Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Medical Resources Group
Employer identification number
38-3494637
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
396,063
396,063
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
71,757,031
88,855,105
104,484,941
113,303,558
65,032,701
443,433,336
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
71,757,031
88,855,105
104,484,941
113,303,558
65,428,764
443,829,399
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
0
c
Add lines 7a and 7b..
0
8
Public Support (Subtract line 7c from line 6.)
443,829,399
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
71,757,031
88,855,105
104,484,941
113,303,558
65,428,764
443,829,399
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
269,358
167,067
166,489
173,787
65,028
841,729
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
269,358
167,067
166,489
173,787
65,028
841,729
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
1,159,999
1,035,242
1,696,229
119,525
183,738
4,194,733
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
906,331
600,799
600,100
600,000
600,000
3,307,230
13
Total support (Add lines 9, 10c, 11 and 12.).
74,092,719
90,658,213
106,947,759
114,196,870
66,277,530
452,173,091
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
98.150 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
98.310 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
0.190 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
0.160 %
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Medical Resources Group
Employer identification number
38-3494637
Identifier
Return Reference
Explanation
Form 990, Part VI, Section A, line 2
Vince DiBattista has a business relationship with Paul Falcone in that Mr. DiBattista is a board member of an organization and Mr. Falcone provides services to that organization.
Form 990, Part VI, Section A, line 6
Medical resources group has a single corporate member, St. John Health.
Form 990, Part VI, Section A, line 7a
Medical Resources Group has a single corporate member, St. John Health, who has the ability to elect members to the governing body of Medical Resources Group.
Form 990, Part VI, Section A, line 7b
All decisions that have a material impact to Medical Recourses Group financial information or corporation as a whole are subject to approval by its sole corporate member, St. John Health.
Form 990, Part VI, Section B, line 11
Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form to the board, or a designated committee, to review and answer any questions. Prior to filing the return, all board members are provided the Form 990 and management team members are available to answer any board members questions.
Form 990, Part VI, Section B, line 12c
The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, officer, key employee or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, officer, key employee and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Section B, line 15
In determining compensation of the organizations' top management official, the process included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensation, the CEO, executive director, and top management were compared to the other organizations in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Individuals were not present when their compensation was decided. In determining compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organizations were compared to other organizations employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes.
Form 990, Part VI, Section C, line 19
Medical Resources Group will provide any documents open to public inspection upon request.
Changes in Net Assets or Fund Balances:
Form 990, Part XI, line 5:
Net unrealized losses on investments: -898. Transfers from Affiliates 16,133,351. Net Assets Released -385,227. Cumulative Effect of Change-Unrestricted -9,105,347. Restricted Contributions used for Property 755,393. Total to Form 990, Part XI, Line 5: 7,397,272.
Form 990, Part III:
Community Benefit Report Medical Resources Group For the year ended June 30, 2011 This report illustrates the significant degree to which Medical Resources Group contributes to the positive health status of the communities it serves. As a member of Ascension Health, the nation's largest catholic healthcare system, Medical Resources Group continues to build and strengthen sustainable efforts that benefit the health of individuals, families, and society as a whole. The goal of Medical Resources Group is to perpetuate the healing mission of the church. Medical Resources Group furthers this goal through delivery of patient services, care to the elderly and indigent, patient education and health awareness programs for the community. Our concern for all human life and dignity of each person leads the organization to provide medical services to all people in the community without regard to the patient's race, creed, national origin, economic status, or ability to pay. In order to portray the full breadth of our contribution, our community benefit information is described below: - ORGANIZATIONAL COMMITMENT TO PROVIDING COMMUNITY BENEFIT: Medical Resources Group consists of over 200 physicians serving four counties, including the city of Detroit. Medical Resources Group seeks to improve the physical, mental, social and spiritual health status of its surrounding community. In addition to providing health care services to all individuals who require medical attention, Medical Resources Group has developed the following programs to help achieve its mission: - EXPANDING AWARENESS, EDUCATION, AND HEALTH PROMOTION: Medical Resources Group believes that it is essential to educate people regarding the types of behavior that improve their chances of living a healthy life. Medical resources group has invested significantly in unique, top quality health education and materials to accomplish its goals. These include classes, seminars, and materials on smoking cessation, weight loss, nutrition diabetes, and hypertension that the ministry has provided to the community. - MEDICAL EDUCATION: Medical Resources Group believes that, in order to provide the best health care to the community, its clinical personnel must receive ongoing medical education. We offer generous continuing medical education opportunities for our physicians that allow them to attend seminars and other educational forums on an individual basis tailored to their respective specialty, professional interest, and educational needs. - CARE OF THE ELDERLY, POOR, UNINSURED, UNDERINSURED, AND UNDERSERVED: In the spirit of principles adopted by Ascension Health, Medical Resources Group has taken proactive steps to address those issues that will affect accessibility, the financing, and the delivery of healthcare to all persons, especially the uninsured, underinsured, and the underserved. During the fiscal year ending June 30, 2011, the estimated unreimbursed cost of services provided to the elderly, uninsured, and underinsured totaled $50,015. Medical Resources Group provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2011, approximately 31% of the value of services rendered were to elderly patients under the program, and approximately 5% of the services were provided to patients who were deemed indigent under state, county, or medical center guidelines. Medical Resources Group provides urgent care services at three health clinic centers for the residents of the lower east side of Detroit. The geographical region in which the services are provided has been designated as a health professions shortage area (HSPA) by both the state of Michigan and the federal government due to the lack of primary care doctors in the area. The centers are staffed with a physician and support personnel and provide urgent primary care along with x-rays and laboratory tests. In addition, referrals for inpatient admission are made when necessary. The centers serve a high percentage of medicaid and uninsured residents, exceeding 35%, and the health system incurred an operating loss of $1.2 million in providing these services during the year. For patients without insurance our "Cornerstone Medical Plan" provides several avenues for treatment. Special reduced rates are offered for most services. Secondly, patients get even larger discounts if they pre-pay for a series of services. Finally, a "gift card" program is available so that family or friends may buy health benefits for a patient. - OPERATIONS AND GOVERNANCE: Medical Resources Group: 1) Engages in the training and education of health care professionals; 2) Participates in Medicaid, Medicare, campus, and/or other government-sponsored health care programs, and 3) Recruits and places physicians in medically underserved and uninsured communities - PATIENT SERVICES: Medical Resources Group provides the following outpatient medical services to the community: 1) Primary care, including internal medicine, family practice, and pediatrics; 2) Specialty care, including gynecology, neurology, orthopedics, ophthalmology, physical therapy, and podiatry; and 3) Diagnostic imaging including X-Ray, CT Scan, MRI, and nuclear. During the fiscal year ending June 30, 2011, Medical Resources Group treated over 200,000 adults and children in the community for a total of 445,995 patient visits. SUMMARY: Medical Resources Group further it's charitable purposes by providing primary and specialty care as well as diagnostic imaging services to meet the healthcare needs of patients in the community. Medical Resources Group provides essential medical services to the community, trains and recruits healthcare professionals to serve the needs of the broader community, and provides appropriate charitable services to those patients who are not able to pay for their own healthcare needs. Medical Resources Group also presents education information classes and activities within the community in order to improve the overall health status of the community it serves.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.