Assets 2024: $215,085,800Liabilities 2024: $97,104,342Net Assets 2024: $117,981,4582024

Highlighted filing

2024

Assets$215,085,800
Liabilities$97,104,342
Net Assets$117,981,458
Open 2024 Filing

Operations Trend

Revenue Growth77th percentile

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

$400M$300M$200M$100M$0-$100MExpenses 2010: $101,884,3542010Expenses 2011: $99,284,7952011Expenses 2012: $109,401,0042012Revenue 2013: $115,263,735Expenses 2013: $113,087,503Net Income 2013: $2,176,2322013Revenue 2014: $115,376,102Expenses 2014: $118,114,516Net Income 2014: -$2,738,4142014Revenue 2015: $125,546,154Expenses 2015: $124,077,273Net Income 2015: $1,468,8812015Revenue 2016: $132,863,472Expenses 2016: $133,814,354Net Income 2016: -$950,8822016Revenue 2017: $148,379,109Expenses 2017: $144,373,427Net Income 2017: $4,005,6822017Revenue 2018: $186,879,741Expenses 2018: $176,621,364Net Income 2018: $10,258,3772018Revenue 2019: $217,789,484Expenses 2019: $202,026,538Net Income 2019: $15,762,9462019Revenue 2020: $227,898,394Expenses 2020: $223,646,513Net Income 2020: $4,251,8812020Revenue 2021: $246,067,471Expenses 2021: $250,455,649Net Income 2021: -$4,388,1782021Revenue 2022: $257,101,163Expenses 2022: $266,779,557Net Income 2022: -$9,678,3942022Revenue 2023: $298,580,876Expenses 2023: $292,464,445Net Income 2023: $6,116,4312023Revenue 2024: $352,399,300Expenses 2024: $340,798,423Net Income 2024: $11,600,8772024

Highlighted filing

2024

Revenue$352,399,300
Expenses$340,798,423
Net Income$11,600,877
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$215,085,800
Liabilities
$97,104,342
Net assets
$117,981,458
Revenue
$352,399,300
Expenses
$340,798,423
Net income
$11,600,877
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$215$97.1$118$352$341$11.6
2023Detailed filing. Detailed filing data is available for this year.$196$88.1$108$299$292$6.12
2022Detailed filing. Detailed filing data is available for this year.$191$91.4$99.8$257$267$9.68
2021Detailed filing. Detailed filing data is available for this year.$220$104$117$246$250$4.39
2020Detailed filing. Detailed filing data is available for this year.$228$110$118$228$224$4.25
2019Detailed filing. Detailed filing data is available for this year.$156$42.2$113$218$202$15.8
2018Detailed filing. Detailed filing data is available for this year.$139$40.1$98.9$187$177$10.3
2017Detailed filing. Detailed filing data is available for this year.$135$37.4$97.2$148$144$4.01
2016Detailed filing. Detailed filing data is available for this year.$124$35.5$88.3$133$134$0.95
2015Detailed filing. Detailed filing data is available for this year.$125$37.8$86.8$126$124$1.47
2014Detailed filing. Detailed filing data is available for this year.$123$33.4$90.0$115$118$2.74
2013Detailed filing. Detailed filing data is available for this year.$125$32.0$92.9$115$113$2.18
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$118$28.6$89.1$109
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$109$27.9$81.1$99.3
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$102$27.3$74.8$102
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 10, 2025
Return Version
2024v5.2
Gross Receipts
$352,399,300
Mission and Program Overview

Mission

To promote health and provide quality compassionate healthcare in our region through a commitment to service excellence, teamwork and innovation.

To provide healthcare services to patients.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$95,566,210$96,369,079▲ $802,869
Investments Other Securities$36,275,072$38,715,145▲ $2,440,073
Accounts Receivable$25,847,352$24,514,789▼ $1,332,563
Cash and Non-Interest-Bearing Accounts$7,159,490$20,961,882▲ $13,802,392
Inventories for Sale or Use$5,968,183$6,081,859▲ $113,676
Intangible Assets$4,504,737$3,684,671▼ $820,066
Prepaid Expenses and Deferred Charges$1,706,408$1,824,536▲ $118,128
Savings and Temporary Cash Investments$30,137$31,364▲ $1,227
Total Assets$196,134,747$215,085,800▲ $18,951,053
Other Assets Total$19,077,158$22,902,475▲ $3,825,317
Liabilities
Tax Exempt Bond Liabilities$52,666,006$48,660,761▼ $4,005,245
Accounts Payable and Accrued Expenses$29,403,496$38,257,407▲ $8,853,911
Other Liabilities$3,603,559$8,052,968▲ $4,449,409
Mortgage Notes Payable Secured by Investment Property$2,391,965$2,133,206▼ $258,759
Total Liabilities$88,065,026$97,104,342▲ $9,039,316
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$108,069,721$117,981,458▲ $9,911,737
Total Net Assets Fund Balance$108,069,721$117,981,458▲ $9,911,737
Total Liabilities and Net Assets / Fund Balance$196,134,747$215,085,800▲ $18,951,053

