2025-11-17T14:29:14-06:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2024-01-01 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 2025-11-14 1 1 KAREN A GRIES P00078514 6128764500 2025-11-14 2024 2025-03-06 01:10:19Z RYAN GUNABALAN 4050 E 12 MILE ROAD WARREN MI 48092 17210288 0 X WWW.SAMARITANBC.COM X 1969 MI PROVIDES SHORT TERM INPATIENT AND OUTPATIENT ACUTE HEALTH CARE, PSYCHIATRIC CARE AND PHARMACY IN A HOSPITAL SETTING. 5 2 0 2 0 0 0 0 16460186 17210288 0 0 0 0 16460186 17210288 0 0 0 0 7075276 8231297 0 0 0 10346399 7094151 17421675 15325448 -961489 1884840 4837406 6083441 1611182 972377 3226224 5111064 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 12704733 0 16225092 PSYCHIATRIC CARE: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. 1115923 0 985196 PHARMACY SERVICES: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. 13820656 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 1 0 0 0 1 X 14 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 2 1 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X RYAN GUNABALAN 2486196771 4050 E 12 MILE ROAD WARREN MI 48092 RYAN GUNABALAN CEO/CHAIRMAN 2.00 40.00 X X 0 147354 26000 ROBERT CLEMENTE TREASURER/SECRETARY 2.00 40.00 X X 0 19803 0 TIMOTHY DENGEL DIRECTOR 2.00 40.00 X 0 20000 0 ANDREW MONRO DIRECTOR 1.00 0.00 X 0 0 0 LAURIE SALL DIRECTOR 1.00 0.00 X 0 0 0 0 187157 26000 0 0 1 0 T & G CORPORATION INC 4050 E 12 MILE ROAD WARREN MI 48092 MANAGEMENT SERVICES 1500000 SAWESWARA N NAVULURI MD PLLC 3721 DURHAM COURT BLOOMFIELD HILLS MI 48302 PHYSICIAN MEDICAL DIRECTOR 550465 SATYAMURTHY KOTAMRAJU 5800 NAVEVA COURT WEST BLOOMFIELD MI 48322 PHYSICIAN 157700 3 PSYCHIATRIC CARE 624100 16225092 16225092 PHARMACIES 456110 985196 985196 17210288 17210288 17210288 0 0 7053074 7053074 630792 630792 547431 547431 1500000 1500000 20778 20778 1405676 1405676 742937 742937 555099 555099 3698 3698 1094 1094 4005 4005 95230 95230 238151 238151 PHARMACEUTICALS 923649 923649 SUPPLIES - KITCHEN 726104 726104 REPAIR & MAINTENANCE 474362 474362 AGENCY FEE 149715 149715 253653 253653 15325448 13820656 1504792 0 36057 156214 859783 1426484 2697267 3198136 82982 82982 107816 97110 3004235 1881720 1053501 1122515 4837406 6083441 801054 895395 734007 0 76121 76982 1611182 972377 X 3226224 5111064 3226224 5111064 4837406 6083441 1884840 0 X 1 X 0 1 0 X 2203149 1374354 828795 420681 262427 158254 380405 244939 135466 1122515 1 1 X 0 0 1 0 0 52 250 52 250 52 50 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 0 0 0 0 0 0 0 0 0 RYAN GUNABALAN CEO/CHAIRMAN 0 147354 0 0 0 0 0 0 0 26000 0 173354 0 0 PART I, LINE 3 THE CEO'S COMPENSATION IS PAID BY THE RELATED ORGANIZATION T & G CORPORATION. THE FOLLOWING WAS USED TO ESTABLISH THE CEO'S COMPENSATION - - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE T & G CORPORATION INC MANAGER WORKING CAPITAL X 2084896 3198136 0 1 1 3198136 T & G