Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 8,064 | 6,790 | 6,426 | 8,678 | 9,983 | 39,941 |
| 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...... | 42,478,819 | 40,107,501 | 44,363,131 | 45,198,286 | 44,634,947 | 216,782,684 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513... | 21,312 | 21,312 | ||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 6 | Total. Add lines 1 through 5. | 42,486,883 | 40,114,291 | 44,369,557 | 45,228,276 | 44,644,930 | 216,843,937 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | 0 | 0 | 0 | 0 | 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 | 0 | 0 | 0 | 0 | 0 |
| c | Add lines 7a and 7b.. | 0 | 0 | 0 | 0 | 0 | 0 |
| 8 | Public support. (Subtract line 7c from line 6.) | 216,843,937 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 42,486,883 | 40,114,291 | 44,369,557 | 45,228,276 | 44,644,930 | 216,843,937 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 74,213 | 72,550 | 65,550 | 60,173 | 12,505 | 284,991 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 90,741 | 60,997 | 47,312 | 28,843 | 36,882 | 264,775 |
| c | Add lines 10a and 10b. | 164,954 | 133,547 | 112,862 | 89,016 | 49,387 | 549,766 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 877,506 | 2,066,971 | 2,105,260 | 2,170,482 | 1,784,185 | 9,004,404 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 43,529,343 | 42,314,809 | 46,587,679 | 47,487,774 | 46,478,502 | 226,398,107 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Schedule A, Part III, Line 12 Other Income | DESCRIPTION - BILLING SERVICES AND MANAGEMENT FEES, COLUMN A - 877506.0, COLUMN B - 2066971.0, COLUMN C - 2105260.0, COLUMN D - 2170482.0, COLUMN E - 1784185.0, COLUMN F - 9004404.0; |
| Software ID: | 15000238 |
| Software Version: | 2015v3.0 |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| Form 990, Part III, Line 4a Community Benefit Report | Medical Resources Group Community Benefit Report For the year ended June 30, 2016 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. Medical Resources Group provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2016, approximately 30% of the value of services rendered were to elderly patients under the program, and approximately 16% 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 $459,037 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, Champus, and/or other government-sponsored health care programs. 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. 3) Diagnostic imaging including X-ray, CT Scan, MRI, and Nuclear Medicine. During the fiscal year ending June 30, 2016, Medical Resources Group treated over 200,000 adults and children in the community for a total of 241,718 patient visits. Summary Medical Resources Group furthers its 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. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | In determining compensation of the organization's President, the process, performed by St. John Providence, a related organization of Medical Resources Group, 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 President was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Individual was not present when his compensation was decided. |
| Form 990, Part VI, Line 15b Process to establish compensation of Other Officers and Key Employees | In determining compensation of other officers of the organization, the process, performed by St. John Providence, a related organization of Medical Resources Group, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The compensation committee reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organizations were compared to individuals at other organizations in the area who 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, Line 6 Classes of members or stockholders | Medical Resources Group has a single corporate member, St. John Providence. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | Medical Resources Group has a single corporate member, St. John Providence, who has the ability to elect members to the governing body of Medical Resources Group. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | All decisions that have a material impact to Medical Resources Group financial information or corporation as a whole are subject to approval by its sole corporate member, St. John Providence. Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. 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, Line 12c Conflict of interest policy | 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 conflict 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, Line 19 Required documents available to the public | Medical Resources Group will provide any documents open to public inspection upon request. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | TRANSFER TO/FROM AFFILIATES - 18784851; NET ASSETS RELEASED TO/FROM RELATED ORGANIZATIONS - -8979; |
| Software ID: | 15000238 |
| Software Version: | 2015v3.0 |