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$67,752,817$49,270,813$117,023,630
Equipment$20,349,836$59,849,164$80,199,000
Land$5,098,180-$5,098,180
Other Land Buildings$1,527,555$2,358,519$3,886,074
Leasehold Improvements$1,640,691$715,824$2,356,515
Other Assets Org$278,528--
Other Securities$38,715,145--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$5,384,159-▲ $248,833-$5,632,992
2023$4,967,011-▲ $417,148-$5,384,159
2022$5,649,953-▼ $682,942-$4,967,011
2021$5,665,470-▲ $316,175$226,165$5,649,953
2020$5,342,671$7,082▲ $333,532$17,814$5,665,471
Compensation and Service Providers
Top Officer Pay74th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Ramy M Kurdi DoPhysicianFT$1,073,501$181,735$1,255,236
Tarek R Pacha DoPhysicianFT$835,677$330,681$1,166,358
Hazem Tabbaa DoVice Chief of StaffFT$898,561$82,854$981,415
Ashraf M Elbanna MdPhysicianFT$847,274$125,503$972,777
Brian L LongExecutive Director/CEOFT$670,771$247,310$918,081
Sasha M Spencley DoPhysicianFT$445,248$422,976$868,224
Ira Stanley Frye MdPhysicianFT$388,405$475,561$863,966
Joseph M Bustamante DoChief Medical OfficerFT$386,141$166,982$553,123
Joseph E Testa DoMemberFT$460,026$62,129$522,155
Thomas KurtzCOOFT$298,033$89,991$388,024
Anthony a Patsy DoMemberFT$319,890$62,341$382,231
Margaret R Frey DoMemberFT$334,451$46,421$380,872
Jorri TremainCFOFT$268,099$53,462$321,561
Joyce BremerVP Physician Practice ManagementFT$235,238$52,444$287,682
Abbie MajzelCOAFT$241,349$41,655$283,004

Board Members and Trustees

NameTitle
Gregory P BontragerPresident
Tony M YoungVice President
Barbara BakeromerodMember
Bruce J WenzlickMember
Bryan K MarksMember
David R WakelandMember
Michael L AshMember
Shana M EspinozaMember
Thomas E CampbellMember
Jerry D WaldenSecretary
Wilfred Bill a FarrellTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Accountable Healthcare StaffingStaffing Services999 YAMATO ROAD 210, Boca Raton, FL 33431$4,571,889
Alliance Hni LLCRental Of EquipmentPO BOX 772550, Detroit, MI 48277$2,605,758
American Healthcare Staffing AssociationStaffing ServicesPO BOX 670529, Dallas, TX 75267$1,616,396
Ecs Central Michigan PCContracted Emergecy Room Physicians4100 EMBASSY DR SE STE 400, Grand Rapids, MI 49546$1,572,498
Ums Shiawassee County Urs LithotripsyAblation Treatments1700 WEST PARK DRIVE SUITE 410, Washington, MA 01581$1,512,613
Revenue and Support

Revenue Composition

Contributions and Grants
$257,670
Program Service Revenue
$344,822,095
Investment Income
$2,455,186
Other Revenue
$4,864,349
Change in Net Assets
$11,600,877

Audited Revenue Reconciliation

Revenue per Audited Statements
$339,206,779
Revenue Not Reported on Financial Statements
$13,192,521
Revenue Not Reported on Form 990
$2,932,420
Other Revenue Adjustments
$13,192,521
Total Revenue per Audited Statements
$342,139,199
Total Revenue per Form 990
$352,399,300
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$187,519,987
Salaries, Compensation, and Employee Benefits$153,278,436
Total Fundraising Expense$171,928
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$107,324,723$10,496,518$134,617$117,955,858
Other Employee Benefits$19,561,624$395,576$13,102$19,970,302
Fees for Services Other$17,209,577$1,925,097$392$19,135,066
Occupancy$13,286,778$1,587,396-$14,874,174
Other Expenses$1,438,426$11,485,159-$12,923,585
All Other Expenses$11,957,443$560,169$7,075$12,524,687
Depreciation Depletion$272,261$8,883,393-$9,155,654
Payroll Taxes$6,826,930$972,323-$7,799,253
Current Officers, Directors, Trustees, and Key Employees-$5,018,146-$5,018,146
Pension Plan Contributions$2,478,838$56,039-$2,534,877
Insurance$427,621$1,890,667-$2,318,288
Office Expenses$1,490,787$211,003$16,687$1,718,477
Interest$1,521,657$3,402-$1,525,059
Advertising$3,458$715,545-$719,003
Fees for Services Legal-$611,555-$611,555
Information Technology$210,197$141,281$55$351,533
Travel$155,241$63,205-$218,446
Conferences and Meetings$86,841$61,048-$147,889
Fees for Service Investment Mgmnt Fees-$130,804-$130,804
Fees for Services Accounting-$110,265-$110,265
Total Functional Expenses$295,289,823$45,336,672$171,928$340,798,423