CORPORATION INC BOARD MEMBER & 70% OWNER T&G 1115923 INCURRED OVERHEAD EXPENSES 0 FORM 990, SCHEDULE L, PART IV, LINE 1: BOARD MEMBER OF THE ORGANIZATION AND HAS A 70% OWNERSHIP IN T & G CORPORATION, INC. FORM 990, PART V, LINE 2A MADISON COMMUNITY HOSPITAL (MCH) DOES NOT HAVE ANY EMPLOYEES. T & G CORPORATION, THE RELATED ORGANIZATION, EMPLOYS AND PAYS ALL COMPENSATION. SALARY EXPENSE AS REPORTED ON THE FUNCTIONAL EXPENSE SCHEDULE IS MCH'S SHARE OF THE EXPENSE. FORM 990, PART VI, SECTION A, LINE 2 RYAN GUNABALAN, ROBERT CLEMENTE AND TIMOTHY DENGEL HAVE A BUSINESS RELATIONSHIP AS THEY ARE SHAREHOLDERS IN T & G CORPORATION, THE RELATED ENTITY. FORM 990, PART VI, SECTION A, LINE 3 T & G CORPORATION IS RESPONSIBLE FOR THE MANAGEMENT OF THE ORGANIZATION BY PROVIDING EMPLOYEES AND OVERSIGHT FOR THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES THAT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE ORGANIZATION'S PUBLIC ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY MANAGEMENT. ONCE THE DRAFT IS AVAILABLE, IT IS REVIEWED BY MANAGEMENT AND ANY CHANGES INCORPORATED INTO THE FILING. ONCE THIS DETAILED REVIEW IS COMPLETE, THE DRAFT OF THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND COMMENTS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EMPLOYEES MAY NOT ENGAGE IN ANY PERSONAL, BUSINESS OR PROFESSIONAL ACTIVITY, NOR HOLD ANY DIRECT OR INDIRECT FINANCIAL INTEREST, WHICH CONFLICTS WITH THE DUTIES AND RESPONSIBILITIES OF THEIR POSITION WITHIN THE ORGANIZATION. ALL EMPLOYEES WILL BE NOTIFIED OF THIS POLICY UPON EMPLOYMENT, AND AS PART OF THEIR ANNUAL PERFORMANCE APPRAISAL. AT THESE TIMES, EMPLOYEES MUST ACKNOWLEDGE IN WRITING: 1) THAT THEY HAVE BEEN PROVIDED WITH AND AGREE TO ABIDE BY THE CONFLICT OF INTEREST POLICY; AND 2) IDENTIFY IF THEY OR A MEMBER OF THEIR FAMILY HAS A CONFLICT OF INTEREST AT THAT TIME. AT LEAST ANNUALLY, ALL SENIOR MANAGEMENT PERSONNEL AND THE BOARD OF DIRECTORS WILL BE REQUIRED TO CERTIFY IN WRITING THAT THEY ARE AWARE OF AND HAVE NOT VIOLATED THIS POLICY. ALL VENDORS MUST BE NOTIFIED, IN WRITING, OF THIS POLICY, PREFERABLY BY ATTACHING A COPY OF THE POLICY TO CONTRACTS WITH THEM. EMPLOYEES WILL SIGN A DISCLOSURE OF INTEREST FORM UPON HIRE AND AS PART OF THEIR ANNUAL PERFORMANCES APPRAISAL, AND SEEK A MANAGER'S APPROVAL IF A CONFLICT OF INTEREST EXISTS. HUMAN RESOURCES WILL REVIEW THE FORMS AND ADDRESS ANY POTENTIAL CONFLICTS DISCLOSED. THE RECIPIENT RIGHTS OFFICER MAY BE USED AS A RESOURCE IN ADDRESSING SUCH CONFLICTS. HUMAN RESOURCES WILL MAINTAIN THE SIGNED DISCLOSURE OF INTEREST FORMS AND DOCUMENTATION OF ANY SIGNIFICANT FOLLOW-UP IN THE EMPLOYEE'S PERSONAL FILE. 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. T & G CORPORATION INC 4050 E 12 MILE ROAD WARREN MI 48092 383473188 HEALTH CARE MI N/A S 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 T & G CORPORATION R 1500000 ACCRUED