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$340,798,423
Total Expenses per Audited Statements$329,762,265
Expenses per Audited Statements$327,605,902
Expenses Not Reported on Financial Statements$13,192,521
Other Expense Adjustments$13,192,521
Expenses Not Reported on Form 990$2,156,363
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
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Alyssa LongFamily Member of Brian Long, CEOEmployee of the HospitalNo$67,165
Lauren TremainFamily Member of Jorri Tremain, CFOEmployee of the HospitalNo$19,746
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Third-party Payor$4,467,028
Other Liabilities$1,709,660
Operating Lease Obligation$1,260,181
Finance Lease Obligation$551,710
Due to Affiliates$64,389

Bond Issues

BondIssuerIssuedIssue PricePurpose
CMichigan Finance Authority2020-12-22$40,000,000Funding of a new building
BMichigan Finance Authority2013-08-06$19,369,159Pay down debt - $12 million / fund $8 million of 2013 capital budget
DMichigan Finance Authority2020-06-30$10,000,000FUND TEH NEW EMR PROJECT
AMichigan Finance Authority2015-07-29$7,055,000Fund $7 millon of 2015 capital budget

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
C$40,000,000-$2,662,735$148,000
B$19,369,159-$14,499,199$70,728
D$10,000,000-$4,044,198$117,484
A$7,055,000$9,306,762$6,408,292$64,952

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
Yes
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

“The sole member is memorial health system, a related 501(c)(3) organization.”

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

“The board of directors are approved by the sole member, memorial health system.”

Form 990, Part VI, Section B, Line 11B

“The form 990 was prepared by an independent accountant. The ceo, cfo, and the finance director all reviewed the 990. Tax returns will be made available to all finance committee members and board members.”

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

“The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy. All board members and leadership team members are covered by this policy. Each covered member is required to complete a disclosure statement annually. Any potential conflict that arises during the year must be disclosed within 14 days of fiduciary's knowledge that a conflict may exist. The board chair has ultimate responsibility for enforcement of the policy. If a conflict does exist, the member with the conflict abstains from voting and the conflict is noted in the minutes of the organization.”

Form 990, Part VI, Section B, Line 15

“The compensation of the organization's ceo, executive director, top management, officers and key employees included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision upon hiring. The full board of directors reviews the ceo's compensation annually. A compensation committee has been formed and actively participates in decisions related to ceo and executive pay and benefits as well as providing input and oversight for the organizations compensation philosophy and program. Ceo and executive pay is reviewed at least annually by this committee. The most recent review of ceo and executive pay was june 2024. Updated salary ranges are provided by an outside compensation consulting company.”

Form 990, Part VI, Section C, Line 19

“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Memorial Hospital
EIN
38-1358208
Phone
9897235211
Address
826 WEST KING STREET, OWOSSO, MI 48867
Doing Business As
Memorial Healthcare

Signing Officer

Name
Jorri Tremain
Title
CFO
Phone
9897235211
Signed
2025-11-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jorri Tremain
Formed
1919
Legal Domicile
Mi
Voting Board Members
15
Independent Board Members
11
Employees
1,918
Volunteers
60

Preparer

Firm
Baker Tilly Advisory Group Lp
Address
20 STANWIX STREET, PITTSBURGH, PA 15222
Preparer
Kelly a Brocious
Phone
4126976400
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Distribution to noncontrolling interest 218,451. Other net asset activity -2,506,792. Transfers to affiliates 1,110.”

Financial Statement Notes

PART V, LINE 4:

“There are various permanent and board designated endowment funds. The only specifically identified uses of the various funds are as follows: nursing scholarship awards and nursing and healthcare for the elderly.”

PART X, LINE 2:

“The organization and the foundation are not-for-profit corporations and are exempt from federal income taxes on their exempt income under section 501(c)(3) of the internal revenue code (irc) and a similar provision of state law. These entities are subject to federal income tax on any unrelated business taxable income. Dev corp and assisted living are single member limited liability companies, which are considered disregarded entities for tax purposes. Pain management is a limited liability company and has elected to have its income taxed as a partnership under the provisions of the irc. The organization accounts for uncertainty in income taxes using a recognition threshold of more-like-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. Management determined that there were no uncertain tax positions that met the recognition threshold in 2024 and 2023.”

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Consolidated entity - pain management 2,334,329.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Investment expenses 130,804. Bad debt expense 12,923,585. Expenses recorded as revenue 138,132.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Consolidated entity - pain management 2,156,363.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Investment expenses 130,804. Bad debt expense 12,923,585. Expenses recorded as revenue 138,132.”

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